HomeMy WebLinkAboutAgenda Report - September 6, 2017 C-08CITY OF LODI
COUNCIL COMMUNICATION
TM
AGENDA ITEM
C - 8
AGENDA TITLE: Adopt Resolution Authorizing the City Manager to Execute a Five -Year
Professional Services Agreement with Adventist Health Lodi Memorial for
Annual Physical Exams for the Lodi Fire Department (Not to Exceed
($17,000 Annually)
MEETING DATE:
PREPARED BY:
September 6, 2017
Fire Chief
RECOMMENDED ACTION: Adopt resolution authorizing City Manager to execute a
five-year Professional Services Agreement with Adventist
Health Lodi Memorial for annual physical exams for the
Lodi Fire Department (not to exceed $17,000 annually)
BACKGROUND INFORMATION: In 2013, the City of Lodi Fire Department entered into an
agreement with Adventist Health Lodi Memorial to complete annual physicals for the Lodi Fire
Department's staff, which is a requirement under the Lodi Professional Firefighters
Memorandum of Understanding. In anticipation of the term ending with the existing service
agreement, staff distributed a Request for Proposals to three firms within the City of Lodi on
February 6, 2017. Out of the firms who received the RFP, only Adventist Health Lodi Memorial
responded. The response was reviewed by staff based on the understanding and approach to
the scope of work, firm qualifications and experience, quality and present workload, and staff
availability. Based on this review, it was determined by staff that Adventist Health Lodi
Memorial was the best value for the City and the agency most capable of meeting the Fire
Department's needs.
Adventist Health Lodi Memorial is located in Lodi and provides the City's occupational health
services. By contracting with Adventist Health Lodi Memorial, expenses for annual firefighter
physicals will not increase over the next five years based on the attached fee schedule. Staff
recommends authorizing the City Manager to enter into a five-year Professional Services
Agreement with Adventist Health Lodi Memorial.
FISCAL IMPACT:
Based upon historical usage, it is anticipated that annual
costs will be estimated at $17,000 a year for the next five
years.
FUNDING AVAILABLE: This project cost is included in the Fiscal Year 2017/18
Emergency Operation budget (10041000.72373)
APPROVED:
chwab
- , City Manager
Andrew Keys
Deputy City Manager/Internal Services Director
ooney
Fire Chief
AGREEMENT FOR PROFESSIONAL SERVICES
ARTICLE 1
PARTIES AND PURPOSE
Section 1.1 Parties
THIS AGREEMENT is entered into on November 1, 2017, by and between the
CITY OF LODI, a municipal corporation (hereinafter "CITY"), and ADVENTIST HEALTH
LODI MEMORIAL (hereinafter "CONTRACTOR").
Section 1.2 Purpose
CITY selected the CONTRACTOR to provide the services required in
accordance with attached Scope of Services, Exhibit A, attached and incorporated by
this reference.
CITY wishes to enter into an agreement with CONTRACTOR for Lodi Fire
Department Annual Physicals (hereinafter "Project") as set forth in the Scope of
Services attached here as Exhibit A. CONTRACTOR acknowledges that it is qualified to
provide such services to CITY.
ARTICLE 2
SCOPE OF SERVICES
Section 2.1 Scope of Services
CONTRACTOR, for the benefit and at the direction of CITY, shall perform the
Scope of Services as set forth in Exhibit A.
Section 2.2 Time For Commencement and Completion of Work
CONTRACTOR shall commence work pursuant to this Agreement, upon receipt
of a written notice to proceed from CITY or on the date set forth in Section 2.6,
whichever occurs first, and shall perform all services diligently and complete work under
this Agreement based on a mutually agreed upon timeline or as otherwise designated in
the Scope of Services.
CONTRACTOR shall submit to CITY such reports, diagrams, drawings and other
work products as may be designated in the Scope of Services.
CONTRACTOR shall not be responsible for delays caused by the failure of CITY
staff to provide required data or review documents within the appropriate time frames.
The review time by CITY and any other agencies involved in the project shall not be
counted against CONTRACTOR's contract performance period. Also, any delays due to
weather, vandalism, acts of God, etc., shall not be counted. CONTRACTOR shall
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remain in contact with reviewing agencies and make all efforts to review and return all
comments.
Section 2.3 Meetings
CONTRACTOR shall attend meetings as may be set forth in the Scope of
Services.
Section 2.4 Staffing
CONTRACTOR acknowledges that CITY has relied on CONTRACTOR's
capabilities and on the qualifications of CONTRACTOR's principals and staff as
identified in its proposal to CITY. The Scope of Services shall be performed by
CONTRACTOR, unless agreed to otherwise by CITY in writing. CITY shall be notified
by CONTRACTOR of any change of Project Manager and CITY is granted the right of
approval of all original, additional and replacement personnel at CITY's sole discretion
and shall be notified by CONTRACTOR of any changes of CONTRACTOR's project staff
prior to any change.
