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Item Q2BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: October 20, 2004 Bulk Item: Yes No X Division: County Attorney AGENDA ITEM WORDING: Request approval to negotiate a contract for Rapid Patient Transport with Biscayne Helicopters, Inc. ITEM BACKGROUND: Sheriffs office and Trauma Services ad hoc committee recommended going out for RFP for a helicopter utilization contract for Rapid Patient Transport. Biscayne Helicopters, Inc. submitted a proposal based on an alternative to the proposal requested. Baptist Medical Transport Services submitted a request for an extension to the RFP. Both submissions are attached as back-up. The Biscayne Helicopter proposal was not fully compliant with each of the elements requested in the RFP, but an evaluation of the discrepancies indicates that they may either be negotiable matters or may not be critical to the services required. PREVIOUS RELEVANT BOCC ACTION: BOCC approved going out for RFP CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: Approval. TOTAL COST: COST TO COUNTY: -0- BUDGETED: Yes No X SOURCE OF FUNDS: REVENUE PRODUCING: Yes X_ No AMOUNT PER MONTH Unknown Year APPROVED BY: County Atty OMB/Purchasing Risk Management DIVISION DIRECTOR APPROVAL. �2_11�11 DOCUMENTATION: Included AGENDA ITEM # Baptist Health South Florida July 27, 2004 Lisa Cherry or Carlos Victories Monroe County Purchasing Department 1100 Simonton Street Key West, Florida 33040 Dear Lisa or Carlos, 8900 N. Kendall Drive Miami, FL 33176 Tel: 786-596-6647 Fax: 786-596-2515 www.baptisthealth.net We are in receipt of your Request for Proposal (RFP) for Helicopter Patient Transport and would like to respectfully request from the Board of County Commissioners an extension for the RFP. We only received an answer to our request for clarification on July 16, 2004, which left only 7 business days for a proper response and with the prime season for vacation and holidays key members of our management team are absent on such leave. It has always been our intent to submit a quality response for service and we are still interested and prepared to do so if you so choose, but cannot accomplish such a feat with only 7 business days to do so. Please feel free to contact me at 786-596-6647 or by email at lohnnyd( _baptisthealth.net if you should have any further gpkstions or concerns. Again, many thanks f your aluable time and attention to this matter Sincerely, Johnny D Igado 1 Prograq Manager BaptisyMedical Transport Services cc. Patricia Rosello, CEO Jean Arias, CNO Mike Novo, esq. Suzanne Hutton, Monroe County Attorney's Office (via fax) BAPTIST HOSPITAL OF MIAMI • SOUTH MIAMI HOSPITAL • DOCTORS HOSPITAL BAPTIST CHILDREN'S HOSPITAL • HOMESTEAD HOSPITAL • MARINERS HOSPITAL BAPTIST OUTPATIENT SERVICES • BAPTIST CARDIAC & VASCULAR INSTITUTE Biscayne Helicopters, Inc. 13955 S W. 1 27th Street, Bldg. 121, Tamiami Airport (TMB), Miami, Florida 33186. Ph: 305-252-3883. Fax: 305-252-81 54 July 22, 2004 Monroe County Board of County Commissioners C/O Purchasing Department 1100 Simonton Street, Key West, FL 33040 Re: Sealed Proposal for Vehicle (Helicopter) Utilization for Rapid Patient Transport RFP-210-156-2004/PUR Sir: After careful review of the above referenced RFP Biscayne Helicopters, Inc. has determined it is not in our best interest to provide a proposal based on the RFP specifications. Biscayne is pleased to provide an "Alternative Suggestion" for the provision of the services contemplated in the Request for Proposal which does attain the goals and objectives of the RFP. Thank you for the opportunity to provide this Proposal to Monroe County. Regards, 41 M -n President Enclosures: BISCAYNE HELICOPTERS, INC. "Alternative Suggestion" RFP-210-156-2004/PUR "Alternative Suggestion" RFP-210-156-2004/PUR - Bell 206L3 Biscayne Helicopters, Inc. will provide a Bell 206L3 helicopter in medical configuration to Monroe County. The Helicopter is single engine, float equipped and capable of single pilot, visual flight rules for day and night operations. The services and specifications are detailed below. Contractual Services to be provided by Biscayne Helicopters, Inc. 1. Response • Biscayne Helicopters, Inc. will provide a helicopter, and parts support, with the ability to provide "immediate response" 24 hours per day, 365 days per year. "Immediate response" is defined as the ability of being airborne within five minutes of notification. The helicopters, is capable of operating within a minimum area of a 250 NM radius of the Monroe County SherifFs Office Aviation Hangar. 