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CI~ OF SAN. BERNARDIg, - REQUEQr FOR COUNCIL AC'Q)N
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From: M.J. Perlick REC'O -lOMIM...t: Adopt Resolution To Extend The Term
. Of Agreement An Additional One Year
Dept: Personnel 1981 APR -5 PrI 4: OC Effective June 24, 1987, Between The
City and Dr. Stein To Conduct Medical
Date: March 31, 1987 Exams.
Synopsis of Previous Council action:
At the meeting of the Mayor and Common council held August
19, 1985, Resolution No. 85-331 was approved authorizing the
execution of an agreement between the city and Dr. Arnold M.
stein to conduct pre-employment medical exams.
Recommended motion:
Adopt resolution to extend the term of agreement an addi-
tional 1 year effective June 24, 1987, with the increase in
x-ray laboratory rates only.
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Contact person:
M ,1 P"...l irl<
Phone: xS161
Supporting data attached: Yes
Ward:
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1)0/- /11-s:J060
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FUNDING REQUIREMENTS:
Amount: ~ 5"5
Source:
Finance:
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Council Nctes:
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Agenda Item No.1 t .
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CI~ OF SAN BERNARDIQ, - RBQUEQ- FOR COUNCIL AC,Q.N
STAFF REPORT
Dr. stein is currently providing the City with pre-employment
and other medical exams. Dr. stein's agreement with the city
has been in effect for approximately 2 years, with costs held
constant. The lone increase this year is for back x-rays
which was increased by the servicing x-ray lab. All other
charges are reasonable in comparison to costs charged by
other clinics/ agencies providing such service, and the work
performance by Dr. Stein has been timely and satisfactory.
Rates
Current Propo.sed Difference
Pre-Employment Exam $38.00 $38.00 -0-
DMV (alone) 28.00 28.00 -0-
DMV W/O Pre-Employment 15.00 15.00 -0-
Exam
Back X-Ray 50.00 55.00 $5.00
75.026. 3-31-87
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RESOLUTION NO.
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
EXECUTION OF AN AGREEMENT WITH ARNOLD M. STEIN, M.D., RELAT-
ING TO MEDICAL SERVICES.
BE IT RESOLVED BY THE .~YOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The Mayor is hereby authorized and directed
to execute on behalf of said City an Agreement with Arnold M.
Stein, M.D., relating to medical services, which agreement is
attached hereto, marked Exhibit nAn, and incorporated herein
by reference as fully as though set forth at length.
I HEREBY CERTIFY that the foregoing resolution was duly
adopted by the Mayor and Common Council of the City of San
Bernardino at a
meeting thereof,
, 1987, by the
fol-
held on the____ day of
lowing vote to wit:
Council Members
AYES:
NAYS:
ABSENT:
City Clerk
The foregoing resolution is hereby approved this
22 day of
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, 1987.
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Mayor of the City of San Bernardino
Approved as to form:
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27 City Attorney
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1 A ~ R ~ E M E ~ ~
2 THIS AGREEMENT is made and entered into at San Bernar-
3 dino, California, this day of
4 between the CITY OF SAN BERNARDINO,
5 hereinafter called "CITY", and
6 hereinafter called "Physician".
7 The parties hereto agree as follows:
8 1. Services. Upon request and referral by City,
9 Physician shall conduct pre-employment physicals and evalua-
10 tions and provide other medical services for City. Such
11 services shall include, but not be limited to, the following:
12 (a) providing central coordination of medical data
13 and information related to pre-employment physicals and eval-
14 uations for City,
15 (b) obtaining the medical history of, personally
16 examining and reviewing all medical tests pertaining to
17 persons referred by City in accordance with the specifics set
18 forth in Exhibit A, attached hereto and incorporated herein
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by reference,
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1987, by and
a municipal corporation
ARNOLD M. STEIN, M.D.,
of City, taking x-rays
and provide City an
(c) upon specific request
and conducting other medical tests
evaluation thereof: and
(d) providing City a summary and evaluation in re-
gard to exams conducted hereunder.
