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STANDARD AGREEMENT

Independent Contractor Agreement

STANDARD AGREEMENT | Document Parties: MEDICAL STAFFING SOLUTION | TELESCIENCE INTERNATIONAL, INC. You are currently viewing:
This Independent Contractor Agreement involves

MEDICAL STAFFING SOLUTION | TELESCIENCE INTERNATIONAL, INC.

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Title: STANDARD AGREEMENT
Governing Law: California     Date: 3/31/2005

STANDARD AGREEMENT, Parties: medical staffing solution , telescience international  inc.
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STATE OF CALIFORNIA YOUTH AND ADULT CORRECTIONAL AGENCY

                                                  ARNOLD SCHWARZENEGGER, Govenor

 

DEPARTMENT OF CORRECTIONS P.G. Box 942883

Sacramento, CA 94283-0001

 

 

December 23, 2004

 

 

Christopher M. Wallace, Vice President

Telescience International, Inc.

8150 Leesburg Pike, Suite 1200

Vienna, VA 22182

 

CONTRACT NUMBER: 1CM04469 - TEMPORARY/RELIEF NURSING SERVICES

 

Enclosed,   for your files, is a fully executed original of the   above-referenced

master contract for TEMPORARY/RELIEF   NURSING SERVICES to institutions under the

Department of Corrections for the period from OCTOBER 1, 2004 THROUGH   SEPTEMBER

30, 2007.   Any Notice To Proceed (NTP)   authorization   letters for   institutions

requesting   services,   as   appropriate,   will be   mailed   to your   company   upon

approval.

 

Inquiries regarding this contract may be directed to me at (916) 323-4168.

 

Sincerely,

 

 

SOCORRO RO.DRIGUEZ

Contract Analyst

Institution Service Contracts Section

 

Enclosure

 

 

CC Contract File

 

 

<PAGE>

 

 

STP' OF CALIFORNIA

STANDARD AGREEMENT

STD 2'.? (Rev OciO3)

 

                                                             -------------------

                                                             AGREEMENT NUMBER

                                                              ICM04469

                                                             -------------------

                                                             REGISTRATION NUMBER

                                                              N/A

                                                             -------------------

================================================================================

1.     This Agreement is entered

      into between the State Agency and the Contractor named below:

      STATE AGENCY'S NAME

 

      Department of Corrections

 

      CGtJTRAC I JR S NAME

      TELESCIENCE INTERNATIONAL, INC.

2.     The term of this Agreement is: OCTOBER 1, 2004 through SEPTEMBER 30, 2007

--------------------------------------------------------------------------------

3.     The maximum amount    The total estimated amount of this contract shall not

                           exceed Fifty   Million   Dollars of this   agreement is:

                           ($50,000,000.00)   There is no monetary   obligation on

                           this master contract; funds for each institution will

                           be encumbered on a Notice to Proceed (NTP), The State

                           makes no   commitment,   written or implied,   as to the

                           total   amount to be expended   during the term of this

                           agreement

--------------------------------------------------------------------------------

4.     This Master   Contract is entered   into by and between the Provider and the

      State of California,   Department of Corrections (CDC) for Temporary/Relief

      Nursing   Services   (i.e.   Registered   Nurse,   Licensed   Vocational   Nurse,

      Certified   Nurses Assistant   and/or Medical   Assistant).   Contractor shall

      perform services to participating institutions as identified in Exhibit H,

      Hierarchy   Chart, of this   Agreement.   This Agreement is not exclusive and

      CDC   reserves   the right to   contract   with other   providers   for the same

      service.   The parties agree to comply with the terms and conditions of the

      following   exhibits   which   are   by   this   reference   made   part   of   this

      Agreement.

--------------------------------------------------------------------------------

      Exhibit A - Scope of Work                                          10 pages

      Exhibit B - Budget Detail and Payment Provisions                    1 page

      Exhibit B-1 - Bid Proposal                                           4 pages

      Exhibit B-2 - Rate Sheet                                           20 pages

      Exhibit C* - General Terms and Conditions

      Check mark one item below as Exhibit D:                             GTC304*

 

                                                        (R)I Exhibit - D Special

                                                       Terms and Conditions

                                                       (Attached hereto as

                                                        part of this agreement)

                                                        -----------------------

                                                        1 page

                                                        N/A

      Exhibit - D* Special Terms and Conditions

      Exhibit E - Additional Provisions

      Exhibit F - List of Participating institutions

      Exhibit G - List of Regional Accounting Offices

      Exhibit H - Hierarchy Chart

      Exhibit I - Business Associates Agreement (HIPAA)

 

Items shown with an Asterisk ('), are hereby   incorporated by reference and made

part of this agreement as if attached   hereto.  

These documents can be viewed at wwvr.ols.dgs.ca.go'v/Standard+Language

IN WITNESS   WHEREOF,   THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.

CONTRACTOR

CONTRACTOR'S NAME (if other than AN   INDIVIDUAL,   STATE whether a corporation,  

partnership,   etc.)

TELESCIENCE INTERNATIONAL, INC.

