Contract Request Template (Contracts; IGAs; Leases)
Date Submitted: 10-18-16
Requesting Agency: DOF
Division: Cash, Risk & Capital Funding
§ Name: Raymond Sibley
§ Phone: 720-913-3349
§ Email: Raymond.Sibley@denvergov.org
Item Title & Description:
(Do not delete the following instructions)
These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).
Both the title and description must be entered between the red “title” and “body” below. Do not at any time delete the red “title” or “body” markers from this template.
title
A resolution approving a proposed Second Amendatory Agreement between the City and County of Denver and Occupational Health Centers of the Southwest, P.A., P.C. d/b/a Concentra Medical Centers to provide medical services for City employees, utilizing the Workers Compensation Program.
Adds $2.4 million and 2 years to the contract with Occupational Health Centers of the Southwest, P.A., P.C. through 12-31-18 for a total contract of $4.2 to continue as the designated medical provider under the Workers’ Compensation Act and Rules of Procedure of the State of Colorado (201313774). The last regularly scheduled Council meeting within the 30-day review period is on 11-28-16. The Committee approved filing this resolution by consent on 10-25-16.
body
Affected Council District(s) or citywide? CW
Contract Control Number: 201313774
Vendor/Contractor Name (including any “DBA”): Occupational Health Centers of the Southwest, PA PC
Type and Scope of services to be performed:
To act as designated medical provider under the Workers’ Compensation Act and Rules of Procedure of the State of Colorado
Location (if applicable):
WBE/MBE/DBE goals that were applied, if applicable (construction, design, Airport concession contracts):
Are WBE/MBE/DBE goals met (if applicable)?
Is the contract new/a renewal/extension or amendment?
Was this contractor selected by competitive process or sole source?
For New contracts
Term of initial contract
Options for Renewal:
How many renewals (i.e. up to 2 renewals)?
Term of any renewals (i.e. 1 year each):
Cost of initial contract term:
Cost of any renewals:
Total contract value council is approving if all renewals exercised:
For Amendments/Renewals Extensions:
Is this a change to cost/pricing; length of term; terms unrelated to time or price (List all that apply)?
If length changing
What was the length of the term of the original contract? Three years
What is the length of the extension/renewal? Two years
What is the revised total term of the contract? Five years
If cost changing
What was the original value of the entire contract prior to this proposed change? $1,800,000
What is the value of the proposed change? $2,400,000
What is the new/revised total value including change? $4,200,000
If terms changing
Describe the change and the reason for it (i.e. compliance with state law, different way of doing business etc.)