BIO-REFERENCE LABORATORIES, INC. 481 EDWARD H. ROSS DRIVE CITY, STATE, ZIP ELMWOOD PARK, NJ CHARLES T. TODD JR.

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1 BID RESULTS AB LABORATORY TESTING SERVICES FOR THE MERCER COUNTY CORRECTION CENTER FOR A PERIOD OF TWO (2) YEARS WITH THE OPTION TO EXTEND ONE (1) YEAR BID OPENING DATE: MARCH 3, 2016 AWARD TWO (2) YEARS WITH THE OPTION TO EXTEND ONE (1) YEAR; ALL BIDDERS ARE REQUIRED TO HAVE A NJ CLINICAL LABORATORY LICENSE AND A CLIA CERTIFICATE RESOLUTION NO CONTRACT TERM: MAY 16, 2016 THROUGH MAY 15, 2018 NAME OF BIDDER BIO-REFERENCE LABORATORIES, INC. ADDRESS 481 EDWARD H. ROSS DRIVE CITY, STATE, ZIP ELMWOOD PARK, NJ CONTACT CHARLES T. TODD JR. TELEPHONE EXT FAX CTODD@BIOREFERENCE.COM NJ CLINICAL LABORATORY LICENSE # EXPIRES CLIA CERTIFICATE ID #31D EXPIRES CONTINUITY OF SERVICES YES DISCOUNT RATE ON TESTS ORDER BUT NOT LISTED ON PROPOSAL PAGE 65% FOR NON SENDOUT TESTS LAB SERVICES YEAR ONE $ 52, LAB SERVICES YEAR TWO $ 52, PHLEBOTOMY YEAR ONE $ 13, PHLEBOTOMY YEAR TWO $ 13, GRAND TOTAL $ 131, LAB SERVICES OPTION YEAR THREE $ 52, PHLEBOTOMY OPTION YEAR THREE $ 14, TOTAL YEAR THREE $ 66, GRAND TOTAL WITH OPTION YEAR THREE $ 198, EXCEPTIONS NONE FATAL FLAW NO

2 TEST* EST. # OF TESTS UNIT TOTAL UNIT TOTAL UNIT TOTAL BIO-REFERENCE YEAR ONE YEAR TWO OPTION YEAR THREE ABO Grouping and Rho(D) Typing 1 $ 4.40 $ 4.40 $ 4.40 $ 4.40 $ 4.40 $ 4.40 Aerobic Bacterial Culture 42 $ 9.90 $ $ 9.90 $ $ 9.90 $ AFP, Serum, Tumor Marker 1 $ $ $ $ $ $ ALA Delta, Random Urine 1 $ $ $ $ $ $ Albumin, Serum 1 $ 1.98 $ 1.98 $ 1.98 $ 1.98 $ 1.98 $ 1.98 Ammonia, Plasma 7 $ 6.60 $ $ 6.60 $ $ 6.60 $ Amylase, Serum 7 $ 4.95 $ $ 4.95 $ $ 4.95 $ Anaerobic and Aerobic Culture 46 $ $ 1, $ $ 1, $ $ 1, Antibody Screen 1 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 Antinuclear Antibodies Direct 1 $ 8.58 $ 8.58 $ 8.58 $ 8.58 $ 8.58 $ 8.58 Basic Metabolic Panel (8) 326 $ $ 3, $ $ 3, $ $ 3, Beta Strep Gp A Culture 1 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 Bilirubin, Direct 1 $ 4.95 $ 4.95 $ 4.95 $ 4.95 $ 4.95 $ 4.95 Bilirubin, Total 1 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 Blood Culture, Routine 2 $ 9.90 $ $ 9.90 $ $ 9.90 $ B-Type Natriuretic Peptide 1 $ $ $ $ $ $ BUN 1 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 C difficile Toxins A+B, EIA 2 $ $ $ $ $ $ CA $ $ $ $ $ $ Calcium, Ionized, Serum 1 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 Calcium, Serum 1 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 Carbamazepine(Tegretol), S 7 $ $ $ $ $ $ CBC With Differential/Platelet 515 $ 3.30 $ 1, $ 3.30 $ 1, $ 3.30 $ 1, CBC, Platelet, No Differential 27 $ 5.28 $ $ 5.28 $ $ 5.28 $ CBC/Differential (No Platelet) 1 $ 5.28 $ 5.28 $ 5.28 $ 5.28 $ 5.28 $ 5.28 CD4/CD8 Ratio Profile 5 $ $ $ $ $ $ Ceruloplasmin 