 

<TABLE>

<CAPTION>

<S>                                                                               <C>

------------------------------------------------------------------------------------------------------------

                                                                                   California Department of

                                                                                   General Services Use Only

 

--------------------------------------------------------------------------------

BY (Authorized Signature)                                    DATE SIGNED

 

PRINTED NAME AND TITLE OF PERSON SIGNING

CHRISTOPHER M. WALLACE, Vice President                      (703) 641-8890 X133

--------------------------------------------------------------------------------

ADDRESS

8150 Leesburg Pike, Suite 1200, Vienna, VA 22182

--------------------------------------------------------------------------------

                      STATE OF CALIFORNIA

--------------------------------------------------------------------------------

AGENCY NAME

Department of Corrections

--------------------------------------------------------------------------------

BY (Authorized Signature)                               DATE SIGNED (Do nor 0/50)

 

PRINTED NAME AND TITLE OF PERSON SIGNING')

DEBRA L. SMITH, Chief, Institution MEDICAL CONTRACTS SECTION

ADDRESS

P.O. BOX 942883, SACRAMENTO, CA 94283-0001

============================================================================================================

</TABLE>

 

<PAGE>

 

 

California Department of Corrections (CDC) and

      TeleSceince International, Inc.                                    Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

 

                                TEMPORARY/RELIEF

            REGISTERED NURSES (RN), LICENSED VOCATIONAL NURSES (LVN),

                     CERTIFIED NURSING ASSISTANTS (CNA), AND

                             MEDICAL ASSISTANTS (MA)

 

 

1.     INTRODUCTION/SERVICES

 

      Contractor shall provide on an as-needed   basis,   twenty-four (24) hours a

      day,   seven   (7) days a week,   Temporary/Relief   Registered   Nurses   (RN),

      Licensed Vocational Nurses (LVN),   Certified Nursing Assistants (CNA), and

      Medical   Assistants   (MA)   to   provide   medical,   surgical   and   specialty

      services   such   as   emergency   medicine,    psychiatric   or   obstetric   and

      gynecological   nursing care,   etc to California   Department of Corrections

      (CDC) institutions for the care of inmate/patients   under the jurisdiction

      of the CDC.   Temporary/relief   RN, LVN, CNA, and MA services shall be used

      only when patient acuity levels or appropriate   staffing   levels cannot be

      maintained   with civil   service   staff.   Institutions   may,   on   occasion,

      request bilingual (English/Spanish speaking) personnel.

 

      Registry   personnel referred by the Contractor must be able to perform the

      tasks   associated   with providing the above nursing   service(s) and assume

      full   responsibility   for services   performed.   Contractor agrees that all

      referred registry   personnel will be required to render health services to

      any inmate/patient as needed.   Registry staff will work under the clinical

      direction   of the Health Care   Manager/Chief   Medical   Officer   (HCM/CMO),

      designee   and/or   nursing   supervisor   in   accordance   with state laws and

      regulations    and   shall   at   all   times   comply   with   universal    safety

      precautions    and   maintain    CDC   security    measures   and   a   safe   work

      environment.

 

      Contractor agrees that all expenses associated with travel to and from the

      institution,   lodging,   and all training   expenses for referred   personnel

      shall be borne by the Contractor, or the Contractor's subcontractors,   and

      will not be reimbursed separately by CDC.

 

      Contractor   acknowledges   that CDC is not   obligated to provide or pay for

      inmate/patient   health care   services or treatment   beyond those which are

      essential to prevent   death,   or permanent   andior severe   disability.   If

      health   care   service or   treatment   is   nonessential   or could   safely be

      deferred until the   inmate/patients is released from custody,   when he/she

      is able to arrange   for   services   for   himself/herself,   CDC shall   defer

      services.   Prior   authorization   must be obtained   and   documented   in the

      inmate/patient's   health record for those excluded health care services or

      treatments listed in CDC's Medical Standards of Care.

 

      Any and all services performed outside the scope of this Agreement will be

      at the sole risk and expense of the Contractor.

 

 

<PAGE>

 

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                                Contract No. ICM04469

 

2.     LICENSES/PERMITS/CERTIFICATION REQUIREMENTS

 

      a.     Contractor's personnel shall, throughout the term of this Agreement,

            have current and valid licenses   and/or   certificates   in accordance

            with the State requirements   governing the scope of licensure and/or

            certification.   In the   event   a   required   license,   permit   and/or

            certification   expires,   Contractor shall provide a   current/renewed

            license(s),   permit(s) and/or   certification(s)   to CDC no less than

            thirty (30) days prior to the expiration, or replace the personnel.

 

      b.     Contractor   is   responsible   for verifying   through the   appropriate

            licensing   boards   that no   adverse   actions   have been taken by the

            State licensing   authorities against any referred personnel assigned

            to CDC, and that all licenses are active and void of misconduct. CDC

            may, at its discretion, verify the current status of staff assigned.

            If,   during the course of this   Agreement,   any of the   licenses and

            requirements   as stated   herein are found to be   inactive   or not in

            compliance, CDC may immediately terminate this Agreement.

 

      c.     Copies of the   following   documents   are   required   for all referred

            personnel designated for assignment to CDC and shall be submitted to

            the HCM/CMO or designee prior to providing services:

 

            (1)    Current State of   California   licensure   and/or   certification

                  appropriate to the scope of work

 

            (2)    Current Cardiopulmonary Resuscitation Certificate (CPR)

 

            (3)    Employment Eligibility Verification (1-9) form

 

       d.     Institutions   with a licensed   General   Acute Care   Hospital   (GACH)

            (CIM,   CMF,   COR,   CMC) also require a current copy of   Contractor's

            Medical/Clinical Skills Inventory Checklist and Clinical Performance

            Evaluation   Checklist,   validating   the   competency of   Contractor's

            personnel to perform the duties, is required by this Agreement.

 

      e.     All referred registry   personnel working in a licensed general acute

            care   hospital   setting must have   documentation   of completion of a

            competency   validation process meeting the requirements of Title 22,

            Section 70016 or Section 70016.1, as applicable, prior to performing

            the duties required by this Agreement.

 

      f.     Contractor   shall   obtain at least two (2)   reference   checks on all

            referred   personnel and maintain   records of   verification.   Records

            shall include the following:

 

            Name of person contacted and date

             Name of previous   acute   care hospital or health facility

            Specialty areas/units worked

            Degree of competency performing duties

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                        Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

 

3.     CONTRACTOR RESPONSIBILITIES

 

      Under medical or RN   supervision,   registry   staff services shall include,

      but not be limited to:

 

      Registered Nurse (RN)

 

      Providing   nursing   care   consistent   with the scope of   licensure   and/or

      certification,   and in accordance with physicians   orders and CDC facility

      policies and procedures

      o      Documenting and   maintaining   medical records in accordance with CDC

            policies and procedures

      o      Performing and documenting nursing assessments for assigned patients

            and reporting   significant   changes to the attending   physician in a

            timely manner

      o      Providing    patient    education    that   is    consistent    with    the

            inmate/patient's medical condition

      o      Assisting the physician with all treatment modalities

      o      Circulating in the surgery suite

      o      Scrubbing the surgery suite

      o      Providing nursing care to pre- and postoperative cases

      o      Making and applying surgical dressings

      o      Providing   clinical   supervision   of other   nursing   staff to ensure

             quality patient care

 

      Licensed Vocational Nurse (LVN)

 

      o      Providing nursing care consistent with the scope of licensure and/or

            certification,   and in   accordance   with   physicians   orders and CDC

            facility policies and procedures

      o      Documenting and   maintaining   medical records in accordance with CDC

            policies and procedures

      o      Performing and   documenting   basic nursing   assessments for assigned

            patients   and   reporting     significant    changes   to   the   attending

            physician and/or lead nurse in a timely manner

      o      Providing    patient    education    that   is    consistent    with    the

            inmate/patient's medical condition

      o      Assisting the physician with all treatment modalities

      o      Circulating in the surgery suite

      o      Scrubbing the surgery suite

      o      Providing nursing care to pre- and postoperative cases

      o      Making and applying surgical dressings

      o      Insure quality patient care

 

      Certified Nursing Assistant (CNA)

 

      Providing   patient   care   consistent   with the scope of   licensure   and/or

      certification   and, in accordance with physician   order's and CDC policies

      and procedures

       o      Motivating and assisting inmate/patients in developing and utilizing

            their maximum potential for self-care and daily living activities

      o      Positioning,      ambulating,      transferring     and     transporting

            inmate/patients

      o      Administering non-legend topical preparations

      o      Taking and   recording   weight,   height,   blood   pressure,   pulse and

            respiration

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

      o      Taking   and   recording   oral   and   rectal   temperatures    Observing,

            charting   and   reporting   the   inmate/patient's   clinical   symptoms,

            behavior,   and treatment   administered to the lead nurse in a timely

            manner

      o      Documenting and   maintaining   medical records in accordance with CDC

            facility policies and procedures

      o      Preparing inmate/patients for physical examination

      o      Assisting in the collection of laboratory specimens

      o      Caring for surgical instruments and equipment

      o      Restocking supplies

 

      Medical Assistant (MA)

 

      Providing basic   administrative,   clerical,   and medical services that are

      consistent   with   the   scope   of   certification   and   in   accordance   with

      physicians orders and CDC facility policy and procedures

      o      Preparing inmate/patients for physical examination

      o      Performing      electrocardiograms,      electroencephalograms      and

            plethysmography tests (excluding full body plethysmography)

      o      Assisting in the   collection of laboratory   specimens and performing

            simple laboratory and screening tests that are customarily performed

            in a medical office

      o      Positioning,      ambulating,      transferring     and     transporting

            inmate/patients

      o      Administering   medication   (excluding   anesthetics)   and   non-legend

            topical preparations

      o      Taking and   recording   weight,   height,   blood   pressure,   pulse and

            respiration

      o      Taking and recording oral and rectal temperatures

      o      Observing,   charting and   reporting   the   inmate/patient's   clinical

            symptoms,   behavior,   and   treatment   administered   to the attending

            physician or lead nurse in a timely manner

      o      Documenting and   maintaining   medical records in accordance with CDC

            facility policies and procedures

      o      Caring for surgical instruments and equipment

      o      Restocking supplies

 

      Contractor   shall   have   a   locally   based   contact   person   available   by

      telephone twenty-four (24) hours a day. TELEPHONE ANSWERING DEVICES (E.G.,

      MESSAGE   MACHINES)   ARE NOT   ACCEPTABLE.   The   initial   contact to request

      services may be by   telephone;   however,   CDC shall follow up   immediately

       with   a   facsimile    request.    The    Contractor    shall   respond   to   the

      Institution's   request   for   services   within two (2) hours of the initial

      contact.

 

      a.     WORK Hours/DayslFrequency/Holidays

            Temporary/Relief   nursing   services may be ordered   twenty-four (24)

            hours a day, seven (7) days a week,   including holidays.   Contractor

            shall   provide   staff   within   the   time   frames   specified   by   the

            institution representative. Requests for services shall be for eight

            (8),   ten (10),   or twelve (12) hours   based upon   mutual   Agreement

            between the Contractor and HCM/CMO or designee.

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                               Contract No. 1CM04469

 

 

      b.     HOURS OF Operation

            Services are to be provided for a variety of shifts,   which   include

             but are not limited to the following:

 

                 1st Shift    -        10:30 p.m.     to    6:30 a.m.

 

                 2nd Shift               30

                                                        2.33 p.m.

