Loading...
HomeMy WebLinkAbout16-Personnel o o o o COUNCIL ACTION CORRDPONDBNCI! To Mary Jane Perlick Subj.ct Resolution to Extend the Term Director of Personnel of Agreement an Additional One Year Effective June 24, 1987, Oat. April 22, 1987 Between the City and Dr. Stein to Conduct Medical Exams Meeting Oat. April 20, 1987 Agenda Item No. 16 Action The proposed resolution of the City of San Bernardino authorizing the execution of an agreement with Arnold M. Stein, M.D., relating to medical services, was continued f"n Vay l' 10A7, with information to be provided by the City Administrator as to the costs of the present agreement with Dr. Stein, and the estimated costs of postage, staff time, and any other costs to send out RFP's. . - SC:dc cc: City Attorney /~~ City Administrator sKAUNA CLA K Finance City Clerk ?~A- I~. ~ITPOF SAN BERNARDI.o. - Personnel REC'D.-ADMIM. ~t: 19S7 APR - G PM 4: OS From: M.J. Perl ;ck Dept: Date: March 31, 1987 Synopsis of Previous Council action: At the meeting of the Mayor and Common Council held August 19, 1985, Resolution No. 85-331 was appr9ved authorizing the execution of an agreement between the Ci~ and Dr. Arnold M. Stein to conduct pre-employment medical exams. Racommended 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. ~~ Contact person: M ,1 P",rl; ,..k Phone: x5161 Supporting lIata attached: Yes FUNDING REQUIREMENTS: Amount: ~56 Ward: Source: Finance: Council No'es: CI1'90F SAN BeRNARDI LCD - ReQUeO FOR COUNCIL AC'lCbN 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 clinicsj agencies providing such service, and the work performance by Dr. Stein has been timely and satisfactory. Rates Current Proposed Difference Pre-Employment Exam $38.00 $38.00 -0- DMV (alone) 28.00 28.00 -0- DMV WjO Pre-Employment 15.00 15.00 -0- Exam Back X-Ray 50.00 55.00 $5.00 7'-026' ::l-::l1-R7 _ :lCI rrlk ...., ~ to :II: - -r:J ~. :.;. <.H ~ '0 o o C I T Y 0 F SAN B ERN A R 0 I N 0 INTEROFFICE MEMORANDUM 8704-623 TO: Ray Schweitzer, City Administrator FROM: Mary Jane Perlick, Director of Personnel SUBJECT: RFP for Physical Exams DATE: April 28, 1987 (7054) II COPIES: _____________________________________________~_____________Il ... Per your request, attached please find the following: "RFP for Physical Exams" - sent out in June, 1981 This 30 page document is no longer on our wo processing system. It can be re-entered and, with minor wording clean up, be made ready for reissue and mailing by mid May. A. B. Council packet dated July 1985, adopting a contract with Dr. stein for the provision of such exams. Dr. Fowler, of the East Valley Medical Clinic, performed the city's pre-employment medical examinations for 8 years, until May of 1985. When he moved out of the area, the RFP was drawn up and sent to a list of 18 physicians/clinics/- hospitals (see "C" attached). Because of our specific requirements, only 3 proposals were returned for our con- sideration. Dr. stein's proposal was considerably less costly than the only other proper proposal received (see "0" attached) and better met our needs. An RFP review committee consisting of the Risk Management Director of Emergency Services, City Nurse, Assistant Director of Personnel, Police Chief, Fire Chief, and Director of Public Works recommended Dr. stein as the provider of exam services. This recommendation was submitted to Council, where it passed unanimously (Estrada, Reilly, Hernandez, Marks, Quiel, Frazier and Strickler). Mayor wilcox subsequently signed the approved resolution on August 21, 1985 (see "E" attached) . During the budget process in JUly/August 1986, Council asked us to look at our exam requirements with an eye to saving money if possible. A study was performed by this office, and, our recommendation was to delete exams for "sedentary" personnel. This would have resulted in the savings of $5,000 (continued) (Fda ., ..iI o .." .... (~.) \ -< i @ o o o o INTEROFFICE MEMORANDUM: 8704-623 RFP for Physical Exams April 28, 1987 Page 2 per year. A separate study office resulted in the exam however. from the City Administrator's process remaining status quo, The cost for preparation, postage and staff time for this RFP (assuming 200 copies) is $1,150. We have spent $58,335.00 over the last 2 years with Dr. stein. In FY 85-86, $30,000 was budgeted and $29,633 was spent. In FY 86-87, $35,000 was budgeted and to date (9 months) $28,702 has been spent. Re.pectfu"~' MARY J PERLICK Director of Personnel MJ:jr Attachments o. o # o < ~ ".'." --;'" ....., , \. CI'f{i: OF'SA~ BE~NARDINO \..... ,". , . 300 NORTH "0" STREET. SAN 8ERNAlloINO, CALIFORNIA 92418-0138 ", PERSONNEL DEPARTMENT M.J. PER LICK DIRECTOR OF PERSONNEL .ft< ;.~. ,:-.: i.. ,';~ , - , ....... f June 7, 1985 The City of San Bernardino is issuing a Request for proposal to secure the services of a physician/clinic to perform pre- employment and other medical exams. Interested and qualified physicians/clinics are invited to submit six (6) copies of their complete proposal and any related information no later than July 5, 1985 at 12:00 noon to M.J. Perlick, Director of Personnel, City of San Bernardi- no, 300 North -D- Street, San Bernardino, California 92418. Additional procedural information related to the submission and format of proposals is contained in the -Request for Proposals.- Interested parties are urged to follow the -RFP- instructions. The proposals will be evaluated by a review committee. Careful consideration will be given to each proposal. It is anticipated that recommendations for award of the contract will be submitted to the Mayor and City Council in July of 1985. Sincerely, f2 ...~ f-:" 1,1 . J -- ~ MARY JA PERLICK Directo of Personnel MJ:jr tnclosures: Request for Proposal o o o o REQUEST FOR PROPOSAL Provision of Pre-Employment Medical Examinations . for the city of San Bernardino INTRODUCTION The City of San Bernardino has approximately 1,500 permanent and temporary employees in jobs ranging from those requiring strenuous physical activity (including police Officers and Fire Fighters) to sedentary jobs such as clerical and admin- istrative positions. City policy and State and Federal law prohibit any employment practice which unfairly discriminates against an applicant on the basis of physical or mental handicap. However, in order to contain disability retirement and workers' compensation costs, the City has developed physical examination procedures which are intended to provide reasonable control of the number and cost of injuries and still permit the consideration of all applicants who can reasonably be expected to safely perform the duties of the job for which they are being considered. I. PROGRAM DESCRIPTION pre-employment Examinations: It is our intention to maintain a medical examination program which will provide the information necessary for effective personnel administration. The medical evaluation of applicants will have two basic parts: The first part will be the medical examination by the physician plus the necessary laboratory studies. The physician will note any significant findings and limitations and report these to the personnel Department on mutually agreed upon forms and in mutually agreed upon format. (forms to be provided by the City) Determinations as to medical limitations will be based solely on the professional judgment of the examining physician. The content of the examination will be determined by the nature of the job for which the applicant is being considered. City jobs have been divided into groups as described in Attachment A which also lists the contents of the examinations for jobs in each group. (continued) o o o o Request for Proposal -- Provision of Pre-Employment Med Exams 2 The second part of the medical evalua~ion will be a determination by the Personnel Department as to whether the significant findings and limitations reported by the examining physician preclude an applicant from safely performing the duties of a specific job. The Personnel Department will have final authority and responsibility for deciding if an individual is to be employed. Department of Motor.Vehicle Examinations: The medical provider will also administer physical examinations as prescribed by the California Department of Motor Vehicles to those City employees whose jobs require possession of Class 1 or Class 2 driver's licenses. apecial Medical Evaluations: In addition to the above, the City may also wish to provide comprehensive special medical evaluations to selected employees. II. SCOPE OF SERVICE Specific criteria for providing medical services are outlined below: 1. The Medical Provider's facility and staff must be available to provide physical examinations conven- ient and timely to the City's needs. (Specify day and hours of availability) City's normal operat- ing days and hours are 7:30 A.M. to 4130 P.M., Monday through Friday. 2. pre-employment examinations will usually be scheduled on short notice. Up to 10 appointments will frequently be requested for the same day and examination must be conducted within five (5) City working days of the request. 3. The City anticipates needing approximately 400-500 pre-employment and Department of Motor Vehicle Licensing examinations per year. Examinations will be on an as-needed basis and no minimum number per day, week, or for the duration of the contract will be guaranteed. 4. The actual physical examination must be made by a licensed physician. However, routine measurements and laboratory samples may be taken by nurses or appropriately licensed or qualified technicians. (continued) o o o o Request for Proposal Provision of Pre-Employment Med Exams 3 All results must be reviewed by a licensed physi- cian. 5. A final written report of the examination results which includes any laboratory and x-ray results will be provided to the City within three work days of the completed examination. Early verbal reports will be provided by telephone upon request of the personnel Department. 6. The Provider must ensure the availability of a principal physician as a contact source to respond to questions from the City Personnel Department staff relating to medical examinations and ser- vices. 7. The Provider will maintain complete records on each individual examined. Such records will be confidential and will be available only to the Provider, the City's personnel Director or such other persons as he/she may designate, and to the individuals examined as allowed by State law. 8. The Provider shall be required to certify itself as an equal opportunity employer and shall comply with applicable requirements relating to any type of discrimination. 9. The following clauses pertaining to a hold harm- less agreement and insurance coverage will be contained in the Contract which the Provider executes with the City: a. HOLD HARMLESS: Provider shall assume the defense of indemnify and hold harmless the City from all claims, expenses, damages, and liability of every nature, directly or indir- ectly arising from, or alleged to have arisen from any operation, act or omission of the provider or employees. b. lNSURANCE: Provider shall be insured by an insurance carrier acceptable to the City against loss from public liability arising from any operation or activity of the Provider or employees. Minimum coverage shall be three-hundred thousand ($300,000) COMBINED SINGLE LIMIT LIABILITY, to include medical malpractice insurance. A copy of the policy (continued) o o o -0 Request for Proposal __ Provision of Pre-Employment Med Exams 4 . of insurance shall be filed with the 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 ten (10) days prior written notice to the City by the insurance company. ~~~S COMPENSATION: Consultant'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 contractor and all risks to such persons under this agreement. 10. The provider must have equipment and personnel for back-up and/or emergencies to assure prompt scheduling of medical examinations. c. 11. In addition to the Pre-Employment Screening and Depart- ment of Motor Vehicles licensing examinations, the City may require the services of medical doctors and spe- cialists from time to time for a variety of purposes, including the following: a. BP~~ial Evaluation and Follow-up: In some cases the City may require the availability of special- ists in various fields, particularly orthopedics, to assist in the special evaluation of candidates and to provide information beyond that normally obtained in routine examinations. b. Appeal~: Applicants have the right to appeal a rejection for employment to the City's Civil Service Commission. The City, therefore, occa- sionally requires the examining physician to re- examine and re-evaluate a candidate who has appealed his/her disqualification (including the review of prior medical records) and to provide information, in person or by comprehensive narrative report, to the Civil Service Commission about the applicant's medical limitations and risks of employment. c. Modifying guidelines: The City may require expert medical advice and consultation (including re- search results and recommendations) on occasion (continued) o o o o Request for Proposal provision of Pre-Employment Ked Exams 5 for determining new, or rev~s~ng existing, medical guidelines or changes in medical procedures and examinations for future specific needs. d. ~~~lQ~~~~: The city will need a physician to examine current city employees with problematic medical symptoms or conditions to determine if the employees are physically able to safety perform their duties. In the instances outlined above, the examining physician will work closely with the Personnel Department to assure that medical determinations are based on a firm understanding of the specific job duties for which the applicant is being considered. 12. The City will accept charges only for those services first requested by the City. 13. Any resultant contract agreement from this RFP will contain the following clauses: Conflict 2f-~nt~~: Any City employee whose position in the City enables him/her to influence the award of this contract or any competing contract, and no spouse or economic dependent of such employee, shall be employed in any capacity by the consultant herein, or have any of the direct or indirect financial interest in this contact. ~ical _ExAm Form: When such a form shows -normal- in an area of examination, this means that all applicable items to be reviewed/examined have been reviewed/examined and there were no significant find- ings. PROPOSAL REQUIREMENTS A. Criteria for Proposal Acc~t~ All responses to this Request for Proposal become the exclusive property of the City of San Bernardino. Upon receipt of said proposals specified on the next page, the City will select the physician/clinic from among those submitting proposals. Such selection shall be based' on the evalua-tion criteria set forth in the request for proposal. After physician/clinic has been selected by the City, the City will negotiate a contract for submission to the City Council for their (continued) Q o o o Request for Proposal Provision of Pre-Employment Med Exams 6 consideration and approval. If a satisfactory cannot be negotiated, the City may, at discretion, begin contract negotiations remaining best qualified physician/clinic as by the City. contract its own with the determined The contract for the provision of the above described medical services will be awarded only to a responsible provider. The following criteria will be used in evaluating the suitability of a provider: 1. Adequacy cal, and contract required. and availability support staff or the ability of professional, techni- for performance of the to obtain such staff as 2. Expertise, prior experience, and professional and technical skills in the field of industrial medi- cine. 3. Adequacy of the Provider's financial organization, and administrative ability out the provisions of the contract. 4. Reasonableness of cost as compared with the level of services to be provided. resources, to carry 5. Reasonableness of the approach in the terms of the stated scope of service. 6. Provider must be an equal employment opportunity employer. 7. Location, convenience, and adequacy of the medical facilities. B. Contents 2f proposal The submitted proposal shall contain the following information: 1. An overall introduction to the proposal, including a statement of the Provider's understanding of the program. 2. A statement of the provider's background, experi- ence, and understanding of industrial medicine. (continued) o o o o Request for Proposal Provision of Pre-Employment Ked Exams' 7 3. Identification of phYSicians on staff and other medical personnel who would be involved in pro- viding services to the City, with a description of their pertinent qualifications. 4. A description of the medical facilities but not limited to x-ray capabilities; for testing hearing, vision and pulmonary laboratory services, EKG equipment, rooms; and records storage. including equipment function; examining 5. A description of how the medical evaluation of applicants in each group (as described in Attachment A) would be carried out. Also, if additional tests are proposed for any category, describe what information these tests would provide. 6. Itemized costs and approximate length of time required, on a per examination basis, for each of the examinations described in Attachment A for Groups I, II and III. Include separate cost figures for each additional test proposed for any category. 7. A separate cost figure per individual examination for drug screening, a description of the types of drugs screened for, and methodology for conducting such screening. 8. A separate cost figure per individual examination for special medical evaluations. C . LimitAt.i.ona 1. All reports shall be the sole property of the City of San Bernardino and may not be used or reproduced in any form without the explicit permission of the City. 2. This request for proposal does not commit the City of San Bernardino to award a contract, to pay any costs incurred in the preparation of a proposal to this request or to procure or contact for services. All proposals submitted in response to this request for proposal become the property of the City of San Bernardino. The City of San Bernardino reserves the right to accept or reject any or all proposals received as a result of this request, to negotiate with qualified Providers, or to cancel in part or (continued) o -0 o o Request for Proposal Provision of pre-Employment'Med Exams 8 in its entirety the requ:st for proposal. The Personnel Director may requ1re the proposer select- ed to participate in negotiations concerning contract price or the nature and extent of technical services to be provided. The results of such negotiations shall be incorporated into the contract between the City of San Bernardino and the Provider. GENERAL INFORMATION If you have any questions regarding this Request for Propo- sal, please contact Roger OeFratis (714) 383-5008. proposals must be received in our office no later than 12:00 noon on July 5, 1985. The address is: City of San Bernardino Personnel Department 300 North ROR Street San Bernardino, CA 92418 -------------------------------------------------------------- CITY OF SAN BERNARDINO Pre-Employment Medical Services GENERAL PROVISIONS BUJL CAREFJllJ.X. IH~_PBOY1~IONS MUST-5~-A-PART OF YOUR BID Rpursuant to the Request for proposals, conditions on the following pages, and subject to all provisions of the Charter and Ordinances of the City of San Bernardino, the undersigned hereby proposes to furnish to the City of San Bernardino, complete at the prices stated herein, the items or services hereinafter mentioned; and the undersigned further warrants that this bid is genuine and not sham or collusive, or made in the interest or on behalf of any person, firm or corpora- tion not therein named; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a sham bid, or any other person, firm or corporation to refrain from bidding, and that the bidder has not in any manner (continued) o o o o Request for Proposal __ Provision of pre-~mployment Med Exams 9 sought by collusion to secure to himself/herself any advantage over other bidders." In submitting this proposal, the bidder agrees that: (a) He/she has, or they have, carefully examined the speci- fications, and all provisions relating to the items to be furnished or the work to be done attached herewith and made a part of this proposal, and understand the Gleaning, intent and requirements of and agree to the same. (b) He/she or they, will enter into a written contract and furnish the item(s) or complete the work in the time specified, and in strict conformity with the City of San Bernardino specifications therefor, for the prices quoted. SubmissiQD-Qf-Bids: 1. Prices: All prices and notations must be in ink or typewritten. Mistakes may be crossed out and .corrections typed or written with ink adjacent thereto, and must be initialed in ink by person signing quotation. 2. Alternate Bids: When the specifications do not include alternate propo- sals, the City reserves the right to reject statements or communications accompanying bids which serve to qualify such bids. 3. Brand Names: The reference to commercial brands or brand names is used for illustrative purposes only, other brands may be considered when they are similar or equal. 4. Verify Quotations: Verify your quotations before submission. 5. Delivery: (a) Bidder shall state delivery on the Proposal Form unless already specified, in which case delivery shall be made within the time set forth. Delivery (continued) c o o o Request for Proposal provis!on of Pre-Employment Med Exams 10 is part of the consideration and must be adhered to as specified. (b) Provider will not be held liable for failure-to make delivery because of strikes, conscription of property, governmental regulations, acts of God or any other causes beyond his control, provided a written extension of time is obtained from the City Administrator. 6. Firm Prices: Prices on Bid shall be firm prices for the minimum period of 7-1-85 through 7-1-86 and firm prices for a longer period of time and are encouraged not subject to escalation. In the event the specifications provide for escalation the maximum limit shall be shown. If no limit is set to this escalation, the bid shall not be considered. In the event of a decline in market price(s) below the price(s) bid the City of San Bernardino shall receive the benefit of such decline. 7. Royalties and Patents: The Provider shall pay all royalties and patent fees. He/she shall defend all suits and claims for infringements of any patent rights and shall save the City of San Bernardino harmless from loss on account thereof, except that the City of San Bernardino shall be responsible for all such loss when a particular process or the product of a particular manufacturer or manufacturers is specified. If, however, the Provider has information that the procedures or articles specified is an infringement of a patent he shall be responsible for any loss unless he promptly gives said information to the City of San Bernardino. 