Contractor Performance Reference Checks by bdr19656

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									HARRIS COUNTY
                BID COVER SHEET                                                    JOB NO.: 06/0310
                                                                              Date Due: September 11, 2006
                                                                                   DUE NO LATER THAN 2:00 P.M.
                                                                                  LOCAL TIME IN HOUSTON, TEXAS
                                                                              Bids received later than the date and time
                                                                              above will not be considered.


 BID FOR: Temporary Personnel to Provide Health Information Management Coding Services for the
 Harris County Hospital District (beginning on or about October 1, 2006 and ending one year
 thereafter)
                                                     OFFERORS NOTE!!

Carefully read all instructions, requirements and                       Please return bid in an appropriately sized envelope or
specifications. Fill out all forms properly and completely.             box. PACKAGE MUST SHOW THE JOB NUMBER,
Submit your bid with all appropriate supplements and/or                 DESCRIPTION AND BE MARKED "SEALED BID".
samples.

                                                RETURN BID TO:
                                      HARRIS COUNTY PURCHASING AGENT
                                        1001 PRESTON AVENUE, SUITE 670
                                              HOUSTON, TEXAS 77002

For additional information, contact: Juanita Duke at 713 755-4644 or juanita_duke@co.harris.tx.us

You must sign below in INK; failure to sign WILL disqualify the offer. All prices must be typewritten or written in
ink.
                                           Total Amount of Bid: $

Company Name:

Company Address: ___________________________________________________________________________

City, State, Zip Code:

Taxpayer Identification Number (T.I.N.):

Telephone No. :                              Fax No.:                             E-mail:

Print Name:

Signature:

[Your signature attests to your offer to provide the goods and/or services in this bid according to the published provisions of this Job.
When an award letter is issued, it becomes a part of this contract. Contract is not valid until Purchase Order is issued.]

JHD/rkj
Revised 12/04


                                                  TABLE OF CONTENTS

                                                                                                                            Page 1 of 35
Items checked below represent components which comprise this bid/proposal package. If the item IS NOT checked, it is NOT
APPLICABLE to this bid/proposal. Offerors are asked to review the package to be sure that all applicable parts are included. If any portion
of the package is missing, notify the Purchasing Department immediately.

It is the Offeror's responsibility to be thoroughly familiar with all Requirements and Specifications. Be sure you understand the following
before you return your bid packet.
__X__ 1.            Cover Sheet
                    Your company name, address, the total amount of the bid/proposal, and your signature (IN INK) should appear on this
                    page.

__X__ 2.          Table of Contents
                  This page is the Table of Contents.

__X__ 3.          General Requirements
                  You should be familiar with all of the General Requirements.

__X__ 4.          Special Requirements/Instructions
                  This section provides information you must know in order to make an offer properly.

__X__ 5.          Specifications
                  This section contains the detailed description of the product/service sought by the County.

__X__ 6.          Pricing/Delivery Information
                  This form is used to solicit exact pricing of goods/services and delivery costs.

__X__ 7.          Attachments
                  __X__ a.           Residence Certification/Tax Form
                                     Be sure to complete this form and return with packet.

                  _____    b.        Bid Guaranty & Performance Bond Information & Requirements
                                     This form applies only to certain bids/proposals. All public work contracts over $25,000 require a
                                     Payment Bond and over $100,000 must also have a Performance Bond, in a form approved by the
                                     County. Please read carefully and fill out completely.

                  _____    c.        Bid Check Return Authorization Form
                                     This form applies only to certain bids/proposals. Please read carefully and fill out completely.

                  _____    d.        Vehicle Delivery Instructions
                                     Included only when purchasing vehicles.

                  __X___ e.          Minimum Insurance Requirements
                                     Included when applicable (does not supersede "Hold Harmless" section of General Requirements).

                  __X___ f.          Worker’s Compensation Insurance Coverage Rule 110.110
                                     This requirement is applicable for a building or construction contract.

                  _____    g.        Financial Statement
                                     When this information is required, you must use this form.

                  __X___ h.          Reference Sheet
                                     When this information is required, you must use this sheet.

                  __X___ i.          HIPAA Requirements

                  __X___ j.          Other
                                     From time to time other attachments may be included.
Revised 03/04


                                                  GENERAL REQUIREMENTS FOR BIDS


                                                                                                                                   Page 2 of 35
READ THIS ENTIRE DOCUMENT CAREFULLY. FOLLOW ALL INSTRUCTIONS. YOU ARE
RESPONSIBLE FOR FULFILLING ALL REQUIREMENTS AND SPECIFICATIONS. BE SURE YOU
UNDERSTAND THEM.

General Requirements apply to all advertised bids; however, these may be superseded, whole or in part, by the
SPECIAL REQUIREMENTS/INSTRUCTIONS OR OTHER DATA CONTAINED HEREIN. Review the Table of
Contents. Be sure your bid package is complete.

ACCESS TO RECORDS
In special circumstances, vendor may be required to allow duly authorized representatives of Harris County, the
Harris County Hospital District or the state and federal government access to contracts, books, documents, and
records necessary to verify the nature and extent of the cost of services provided by vendor.

ADDENDA
When specifications are revised, the Harris County Purchasing Department will issue an addendum addressing the
nature of the change. Offerors must sign and include it in the returned bid package.

ASSIGNMENT
The successful offeror may not assign, sell or otherwise transfer this contract without written permission of Harris
County Commissioners Court.

AWARD
Harris County reserves the right to award this contract on the basis of LOWEST AND BEST OFFER in accordance
with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one offeror,
to reject any or all bids. In the event the lowest dollar offeror meeting specifications is not awarded a contract, the
offeror may appear before the Commissioners Court, Hospital District Board of Managers, Community Supervision
& Corrections Department Board, the Juvenile Board or other applicable governing body and present evidence
concerning his responsibility after officially notifying the Office of the Purchasing Agent of his intent to appear.

BID FORM COMPLETION
Fill out and return to the Harris County Purchasing Department ONE (1) complete bid form in an appropriately sized
envelope or box. PACKAGE MUST SHOW THE JOB NUMBER, DESCRIPTION AND BE MARKED
“SEALED BID.” An authorized representative of the offeror should sign the Bid Cover Sheet. The contract will be
binding only when signed by Harris County, funds are certified by the County Auditor and or the Hospital District, as
applicable, and a Purchase Order issued.

BID RETURNS
Offerors must return all completed bids to the Harris County Purchasing Department reception desk at 1001 Preston
Avenue, Suite 670, Houston, Texas before 2:00 P.M. LOCAL TIME IN HOUSTON, TEXAS on the date
specified. Late bids will not be accepted.

BONDS
If this bid requires submission of bid guarantee and performance bond, there will be a separate page explaining those
requirements. Bids submitted without the required bid bond or cashier's checks are not acceptable.




Revised 09/05




                                                                                                           Page 3 of 35
CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY, AND VOLUNTARY
EXCLUSION
The Contractor certifies by execution of this Contract that it is not ineligible for participation in federal or state
assistance programs under Executive Order 12549, "Debarment and Suspension." The Contractor further agrees to
include this certification in all contracts between itself and any subcontractors in connection with the services
performed under this Contract. Contractor also certifies that contractor will notify Harris County in writing
immediately if contractor is not in compliance with Executive Order 12549 during the term of this contract.
Contractor agrees to refund Harris County for any payments made to the contractor while ineligible.

COLOR SELECTION
Determination of colors of materials is a right reserved by the using department unless otherwise specified in the bid.
Unspecified colors shall be quoted as standard colors, NOT colors which require up charges or special handling.
Unspecified fabrics or vinyls should be construed as medium grade. If offeror fails to get color/material approvals
prior to delivery of merchandise, the using department may refuse to accept the items and demand correct shipment
without penalty, subject to other legal remedies.

CONTRACT OBLIGATION
Harris County Commissioners Court must award the contract and the County Judge or other person authorized by the
Harris County Commissioners Court must sign the contract before it becomes binding on Harris County or the
offerors. Department heads are NOT authorized to sign agreements for Harris County. Binding agreements shall
remain in effect until all products and/or services covered by this purchase have been satisfactorily delivered and
accepted.

CONTRACT RENEWALS
Renewals may be made ONLY by written agreement between Harris County and the offeror. Any price escalations
are limited to those stated by the offeror in the original bid.

DIGITAL FORMAT
If offeror obtained the bid specifications in digital format in order to prepare a response, the bid must be submitted in
hard copy according to the instructions contained in this bid package. If, in its bid response, offeror makes any
changes whatsoever to the County's published bid specifications, the County's bid specifications as published shall
control. Furthermore, if an alteration of any kind to the County's published bid specifications is only discovered after
the contract is executed and is or is not being performed, the contract is subject to immediate cancellation.

DISQUALIFICATION OF OFFEROR
Upon signing this bid document, an offeror offering to sell supplies, materials, services, or equipment to Harris
County certifies that the offeror has not violated the antitrust laws of this state codified in Texas Business and
Commerce Code §15.01, et seq., as amended, or the federal antitrust laws, and has not communicated directly or
indirectly the bid made to any competitor or any other person engaged in such line of business. Any or all bids may
be rejected if the County believes that collusion exists among the offerors. Bids in which the prices are obviously
unbalanced may be rejected. If multiple bids are submitted by an offeror and after the bids are opened, one of the
bids is withdrawn, the result will be that all of the bids submitted by that offeror will be withdrawn; however, nothing
herein prohibits a vendor from submitting multiple bids for different products or services.