1 $ 6.60 $ 6.60 $ 6.60 $ 6.60 $ 6.60 $ 6.60 Chlamydia Antibodies, IgG 1 $ $ $ $ $ $ Chlamydia pneumoniae(igg/m) 1 $ $ $ $ $ $ Chlamydia trachomatis, NAA 1 $ $ $ $ $ $ Chlamydia/GC Amplification 27 $ $ 2, $ $ 2, $ $ 2, Cholesterol, Total 89 $ 3.30 $ $ 3.30 $ $ 3.30 $ Comp. Metabolic Panel (14) 292 $ $ 3, $ $ 3, $ $ 3, C-Peptide, Serum 1 $ $ $ $ $ $ Creatine Kinase,Total,Serum 4 $ 5.58 $ $ 5.58 $ $ 5.58 $ Creatinine, Serum 1 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 $ 3.30 Cystic Fibrosis Profile 1 $ $ $ $ $ $ Cytomegalovirus (CMV) Ab, IgG 1 $ $ $ $ $ $ D-Dimer 1 $ 5.50 $ 5.50 $ 5.50 $ 5.50 $ 5.50 $ 5.50 Digoxin, Serum 2 $ $ $ $ $ $ Ethanol, Blood 1 $ $ $ $ $ $ Factor VIII Activity 1 $ $ $ $ $ $ Fe+TIBC+Fer+Transf 1 $ $ $ $ $ $ Ferritin, Serum 8 $ $ $ $ $ $ Folate (Folic Acid), Serum 1 $ $ $ $ $ $ Fungus (Mycology) Culture 1 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 G-6-PD, Quant, Blood and RBC 1 $ 6.60 $ 6.60 $ 6.60 $ 6.60 $ 6.60 $ 6.60 Genital Culture, Routine 1 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 $ 9.90 Genital Mycoplasmas NAA, Swab 1 $ $ $ $ $ $ GenoSure(R) MG 1 $ 1, $ 1, $ 1, $ 1, $ 1, $ 1, Gest. Diabetes 1-Hr Screen 1 $ 4.77 $ 4.77 $ 4.77 $ 4.77 $ 4.77 $ 4.77 Glucose, Serum 1 $ 4.77 $ 4.77 $ 4.77 $ 4.77 $ 4.77 $ 4.77 HBsAg Screen 9 $ $ $ $ $ $ HBV/HCV (Profile VIII) 1 $ $ $ $ $ $ hcg,beta Subunit, Qnt, Serum 8 $ $ $ $ $ $ hcg,beta Subunit,Qual,Serum 7 $ $ $ $ $ $ HCV Ab w/rflx to Verification 7 $ $ $ $ $ $ HCV Antibody 13 $ $ $ $ $ $ HCV Genotyping Non Reflex 1 $ $ $ $ $ $ HCV RNA PCR Qn Rfx NS3/4A 1 $ $ $ $ $ $ HCV RNA, PCR, Qualitative 1 $ $ $ $ $ $ HCV RT-PCR, Quant (Graph) 1 $ $ $ $ $ $ HDL Cholesterol 1 $ $ $ $ $ $ Helper Suppressor Short Prof. 1 $ $ $ $ $ $ Helper T-Lymph-CD4 42 $ $ 7, $ $ 7, $ $ 7, Hemoglobin A1c 120 $ 7.26 $ $ 7.26 $ $ 7.26 $ Hep A Ab, IgM 5 $ $ $ $ $ $ Hep A Ab, Total 5 $ $ $ $ $ $ Hep A(Rflx To IgM) 1 $ $ $ $ $ $ Hep B Core Ab, IgM 1 $ $ $ $ $ $ Hep B Core Ab, Tot 2 $ $ $ $ $ $ Hep B Surface Ab 10 $ $ $ $ $ $ Hep Be Ag 1 $ $ $ $ $ $ Hepatic Function Panel (7) 64 $ 7.70 $ $ 7.70 $ $ 7.70 $

3 TEST* EST. # OF TESTS UNIT TOTAL UNIT TOTAL UNIT TOTAL BIO-REFERENCE YEAR ONE YEAR TWO OPTION YEAR THREE Hepatitis Panel (4) 6 $ $ $ $ $ $ Hgb Frac. Profile 2 $ $ $ $ $ $ Hgb+Hct 1 $ 2.64 $ 2.64 $ 2.64 $ 2.64 $ 2.64 $ 2.64 HP5+HAVIgM+HBcIgM+HBeAb+Ag 2 $ $ $ $ $ $ HSV 1 and 2-Specific Ab, IgG 2 $ $ $ $ $ $ HSV, IgM I/II Combination 1 $ $ $ $ $ $ Insulin 1 $ $ $ $ $ $ Iron and TIBC 9 $ $ $ $ $ $ Iron, Serum 1 $ 4.95 $ 4.95 $ 4.95 $ 4.95 $ 4.95 $ 4.95 Lamotrigine (Lamictal), Serum 1 $ $ $ $ $ $ LDH 1 $ 4.62 $ 4.62 $ 4.62 $ 4.62 $ 4.62 $ 4.62 Levetiracetam (Keppra), S 15 $ $ $ $ $ $ Lipase, Serum 7 $ 4.95 $ $ 4.95 $ $ 4.95 $ Lipid Cascade 10 $ $ $ $ $ $ Lipid Panel 161 $ $ 2, $ $ 2, $ $ 2, Lipid Panel With