8. Signature: All quotations must be signed with the firm name as indicated. A bid by corporation must be signed by a duly authorized officer, employee or agent. 9. Evaluation of Bids: The right is reserved to reject any or parts thereof, or to reject any item or and to waive technicalities, and to award contracts on the bids submitted, either (continued) all bids, or items therein, one or more by award of all o o o o Request for Proposal provision of Pre-Employment Ked Exams 11 items to one bidder or by award of separate items or group of items to various bidders as the interests of the City may require~ Bidders performance on previous contracts may be considered in evaluation of bids. 10. Addenda: The effect of all addenda to the contract documents shall be considered in the bid, and said addenda shall be made a part of the contract documents and shall be returned with them. Before submitting his bid, each bidder shall inform himself as to whether or not any addenda have been issued, and failure to cover in this bid any such addenda issued, may render his bid informal and result in its rejection. 11. Specifications to Prevail: The detailed requirements of the specifications shall supersede any requirement of these General Provisions which are in conflict therewith. 12. Compliance to Industrial Safety Codes: All equipment furnished shall, where applicable, conform with the Safety Orders of the California Division of Industrial Safety. 13. Affirmative Action Policy The City of San Bernardino will not discriminate with regard to race, religious creed, color, national origin, ancestry, physical handicap, marital status, sex or age in the award of contracts. 6/5/85 o o o o ATTACIUmlcr....A :rn I;S_ OLlWl.li:AL_..EXAMl.HAl'.lilliS ~y~ _ Includes only employees in the Safety Services - Police and Fire classifications. These employees are expect- ed to encounter the most physically-demanding job duties. Not only may they be called upon to perform at maximum physical capacity at anytime, but they must do so under circumstances where physical breakdown could be life threatening to themselves or others because of the hazardous nature of their work assignments. Considerable mental stress may also be part of these jobs. Of special concern are cardiovascular and lumbar spinal abnormalities. Since the State Labor Code provides that police officers that develop heart disease and firefighters that develop heart disease or cancer during their employment are presumed to have developed these conditions as a result of their employment, such candidates must be thoroughly scrutinized for these conditions. It is proposed that candidates for these positions receive an examination which includes the following:* 1. personal and family health history questionnaire review. 2. Complete physical examination by physician to include: 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. Laboratory Studies: Urinalysis: Sugar and Albumin Hematology: Lipid Panel (continued) ...! Q o o o ATTACHMENTS Group I, II, III 2 4. Radiological Studies Lumbar Spine X-Rays (prov ide costs for 2,-4 "" 1 <i. views) Chest X-Ray 5. Drug Screening 6. Mobility and Flexibility Tests (including Grip Strength, Drawer Sign, etc.) 7. Optional., Treadmill EKG where history or other tests suggest problems.. 8. Written Report of Findings by Physician Note: Ortho Rater Eye Exam and Audiometric Screening will be performed by the City Nurse. * Please provide a separate cost estimate for item if possible. Group__-.ll Includes all heavy labor, sk illed trades, equipment operation, trash collection, and grou.l)ds. mainte- nance classifications.' This group consists of jobs which regularly ~gy~ne or more of the following: Liftlng and/or ~arrying weights .of mor.e .than... 50. .P-oun9JU....tepetitive awkward mot.j.ons':':oLthe. t.r.unk or the back; frequent bending, squattirig;'climbing or prolonged standing~ .--"'" TypicallY, these jobs also involve exposure to . loud noise, poor environmental conditions (cold, heat, noxious inhalents, wet weather, etc.) and hazardous equipment or work sites. It is proposed that candidates for these positions undergo an examination which includes the following: 1. Personal and family health history questionnaire review. 2. Complete Physical Examination by physician including: Height weight Blood pressure Pulse before and Eyes: Field of fundi Ears: after exercise vision, extra ocular movements, pupils, Tympanic membrane, wax (continued) o o o o A'l'TACHMENTS Group I, II, III 3 Nose, mouth, throat, dental hygiene Neck Chest Heart Lung s Abdomen & Viscera - liver, kidneys, spleen External genitalia (men) and hernia check (all) Skin Spine Extremeties LymPh nodes Nervous system 3. Eye Test: Near and distant vision (Snelling Chart) Color Vision. 4. Hearing Test: Tuning Fork 5. Radiological Studies,~~~d 5 V~ew Lumbar Spine x-Ray 6. Laboratory Studies: Urinalysis: Sugar Albumin -H'VIIICI Lul..:...gy. ';"11'18 F611~1 7. Mobility and Flexibility Tests (including Grip Strength, Drawer Sign, etc.) 8. written report of exam findings by Physician. City Nurse will conduct Eye and Hearing Tests for the classi- fications of: Tree Trimmer Dispatcher Welder Group III - Include~'those job classifications which make II\C;lQeratetol ight physical demands. _-'~.P9.Jl_eI!lPJ.oy~!ts. These employees IIlU "occasionally enc"ounter loud noise and noxious inhalants, and 1IlU. occasionally drive or work around hazardous machinery.' ."They may be required to stand, twist, squat, bend or reach rep~atedly, frequently, or for prolonged periods. However, they are. not normally required to engage (continued) o o o o ATTACHMENTS Group I, II, III 4' in strenuous activities such as running or very heavy lifting (more that 50 pounds) but may do considerable walking. The examination for candidates for these positions will include the following: 1. Review of personal and family health history (question- naire) 2. Complete Physical Examination (!ria) be cc...d..."Led by Physician Dr Dhyo;~iAD~~ R~~;~~~n~) 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) Skin Spine Extremeties Lymph nodes Nervous systell\ 3. Eye Tests: Near and distant vision (Snelling Chart) Color vision 4. Hearing Test: Tuning Fork 5. Laboratory studies: Urinalysis: Sugar Albumin Hell\atology: ..f>ipid Faloel Hemoglobin 6. M^p;]ity and FlcA!bil!ty TetiLD 7. Written report of Findings by physician. (continued) o o o ATTACHMENTS Group I, II, III 8. T.B. Test for food handlers and employees involved in work in the close proximity of children 6/7/85 5 o '. o I 2 .QES OF NEDICAOEXAMINATIONS o 3 Group I: Employees in the Safety Services, including Police and Fire Classifications. 4 5 6 7 8 9 JO 11 J2 ,13 14 15 16 17 18 19 20 21 . 22 23 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. Labo~atory 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) 24 8. Written report of findings by Physician 25 Group II: Employees for heavy labor, skilled trades, equipment 26 operation, trash collection, and grounds maintenance ~ classifications. These jobs require one or more of the 27 following: lifting and/or carrying weights of more than 50 pounds; repetitive awkward motions of the trunk or the back; 28 frequent bending, squatting, climbing or prolonged standing. EXHIBIT J{ 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 - 1. Personal a~familY heal~history t. . O. ques lonnalrc revieW. 2. Complete physical examination includi~g: Height Weight Blood pressure Pulse before and after exercise Eyes: Field of vision, extra ocular movem~nts" 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. Eye test: Near and distant vision (Snelling Chart). Color vision. 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 aftcr exercise Eyes: Field of vision, extra ocular movements, pupils, fundi Ears: Tympanic membrane, wax Nose, mouth, throat, dental hygicne Neck . - o " d J , .. 'I 2" )' 41 :/ 7 8 9 10 11 12 ,13 " 14 15 16 17 18 19 20 21 22 23 24/ 2.3 26' 271 2"1 Ll o o Chest 0 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 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) . " '. lJ ~ASSi CLASSIFICATION TT~ o Medi ca 1 Group 1000 1009 1011 1020 1031 1041 1061 1071 1081 1091 1096 1101 1105 1111 1115 1119 1121 1146 1151 1153 1155 1160 1162 1170 1181 1187 1195 1201 1211 1231 1258 1261 1264 1265 1271 1291 1301 1305 1321 1331 1371 1381 1391 1401 1411 1441 1430 1-431 1453 1455 1457 Abatement Coordinator III Abatement/Tree Aide I II Accountant III Account Clerk ill Account Clerk II I I I Account Clerk III I II Administrative Aide (C) III Administrative Assistant (M) III Administrative Assistant to the Council (C) (U) III Administrative Assistant to the Mayor (M) (U) III Affirmative Action Administrative Assistant (M) (0) III Affirmative Action Officer (M) (U) III Animal Control Aide II Animal Control Officer II Animal Health Technician III Animal Shelter Attendant II Animal Shelter Coordinator II I Assistant City Attorney (M) (U) III Assistant City Engineer (M) III Assistant City Librarian (M) (U) III Assistant Director of Emergency Services & Risk Management (M) (U) ., I II Assistant .Finance Director (M) ((1)= I!- III Assistant Personnel Director (M) I I I Assistant Planner III Assistant Property & Supply C1e~k II Assistant Traffic Engineer (MM) III Associate Planner III Auto Body Repairperson II Auto Body Repairman Helper II Automotive Serviceman II Building Maintenance Mechanic II Building Maintenance Supervisor (MM) III Business License Inspector (U) III Business License Supervisor (M) (0) III Buyer III Cemetery Superintendent (M) (U) III Central Printing Services Supervisor (MM) III Central Stores Supervisor (M) III Chief Deputy City Treasurer (M) (U) III Chief Dispatcher (MM) III City Administrator (M) (0) III City Attorney (M)(U) III City Clerk (M)(U) III City Librarian (M)(U) III City Treasurer (M)(U) III Civil Engineering Associate III Civil Engineering Technician I III Civil Engineering Technician II III Clerical Operations Supervisor (M) III Code Compliance Officer III Collector II I RANGE SALA~ 1083 1075 1099 1061 1073 1085 3098 3112 3123 3132 3112 3128 1061 1083 1083 1069 1073 3162 3160 3138 3132 3138 3142 1097 1069 2129 1111 1095 1083 1069 1087 2121 1083 3128 1073 3112 2110 2100 3115 2109 .3185 3180 3147 3155 3147 1123 To be 1115 2107 1108 1083 1331-1622 1207-1470 1622-1976 1015-1236 1176-1434 1364-1662 1485-1810 1765-2151 2021-2463 2261-2753 1765-2151 2151-2620 1015-1236 1331-1622 1331-1622 1120-1364 "1176-1434 3272-3986 3193-3889 2434-2964 2261-2753 2434-2964 2556-3115 1583-1928 1120-1364 2114-2577 1881-2292 1544-1881 1331-1622 1120-1364 1393-1704 1915-2333 1331-1622 2151-2620 1176-1434 1765-2151 1672-2037 1477-1801 1832-2232 1652-2012 4347-5293 4087-4971 2719-3314 3001-3658 . 2719-331,4 2181-2658 announced 1976-2407 1611-1962 1812-2210 1331-1622 - ., G459 1461 }.465 1471 1491 1501 1502 1521 1531 1533 1541 1534 1571 1603 1605 1611 1621 1624 1625 1626 1645 1651 1661 1663 1664 1666 1671 1681 1711 1715 1731 3395 1751 1761 1763 1771 1775 1781 1831 1841 1861 1873 1874 1876 1877 1878 1891 1901 1911 1921 IS31 1941 1945 .Ii - Commercial Refuse~oute superViJ:) (MM) III Communications & Electronics Technician II Communications & Information Aide III Communications Technician II Community Center Manager I (MM) III Community Center Manager II (MM) II I Community Center Manager II - Senior III Citizen's Service Center (MM) III Community Employment Specialist III Community Relations Technician III Community Service Officer III Complaint Desk Coordinator III Composition & Layout Clerk III Construction Inspector III Crime Analyst III Cultural Affairs Coordinator (M) (0) III custodial Supervisor (MM) III Custodian II Data System Coordinator III Data System Manager (M)(O) III Data System Operator III Deputy City Administrator (M) (U) III Deputy City Attorney I (C) (0) III Deputy City Attorney II (C) (U) III Deputy City'Clerk I (C)(U) III Deputy City Clerk II (C)(U) III Deputy City Treasurer (U) ":LL III Design Engineer III Director of Animal Control (M) (U) III Director of Finance (M)(U) III Director of Emergency Services & Risk Management (M) (U) III 3147 Director of parks, Recreation & Community Services (M) (U) II I 3160 Director of Public Services (M) (U) III 3162 Director of Public Works/City Engineer (M) (U) III 3174 Dispatcher I (Special hearing exam. by City Nurse)lTI 1079 Dispatcher II II II II II I I I 1086 Dispatcher Supervisor (M) II II II III 2108 Division Chief (Federal Programs) (M)(U) III 3129 Draftsperson III 1089 Electrician I II 1077 Electrician II II 1095 Electronics Supply Clerk II 1069 Emergency Services & Safety Officer III 1115 Emergency Services Aide III 1083 Employment Intake Specialist III 1083 Employment Services Liaison III 1103 Energy Auditor III 1095 Engineering Aide II 1085 Equipment Mechanic II 1095 Equipment Mechanic Foreman (MM) II 2119 Equipment Mechanic Helper II 1081 Equipment Mechanic Leadman II 1099 Equipment Superintendent (M)(U) 1113135 Equipment Supply Clerk II 1069 2108 1099 1073 1103 2096 2104 2104 1065 1083 1083 1075 1073 1103 1112 3084 2107 1061 1115 3144 1079 3170 3132 3144 3102 3104 1073 1123 3128 3164 1632-Q87 1622-1976 1176-1434 1704-2076 1407-1714 1553-1891 1553-1891 1065-1298 1331-1622 1331-1622 1207-1470 1176-1434 1704-2076 1905-2322 1249-1521 1611-1962 1015-1236 1976-2407 2620-3193 1266-1544 " 3613-4400 2261-2753 2620-3193 1560-1901 1600-1948 1176-1434 2181-2658 2151-2620 3354-4087 2719-3314 3193-3889 3272-3986 3795-4625 1266-1544 1381-1683 1632-1987 2177-2654 1434-1747 1236-1506 1544-1881 1120-1364 1976-2407 1331-1622 1331-1622 1704-2076 1544-1881 1364-1662 1544-188'1 1868-2275 1298-1583 1622-1976 2343-2856 1120-1364 -.A QS1 1966 1973 1971 1972 2015 2021 2032 2053 2052 2061 2071 2091 2101 2111 2131 2151 2161 2171 2181 2184 2191 2201 2251 2261 2265 2271 2308 2311 2321 2322 2325 2323 2341 2361 2371 2451 2461 2471 2481 2482 2484 2486 2487 2488 2521 2526 2525 2531 2551 2571 2576 2581 2591 2601 2611 ~ - Jill Executive AssistaO to the councO (M) (U) III 3136 Executive Director (Federal programs) (M) (U)III3l37 Executive Secretary to the City' III Administrator (C) (U) I II 3104 Executive Secretary to Council (C)(U) III 3104 Executive Secretary to the Mayor(C)(U) III 3104 Fire Department Data Clerk III 1063 Fire Eqpipment Shop Foreman (MM) II 2121 Fire Fighter Trainee I Flat Fire Prevention Specialist III 1103 Fire Prevention Technician III 1085 Fleet Maintenance Supervisor (MM) III 2114 General Building Inspector III 1103 Heating & Air Conditioning Foreman (MM) II 2113 Heating & Air Conditioning Mechanic II 1101 Heavy Equipment Operator II 1089 Heavy Laborer II 1069 Human Relations Assistant III 1079 Identification Technician III 1091 Information Clerk III 1043 Intermediate Cashier III 1059 Intermediate Clerk III 1053 Intermediate Stenographer Clerk III 1065 Intermediate Typist Clerk III 1057 Junior Engineering Aide II 1075 Junior Librarian III 1093 Junior Stenographer Clerk '=~ III 1057 Junior Typist Clerk III 1049 Law Enforcement Trainee I Flat Lead Custodian II 1065 Legal Secretary I (C) (U) III 3093 Legal Secretary II (C) (U) III 3096 Legislative Analyst (C) (U) III 3131 Liability Claims Specialist III 1115 Library Assistant III 1079 Library Page III 1035 Library Service Technician III 1061 Maintenance Carpenter II 1093 Maintenance Carpenter Foreman (MM) I I 2108 Maintenance Painter II 1083 Maintenance plumber II 1091 Maintenance Plumbing Technician II 1079 Maintenance Supervisor (MM) III 2114 Maintenance Worker I I I 1069 Maintenance Worker II II 1077 Maintenance Worker III II 1089 Messenger (JTPA) III 1035 Methods and Standards Technician III 1090 Methods and Standards Trainee III 1080 Motor Sweeper Operator II 1087 Occupational Health Nurse (MM) III 2114 Offset Press Operator III 1073 Parking Citation Coordinator III 1073 Parking Control Checker III 1083 Park Maintenance Leadperson II 1089 Park Maintenance Supervisor (MM) III 2116 Park Maintenance Worker I II 1071 2374-C)l2 2403-2928 1600-1948 1600-1948 1600-1948 1040-1266 1915-2333 ISIS/mo. 1704-2076 1364-1662 1757-2141 1704-2076 1735-2114 1662-2026 1434-1747 1120-1364 1266-1544 1470-1790 812- 990 990-1207 918-1120 1065-1298 965-1176 1207-1470 1506-1835 965-1176 874-1065 1601/100. 1065-1298 1397-1702 1449-1765 2232-2719 1976-2407 1266-1544 737- 897 1015-1236 1506-1835 1632-1987 1331-1622 1470-1790 1266-1544 1757-2141 1120-1364 1236-1506 1434-1747 737- 897 1452-1768 1283-1562 1393-1704 1757-2141 1176-143.4 1176-1434 1331-1622 1434-1747 1801-2195 1147-1393 Q21 2631 2641 2661 2660 2663 2664 2665 2671 2680 2681 2691 2711 2750 2761 2781 2801 2803 2805 2821 2841 2845 2851 2852 2855 2861 28~1 2891 2895 2911 2941 2951 2961 2971. 2981 3032 3041 3049 3052 3056 3057 3051 3061 3081. 3093 3095 3101 3111 3115 3131 3144 3151 3161 3171. 3181 3201 Park Maintenance iQker II 0 I I 1075 Park Maintenance Worker III II 1081 Park Superintendent (M) (0) III 3l3~ Personnel Analyst (C) III 3128 Personnel Assistant (C) III 3106 Personnel Clerk I III 1063 Personnel Clerk II III 1069 Personnel Director (M) (0) III 3156 Personnel Technician III 1101 Plan Checker III , 1111 Plan Check Engineer (M) III 3129 planning Aide III 1085 planning Director (M)(O) III 3160 police Assistant III 1079 police Records Manager (MM) III 2112 Principal Librarian (M) III 3128 Principal Planner (M) II I 3144 Principal Stenographer Clerk III 1080 Printing Operations Aide III 1049 Program Specialist III 1071 Property & Supply Clerk I I 1075 Public Affairs Officer (M)(O) III 3122 Public Buildings Superintendent (M) (0) III 3147 Public Services Administrative Supervisor(M)III3122 Public Services supervisor (M) 111 3130 Purchasing Agent (M) (U) III 3138 Real Property Engineer (M) III 3136 Real'property Specialist ';~ III 1103 Recreation Coordinator for the Disabled (MM>III2l16 Recreation Supervisor (M) I II 2104 Refuse Crew Foreman (MM) III 2111 Refuse Operator I II 1077 Refuse Operator II II 1085 Refuse Operator III I I 1089 Refuse Route supervisor (M) III 2103 Risk Management Specialist III 1086 Secretary I I I 1083 Secretary - City Administrator (C) III 3096 Secretary - Fire Department (U) III 1083 Secretary - Mayor's Office (C) (0) III 3096 Secretary - police Department (U) III' 1083 Secretary to Council (C) (U) I I I 3096 Senior Accountant (C) III 3128 Senior Affairs Coordinator III 1089 Senior Animal License Checker III 1069 Senior Assistant City Attorney (M)(U) III 3170 Senior Building Inspector II I 1111 Senior Buyer (M) III 2105 Senior Civil Engineer (M) III 3144 Senior Communications & Electronics Technician (MM) Senior Custodian Senior Electrical Inspector Senior Engineer Senior Engineering Aide Senior Field Engineer (M) Senior Legal Secretary (C)(U) III II III III II III III 2114 1073 1111 1133 1095 3144 3104 - 1207-nO - 1298-~3 2463-3001 2151-2620 1639-1996 1040-1266 1120-1364 3040-3703 1662-2026 1881-2292 2177-2654 1364-1662 3193-3889 1266-1544 1714-2088 2151-2620 2620-3193 1283-1562 874-1065 1147-1393 1207-1470 , '1996-2434 2719-3314 1996-2434 2205-2686 2434-2964 2374-2892 1704-2076 1801-2195 1553-1891 1692-2062 1236-1506 1364-1662 1434-1747 1534-1868 1381-1683 1331-1622 1449-1765 1331-1622 1449-1765 1331-1622 1449-1765 2151-2620 1434-1747 1120-1364 3613-4400 1881-2292 1572-1915 2620-3193 1757-2141 1176-1434 1881-2292 2467-3008 1544-1881 2620-3193 1600-1948 ., 0211 3215 3221 3225 3241 3251 3271 2921 3291 3322 3294 3293 3301 3321 3333 3341 3345 3346 3347 3501 3362 3369 3390 3391 3392 34"01 3411 3420 3421 3431 3441 3443 3452 .3453 3454 3451 3461. 3481 3483 3484 3488 3511 3521 3530 3531 . 4-85/ Senior LibrarianQ n Senior Management Analyst (M)(U~ Senior Minute Clerk (U) Senior Parking Control Checker Senior Planner Senior Plumbing Inspector Senior Real Property Specialist Senior Recreation Supervisor (MM) Senior Stenographer Clerk Senior Stenographer Clerk - Council Office (C) (0) Senior Stenographer Clerk - Mayor's Office (C)(O) Senior stenographer Clerk - Personnel Senior Telephone Operator Senior Typist Clerk Shelter Operations Manager (MH) Skilled Laborer Staff Analyst I (JTPA) Staff Analyst II (JTPA) Staff Analyst III (JTPA) Storekeeper I Storekeeper II Street Lighting supervisor (MM) Subpoena Clerk Superintendent of Building & Safety (M) (0)111 Superintendent of Community Serv:J.ces' (M) (0)11 I Superintendent of Recreation (M)t~ III Supervising Cashier II I Survey Engineer (MM) , III Survey Party Chief I I I Tire Repairperson II Traffic Engineer (M) III Traffic Engineering Aide Traffic Signal Electrician I Traffic Signal Electrician II Traffic Signal Electrical Supervisor (MM) Traffic Sign Painter Traffic Technician Tree Trimmer (Special hearing Otility Clerk I Oti1ity Clerk II Otility Worker I Welder I (Special eye test by City Nurse) Welder II (Special eye test by City ~rse) Worker's Compensation Account Clerk Worker's Compensation specialist III (C) III III III III II III III III II II III III II II II II III test by C ity ~lurse) II III III II II II III III 1103 3131 1071 1089 1123 1111 1115 2116 1071 3080 3080 3080 1059 1065 2100 1077 1089 1095 1103 1075 " 1079 2114 1057 3147 3139 3139 1067 2125 1109 1075 3144 1075 1099 1106 2121 1083 1095 1085 1067 1075 1061 1083 1095 1075 1087 III III III III III III III III III III , 1704~76 2232~719 1147-1393 1434-1747 2181-2658 1881-2292 1976-2407 1801-2195 1147-1393 1190-1449 1190-1449 1190-1449 990-1207 1065-1298 1477-1801 1236-1506 1434-1747 1544-1881 1704-2076 1207-1470 1266-1544 1757-2141 965-1176 2719-3314 2463-3001 2463-3001 1093-1331 2012-2452 1835-2236 1207-1470 2620-3193 1207-1470 1622-1976 1768-2155 1915-2333 1331-1622 1544-1881 1364-1662 1093-1331 1207-1470 1015-1236 1331-1622 1544-1881 1207-1470 1393-1704 . o o CLASSIFICATION TITLE Administrative Intern/Part-time Animal License Checker/Part-time Assistant Resident Bridge Engineer Bridge Construction Inspector Coach Operator/Part-Time Community Employment Specialist Crossing Guard/Part-Time Custodial Aide I Custodial Aide II Custodial Aide III Extra Relief Heavy Laborer Field Representative Aide Fire Fighter Trainee Groundsman/Part-Time High School Activity Supervisor/Part-Time Law Enforcement Trainee Lifeguard/Part-Time Locker Attendant/Part-Time Park Intern/Part-Time Range Master Recreation Aide/Part-Time Recreation Intern/Part-Time Recreation Leader/Part-Time Recreation Specialist/Part-Time Reserve Police Officer/Part-Time Resident Bridge Engineer Senior Lifeguard/Part-Time Senior Recreation Leader Senior Services Aide Supervising Lifeguard/Part-Time Teacher Teacher/Director Volunteer Services Coordinator Weeder/Cleaner/Part-Time Youth Services Aide I/Part-Time Youth Services Aide II/Part-Time Ki tchen Helper (1'"0 TE'$T) MQCAL GROUP III III III III III III III I I I I III I III III I III III III III III III .. III - lIi I III III III III III III III III III III III III o SALARY RATE . $4.0000 - $5.0000 per hr. $5.0000 per hr. $28.5000 per hr. $28.5000 per hr. $4.7500 per hr. $4.8590 per hr. $3.1000 per hr. $3.5000 per hr. $3.7000 per hr. $3.9000 per hr. $4.4000 per hr. $4.5000 per hr. $1515.00 per mo. $3.5000 per hr. $4.3500 per hr. $1601.00 per mo. $3.7000 pel" hr. $3.1000 per hr. $3.9000 per hr. $900.00 per mo. $3.3500 per hr. $3.9000 per hr. $3.7000 per hr. $4.7500 per hr. $5.5000 per hr. $32.0000 per hr. $4.2500 per hr. $4.2500 per hr. $3.1000 per hr. $4.7500 per hr. $7.0000 per hr. $7.3700 per hr. $8.4200 per hr. $3.5000 per hr. $3.3500 per hr. $3.5000 per hr. $4.4838 per hr. STEPS (From date of hire) A B C D E 3 mos. 6 mos. 9 mos. 1 yr. Security Officer/ 6.00/hr I 6.25/hr. 6.50/hr. 6.75/hr. 7.00/hr. Part-Time Senior Security 6.25/hr I 6.50/hr. 6.75/hr. 7.00/hr. 7.25/hr. . Officer/Part-Time o o o o RESOLUTION NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 city Clerk 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 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 Agreen1ent 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, held on the____ day of , 1987, by the fol- lowing vote to wit: AYES: Council Members NAYS: ABSENT: 21 The foregoing resolution i.s hereby approved this , 1987. 22 day of 23 24 Mayor of the City of San Bernardino 25 Approved as to form: 26 ~....~ ~~ 27 Ci~rney 28 3-31-87 - - - o o o o 1 2 A G R ~ E MEN ~ THIS AGREEMENT is made and entered into at San Bernar- 3 dino, California, this day of 1987, by and 4 between the CITY OF SAN BERNARDINO, a municipal corporation 5 hereinafter c~lled "CITY", and ARNOLD M. STEIN, M.D., 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 16 17 18 the medical history of, personally 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 19 by reference; 20 (c) specific request of City, taking x-rays upon 21 and conducting other medical tests and provide City an 22 evaluation thereof; and 23 (d) providing City a summary and evaluation in re- 24 gard to conducted hereunder. exams 25 26 27 28 2. Payment. City shall pay Physician $38.00 for each (Continued) . 3-31-87 W. - - - lI. o o o o 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 sk in 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 signif icant 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 23 findings and limitations were determined. 24 4. Additional Duties and Responsibilities. Physician 25 shall specifically assume the following additional duties and 26 Ob'l'tO t ' b d 0 d f responsl 1 1 1es a a price to e agree upon In a vance 0 27 28 (Continued) 3-31-87 - o o o o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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) 3-31-87 o o o o physicians 1 accordance 2 Physician 3 required. 4 7. Assignment. This agreement may not be assigned by 5 either party hereto. 6 8. Hold harmless. Physician hereby agrees to, and 7 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 20 activities hereunder. 21 to perform all obligations pursuant to and in with the terms of this agreement in the event is temporarily unavailable to render services 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 26 27 28 <Continued) 3-31-87 o o o o ($1,000,000) combined single limit liability, to include med- 1 2 ical malpractice insurance. A copy of the policy of insur- 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 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 ~ 24 ~ 26 27 28 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 covered by workers' compensation insurance in an amount be of the Labor and form to meet all applicable requirements 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- ified mail, postage prepaid, addressed as follows: Director of Personnel City Hall 300 North nOn Street San Bernardino, CA 92418 Arnold M. Stein, M.D. 355 East 21st Street San Bernardino, CA 92404 (Continued) 3-31-87 o 1 2 3 4 o o o IN WITNESS WHEREOF, the parties hereto have executed this agreement on the date first above written. CITY OF SAN BERNARDINO By Mayor ARNOL M. STEIN M .cfA 5 ATTEST: 6 7 8 City Clerk 9 Approved as to form: 10 L~~~ 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Continued) 3-31-87 I. D. NO.~2=263 144 C' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ,- 15 16 17 18 19 20 i 21 22 23 24 25 26 " ,- 27 28 o o o TYPES OF MEDICAL EXAMINATIONS 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 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 .. L Extremities Lymph nodes Nervous system " 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. . 3-31-87 , , EXHIBIT A o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 o o o 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 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. Eye test: Near and distant vision (Snelling Chart) Color vision. 4. 5. 6. .. ":-1.t. 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. 20 Group III: Miscellaneous classifications - light to moderate 21 physical demands upon employees. .' 22 23 24 25 26 27 28 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~i)s, fundi Ears: Tympanic membrane, wax Nose, mouth" throat, dental hygiene Neck 3-31-87 O' '. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24, 25 26 27 28 ;, .' ," o o o 1 2 3 4 5 6 7 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 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) " .::-..... 3-31-87 , ' , CI".9oF SAN BERNARD.LD - REQU,," FOR COUNCIL ACOON Dept: Personnel REe'o. - AOMltl. OFF. I~S~l ~U; -1 n:: 1:",8 Subject: Medical Examination Provider: Dr. Stei n - Contract Approva 1 (3 From: M.J. PERLlCK Date: 7 - 26-85 . Synopsis of Previous Council action: Approve contr?ct with Medical Examination Provider, prior contract expired 7-1-85. Recommenlied motion: Approye resolution. Lj 4'1A~ Slgnatu re Contectptirson: M.J. Perlick Supporting lIate attached: Yes Phone: 383-5161 Ward: Amount: (..IrlJi~'/tiPt6i).-Source: Finance: n/a FUNDING REQUIREMENTS: ) ,.' tt:f ~ 2~ / r~~tJ Council !l:otes: ( ~(]" 'CIT9 OF SAN BI!RNARDIQ) - RI!QUIOT FOR COUNCIL ACOON STAFF REPORT The Civil Service Board require~, through their Rules & Regulations as approved by Mayor & Common Council, certain Medical examinations to ensure the applicant's/employee's ability to perform the physical demands of the job. This particular requirement has been contracted to the East Valley Medical Clinic and Dr. Fowler for over 8 years, as the City does not possess the in-house capability. Dr. Fowler's services have been very satisfactory, however, Dr~ Fowler has chosen to re-locate to Oregon and close his clinic here. When the Personnel Office was notified of his decision in May 1985, we issued a "Request for Proposals. to local clinics and physicians. A temporary interim contract, essentially the same as we had with Dr. Fowler, was approved by the Con~on Council in June of 1985 with Dr. Arnold Stein. Dr. Stein was recommended by the City's Risk Management Division as an interim provider. The proposals were received and reviewed by a committee consisting of Deputy City Administrator Ray Schweitzer, Fire Chief Gerald Newcombe, Acting Assistant Police Chief Paul Bonano, Director of Emergency Services/Risk Management Ronald Solheim, Personnel Director M.J. Perlick, Assistant Personnel Director Roger DeFratis (Committee Chairman), Director of Public Services Manuel Moreno and City Nurse Jan Lewis. After careful consideration of all factors, the comnlittee recommends that Dr. Stein become the Examination Provider for an initial contract period of 1 year. The basic costs will remain comparable to the previous contract with Dr. Fowler with no increased cost for fiscal year 1985-86 and within present budgeted amounts. Also, the quality of Dr. Stein's services have been found to be very acceptable during the interim contract. MJP/RCD/hmg o o o o 1 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: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Ci ty Clerk 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 resolution 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: 21 The foregoing resolution is hereby approved this 22 day of , 1985. 