E-MAIL ADDRESSES CONSENT
Vendor affirmatively consents to the disclosure of its e-mail addresses that are provided to Harris County, the Harris
County Flood Control District, the Harris County Hospital District including its HMO, the Harris County Appraisal
District, or any agency of Harris County. This consent is intended to comply with the requirements of the Texas
Public Information Act, Tex. Gov’t Code Ann. §522.137, as amended, and shall survive termination of this
agreement. This consent shall apply to e-mail addresses provided by Vendor, its employees, officers, and agents
acting on Vendor’s behalf and shall apply to any e-mail address provided in any form for any reason whether related
to this bid/proposal or otherwise.
Revised 09/05
EVALUATION

                                                                                                             Page 4 of 35
Evaluation shall be used as a determinant as to which bid items or services are the most efficient and/or most
economical for the County. It shall be based on all factors which have a bearing on price and performance of the
items in the user environment. All bids are subject to tabulation by the Harris County Purchasing Department and
recommendation to the appropriate governing body. Compliance with all bid requirements, delivery and needs of the
using department are considerations in evaluating bids. Pricing is NOT the only criteria for making a
recommendation. The Harris County Purchasing Department reserves the right to contact any offeror, at any time,
to clarify, verify or request information with regard to any bid.

FISCAL FUNDING
A multi-year lease or lease/purchase arrangement (if requested by the Special Requirements/Instructions), or any
contract continuing as a result of an extension option, must include fiscal funding out. If, for any reason, funds are
not appropriated to continue the lease or contract, said lease or contract shall become null and void on the last day of
the current appropriation of funds. After expiration of the lease, leased equipment shall be removed by the offeror
from the using department without penalty of any kind or form to Harris County. All charges and physical activity
related to delivery, installation, removal and redelivery shall be the responsibility of the offeror.

GOVERNING FORMS
In the event of any conflict between the terms and provisions of these requirements and the specifications, the
specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Harris
County's interpretation shall govern.

GOVERNING LAW
This bid solicitation is governed by the competitive bidding requirements of the County Purchasing Act, Texas Local
Government Code, §262.021 et seq., as amended. Offerors shall comply with all applicable federal, state and local laws
and regulations. Offeror is further advised that these requirements shall be fully governed by the laws of the State of
Texas and that Harris County may request and rely on advice, decisions and opinions of the Attorney General of Texas
and the County Attorney concerning any portion of these requirements.

GRANT FUNDING
Any contract entered into by the County that is to be paid from grant funds shall be limited to payment from the grant
funding and the vendor/provider understands that the County has not set aside any County funds for the payment of
obligations under a grant contract. If grant funding should become unavailable at any time for the continuation of
services paid for by the grant, and further funding cannot be obtained for the contract, then the sole recourse of the
provider shall be to terminate any further services under the contract and the contract shall be null and void.

HIPAA COMPLIANCE
Offeror agrees to comply with the Standards for Privacy of Individually Identifiable Health Information of the Health
Insurance Portability and Accountability Act of 1996, PL 104-191, 45 CFR Parts 160-164, as amended, and the Texas
Medical Records Privacy Act, Texas Health and Safety Code Chapter 181, as amended, collectively referred to as
"HIPAA", to the extent that the Offeror uses, discloses or has access to protected health information as defined by
HIPAA. Offeror may be required to enter a Business Associate Agreement pursuant to HIPAA.

HOLD HARMLESS AGREEMENT
Contractor, the successful offeror, shall indemnify and hold Harris County harmless from all claims for personal
injury, death and/or property damage resulting directly or indirectly from contractor's performance. Contractor shall
procure and maintain, with respect to the subject matter of this bid, appropriate insurance coverage including, as a
minimum, public liability and property damage with adequate limits to cover contractor's liability as may arise
directly or indirectly from work performed under terms of this bid. Certification of such coverage must be provided
to the County upon request.


Revised 09/05




                                                                                                            Page 5 of 35
INSPECTIONS & TESTING
Harris County reserves the right to inspect any item(s) or service location for compliance with specifications and
requirements and needs of the using department. If an offeror cannot furnish a sample of a bid item, where
applicable, for review, or fails to satisfactorily show an ability to perform, the County can reject the bid as
inadequate.

INVOICES AND PAYMENTS
Offerors shall submit an original invoice on each purchase order or purchase release after each delivery, indicating
the purchase order number. Invoices must be itemized. Any invoice, which cannot be verified by the contract price
and/or is otherwise incorrect, will be returned to the offeror for correction. Under term contracts, when multiple
deliveries and/or services are required, the offeror may invoice following each delivery and the County will pay on
invoice. Contracts providing for a monthly charge will be billed and paid on a monthly basis only. Prior to any and
all payments made for goods and/or services provided under this contract, the offeror should provide his Taxpayer
Identification Number or social security number as applicable. This information must be on file with the Harris
County Auditor’s office. Failure to provide this information may result in a delay in payment and/or back-up
withholding as required by the Internal Revenue Service.

MAINTENANCE
Maintenance required for equipment bid should be available in Harris County by a manufacturer-authorized
maintenance facility. Costs for this service shall be shown on the Pricing/Delivery Information form. If Harris
County opts to include maintenance, it shall be so stated in the purchase order and said cost will be included. Service
will commence only upon expiration of applicable warranties and should be priced accordingly.

MATERIAL SAFETY DATA SHEETS
Under the "Hazardous Communication Act", commonly known as the "Texas Right To Know Act", an offeror must
provide to the County with each delivery, material safety data sheets which are applicable to hazardous substances
defined in the Act. Failure of the offeror to furnish this documentation will be cause to reject any bid applying
thereto.

NAME BRANDS
Specifications may reference name brands and model numbers. It is not the intent of Harris County to restrict these
bids in such cases, but to establish a desired quality level of merchandise or to meet a pre-established standard due to
like existing items. Offerors may offer items of equal stature and the burden of proof of such stature rests with
offerors. Harris County shall act as sole judge in determining equality and acceptability of products offered.

NEW MILLENIUM COMPLIANCE
All products and/or services furnished as part of this contract must be compliant for the present year and forward.
This applies to all computers including hardware and software as well as all other commodities with date sensitive
embedded chips.

POTENTIAL CONFLICTS OF INTEREST
An outside consultant or contractor is prohibited from submitting a bid for services on a Harris County project of
which the consultant or contractor was a designer or other previous contributor, or was an affiliate, subsidiary, joint
venturer or was in any other manner associated by ownership to any party that was a designer or other previous
contributor. If such a consultant or contractor submits a prohibited bid, that bid shall be disqualified on the basis of
conflict of interest, no matter when the conflict is discovered by Harris County. Potential bidders are advised that
they may have disclosure requirements pursuant to Texas Local Government Code, Chapter 176. This law requires
persons desiring to do business with the County to disclose any gifts valued in excess of $250 given to any County
Official or the County Official’s family member, or employment of any County Official or the County Official’s
family member during the preceding twelve (12) month period. The disclosure questionnaire must be filed with the
Harris County Clerk. Refer to Texas Local Government Code, Chapter 176 for the details of this law.
Revised 09/05




                                                                                                            Page 6 of 35
PRICING
Prices for all goods and/or services shall be firm for the duration of this contract and shall be stated on the
Pricing/Delivery Information form. Prices shall be all inclusive: No price changes, additions, or subsequent
qualifications will be honored during the course of the contract. All prices must be written in ink or typewritten.
Pricing on all transportation, freight, drayage and other charges are to be prepaid by the contractor and included in
the bid prices. If there are any additional charges of any kind, other than those mentioned above, specified or
unspecified, offeror MUST indicate the items required and attendant costs or forfeit the right to payment for such
items. Where unit pricing and extended pricing differ, unit pricing prevails.

PURCHASE ORDER AND DELIVERY
The successful offeror shall not deliver products or provide services without a Harris County Purchase Order, signed
by an authorized agent of the Harris County Purchasing Department. The fastest, most reasonable delivery time shall
be indicated by the offeror in the proper place on the Pricing/Delivery Information form. Any special information
concerning delivery should also be included, on a separate sheet, if necessary. All items shall be shipped F.O.B.
INSIDE DELIVERY unless otherwise stated in the specifications. This shall be understood to include bringing
merchandise to the appropriate room or place designated by the using department. Every tender or delivery of goods
must fully comply with all provisions of these requirements and the specifications including time, delivery and
quality. Nonconformance shall constitute a breach which must be rectified prior to expiration of the time for
performance. Failure to rectify within the performance period will be considered cause to reject future deliveries and
cancellation of the contract by Harris County without prejudice to other remedies provided by law. Where delivery
times are critical, Harris County reserves the right to award accordingly.

RECYCLED MATERIALS
Harris County encourages the use of products made of recycled materials and shall give preference in purchasing to
products made of recycled materials if the products meet applicable specifications as to quantity and quality. Harris
County will be the sole judge in determining product preference application.

SEVERABILITY
If any section, subsection, paragraph, sentence, clause, phrase or word of these requirements or the specifications
shall be held invalid, such holding shall not affect the remaining portions of these requirements and the specifications
and it is hereby declared that such remaining portions would have been included in these requirements and the
specifications as though the invalid portion had been omitted.

