The State of Nevada Purchasing Division together with the Department of Administration, Risk Management Division, is seeking proposals for the following purpose: Provision of Statewide Occupational Health Services to State of Nevada employees. Primary services include: Annual physical exams for police officers and firefighters (average 3800 per year) - cardiac, pulmonary, audiology consultations/evaluations (average 100 per year) and hepatitis inoculations and screening. Secondary services include: pre-placement medical exams, physical assessment +2testing, pre-employment psychological screening, psychology and psychiatric consultation, CDL exams, exams (in conjunction with annual physical and independent from annual exams) Haz Mat Exams (in conjunction with annual physical exams or independent from annual physical exams); Respiratory Compliance Exams; Drug and Alcohol Testing; Medical surveillance; Independent Medical Evaluations/Fitness for Duty Exams; blood borne pathogen post exposure services, Job Analyses, and miscellaneous occupational health services as identified during the course of the contract. Secondary services, average fewer than 50 each per year, with the exception of pre-employment psychological screening which is projected at approximately 100 in the north and 100 in the south each fiscal year.