HomeMy WebLinkAboutAgenda Report - November 21, 2012 C-12AGENDA ITEM OL
CITY OF LODI
COUNCIL COMMUNICATION
AGENDA TITLE: Authorize City Manager to Enter Into Consent for Assignment Agreement with Co -
Occupational Medical Partners for Annual Department of Transportation Physicals
for the Fire Department
MEETING DATE: November21,2012
PREPARED BY: Fire Chief
RECOMMENDEDACTION: Authorize City Manager to enter into Consent for Assignment Agreement
with Co -Occupational Medical Partners for annual Department Of
Transportation Physicals for the Fire Department.
BACKGROUND INFORMATION: St. Joseph's Occupational Health notified the Fire Departmentthat
its business operation was acquired by Co -Occupational Medical
Partners. The City currently has a contract for annual physicals with
St. Joseph's Occupational Health that was awarded in 1996.
Staff recommends executing the attached Consent for Assignment agreement which will transfer the
services to Co -Occupational Medical Partners for a three year period.
FISCAL IMPACT: Estimated costs for FY 2012-13 are $22,400. The Department has budgeted
$21,000 for these services for FY 2012-13. Additional costs for the services will be
absorbed within existing appropriations.
FUNDING AVAILABLE: $21,000 budgeted in account 102012.7363; additional costs will be
absorbed within existing appropriations.
LR/1h
Attachments
Jordan Ayers, Deputy i an ger
Larry Rooney, Fife Chief
APPROVED:
nradt Bartlam, City Manager
Consent to Assignment
Saint Joseph's Regional Health System
Professional Services Agreement
THIS CONSENT TO ASSIGNMENT OF PROFESSIONAL SERVICES
AGREEMENT, is made and entered this day of November, 2012, by and
between the CITY OF LODI, a municipal corporation (hereinafter "CITY), and Co -
Occupational Medical Partners, Inc. (hereinafter "CONSULTANT").
WITNESSETH:
1. WHEREAS, Saint Joseph's Regional Health System and CITY entered into a
Professional Services Agreement (Agreement) on May 27, 1996, as set forth in
Exhibit 1 (attached).
2. WHEREAS, Saint Joseph's assigned the Agreement to Co Occupational Medical
Partners, Inc.; and
3. WHEREAS, CITY consents to said assignment;
NOW, THEREFORE, the City agrees to and Co -Occupational Medical Partners
accepts the assignment of the Agreement set forth in Exhibit 1. However, the parties
agree that the Agreement shall expire within three years of the assignment and remain
terminable by either party on thirty days written notice. All other terms remain as set
forth in the Agreement as set forth in Exhibit 1.
IN WITNESS WHEREOF, CITY and CONSULTANT have executed this
Amendment No. 1 on ,2012.
CITY OF LODI, a municipal corporation Co -Occupational Medical Partners
Hereinabove called "CITY" Hereinabove called "CONSULTANT
KONRADT BARTLAM
City Manager
Attest:
RANDI JOHL, City Clerk
Approved as to Form:
D. STEPHEN SC
City Attorney
Name:
Title:
EXHIBIT I
D NEW
C3 SUPPLIMENTAL
XREVISED �//If�
C7 RENEWAL
St. Joseph's
Regional Health System
ST. JOSEPH'S EMPLOYER SERVICES PROGRAM AGREEMENT
This agreement is made between LODI FIRE DEPARTMENT and ST. JOSEPH'S
REGIONAL HEALTH SYSTEM for the purpose of providing health services.
In return, CITY OF LODI agrees to pay for services rendered. Terms of payment
shall be that all bills are due and payable thirty (30) days following receipt of billing.
Fee Schedule
I. Annual and Department cf Transportation Physicals -
1. Complete Physical Exam $ 40.00
Height, weight, blood pressure and pulse,
medical questionnaire, hearing screening,
vision screening, urine dipstick, physician
review of body systems
2 TB Skin Test No charge
3.
Resting EKG
$
29.00
4.
CBC
$
9.00
5.
HRA
$
35.00
6.
Fitness Assessment
$
40.00
7.
Pulmonary Function Test
$
30.00
8.
Hepatitis B Vaccinations --series of 3 (if necessary)
$
M•00
9.
Hepatitis Testing - Antibody to surface antigen (HBsAg)
$•
18.00
10.
Tetanus Shots (if needed)
$
12.00
1805 North California Street, SuiteA07, Stockton, California 95204 (209) 467-6500
I1. Pre -placement Physicals -
1. Complete Physical Exam
$ 40.00
Height, weight, blood pressure and pulse,
medical questionnaire, hearing screening,
vision screening, urine dipstick, physician
review of body systems
2. TB Skin Test
No Charge
3. Stress EKG
$ 190.00
4. Chest X-ray (Two views)
$ 82.00
i 5. Lifting Capacity Test
$ 65.00
6. Pulmonary Function Test
i
$ 30.00
7. Audiogram
$ 20.00
8. Tetanus Shot (if needed)
$ 12.00
9. Lumbar Spine X -ray -3 view (if physician feels necessary)
$ 105.00
10. Hepatitis B Vaccinations (series of three)
$ 150.00
11. Hepatitis Testing - antibody to surface antigen (anti -HBsAg)
$ 18.00
i 111. Hazardous Materials Specialist Baseline Physical Exam -
Note: This physical to be done every two years.
1. Complete Physical Exam $ 40.00
Medical/Occupational history, height, weight,
blood pressure and pulse, hearing screening,
vision screening, urine dip stick, physician
review of body systems, abdominal airth.
2. Resting EKG $ 29.00
3. Complete Blood Count $ 9.00
i
4.
Pulmonary Function Test
$
30.00
5.
Tonometry
$
15.00
6.
Chest X-ray (2 views)
$
82.00
7.
Hemocult
$
10.50
8.
Complete Urinalysis
$
7.00
9.
Chem Panel 20
$
17.00
10.
Stress EKG (over 40 or as indicated)
$190.00
11.
Cholinesterase (plasma) (pseudocholinesterase)
$
15.00
12.
Blood Lead
$
20.00
This agreement shall be in effect May 27, 1996; agreement may be terminated by
either party by giving written notice to the other party at least thirty (30) days in advance
of termination.
ST. JOSEPH'S REGIONAL
HEALTH SYSTEM
Y
By
Marilyn . Nord
Employer Services Coordinator
Date /. f9�
CITY OF LODI/FIRE DEPT
210 West Elm Street
Lodi, California 95240
By
H. Dixon Flynn
City Manager
Title
Date1 5_ �� !
AttestQ J�—_
J�hifer M Perrin
City Clerk
Approved
Cit*Abkr`ney�
Billing & Results to: Chief Frank Ortiz
City of Lodi
Lodi Fire Department
217 W. Elm Street
Lodi, California 95240
Contact persons: 1) Frank Ortiz, Operations Division Chief
333-6866
2) Stan Mall, Division Chief of Training
333-6850
3) Joanne Narloch
333-6735
MT52