SILENCE OF SPECIFICATIONS
The apparent silence of specifications as to any detail, or the apparent omission from it of a detailed description
concerning any point, shall be regarded as meaning that only the best commercial practice is to prevail and that only
material and workmanship of the finest quality are to be used. All interpretations of specifications shall be made on
the basis of this statement. The items furnished under this contract shall be new, unused of the latest product in
production to commercial trade and shall be of the highest quality as to materials used and workmanship.
Manufacturer furnishing these items shall be experienced in design and construction of such items and shall be an
established supplier of the item bid.

SUPPLEMENTAL MATERIALS
Offerors are responsible for including all pertinent product data in the returned bid package. Literature, brochures,
data sheets, specification information, completed forms requested as part of the bid package and any other facts
which may affect the evaluation and subsequent contract award should be included. Materials such as legal
documents and contractual agreements, which the offeror wishes to include as a condition of the bid, must also be in
the returned bid package. Failure to include all necessary and proper supplemental materials may be cause to reject
the entire bid.




Revised 09/05



                                                                                                            Page 7 of 35
TAXES
Harris County is exempt from all federal excise, state and local taxes unless otherwise stated in this document.
Harris County claims exemption from all sales and/or use taxes under Texas Tax Code §151.309, as amended. Texas
Limited Sales Tax Exemption Certificates will be furnished upon written request to the Harris County Purchasing
Agent.

TERM CONTRACTS
If the contract is intended to cover a specific time period, the term will be given in the specifications under SCOPE.

TERMINATION
Harris County reserves the right to terminate the contract for default if offeror breaches any of the terms therein,
including warranties of offeror or if the offeror becomes insolvent or commits acts of bankruptcy. Such right of
termination is in addition to and not in lieu of any other remedies which Harris County may have in law or equity.
Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper
amount of time, and/or to properly perform any and all services required to Harris County's satisfaction and/or to
meet all other obligations and requirements. Harris County may terminate the contract without cause upon thirty (30)
days written notice.

TITLE TRANSFER
Title and Risk of Loss of goods shall not pass to Harris County until Harris County actually receives and takes
possession of the goods at the point or points of delivery. Receiving times may vary with the using department.
Generally, deliveries may be made between 8:30 a.m. and 4:00 p.m., Monday through Friday. Offerors are advised to
consult the using department for instructions. The place of delivery shall be shown under the "Special
Requirements/Instructions" section of this bid package and/or on the Purchase Order as a "Deliver To:" address.

WAIVER OF SUBROGATION
Offeror and offeror's insurance carrier waive any and all rights whatsoever with regard to subrogation against Harris
County as an indirect party to any suit arising out of personal or property damages resulting from offeror's
performance under this agreement.

WARRANTIES
Offerors shall furnish all data pertinent to warranties or guarantees which may apply to items in the bid. Offerors
may not limit or exclude any implied warranties. Offeror warrants that product sold to the County shall conform to
the standards established by the U.S. Department of Labor under the Occupational Safety and Health Act of 1970. In
the event product does not conform to OSHA Standards, where applicable, Harris County may return the product for
correction or replacement at the offeror's expense. If offeror fails to make the appropriate correction within a
reasonable time, Harris County may correct at the offeror's expense.




                                               VENDORS OWING TAXES
Pursuant to TX Local Government Code 262.0276, the Hospital District Board of Managers has adopted a policy
which requires that vendors’ taxes be current as of the date bids/proposals are due. Bidders with delinquent taxes on
the due date will not be eligible for award. Whether or not a vendor’s taxes are delinquent will be determined by an
independent review of the Tax Office records. Vendors who believe a delinquency is reflected in error must contact
the Tax Office to correct any errors or discrepancies prior to submitting their bid in order to ensure that their bid will
be considered. Tax records are available online at the Tax Office website—www.hctax.net. Prior to submitting a
bid, vendors are encouraged to visit the Tax Office website, set up a portfolio of their accounts and make their own
initial determination of the status of their tax accounts. This policy is effective for all bids due on or after July 1,
2004.

Revised 05/05




                                                                                                               Page 8 of 35
                             SPECIAL REQUIREMENTS/INSTRUCTIONS

The following requirements and instructions supersede General Requirements where applicable. The terms
―Harris County‖, ―District‖ or HCHD are understood to be the Harris County Hospital District.

Evaluation and Award
Award of the contract shall be made to vendor whose bid is determined to be the highest scored bid meeting all
requirements and best meeting the District’s needs.

LICENSURE
Contractors shall provide, as part of their response, evidence of compliance with all governing requirements for
licensure, registration and/or certification. Photocopies of relevant documents shall be sufficient for bid
submission, but Harris County reserves the right to require presentation of original licenses or certified copies
thereof prior to the contractor's beginning service.

By the submission of a response to this bid document , Contractor warrants and represents to the Harris County
Hospital District that they have and will maintain compliance with all governing regulations and laws,
including Federal, State and Municipal.

NONPERFORMANCE BY CONTRACTOR
Contractor may be placed on probation, or the contract may be suspended or terminated, by Harris County.
Circumstances resulting in probation, suspension or termination may include, but are not limited to, any or all
of the following:
    1.      Failure to meet and maintain minimum quality or performance standards;
    2.      Failure to provide qualified temporary personnel three consecutive times*;
    3.      Failure to maintain required insurance coverage;
    4.      Failure of temporary personnel to have and maintain required licensure and certifications;




                                                                                                      Page 9 of 35
                        SPECIAL REQUIREMENTS/INSTRUCTIONS (continued)

    5.     Failure to cure any deficiencies found as a result of tests or other analyses or performance of
           services.
    6.     Failure to follow HCHD procedures when accepting/filling work requests

Probation shall be for a three (3) month period. HCHD may deem it appropriate to change the probation period
to more or less time. Failure to satisfactorily cure any deficiency within that time may result in suspension of
services or termination of contract. Under conditions of suspension/termination, the contractor will not be
entitled to damages or compensation beyond payment for goods and/or services already rendered through the
end of the probation period and Harris County shall not be liable for any penalties, attorneys’ fees, costs,
consequential or liquidated damages as a result of this action.

*Consecutive times is defined as one day\multiple shifts or three consecutive occurrences.

PRICING, INVOICING AND PAYMENTS
Correct purchase order numbers must be noted on each invoice for services. All services shall be F.O.B.
inside delivery and be all-inclusive. "All-inclusive" shall be construed as costs incorporating all charges for
personnel, travel, and any other cost incurred to produce the desired results. No separate line item charges
for these will be accepted.

Contractor must furnish to the appropriate user departments all invoices for services in a timely
manner. Invoices submitted ninety (90) days after services were rendered will not be honored. Original time
sheets or charge slips shall be submitted to Harris County by the healthcare personnel on a weekly basis and
must meet the Distirct’s minimum standards with respect to information to be entered including, but not
limited to a list of coder’s initials, listing of record numbers coded, location of coding, date coded, total billed
and total records coded. A separate invoice must be generated for all records reviewed on Coding DRG
accuracy and documentation review and Charge master review. All invoices will be reviewed and approved by
the HIM District Director or designee, and any discrepancies, errors and/or questions must be resolved prior to
payment being issued.

Failure to provide accurate invoices in a timely manner will result in contractor being placed on
probation, contract suspension or termination.

INSURANCE
The Contractor must provide proof of the Minimum Insurance Requirements (attachment e) and professional
liability at the time of proposal submission and must maintain such insurance for the term of the contract.
Contractor shall decline to provide temporaries at any such time insurance is not in effect, and shall inform the
District in writing within 2 business days of any such loss of insurance coverage or modification.

PROOF OF BUSINESS
Contractor must have been in business under its current name and in its current form (e.g., proprietorship,
Chapter S Corporation) for no less than three (3) full years. Written evidence is required.

CONFLICTS OF INTEREST
The Contractor must disclose any financial interest held by a Harris County employee in the Contractor’s
business. The Contractor must also disclose an interest between the Contractor, the Contractor’s employees
and any Harris County employees arising from relationships within the first degree of consanguinity or affinity.
A financial interest arises if the Harris County employee:
           Owns 10 percent or more of the voting stock or shares of the contractor’s business;


                                                                                                       Page 10 of 35
                       SPECIAL REQUIREMENTS/INSTRUCTIONS (continued)

             Owns either 10 percent or more or $15,000 or more of the fair market value of the
              Contractor’s business: or
             Receives funds from the Contractor’s business that exceed 10 percent of the Harris County
              employee’s gross income from the previous year.

The Contractor must fully disclose the existence of any relationships as defined above in its response to this
bid. Additionally, the Contractor must notify Harris County if the information provided in its response
changes at any time (attachment j).


REFERENCES
Contractor will provide a minimum of three references from companies for whom contractor has provided
similar services in the last twelve months as demonstration of contractor’s prior experience. Include
company name, address, phone number, contact person, a description of the services provided with a
description of any major variation to the requirements of this bid.


References provided must be current and verifiable. Harris County will conduct reference checks to verify and
validate contractor’s past performance. Reference checks indicating poor or failed performance by the
contractor will be cause for rejection of the bid submitted. In addition, failure to provide verifiable references
will be cause for rejection of bid submitted.