CONTRACTOR represents it is prepared to and can perform all services within
the Scope of Services (Exhibit A) and is prepared to and can perform all services
specified therein. CONTRACTOR represents that it has, or will have at the time this
Agreement is executed, all licenses, permits, qualifications, insurance and approvals of
whatsoever nature are legally required for CONTRACTOR to practice its profession, and
that CONTRACTOR shall, at its own cost and expense, keep in effect during the life of
this Agreement all such licenses, permits, qualifications, insurance and approvals, and
shall indemnify, defend and hold harmless CITY against any costs associated with such
licenses, permits, qualifications, insurance and approvals which may be imposed against
CITY under this Agreement.
Section 2.5 Subcontracts
Unless prior written approval of CITY is obtained, CONTRACTOR shall not enter
into any subcontract with any other party for purposes of providing any work or services
covered by this Agreement.
Section 2.6 Term
The term of this Agreement commences on November 1, 2017 and terminates
upon the completion of the Scope of Services or on October 31, 2022, whichever occurs
first.
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ARTICLE 3
COMPENSATION
Section 3.1 Compensation
CONTRACTOR's compensation for all work under this Agreement shall conform
to the provisions of the Fee Proposal, attached hereto as Exhibit B and incorporated by
this reference.
CONTRACTOR shall not undertake any work beyond the scope of this
Agreement unless such additional work is approved in advance and in writing by CITY.
Section 3.2 Method of Payment
CONTRACTOR shall submit invoices for completed work on a monthly basis, or
as otherwise agreed, providing, without limitation, details as to amount of hours,
individual performing said work, hourly rate, and indicating to what aspect of the Scope
of Services said work is attributable. CONTRACTOR's compensation for all work under
this Agreement shall not exceed the amount of the Fee Proposal.
Section 3.3 Costs
The Fee Proposal shall include all reimbursable costs required for the
performance of the Scope of Services. Payment of additional reimbursable costs
considered to be over and above those inherent in the original Scope of Services shall
be approved in advanced and in writing, by CITY.
Section 3.4 Auditing
CITY reserves the right to periodically audit all charges made by CONTRACTOR
to CITY for services under this Agreement. Upon request, CONTRACTOR agrees to
furnish CITY, or a designated representative, with necessary information and assistance
needed to conduct such an audit.
CONTRACTOR agrees that CITY or its delegate will have the right to review,
obtain and copy all records pertaining to performance of this Agreement.
CONTRACTOR agrees to provide CITY or its delegate with any relevant information
requested and shall permit CITY or its delegate access to its premises, upon reasonable
notice, during normal business hours for the purpose of interviewing employees and
inspecting and copying such books, records, accounts, and other material that may be
relevant to a matter under investigation for the purpose of determining compliance with
this requirement. CONTRACTOR further agrees to maintain such records for a period of
three (3) years after final payment under this Agreement.
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ARTICLE 4
MISCELLANEOUS PROVISIONS
Section 4.1 Nondiscrimination
In performing services under this Agreement, CONTRACTOR shall not
discriminate in the employment of its employees or in the engagement of any sub
CONTRACTOR on the basis of race, color, religion, sex, sexual orientation, marital
status, national origin, ancestry, age, or any other criteria prohibited by law.
Section 4.2 ADA Compliance
In performing services under this Agreement, CONTRACTOR shall comply with
the Americans with Disabilities Act (ADA) of 1990, and all amendments thereto, as well
as all applicable regulations and guidelines issued pursuant to the ADA.
Section 4.3 Indemnification and Responsibility for Damage
CONTRACTOR to the fullest extent permitted by law, shall indemnify and hold
harmless CITY, its elected and appointed officials, directors, officers, employees and
volunteers from and against any claims, damages, losses, and expenses (including
reasonable attorney's fees and costs), arising out of performance of the services to be
performed under this Agreement, provided that any such claim, damage, loss, or
expense is caused by the negligent acts, errors or omissions of CONTRACTOR, any
subcontractor employed directly by CONTRACTOR, anyone directly or indirectly
employed by any of them, or anyone for whose acts they may be liable, except those
injuries or damages arising out of the active negligence, sole negligence, or sole willful
misconduct of the City of Lodi, its elected and appointed officials, directors, officers,
employees and volunteers. CITY may, at its election, conduct the defense or participate
in the defense of any claim related in any way to this indemnification. If CITY chooses at
its own election to conduct its own defense, participate in its own defense, or obtain
independent legal counsel in defense of any claim related to this indemnification,
CONTRACTOR shall pay all of the costs related thereto, including without limitation
reasonable attorney fees and costs. The defense and indemnification obligations
required by this Agreement are undertaken in addition to, and shall not in any way be
limited by the insurance obligations set forth herein.
Section 4.4 No Personal Liability
Neither the City Council, nor any other officer or authorized assistant or agent or
City employee shall be personally responsible for any liability arising under this
Agreement.
