HomeMy WebLinkAboutAgreement_General_12/11/2025_Life Scan Wellness y�aP rBo�
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VILLAGE OF TEQUESTA
TEQUESTA FIRE-RESCUE
MEMORANDUM
FILE NO. Admin. 26-5
DATE: November 24, 2025
TO: Jeremy Allen, Village Manager
FROM: Fire Chief John McLoughlin
SUBJECT: Firefighter physicals with Li Scan Wellness Centers
Consider Approval of the attached quote from Life Scan Wellness Centers to provide
our annual Firefighter physicals for FY 2026 (Exhibit A) along with the Professional
Services Agreement with Life Scan Wellness Centers to provide Enhanced Firefighter
Physical Exams that are NFPA 1582 and NFPA 1583 compliant (Exhibit B), as well as a
cost summary chart of the total fees for services (Exhibit C). We are requesting
approval to move forward with scheduling the annual exams in April 2026.
Life Scan Wellness Centers
Saving the Lives J / Heroes
' I
EXHIBIT A
Quote
Date Sent: 2025-11-03 Prepared for Tequesta Fire Department
Exp. Date: 2026 12 31 Tequesta, FL
Member Exams:23
NAME PRICE QTY SUBTOTAL
Comprehensive Hands On Physical $610.00 1 $610.00
Includes Mandatory Administrative,EMR,and Da[a
with Behavioral Health Assessments
$610.00
Total Per Person $610.00
This quotation is subject to the following terms and conditions:
1. While our pricing is listed on a per-patient basis for transparency,please note that departments will be billed per day of
service.Each scheduled day includes up to 9 patient slots,and we staff and travel our clinical teams accordingly.This
structure ensures operational efficiency and cost-effectiveness,especially when departments request extended
service periods(e.g.,4 weeks or 20 days).If you do not meet the requirements to fill a day or week please discuss with
scheduling
2. Minimum of 5 days or 45 appointments to come on site.Can combine multiple departments or use self pay spouses and
retirees to get to this number.
3. Pricing subject to annual increase
4. Pricing is based on 9 patients per day,45 per week.All scheduled appointments will be billed.
Additional Info:
Detailed scope of work can be found on page Z
Additional testing that can be added to the exam is listed on page 3&4
Life Scan Wellness Centers
1011 N Macdill Ave Tarnpa, FL 33607
SCAN R
813-876-0625
Savingr
's Heroes
Public Safety Physical Exam(NFPA 1582 Compliant)
Medical&Occupationai/Environmental Questionnaire Included
Comprehensive Hands-On Physical Exam Included
Vital Signs:Height,Weight,Blood Pressure,Pulse Included
Behavioral Health Eval-Epworth Sleep,PCL-5,PHQ-9 Included
Back Health Evaluation Included
Urinalysis Included
Audiogram Included
Titmus Occupational Vision Exam Included
Breast Exam with Self-Exam education Included
Personal Consultation with review of testing results Included
Laboratory Tests:
Comprehensive Metabolic Panel,Blood Chemistry Included
Complete Blood Count,Hematology Panel Included
Hemoccult Stool Test for Colon Cancer Screening included
Total Lipid Panel Included
Thyroid Test TSH Included
Glucose Included
Hemoglobin Al C Included
Men:PSA(Prostate cancer marker)and Testosterone Included
Women:CA-125 Included
Ultrasound Screenings(Early Detection of heart Disease and Cancer):
Echocardiogram(Heart Ultrasound) Included
Carotid Arteries Ultrasound Included
Aorta and Aortic Valve Ultrasounds Included
Liver Ultrasound Included
Gal)Bladder Ultrasound Included
Kidneys Ultrasound Included
Spleen Ultrasound Included
Bladder Ultrasound Included
Thyroid Ultrasound Included
Men:Prostate and Testicular Ultrasounds Included
Women:Ovaries and Uterus Ultrasounds Included
Cardiopulmonary testing&Fitness Eval(NFPA 1583&1AFF WFl)
Cardiac Stress Test(Treadmill with 12 lead,sub-maximal) Included
EKG,12 Lead included
CENTERSL�fe Scan Wellness Centers
Heroes--j,—LIFE SCAN WELLNESS
Saving the Lives ofAmerica's
Public Safety Physical Exam(NFPA 1582 Compliant)
Spirometry,PFT with OSHA Respirator Medical Clearance Included
Fitness tests for muscular strength&endurance Included
V02 Max Calc for Aerobic Capacity Included
Body Weight and Composition included
Personal Fitness Rx Included
OPTIONAL TESTS AVAILABLE LINE ITEM COST
Chest X-Ray,2 view with radiologist review $108,00
Lumbar X-Ray,2 view with radiologist review $108.00
Hazmat Cholinesterase $108,00
Hazmat Heavy Metals $108,00
Hepatitis A Screening Test $71.00
Hepatitis A Titer $51.00
Hepatitis B Screening Test $85,00
Hepatitis B Titer $47.00
Hepatitis C Screening Test $78.00
H IV Test,Gen 4 $43.00
PPD TB Skin Test $43.00
QuantiFeron Gold TB Blood Test $l 14.00
Tdap(Tetanus,Diphtheria,Pertussis)Titer $43.00
CEA $26.00
AFP,Serum $63.00
CA 15-3 $21.00
CA 19-9 $26.00
Varicella Titer $40.00
Nicotine $83.00
Vitamin❑ $27.00
Apolipoprotein B(inflammation test) $27.00
C-reactiveProtein 822.00
Life Scan Wellness Centers
--j,—LIFE SCAN WELLNESS CENTERS 1011 N Macdil I Ave Tampa, FL 33607
813-876-0625
Saving the Lives ofAmerica's Heroes
OPTIONAL TESTS AVAILABLE LINE ITEM COST
Homocysteine $22.00
Lp(a)Cardiac Inflammation Test $44.00
OSHA Respirator Mask Fit Testing(PortaCcunt) $68.00
Drug Screen,I CUP $68.00
Drug Rescreen with confirmation $78.00
Medical Review Officer(MRO)as indicated/secondary review $156,00
Guardian Fitness,Nutrition,&Mental Health A p p Subscription-Per Member for the entire year,please ask for mare $36.00
info regarding the app and its benefits
Phlebotomist(Blood Draw)Fee $36.00
Labs Drawn without Appointment $100,00
Farm Fee-Add'l forms needing to be filled out by APR (per form) $50.00
Secure Wifi if not provided by department(per week) $50.00
EXHIBIT B
PROFESSIONAL SERVICES AGREEMENT BETWEEN
LIFE EXTENSION CLINICS, INC..D/B/A: LIFE SCAN WELLNESS CENTERS
AND
TEQUESTA FIRE.RESCUE,Tequesta Florida
THIS AGREE_iNMNT is made between Tequesta Fire Rescue(hereinafter TFR)and Life Scan W cl l ncss Centers
(hereinafter"Life Scan").