LDL/HDL Ratio 1 $ $ $ $ $ $ Lithium (Eskalith(R)), Serum 12 $ 9.90 $ $ 9.90 $ $ 9.90 $ Lower Respiratory Culture 1 $ $ $ $ $ $ Magnesium, Serum 6 $ $ 2, $ $ 2, $ $ 2, Microalbumin, Random Urine 58 $ 8.03 $ $ 8.03 $ $ 8.03 $ Neisseria gonorrhoea Ab,Total 1 $ $ $ $ $ $ NMR LipoProfile 2 $ $ $ $ $ $ Occult Blood, Fecal, IA 4 $ 4.07 $ $ 4.07 $ $ 4.07 $ Ova + Parasite Exam 2 $ $ $ $ $ $ Oxcarbazepine (Trileptal),S 1 $ $ $ $ $ $ Panel $ $ 1, $ $ 1, $ $ 1, Panel $ $ $ $ $ $ Pap IG, rfx HPV all pth 15 $ $ $ $ $ $ Pap Lb (Liquid-based) 15 $ $ $ $ $ $ Phenobarbital, Serum 2 $ $ $ $ $ $ Phenytoin (Dilantin), Serum 60 $ $ $ $ $ $ Phosphorus, Serum 2 $ 3.30 $ 4.95 $ 3.30 $ 4.95 $ 3.30 $ 4.95 Porphobilinogen, Qn, Random Ur 1 $ $ $ $ $ $ Porphyrins, Qn, Random U 1 $ $ $ $ $ $ Prolactin 5 $ $ $ $ $ $ Prostate-Specific Ag, Serum 14 $ $ $ $ $ $ Protein Total, Qn, 24-Hr Urine 1 $ 5.72 $ 5.72 $ 5.72 $ 5.72 $ 5.72 $ 5.72 Prothrombin Time (PT) 118 $ 3.30 $ $ 3.30 $ $ 3.30 $ PSA Total+% Free 8 $ $ $ $ $ $ PSA, Ultrasensitive W/O Serial 1 $ $ $ $ $ $ PT and PTT 6 $ 6.37 $ $ 6.37 $ $ 6.37 $ PTH, Intact 1 $ $ $ $ $ $ PTT, Activated 4 $ 3.30 $ $ 3.30 $ $ 3.30 $ QuantiFERON TB Gold (In Tube) 1 $ $ $ $ $ $ Renal Panel (10) 1 $ $ $ $ $ $ Reticulocyte Count 4 $ 3.30 $ $ 3.30 $ $ 3.30 $ Rheumatoid Arthritis Factor 2 $ 4.95 $ 7.43 $ $ $ 4.95 $ 7.43 RNA Qualitative 1 $ $ $ $ $ $ RNA, PCR (NonGraph) rfx/geno 3 $ $ $ $ $ $ RNA, Real Time PCR (Graph) 26 $ $ 2, $ $ 2, $ $ 2, RNA, Real Time PCR (Non-Graph) 14 $ $ 1, $ $ 1, $ $ 1, RPR 164 $ 1.65 $ $ 1.65 $ $ 1.65 $ RPR, Rfx Qn RPR/Confirm TP 2,029 $ 1.65 $ 3, $ 1.65 $ 3, $ 1.65 $ 3, Rubella Antibodies, IgG 3 $ $ $ $ $ $ Rubella Antibodies, IgM 1 $ $ $ $ $ $ Sedimentation Rate-Westergren 10 $ 1.65 $ $ 1.65 $ $ 1.65 $ Serotonin, Serum 1 $ $ $ $ $ $ Sodium, Serum 1 $ 4.29 $ 4.29 $ 4.29 $ 4.29 $ 4.29 $ 4.29 Stool Culture 1 $ $ $ $ $ $ Sulfonylurea Screen QT, Ur 1 $ $ $ $ $ $ T pallidum Ab (FTA-Ab) 1 $ $ $ $ $ $ T pallidum Screening Cascade 1 $ $ $ $ $ $ T3 Uptake 17 $ 6.60 $ $ 6.60 $ $ 6.60 $ T4 and TSH 1 $ $ $ $ $ $ Testosterone, Serum 2 $ $ $ $ $ $ Thyroxine (T4) 36 $ 6.60 $ $ 6.60 $ $ 6.60 $ Thyroxine (T4) Free, Direct, S 3 $ 6.60 $ $ 6.60 $ $ 6.60 $ Toxoplasma gondii Ab, IgG, Qn 1 $ $ $ $ $ $ Toxoplasma gondii Ab,IgM,Qn 1 $ $ $ $ $ $ TPA Activity 1 $ $ $ $ $ $ Transferrin 6 $ $ $ $ $ $ Trich vag by NAA 1 $ $ $ $ $ $ Trichomonas Culture 2 $ $ $ $ $ $ Triglycerides 1 $ 8.03 $ 8.03 $ 8.03 $ 8.03 $ 8.03 $ 8.03

