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CIPt OF SAN BERNARDQO - REQUPsT FOR COUNCIL AB-ION
From: M.J. PERLICK
REC'D. - ADMIN. OFF.
198~1 ~.UG - I P~1 I:::; 8
Subject: Medical Examination Provider:
Dr. Stein - Contract Approval
Dept: Personnel
Date: 7 - 26-85
Synopsis of Previous Council action:
Approve contr~ct with Medical Examination Provider, prior contract
expired 7-1-85.
Recommen<:led motion:
Approve resolution.
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Signature
Contact person: M.J. Perl ick
Phone:
383-5161
Supporting !lata attached:
Yes
Ward:
nfa
FUNDING REQUIREMENTS:
Amount:
(..IY/J;/~&iJrJf-Source: " .
F;~.) 2'1 Y1~A1r
Council Notes:
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CI.{f OF SAN BERNARDI&' - REQU& FOR COUNCIL AC~ON
STAFF REPORT
The Civil Service Board requires, through their Rules &
Regulations as approved by Mayor & Common Council, certain
Medical examiDations to ensure the applicant's/employee'5
ability to perform the physical demands of the job. This
particular requirement has been contracted to the East Valley
Medical CliDic and Dr. Fowler for over 8 years, as the City
does Dot possess the iD-house capability. Dr. Fowler's
services have been very satisfactory, however, Dr~ Fowler has
choseD to re-locate to Oregon and close his clinic here.
When the PersoDDel Office was notified of his decisioD in May
1985, we issued a "Request for Proposals" to local cliDics
and physicians. A temporary iDterim contract, essentially
the same as we had with Dr. Fowler, was approved by the
Con~on CouDcil iD JUDe of 1985 with Dr. Arnold Stein. Dr.
Stein was recommeDded by the City's Risk Management Division
as an interim provider.
The proposals were received aDd reviewed by a committee
consisting of Deputy City Administrator Ray Schweitzer, Fire
Chief Gerald Newcombe, ActiDg AssistaDt Police Chief Paul
Bonano, Director of EmergeDcy Services/Risk MaDagement RODald
Solheim, Personnel Director M.J. Perlick, AssistaDt Personnel
Director Roger DeFratis (Committee ChairmaD), Director of
Public Services Manuel MoreDo and City Nurse JaD Lewis.
After careful cODsideration of all factors, the committee
recommends that Dr. SteiD become the ExamiDatioD Provider for
aD initial contract period of 1 year.
The basic costs will remain comparable to the previous
cODtract with Dr. Fowler with no iDcreased cost for fiscal
year 1985-86 and within present budgeted amounts. Also, the
quality of Dr. Stein's services have been fOUDd to be very
acceptable during the interim contract.
MJP/RCD/hmg
75.0264
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RESOLUTION NO.
2 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
EXECUTION OF AN AGREEMENT WITH ARNOLD M. STEIN, M.D., RELATING TO
3 MEDICAL SERVICES.
4 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO AS FOLLOWS:
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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 "I", and incorporated herein by reference
as fully as though set forth at length.
I HEREBY CERTIFY that the foregoing resolutioD was duly
adopted by the Mayor and Common Council of the City of San
Bernardino at a
meeting thereof, held on
the
day of
, 1985, by the following
vote, to wit:
AYES:
Council Members
NAYS:
ABSENT:
20 City Clerk
21 The foregoing resolution is hereby approved this
22 day of , 1985.
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24 Mayor of the City of San Bernardino
~: Approved as /);2?~
~y
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A G R E E MEN T
(Medical Services)
THIS AGREEMENT is made and entered into at San Bernardino,
4 Ca lifornia, this
day of
, 1985, by and
5 between the CITY OF SAN BERNARDINO, a municipal corporation,
6 hereinafter called "City", and ARNOLD M. STEIN, M.D., hereinafter
7 called "Physician".
8 The parties hereto agree as follows:
9 1. Services. Upon request and referral by City, Physician
10 shall conduct pre-employment physicals and evaluations and
11 provide other medical services for City. Such services shall
12 include, but not be limited to, the following:
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(a) providing central coordination of medical data and
14 information related to pre-employment physicals and evaluations
15 for City;
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(b) obtaining the medical history of, personally
17 examining and reviewing all medical tests pertaining to persons
18 referred by City in accordance with the specifics set forth in
19 Exhibit A, attached hereto and incorporated herein by reference;
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(c) upon specific request of City, taking x-rays and
21 conducting other medical tests and provide City an evaluation
22 thereof; and
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(d) providing City a summary and evaluation in regard
24 to exams conducted hereunder.
25 2. Payment. City shall pay Physician $38.00 for each
26 person that City refers for a pre-employment physical
27 examination and evaluation. Said physical examination shall
28 specifically include, but not be limited to, the items listed on
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1 Exhibit A, except as to those items listed as "optional", or for
2 which a stated additional charge follows. Any item designated
3 as "optional" shall mean optional at the instance of City, and
4 City shall pay Physician for such optional services as may be
5 required by the City as follows: DMV exam, $28.00, or $15.00 in
6 addition to regular physical exam fee if both exams are
7 conducted; two view back x-ray, $50.00; chest x-ray, $30.00;
8 lipid test panel, $17.00; flexibility and mobility tests, $24.00;
9 hemoglobin study, $5.00; Tuberculin skin test, $5.00;
10 electrocardiogram, $35.00; drug screening for general abuse
11 drugs, $20.00.
12 3. Report and Recommendation. A written report and
13 recommendation including significant findings and limitations on
14 each physical examination hereunder shall be prepared by
15 Physician on the form provided by City's Director of Personnel
16 and shall be forwarded to City within three days of completion of
17 the examination. When the form reflects "normal" in an area of
18 examination, the statement shall mean that all applicable items
19 to be reviewed or examined have been so reviewed or examined and
20 that no such significant findings and limitations were
21 determined.
22 4. Additional Duties and Responsibilities. Physician shall
23 specifically assume the following additional duties and
24 responsibilities at a price to be agreed upon in advance of such
25 services by the parties.
26 (a) Appeals. In the event an unsuccessful applicant
27 appeals his or her rejection to the Civil Service Board,
28 Physician shall re-examine and re-evaluate the appellant and
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1 provide information, in person or by comprehensive narrative
2 report, to the Civil Service Board about the appellant's medical
3 limitations and potential risks involved with the employment of
4 the appellant.
5 (b) Modifying guidelines. City may require expert
6 medical advice and consultation (including research results and
7 recommendations) on occasion for determining new, or revising
8 existing, medical guidelines or changes in medical procedures and
9 examinations for future specific needs.
10 (c) Current employees. Physician shall examine
11 current City employees with problematic medical symptoms or
12 conditions at City referral to determine if the employees are
13 physically able to safely perform their duties.
14 5. Billing. Physician shall bill City monthly and said
15 statement shall include the names of the persons examined and the
16 dates of the examinations. City will accept charges only for
17 those services first requested by City.
18 6. Equipment and Personnel. PhysiciaD must have equipment
19 and personnel for back-up and emergencies to assure prompt
20 scheduling of medical examinations. Physician shall conduct any
21 examinations or testing within five (5) working days of City's
22 request for scheduling the exams or test. Physician shall
23 designate a competent physician or group of physicians to perform
24 all obligations pursuaDt to and in accordance with the terms of
25 this agreement in the event Physician is temporarily uDavailable
26 to render services required.
27 7. Assignment. This agreement may not be assigned by
28 ei ther party hereto.
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1 8. Hold harmles~. Physician hereby agrees to, and shall,
2 hold City, its elective and appointive boards, commissions,
3 officers, agents and employees harmless from any liability for
4 damage or claims for damage for personal injury, including death,
5 as well as for claims for property damage which may arise from
6 Physician's operations and activities under this agreement,
7 whether such operations and activities be by Physician or by any
8 one or more persons directly or indirectly employed by or acting
9 as agent for Physician. Physician agrees to and shall defend
10 City and its elective and appointive boards, commissions,
11 officers, agents and employees from any suits or actions at law
12 or in equity for damages caused, or alleged to have been caused,
13 by reason of any of Physician's operations or acts or omissions
14 and activities hereunder.
15 9. Insurance. Physician shall be insured by an insurance
16 carrier acceptable to City against loss from public liability
17 arising from any operation or activity of the Physician or
18 employees in connection with the performance of this agreement.
19 Minimum coverage shall be one million dollars ($1,000,000)
20 combined single limit liability, to include medical malpractice
21 insurance. A copy of the policy of insurance shall be filed with
22 the Risk Management Division of City and shall name the City of
23 San Bernardino as an additional insured. Said policy shall
24 specify that the policy may not be terminated, altered or
25 cancelled without thirty (30) days prior written notice to the
26 City by the insurance company.
27 10. Workers' Compensation. Physician's employees shall be
28 covered by workers' compensation insurance in an amount and form
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1 to meet all applicable requirements of the Labor Code of the
2 State of California and which specifically covers all persons
3 providing services on behalf of Physician and all risks to such
4 persons under this agreement.
5 11. Term. This agreement shall be effective as of the date
6 first above written, and shall terminate June 30, 1986.
7 12. Right of Termination. City and Physician shall have
8 the right to terminate this agreement at any time by the giving
9 of thirty (30) days advance written notice to the other party.
10 13. Notices. All notices hereunder shall be by certified
11 mail, postage prepaid, addressed as follows:
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Director of Personnel
Ci ty Hall
300 North "D" Street
San Bernardino, CA 92418
Arnold M. SteiD, M.D.
355 East 21st Street
San Bernardino, CA 92404
15 IN WITNESS WHEREOF, the parties hereto have executed this
16 agreement on the date first above written.
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CITY OF SAN BERNARDINO
ATTEST:
By
Mayor
City Clerk
Approved as to form:
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ARNOLD M. STEIN, M.D.
Soc. Sec. No.
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TYPES OF MEDICAL EXAMINATIONS
Group I: Employees in the Safety Services, including Police and
Fire Classifications.
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
Extremities
Lymph nodes
Nervous system
3. Laboratory Studies:
Urinalysis: Sugar and Albumin
Hematology: Lipid Panel
4. Radiological Studies:
Lumbar SpiDe 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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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,
fund i
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
3. Eye test: Near and distant vision (SDelliDg Chart)
Color vision.
14 4. Hearing Test: Tuning fork
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5. Radiological studies, two view lumbar spine x-ray
6. Laboratory studies:
Urinalysis: Sugar and AlbumiD
7. Mobility and flexibility tests (including grip strength,
drawer sign, etc.)
8. Written report of exam findings by physician.
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Group III: Miscellaneous classifications - light to moderate
21 physical demands upon employees.
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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, pupils,
fundi
Ears: Tympanic membrane, wax
Nose, mouth, throat, dental hygiene
Neck
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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 (Snelling Chart)
Color vision
8 4. Hearing test: Tuning Fork
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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)