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Section 4.5 Responsibility of CITY
CITY shall not be held responsible for the care or protection of any material or
parts of the work described in the Scope of Services prior to final acceptance by CITY,
except as expressly provided herein.
Section 4.6 Insurance Requirements for CONTRACTOR
CONTRACTOR shall take out and maintain during the life of this Agreement,
insurance coverage as set forth in Exhibit C attached hereto and incorporated by this
reference.
Section 4.7 Successors and Assigns
CITY and CONTRACTOR each bind themselves, their partners, successors,
assigns, and legal representatives to this Agreement without the written consent of the
others. CONTRACTOR shall not assign or transfer any interest in this Agreement
without the prior written consent of CITY. Consent to any such transfer shall be at the
sole discretion of CITY.
Section 4.8 Notices
Any notice required to be given by the terms of this Agreement shall be in writing
signed by an authorized representative of the sender and shall be deemed to have been
given when the same is personally served or upon receipt by express or overnight
delivery, postage prepaid, or three (3) days from the time of mailing if sent by first class
or certified mail, postage prepaid, addressed to the respective parties as follows:
To CITY:
City of Lodi
221 West Pine Street
P.O. Box 3006
Lodi, CA 95241-1910
Attn: Anne -Marie Poggio
To CONTRACTOR: Adventist Health Lodi Memorial
975 S. Fairmont Ave.
P.O. Box 3004
Lodi, CA 95240
Attn: Heather Rettig
Section 4.9 Cooperation of CITY
CITY shall cooperate fully and in a timely . manner in providing relevant
information it has at its disposal relevant to the Scope of Services.
Section 4.10 CONTRACTOR is Not an Employee of CITY
CONTRACTOR agrees that in undertaking the duties to be performed under this
Agreement, it shall act as an independent contractor for and on behalf of CITY and not
an employee of CITY. CITY shall not direct the work and means for accomplishment of
the services and work to be performed hereunder. CITY, however, retains the right to
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require that work performed by CONTRACTOR meet specific standards without regard
to the manner and means of accomplishment thereof.
Section 4.11 Termination
CITY may terminate this Agreement, with or without cause, by giving
CONTRACTOR at least ten (10) days written notice. Where phases are anticipated
within the Scope of Services, at which an intermediate decision is required concerning
whether to proceed further, CITY may terminate at the conclusion of any such phase.
Upon termination, CONTRACTOR shall be entitled to payment as set forth in the
attached Exhibit B to the extent that the work has been performed. Upon termination,
CONTRACTOR shall immediately suspend all work on the Project and deliver any
documents or work in progress to CITY. However, CITY shall assume no liability for
costs, expenses or lost profits resulting from services not completed or for contracts
entered into by CONTRACTOR with third parties in reliance upon this Agreement.
Section 4.12 Confidentiality
CONTRACTOR agrees to maintain confidentiality of all work and work products
produced under this Agreement, except to the extent otherwise required by law or
permitted in writing by CITY. CITY agrees to maintain confidentiality of any documents
owned by CONTRACTOR and clearly marked by CONTRACTOR as "Confidential" or
"Proprietary", except to the extent otherwise required by law or permitted in writing by
CONTRACTOR. CONTRACTOR acknowledges that CITY is subject to the California
Public Records Act.
Section 4.13 Applicable Law, Jurisdiction, Severability, and Attorney's Fees
This Agreement shall be governed by the laws of the State of California.
Jurisdiction of litigation arising from this Agreement shall be venued with the San
Joaquin County Superior Court. If any part of this Agreement is found to conflict with
applicable laws, such part shall be inoperative, null, and void insofar as it is in conflict
with said laws, but the remainder of this Agreement shall be in force and effect. In the
event any dispute between the parties arises under or regarding this Agreement, the
prevailing party in any litigation of the dispute shall be entitled to reasonable attorney's
fees from the party who does not prevail as determined by the San Joaquin County
Superior Court.
Section 4.14 City Business License Requirement
CONTRACTOR acknowledges that Lodi Municipal Code Section 3.01.020
requires CONTRACTOR to have a city business license and CONTRACTOR agrees to
secure such license and pay the appropriate fees prior to performing any work
hereunder.
6
Section 4.15 Captions
The captions of the sections and subsections of this Agreement are for
convenience only and shall not be deemed to be relevant in resolving any question or
interpretation or intent hereunder.
Section 4.16 Integration and Modification
This Agreement represents the entire understanding of CITY and
CONTRACTOR as to those matters contained herein. No prior oral or written
understanding shall be of any force or effect with respect to those matters covered
hereunder. This Agreement may not be modified or altered except in writing, signed by
both parties.
Section 4.17 Contract Terms Prevail
All exhibits and this Agreement are intended to be construed as a single
document. Should any inconsistency occur between the specific terms of this
Agreement and the attached exhibits, the terms of this Agreement shall prevail.
Section 4.18 Severability
The invalidity in whole or in part of any provision of this Agreement shall not void
or affect the validity of any other provision of this Agreement.
Section 4.19 Ownership of Documents
All documents, photographs, reports, analyses, audits, computer media, or other
material documents or data, and working papers, whether or not in final form, which
have been obtained or prepared under this Agreement, shall be deemed the property of
CITY. Upon CITY's request, CONTRACTOR shall allow CITY to inspect all such
documents during CONTRACTOR's regular business hours. Upon termination or
completion of services under this Agreement, all information collected, work product and
documents shall be delivered by CONTRACTOR to CITY within ten (10) calendar days.
CITY agrees to indemnify, defend and hold CONTRACTOR harmless from any
liability resulting from CITY's use of such documents for any purpose other than the
purpose for which they were intended.
Section 4.20 Authority
The undersigned hereby represent and warrant that they are authorized by the
parties to execute this Agreement.
Section 4.21 Federal Transit Funding Conditions
❑ If the box at left is checked, the Federal Transit Funding conditions attached as
Exhibit D apply to this Agreement. In the event of a conflict between the terms of this
Agreement or any of its other exhibits, and the Federal Transit Funding Conditions, the
Federal Transit Funding Conditions will control.
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IN WITNESS WHEREOF, CITY and CONTRACTOR have executed this
Agreement as of the date first above written.
CITY OF LODI, a municipal corporation
ATTEST:
JENNIFER M. FERRAIOLO STEPHEN SCHWABAUER
City Clerk City Manager
APPROVED AS TO FORM: ADVENTIST HEALTH LODI MEMORIAL
JANICE D. MAGDICH, City Attorney
By By:
Name: DANIEL WOLCOTT
Title: President & Chief Executive Officer
Attachments:
Exhibit A — Scope of Services
Exhibit B — Fee Proposal
Exhibit C — Insurance Requirements
Exhibit D — Federal Transit Funding Conditions (if applicable)
Funding Source:
Doc ID:
CA:Rev.01.2015
(Business Unit & Account No.)
8
Lodi
Health m.dventist Health
City of Lodi
Fire Department
201 West Elm Street
Lodi, CA 95240
Attn: Gene Stoddart, Deputy Chief
Bid Proposal for Physical Fitness Exams
975 S. Fairmont Ave.
Lodi, CA 95240
209.334.3411
LodiHealth.org
It is with great enthusiasm that we submit our bid proposal for physical fitness exams
for your consideration.
West Occupational Medicine
800 S. Lower Sacramento Rd.
Lodi, CA 95242
209-339-7441
Contact Person: Heather Rettig, Manager, Direct line 209-333-3034, rettighd@ah.org
We look forward to the opportunity to continue to provide quality services to your
department. We believe we can continue to build a partnership within our city limits and are
confident we will continue to perform the services as described in your Scope of Work while
collaborating to meet the growing needs of our community. We are always open to discuss
additional services as your needs change.
We have friendly professional staff and offer routine services Monday through Friday
8am to 5pm as well as after-hours coverage at our Urgent Care and Emergency Room facilities
to meet your needs 24 hours a day 7 days a week.
Lodi
Health i=,%dvezitist Health
MIN"
Evidence of Past Performance
975 S. Fairmont Ave.
Lodi, CA 95240
209.334.3411
LodiHealth.org
Historically we have been able to offer your department flexible appointment times,
care coordination of ancillary services, (such as: EKG's, treadmill stress tests, laboratory work,
etc.), and friendly personalized service. We have offered you the same competitive prices for
the last several years and are offering these same prices for the term of this bid.
Experience of the Firm and References
We are honored to service several area fire departments, many Targe community
businesses, and continue to grow business monthly. We currently work with five area fire
departments offering pre-employment physicals, annual physicals, Department of
Transportation physicals, and work related injuries. We are proud to serve many prestigious
area businesses including The City of Lodi, Sutter Trinchero Winery, Pacific Coast Producers,
Tiger Lines, Jackson Rancheria, and Teresi Trucking to name a few. We are happy to offer more
specific references if required. Heather Rettig our clinic manager takes a personalized
approach with all our companies and personally works with every project from onboarding
new companies to assisting at employer hosted health fairs.
Keep in mind we also have convenient parking able to accommodate large vehicles, such
as fire trucks, buses, and commercial tractor trailer combinations.
We recently became members of the National Association of Occupational Health
Professionals in order to better serve our employers and community.
Project Understanding
Our understanding of your project is to do what we do on a daily basis, take care of the
healthcare needs of our community and fellow healthcare partners. Together we can ensure a
safe community for all those lives that need a helping hand. We can continue to partner with
you in order to provide your physicals, fitness assessments, ancillary testing, immunizations,
and any additional services that are agreed upon. We can offer this with a friendly approach
and excellent customer service. If any issues arise we promise to listen and resolve them to
the best of our ability. We have integrated an electronic health record system and recently
implemented a portal called ISystoc where we could give you direct access to some of your
employees' occupational health records.