4 TEST* EST. # OF TESTS UNIT TOTAL UNIT TOTAL UNIT TOTAL BIO-REFERENCE YEAR ONE YEAR TWO OPTION YEAR THREE Triiodothyronine (T3) 5 $ $ $ $ $ $ TSH 46 $ $ 1, $ $ 1, $ $ 1, Upper Respiratory Culture 5 $ $ $ $ $ $ Uric Acid, Serum 6 $ 3.30 $ $ 3.30 $ $ 3.30 $ Urinalysis, Complete 2 $ 1.32 $ 2.64 $ 1.32 $ 2.64 $ 1.32 $ 2.64 Urinalysis, Routine 362 $ 1.32 $ $ 1.32 $ $ 1.32 $ Urine Culture, Routine 46 $ 6.60 $ $ 6.60 $ $ 6.60 $ Valproic Acid (Depakote)(R),S 31 $ $ $ $ $ $ Vancomycin Peak, Serum 1 $ $ $ $ $ $ Vancomycin Trough, Serum 1 $ $ $ $ $ $ Varicella-Zoster V Ab, IgG 2 $ $ $ $ $ $ Vitamin B12 2 $ $ $ $ $ $ Vitamin B12 and Folate 2 $ $ $ $ $ $ Vitamin D, 25-Hydroxy 4 $ $ $ $ $ $ White Blood Cells (WBC), Stool 1 $ $ $ $ $ $ TOTAL TESTS 5,184 $ 52, $ 52, $ 52, PHLEBOTOMY HOURS HOURLY RATE YEAR ONE HOURLY RATE YEAR TWO HOURLY RATE OP YEAR THREE PHLEBOTOMY HOURS* 780 $ $ 13, $ $ 13, $ $ 14, YEARS ONE AND TWO LAB $ 105, YEARS ONE AND TWO PHLEB $ 26, TOTAL YEAR ONE AND TWO $ 131, YEAR THREE LAB $ 52, YEAR THREE PHLEB $ 14, TOTAL YEAR THREE $ 66, ADDITIONAL REQUESTS DISCOUNTED AT 65% FOR NON SENDOUT TESTS

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7 SPECIFICATIONS FOR LABORATORY TESTING SERVICES FOR THE COUNTY OF MERCER FOR THE MERCER COUNTY CORRECTION CENTER FOR A PERIOD OF TWO (2) YEARS WITH THE OPTION TO EXTEND ONE (1) YEAR INTRODUCTION The County of Mercer requests bids for phlebotomy and diagnostic laboratory services for the Mercer County Correction Center for a period of two (2) years with the option to extend one (1) year. Respondents shall have three years experience. One Contract shall be awarded for a period of two (2) years with the option to extend one (1) year based upon the grand total cost. The County requires the awarded contractor to provide laboratory results electronically. ALL BIDDERS SHALL PROVIDE A COPY OF THEIR NEW JERSEY CLINICAL LABORATORY LICENSE AND A COPY OF THEIR CLIA CERTIFICATE. SCOPE OF SERVICE Bidders shall be certified and properly licensed by the State of New Jersey in accordance with the State s standards and shall provide experienced Phlebotomists in accordance with standards issued by the National Phlebotomy Association to perform laboratory tests on blood and other body fluids for laboratory testing as requested/prescribed by the County of Mercer Correctional Physicians. Respondents shall provide a copy of their New Jersey Clinical Laboratory License and CLIA Certificate with their bid proposal. Vendors shall provide Phlebotomists on site on the predetermined days and times as agreed upon by both parties to draw blood and other samples as required to perform requested and prescribed diagnostic laboratory testing. Scheduled Phlebotomist/s must be able to pass security clearance. LICENSURE OF A CLINICAL LABORATORY (UNDER THE PROVISIONS OF N.J.S.A. 45: ET SEQ.) Bidders must be licensed through the New Jersey Department of Health and Senior Services in accordance with 45: et seq. New Jersey Clinical Laboratory Improvement Act and laboratories located outside the state of New Jersey are required to obtain a clinical laboratory license if the out-of-state lab has a collection station