Bidder understands the following and agrees to itemize any charges that are included with the bid: Annual physicals for approximately eighty six (86) firefighters. Blood draws for laboratory analysis and urine samples for urinalysis shall be collected at a designated engine house. The 2018 edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative and NFPA 1582 requires the following medical components be included in the medical evaluations (physicals). 1. Medical History Review and a Complete Physical Examination Includes: Hemoccult card test Health risk appraisal questionnaire and report 2. Laboratory Analysis Includes: Complete Blood Cell Count with Differentia Comprehensive Metabolic Profile Lipid Profile – including Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol and Total Cholesterol/HDL ratio Urinalysis, QFT 3. Vision Test Includes: Far vision acuity Near vision acuity Peripheral vision Color vision 4. Hearing Test Includes: Frequencies 500-8000 Hz, performed in a sound proof booth