2. Payment. City shall pay Physician $38.00 for each
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person that City refers for a pre-employment physical
1 examination and evaluation. Said physical examination shall
2 specifically include, but not be limited to, the items listed
3 on Exhibit A, except as to those items listed as "optional",
4 or for which a stated additional charge follows. Any item
5 designated as "optional" shall mean optional at the instance
6 of. City, and city shall pay Physician for such optional
7 services as may be required by the City as follows: DMV
8 exam, $28.00, or $15.00 in addition to regular physical exam
9 fee if both exams are conducted, two view back x-ray, $55.00;
10 chest x-ray, $33.00, lipid test panel, $19.00; flexibility
11 and mobility tests, $27.00, hemoglobin study, $6.00, tuber-
12 culin skin test, $5.00, electrocardiogram, $35.00, drug
13 screening for general abuse drugs $22.00.
14 3. Report and Recommendation. A written report and
15 recommendation including significant findings and limitations
16 on each physical examination hereunder shall be prepared by
17 Physician on the form provided by City's Director of Person-
18 nel and shall be forwarded to City within three days of
19 completion of the examination. When the form reflects
20 "normal" in an area of examination, the statement shall mean
21 that all applicable items to be reviewed or examined have
22 been so reviewed or examined and that no such significant
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findings and limitations were determined.
4. Additional Duties and Responsibilities. Physician
25 shall specifically assume the following additional duties and
26 'b'l't' t ' b d 'd f
respons1 1 1 1es a a pr1ce to e agree upon 1n a vance 0
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such services by the parties.
(a) Appeals. In the event an unsuccessful applicant
appeals his or her rejection to the civil Service Board,
Physician shall re-examine and re-evaluate the appellant and
provide information, in person or by comprehensive narrative
report, to the Civil Service Board about the appellant's med-
ical limitations and potential risks involved with the em-
ployment of the appellant.
(b) Modifying guidelines. city may require expert
medical advice and consultation (including research results
and recommendations) on occasion for determining new, or
revising existing, medical guidelines or changes in medical
procedures and examinations for future specific needs.
(c) Current employees. Physician shall examine
current City employees with problematic medical symptoms or
conditions at City referral to determine if the employees are
physically able to safely perform their duties.
5. Billing. Physician shall bill City monthly and said
statement shall include the names of the persons examined and
the dates of the examinations. City will accept charges only
for those services first requested by City.
6. Equipment and Personnel. Physician must have
equipment and personnel for back-up and emergencies to assure
prompt scheduling of medical examinations. Physician shall
conduct any examinations or testing within five (5) working
days of City's request for scheduling the exams or test. Phy-
sician shall designate a competent physician or group of
(Continued)
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physicians to perform all obligations pursuant to and in
accordance with the terms of this agreement in the event
Physician is temporarily unavailable to render services
required.
7. Assignment. This agreement may not be assigned by
either party hereto.
8. Hold harmless. Physician hereby agrees to, and
shall, hold City, its elective and appointive boards, com-
8 missions, officers, agents and employees harmless from any
9 liability for damage or claims for damage for personal
10 injury, including death, as well as for claims for property
11 damage which may arise from Physician's operations and
12 activities under this agreement, whether such operations and
13 activities be by Physician or by anyone or more persons
14 directly or indirectly employed by or acting as agent for
15 Physician. Physician agrees to and shall defend City and its
16 elective and appointive boards, commissions, officers, agents
17 and employees from any suits or actions at law or in equity
18 for damages caused, or alleged to have been caused, by reason
19 of any of Physician's operations or acts or omissions and
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activities hereunder.
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9. Insurance. Physician shall be insured by an insur-
22 ance carrier acceptable to City against loss from public li-
23 ability arising from any operation or activity of the Physi-
24 cian or employees in connection with the performance of this
25 agreement. Minimum coverage shall be one million dollars
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($1,000,000) combined single limit liability, to include med-
1 ical malpractice insurance.
A copy of the policy of insur-
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2 ance shall be filed with the Risk Management Division of City
3 and shall name the City of San Bernardino as an additional
4 insured. Said policy shall specify that the policy may not
5 be terminated, altered or cancelled without thirty (30) days
prior written notice to the City by the insurance company.
10. Workers' Compensation. Physician's employees shall
be
covered by workers' compensation
insurance
in an amount
and
form to meet all applicable
requirements
of
the Labor
Code of the State of California and which specifically covers
all persons providing services on behalf of Physician and all
risks to such persons under this agreement.
