Orangután Chantek (1977)

8.1 Designate three (3) different Contractor representatives that will provide customer service to CCSF when needs occur. List the representatives in the order you wish them to be made available to serve CCSF under this Scope of Services.

8.2 Provide the following information for each representative:

• Name

• Job Title

• Location address

• Mailing address

Phone numbers: Voicemail, fax, and direct cell phone

Medical Waste Disposal History under CCSF Contract 60700 Frequency of Service and Annualized Statistics for Waste Generated

Service Frequency # of Sites

3 x week 1

Total Number of Sites Serviced 47 Sites Generating >200 Pounds of Waste /

Month (Large Quantity Generators) 7

Sites Generating <200 Pounds of Waste /

Month (Small Quantity Generators) 40

Annual Statistics Based on December 2007-February 2008 Data Biohazardous

Total Number of Waste Pickups 1,309 Waste collected during Biohazardous Waste pickups Pounds of Waste from LQG

Single Container 519 Not Assessed

Additional Tables on Following Pages

Site Locations, Types, and Frequency of Service

Animal Care and Control 1200 15th St, 94103 Small monthly

Baker Street House 730 Baker St, 94115 Small quarterly

Balboa Teen Health Center 1000 Cayuga Ave Room #156, 94112 Small monthly Castro Mission Health Center 3850 17th St, 94102 Small weekly China Town/ North Beach 729 Filbert St, 94133 Small quarterly

Chinatown Health Center 1490 Mason St, 94102 Small monthly

Citywide Case Management 939 Market St 4th Floor, 94103 Small quarterly Cole Street Health Center 555 Cole St #6, 94117 Small monthly

DPH County Jail #1 850 Bryant St, 94103 Small 2 x week

DPH District Health Center 1050 Wisconsin St, 94107 Small monthly

Health at Home SFGH 45 Onondaga Ave, 94112 Small monthly

Housing & Urban Health Clinic 234 Eddy St, 94102 Small weekly Juvenile Justice Center 375 Woodside Ave, 94127 Small weekly Laguna Honda Hospital 375 Laguna Honda Blvd., 94116 Large 2 x week Larkin Street Youth Center 1138 Sutter St, 94109 Small monthly

Maxine Hall Heath Center 1301 Pierce St, 94102 Small weekly

Mission Multi-Cultural ACT 2712 Mission St, 94110 Small quarterly

North Curry Senior Center 333 Turk St, 94102 Small bi-weekly

Ocean Park Health Center 1351 24th Ave, 94102 Small weekly

OMI 1701 Ocean Ave, 94103 Small quarterly

R A M S Inc. 3626 Balboa St, 94121 Small quarterly

San Francisco City Clinic 356 7th St, 94103 Large weekly

San Francisco Fire Department 1415 Evans St, 94124 Large weekly San Francisco Fire Dept Fire

Site Name Site Address

Generator Type

Current Service Frequency San Francisco Fire Dept Fire

Station 15

1000 Ocean Ave, 94107 Small monthly

San Francisco Fire Dept Fire Station 18

1935 32nd Ave, 94107 Small monthly

San Francisco Fire Dept Fire Station 44

1298 Girard St, 94107 Small monthly

San Francisco Fire Dept Fire Station 48

Treasure Island, 94107 Small monthly

San Francisco General Hospital 1001 Potrero Ave, 94110 Large 3 x week

SF Medical Examiners 850 Bryant St, 94103 Large weekly

SF Police Dept 850 Bryant St, G25 - Property Room, 94103

Small on-call

SFPD Crime Lab 606 Manseau St, 94124 Small bi-weekly

Silver Avenue Family Center #3 1525 Silver Ave, 94134 Small weekly

SOMA Mental Health 760 Harrison St, 94103 Small quarterly

Southeast Health Center 2401 Keith St, 94102 Small bi-weekly

St. James Infirmary 1372 Mission St, 94102 Small monthly

Sunset Mental Health 1990 41st St, 94116 Small quarterly

Tom Waddell Health Center 50 Ivy St. 94102 Small weekly

UC Community Focus 982 Mission St, 94103 Small quarterly

Additional Table on Following Page

Reporting Period Biohazardous Pharmaceutical Chemotherapy Pathology

Site Name Start End Pickups Ctrs Wt (lb) Ctrs Wt (lb) Ctrs Wt (lb) Ctrs Wt (lb) Site Address Animal Care and Control 12/03/07 02/29/08 2 2 61.5 1200 15th St, 94103 Baker Street House 08/01/07 02/29/08 1 1 12.3 730 Baker St, 94115 Balboa Teen Health Center 12/03/07 02/29/08 1 1 12.5 1000 Cayuga Ave, 94112 Castro Mission Health Center 12/03/07 02/29/08 13 14 93.6 3850 17th St, 94102 China Town/ North Beach 05/23/07 02/29/08 4 4 69.0 1 15.0 729 Filbert St, 94133 Chinatown Health Center 12/03/07 02/29/08 2 6 114.8 1490 Mason St, 94102 Citywide Case Management 05/02/07 02/29/08 3 3 51.3 1 24.0 939 Market St 4th Floor, 94103 Cole Street Health Center 12/03/07 02/29/08 3 3 11.9 555 Cole St #6, 94117 DPH County Jail #1 12/03/07 02/29/08 26 26 349.0 850 Bryant St, 94103 DPH County Jail #2 12/03/07 02/29/08 13 13 111.5 850 Bryant St, 94103 DPH County Jail #5 12/03/07 02/29/08 13 32 503.5 1 Moreland Dr, 94066 DPH County Jail #7 12/03/07 02/29/08 2 2 60.0 1 Moreland Dr, 94066 DPH County Jail #8 12/03/07 02/29/08 12 35 732.5 425 7th St 2nd Floor, 94103 DPH County Jail #9 12/03/07 02/29/08 11 12 100.5 425 7th St 1st Floor, 94103 DPH District Health Center 12/03/07 02/29/08 3 4 57.0 1050 Wisconsin St, 94107 Health at Home SFGH 12/03/07 02/29/08 3 3 25.6 45 Onondage Ave, 94112 Housing & Urban Health Clinic 12/03/07 02/29/08 10 10 117.0 1 35.0 234 Eddy St, 94102 Juvenile Justice Center 12/03/07 02/29/08 11 11 70.5 2 11.0 375 Woodside Ave, 94127 Laguna Honda Hospital 12/03/07 02/29/08 26 340 9275.0 4 175.0 375 Laguna Honda Blvd., 94116 Larkin Street Youth Center 12/03/07 02/29/08 3 3 9.9 1138 Sutter St, 94109

Maxine Hall Heath Center 12/03/07 02/29/08 13 14 99.2 1 7.0 1301 Pierce St, 94102 Mission Multi-Cultural ACT 05/15/07 02/29/08 4 4 91.0 4 77.0 2712 Mission St, 94110 North Curry Senior Center 12/03/07 02/29/08 6 6 56.0 333 Turk St, 94102 Ocean Park Health Center 12/03/07 02/29/08 12 12 84.6 1351 24th Ave, 94102

