The Offeror will perform the following under a comprehensive annual fee: - Perform medical exams on all types of animals as needed with clear communication of veterinary records and care plans after examination; - Provide emergency treatment, examinations, and surgeries for all injured or ill animals under the care of the Pet Adoption Center, but not limited to cats and dogs during normal working hours of the Pet Adoption Center with clear communication of veterinary records and care plans after examinations; - Perform foster pet care including: exams, client communications, follow up, hospitalization, diagnostics, surgeries, medications, and appointments; - Supervise all medical testing; - Supervise the vaccination and de-worming program; - Follow up and continue care as needed on all sick and/or injured animal; - Provide suture removal and post-surgical follow-up of adopted pets at a licensed veterinary facility located in St. Charles County or at the Pet Adoption Center at no additional cost to the County or the pet owner. Any further service or ongoing services between the adopted animal's owners and the veterinarian are by mutual agreement between the veterinarian and the pet owner and all costs incurred in these other services are the responsibility of the pet owner; - Diagnose and advise of the need for more intense medical care at a veterinary facility and provide referrals for care when appropriate; - Provide examinations, radiographs, hospitalization, and nebulizing treatments. . Provide parvo treatment including hospitalization; - Provide post adoption treatment of parvo and other illnesses arising within 3 days of adoption.