2. Reouirements • Biscayne Helicopters, Inc. has a minimum of five continuous years, as a certified Florida air ambulance helicopter service provider; fully licensed helicopter service provider, qualified under FAA, Part 135. Biscayne Helicopters, Inc. will provide operational records for the past five (5) years to include: - Safety records - no accidents or incidents - Maintenance records - available for inspection Insurance claims records - none Lawsuits - none 3. Equipment • Biscayne Helicopters, Inc. will supply an aircraft for immediate response, 24 hours a day, 365 days per year and capable of 110 KIAS (cruise speed). The helicopter will have a fuel range able to operate at distances equal to or greater than 210 Nautical miles with a 30 minute fuel reserve at mission weight. • Biscayne Helicopters, Inc. shall reimburse for all fuel consumed at MCSO fueling facility • Biscayne Helicopters, Inc. is in compliance with all FAA regulations, aircraft airworthiness directives and service bulletins • Biscayne Helicopters, Inc. is in compliance with Chapter 64-E, Florida Administrative Code. Confidential Page 1 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suezestion" RFP-210-156-2004/PUR • The helicopter provided by Biscayne Helicopters, Inc. is equipped and configured as stated below: • Ground handling equipment to move the helicopter in/out of the hangar • Configured to allow the medical attendants access to the patient(s) in order to initiate and maintain Advanced Life Support, especially airway procedures, while in flight • Aircraft entry that will allow patient loading and unloading without excessive patient maneuvering • Soundproofing • Environmental air-conditioning system to prevent temperature extremes • Sufficient isolation between pilot and patient • Inertia seat belts for crew • Interior/exterior storage of medical gear • Communication equipment compatible with MCSO aviation, Monroe County Fire Rescue, local government and receiving hospital frequencies • All communication/navigation equipment meeting FAA rules for single pilot VFR part 135 • GPS receiver with moving map capable of storing the MCSO LZ network. • Cabin intercom system with pilot/crew VOX, isolation and minimum of 3 jacks in patient/crew cabin • Medically configured interior to allow for storage and mounting of all necessary equipment required to transport one Advanced Life Support patients • Shelves or mounting brackets for two monitor/defibrillator/pacing units type to be specified 60 days prior to delivery of aircraft equipped • Locking medical cabinet for drug/narcotic storage • Ability to lock cabin doors while not in use • Stretcher system, which allows full access to patients, in particular, the upper torso • On board oxygen system with capability to sustain adequate oxygen for one patient for a duration of two hours • IV hooks ( amount to be determined) Confidential Page 2 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suggestion" RFP-210-156-2004/PUR • Inverters to produce both 120V AC and 12 V DC at outlet to power medical equipment • Adequate interior lighting to allow patient assessment and treatment without interfering with pilot's vision • Remote and removable suction pump with plumbing for standard suction outlets and switch control in cabin • Mounting brackets for syringe pumps, type to be specified 60 days prior to delivery of aircraft • Flooring and side panels in patient area designed to be impermeable to fluids • Final configuration of built-in medical equipment to be determined after discussions and agreement between Biscayne Helicopters, Inc and the Monroe County Medical Director. 4. Flight Operations Biscayne Helicopters, Inc. will make best effort attempt to provide a substitute helicopter so that service is not interrupted for a period exceeding 12 hours. Biscayne Helicopters, Inc. shall provide a minimum of 48 hours notification prior to a substitute aircraft being placed into service due to scheduled maintenance. The aircraft will remain available for service 24 hours per day, 7 days a week. It is expected to be airborne within a minimum of 5 minutes of being dispatched and be flown in Visual Flight Rules (VFR) conditions. • All flights will be dispatched and flown as directed by Monroe County/Monroe County Sheriff's Office. The MCSO duty pilot will have final authority and responsibility to make decisions concerning weather conditions, landing areas, aircraft condition, loading, and all other factors affecting flight safety. Monroe County/Monroe County Sheriff's Office may designate, as passengers/patients or medical personnel, anyone it chooses. The vendor will have no authority concerning personnel, including patients, unless they constitute a threat to flight safety. The helicopter will be equipped for medical transportation and will only be used as a medical transport. Only medical crew, patients, and occasionally patient family members will be transported. • Biscayne Helicopters, Inc. agrees to meet or exceed all recommended FAA, and aircraft manufacturer standards. • Biscayne Helicopters, Inc. may modify or replace the primary helicopter with an equal or larger aircraft during the terms of this Agreement with written approval from Monroe County/Monroe County Sheriff's Office. Biscayne Helicopters, Inc. agrees to provide a minimum of fifty (50) hours flight time during first contract year to Monroe County/Monroe County Sheriff's Office for the Confidential Page 3 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suggestion" RFP-210-156-2004/PUR purposes of crew training, and public relations flights. This time shall be free of charge and considered part of the services provided. These flight hours shall be tracked over the Agreement year and any use over 50 hours will be billed to Monroe County/Monroe County Sheriff's Office at an hourly rate of S 950.00 per flight hour. The excess use shall not exceed 50 hours of flight time. 5. Maintenance Requirements • Monroe County Sheriff's Office will provide a licensed FAA airframe and power plant (A & P) mechanic with a minimum of three years experience in the type helicopter provided or a minimum of three years experience on helicopters as an A & P, with factory training on the Bell 206L series helicopter provided. • The helicopter mechanic(s) pay and benefits will be provided by the Monroe County Sheriffs Office. • All maintenance performed by maintenance personnel will be in accordance with Biscayne Helicopters, Inc. approved maintenance manual and under the direction of the Biscayne Helicopters, Inc. Director of Maintenance. Biscayne Helicopters, Inc. will be responsible for all costs for service, and maintenance including maintenance test flights. • Biscayne Helicopters, Inc. will provide technical oversight and assistance for maintenance which cannot be properly performed at the base facility or that exceeds the capabilities of the Monroe County Mechanic as defined in 14 CFR Part 65 and Biscayne Helicopters, Inc. approved maintenance manual. Maintenance support will be available 24 hours per day, seven days per week. • The Biscayne Helicopters, Inc. will assure that the aircraft meets or exceeds the requirements of all airworthiness directives. • Biscayne Helicopters, Inc. will keep an adequate inventory of replacement parts and fluids in an area provided by Monroe County Sheriff's Office in close proximity to the site of operations. All costs of shipping parts are also the responsibility of Biscayne Helicopters, Inc.. • Biscayne Helicopters, Inc. will be responsible for providing any facilities needed for major maintenance at Tamiami Executive Airport at their own expense. • Biscayne Helicopters, Inc. is responsible for the physical recovery of the helicopter when deemed unserviceable for flight. 6. Aviation Staff Requirements • Monroe County Sheriffs Office will provide 6 FAA qualified helicopter pilots. • The pilots will be trained per FAA and Monroe County Sheriffs Office Aviation Division and Biscayne Helicopters, Inc. FAR 135 standards. This training will be at the expense of the Biscayne Helicopters, Inc.. IE: Local flying area, MCSO LZ grid network and receiving facilities. Confidential Page 4 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suimestion" RFP-210-156-2004/PUR • Biscayne Helicopters, Inc. will provide equipment training to MCSO pilots and mechanics on the supplied aircraft. When Biscayne Helicopters, Inc. provides a backup helicopter that MCSO staff have not received training on, Biscayne Helicopters, Inc. will provide pilots to staffMCSO's 24 hour/7 day a week operation. • Biscayne Helicopters, Inc. will provide all Part 135 pilot training requirements. • Recurrent training will be provided by the Biscayne Helicopters, Inc.. • All trainings costs will be the responsibility of Biscayne Helicopters, Inc.. • All pilots provided by Monroe County Sheriff's Office will meet the minimum qualifications required by Biscayne Helicopters, Inc.. • Pilot's pay and benefits will be provided by the Monroe County Sheriff's Office. 7. Basis of Payment • Biscayne Helicopters, Inc. is authorized to charge the patient and/or patient's insurance company for services rendered based upon a fee schedule that is customary for the South Florida service area and has been approved by Monroe County. See item 10 for proposed rates. • Biscayne Helicopters, Inc. assumes all risks of the billing, collections and non-payment of such and holds Monroe County/Monroe County Sheriffs Office harmless in any event regarding uncollected funds. • Biscayne Helicopters, Inc. shall rely on the funds collected to provide the services requested in this proposal, and therefore shall not charge Monroe County/Monroe County Sheriff's Office for services rendered. • Biscayne Helicopters, Inc. has identified the fixed annual compensation required for operations as outlined in this document. Under the scope of the agreement, Biscayne Helicopters, Inc. is entitled to retain 100% of the net collected revenues until the fixed annual compensation amount plus variable operating cost (DOC's), plus billing service fees is reached. Collected revenues in excess of this amount (operating costs) shall be shared with Monroe County. (See item 11. proposed revenue sharing schedule.) S. Term of Contract • Initial term of Agreement will be five years. Either party may terminate for convenience after six months written advance notice to the other party. Confidential Page 5 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suggestion" RFP-210-156-2004/PUR 9. Insurance Biscayne Helicopters, Inc. will maintain the following insurance coverages and will provide Certificates of Insurance to the County to verify such coverage. a. Commercial General Liability - Biscayne Helicopters, Inc. shall provide coverage for all premises and operations including Contractual, Products and Completed Operations, and Personal/Advertising Injury. The limits shall not be less than $5,000,000.00 per occurrence, Combined Single Limits (CSL) or its equivalent. b. Business Automobile Liability - Biscayne Helicopters, Inc. shall provide coverage for all owned, non -owned and hired vehicles with limits of not less than $500,000.00 per occurrence, Combined Single Limits (CSL) or its equivalent. c. Professional Aviation Liability - Biscayne Helicopters, Inc. will provide coverage for limits of not less than $25,000,000.00 Combined Single Limit (CSL), including passengers, or its equivalent. All policies issued, with the exception of Workers' Compensation, shall include the County as an additional insured. 10. Proposed Fee Schedule Lift-off $ 4,200.00 Patient Mile Fee $ 65.00 This Fee Schedule is based on rates as we understand them to be in the Florida market place. The rates are subject to change as necessary to remain competitive, and economically viable. Confidential Page 6 7/21/2004 BISCAYNE HELICOPTERS, INC. "Alternative Suggestion" RFP-210-156-2004/PUR 11. Shared Revenue • Biscayne Helicopters, Inc proposed revenue share formula: Costs: Monthly Fixed Cost Variable costs (DOC) Billing & Collection fee Revenue Share Formula • Sample: Monthly Total Billings 50% collection rate = Revenue Fixed Cost Billing & Collection fee DOC 15.43 x $425.00 Shared Revenue BM MC $ 29,700.00 $ 425.00/hour flown 8% of collections BHI 60% MC 40% $ 90,450.00 (9 trips) @ 90 mile =15.43 flt hrs $ 45,225.00 -S 29.700.00 -S 3.613.00 -S 6.557.00 $ 5,362.00 $ 3,217.00 $ 2,145.00 Biscayne Helicopters, Inc. would provide Revenue Sharing to Monroe County for all transfers that were flown with Monroe County Pilots and/or Medical crews. This would include any flight flown in a substitute helicopter when piloted by Biscayne Helicopters pilots with Monroe County Medical crews. Accounts would be audited and settled every thirty (30) days, ninety (90) days in arrears. END OF PROPOSAL t D 1 R. Maitin President Date: July 22, 2004 BISCAYNE HELICOPTERS, INC Confidential Page 7 7/21/2004 