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Agreement with NaphCare, Inc. for Inmate Medical Services October 1, 2019 Page 2 The results of the RFP evaluation were as follows: Vendor Score NaphCare, Inc. 350 CMCMC 282 400 point maximum NaphCare was the most responsive, capable and cost effective respondent. NaphCare has enhanced efficiencies, modernized the medical operation and increased preventive care measures, reducing the need for outside or specialized medical care. NaphCare has provided routine and emergency inmate medical services, including but not limited to providing prescription and over the counter medications, physical examinations, dental care and psychiatric services. NaphCare has also provided recurring CPR training and Tuberculosis screening for Jail employees. Naphcare has agreed to continue to provide these services for a third year without increasing their base rate above year two rates. The original two-year term (October 1, 2017 through September 30, 2019) has expired and the Police Department is proposing to exercise the first of three one-year options. In addition to the one-year extension, NaphCare is requesting to add an additional four hours of psychiatric services per week. In 2017, when the previous agreement was proposed by NaphCare the Jail's average daily population (ADP) was 125. Over the past two years, the Jail has maintained an ADP of 400. With the increase in the inmate population, the need for additional psychiatric care also significantly increased. The additional cost for this care is $35,822.18. A $200,000 contingency is included for services not included in the base agreement including, but not limited to, pharmaceuticals, x-rays, dentures, and other medical exams. The amendment contains a stepdown mechanism by which the contract cost is reduced should the inmate average daily population fall below 176. In addition, the agreement can be terminated by the City by providing a 30-day written notice of cancellation. The proposed (1) year extension with NaphCare will ensure the continued medical services are provided to inmates in the custody of the Santa Ana Jail facility. Naphcare has been accommodating, professional and consistent in its services, and staff recommends a one-year agreement extension with NaphCare, Inc. effective October 1, 2019 through September 30, 2020. STRATEGIC PLAN ALIGNMENT Approval of this item allows the City to meet Goal #1 Community Safety, Objective #3 (promote fiscal accountability to ensure financial responsibility at all levels of the organization), Strategy A (continuously evaluate and assess fiscal aspect of service delivery to ensure that the Police Department provides programs and services efficiently and effectively). 25B-2