Loading...
HomeMy WebLinkAboutProfessional Service Agreement with St. Lukes Regional Medical Center for Occupational Health ServicesSt. Luke's Regional Medical Center, Ltd., Service Agreement This Agreement is made as of October 1, 2010 (the "Effective Date") by and between St. Luke's Regional Medical Center, Ltd., an Idaho non-profit corporation ("SLRMC") and The City of Meridian ("Client"). WHEREAS, SLRMC is a healthcare delivery system that offers programs and services, including Hospital and Physician Services, Occupational Health and Wellness Services, and, WHEREAS, Client, is a municipality organized under the laws of the State of Idaho; and, WHEREAS, SLRMC and Client desire to work together to create a long term plan to improve the health and well being of Client's employees through workplace assessment, wellness screenings, health promotion services and occupational health services, including injury assessment, treatment and case management; NOW THEREFORE, in consideration of the foregoing recitals and mutual covenants, agreements, and representations contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows: Duties of SLRMC a. SLRMC will provide the services outlined in Exhibit "A" ("Occupational Services") and Exhibit "B" ("Wellness Services") attached hereto and incorporated herein. b. SLRMC will designate a key contact in the Occupational Health service area to serve as liaison for the services. c. SLRMC will designate a key contact in the Wellness service area to serve as liaison for the services. d. SLRMC will invoice Client on the 1st day of each month for services rendered during the prior months or as services are provided. II. Duties of Client: a. Client agrees to engage managerial support of the services. b. Client will designate a key contact in the Occupational Health services area to serve as liaison for such services. c. Client agrees to designate St. Luke's Occupational Health Department and Health Solutions Departments, divisions of SLRMC, as the provider of occupational health and wellness services to Client's employees. III. Fees/Compensation: a. Client agrees to pay for services performed under this Agreement at rates identified on Exhibit "A" and Exhibit "B", within thirty (30) days of receipt of an invoice. Fees for services not itemized in Exhibits "A" and "B" will be charged at SLRMC's standard rates in effect at the time services are performed. Said fees shall be those charged by SLRMC to other customers under similar circumstances. b. Client agrees to pay interest in the amount of one and a half percent (1 Yz%) per month or the maximum amount permitted by law, whichever is less, on all unpaid balances forty-five (45) days past due. IV. Requirement of liability and other insurance and ability of either party to request certificates of insurance: a. SLRMC agrees to maintain in force during the term of this Agreement general liability insurance sufficient to cover the obligations assumed under this Agreement with minimum limits of one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the aggregate. This duty shall survive the termination of this Agreement. Such insurance shall be provided by insurance company licensed to conduct business in the State of Idaho. b. Client agrees to maintain in force during the term of this Agreement general liability insurance sufficient to cover the obligations assumed under this Agreement; minimum limits of five hundred thousand dollars ($500,000.00) per occurrence as required by law. This duty shall survive the termination of this Agreement. Such insurance shall be provided by insurance company licensed to conduct business in the State of Idaho. SERVICE AGREEMENT - 1 Client:1478010.4 021910 1200 090111 Exhibit B Our Personal Wellness Profile (PWP) is a powerful assessment tool used to evaluate health status, identify risk factors, and highlight Personal Wellness Profile areas for improvement. The assessment addresses personal medical history, nutrition, exercise habits, mental health, safety practices and $30/participant lifestyle choices. The online PWP allows individuals ease of accessibility and confidentiality. In addition to the assessment, biometrics measures such as blood Included in above Health Screenings pressure, height, weight, waist and hip circumferences as well as pricing laboratory tests including cholesterol, HDL, LDL, triglycerides and glucose. The Personal Wellness Profile Report provides an overall Wellness Included in above score and helps participants understand their modifiable health risk pricing factors. This comprehensive report provides preventive actions and recommendations for positive behavior changes such as exercise Individual Reports , nutrition, weight loss, stress management, tobacco cessation and injury prevention. The Online Report incorporates links to helpful resources addressing corona and cancer risk, nutrition, fitness, stress and more. The Executive Summary Report prioritizes health risk factors and Included in above offers recommendations for health improvement programs based on pricing group needs. Management Reports The Productivity and Economic Benefits Report shows the relationship between the number of health risk factors and their effect on medical claims, productivity and absenteeism and forecasts potential health savings relative to risk reduction goals. It is our practice to identify and contact any individual who is at Included in above RN Follow-Up elevated risk for disease. All participants will have the opportunity for Pricing follow-up with a Registered Nurse by calling the number provided with their individual re orts. The designated Wellness Coordinator will be responsible for the development, implementation, and evaluation of the Phase 1& 2 programming recommendations. This would include all elements of: • Cultural Assessments and Senior Level Management Engagement Onsite Policy & Environmental Assessments $8960/year Wellness Coordinator • Coordination and implementation of the Personal Wellness Profile & Health Screenings • Assessment and Integration of Health benefits Plan Design • Development, implementation and evaluation of all Health Promotion Programs • Incentive recommendation and product research • Development and implementation of Metrics and Reporting outcomes Health Professionals from various specialties will be made available Included in above throughout the year to provide one-on-one consults, presentations, as Pricing well as assistance with program development. The calendar of Health Professionals events will reflect the pre-determined programs/services each health care professional will provide. If new program ideas arise throughout the wellness year, schedules and availability will be adjusted to accommodate the needs. SERVICE AGREEMENT - 7 Client:1478010.4 021910 1200 090111 Incentive programs are targeted intervention programs with the goal of positive behavior change. These morale- boosting programs $300 per program support a culture of health & wellness, provide an opportunity for plus $7.00/participant education as well as engage individuals in behavior change process. Wellness Challenges The type of program will be derived from the outcome of the PWP and Health screening and/or interest survey. Programs can be focused on weight loss, improved fitness, nutrition, healthy holiday habits, etc. These programs are web-based and self-directed. They include team support, program materials and education, friendly competition and usual) include an incentive for successful com letion. Development and monthly update of a co-branded wellness website $50/month that is accessible through the organizations Intranet home page. The website will include the following features: • Monthly Health Focus Website Healthwise Knowledgebase • "Know Your Numbers" Video Presentation • Diabetes and Low Back Pain management modules • Symptom checker • Drug Interaction Checker • Health reci es and nutritional information Staffed by registered nurses, we provide health advice and $0.50/pepm information 24 hours a day, 7 days a week. Our nurses can assist employees with any medical concerns and when necessary, direct Nurse Call-Line them to a physician or medical facility. The RN's will also provide follow-up to the PWP and Health Screening program. For non-urgent care, our resource specialists will assist your employees in finding a healthcare provider that is conveniently located and meets their ersonal needs. It is recommended to designate $2500, or another determined $2500 Incentive Reserve amount, to the wellness budget to fund a reserve pool for cash incentives for program participants. Direction of how funds are a ro riated will derive from the wellness committee. SERVICE AGREEMENT - 8 Client:1478010.4 021910 1200 090111 St. Luke's Regional Medical Center, Ltd., Service Agreement This Agreement is made as of October 1, 2010 (the "Effective Date") by and between St. Luke's Regional Medical Center, Ltd., an Idaho non-profit corporation ("SLRMC") and The City of Meridian ("Client"). WHEREAS, SLRMC is a healthcare delivery system that offers programs and services, including Hospital and Physician Services, Occupational Health and Wellness Services, and, WHEREAS, Client, is a municipality organized under the laws of the State of Idaho; and, WHEREAS, SLRMC and Client desire to work together to create a long term plan to improve the health and well being of Client's employees through workplace assessment, wellness screenings, health promotion services and occupational health services, including injury assessment, treatment and case management; NOW THEREFORE, in consideration of the foregoing recitals and mutual covenants, agreements, and representations contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows: Duties of SLRMC a. SLRMC will provide the services outlined in Exhibit "A" ("Occupational Services") and Exhibit "B" ("Wellness Services") attached hereto and incorporated herein. b. SLRMC will designate a key contact in the Occupational Health service area to serve as liaison for the services. c. SLRMC will designate a key contact in the Wellness service area to serve as liaison for the services. d. SLRMC will invoice Client on the 1st day of each month for services rendered during the prior months or as services are provided. Duties of Client: a. Client agrees to engage managerial support of the services. b. Client will designate a key contact in the Occupational Health services area to serve as liaison for such services. c. Client agrees to designate St. Luke's Occupational Health Department and Health Solutions Departments, divisions of SLRMC, as the provider of occupational health and wellness services to Client's employees. III. Fees/Compensation: a. Client agrees to pay for services performed under this Agreement at rates identified on Exhibit "A" and Exhibit "B", within thirty (30) days of receipt of an invoice. Fees for services not itemized in Exhibits "A" and "B" will be charged at SLRMC's standard rates in effect at the time services are performed. Said fees shall be those charged by SLRMC to other customers under similar circumstances. b. Client agrees to pay interest in the amount of one and a half percent (1 YZ%) per month or the maximum amount permitted by law, whichever is less, on all unpaid balances forty-five (45) days past due. IV. Requirement of liability and other insurance and ability of either party to request certificates of insurance: a. SLRMC agrees to maintain in force during the term of this Agreement general liability insurance sufficient to cover the obligations assumed under this Agreement with minimum limits of one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the aggregate. This duty shall survive the termination of this Agreement. Such insurance shall be provided by insurance company licensed to conduct business in the State of Idaho. b. Client agrees to maintain in force during the term of this Agreement general liability insurance sufficient to cover the obligations assumed under this Agreement; minimum limits of five hundred thousand dollars ($500,000.00) per occurrence as required by law. This duty shall survive the termination of this Agreement. Such insurance shall be provided by insurance company licensed to conduct business in the State of Idaho. SERVICE AGREEMENT - 1 Client:1478010.4 021910 1200 090111 c. A certificate of insurance verifying insurance coverage shall be made available to either parties at the request of the other. Each party shall notify the other at least thirty (30) days in writing prior to cancellation, reduction or material change in coverage. In the event of insufficient coverage or lapse of coverage by one party, the other party reserves the right to terminate this Agreement. V. Term of Contract: This Agreement shall be valid beginning on the Effective Date and expiring on September 30, 2013, unless earlier terminated in accordance with the terms set forth in this Agreement. This Agreement may be renewed for a consecutive three year term by mutual Agreement of both parties. VI. Termination/Renewal Process: This Agreement may be terminated with or without cause, without penalty, at any time, by the following methods. a. End of Term: This Agreement shall automatically terminate at the end of the three year term (August 31, 2013) and may be renewed for an additional three (3) year term by mutual written agreement of the parties. b. Termination by Agreement: In the event SLRMC and Client shall mutually agree in writing, this Agreement may be terminated on the terms and date stipulated therein. c. Termination for Saecific Breaches: In the event either party shall breach any provision of this Agreement, this Agreement may be terminated at the discretion of the non-breaching party upon 60 days' prior written notice, provided the breaching party fails to cure the breach within the sixty (60) day period d. Optional Termination: Elther party may terminate this Agreement, with or without cause, at any time, by providing at least ninety(90) days' written notice. e. Failure to Aaarooriate Funds: In conformity with the provisions of Article VIII, Section 3 of the Idaho Constitution, in the event that the Client fails to make an annual appropriation of funds for the costs associated with this Agreement, Client may terminate this Agreement upon 30 days' prior written notice. Upon termination or expiration of this Agreement, neither party shall have any future obligation hereunder except for: (a) obligations accruing prior to the date of termination or expiration, and (b) obligations, promises, or covenants contained herein which are expressly made to extend beyond the term(s) of this Agreement. There shall be no other penalty for termination on either party. VII. Notice Provisions: Any notice required or permitted to be given by this Agreement shall be given post paid, first class, registered or certified mail, or by courier, properly addressed to the other Party at the respective address as show below: If to: St. Luke's Regional Medical Center 190 E. Bannock Street Boise, ID 83712 Attn: Employer Relations Department With a copy of any notice of default to: St. Luke's Regional Medical Center 190 E. Bannock Street Boise, ID 83712 Attn: General Counsel If to City of Meridian: City of Meridian 33 East Broadway Avenue Meridian, Idaho 83642 Attn: City Clerk SERVICE AGREEMENT - 2 Client:1478010.4 021910 1200 090111 VIII. Access to Records: To the extent Section 952 of the Omnibus