in the state of New Jersey or is directly involved in the collection or transport of specimens from New Jersey to the out-of-state lab. Bidders shall provide a copy of their license with their bid response. CLIA CLINICAL LABORATORY IMPROVEMENT AMENDMENTS CERTIFICATE All Bidders must possess a CLIA Certificate and shall provide a copy of the certificate with their bid response. SCHEDULE On-site phlebotomy services at the Mercer County Correction Center three times per week from 8:00 A.M. to 1:00 P.M. (To be determined and mutually agreed upon). (15 hours per week x 52 = 780 hours annually). Mercer County reserves the right to decrease or increase hours. All phlebotomists shall sign in and out when providing onsite services

8 at the Correction Center. The sign in sheet shall be provided by the Mercer County Correction Center. The County will only provide payment for those tests and services rendered. (Time to be determined and mutually agreed upon). TEST RESULTS The ability to have written and electronic tests shall be provided. These are to be provided online within 24 hours when possible dependent on the type of test ordered, and any abnormal results are to be provided as soon as results are available. Results must contain all necessary client and testing identifying information. Utilization reports shall be provided to the County on a weekly basis. Invoicing shall be provided to the County on a monthly basis. Contact at the Correction Center: Regina Grimes, RN, Nursing Supervisor EXT All invoices are to specify the clients name, test(s) performed and the fee for the requested test(s). Provided on the proposal page is the most frequent types of testing requested. This is reflective of our usage but is not all inclusive of the tests used. STAT TESTING REQUIREMENTS On occasion, STAT testing is required. The test will be picked up within a reasonable time frame in order to report results that same day. Critical results are to be telephoned directly to the site, followed by printed results. Proposal shall describe in detail the proposed billing structure, and indicate the implementation of a cost saving strategy. COST PROPOSAL All necessary related supplies including but not limited to such as vacutainers, needles, gloves, biobags, culterettes, collection containers, lab requisition slips, centrifuge, printer and fax machine as needed, etc. shall be provided by the vendor and factored into the cost per test. Labor for phlebotomists shall be paid by the hourly rate proposed. COST CRITERIA Fee schedule is defined with the cost for each lab and cost per hourly rate for Phlebotomists. Please see the attached proposal page. Do not include additional fees in the columns in the attached chart. Note only the fee per test is to be charged. Note percentage of discount that will be offered on tests ordered but not listed in attached chart. DISCOUNT RATE % CONTRACT PERIOD