                                                                                                     Page 11 of 35
                                             SPECIFICATIONS

 Temporary Personnel to Provide Health Information Management Coding Services for the Harris County
 Hospital District

Scope
The Harris County Hospital District is seeking bids from qualified vendors to provide coding services,
clinical DRG and documentation review of the current process; charge master and charge capture view for a
period of one year beginning on or about October 1, 2006 and ending twelve months thereafter. For
additional information, contact Juanita Duke in the Office of the Harris County Purchasing Agent at (713)
755-4644 or juanita_duke@co.harris.tx.us.

All questions regarding this bid should be faxed to (713) 755-6695 Attention: Juanita Duke or emailed to
juanita_duke@co.harris.tx.us before 2:00 p.m. on September 1, 2006. A response to all questions received
by that date and time will be issued by September 5, 2006.

Renewal
The District may consider two (2) one year renewal options. Renewable one year at a time under the same
terms, conditions and pricing as the original year. Once the renewals are exhausted, a new bid will be issued. If
Agency does not wish to renew, mark "NA" in the space provided on page 23. The Harris County Hospital
District retains the option to re-bid at any time as is in its best interest and is not automatically bound to
renewal.

Background
The Harris County Hospital District (HCHD) is an integrated health care delivery system located in
Houston, Texas. Annually, HCHD treats more than 19,000 trauma patients, admits 53,000 people to our
hospitals, see almost 120,000 visits in its emergency centers at Ben Taub and LBJ Hospitals, and logs
600,000 non-emergency outpatient visits. In the normal course of business, the HCHD – Health Information
Management (HIM) department assigns ICD-9-CM diagnosis and procedure codes, CPT procedure codes
and modifiers, DRG’s, to inpatient and APC’s to outpatient visits as applicable. Coding guideline and
principles, regulatory, accrediting and billing rules are used in coding medical records. In addition, this data
is abstracted along with other data into HCHD computer systems.

HCHD is soliciting bids from qualified vendors for the assistance of on-site coding on an as needed basis,
due to vacancies, vacation, illness, Leave of Absence, Family Medical leave of Absence, and increased
patient volume or backlogs. In addition, the proposal should address the vendor’s qualifications to complete
coding audits as part of HCHD’s departmental charge capture review process. HCHD will initiate
department charge capture and coding reviews for the outpatient and specialty areas. Coding expertise will
be needed in performing the chart reviews.

Contractor Administrative Responsibilities:
1.    The Contractor will be expected to maintain records for all requests submitted by the designated Harris
      County representatives and invoices sent to the District for payment. All such records shall be kept at a
      location suitably accessible to the District’s representatives and other authorized individuals.

2.     Contractors should identify, or assign, one representative and/or designee within the Contractor’s
       organization to be responsible for handling all needs, facilitating communication and insuring quality.
       If the assigned individual is replaced, the District’s using departments must be notified in writing
       immediately. This representative must become familiar with the personnel needs and job


                                                                                                    Page 12 of 35
                                      SPECIFICATIONS CON’T

      requirements of the District. A visit must be made quarterly by a senior staff representative of the
      Contractor to the using departments.

3.    All requests for temporary personnel will be sent via fax using a ―Request for Temporary Personnel
      Form.‖ Contractors are to respond within 24 hours of receipt of fax. Detailed instructions of this
      procedure will be mailed to all awarded vendors. Failure to respond within the allotted 24 Hour
      timeframe will be considered as non-compliance with the contract and marked as a ―can not fill‖
      resulting termination of award.

      Faxes will be sent to the fax number identified on the cover sheet of the bid. Fax numbers provided
      must be local fax numbers.

      Contractors are to accept requests for temporary personnel ONLY from designated HCHD
      representatives. Any requests accepted from departments and/or representatives other than those
      designated will not be honored by HCHD.

4.    The Contractor must provide written confirmation by fax via the ―Request for Temporary Personnel
      Form‖ to the designated HCHD representative with the name(s) and title(s) of temporary personnel
      who will report for assignment within the allotted 24 hours.

      In the event a temporary identified on the ―Request for Temporary Personnel Form‖ changes, contractor
      must fax a replacement name to HCHD. Changes will be monitored.

5.    The Contractor must stress proper dress codes including a photo ID badge, reliability, punctuality and
      work habits to all temporaries in accordance with the needs of Harris County as determined by the
      using departments.

6.    The Contractor will administer (at Contractor’s expense) all applicable testing and evaluation of
      prospective temporary employees for HCHD. A copy of said testing and evaluation will be submitted to
      HCHD prior to assignment and upon request.

7.    In accordance with HCHD employment policies for new hires, including temporaries, the following
      requirements must be met (at Contractor’s expense): a background check, including but not necessarily
      restricted to, verification of previous employment, verification of licensure and/or certification, and
      criminal activity background check; a general physical examination, tuberculin skin test or chest x-ray;
      a pre-employment drug screen, with confirmatory testing in the event of a positive screen.

8.    Contractor must complete all pre-screening of temporary personnel prior to referral to HCHD.

9.    Contractor must supply HCHD with resumes and copies of credentials for prescreening by HCHD.
      HCHD may request interview prior to assignment.

10.   Contractor must provide alternate temporary personnel within 24-48 hours when emergencies occur to
      assigned temporary personnel.




                                                                                                  Page 13 of 35
                                        SPECIFICATIONS CON’T

Peer Review
The Contractor assumes full responsibility for conducting peer review of temporary personnel in accordance
with the laws of the State of Texas. Upon request, the Contractor shall disclose written and oral
communications and the records and proceedings of the peer review to HCHD as applicable.

Payroll Services
The Contractor will prepare payroll checks, make all necessary deductions, pay all taxes and insurance required
by Federal, State or Local laws. HCHD will be billed for the applicable rate of pay.

The Contractor accepts full responsibility for the payment of wages, compensation and benefits to its
personnel. The Contractor further accepts responsibility for payment of all taxes, assessments, fees, and fines
that may be due and owing to any State or Federal government.

Immunization
The Contractor shall comply with HCHD immunization requirements for all temporary personnel. All
temporary personnel assigned to HCHD facilities shall meet, at a minimum, the following requirement:

       a. Tuberculin (PPD) Skin Test - The Contractor shall perform PPD skin testing yearly on all
          temporary personnel who have not previously tested positive. For any temporary whose test
          becomes positive, the contractor must present documentation of treatment status. For temporary
          personnel with previous known positive skin tests, the contractor will present a yearly screening of
          clinical symptoms for active tuberculosis.

The Contractor agrees to provide documentation to the District that each temporary staff has met the above
requirement prior to assignment to a HCHD facility. Contractor will bear the costs associated with
providing any testing, documentation, examination, vaccinations or immunizations necessary to comply with
the requirements of this RFP and any HCHD policies. Both parties agree that release of healthcare
information may be subject to proper written authorization and it shall be the Contractor's responsibility to
obtain such authorization. Contractor agrees not to assign any personnel that fails or refuses to meet these
requirements.

Contractor Performance Standards
No person currently employed by Harris County or the HCHD may be assigned to work at any HCHD facility.
No person previously employed by Harris County or the HCHD may be dispatched to a HCHD facility within
six months of their last day of employment with Harris County or the HCHD.

1.     HCHD must be completely satisfied with the performance of every assigned temporary. If not satisfied,
       and upon notification to the Contractor, all charges for the unsatisfactory employee will not be paid.

2.     The Contractor will be evaluated on ability to perform satisfactorily including, but not limited to: a)
       number of staff designated as ―Do Not Return; b) number of, and types of, deficiencies; and c) a
       quarterly review of the Contractor’s ability to fill staffing requests with qualified personnel.
       The Contractor agrees that any temporary identified by Harris County as "Do Not Return‖ to any Harris
       County Facility‖ may not work nor be dispatched to work at any Harris County facility. Contractor
       staff/employees designated as ―Do Not Return‖ may be dispatched to a Harris County



                                                                                                   Page 14 of 35
                                       SPECIFICATIONS CON’T

      facility only after Harris County removes the "Do Not Return" status in writing to the Contractor.
      Violation by Contractor will result in probation, suspension or termination of the contract.

3.    Contractor must supply appropriate coding staff; all coders must be credentialed as RHIA, RHIT, or
      CCS (active credential status proof), and have a minimum of two (2) years of coding experience,
      including acute care trauma cases; Inpatient, Day Surgery Observation, Ambulatory, Ancillary, ICD-
      9CM and CPT-4 coding experience. Also, 3M skills required. Experience in Clinical DRG,
      documentation and Charge Master review.

4.    Temporary personnel must be able to travel locally within the Houston area, as needed for HCHD
      different pavilions and hours of operation.

5.    Temporary personnel must work flexible hours (different shifts), according to specific pavilion need.

6.    Records coded by Contract coders will be subject to the HCHD internal quality review process.

7.    Access to HCHD computer systems for reports needed to complete coding activities will be granted.

8.    Contractor must have in place an ongoing performance/compliance/quality program to ensure
      temporary personnel are competent and are educated regarding coding changes/practices.

9.    Temporary personnel must maintain at least 95% coding accuracy rate as overall cases reviewed by
      contractor.

10.   Discrepancies identified by contractor must be reviewed by HCHD and corrected by assigned coder.

11.   Discrepancies identified by HCHD will be shared with the contractor and must be corrected by the
      assigned coder without a charge.