Reconciliation Act of 1980 (Public Law 96-499) is found applicable to this Agreement, until the expiration of four years after the furnishing of service pursuant to this Agreement, both parties agree to make available upon written request to the Secretary of Health and Human Services, or upon request to the Comptroller General, or to any of their duly authorized representatives, this Agreement and books, documents and records that are necessary to certify the nature and extent of any costs of the services arising from this Agreement. Further, if SLRMC carries out any of its duties arising from this Agreement through a subcontractor with a value or cost of Ten Thousand Dollars ($10,000) or more over a 12-month period, with a related organization, such subcontract shall contain a clause to the effect that until the expiration of four years after the furnishing of such services pursuant to such subcontract, the related organization shall make available, upon written request to the Secretary of Health and Human Services, or upon request to the Comptroller General, or any of their duly authorized representatives, the subcontract and books, documents and records of such organization that are necessary to certify the nature and extent of such costs. IX. Indemnification: intentionally omitted X. Non-discrimination: Neither party will discriminate in employment or provision of services with respect to age, race, color, gender religion, military status, sexual orientation and diagnosis, national origin, disability, or source of payment. XI. Assignment provisions: This Agreement shall not be assigned or transferred without the express written consent of both parties . XII. Independent Contractors: Nothing herein shall create, not be deemed to create, a partnership or an agency relationship between the parties and neither party is authorized to act on behalf of the other. In all matters pertaining to this Agreement, SLRMC shall be acting as an independent contractor, and neither SLRMC nor any officer, employee or agent of SLRMC will be deemed an employee of Client. XIII. Confidentiality: During the course of this Agreement, Client and SLRMC may communicate certain information to each other, and/or the parties may come into contact with confidential proprietary information of each other, its affiliates, members, subsidiaries, or of other agencies in the context of the relationship described herein. This information may include, but not be limited to, individually identifiable medical information. Client and SLRMC shall: a. Treat all such information as proprietary and confidential whether or not identified as proprietary and confidential; b. Not disclose any such information or make available any reports, recommendations and/or work products which SLRMC produces for Client to any person, firm, or corporation, or use it in any manner whatsoever without the prior written consent of both parties or as may be required by law. c. Hold each other harmless, to the extent allowed by law, against any claims arising out of either parties disclosure of proprietary and confidential information to an unauthorized third party; and d. Promptly return or destroy any such information in its possession upon termination of this Agreement, or at written request of one to the other. Both SLRMC and Client agree that in the event either party breaches the provisions of this section, such breach would cause irreparable harm to the non-breaching party, and the non-breaching party would be entitled to injunctive and other equitable relief to remedy an actual breach. The obligations set forth in this paragraph shall survive the termination of this Agreement. XIV. Compliance with Laws and Regulatory Agencies: In performing the duties required under this Agreement, Client and shall comply with all applicable laws, ordinances, and codes of federal, state, and local governments, as well as Joint Commission on Accreditation of Healthcare Organization Standards. SERVICE AGREEMENT - 3 Client:1478010.4 021910 1200 090111 XV. Governing LawNenue/Choice of Law Provisions: This Agreement shall be governed by and shall be construed in accordance with the laws of the State of Idaho, regardless of its choice of law provisions. Any dispute, controversy or other claim arising out of this Agreement shall be resolved in the State of Idaho in the Fourth Judicial District Court of Ada County. The parties each agree that they are subject to the personal jurisdiction of the state and federal courts within the State of Idaho, and each waives the right to challenge the personal jurisdiction of those courts. XVI. XVII. Validity: If one or more of the provisions contained in this Agreement is held invalid, illegal or unenforceable in any respect by any court of competent jurisdiction, such holding will not impair the validity, legality, or enforceability of the remaining provisions. Excluded Provider Warranty: Each party hereby represents and warrants that they are not and at no time have been excluded from participation in any federally funded health care program, including Medicare and Medicaid. The parties hereby agree to immediately notify each other, in