23 24 Mayor of the City of San Bernardino : ~pproved as /);2?~ ~y 27 28 o o o o 1 AGRE~ME~T 2 (Medical Services5 3 THIS AGREEMENT is made and entered into at San Bernardino, 4 California, 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: 13 (a) providing central coordination of medical data and 14 information related to pre-employment physicals and evaluations 15 for City; 16 (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; 20 (c) upon specific request of City, taking x-rays and 21 conducting other medical tests and provide City an evaluation 22 thereof; and 23 (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 r:"I'~if)\ ' ~ ..~~.~ o o o o 1 Exhibit A, except as to those i ten.s 1 isted as "optional", or for 2\ which a stated additional char~e follows. Any item designated 3 as "optional" shall mean optional at the instance of City, and 8 lipid test pane 1 , 9 hemoglobin study, 10 electrocardiogram, 11 drugs, $20.00. 4 City shall pay Physician for such optional services as m~y be 1) 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; $17.00; flexibility and mobility tests, $24.00; $5.00; Tuberculin skin test, $5.00; $35.00; drug screening for general abuse 12 3. Report and Recommendation. A written report and 13 recommendation including significant findings and limitations on 14 each physical examination hereunder shall be prep~red 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 2 o o o o 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. Physician 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 pursuant to and in accordance with the terms of 25 this agreement in the event Physician is temporarily unavailable 26 to render services required. 27 7. Assignment. This agreement may not be assigned by 28 ei ther party hereto. 3 o o o o 1 8. ~old harmlesF. 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 pensonal 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 4 o o o o 1 to meet all applicable requirements of the Labor Code of the ~ State of California and which specifically covers all persons 3 providing services on behalf of Physician and all risks to such . 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: 12 13 14 Director of Personnel City Hall 300 North "D" Street San Bernardino, CA 92418 Arnold M. Stein, 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. 17 CITY OF SAN BERNARDINO ATTEST: 18 19 20 21 By Mayor City Clerk Approved as to form: :~~~ 24 25 26 27 28 ARNOLD M. STEIN, M.D. Soc. Sec. No. 5 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 o o o 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 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. EXHIBIT 4 o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 o o o. . 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. Eye test: Near and distant vision (Snelling Chart) Color vision. 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. 20 Group III: Miscellaneous classifications - light to moderate 21 physical demands upon employees. 22 23 24 25 26 27 28 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 o. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 o o o Chest Heart Lungs Abdomen & Viscera - liver, kidneys, spleen External genitalia (me~) 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) 0 June 6, 1985 C- O 18 Envelopes Qudre~d as fOllOws<=> 1. Wendell L. Moseley, M.D. 399 East Highland Avenue Suite 227 San Bernardino, CA 92404 2. Ralph W. Paul, M.D. 399 East Highland Avenue Suite 418 San Bernardino, CA 92404 3. Arnold M. Stein, M.D. 355 East 21st Street Suite 0 San Bernardino, CA 92404 4. Paul M. Whiteside, M.D. 399 East Highland Avenue San Bernardino, CA 92404 5. Charles M. Maples, M.D. 399 East Highland Avenue Suite 216 San Bernardino, CA 92404 6. John H. Wallace, M.D. 399 East Highland Avenue Suite 421 San Bernardino, CA 92404 7. Loma Linda Hospital Attn: Administration 25333 Barton Road Loma Linda, CA 92354 8. St. Bernardine's Hospital Attn: Administration 2101 North Waterman Avenue San Bernardino, CA 92404 9. Community Hospital 1500 West 17th San Bernardino, CA 92411 (continued) . 0 0 0 10. County 1. pitO 780 East Gilbert San Bernardino, CA 92415 11. Beaver Medical Clinic 2 West Fern Avenue Redlands, CA 92376 12. Hawkins Professional Center 1666 Muscott, Suite 5 San Bernardino, CA 92411 13. Baseline Medical Clinic 1288 North "0" San Bernardino, CA 92405 14. Colton Valley Medical Group 502 West Valley Colton, CA 92324 15. Del Rosa Medical Clinic 6236 Del Rosa San Bernardino, CA 92404 16. San Bernardino Medical Group 1700 Noreth Waterman San Bernardino, CA 92404 17. Lorna Linda Physicians Medical Group 25455 Barton Road Loma Linda, CA 92354 18. San Bernardino Industrial Medical Clinic 599 Inland Center Drive San Bernardino, CA 92408 . . '0 o o Proposal Comparisons: pre-Employment Med. Exams (1985) Basic Exm By Doctor Basic Exam by Nurse/Asst. Back X-Rays (3 view) DMV Urinalysis Blood Test Flex Test st. Bernardines $56.70 30.00 50.00 30.00 9.00 6.60 24.00 stein S.B.lnd.Med. $38.00 N/A* N/A $25.00 50.00 52.00 28.00 27.00 5.00 5.00 5.00 N/A N/A 18.00 *A11 Exams performed by Physicians Asst, reviewed by Phy- sician. t)o Ii"'>>tr~. ~.~. ~..I'.~~<>f"~';""~..It..'J:i>.~UA~~~:;( ".;~.'=:.~:.rf.i'f~.l\f~~;~r..r.:~\'l'("'J1;~~~J"i~;z;...." -'-'-'~lJr:~~~.,!"~':..'i"::-J.~, ..e'.,.~J'.-""t.~""7- t '::. , '. V''Z,.,........:..,,_.~.~~'':'P..J; ~:.-... ).......-!!.: 'Y..k,,~.t......t'iC,~...~~~,,",~;.. bu..."'-;k-...!'.....:f..!~vt~..-:.. ", ~v ~ ~ J '. 4 ," . .,. .~ ;. J:' ~ ,. , 5 ,,'.i'i '. 6 .'~ . .,' ': '{~i:'; - 'c; - 7 .,'1.~~~:~;.~~~~." " ~ ot: ~. "<(~ :.:. .'. 8 9 .10 11 12 13 '. 15 16 17 18 ! 19 20 21 22 23 24 25 26 27 28 1 RESOLUTION NO. 85-331 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. . BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: . ~. :~~ .... SECTION 1. . . The Mayor is h~reby' authorIzed 'and 'directed to - ' execute on behalf of said City an Agreement with Arn~ld M. Stein.}:;' . . . ..:..... : .. .. .:. ~ .....~~.. " ",:" :"~. . . ..... -~;.~ M.D., relating 'to medical services. - which agreement is ~ttached ::~tt " ." .....'..: -' ":', <II." .....~ ", "".f... '''',''. .;....- ...... -'.:."''' :,... .~~~.~:...--.. . .~;;':t~:- heretO'. marked ,~xhibit "I". and incorporated herein byreference~'-:? : ." '. : : 1 ' . . ~ ~. . . '..' ". . ", . : ~. !. ~ . .', :~~-t.' . as fully as though set forth at length.' ' ,,' , . ' I HEREBY CERTIFY that the: for.egoing ." . . ,! resolution was duly :~ ,~, - .,~;~. ,.~~,-. adopted by the Mayor and COIIiDion Council of the City of ';.San .~ . ,h'!-~"~ ;. i Bernardino at a ..lOg""''' meeting there~~'l:>>~ld ori. ""k'Pf,',,, ,',', . 1985. by the f~l-iowing , ...-.....'-..... the day of hn9:ne~ 19t-h 14 ",':',- .' , '. ." . vote. to wit: ',"" AYES: Council t:!embers' , 'I '.' . il,. }.tp.rnRnn'p>7 , , Estrada. Reply Marks. .', "':'. ; . j I "Ii". Star] ~lc' ~,.': ,,',;.. Quiel. Frazier NAYS: ABSENT: None \,. ' (, ( ,- I ~. : .~.(. i-.' .\ ~ t.",., (.'.: ::1;'.:" None The foregoing resolution is day of / 1no Approved as ~~ ~y