12.   HCHD will have final say in any disagreements with discrepancies found.

13.   If a pattern of discrepancies are found among the contractor or a particular coder, HCHD has the option
      to terminate the contract or request that the assigned coder not return.

14.   Temporary personnel are obligated to notify HCHD and not complete final coding if there is unclear,
      conflicting or nonspecific physician documentation in record. Coder must indicate what is needed,
      including any reports i.e. pathology, operative, etc, that are needed for final coding. HCHD will provide
      information as soon as available for coder and coder will complete final coding. Contractor may charge
      for the record to be coded only once upon final coding.

15.   Contractor must make every effort to send a coder who has already been orientated to HCHD polices
      over a non-orientated coder.

16.   Contractor must make every effort to send a local coder.

17.   Assignments and/or coverage will be submitted to and reviewed by HCHD.
18.   Coverage      may        include       evening        hours,     weekends            and        holidays.


                                                                                                   Page 15 of 35
                                       SPECIFICATIONS CON’T

19.   The Contractor will report to HCHD any assigned temporary undergoing investigation by his or her
      appropriate regulatory board or who is participating in any substance abuse rehab program. Such
      notification will be made verbally to the designated contact person of the using facility within 24 hours
      of the Contractor’s becoming aware of such status, followed in writing to Corporate Compliance.

20.   The Contractor will provide its temporary with appropriate forms for documenting labor time. These
      time/charge tickets must meet HCHD minimum standards with respect to information to be entered,
      including:
      a.      Name of temporary employee
      b.      Employee's classification; social security and license numbers
      c.      Name and responsibility number of the employee's unit of assignment
      d.      A brief description of services rendered
      e.      Date, time and number of hours worked
      f.      The signature of the temporary employee
      g.      The signature of the designated department representative

      The time/charge tickets must have no fewer than two parts and the original will be left with the unit
      supervisor or designee before the temporary leaves the facility.

      Only charge documents from the proper agency can be accepted. The temporary is expected to provide
      the charge slip.

21.   At all times, temporary personnel shall be subject to, and the contractor shall provide for, the
      satisfaction of the following minimum requirements:
              a. No temporary may be under the influence of, show evidence of having recently consumed,
                  or be in possession of alcohol, Cannabis in any form, or any other "Controlled Substance"
                  as defined by applicable Texas Controlled Substance Act as amended, including legally
                  prescribed medications, while on Harris County grounds.
              b. No temporary may be under the influence of, show evidence of having recently consumed,
                  or, with the exception of authorized Harris County patient medications handled in the
                  course of his or her directed responsibilities, be in possession of any sedative, hypnotic,
                  tranquilizer or antidepressant, as identified by the United States Pharmacopoeia or the
                  current Physician's Desk Reference Manual, including legally prescribed medications, while
                  on Harris County grounds
              c. No temporary may be under the influence of, show evidence of having recently consumed,
                  or be in possession of any product required by law to carry a warning to the effect that
                  consumption of the product may cause drowsiness, reduce alertness, or reduce motor
                  control.

22.   The Contractor agrees not to assign or refer any temporary for duties at Harris County facilities if:
            a. He or she is under indictment for any crime of violence or violation of the Texas or U.S.
                Controlled Substances Acts,
            b. He or she is subject to other judicial action and has posted bail or bond while awaiting trial
                for any crime of violence or violation of the Texas or U.S. Controlled Substances Acts

                                       SPECIFICATIONS CON’T


                                                                                                   Page 16 of 35
               c. He or she is on deferred adjudication or parole for any crime of violence or violation of the
                  Texas or U.S. Controlled Substances Acts,
               d. He or she is under suspension by the contractor, whether that suspension has been placed in
                  effect for a confirmed impropriety or for investigative purposes, or
               e. He or she is suffering any degree of physical or mental incapacitation.
               f. He or she has restrictions on his or her license through the regulating board.

       All temporary staff shall be subject to the continuing acceptance of Harris County, which reserves the
       right, and the contractor may anticipate its exercise thereof, to reject any of the contractor's assigned
       personnel or other persons when, in the opinion of Harris County, the retention of that individual is not
       in the best interest of Harris County, its employees, medical staff, patients and/or visitors. Such
       rejection may be exercised with or without cause and without effect on the contract. The contractor is
       responsible for notifying the assigned personnel of the rejections after notification by Harris County
       representative.

The qualifications of the personnel proposed by the Contractor to perform the requirements of this bid will be
 subjectively evaluated. Therefore, the Contractor should submit detailed information related to the experience
 and qualifications, including education and training, of proposed personnel.

1.     All coders must be credentialed as RHIA, RHIT, or CCS (active credential status proof), and have a
       minimum of two (2) years of coding experience, including acute care trauma cases; Inpatient, Day
       Surgery Observation, Ambulatory, Ancillary, ICD-9CM and CPT-4 coding experience. Also, 3M skills
       required. Experience in Clinical DRG, documentation and Charge Master review.

2.     Coders must have basic window computer skills, including familiarity utilizing an encoder, preferably
       3M – HIM Encoder

3.     Coders must assign appropriate ICD-9CM, CPT and modifiers, codes as appropriate to hospital
       admissions and visits, according to national coding guidelines and principles.

4.     Coders must abstract minimum data into computer system, including but not limited to all appropriate
       codes, procedure dates and times, coder initials, date coded, surgeon, completion indicator and
       notes/comments for miscellaneous items.

5.     Coders must sign in and out when on-site.

6.     Coders must submit a daily productivity report to manager when on-site.

7.     Coders must be willing to work at any of the HCHD sites, including the Community Health Centers
       (see attachment j).

8.     Coders must be flexible in work assignments.
9.     Coders must accept work assignments and priorities as outlined and assigned by HCHD.

10.    Coding must be conducted on-site.




                                                                                                   Page 17 of 35
                                       SPECIFICATIONS CON’T

11.   All coders shall meet, on a continuing basis, all regulatory requirements appropriate to their duties.

12.   All coders shall meet, on a continuing basis, all training requirements appropriate to their duties. The
      Contractor shall submit annual verification of: orientation provided to staff, peer review mechanism,
      performance improvement (QA, CQI) programs, annual credentialing for staff. Verification must be
      submitted immediately upon request by Harris County facilities.

13.   All coders and Contractor representatives shall maintain a professional appearance and demeanor, and a
      courteous attitude at all times.

14.   All coders and supervisors having access to Harris County facilities shall be bonded to the degree
      appropriate to their access and duties and subject to Harris County approval.

15.   All coders must disclose their entire name including aliases, assumed names, nicknames, previous
      names or name usage if there is a difference.

16.   All coders shall report promptly to assigned work areas.

17.   All coders must show proof of their respective professional license or certification. Contractor shall
      check and clear all temporary personnel prior to providing service to Harris County facilities.

18.   At the request of Harris County, contractor shall provide resumes.
           Harris County reserves the right to conduct interviews with selected individuals after review of
              such information
           Harris County reserves the right to reject any or all individuals selected by the contractor.

Departmental Audit Deliverables:
 Chart to bill coding audits (generally 50 charts per department)
 Coding DRG to include appropriate discharge disposition documented vs. coded and documentation
   findings and recommendations
 CDM master recommendations
 Billing and charging recommendations
 Department level training (as needed)
 Evaluate the current case mix and provide recommendation for improvement
 Department level audit reports
 Quantify the financial impact of revenue opportunities and case mix impact form the Coding DRG
   review findings
 Evaluation and recommendations pertaining to documentation quality
 Recommendations for change in the charge capture process.




                                                                                                     Page 18 of 35
                                        SPECIFICATIONS CON’T

Downtime:
If computer system is down, the Coder will be required to code manually, according to downtime policy.
No extra charges for system downtime will be paid.

Computer System Used:
 3M Encoder
 McKesson HBOC
 EPIC

Orientation/Training
The Contractor must pay all required orientation costs.

Scheduling
1.    The Contractor must provide staffing services between the hours of 8 a.m. – 11 p.m., Monday – Sunday

2.     The Contractor will respond to all staffing requests within 24 hours .

3.     Once the Contractor confirms acceptance of a work assignment, Harris County may cancel the
       assignment at any time.

       If Harris County cancels less than one (1) hour and thirty (30) minutes prior to the start of the shift and
       the employee arrives on time at the assigned department, the department may pay two (2) hours travel
       time.

4.     Temporaries should not be scheduled more than 40 hours per week. (HARRIS COUNTY WILL
       NOT PAY OVERTIME DIFFERENTIAL)

6.     Holiday pay rates may be available but will be for Harris County Hospital District approved holidays
       only: New Years Day, MLK Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day
       and Christmas Day

Temporary to Permanent Option
The Contractor will permit Harris County to hire temporary personnel thirty (30) calendar days after the
effective date of the contract between Harris County and the Contractor without charge or penalty to Harris
County or to the temporary.

HCHD Responsibilities:
a. HCHD will provide on-site coding reference material (available as part of the 3M product):
               Coding Clinic
               Medical Dictionary
               Medical Encyclopedia
b. Medical records pending coding:
c. Provide orientation for Coders;
d. Provide work area for Coders;
e. Provide policies and procedures;



                                                                                                     Page 19 of 35
                                       SPECIFICATIONS CON’T

f.   Provide general orientation, including access to computer system;
g.   Notify vendor of any coding discrepancies found;
h.   Notify vendor of any concerns regarding the staff;
i.   Notify vendor of expected/planned service needs as soon as possible;
j.   Notify vendor of any invoice discrepancies found, either over or under within 48 hours of receipt;
k.   Provide work assignments and priorities to Coders;
l.   Inpatient record will be assembled in chart order;
m.   Provide at least 24 to 48 hours notice of coverage needed;
n.   HCHD will make every effort to obtain a missing report needed to final code a record (i.e., pathology,
     operative, cath), while the Coder is still on site.

Backlog Volume By Patient Type:
 Inpatient – 2,187 discharges
 Outpatient – 32,018 visits including EC, ancillary, day surgery and outpatient clinic visits

Confidentiality:
Protected Health Information (PHI) made available to the contractor is, by its nature, confidential and the
contractor must have in place formal procedures for the protection of PHI. Bidders must be HIPAA
Privacy and Security compliant and provide the HCHD with a copy of such procedures and/or other
method of protecting confidentiality of PHI. Contractor’s method of confidentiality of District
information shall be subject to the continuing approval of the District, which shall be the sole arbiter of
the adequacy and effectiveness of such procedures. Further, contractor’s method of protecting
confidentiality of District information shall be made a part of the contract documents and shall not be
changed without the advance written approval of the District. No work shall be performed by the
contractor prior to receiving written District approval of the contractor’s method of protecting
confidentiality of PHI, and each of the Contractor’s employees must submit a Confidentiality Agreement
to the HCHD prior to being granted access to Hospital District information. The Contractor shall not
destroy nor permit to be destroyed, any Hospital District documents except by procedures approved by the
HCHD.

Regulatory Requirements:
The Joint Commission for the Accreditation of Healthcare Organizations requires that the HCHD
maintain an on-going Performance Improvement Program. It should ensure the continuing availability of
all resources necessary to the effective delivery of healthcare, including and ensuring that contract services
resources are maintained at levels consistent with their in-house counterparts. The HCHD requires that
bidders include as a part of their bids the written quality management procedures they use to ensure that
coding services are maintained at a high level of accuracy rate. The contractor must also be in compliance
with Centers for Medicare and Medicaid Services (CMS) and Health Insurance Portability Accountability
Act (HIPAA).

The Contractor’s must perform appropriate background checks on all employees. If the duties performed
require specific qualifications, the applicant’s skill must be verified by the Contractor. By assigning an
individual to code HCHD charts, the Contractor warrants that the employee meets and will continue to
meet all requirements appropriate to the duties performed, without regard to whether the District requires
or received documentation of same in every case.



                                                                                                  Page 20 of 35
Bidders must submit as part of their bids, a statement that they are in compliance with Centers for
Medicare and Medicaid Services (CMS), relevant JCAHO and HIPAA requirements. In addition, bidders
must include a list of any and all investigations that have been or are currently being conducted by CMS
or JCAHO, with findings and recommendations. If no such investigations have ever been initiated, the
bidders statement attesting to the same must be submitted with the bid.




                                                                                            Page 21 of 35
                                  PRICING/DELIVERY INFORMATION

Provide price methodology on a per hour basis or a per record basis.

                                                             Per Hour Rate         Per Record Type

Record Type:
       Inpatient                                             $         _           $_______

       Outpatient/clinic visit                               $         _           $_______

       Outpatient/observation                        $       _               $_______

       Outpatient/same day surgery                           $         _           $_______

       Outpatient/EC                                         $         _           $_______

       Outpatient/ancillary visit only                       $         _           $_______


Note: Weekend and holiday hours are as follows or some variation of these day/evening/night shifts:
Weekend = Saturday – Sunday

Harris County Hospital District
Saturday – Sunday
7:00 a.m. – 3:00 p.m.
2:00 p.m. – 10:00 p.m.
3:00 p.m. – 11:00 p.m.




Renewal

Vendor agrees to continue the contract for the time frames stated below under the same terms and
conditions and pricing as the original contract. Pricing increase is not applicable and will not be
 considered. If vendor does not wish to renew, indicate ―N/A‖ in the space provided below.

Renewal Year 1- (2007-2008)              _____yes    ________no

Renewal Year 2 - (2008-2009)_____yes           ________no




                                                                                                Page 22 of 35
                                                                                                               Attachment a
                                                                                                             Job No. 06/0310

                                  RESIDENCE CERTIFICATION/TAX FORM
Pursuant to Texas Government Code §2252.001 et seq., as amended, Harris County requests Residence Certification.
§2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contracts;
pertinent provisions of §2252.001 are stated below:

                (3)      "Nonresident bidder" refers to a person who is not a resident.

                (4)      "Resident bidder" refers to a person whose principal place of business is in this state,
                         including a contractor whose ultimate parent company or majority owner has its principal
                         place of business in this state.

                I certify that                             is a Resident Bidder of Texas as defined in
                           [Company Name]
                Government Code §2252.001.

                I certify that                             is a Nonresident Bidder as defined in
                           [Company Name]
                Government Code §2252.001 and our principal place of business is                         .
                                                                                    [City and State]

Taxpayer Identification Number (T. I. N.):

Company Name submitting Bid/Proposal:

Mailing Address:

If you are an individual, list the names and addresses of any partnership of which you are a general partner:




PROPERTY: List all taxable property owned by you or above partnerships in Harris County.

Harris County Tax Acct. No.* Property address or location**




 * This is the property account identification number assigned by the Harris County Appraisal District.
** For real property, specify the property address or legal description. For business personal property, specify the
   address where the property is located. For example, office equipment will normally be at your office, but
   inventory may be stored at a warehouse or other location.
Do you carry Health Insurance on your employees? ___Yes ___No

If yes, what is the percentage of employees insured? _____%
Revised 12/04




                                                                                                                Page 23 of 35
                                                                                                   Attachment e.

                                     Minimum Insurance Requirements

•        The contractor shall, at all times during the term of this contract, maintain insurance coverage with
         not less than the type and requirements shown below. Such insurance is to be provided at the sole
         cost of the contractor. These requirements do not establish limits of the contractor's liability.

•        All policies of insurance shall waive all rights of subrogation against the County, its officers,
         employees and agents.

•        Upon request, certified copies of original insurance policies shall be furnished to Harris County.

•        The County reserves the right to require additional insurance should it be deemed necessary.

A.       Workers' Compensation (with Waiver of subrogation to Harris County) Employer's Liability,
         including all states, U.S. Longshoremen, Harbor Workers and other endorsements, if applicable to
         the Project.

         Statutory, and Bodily Injury by Accident: $100,000 each employee. Bodily Injury by Disease:
         $500,000 policy limit $100,000 each employee.

B.       Commercial General Liability Occurrence Form including, but not limited to, Premises and
         Operations, Products Liability Broad Form Property Damage, Contractual Liability, Personal and
         Advertising Injury Liability and where the exposure exists, coverage for watercraft, blasting collapse,
         and explosions, blowout, cratering and underground damage.

         $300,000 each occurrence Limit Bodily Injury and Property Damage Combined $300,000 Products-
         Completed Operations Aggregate Limit $500,000 Per Job Aggregate $300,000 Personal and
         Advertising Injury Limit. Harris County shall be named as "additional insured" on commercial
         general liability policy.

C.       Automobile Liability Coverage:

         $300,000 Combined Liability Limits. Bodily Injury and Property Damage Combined. Harris County
         shall be named as "additional insured" on automobile policy.

Revised 12/00




                                                                                                    Page 24 of 35
                                                                                                                    Attachment f
                   TWCC RULE 110.110 WORKERS' COMPENSATION INSURANCE COVERAGE

If this bid/proposal package is for a building or construction contract, all of the provisions of this rule as shown below
apply. Since this is a mandatory requirement, cost increases should not be experienced because of the need to comply with
the Texas Workers' Compensation Law. For additional information contact the Texas Workers' Compensation
Commission, Southfield Building, 400 S. IH-35, Austin, Texas 78704-7491, (512) 440-3618.

A.      Definitions:

                   Certificate of coverage ("Certificate") - A copy of a certificate of insurance, a certificate of authority to self-
                   insure issued by the commission, or a coverage agreement, TWCC-81, TWCC-82, TWCC-83, or TWCC-84
                   showing statutory workers' compensation insurance coverage for the person's or entity's employees providing
                   services on a project, for the duration of the project.

                   Duration of the project - Includes the time from the beginning of the work on the project until the
                   contractor's/person's work on the project has been completed and accepted by the governmental entity.

                   Persons providing services on the project ("subcontractor" in §406.096) - Includes all persons or entities
                   performing all or part of the services the contractor has undertaken to perform on the project, regardless of
                   whether that person contracted directly with the contractor and regardless of whether that person has employees.
                   This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers,
                   owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide
                   services on the project. "Services" include, without limitation, providing, hauling or delivering equipment or
                   materials, or providing labor, transportation, or other service related to a project. "Services" does not include
                   activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of
                   portable toilets.

B.      The Contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of
        any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all
        employees of the contractor providing services on the project, for the duration of the project.

C.      The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract.

D.      If the coverage period shown on the Contractor's current certificate of coverage ends during the duration of the project, the
        Contractor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity
        showing that coverage has been extended.

