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Save on these health care services Neonaeammy" | qnaaaceams | yadamou
Groin - Hernia Repair $250 $100 $50
Hammertoe Correction $150 $75 $50
Hand Surgery - Carpal Tunnel $150 $75 $50
Heart Muscle Image Spect Mult $300 $150 $75
ofescional) Monitoring (physician or qualified $25 N/A N/A
Hepatobiliary System Imaging $150 $75 $25
Hip Replacement $500 $250 N/A
Hysterectomy $500 $250 N/A
(Laparoscopy Ovary and/or Fallopian Tube Removal $150 $75 N/A
Hysteroscopy $250 $100 $50
Kidney Stone Removal by Bladder Scope $150 $75 $25
Knee Replacement $500 $250 N/A
Knee Replacement - Partial $500 $250 $125
Knee Surgery (Arthroscopic) $250 $100 $50
Lab Services (Blood Draw Only) $25 N/A N/A
Laparoscopic Fibroid Removal $250 $125 $50
Laparoscopic Removal of Ovaries and/or Fallopian Tubes $250 $100 $50
Left Heart Catheterization $500 $250 $125
Lithotripsy - Fragmenting of Kidney Stones $250 $100 $50
wnawith Dye Angiography of the Neck without $150 $75 $25
Mammogram $50 $25 N/A
MRi (Now Includes Abdomen & Pelvis) $150 $75 $50
Nasal/Sinus - Corrective Surgery - Septoplasty $150 $75 $50
Nasal/Sinus - Endoscopy - Sinus Surgery $150 $150 $150
PET Scans $150 $150 $150
Physical Therapy $150 N/A N/A
Reduction Mammoplasty $500 $250 $125
Remicade Infusion Therapy $500 N/A N/A
Removal of Prostate Gland and Surrounding Tissue $500 $250 N/A
Removal of Thyroid Gland (Partial or Total Removal) $500 $250 N/A
Repair Finger Tendon $150 $75 $25
Repair of Umbilical Hernia (5 years and older) $250 $100 $50

01/22

March 2020 608
Page 1 of J

2020 SIDEWALK PROGRAM

SPECIAL PROVISION

AMENDMENT TO SECTION 608 —- SIDEWALKS
Item 608.54 — Detectable Warning Devices, Cast Iron

Add 1.2.1 to read:

1.2.1 This work shall include furnishing and application of a protective coating of powder
coating powder paint, including bead blast surface preparation and zinc prime coat, as shown
on the plans or as ordered by the Engineer, including any and all additional surface preparation
required by the powder coating manufacturer for application to cast iron surfaces. Color to be
approved by the Engineer prior to manufacture.

March 2020 609
Page 1 of 1

2020 SIDEWALK PROGRAM

AMENDMENT TO SECTION 609 —- CURBS

Item 609.01 — Straight Granite Curb
Item 609.02 — Curved Granite Curb
Item 609.5 — Reset Granite Curb

Revise 3.1.4.1 to read:

3.1.4.1 Concrete Class A in accordance with Section 520 shall be substituted for aggregate
base course and hot bituminous base courses in the curb patch on the roadway side of granite
curb. Top of concrete in the curb patch shall be set two inches (2”) below the proposed
pavement patch.

Revise 5.3 to read:
5.3 Concrete Class A placed adjacent to the curb for a maximum width of 1 ft. shall be

considered incidental to the curb item. No additional measurement for payment shall be made
for Concrete Class A substituted for aggregate base course and hot bituminous base courses.

March 2020 692
Page 1 of 1

20206 SIDEWALK PROGRAM

REPLACE SECTION 692 —- MOBILIZATION
Jtem 692 — Mobilization
A. SCOPE

This item shall consist of preparatory work and operations, including, but not limited
to, those necessary to the movement of personnel, equipment, supplies and incidentals
to the site of the work and for all other work and operations which must be performed
or for costs which must be incurred prior to beginning work on the various items. Also
included in this item is the breakdown and transport of all equipment, supplies and
material from the site (demobilization).

B. MATERIALS AND CONSTRUCTION

The Contractor shall furnish all materials, labor and equipment necessary for
mobilization in accordance with relevant provisions of the NHDOT Standard
Specifications for Road and Bridge Construction, latest edition as amended herein.

Cc MEASUREMENT AND PAYMENT

Mobilization will be measured as a lump sum unit. Payment for mobilization shall be
at the contract unit price, and shall include full compensation for material, equipment
and labor to complete this portion of the Bid Schedule. Payment will be made at
intervals for the prorated portion of the unit bid price for this item. Two payments at a
rate of 50% of the unit bid price will be made. The first payment shall be made after
complete mobilization to the project site and the second payment shail be made after
complete demobilization from the project site and only after all final punch list items
and clean-up work have been addressed. The total bid price for mobilization shall not
exceed five percent (5%) of the total of all bid items excluding this item.

Item 692 Mobilization (not to exceed 5% of Bid) Unit

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