 

                 3rd Shift -           2:30 p.m.      to    10:30 p.m.

 

            Contractor must provide personnel available to work every day of the

            year, including holidays.   Staff shall report for beginnings/endings

            of shifts in   accordance   with the   policies and   procedures   of the

            requesting   institution.   Contractor shall notify the Institution at

            least   twenty-four   (24) hours in advance   of   scheduled   service if

            unable to provide   service for, or immediately   provide   replacement

            staff to avoid disruption of service.

 

      c.     HOLIDAYS

            Official   State of   California   holidays   are:   January 1, the third

            Monday in January,   February 12, the third Monday in February, March

            31, the last Monday in. May,   July 4, the first Monday in September,

            the   second    Monday   in   October,    November    11,   the   day   after

            Thanksgiving,   and   December   25. If a day listed falls on a Sunday,

            the   following   Monday   shall be deemed to be the holiday in lieu of

            the day   observed.   If   November   11`h   falls upon a   Saturday,   the

            preceding   Friday   shall be deemed   the   holiday   in lieu of the day

            observed (from GC 19853[a]).

 

      d.     OVERTIME AND HOLIDAY PAY RATE ALLOWANCES

 

            (1)    Overtime Pay Rate Allowances

                  (a)    Contractor   shall be responsible   for rotating staff and

                        providing relief staff to avoid Contractor's   payment of

                        overtime.   CDC shall only pay overtime to Contractor for

                        unanticipated   events, such as an institution   emergency

                        after a regular   work   schedule   greater   than eight (8)

                         hours or   lock-down   at time and   one-half   (1-112)   the

                        hourly   rate   identified   in   Contractor's    Rate   Sheet

                        (Exhibit    B-2)   when    authorized   by   the   HCM/CMO   or

                         designee.

 

                  (b)    if    an    unanticipated    overtime    situation    arises,

                        Contractor must obtain written approval from the HCM/CMO

                        or   designee   for   payment   of   overtime.    Contractor's

                        failure to obtain   written   approval for   overtime   will

                        cause the Contractor to be the responsible party for the

                        payment   of   any    unauthorized    overtime   to   affected

                         personnel.   If the   HCMICMO   or   designee   approves   the

                        overtime,   a copy of the approval   letter must accompany

                        the monthly invoices.

 

                  (c)    Contractor   shall guarantee that California   Labor Code,

                        Division 2, Part 2, Chapter 1, Sections 500 through 558,

                        have been   complied   with when   providing   personnel   to

                        work.

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

 

            (2)    Holida,, Pay Rate Allowances

                  CDC shall pay holiday   rates for official   State of California

                  holidays to Contractor at time and one-half (1-112) the hourly

                  rate as identified in Contractor's Rate Sheet (Exhibit B-2).

 

                  Holiday rates will be paid   commencing with the 1st Shift work

                  hours   before the holiday   through the 3rd Shift work hours on

                  the actuai hoiiday.   Services are to oe provided for a variety

                  of shifts,   which are not limited to the   following:   Example:

                  The   Christmas   Holiday   would   be paid at time   and   one-half

                  (1-112) as follows:

 

                           December 24th, 1st Shift - 10:30 p.m. to 6:30 a.m.

 

                           December 25th, 2nd Shift - 6:30 a.m. to   2:30 p.m.

 

                           December 25th, 3rd Shift - 2:30 p.m. to   10:30 p.m.

 

      e.     REQUEST FOR SERVICES

            Contractor   must be able to   provide   staff   who will work a regular

             work   schedule of eight (8),   ten (10) or twelve (12) hours per day.

            If the requesting   institution requires a regular shift greater than

            eight (8) hours (i.e., 10 or 12 hours), the Contractor shall provide

            sufficient   personnel to cover the requested   shift.   The Contractor

            may use   multiple   staff to cover any shift   greater   than eight (8)

            hours in order   to avoid   the   payment   of   overtime.   Any   overtime

            compensation   due   staff   resulting   from   Contractor's   failure   to

            provide   relief   staff   shall   be   borne   by the   Contractor   unless

            authorized by the HCM/CMO or designee.

 

            If the duration of services   must be extended,   CDC shall make every

            attempt   to notify the   Contractor   not less than   seventy-two   (72)

            hours    before   the   end   of   the   current    service    period.    The

            institution's   HCM!CMO or   designee   shall   document   the request in

             writing.

 

            When requesting services, CDC shall inform the Contractor of:

            (1)    The duration of services

            (2)    The number and type of staff required

            (1)    The shift assignment(s); and,

            (2)    The length of each shift assignment (8, 10, or 12 hours

 

            CDC may cancel or change assignments by telephone, without incurring

            any   liability,   up to eight (8) hours before a scheduled   reporting

            time.   If CDC   cancels or changes a requested   assignment   less than

            eight (8) hours before a scheduled reporting time, and staff reports

            as scheduled, CDC shall pay staff for one-half (112) the hours staff

            would have worked at the daily 2nd Shift rate.

 

      f.     FAILURE TO PERFORM SERVICES

            (1)    To determine if nursing standards and departmental/institution

                  policies and   procedures   are adhered to and   maintained,   CDC

                  will routinely   evaluate the work   performance of all referred

                  personnel assigned to CDC. Any personnel who fails to perform,

                  does not meet the minimum qualifications, or who is physically

                  or mentally incapable of performing the required duties of the

                  position,   shall not be   permitted   to   perform   service.   The

                  HCM/CMO or designee shall state in writing the

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

 

                  reasons personnel do not meet qualifications and CDC shall not

                  be required   to pay   Contractor   for any hours   worked by such

                  personnel. Contractor will be required to provide an immediate

                  replacement.