1
ELodi
Health --Adventist Health
EMIPI
Name of Provider:
Provider Address:
Provider Phone Number:
Kevin Buckman M.D.
800 S. Lower Sacramento Road
209-339-7441 Email: rettighd@ah.org
Terms of the Contract
975 S. Fairmont Ave.
Lodi, CA 95240
209.334.3411
LodiHealth.org
We agree to the statement regarding the terms and understand the rates quoted are for
a 5 -year term ending Oct 31, 2022.
Attachments
1. Dr. Buckman Curriculum Vitae
2. Lodi Health Physician Services Provider Directory
We look forward to hearing from you!
CURRICULUM VITAE
NAME: Kevin J. Buckman, M.D., F.A.A.I.M. D.A.A.F.E.
AAMRO
OFFICE ADDRESS: 5937 Cumberland Place
Stockton, CA. 95219
MARITAL STATUS: Married, 3 children
EDUCATION:
MEDICAL: USC School of Medicine
Los Angeles, California
INTERNSHIP: USC School of Medicine
Los Angeles, California
Internal Medicine
RESIDENCIES: USC School of Medicine
Los Angeles, California
Internal Medicine
San Joaquin General Hospital
Stockton, California
Internal Medicine
Completed in 1979
1978-1979
1979-1980
1980-1981
LICENSURES: California 1993
Hawaii 1992
BOARD •
CERTIFICATIONS: American Board of Internal Medicine
(Certificate of Residency) 1981
American Board of Emergency Medicine 1990
American Association of Forensic"
Examiners 1998
Diplomat and Fellow of the American
Association of Integrative Medicine 2000
Certification by the American Association
Of Medical Review Officers 2002
CERTIFICATIONS: ACLS (continuous since) 1979
ATLS 1982
BLS 1972
PUBLIC SPEAKING, INTERNATIONAL PRESENTATIONS, EXHIBITIONS,
SEMINARS & LECTURES:
NUMEROUS LECTURES:
International Rheumatology Association
International Association Tumor Markers
International Conference on AIDS
Western Clinical Cardiology Conference
European Group for Breast Cancer Screening
Medica (Germany)
Teaching Program San Joaquin County Hospital:
Internal Medicine, Emergency Medicine, and
Forensic Medicine
Attending Teach Staff Affiliate
University of Davis Medical Center
Medical Topics and Pharmaceutical Lectures to Hospital
Medical Staff From 1980 to present. Over 30
Presentations and Lectures presented.
Nutrition, Alternative Medicine, Food Supplements. Sports
Medicine, Lupus Society
Rheumatology Societies
Rheumatology Conferences
Lupus Erythematosus
USC
Miscellaneous Hospitals (Los Angeles)
Medical Staff Lecture Series
St. Joseph's Medical Center
St. Dominic's Hospital
Lodi Memorial Hospital
MICN Teaching Program
San Joaquin Delta College
Paramedic Series
Expert Lectures provided in the field of WMD
(weapons of mass destruction) and emergency
preparedness.
FOREIGN COUNTRIES PRESENTATIONS
AND CLINICAL WORK:
• Singapore
• Canada
• Mexico
• Israel
• Germany
PRESENTATIONS:
PUBLICATIONS
TOPICS:
LANGUAGES:
POSITIONS:
• Peru
• Colombia
• Thailand
• Cyprus
• Meetings held in over 40 countries
International Conference of Rheumatology 1978
Western Division Cardiology 1979
Systematic Lupus Erythematosus
Lidocaine Toxicity
Cancer Diagnostics
English, Spanish, French, German, and limited Italian
Summa Cum Laude Latin 1966
ALT Award 1967, 1968
• President of Sierra Traumatological Society 1991-1993
Society Founded in 1975.
• General and Internal Medicine Practice 1981 -present
• Industrial Medicine 1979 to present
• Board Certified Emergency Medicine 1989
• Diplomat American Board of Emergency Medicine 1989
• Fellow American College of Emergency Physicians 1990
• Member NAFAC
• Consultant for formation of industrial and urgent care
medical centers in California in Ventura, Stockton and
Santa Maria.