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 PROPOSAL FORM PROPOSER'S NAME Biscayne Helicopters, Inc. Board of County Commissioners Monroe County, Florida c/o Purchasing Office 1100 Simonton Street, Room 2-213 Key West, Florida 33040 1. The undersigned, having carefully and to our full satisfaction examined the RFP Documents for: VEHICLE (HELICOPTER) UTILIZATION FOR RAPID PATIENT TRANSPORT hereby proposes to furnish same as follows: See attached pages numbered one through 7 2. By submission of this Proposal, the undersigned certifies, that this Proposal is made in good faith and has been arrived at independently, without collusion, consultation, communication or agreement as to any matter relating to this Proposal with any other Proposer. Submitted by: Biscayne Helicopters, Inc. Company Name (Print) 13955 S.W. 127th Street Bldg. 121 Company Address (Print) Miami, Florida 33186 City, St Zip de (Print) By !-DYayl Ma tin, President Name and Title (Print) CONTRACTOR'S License Number 59-2730201 (Corporate Seal) Federal Tax I.D. Number 17 1 2 SECTION FIVE 3 4 NON -COLLUSION AND ETHICS AFFIDAVIT• PUBLIC ENTITY CRIME STATEMENT 5 AND DRUG -FREE WORKPLACE STATEMENT 6 (To be attached to the submitted Proposal Form) 8 The undersigned, as a condition precedent or concurrent to submitting a Proposal 9 to Monroe County, Florida, hereby state as follows, subject to the laws of perjury: 10 11 1) I am 0 the sole owner ❑ an authorized officer ❑ a partner 12 ❑ other , of the Proposer making the 13 Proposal for Vehicle (Helicopter) Utilization for Rapid Patient Transport. 14 15 2) All the terms and conditions contained in this Proposal, including prices, if any, 16 have been arrived at independently without collusion, consultation, communication or 17 agreement for the purpose of restricting competition, as to any matter relating to such 18 terms, conditions, and prices with any other Proposer or with any competitor. 19 20 3) Unless otherwise required by law, the terms, condition, and prices which have 21 been quoted in this Proposal have not been knowingly disclosed by the Proposer and will 22 not knowingly be disclosed by the Proposer prior to Proposal opening, directly or 23 indirectly, to any other Proposer or to any competitor. 24 25 4) No attempt has been made or will be made by the Proposer to induce any 26 other person, or legal entity to submit, or not to submit, a Proposal for the purpose of 27 restricting competition. 28 29 5) Proposer warrants that the Proposer has not employed, retained or 30 otherwise had act on Proposer's behalf any former County officer or employee in 31 violation of Sections 2-528 - 259, Monroe County Code. For breach or violation of this 32 provision, the County may, in its discretion, terminate any Agreement without liability 33 and may also, in its discretion, deduct from any Agreement or sums paid by County, or 34 otherwise recover, the full amount of any fee, commission, percentage, gift, or 35 consideration paid to the former County officer or employee. 36 37 6) The Proposer has read and fully understands the provisions of Section 38 287.133, Florida Statutes ("'Florida's Public Entity Crime Law"), and certifies that the 39 proposer is not prohibited from entering into any Agreement with the County based upon 40 the Proposal being submitted. 41 42 7) The Proposer has read and fully understands the provisions of Section 43 287.087 ("Preference To Businesses with Drug -Free Workplace Programs"), and Proposer 44 certifies Proposer does have a Drug -Free Workplace Program that contains all the 45 elements required by Section 287.087; and further certifies that Proposer will maintain 46 the Program in full force and effect during the term of any Agreement with the County 47 based upon the Proposal being submitted. 48 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 8) The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding any Agreement in response to the Proposal submitted..` ........................................ NN FRIEM HAKEY cc"* 000 WIS i STATE OF FLORIDA Ejq*nft w COUNTY OF Miami -Dade •••N•�..MNNNN.N..Nago The foregoing instrument w $ a ktlo�wledged before me, this 21 day of July 20 04, by Daryl Martin.i>��j�,'. �T FrjVeda,. Harley Print or Stamp Commissioned Signature of Notary P ic, State of Florida Name of Notary Public Personally known x OR Produced Identification Type of Identification Produced 19