 

            (2)    Failure to provide   services on three (3) occasions may result

                  in   termination   of   this   Agreement,   or   may   result   in the

                  institution   not contacting your company before going to other

                  contractors for the duration of this Agreement.

 

      e.     Staff ListlPersonnel Resumes/Qualifications

            (1)    Staff List

                  (a)    institution   shall   approve   in   advance   all   personnel

                        assigned   to   this   Agreement.   If any   employee   of the

                        Contractor    is   unable   to   perform    due   to   illness,

                        resignation, or factors beyond the Contractor's control,

                        the Contractor shall immediately   submit   qualifications

                        of proposed substitute   personnel to the Institution for

                        approval.   Failure to do so may be cause for termination

                        of this   Agreement.   The   Institution   has the option to

                        approve or deny acceptance of such personnel.

 

                   (b)    Prior   to    providing    services   as   outlined   in   this

                        Agreement, Contractor shall provide a roster listing all

                        staff   designated   for assignment to CDC. The Contractor

                        shall report in writing the   resignation or dismissal of

                        personnel    who    are    essential    to   the    successful

                        performance of the Agreement.

 

                  (c)    The Contractor   shall obtain prior written approval from

                        the HCM/CMO or designee for any   additions,   corrections

                        or   changes   to the   Contractor's   prospective   employee

                        roster.    All    referred    personnel    shall   attend   an

                        institution   orientation   before being scheduled to work

                        any   shift   as   outlined   in    "Orientation"    provision

                        provided herein. Contractor will provide the Institution

                         with a current   personnel   roster,   which will remain on

                        file at all times at the   institution.   Contractor shall

                        ensure the Institution has an accurate   personnel roster

                        on file at all   times,   submitting   revised   rosters   as

                        necessary to reflect personnel changes.   Upon request by

                        CDC,   the   Contractor   shall   provide the name,   date of

                        birth,   Social Security number, and valid state driver's

                        license or identification card number of all prospective

                        employees for the   institution   security   check and gate

                        clearance approval.

 

                   (d)    Contractor and   Contractor's   personnel   referred to the

                        Institution   shall   ensure   that   all   ordered   registry

                        service   personnel   have   prior   authorization   and   are

                         mutually agreed upon between the HCMICMO or designee and

                        the Contractor.

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                                Contract No. ICM04469

 

 

            (2)    Personnel Resumes

                  Contractor   shall   obtain a resume for all   referred   registry

                  personnel   and submit the   document   to the   Institution   upon

                  referral. Such records shall include the following:

 

                  (a)    Qualifying experience at the certified or licensed skill

                        level the nurse is currently   certified and/or licensed,

                         and if   applicable,   specialty   service

 

                  (b)    Name(s) of   previous   empioyer(s)   inciuding:  

 

                        Length of employment

 

                        ii. Rehire status

 

            (3)    Qualifications

                   (a)    Contractor   shall   ensure   that all   personnel   referred

                        through this   Agreement   are   proficient   in the English

                        language:   able to speak   fluently,   understand oral and

                         written communications,   and write effectively. Referred

                        registry    personnel   who   fails   to   meet   the   minimum

                        qualifications    shall   not   be    permitted   to   perform

                        service.   The HCM/CMO or designee shall state in writing

                        the reason(s)   the referred   staff does not meet minimum

                        qualifications. The CDC shall not pay the Contractor for

                        any hours   worked by a referred   staff who does not meet

                        the minimum qualifications.

 

                  (b)    In    addition    to    the    required     licenses    and/or

                        certifications   noted herein, staff assigned to CDC must

                         have the minimum experience outlined below:

 

                        Possession of a current   Nursing   Assistant   Certificate

                        issued by the State of   California   and at least one (1)

                        year of   experience   within   the last   three   (3)   years

                        rendering patient care in public or private   institution

                        (accumulated   part-time   work to meet   the one (1)   year

                        requirement is acceptable).

 

                        ii.    Possession   of a current   Medical   Assistant   (MA)

                              Certificate   issued by the State of California and

                              at least   one (1) year of   experience   within   the

                               last   three (3) years   rendering   patient   care in

                              public    or    private    institution    (accumulated

                              part-time    work    to   meet    the   one   (1)    year

                               requirement is acceptable).

 

                        iil.   Possession   of a current   license to practice as a

                              Licensed   Vocational   Nurse   (LVN)   issued   by the

                              State   of   California   and   least   one (1) year of

                              experience    within    the   last   three   (3)   years

                              rendering   patient and   nursing   care in public or

                              private institution (accumulated part-time work to

                              meet the one (1) year requirement is acceptable).

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                                Contract No. ICM04469

 

 

                        iv.    Registered Nurse:   Possession of a current license

                              to practice as a   Registered   Nurse (RN) issued by

                              the State of California   and at least one (1) year

                              of   experience   within   the last   three   (3) years

                              rendering administrative services and patient care

                              in   public   or   private   institution   (accumulated

                              part-time    work    to   meet    the   one   (1)    year

                              requirement is acceptable).

 

                        iv.    Specialty   Services:   In   addition   to   the   above

                               requirements, staff who are requested to work in a

                              specialized   area   such   as   emergency    medicine,

                              psychiatry,   surgery,   etc.,   shall   also   have at

                               least one (1) year of   experience   within the last

                              three (3) years providing patient care within that

                              setting and possess any required certificates.

 

                        iv.    Obstetrics/Gynecology:    Staff    provided   by   the

                              Contractor   to   female   institutions   (CIW,   CCWF,

                              VSPW,   and CRC)   must   also   have at least one (1)

                              year of experience   within the last five (5) years

                              rendering   obstetric and gynecological   nursing or

                              patient care   services in a health care setting in

                              addition to the above qualifications.

 

4.     CDC RESPONSIBILITIES

 

      a.     Orientation

            Contractor   agrees   that,   prior to being   scheduled   to work at the

            institution,   all   referred   registry   personnel,   accepted   by   the

            HCM/CMO or   designee,   shall attend an   orientation   class to become

            familiar   with   the   operations   of   the   institution,   its   medical

            facilities,    Title   15   of   the   California   Code   of   Regulations,

            Director's Rules and   Regulations,   and any bylaws that may apply to

            the institution. Orientation may include, but is not limited to, the

            following:

 

            (1)    Required   documents   to   be   carried   (e.g.,   license(s),   CDC

                  identification badge, registry identification, if applicable)

            (2)    Inmate security policies and procedures

            (3)    Reporting for beginning/ending of shift assignment

            (4)    Rules governing overtime

            (5)    Uniform or dress code

            (6)    Reporting of personal illness

            (7)    Reporting of industrial illness or injury

            (8)    Background   investigations,   fingerprinting and Digest of Laws

                  Relating to Association with Prison Inmate requirements

            (9)    Authorization   to be on CDC premises limited to scheduled work

                  hours or orientation

            (10)   Rules governing gate clearance requirements

            (11)   Administrative    and   related   service    provided    policies/

                  procedures

            (12)   Infection   Control   and   Universal   Precautions   working   in a

                  correctional environment

            (13)   California   Occupational Safety and Health Administration (CAL

                   OSHA) regulations relating to Bloodborne Pathogens

            (14)   CDC Tuberculosis (TB) Exposure Control Plan

 

 

<PAGE>

 

 

 

California Department of Corrections (CDC) and

  TeleSceince International, Inc.                                       Exhibit A

SCOPE OF WORK                                               Contract No. ICM04469

 

            (15)   CDC Hepatitis and Human Immunodeficiency Virus (HIV) programs

            (16)   Patient/Personal   Safety relating to fire, electrical hazards,

                   disaster   preparedness,   hazardous material,   equipment safety

                  and management,   Safe Drinking Water and Toxic Enforcement Act

                  of   1986,   Employee   Right to Know,   Advanced   Directives   and

                   Patient's Rights

 

            Each I Contractor,   Contractor's   subcontractor,   paid for tor, o VI

            referred   registry   personnel   ti.nlilI   , .. the time   spent in the

            orientation   class after   working at a CDC   institution a minimum of

            eighty (80) hours in excess of the orientation hours.   Attendees who

            do not   work a   minimum   of   eighty   (80)   hours   in   excess   of the

            orientation   class hours shall not be paid for the time spent in the

             orientation class.

 

            To maintain continuity of services and ensure safety for all workers

            should a prolonged need for services develop,   Contractor shall make

            available to the Institution only those personnel who have completed

            all components of the orientation.

 

      b.     Inspections

            Inspections   shall be   carried   out by the   NCM/CMO or   designee   at

            various   times   during   the term of this   Agreement   to check on the

             quality and quantity of work.

 

5.     DEPARTMENT OF CORRECTIONS CONTACT INFORMATION

 

      Should questions or problems arise during the term of this Agreement,   the

      Contractor should contact the following offices:

 

      Scope of Service/Performance Issues:

 

      o      See Exhibit F - List of Participating Institutions

 

      Billing/Payment Issues:

 

      o      See Exhibit G - List of Regional Accounting Offices

 

      The   institution   representative   can be contacted   Monday through Friday,

       8:00 A.M. to 5:00 P.M.

 

      General Contract Issues:

            Office of Contract Services

            Phone Number: (916) 323-8718

            Fax Number:    (916) 323-2292]

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and

  TeleScience International, Inc.                                       Exhibit B

BUDGET DETAIL AND PAYMENT PROVISIONS                        Contract No. ICM04469

 

      Invoicinq and Payment

 

      a.     For services satisfactorily   rendered, and upon receipt and approval

             of   contractor's   invoices,   the   State   agrees   to   compensate   the

            Contractor   for actual   expenditures   incurred   in   accordance   with

            Exhibit B-1, Bid Proposal and the rates specified   herein on Exhibit

            B-2, Rate Sheet,   which are attached   hereto and made a pari of this

            Agreement.

 

      b.     Invoices   shall include the Agreement   Number and shall be submitted

            in triplicate to the appropriate   DEPARTMENT OF CORRECTIONS REGIONAL

             Accounting Office AS SPECIFIED IN EXHIBIT G.

 

2.     Budget CONTINGENCY CLAUSE

 

      a.     It is mutually   agreed that if the   California   State Budget Act for

            the current fiscal year and/or any   subsequent   fiscal years covered

             under this Agreement does not appropriate   sufficient   funds for the

            program,   this Agreement shall be of no further force and effect. In

            this   event,   the State   shall   have no   liability   to pay any funds

            whatsoever   to   Contractor,   or to furnish any other   considerations

            under this   Agreement,   and   Contractor   shall not be   obligated   to

            perform any provisions of this Agreement.

 

      b.     If funding for the   purposes   of this   program is reduced or deleted

            for any fiscal year by the   California   State   Budget Act, the State

            shall   have the   option   to either   cancel   this   Agreement   with no

            liability occurring to the State, or offer an Agreement amendment to

            Contractor to reflect the reduced amount.

 

 

3.     PROMPT PAYMENT CLAUSE

 

      Payment will be made in accordance with, and within the time specified in,

      Government   Code Chapter   4.5,   commencing   with   Section 927.   Payment to

      small/micro   businesses   shail be made in   accordance   with and within the

      time specified in Chapter 4.5, Government Code 927 et seq.

 

 

<PAGE>

 

 

California Department of Corrections (CDC) and                        Exhibit B-1

  TeleScience International. Inc.                           Contract No. ICM04469

BID PROPOSAL

 

 

                        TEMPORARY/RELIEF NURSING SERVICES

                                 BID NO. 040164

 

The bidder hereby agrees to provide all labor,   materials,   supplies,   licenses,

permits, equipment and transportation necessary to perform all services required

for the   foregoing   titled work in   accordance   with the Scope of Services,   all

Terms and Conditions,   Disabled Veteran Business Enterprise (DVBE) requirements,

if applicable,   and such addenda   thereto as may be issued before the public bid

opening date,   at the rates set forth by the bidder in Exhibit B-2.   Exhibit B-2

MUST be submitted with this bid proposal.

 

Exhibit   B-2 shall   remain in force for the stated   term of this   Agreement   and

shall   include every item of expense,   direct and indirect,   including any taxes

incidental to the specified rates.

 

By virtue of   submitting   this bid, the   undersigned   is accepting the terms and

conditions   expressed in this IFB. Any and all   services   performed   outside the

scope of this Agreement   shall be at the sole risk and expense of the successful

bidder.

 

 

*      PLEASE NOTE: A RATE CAP MAY BE IMPOSED   AFTER   SUBMISSION   OF AIL BIDS AND

      BEFORE AWARD OF ANY CONTRACTS.

 

 

  COMPANY NAME:

================================================================================

      TeleScience International, Inc,

--------------------------------------------------------------------------------

STREET ADDRESS:                                      P.O. BOX:

 

      8150 Leesburg Pike, Suite 1200

--------------------------------------------------------------------------------

CITY. STATE AND ZIP CDDE:                           CITY, STATE AND ZIP CODE

 

      VIENNA VA 22182

--------------------------------------------------------------------------------

TELEPHONE NUMBER;                                   FAX NUMBER:

(703) 641 -8890X 1 33                               (703)   641-8949

--------------------------------------------------------------------------------

FEDERAL ID or SOCIAL SECURITY NUMBER.               E-MAIL ADDRESS:

      54-1433399                                    cwallace@telescience.corn

--------------------------------------------------------------------------------

TAX STATUS   [ ] Individual/Sole Proprietor   [ ] Estate or Trust [ ] Partnership

            [X] Corporation (State in which incorporated VA__)   [ ] Other:

 

PRINT NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

      Christopher M. Wallace Vice President Medical Systems Division

================================================================================

    [GRAPHIC OMMITED                                             DATE: 23-JULY-04

                                             -----------------------------------

 

<PAGE>

 

 

TeleScience International, inc.                                       Exhibit B-1

CDC BID PROPOSAL                                            Contract No. ICM04469

 

 

Rates   must be   provided   for all   services   listed in Exhibit   B-2.   Failure to

provide the required rates shall be cause for rejection of your bid.

 

NOTE:

1.     Any   quantities   listed on Exhibit   B-2 are CDC's   estimates   only and are

      offered   as a basis   for the   comparison   of   bids.   The   State   does   not

      expressly   or by   implication   agree that the   actual   amount of work will

      correspond   therewith   and reserves the right to omit portions of the work

      as may be deemed necessary or advisable by the State.

 

2.     In the case of a   discrepancy   between the Unit Price (e.g.,   Hourly Rate,

      Cost Per Service) and Item Total (e.g.,   Hourly Rate x Hours Worked = Item

      Total), the Unit Price shall prevail. However, if the Unit Price figure is

      ambiguous,   illegible,   uncertain,   or is omitted, the Item Total shall be

      divided by the estimated usage (e.g.,   Hours Worked) to determine the Unit

      Price. In the case of a discrepancy between the Basis of Award and the sum

      of the Item Totals, the sum of the item Totals shall prevail.

 

      The amount of the total bid will be rounded up to the nearest whole dollar

      when the Agreement documents resulting from this bid are prepared.

 

Bidder shall set forth rates in clear, legible figures in the spaces provided in

Exhibit B-2

 

SMALL BUSINESS PREFERENCE

 

Current law   encourages   state   departments   to first   consider a Small Business

Enterprise    (Small)/    Microbusiness    Enterprise    (Micro)    for    contracting

opportunities.   The California   Department of Corrections   (CDC) is committed to

supporting   Small/Micro business participation in state contracting and seeks to

use certified Small/Micro businesses whenever possible.

 

A   Small/Micro   business   enterprise   is defined as a business   certified by the

Office of Small Business and Disabled Veteran Business Enterprise   Certification

(OSDC) in which:

 

1.     The principal office is located in California

2.     The officers are domiciled in California

3.     The business is independently owned and operated

4.     The   business,   with   any   affiliates,   is not   dominant   in its   field of

      operation; and

 

      5.     a.     For Small Business, either:

                  (1)    The business,   together with any affiliates,   has 100 or

                        fewer   employees and averaged   annual gross   receipts of

                        $10,000,000 or less over the previous three years, or

                  (2)    The   business   is   a   manufacturer   with   100   or   fewer

                        employees

 

            b.     For Micro Business, either:

                   (1)    The business,   together with any affiliates,   has 100 or

                        fewer   employees and averaged   annual gross   receipts of

                        $2,500,000 or less over the previous three years, or

                  (2)    The   business   is   a   manufacturer    with   25   or   fewer

                        employees

 

 

<PAGE>

 

 

TeleScience International, Inc.                                       Exhibit B-1

CDC BID PROPOSAL                                            Contract No. 1CM04469

 

 

Section 14835,   et seq., of the California   Government Code requires that a five

percent   (5%)   preference   be given to   bidders   who   qualify   as a   Small/Micro

business   enterprise.   The rules and   regulations   of this law are   contained in

Title 2,   California   Code of   Regulations,   Section 1896, et seq. A copy of the

regulation is available upon request.