9 The contract shall be for a period of two (2) years with option to extend one (1) year based upon the option year three pricing as listed in the proposal page. QUALIFICATION STATEMENT A Qualification Statement must be provided with your bid. This statement shall set forth details of the contractor s activities, the number of personnel and titles and the location(s). Identify prior project experience that exhibits the firm s capabilities. Please provide a list of three (3) clients for whom similar services have been provided. Client s name and description Client s Contact, position and telephone number Scope of service and contract value Copy of New Jersey Clinical Laboratory License CLIA Certificate CLINICAL LABORATORY IMPROVEMENT AMENDMENTS Bidders are required to comply with the Clinical Laboratory Improvement Amendment and must provide the CLIA certificate with their bid response along with the New Jersey Laboratory License. CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988 The New Jersey Department of Health (NJDOH), under contract with the Centers for Medicare & Medicaid Services (CMS), administers the Clinical Laboratory Improvement Amendments of 1988 in New Jersey to ensure quality laboratory testing. CLIA requires every facility that tests human specimens for the purpose of providing information for the diagnosis, prevention or treatment of any disease or impairment of, or the assessment of the health of a human being to meet certain Federal requirements. CLIA applies to any facility performing laboratory testing as outlined above, even if only one or a few basic tests are performed, and even if you are not charging for testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities. In addition, the CLIA legislation requires financing of all regulatory costs, including inspections, through fees assessed to affected laboratories. Consequently, all laboratories that test human specimens must apply for a CLIA Certificate by completing Form CMS-116 (CLIA Application for Certification). This form collects information about your laboratory's operation and is necessary to assess fees, to establish baseline data and to fulfill the statutory requirements for CLIA. This information will provide the laboratory surveyor an overview of your laboratory's operation if it is subject to onsite survey. All information should be based on your facility s laboratory operation as of the date of the completion of the form. To obtain CMS-116 (with Instructions for Completion of Form, Guidelines for Counting Tests for CLIA, Tests Commonly Performed and Their Corresponding Laboratory

10 Specialties and Subspecialties), go to For additional CLIA information, go to the CMS website: