Specifications include, but are not limited to: Medical review services by reviewing cases of injured state employees and shall recommend cost containment measures for the Office of Administration, Division of General Services, Central Accident Reporting Office (hereinafter referred to as the state agency) in accordance with the provisions and requirements stated herein and to the sole satisfaction of the state agency. The contractor shall perform all services on an as needed, if needed basis. The contractor shall understand and agree that the contract shall not be construed as an exclusive agreement. The state agency may obtain alternative services elsewhere if it is considered in the best interest of the State of Missouri. However, the state agency estimates, but does not guarantee, that a minimum of 1200 hours and maximum of 4000 hours of medical review services may be required on an annual basis.