writing, of any threatened, proposed, or actual exclusion from any federally funded health care program, including Medicare and Medicaid. In the event that either party is excluded from participation in any federally funded health care program during the term of this Agreement that party is in breach of this Section, this Agreement shall, as of the effective date of such exclusion or breach, automatically terminate. XVIII. Merger Clause: This Agreement, including any incorporated exhibits, addendums, and attachments constitute the entire understanding of the parties with respect to its subject matter. This Agreement supersedes and terminates all prior or contemporaneous representations, warranties, and agreements, written or oral, regarding the subject matter of this Agreement. Any modification to this Agreement must be in writing signed by both parties. XIX. Signature of Authorized Representatives: INTENDING TO BE LEGALLY BOUND, the authorized representatives of SLRMC and Client, having full authority to do so, agree to the terms and conditions of this Agreement and have executed this Agreement as of the Effective Date. Execution by the City of Meridian is acknowledgment that all necessary City Council approvals have been obtained. St. Luke's Regional Medical Center, Ltd., r By: Name: ~ ~~ Title: S ~ C ~ O Date: ~~/ZL~ s Client Cit of Meridian ;` ~~ Name: Tammy Weerd Title: Mayor SE 0219 090111 Date: ~Z"(~'~0 r IV4~~~~'~% ,'~ 1'~ q,L'~,, ATTEST: ' ` ~ ~C'O~~~A CFO ~~ ycee olman, City Clerk _ c+~ ~Q ' 9QpG'~ST 1 S"~ ' ,~ `C' .~`~ RVICE AGREEMENT - 4 ~~~'%9 L'pUNT~ ' `O~`~~\``\ 10 1200 ,/~'rr?rrrurr ~:t1,``~~~ Client:1478010.4 Exhibit A Occupational Health Services Occupational Health Services: The Occupational Health services included below provide Client with a comprehensive program of testing, immunizations, 24 hours injury treatment and case management to assist Client in managing expenses relating to worker health and on the job injuries. ~- Injury Treatment -Provision of timely and appropriate responsiveness Subject to State Worker's Compensation to Client's employee needs and offer appropriate Fee Schedule. Schedule in subject treatment in an occupational medicine clinic headed increases determined by the State of Idaho. by a physician who specializes in occupational medicine -24 hour access to services through locations linkages to ensure continuous communication and su ort for after hour and emer enc treatment. Case Coordination -Provision of an occupational health case coordinator Included as part of injury treatment. to serve as point of contact for Client, employee and surety/administrator -Case coordinator shall be responsible to provide monitoring of Client employees' progress, arrange for treatments and procedures and communicate the necessary medical and return-to-work information to the Client employee, Client, and designated insurer. -Communication with Client via phone, fax, pager, e- mail and in person to keep all updated as to treatment plans, return to work strategies and "next step" information. Activity Status Report -Provision of activity status reports to the employee, Included as part of injury treatment. Client and designated surety/administrator. -Report shall outline diagnosis, treatment, and activity restriction, as well as recommended follow-u care. Forms and Information -Provision of referral forms that can be given to a Included as part of injury treatment. Client's employee prior to his/her appointment to expedite the case process handling. -Provision of education and written material on process for injury treatment, including talking point on designated provider, maps, etc. Other Services Provided -Respirator Certifications including Respiratory Continuation of services Questionnaire Review, and Spirometry (as needed). -Medical Evaluation -Hepatitis A -Hepatitis B -Tetanus / Di htheria Immunizations No charge due to 3 year contract (regular Onsite immunization clinic to ensure your employees fee $20/participant) are protected against seasonal flu. We schedule annual clinics from October through December and Flu Shots provide marketing materials to promote your event. This will also include coordination of flu shots clinics at various City of Meridian locations. SERVICE AGREEMENT - 5 Client:1478010.4 021910 12A0 090111 Exhibit A Occupational Health Services (continued) .- Additional Service as R nested To Be Determined Ph sicals: DOT, re-em to ment, Res irator, Asbestos $57, $59, $60, $60 + chest X-ra Fitness for Du Evaluation $216 Phone Consultation for Discharge $19 Educational Offerin s Per re nest Res irato Questionnaires $16 Res irato Medical Evaluations $60 S iromet $43 Medical Review $38 Blood Lead Level $27 + Blood draw $16 Hexavalent Chromium Exam Per re nest Hexavalent Chromium Test Per re nest Haz Mat Ph sical $216 Intermediate Ph sical Medical Monitorin $80 EKG $89 + $38 readin fee Hearin Test $25 Vision Test $31 Nursin Time-1 Hour $50 He atitis B Titer $36 + Blood draw $16 In'ections: He atitis B Vaccine $54 each series of three TwinRx Vaccine $73 each He atitis A Vaccine $53 each Tetanus Adacel Vaccine $20 Administration Fee for Vaccines listed above $16 Flu Vaccinations No char e SERVICE AGREEMENT - 6 Client:1478010.4 021910 1200 090111 Exhibit B Wnllnnea Cen.irna ~- Our Personal Wellness Profile (PWP) is a powerful assessment tool used to evaluate health status, identify risk factors, and highlight areas for improvement. The assessment addresses personal medical Personal Wellness Profile history, nutrition, exercise habits, mental health, safety practices and $30/participant lifestyle choices. The online PWP allows individuals ease of accessibility and confidentiality. In addition to the assessment, biometrics measures such as blood Included in above pressure, height, weight, waist and hip circumferences as well as pricing Health Screenings laboratory tests including cholesterol, HDL, LDL, triglycerides and glucose. The Personal Wellness Profile Report provides an overall Wellness Included in above score and helps participants understand their modifiable health risk pricing factors. This comprehensive report provides preventive actions and recommendations for positive behavior changes such as exercise, Individual Reports nutrition, weight loss, stress management, tobacco cessation and injury prevention. The Online Report incorporates links to helpful resources addressing corona and cancer risk, nutrition, fitness, stress and more. The Executive Summary Report prioritizes health risk factors and Included in above offers recommendations for health improvement programs based on pricing group needs. Management Reports The Productivity and Economic Benefits Report shows the relationship between the number of health risk factors and their effect on medical claims, productivity and absenteeism and forecasts potential health savings relative to risk reduction goals. It is our practice to identify and contact any individual who is at Included in above elevated risk for disease. All participants will have the opportunity for Pricing RN Follow-Up follow-up with a Registered Nurse by calling the number provided with their individual re orts. The designated Wellness Coordinator will be responsible for the development, implementation, and evaluation of the Phase 1& 2 programming recommendations. This would include all elements of: • Cultural Assessments and Senior Level Management Engagement • Policy & Environmental Assessments $8960/year Onsite . Coordination and implementation of the Personal Wellness Wellness Coordinator Profile & Health Screenings • Assessment and Integration of Health benefits Plan Design • Development, implementation and evaluation of all Health Promotion Programs • Incentive recommendation and product research • Development and implementation of Metrics and Reporting outcomes Health Professionals from various specialties will be made available Included in above Pricing throughout the year to provide one-on-one consults, presentations, as - well as assistance with program development. The calendar of Health Professionals events will reflect the pre-determined programs/services each health care professional will provide. If new program ideas arise throughout the wellness year, schedules and availability will be adjusted to accommodate the needs. SERVICE AGREEMENT - 7 Client:1478010.4 021910 1200 090111 Incentive programs are targeted intervention programs with the goal of positive behavior change. These morale- boosting programs support a culture of health & wellness, provide an opportunity for $300 per program plus $7.00/participant education as well as engage individuals in behavior change process. The type of program will be derived from the outcome of the PWP and Wellness Challenges Health screening and/or interest survey. Programs can be focused on weight loss, improved fitness, nutrition, healthy holiday habits, etc. These programs are web-based and self-directed. They include team support, program materials and education, friendly competition and usual) include an incentive for successful com lotion. Development and monthly update of a co-branded wellness website $50/month that is accessible through the organizations Intranet home page. The website will include the following features: • Monthly Health Focus Healthwise Knowledgebase Website ~ "Know Your Numbers" Video Presentation • Diabetes and Low Back Pain management modules • Symptom checker • Drug Interaction Checker • Health reci es and nutritional information Staffed by registered nurses, we provide health advice and $0.50/pepm information 24 hours a day, 7 days a week. Our nurses can assist employees with any medical concerns and when necessary, direct them to a physician or medical facility. The RN's will also provide Nurse Call-Line follow-up to the PWP and Health Screening program. For non-urgent care, our resource specialists will assist your employees in finding a healthcare provider that is conveniently located and meets their ersonal needs. It is recommended to designate $2500, or another determined $2500 amount, to the wellness budget to fund a reserve pool for cash Incentive Reserve incentives for program participants. Direction of how funds are a ro riated will derive from the wellness committee. SERVICE AGREEMENT - 8 Client:1478010.4 021910 1200 090111