• Co-founder of Franchise "In -Shape City" Athletic Clubs
with more than 15 Clubs
• General Partner "Stockton Athletic Clubs"'
• General Partner and limited partner of multiple investment
groups
• Chairman Utilization review Committee St. Dominic's
Hospital 19914992
• President and CEO TH Technology 1989-2001
• President and founder of PRN Consultations, Western
Physicians Medical Group 1991-1995
• Medical/Legal expert and consultant, General, Internal &
Emergency Medicine 1981 -present
• Medical Director San Joaquin County Drug Rehabilitation
Program 1981-1982
a Partner, Joint Ventures, serving as General Contractor Real
Estate projects 1986=1999
• Examiner -lecturer; RN ICU Program, EMT's, Paramedics,
Delta Medical College since 1983
• Member OMNI Insurance Company- Utilization Review
• Class President 1966, 1968
• School Vice- President 1969
• Elected school sophomore representative for Student
Council 1966
• Member, School executive committee 1966, 1969
• Yearbook Photographer 1969
• President & Founder of Ecology Club, Glendale College
1969-1971
• Soccer Coach, Stockton City Soccer 1990- 2003
• Head Coach Little League 1968
• Elected Chairman Intern and Residents Association
USC School of Medicine 1979-1980
• Medical Director of EMS Dameron Hospital 2002-2003
• Associate Director of Emergency Department
Lodi Memorial Hospital 2003
CERTIFICATES & AWARDS:
MEMBERSHIPS:
• Certificate of Internal Medicine Residency 1981
• South Tower Race- 2nd Place Big Boat Division 1991
• School Tennis Tournament- 181 Place 1968
• Death Ride Finish- 5 Mountain Passes, 130 miles, 12 hours,
29 minutes
• American College of Emergency Physicians
• San Joaquin AIDS Foundation
• Audubon Society
• Cousteau Society
• Bylaws Committee, St. Dominic's Hospital 1990-1995
• Ethics Committee, St. Dominic's Hospital 1992-1996
• Executive Committee, St. Dominic's Hospital 1991-1997
a Member American College of Physicians
a Member American Association of Occupational and
Environmental Medicine
• Member of the American Association of Integrative
Medicine
• Member of Institute of Food Technology
FAMILY HISTORY:
INVENTOR:
RESEARCH:
STAFF
APPOINTMENTS:
• Member of the European Group For
Breast Cancer Screening
▪ OIdest of 11 children
• Wife: Lynette, 30th Anniversary- March 5, 2003
• 3 Children
• Multiple medical and non-medical patents
a. 3 years of Lupus, arthritis, and collagen vascular disease
research with world's leading authority Dr. Edmund
Dubois, Professor Medicine, USC School of Medicine, Los
Angeles, California.
b. Laboratory and clinical research in Endocrinology,
Rheumatology, Cardiology, department USC School of
Medicine. Glutamine levels in CSF associated with clinical
relationship to elevated levels in patients with hepatic
encephalopathy as chemical marked. Also research in the
evaluation of metastatic calcification in patients with
elevated serum calcium levels, elevated calcium -phosphate
ratios.
c. Research in new lab technique for rapid evaluation of
Lidocaine levels for critical care patients, Deparhnent of
Cardiology, USC School of Medicine, Los Angeles,
California. Clinical data of the relationship of lab tests
and thedevelopment of clinical toxicity.
d. Numerous International Studies and Research in the field of
Cancer, Degenerative Diseases, Infectious Diseases,
Cardiac and Vascular Disease, and Diabetes.
e. Non invasive modes of therapy and non invasive diagnostic
methods for early detection and treatment of cancer and
other disorders.
Medical Director
Lompoc Medical Center
Urgent Care and Industrial Medicine 1985-1986
Assistant Emergency Director
St. Joseph's Medical Center
Emergency Medicine
1986-1996
TEACHING
APPOINTMENTS:
Director of Medical Education
Delta Emergency Medical Group 1985-1994
Director of Emergency Medicine
St. Dominic's Hospital 1991-1997
Chairman of QA/UF/MR/Trans/IC Committee
St. Dominic's Hospital 1991-1997
Medical Director
Ripon Medical Center 1998
Head of Emergency Medical Services
Liaison, Dameron Hospital 2002-2003
Associate Medical Director Emergency Department
Lodi Memorial Hospital 2003
San. Joaquin General Hospital
Internal and Emergency Medicine 1981-1990
HOSPITAL MEDICAL STAFF
LECTURE TOPICS:
PRESENTATIONS:
Emergency Medicine, SLE, Pain Control in the ER,
Multiple Trauma, Toxicology, Mazicon, Toradol, Skelaxin,
Sonata, Acute and Chronic Spinal Pain, Hypertension,
Anti -oxidant levels and Therapy,
since 1985
International Conference of Rheumatology 1978
Western Division Cardiology 1979
EGBCS: Cyprus, Greece 1996
PUBLICATION
TOPICS: Systemic Lupus Erythematosus
Lidocane Toxicity
Miscellaneous
TV/RADIO:
In English and Spanish
Miscellaneous Commercials
News Releases
PROVIDER OF
CONTINUING MEDICAL
EDUCATION:
Multiple Medical Groups
President of Education International
President of Sierra Traumatological Society
St. Joseph's Medical Center
St. Dominic's Hospital
Dameron Hospital
1978 -present
SYMPOSIA: Weapons of Mass Destruction 2001-2003
Updates in Emergency Medicine 1985-2002
MEDICAL RESEARCH:
Nutraceutical
Multiple Medical Devices
Lab testing
Cancer
Lupus
Arthritis
Drug and Nutraceutical
EXHIBITS: Miscellaneous US and Foreign Exhibitions 1978-2003
LABORITORY RESEARCH: USC Medical Center, Los Angeles California
Tumor Marker Facility Vienna, Austria
ADVANCED TRAINING: SEC Institute
Stanford University Post graduation Business Courses
OCCUPATIONAL MEDICINE: 25 Years of continous part and full time experience
Medical Director Lompoc. MediCenter Occupational
Health, St. Joseph's Occupational Health, Dameron
Hosptial Occupational Health, Medical Director Lodi
Memorial Hospital Occupational Medicine, and Emergency
Departments, Member of the American College of
Occupational and Environmental Medicine.