E.      The Contractor shall obtain from each person providing services on a project, and provide to the governmental entity:

        (1)        A certificate of coverage, prior to that person beginning work on the project, so the governmental entity will have
                   on file certificates of coverage showing coverage for all persons providing services on the project; and

        (2)        No later than seven (7) days after receipt by the Contractor, a new certificate of coverage showing extension of
                   coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the
                   project.

F.      The Contractor shall retain all required certificates of coverage for the duration of the project and for one (1) year
        thereafter.

G.      The Contractor shall notify the governmental entity in writing by certified mail or personal delivery, within ten (10) days
        after the contractor knew or should have known, of any change that materially affects the provision of coverage of any
        person providing services on the project.

H.      The Contractor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Workers'
        Compensation Commission, informing all persons providing services on the project that they are required to be covered,
        and stating how a person may verify coverage and report lack of coverage.

BF10/9.95/1 of 2


                                                                                                                       Page 25 of 35
I.      The Contractor shall contractually require each person with whom it contracts to provide services on a project to:

        (1)        Provide coverage, based on reporting of classification codes and payroll amounts and filing of any coverage
                   agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all its
                   employees providing services on the project, for the duration of the project.

        (2)        Provide to the Contractor, prior to that person beginning work on the project a certificate of coverage showing
                   that coverage is being provided for all employees of the person providing services on the project, for the duration
                   of the project.

        (3)        Provide the Contractor, prior to the end of coverage period, a new certificate of coverage showing extension of
                   coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the
                   project.

        (4)        Obtain from each other person with whom it contracts, and provide to the Contractor:

                   (a)      A certificate of coverage, prior to the other person beginning work on the project, and

                   (b)      a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if
                            the coverage period shown on the current certificate of coverage ends during the duration of the project;

        (5)        Retain all required certificates of coverage on file for the duration of the project and for one (1) year thereafter.

        (6)        Notify the government entity in writing by certified mail or personal delivery, within ten (10) days after the
                   person knew or should have known, of any change that materially affects the provision of coverage of any person
                   providing services on the project; and

        (7)        Contractually require each person with whom it contracts, to perform as required by paragraphs (1) - (7), with the
                   certificates of coverage to be provided to the person for whom they are providing services.

J.      By signing this contract or providing or causing to be provided a certificate of coverage, the Contractor is representing to
        the governmental entity that all employees of the contractor who will provide services on the project will be covered by
        workers' compensation coverage for the duration of the project, that the coverage will be based on proper reporting of
        classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance
        carrier or, in the case of a self-insured, with the commission's Division of Self-Insurance Regulation. Providing false or
        misleading information may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other
        civil actions.

K.      The Contractor's failure to comply with any of these provisions is a breach of contract by the contractor which entitles the
        governmental entity to declare the contract void if the Contractor does not remedy the breach within ten (10) days after
        receipt of notice of breach from the governmental entity.


BF10/9.95/2 of 2




                                                                                                                           Page 26 of 35
                                                                           Attachment h
                                     REFERENCES
References can not include Harris County Facilities
Reference #1
Organization Name:_______________________________________________________________
Contact Name/Telephone No.: ______________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Services provided:________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Reference #2
Organization Name:_______________________________________________________________
Contact Name/Telephone No.: ______________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Services provided:________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Reference #3
Organization Name:_______________________________________________________________
Contact Name/Telephone No.: ______________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Services provided:________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Reference #4
Organization Name:_______________________________________________________________
Contact Name/Telephone No.: ______________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Services provided:________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Reference #5
Organization Name:_______________________________________________________________
Contact Name/Telephone No.: ______________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Services provided:________________________________________________________________
_______________________________________________________________________________




                                                                             Page 27 of 35
                                                                                                    Attachment i

                                          HIPAA REQUIREMENTS


1. Contractor’s Responsibilities Regarding Use and Disclosure of Protected Health Information (―PHI‖)

a.     General: Contractor agrees to

       (1)     hold all Protected Health Information (―PHI‖) confidential except to the extent that disclosure is
               required by Federal or State law, including the Texas Public Information Act, Chapter 552, Texas
               Government Code. TEX. GOV’T CODE ANN. §§ 552.001 et seq., as amended. PHI is defined in
               45 CFR § 164.501 and is limited to information created or received by Contractor from or on
               behalf of County.

       (2)     be bound by all applicable Federal and State of Texas licensing authorities’ laws, rules, and
               regulations regarding records and governmental records, including the Health Insurance
               Portability and Accountability Act of 1996 (―HIPAA‖), PL 104-191, the HIPAA regulations
               (codified at 45 CFR Parts 160 and 164), and Chapter 181, Texas Health and Safety Code, as
               amended, collectively referred to herein as ―Privacy Requirements.‖

       (3)     cooperate with the Texas Medicaid Fraud Control Unit and to make appropriate personnel
               available for interviews, consultation, grand jury proceedings, pre-trial conference, hearings,
               trial, and in any other process, including investigations that are required as a result of
               Contractor’s Services to County. Compliance with this paragraph is at Contractor’s own
               expense.

b.     Representations: Contractor represents that Contractor is familiar with the Privacy Requirements, and
       with State and Federal requirements relating to HIV/AIDS information, mental health information, and
       drug/alcohol-related health information.

c.     Business Associate: Contractor is a ―Business Associate‖ of County as that term is defined under the
       Privacy Requirements. Contractor agrees:

       (1)     Nondisclosure of PHI: Not to use or disclose the PHI received from County or created,
               compiled, or used by Contractor pursuant to this Agreement other than as permitted or required
               by this Agreement, or as otherwise required by law.


       (2)     Limitation on Further Use or Disclosure: Not to further use or disclose the PHI received from
               County or created, compiled, or used by Contractor pursuant to this Agreement in a manner that
               would be prohibited by the Privacy Requirements of HIPAA if disclosure was made by County,
               or if either Contractor or County is otherwise prohibited from making such disclosure by any
               present or future State or federal law, regulation, or rule.

       (3)     Safeguards: To use appropriate safeguards to prevent use or disclosure of the PHI other than as
               provided for by this Agreement or as required by State or federal law, regulation, or rule.

       (4)     Reporting Unauthorized Disclosures: To report to County any use or disclosure of PHI that is
               not authorized by this Agreement immediately upon becoming aware of such unauthorized use or
               disclosure.

       (5)     Subcontractors and Agents: To make all reasonable efforts to ensure that any subcontractor or
               agent to whom Contractor provides PHI received from County or created, compiled, or used by

                                                                                                    Page 28 of 35
       Contractor pursuant to this Agreement agrees to the same restrictions and conditions that apply
       to Contractor with respect to such PHI.

(6)    Mitigation: To mitigate, to the extent practicable, any harmful effect that is known to Contractor
       of a use or disclosure of PHI by Contractor or by a subcontractor or agent of Contractor resulting
       from a violation of this Agreement.

(7)    Notice – Access by Individual: To notify County in writing within three business days of any
       request by an individual for access to the individual’s PHI and to, upon receipt of such request
       from an individual, provide access to the degree required or permitted by law or, if County
       maintains the requested records, direct the individual to County for access to the individual’s
       PHI.

(8)    Notice – Request for Amendment: To notify County in writing within three business days of any
       request by an individual for amendment to the individual’s PHI and to, upon receipt of such
       request from an individual, make such amendments as required or permitted by law, or if County
       maintains the records, direct the individual to County to request amendment of the individual’s
       PHI.

(9)    Notice – Request for Accounting: Upon receipt of any request from an individual for an
       accounting of disclosures made of the individual’s PHI, to provide such an accounting as
       required or permitted by law, and to notify County in writing within three business day of any
       such request; or if County maintains the records, direct the individual to County for an
       accounting of the disclosures of the individual’s PHI. Pursuant to 45 CFR 164.528(a) an
       individual has a right to receive an accounting of certain disclosures of PHI in the six years prior
       to the date on which the accounting is requested.

(10)   HHS Inspection: Upon written request, to make available to the Secretary of Health and Human
       Services ("HHS") or his designee, Contractor’s internal practices, books, and records relating to
       the use and disclosure of PHI received from or held for County in a time or manner designated by
       the Secretary for purposes of the Secretary determining Contractor’s compliance with the Privacy
       Requirements.
(11)   County Inspection: Upon written request, to make available to County during normal business
       hours Contractor’s internal practices, books, and records relating to the use and disclosure of PHI
       received from or held for County in a time and manner designated by County.

(12)   PHI Amendment: To incorporate any amendments, corrections, or additions to the PHI received
       from or created, compiled, or used by Contractor pursuant to this Agreement when notified by
       County that the PHI is inaccurate or incomplete or that other documents are to be added as
       required by or allowed by the Privacy Requirements.

(13)   Documentation of Disclosures: Contractor agrees to document disclosure of PHI and
       information related to such disclosures as is necessary for County to respond to a request by an
       individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528 as
       amended.

(14)   Termination Procedures: Upon termination of this Agreement for any reason, to transfer to
       County all PHI received from County or created, compiled, or used by Contractor pursuant to
       this Agreement or, if specially requested to do so by County in writing, to destroy all such PHI.
       This provision applies when Contractor maintains PHI from County in any form. If Contractor
       determines that transferring or destroying the PHI is infeasible, Contractor shall (i) provide to
       County notification of the conditions that make transfer or destruction infeasible; (ii) extend the
       protections of this Agreement to such PHI; and (iii) limit any further uses and disclosures of such
       PHI to those purposes that make the return or transfer to County or destruction infeasible.

