088-24 - City of Gig Harbor - Contract Addendum 1Docusign Envelope ID: 4B517CF7-9E4D-4039-9F61-5E3CA1 BC201 B
LIFE SCAN
Wellness Centers
DEPARTMENT SCHEDULING AND ADDITIONAL TESTING AGREEMENT
Year: 2025 Department Name: Port Orchard PD, WA
Address: 546 Bay Street, Port Orchard, WA 98366
Contact Name: Matt Brown Email: mbrown@portorchardwa.gov
Phone: 360-536-0070
Location for physicals: 3510 Grand View St. Gig Harbor, WA 98335
Number of Physicals: 25+ Number of days: 7 days
Appointment Times: 11am, 2pm, and 5pm, arrive on 1/7 at 10am for set up
Blood Draws: RX to Station, members to go to local Lab Corp at least 10 days before their physicals
Type of Contract or Agreement: ❑ RFP/Contract ❑ Sole Source ❑ Piggyback
Physical Dates: 1/7 — 1/10 and 1/13 — 1/15/2025, joining Gig Harbor PD
Life Scan Base Price: $870.00
Additional Labs and Tests: Check if agreed to additional tests/labs
Yes
Test/Lab
Price
Quantity
Notes
x
Invoice Contact Info
Sent to: Kelly Busey at Gig Harbor PD will pay
x
Wellness
Client Agreement: As an authorized representative 1 have reviewed and agree to these terms, dates, additional
tests, labs, and pricing.
Signedby: Rob Putaansuu Mayor
Client Na e and Title -
Signature: fS Date: 11///2024
Life Scan Re eWPff6ffFNbme and Title: Jennifer Connelly — Chief Administrative Officer
Requirement: 3 private rooms (10 x 10 is sufficient), one room needs to have a treadmill with at least a 15% incline.
Each room should have a trash can and a small table and two chairs if possible.
***About 6 weeks before your departments physicals you will receive an email from Kortney with all of your
physical paperwork and information, including lab scripts.