■
FLodi
,Health dventist Health
LODI FIRE DEPARTMENT
QUOTE SHEET PHYSICAL EXAMS
975 S. Fairmont Ave.
Lodi, CA 95240
209.334.3411
LodiHealth.org
SERVICE _
COST
Department of Transportation (DOT) Physical
$ 50
Fitness Assessment
$ 50
EKG with report
$ 45
Pulmonary Function Test
$ 35
Respirator Evaluation
$ 15
PPD Skin Test
$ 15
Laboratory work as needed
• CBC
$ 12
• Comprehensive Metabolic Panel
$ 12
• Lipid Profile
$ 19
• Urine Dip
$ 11
• PSA (over 40 yrs.)
$ 15
Additional Services for Hazmaters
• X -Ray Chest 2 View
$ 90
• Immunoassay Fecal Occult Blood
$ 22
• Prostatic Specific Antigen
$ 15
• Treadmill Stress Test w/12 lead EKG (Bruce Protocol level four or higher)
$ 200
As Needed Services
• Flu Shot
$ 20
• Diphtheria Tetanus immunization
$ 30
• Hep B & C Screening
$ 40
• Hep B Vaccine
$ 46
• Review of Medical History
$ No charge
Not to exceed $17,000 per year
EXHIBIT C
NOTE: The City of Lodi is now using the online insurance program PINS Advantage. Once you have been
awarded a contract you will receive an email from the City's online insurance program requesting you to
forward the email to your insurance provider(s). Please see attached flyer regarding PINS Advantage.
Insurance Requirements for Contractor The Contractor shall take out and maintain during the life of this
Agreement, insurance coverage as listed below. These insurance policies shall protect Contractor and any
subcontractor performing work covered by this Agreement from claims for damages for personal injury, including
accidental death, as well as from claims for property damages, which may arise from Contractor's operations under
this Agreement, whether such operations be by Contractor, or by any subcontractor, or by anyone directly or
indirectly employed by either of them, and the amount of such insurance shall be as follows:
1. COMPREHENSIVE GENERAL LIABILITY
$1,000,000 Each Occurrence
$2,000,000 General Aggregate
2. HEALTHECARE PROFESSIONAL LIABILITY
$1,000,000 Each Occurrence
$2,000,000 General Aggregate
All limits are to be designated strictly for the City of Lodi, its elected and appointed boards, commissions, officers,
agents, employees, and volunteers. All deductibles or self-insured retentions (SIR) must be disclosed to City's Risk
Manager for approval and shall not reduce the limits of liability set forth hereinabove. Insurance policies containing
any deductible or SIR provision shall provide, or be endorsed to provide, that the deductible or SIR may be satisfied
by either the Named Insured(s) or the City of Lodi.
It is required that any available insurance proceeds broader than or in excess of the specified minimum insurance
coverage requirements and/or limits set forth above, shall be available to City as an additional insured. Furthermore,
the requirements for coverage and limits shall be (i) the minimum coverage and limits specified in these insurance
requirements; or (ii) the broader coverage and maximum limits of coverage of any insurance policy or proceeds
available to the Contractor; whichever is greater.
Contractor agrees and stipulates that any insurance coverage provided to the City of Lodi shall provide for a claims
period following termination of coverage which is at least consistent with the claims period or statutes of limitations
found in the California Tort Claims Act (California Government Code Section 810 et seq.).
A copy of the certificate(s) of insurance with the following endorsements shall be furnished to the City:
(a) Additional Named Insured Endorsement
Pursuant to a separate endorsement (ISO form CG 2010 (11/85) or a later version, that provides liability
coverage at least as broad as this form) such insurance as is afforded by this policy shall also apply to the City
of Lodi, its elected and appointed boards, commissions, officers, agents, employees, and volunteers as
additional named insureds.
(b) Primary and Non -Contributory Insurance Endorsement
Additional insurance coverage under the Contractor's policy shall be "primary and non-contributory" and will
not seek contribution from City's insurance or self-insurance and shall be at least as broad as ISO form CG 20
01 04 13.
NOTE: (1) The street address of the CITY OF LODI must be shown along with (a) and (b) above: 221 West
Pine Street, Lodi, California, 95240; (2) The insurance certificate must state, on its face or as an
endorsement, a description of the project that it is insuring.
(c) Waiver of Subrogation
Include a waiver of subrogation against the City of Lodi, its elected and appointed boards, commissions,
officers, agents, employees, and volunteers.
