Contract Request Template (Contracts; IGAs; Leases)
Date Submitted: 1-2-19
Requesting Agency: Finance
Division:
§ 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 Agreement between the City and County of Denver and Occupational Health Centers of the Southwest PA PC to act as a designated medical provider when an alleged injury is reported by a city employee.
Approves a contract with Occupational Health Centers of the Southwest, PA PC., for $3,000,000 and for five years to act as a designated medical provider under the Workers’ Compensation Act and Rules of Procedure of the State of Colorado for care when an alleged injury is reported by a city employee (201846056). The last regularly scheduled Council meeting within the 30-day review period is on 2-11-19. The Committee approved filing this item at its meeting on 1-8-19.
body
Affected Council District(s) or citywide? Citywide
Contract Control Number: 201846056
Vendor/Contractor Name (including any “DBA”): Occupational Health Centers of the Southwest, PA PC.,
Type and Scope of services to be performed:
Resolution approves the contract with Occupational Health Centers of the Southwest through December 31, 2023. Total contract amount by year 5 will be $3,000,000. Occupational Health Centers of the Southwest acts as a designated medical provider under the Workers’ Compensation Act and Rules of Procedure of the State of Colorado. The City is required to provide employees a minimum of two choices for care when an alleged injury is reported. Occupational Health Centers of the Southwest (Concentra), will be one of the options used
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: Five years
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: $3,000,000
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?
What is the length of the extension/renewal?
What is the revised total term of the contract?
If cost changing
What was the original value of the entire contract prior to this proposed change?
What is the value of the proposed change?
What is the new/revised total value including change?
If terms changing
Describe the change and the reason for it (i.e. compliance with state law, different way of doing business etc.)