                                                                                              Page 29 of 35
                (15)    Notice-Termination: Upon written notice to Contractor, County may terminate any portion of the
                        Agreement under which Contractor maintains, compiles, or has access to PHI. Additionally,
                        upon written notice to Contractor, County may terminate the entire Agreement if County
                        determines, at its sole discretion, that Contractor has repeatedly violated a Privacy Requirement.

                (16)    Security Incidents: Contractor shall report any security incident to County.

        d.      Survival of Privacy Provisions: Contractor’s obligations with regard to PHI shall survive the termination
                of this Agreement.

        e.      Amendment Related to Privacy Requirements: The Parties agree to take such action as is necessary to
                amend this Agreement if County, in its reasonable discretion, determines that amendment is necessary for
                County to comply with the Privacy Requirements of HIPAA and TEX. HEALTH & SAFETY CODE ANN.
                §§181.001 et seq., as amended, and any other law or regulation affecting the use or disclosure of PHI.
                Any ambiguity in this Agreement shall be resolved to permit County to comply with the Privacy
                Requirements of HIPAA and TEX. HEALTH & SAFETY CODE ANN. §§ 181.001 et seq., as amended.

        f.      Indemnification. Contractor agrees to indemnify and hold harmless to the extent allowed by law
                County and its directors, officers, employees, and agents (individually and collectively “County
                Indemnitees”) against any and all losses, liabilities, judgments, penalties, awards and costs (including
                costs of investigation and legal fees and expenses) arising out of or related to (1) a breach of this
                Agreement relating to the Privacy Requirements by Contractor, or (2) any negligent or wrongful acts
                or omissions of Contractor or its employees, directors, officers, subcontractors, or agents, relating to
                the Privacy Requirements including failure to perform their obligation under the Privacy
                Requirements.

2.      Access to Books and Records of Contractor

Contractor agrees to keep a separate record of all funds received and disbursed under this Agreement and provide the
County or its designee all information, records, papers, reports, and other documents regarding any aspect of the services
furnished as requested by County or its designee, and shall make records, books, documents, and papers of Contractor
that relate in anyway to the services provided available for inspection, audit, examination, and copying by the County or
the County’s representative. Contractor agrees to allow the Comptroller General of the United States, the Department of
Health and Human Services (―HHS‖), the County Auditor, and their duly authorized representatives, access to contracts,
books, documents, and records necessary to verify the nature and extent of the costs of the services provided by
Contractor. Contractor agrees to allow such access until the expiration of four (4) years after the services are furnished
under the contract or subcontract or until the completion of any audit or audit period, whichever is later. Such access will
be provided in accordance with the regulations of the Centers for Medicare and Medicaid Services (―CMS‖) and 42 CFR
420.302, as amended. Contractor agrees to allow similar access to books, records, and documents related to contracts
between Contractor and organizations related to or subcontracted by Contractor, as defined by the regulations of CMS.
No records shall be destroyed that are required to be kept by federal, state, or county statute, law, rule, ordinance, or
order, or by application of conditions of Medicaid or Medicare provider agreements or by other applicable agreements,
including grant applications and requirements entered into between the County or state and a third-party payer.
Contractor shall keep all protected health information, as defined herein, and records relating to disclosure of PHI for six
years after the last date of service or, at County’s option, shall transfer such records to County upon termination of this
Agreement




                                                                                                               Page 30 of 35
                                                                                              Attachment j.

                                  TEMPORARY PERSONNEL QUESTIONNAIRE

1.     Present Company Name:                   ________________________________________________

2.     Location of company headquarters:       ________________________________________________

3.     Primary Houston address:                ________________________________________________

                                               ________________________________________________

       Owner(s):                               ________________________________________________

       If a corporation list officers:         ________________________________________________

                                               ________________________________________________

                                               ________________________________________________

                                               ________________________________________________

4.     Form of Business                        _____________Corporation ______________Partnership

                                               _____________Sole Proprietary

To be filled in by corporation:                      To be filled in by Partnership:

Date incorporated:______________________             Date formed: _________________________

Under the laws of state;__________________           State whether partnership is general,    limited,   or
                                                     associated____________________________

Executive Officer:                                   List members:

_____________________________________                _____________________________________

                                                     _____________________________________

                                                     _____________________________________

Primary address of placement office with regard to servicing this contract:
                                     ________________________________________________

                                         ________________________________________________




                                                                                               Page 31 of 35
                         TEMPORARY PERSONNEL QUESTIONNAIRE (CON’T)

Number of offices in Harris County: ________________________________________________

Number of years in business in Harris County:         ____________________________________

Local office Experience (Average number of years)in
temporary healthcare placement of your local office that will be
directly involved in the fulfillment of this contract: ____________________________________

Is it understood that subcontracting from another agency is not allowed under the terms of this contract:

YES ( )        NO ( )

                                                                    ________an individual
Submitted by                                                  ________a partnership
                                                                    ________a corporation

with principal office at ____________________________________________________________




                                                                                                            Page 32 of 35
                      TEMPORARY PERSONNEL QUESTIONNAIRE (CON’T)

1.   a.     Is your agency presently in compliance with all City, State and Federal requirements with
            jurisdiction over your business? (Check One)
            YES ( ) NO ( )

     b.     If your answer is ―NO‖, what is the specific area of non-compliance and what do you anticipate as
            the outcome?
            _______________________________________________________________________________
            _______________________________________________________________________________

2.          How many years has your agency been in existence in its current business form and operating
            under the same name?____________________________________________________________

3.   a.     Does your agency have, at this time, a sufficient number of employees of the quality expected
            by Harris County?
            YES ( ) NO ( )

     b.     Are individuals already registered with your company who meet the qualifications of this bid so
            that there will not be a problem in supplying Harris County with the number of temporaries
            designated under each job specification upon demand?
            YES ( ) NO ( )

4.   Is your agency staffed 24 hours a day?
     YES ( ) NO ( )

5.   Does your agency provide (required of your employees) the following tests on a routine basis:
     Drug testing ______________ TB screen _______________

6.   Does agency warrant all temporaries possess a minimum of no less than 2 years of full-time experience in
     the area of assignment?
     YES ( ) NO ( )

     There should be no more than six months between the period of time the temporary last worked in the area
     of assignment and the work at a Harris County facility

7.   Does agency warrant all temporaries possess proper accreditation (licensure, certification, etc.)
     appropriate to the professional field?
     YES ( ) NO ( )

8.   Does your agency understand that, due to processing procedures involving several separate Harris County
     offices, there may be up to a 30 day delay from the date an invoice is received by the using department and
     Accounts Payable before payment is available and that no consideration for special handling will be made?
     YES ( ) NO ( )




                                                                                                     Page 33 of 35
                                 TEMPORARY PERSONNEL QUESTIONNAIRE (CON’T)


State of _____________________
County of ___________________

____________________________________ being duly sworn, deposes and says that he is ___________________________________(Title) of
_________________________________(Business) and that the answers to the foregoing questions on the attached forms and all statements therein
are true and correct; that the experience record and the schedule of services are made a part of this affidavit as though written in full herein, and all
statements and questions given in the above mentioned experience record and schedule of equipment are true and correct. Furthermore, full
disclosure of any existing relationships as defined in the Conflict of Interest section of this bid have been made known.


Signed:_________________________________________

Sworn to before me this______ day of
_____________________A.D. 20___



NOTARY PUBLIC

My commission expires:




                                                                                                                                         Page 34 of 35
                                      Exhibit A
                                           Facilities


HOSPITALS
Ben Taub General Hospital   1504 Taub Loop                 713-873-2319
                            Houston, Texas 77030
Lyndon B. Johnson General   5656 Kelley Street             713-566-5351
Hospital                    Houston, Texas 77026
Quentin Mease Community     3601 North MacGregor Way       713-873-4765
Hospital                    Houston, Texas 77004


COMMUNITY HEALTH CENTERS
Acres Home                  818 Ringold Street             281-260-3324
                            Houston, Texas 77088
Aldine                      4755 Aldine Mail Route         281-985-7777
                            Houston, Texas 77039
Baytown                     1602 Garth Road                281-837-2710
                            Baytown, Texas 77520
Casa de Amigos              1615 North Main Street         713-236-7115
                            Houston, Texas 77009
E.A. ―Squatty‖ Lyons        1712 First Street, Suite M20   281-446-4139
                            Houston, Texas 77338
Gulfgate                    7550 Office City Drive         713-495-3709
                            Houston, Texas 77012
Martin Luther King          3601 North MacGregor Way       713-873-4765
                            Houston, Texas 77004
Northwest                   1100 W4st 34th Street          713-867-7894
                            Houston, Texas 77018
People’s                    6630 De Moss Street            713-272-2624
                            Houston, Texas 77074
Settegast                   9105 North Wayside Drive       713-636-7128
                            Houston, Texas 77028
Strawberry                  927 E. Shaw Road               713-982-5924
                            Pasadena, Texas 77506
Thomas Street               2015 Thomas Street             713-873-4140
                            Houston, Texas 77009




                                                                          Page 35 of 35

								
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