 

To claim the Small/Micro business   preference,   which may not exceed $50,000 for

any bid, your firm must have a completed application   (including proof of annual

receipts) on file with the   Department of General   Services   (DGS),   Procurement

Division,   Office of Small Business and DVBE Certification   (OSDC), by 5:00 p.m.

on the date bids are opened, and receipt verified by such office.   Therefore, if

you are a Small/Micro business,   but are not certified,   it is to your advantage

to   become   certified.    For   certification   and   preference    approval   process

information,   contact the OSDC by telephone at (916) 375-4940 or access the OSDC

Internet website at www.dqs.ca.qov/osbcr.

 

The CDC must identify all contractors,   subcontractors   and consultants who will

provide   labor or render   services   in the   performance   of this   Agreement   and

further identify whether any of the listed   subcontractors and consultants are a

certified    Small/Micro    business,    or   a   certified    DVBE   by   completing   a

Subcontractor/Consultant   List. If any changes   occur in the submitted   original

Subcontractor/Consultant   List,   the   Contractor   shall   notify   the   Office   of

Contract   Services   (OCS),   in writing,   within ten (10)   working   days of those

changes, including any changes to Small/Micro business or DVBE status.

 

The CDC asks that you encourage any   subcontractor(s)   and/or   consultant(s) not

currently certified as a Small/Micro business or DVBE, that you believe may meet

the certification requirements specified herein, to become certified through the

DGS, OSDC. Please provide those   subcontractor(s)/consultant(s) the OSDC contact

and certification information provided above.

 

If you are a certified   Small/Micro business enterprise and fail to complete the

Prime Contractor information section below, your business shall be classified as

a large   business   which will preclude your bid from   receiving the five percent

(5%)   Small/Micro    business    preference   and   cause   incorrect    reporting   of

Small/Micro business and large business participation by the CDC.

 

--------------------------------------------------------------------------------

PRIME CONTRACTOR NAME:___________________TeleScience International,   Inc._______

 

CI I AM a Small Business Enterprise. My DGS reference number is:

O I am a   Microbusiness   Enterprise.   My DGS reference number is: ______________

 

      I am a large business.

 

NOTE:   IF YOU   ARE A   CERTIFIED   SMALL/MICRO   BUSINESS   ENTERPRISE   AND   FAIL TO

COMPLETE   THIS SECTION,   YOUR   BUSINESS WILL BE CLASSIFIED AS A LARGE   BUSINESS,

WHICH WILL   PRECLUDE YOUR BID FROM   RECEIVING THE FIVE PERCENT (5%)   SMALL/MICRO

BUSINESS PREFERENCE.

--------------------------------------------------------------------------------

 

 

<PAGE>

 

 

TeleScience International, Inc.                                       Exhibit B-1

CDC BID PROPOSAL                                            Contract No. ICM04469

 

 

TARGET AREA   CONTRACT   PREFERENCE   ACT (TACPA)

ENTERPRISE   ZONE ACT (EZA)

LOCAL AGENCY MILITARY BASE RECOVERY AREA (LAMBRA) ACT

 

If this   Agreement   is for goods or services in excess of   $100,000.00,   and the

worksite is not fixed by the terms of this Agreement (e.g., services will not be

performed at an   institution   or other   specific   work site   determined by CDC),

preference   shall   be   granted   to   California-based   bidders   if they   meet the

requirements   specified   in Title 2,   California   Code of   Regulations,   Section

1896.30 et seq., for the Target Area Contract Preference Act (TACPA), Government

Code (GC) Section 7084 for the Enterprise Zone Act (EZA) and GC Section 7118 for

the Local Agency Military Base Recovery Area (LAMBRA) Act.

 

Bidders seeking these preferences must submit completed Standard Forms (STD 830,

STD 831 and/or STD 832) with their bid   proposal.   As   explained in the Standard

forms, the bidder is allowed bidding   preferences for each program (EZA,   TACPA.

LAMBRA, and Small/Micro business) for which a ~. s u and the bidder is qualified

and   may   receive   a   combined    preference   up   to   fifteen   percent   (15%)   or

$100,000.00,   whichever is less. The   preferences do not alter the amount of the

resulting Agreement and are used for bid evaluation purposes only.

 

Bidders may obtain copies of the STD 830, 831 and 832 forms via the Internet at:

 

                            http:l/www.osp.dgs.ca.gov

 

--------------------------------------------------------------------------------

PLEASE   PLACE AN "X" IN THE box NEXT TO the bidding   PREFERENCE   PROGRAM(S)   FOR

which YOU ARE QUALIFIED

 

TACPA        A copy of form 830 must be   submitted   with   your   bid   proposal   to

            verify TACPA.

 

EZA          I] A copy of form 831 must be   submitted   with your bid   proposal to

            verify EZA

 

LAMBRA rJ    A copy of form 832 must be   submitted   with   your   bid   prop


 
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