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CI,o OF SAN BERNAROIIO - REQUOT FOR COUNCIL AC'Q)N
From:
Gordon R. Johnson
Director of Personnel
REC'O.-ADMIN. OF~bj8Ct: Agreement wi':.h Arnold M. Stein, M.D.,
relating to Medical Services
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Dept:
Personnel
Date:
July 20, 1988
Synopsis of Previous Council action:
At the meetings of the Mayor and Common Council held on August 19, 1985 and May 11,
1987, Resolutions 85-331 and 87-136 were approved author.izing the execution of an
agreement between the City and Dr. Arnold M. Stein, M.D., to provide medical services.
Recommended motion:
Adopt resolution.
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Contact person:
Gordon R. Johnson
Phone:
5161
Supporting data attached:
Ward:_________.__.._._
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FUNDING REQUIREMENTS:
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Amount: .J~ ~C'O <.,
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75-0262
Agenda Item No. - ~,
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CI,Q OF SANBERNARDltO - REQUOT FOR COUNCIL ~N
STAFF REPORT
The terms and conditions of the agreement with Dr. Arnold M. Stein, M.D., remain
the same except for the $10.00 increase in the fee for each two view back x-ray
from $55.00 to $65.00. Additional cost will be approximately $2000.00.
75-0264
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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.
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BE IT RESOLVED BY THE MAYOR 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 wAw, 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,
, 1988, by the fol-
held on the____ day of
lowing vote to wit:
AYES:
Council Members
NAYS:
ABSENT:
City Clerk
The foregoing resolution is hereby approved this
day of
, 1988.
Evlyn Wilcox, Mayor
City of San Bernardino
Approved as to form and legal content::
JULY 20, 1988
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A G R E E MEN T
THIS AGREEMENT is made and entered into at San Bernardino,
California, this
day of
1988, by and
,
between the CITY OF SAN BERNARDINO, a municipal corporation
hereinafter called "CITY", and ARNOLD M. STEIN, M.D., here-
inafter called "Physician".
The parties hereto agree as follows:
1. Services. Upon request and referral by City, Phy-
sician shall conduct pre-employment physicals and eval-
uations and provide other medical services for City. Such
services shall include, but not be limited to, the following:
(a)
providing
central coordination of medical
data and information related to pre-employment physicals and
evaluations for City,
(b) obtaining the medical history of and per-
sonally examining and reviewing all medical tests pertaining
to persons referred by City in accordance with the specifics
set forth in Exhibit A, attached hereto and, incorporated
herein by reference,
(c) upon specific request of City, taking x-rays
and conducting other medical tests and providing City an
evaluation thereof, and
(d) providing City a summary and evaluation in re-
gard to exams conducted hereunder.
(Continued)
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2. Payment. City shall pay Physician $38.00 for each
person that City refers for
a pre-employment physical
examination and evaluation. Said physical examination shall
specifically include, but not be limited to, the items listed
on Exhibit A, except as to those items listed as "optional",
or for which a stated additional charge follows. Any item
designated as "optional" shall mean optional at the instance
of City, and City shall pay Physician for such optional
: services as may be required by the City as follows: DMV
exam, $28.00, or $15.00 in addition to regular physical exam
fee if both exams are conducted, two view back x-ray, $65.00,
chest x-ray, $33.00, lipid test panel, $19.00, flexibility
and mObility tests, $27.00, hemoglobin study, $6.00, tuber-
culin skin test, $5.00, electrocatdiogram, $35.00, drug
screening for general abuse drugs $22.00.
3. Report and Recommendation.
A written report and
recommendation including significant findings and limitations
on each physical examination hereunder shall be prepared by
Physician on the form provided by City's Director of Person-
nel and shall be forwarded to City within three days of
completion of the examination.
When the form reflects
"normal" in an area of examination, the statement shall mean
that all applicable items to be reviewed or examined have
been so reviewed or examined and that no such significant
findings and limitations were determined.
(Continued)
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4. Additional Duties and Responsibilities. Physician
shall specifically assume the following additional duties and
responsibilities at a price to be agreed upon in advance of
such services by the parties.
(a) Appeals. In the event an unsuccessful appli-
cant 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
employment 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
(Continued)
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conduct any examinations or testing within five worki.lg days
of City's request for sCheduling the exams ~r tests. Phy-
sician shall designate a competent physician or group of
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-
missions, officers, agents and employees harmless from any
liability for damage or claims for damage for personal
injury, including death, as well as for claims for property
damage which may arise from Physician's operations and
activities under this agreement, whether such operations and
activities be by Physician or by anyone or more persons
directly or indirectly employed by or acting as agent for
Physician. Physician agrees to and shall defend City and its
elective and appointive boards, commissions, officers, agents
and employees from any suits or actions at law or in equity
for damages caused, or alleged to have been caused, by reason
of any of Physician's operations or acts or omissions and
activities hereunder.
(Continued)
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9. Insurance. Physician shall be insured by an insur-
ance carrier acceptable to City against losb from public li-
ability arising from any operation or activity of the Physi-
cian or employees in connection with the performance of this
agreement. Minimum coverage shall be one million dollars
combined single limit liability, to include medical malprac-
tice insurance.
A copy of the policy of insurance shall be
filed with the Risk Management Division of City and shall
. name the City of San Bernardino as an additional insured.
Said policy shall specify that the pOlicy may not 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, 1989.
12.
Right of Termination.
City and Physician shall
have the right to terminate this agreement at any time by the
giving of thirty days advance written notice to the other
party.
13. Notices. All notices hereunder shall be by cert-
ified mail, postage prepaid, addressed as follows:
(Continued)
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Director of Personnel
City Hall
300 North "OW Street
San Bernardino, CA 92418
u
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Arnold M. Stein, M.D.
355 East 21st Street
San Berl1ardino, CA 92404
IN WITNESS WHEREOF, the parties hereto have executed
this agreement on the date first above written.
. ATTEST:
City Clerk
CITY OF SAN BERNARDINO
By
Mayor
Approved as to form and legal content:
7
ti
ARNOLD M. STEIN, M.D.
I. D. No.95-2637l44
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T$PlS OF MEDIC~EXAMINATIONS
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Group I: Employees in the Safety Services, including Police and
Fire Classifications.
1.
2.
Personal and family health history questionnaire review.
Complete physical examination including:
Height
Weight
Blood pressure
Pulse before and after exercise
Eyes: Field of vision, extra ocular movemen~s, 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
Extremi ties
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.)
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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 ~ollection, 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.
. 3-31-87 ,
EXHIBIT
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Chest
Heart
Lungs
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 (Snellinl Chart)
Color vision
4. Hearing test: Tuning Fork
5. Laboratory studies:
Urinalysis: Sugar and Albumin
Hematology: Hemoglobin
6. Written report of findings by physician.
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7. T.D. test for food handlers and employ~es involved in
work in the close proximity of children. (optional)
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3-31-87
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Group III: Miscellaneous classifications - light to moderate
21 physical demands upon employees.
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3-31-87
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1.
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Personal and
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family health
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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
Extremities
Lymph nodes
Nervous system
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3.
Eye test: Near and distant vision (Snelling Chart)
Color vision.
4.
5.
6.
":-L&.
Hearing Test: Tuning fork
Radiological studies: two view. lumbar spine x-ray
Laboratory studies:
Urinalysis: Sugar and Albumin
Mobility and flexibility tests (including grip strength,
drawer sign, etc.)
7.
8.
Written report of exam findings by physician.
.
1.
Review of personal' and family health history
questionnaire 'review
2.
Complete physical examination by physieian including:
Height
Weight '
Blood pressure
Pulse before and after exercise
Eyes: Field of vision, extra ocular movements, pu,p.,i'1s".
fund i
Ears: Tympanic membrane, wax
Nose, mouth" throat, dental hygiene
Neck
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