WHEREAS, TFR and Life Scan have entered into a Professional Services Agreement (hereinafter "PSA") to
provide annual Life Scan Firefighter Physicals that are NF.PA 1582 and NFPA 1583 comp]iant per Scope of Services
Attachment A.
WHEREAS, The PSA shall be for a term of two (2) years commencing on the P' clay- of Fcb. 2024 and shall
renew for two(2) additional one(1)year terms,iOth annual 5% increases.
WHEREAS, the PSA provides that TFR will compensate Life: Scan for each Firefighter Physical performed per
Life Scan Pricing Attachment A..
WHEREAS, the PSA provides that Life Scau'and the TFR ,vrill mutually agree to a time and place to perform
the Life Scan Firefighter Physicals and that TFR will provide the location for the on-site physicals.
WHEREAS,the PSA further provides that Life Sean and TFR may agree that Life Scan is to perform additional
work at when requested by TFR;
e
NOW THEREFORE, in furtherance of the move, the Parties agree to the follovviag:
CLife Extension Clinics,Inc. Tequesta Fire Fescue
DJEIA:Life Sc ellness Centers Address. 357 Tequesta Dr,Jupiter, FL 33469
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r �,: g :Jeremy Allen
patea202 0,�by
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(signature) (signature)
Print Dame: Patricia Johnson ��,, � Print Name:
Title: CEO Title: V �NL L �kan -or—
DATE:— DATE:
Exhibit C
Life Scan Wellness-firefighter Physicals
Comprehensive Physical $610
Additional Testing:
Hazmat Heavy Metals $108
Hepatitis A Titer 51
Hepatitis B Screening Test 85
Hepatitis C Screening Test 78
HIV Test,Gen 4 43
Quantiferon Gold TB Blood Test 114
Phlebotomist fee 36
$515
Total per Firefighter(25) $1,125
Total Purchase Order $28,125
Budgeted amount $28,800
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep
and maintain this Agreement and any other records associated therewith and that are associated
with the performance of the work described in the Proposal or Bid. Upon request from the
Village's custodian of public records, CONTRACTOR must provide the Village with copies of
requested records, or allow such records to be inspected or copied, within a reasonable time in
accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR
who fails to provide the public records to the Village, or fails to make there available for
inspection or copying, within a reasonable time may be subject to attorney's fees and costs
pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida
Statutes. Further,CONTRACTOR shall ensure that any exempt or confidential records associated
with this Agreement or associated with the performance of the work described in the Proposal
or Bid are not disclosed except as authorized by law for the duration of the Agreement term,and
following completion of the Agreement if the CONTRACTOR does not transfer the records to the
Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to
the Village, all public records in possession of the CONTRACTOR, or keep and maintain public
records required by the Village. If the CONTRACTOR transfers all public records to the Village
upon completion of the Agreement,the CONTRACTOR shall destroy any duplicate public records
that are exempt or confidential and exempt from public records disclosure requirements. If the
CONTRACTOR keeps and maintains public records upon completion of the Agreement, the
CONTRACTOR shall meet all applicable requirements for retaining public records. Records that
are stored electronically must be provided to the VILLAGE, upon request from the Village's
custodian of public records, in a format that is compatible with the Village's information
technology systems.
IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER
119, FLORIDA STATUTES,TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERIC, RECORDS
CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, ❑R AT
Immilliams0teguesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA
33469.
Pursuant to Article X I I of the Palm Beach County Charter,the Office of the Inspector General has
jurisdiction to investigate municipal matters, review and audit municipal contracts and other
transactions, and make reports and recommendations to municipal governing bodies based on
such audits, reviews, or investigations. All parties doing business with the Village shall fully
cooperate with the inspector general in the exercise of the inspector general's functions,
authority, and power. The inspector general has the power to take sworn statements, require
the production of records, and to audit, monitor, investigate and inspect the activities of the
Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent, and
eradicate fraud, waste, mismanagement, misconduct, and abuses.
"The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy
to comply with the requirements of Title II of the American with ❑isabiIities Act of 1990 ("ADA")
by ensuring that the Contractor's[agreement/bid documents and specifications] are accessible
to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written
statement indicating that all [ agreement/bid documents and specifications], from Contractor,
includingfiles, images,graphics,text, audio,video, and multimedia,shall be provided in a format
that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the
Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ["WCAG 2.0 Level AA"], published by
the World Wide Web Consortium ("WK"), Web Accessibility Initiative ["WAl"], available at
www.w3.org/TR/WCAG/."