OMI 07/13/07 02/29/08 3 3 11.9 4 27.0 1701 Ocean Ave, 94103

Table Continues on Next Page

Reporting Period Biohazardous Pharmaceutical Chemotherapy Pathology

Site Name Start End Pickups Ctrs Wt (lb) Ctrs Wt (lb) Ctrs Wt (lb) Ctrs Wt (lb) Site Address R A M S Inc. 12/03/07 02/29/08 1 1 2.3 1 6.0 3626 Balboa St, 94121 San Francisco City Clinic 12/03/07 02/29/08 12 29 628.5 356 7th St, 94103 San Francisco Fire Department 12/03/07 02/29/08 12 29 703.5 1415 Evans St, 94124 SF Fire Dept Fire Station 13 05/09/07 02/29/08 3 4 61.0 530 Sansome St, 94107 SF Fire Dept Fire Station 14 08/24/07 02/29/08 7 7 127.5 551 26th Ave, 94107 SF Fire Dept Fire Station 15 05/01/07 02/29/08 9 9 105.5 1000 Ocean Ave, 94107 SF Fire Dept Fire Station 18 05/08/07 02/29/08 9 9 123.5 1935 32nd Ave, 94107 SF Fire Dept Fire Station 48 08/22/07 02/29/08 2 2 69.0 Treasure Island, 94107 SF Fire Dept Fire Station 5 12/03/07 02/29/08 2 2 12.0 1301 Turk St, 94107 SF Fire Dept Fire Station 7 06/19/07 02/29/08 7 8 62.0 2300 Folsom St, 94110 San Francisco General Hospital 12/03/07 02/29/08 34 1210 30761.0 300 3889.5 139 604.5 35 1582.5 1001 Potrero Ave, 94110 San Francisco Fire Department 11/21/07 02/29/08 1 1 13.5 1298 Girard St, 94107 SF Medical Examiners 12/03/07 02/29/08 13 76 1327.3 31 1223.7 850 Bryant St, 94103 SF Police Dept 12/03/07 02/29/08 1 14 334.0 850 Bryant St, 94103 SFPD Crime Lab 12/03/07 02/29/08 4 6 90.0 606 Manseau St, 94124 Silver Avenue Family Center #3 12/03/07 02/29/08 13 13 78.5 1525 Silver Ave, 94134 SOMA Mental Health 12/03/07 02/29/08 1 1 11.5 1 12.0 760 Harrison St, 94103 Southeast Health Center 12/03/07 02/29/08 4 6 103.5 2401 Keith St, 94102 St. James Infirmary 12/03/07 02/29/08 2 3 45.0 1372 Mission St, 94102 Sunset Mental Health 12/03/07 02/29/08 1 1 5.3 1990 41st St, 94116 Tom Waddell Health Center 12/03/07 02/29/08 11 25 375.3 50 Ivy St. 94102 UC Community Focus 12/03/07 02/29/08 1 2 39.0 2 27.0 982 Mission St, 94103

End of Medical Waste Disposal History Continuation from Previous Page

This Exhibit contains requirements set forth in the Health Insurance Portability and Accountability This Exhibit contains requirements set forth in the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Public Law 104-191 and the regulations promulgated thereunder by the U.S.

Department of Health and Human Services and other applicable laws. The City and County of San Francisco, referred to in this agreement as CITY, is the Covered Entity and is referred to below as CE. The CONTRACTOR is the Business Associate, and is referred to below as Associate. The agreement between the CITY and CONTRACTOR to which this Addendum is attached is referred to in this Addendum as the Contract.

This HIPAA Business Associate Addendum (“Addendum”) supplements and is made a part of the contract (“Contract”) by and between Covered Entity (“CE”) and Business Associate (“Associate”), and is effective as of April 14, 2003.

RECITALS

A. CE wishes to disclose certain information to Associate pursuant to the terms of the Contract, some of which may constitute Protected Health Information (“PHI”) (defined below).

B. CE and Associate intend to protect the privacy and provide for the security of PHI disclosed to Associate pursuant to the Contract in compliance with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”) and regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA

Regulations”) and other applicable laws.

C. As part of the HIPAA Regulations, the Privacy Rule (defined below) requires CE to enter into a contract containing specific requirements with Associate prior to the disclosure of PHI, as set forth in, but not limited to, Title 45, Sections 164.502(e) and 164.504(e) of the Code of Federal Regulations (“CFR”) and contained in this Addendum.

In consideration of the mutual promises below and the exchange of information pursuant to this Addendum, the parties agree as follows:

1. Definitions.

A. Business Associate shall have the meaning given to such term under the Privacy Rule, including, but not limited to, 45 CFR Section 160.103.

B. Covered Entity shall have the meaning given to such term under the Privacy Rule, including, but not limited to, 45 CFR Section 160.103.

C. Data Aggregation shall have the meaning given to such term under the Privacy Rule, including but not limited to, 45 CFR Section 164.501.