HomeMy WebLinkAbout2005-142 Service Contract 0j - � yz.
Name of Company: Indian River County Government
Contacts Name: Ann Rankin
Address : 1840 25 Street. Vero Beach , FL 32960
Phone . 772-567-8000 x1448 Fax:. 772-770-5004
Email : arankin irc ov. com
Event Date :
o Inside Event
X Mobile Lab Event — (Average Expected Revenue per day $4 , 200 - $5 , 000)
Testing Provided at:
o Echocardiogram $75 per participant max of 30 per day
o Carotid Artery Ultrasound $45 x 60 max per day
o Bone Density Ultrasound $25 x 120 max per day
o Know Your Number Risk Assessment (Body Mass , Weight , Height, Waist
Measurements , need blood work from participantl) = $20 OR
o Know Your Number Risk Assessment ( Body Mass , Weight, Height , Waist
Measurements , need blood work from participant) + Bone Density
Ultrasound = $35
Above pricing is all inclusive of services no additional fees will be
assessed ,
Payments for services are due 20 days after testing upon invoice . Cancellations
are required 20 days before the event or a 25 % fee will be assessed for loss of
revenue due to lack of notice . By Signing below I understand and commit to the
above testing contract and understand the payment and cancellation policies .
Al
[JJ`p May 3 . 2005
Company Representative Date
ThOMas S . Low ter , Chairman
Jet Blizzard
4- 14-05
R<tV .
APPROVED AS TO FORM Healthfair USA Representative Date
AND LE A SUFE Y�
Baird
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ASSISTANTTCOUNTY
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Dedicated to Saving Lives "(6