11. Term.
This agreement shall be effective as of the
date first above written, and shall terminate June 30, 1988.
12. Right of Termination.
City and Physician shall
have the right to terminate this agreement at any time by the
giving of thirty (30) days advance written notice to the
other party.
13. Notices. All notices hereunder shall be by cert-
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ified mail, postage prepaid, addressed as follows:
Director of Personnel
City Hall
300 North "0" Street
San Bernardino, CA 92418
Arnold M. Stein, M.D.
355 East 21st Street
San Bernardino, CA 92404
(Continued)
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2 IN WITNESS WHEREOF, the parties hereto have executed
3 this agreement on the date first above written.
4
5 CITY OF SAN BERNARDINO
ATTEST:
6 By
7 Mayor
8 City Clerk
9 Approved as to form:
10 L:fC!~~
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12 M. STEIN
. of A
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14 1. D. No.95-263 144
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TYPES OF MEDICAL EXAMINATIONS
Group I: Employees in the Safety Services, including Police and
Fire Classifications.
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1. Personal and family health history questionnaire review.
2.
Complete physical examination including:
Height
Weight
Blood pressure
Pulse before and after exercise
Eyes: Field of vision, extra ocular movements, pupils,
fundi
Ears: Tympanic membrane, wax
Nose, mouth, throat, dental hygiene
Neck
Chest
Heart
Lungs
Abdomen & Viscera - liver, kidneys, spleen
External genitalia (men) and hernia check (all)
Skin ..
Spine .. .. L
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Extremities
Lymph nodes
Nervous system
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3. Laboratory Studies:
Urinalysis: Sugar and Albumin
Hematology: Lipid Panel
4. Radiological Studies:
Lumbar Spine X-Rays
Chest X-Ray (optional)
5. Drug screening for general abuse of drugs (optional)
6. Mobility and Flexibility tests (including grip. strength,
drawer sign, etc.)
7. Treadmill EKG where history or other tests suggest
problems (optional) .
8. Written report of findings by Physician
Group II: Employees for heavy labor, skilled trades, equipment
operation, trash collection, and grounds maintenance .
classifications. These .jobs require one or more of the
following: lifting and/or carrying weights of more than 50
pounds; repetitive awkward motions of the trunk or the back;
frequent bending, squatting, climbing or prolonged standing.
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EXHIBIT
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1. Personal and family health history questionnaire review.
2. Complete physical examination including:
Height
Weight
Blood pressure
Pulse before and after exercise
Eyes: Field of vision, extra ocular movements, pupils,
fundi
Ears: Tympanic membrane, wax
Nose, mouth, throat, dental hygiene
Neck
Chest
Heart
Lung s
Abdomen & Viscera - liver, kidneys, spleen
External genitalia (men) and hernia check (all)
Skin
Spine
Extremities
Lymph nodes
Nervous system
3. Eye test: Near and distant vision (Snelling Chart)
Color vision.
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4. Hearing Test: Tuning fork
5. Radiological studies: two view lumbar spine x-ray
6. Laboratory studies:
Urinalysis: Sugar and Albumin
7. Mobility and flexibility tests (including grip strength,
drawer sign, etc.)
8. Written report of exam findings by physician.
Group III: Miscellaneous classifications - light to moderate
physical demands upon employees.
1. Review of personal and family health history
questionnaire review
2. Complete physical examination by physician including:
Height
Weight
Blood pressure
Pulse before and after exercise
Eyes: Field of vision, extra ocular movements, pu~ils,
fundi .
Ears: Tympanic membrane, wax
Nose, mouth,. throat, dental hygiene
Neck
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Chest
Heart
Lung s
Abdomen & Viscera - liver, kidneys, spleen
External genitalia (men) and hernia check (all)
Skin
Spine
Extremities
Lymph nodes
Nervous system
3. Eye test: Near and distant vision (Snelling Chart)
Color vision
4. Hearing test: Tuning Fork
5. Laboratory studies:
Urinalysis: Sugar and Albumin
Hematology: Hemoglobin
6. Written report of findings by physician.
7. T.B. test for food handlers and employees involved in
work in the close proximity of children. (optional)
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