(d) Limits of Coverage
The limits of insurance coverage required may be satisfied by a combination of primary and umbrella or
excess insurance. Any umbrella or excess insurance of Contractor shall contain, or be endorsed to contain, a
provision that such coverage shall also apply on a primary and non-contributory basis for the benefit of the City
before the Cit 's own insurance or self-insurance shall be called upon to protect the City as a named insured.
Page 1 1 of 2 pages 1 Risk: rev.07.01.2017
Insurance Requirements for Contractor (continued)
(e) Severability of Interest Clause
The term "insured" is used severally and not collectively, but the inclusion herein of more than one insured
shall not operate to increase the limit of the company's liability.
(f)
(g)
Notice of Cancellation or Change in Coverage Endorsement
This policy may not be canceled nor the coverage reduced by the company without 30 days' prior written
notice of such cancellation or reduction in coverage to the Risk Manager, City of Lodi, 221 West Pine St., Lodi,
CA 95240.
Continuity of Coverage
All policies shall be in effect on or before the first day of the Term of this Agreement. At least thirty (30) days
prior to the expiration of each insurance policy, Contractor shall furnish a certificate(s) showing that a new or
extended policy has been obtained which meets the minimum requirements of this Agreement. Contractor
shall provide proof of continuing insurance on at least an annual basis during the Term. If Contractor's
insurance lapses or is discontinued for any reason, Contractor shall immediately notify the City and
immediately obtain replacement insurance.
(h) Failure to Comply
If Contractor fails or refuses to obtain and maintain the required insurance, or fails to provide proof of
coverage, the City may obtain the insurance. Contractor shall reimburse the City for premiums paid, with
interest on the premium paid by the City at the maximum allowable legal rate then in effect in California. The
City shall notify Contractor of such payment of premiums within thirty (30) days of payment stating the amount
paid, the names) of the insurer(s), and rate of interest. Contractor shall pay such reimbursement and interest
on the first (1S) day of the month following the City's notice. Notwithstanding any other provision of this
Agreement, if Contractor fails or refuses to obtain or maintain insurance as required by this agreement, or fails
to provide proof of insurance, the City may terminate this Agreement upon such breach. Upon such
termination, Contractor shall immediately cease use of the Site or facilities and commence and diligently
pursue the removal of any and all of its personal property from the site or facilities.
(i)
Qualified Insurer(s)
All insurance required by the terms of this Agreement must be provided by insurers licensed to do business in
the State of California which are rated at least "A-, VI" by the AM Best Ratings Guide, and which are
acceptable to the City. Non -admitted surplus lines carriers may be accepted provided they are included on the
most recent list of California eligible surplus lines insurers (LESLI list) and otherwise meet City requirements.
NOTE: The City reserves the right to obtain a full certified copy of any insurance policy or endorsements
required. Failure to exercise this right shall not constitute a waiver of the City's right to exercise after the
effective date.
Page 21 of 2 pages
Risk: rev.07.01.2017
RESOLUTION NO. 2017-175
A RESOLUTION OF THE LODI CITY COUNCIL AUTHORIZING THE
CITY MANAGER TO EXECUTE A FIVE-YEAR PROFESSIONAL
SERVICES AGREEMENT WITH ADVENTIST HEALTH LODI MEMORIAL
FOR ANNUAL PHYSICAL EXAMS FOR THE LODI FIRE DEPARTMENT
WHEREAS, the City of Lodi is a public agency located in the County of San Joaquin,
State of California; and
WHEREAS, Adventist Health Lodi Memorial desires to enter into a five-year Professional
Services Agreement with the City of Lodi to provide annual physical exams for Lodi firefighters;
and
WHEREAS, by contracting with Adventist Health Lodi Memorial, expenses for annual
firefighter physicals will not increase over the five-year term, based on the fee schedule; and
WHEREAS, based upon historical usage, it is anticipated that the estimated annual
costs will be $17,000 per year over the five-year term; and
WHEREAS, staff recommends authorizing the City Manager to execute a five-year
Professional Services Agreement with Adventist Health Lodi Memorial for annual physical
exams for Lodi firefighters.
NOW, THEREFORE, BE IT RESOLVED that the Lodi City Council does hereby
authorize the City Manager to execute a five-year Professional Services Agreement with
Adventist Health Lodi Memorial, for annual physical exams for the Lodi Fire Department, for a
total not -to -exceed amount of $17,000 per year.
Dated: September 6, 2017
I hereby certify that Resolution No. 2017-175 was passed and adopted by the City
Council of the City of Lodi in a regular meeting held September 6, 2017 by the following vote:
AYES: COUNCIL MEMBERS — Chandler, Johnson, Mounce, Nakanishi, and
Mayor Kuehne
NOES: COUNCIL MEMBERS — None
ABSENT: COUNCIL MEMBERS — None
ABSTAIN: COUNCIL MEMBERS — None
NIFER FERRAIOLO
City Clerk
2017-175