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Home My WebLink AboutResolution - 2009-R0252 - Contract - Occmed Associated LP - Employment Physical Examinations And Screening - 07_08_2009Resolution No. 2009-RO252 July 8, 2009 Item No. 5.4 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute a contract number 9068 and any associated documents with OccMed Associated, LP, of Lubbock, Texas, for Employment Physical Examinations and Drug Alcohol Screenings per RFP 09-055-MA, which Contract is attached hereto as Exhibit A and made a part hereof for all intents and purposes. Passed by the City Council this 8tb day of July , 2009. f �' /�4 TOM MARTIN, MAYOR ATTEST: Rebe a Garza, City Secretary APPROVED AS TO CONTENT: L0.0 L", I--- W% 14--� Andy B rcham, Chief Financial Officer APPROVED AS TO Vandiver, City Attorney' (_ Wres/OccMedAssocistesConMes June 23, 2009 Resolution No. 2009-R0252 EMPLOYMENT PHYSICAL EXAMINATIONS AND DRUG/ALCOHOL SCREENING RFP# 09-055-MA CONTRACT 9068 THIS PROFESSIONAL SERVICES AGREEMENT (this "agreement") is entered into this 8'1' day of July 2009 by and between the City of Lubbock, Texas (the "City") and OccMed Associates, LP of Lubbock, Texas (the "Service Provider"). WHEREAS, the City desires, pursuant to the terms and conditions of this Agreement, to engage the Service Provider to perform the services set forth herein; and WHEREAS, the Service Provider desires to perform the described services pursuant to the terms and conditions of this Agreement. NOW, THEREFORE, in consideration of the promises contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the City and Service Provider hereby agree as follows: TERMS: A. This Agreement shall be effective for one (1) year, commencing August 30, 2009, and continuing until August 29, 2010, and shall automatically renew for four (4) additional one year terms, upon the expiration of its initial term. B. Either party may terminate this agreement upon providing ninety (90) days prior written notice to the other party. C. City agrees to pay Providers pursuant to Section A thru F for the service provided under this agreement within thirty (30) days of receipt by City's Human Resources Department of a "clean claim" from Service Provider. A "clean claim" is defined as a claim for authorized services, with supporting documentation, rendered by the Service Provider at the request of the City's Human Resources Department. D. This agreement my be amended or modified only by a further instrument, m writing , executed by both parties. E. To the extent allowed by the laws and the Constitution of the State of Texas, each party agrees to indemnify, defend and hold the other party, its officers, employees and agents harmless in the performance of this Agreement. F. Service Provider will perform the services requested by the City for fees indicated in Exhibit A, Attached hereto and incorporated herein by reference for all purposes (the "Fees"), to include civil service pre -employment, annual and promotional physicals, asbestos physicals, blood borne pathogen exposures and disability assessments, including physical exam and job site evaluations. G. Service Providers will submit reports with final recommendations no later than fifteen (15) days following the service. Failure to timely submit this G. Service Providers will submit reports with final recommendations no later than fifteen (15) days following the service. Failure to timely submit this report shall negate the obligation of the City to honor paying the claim for the service. INSURANCE: General Liability: Service provider's insurance shall contain broad form contractual liability with a combined single limit of a minimum of $3,000,000 each occurrence and in the aggregate and shall include the following: • Bodily Injury and Property Damage • Broad Form Contractual Liability • Personal Injury and Advertising Injury • Products and Completed Operations Professional Liability: Service Provider shall procure and maintain during the term of this Agreement Professional Liability insurance in the amount of $1,000,000. Business Automobile Liability: Service provider's insurance shall contain a combined single limit of at least $500,000 per occurrence, and include coverage for but not limited to the following: • BodiIy injury and property damage • Any and all vehicles owned, used or hired Worker's Compensation and Employers Liability Insurance: Service provider shall elect to obtain workers' compensation coverage pursuant to Section 406.002 of the Texas Labor Code. Further, Service provider shall maintain said coverage throughout the term of this Lease and shall comply with all provisions of Title 5 of the Texas Labor Code to ensure that the Service provider maintains said coverage. Any termination of workers' compensation insurance coverage for the Service provider shall be a material breach of this contract. The service provider may maintain Occupational Accident and Disability Insurance in lieu of Workers' compensation. In either event, the policy must be endorsed to include a waiver of subrogation in favor of the City of Lubbock. Employer's Liability with limits of at least $500,000 each accident, $500,000 by disease policy limit, and $500,000 by disease each employee shall also be obtained and maintained throughout the term of this Lease. Other Insurance Reauirements: Service provider's general liability insurance policy, through policy endorsement, must include wording, which states that the policy shall be primary and non-contributory with respect to any insurance carried by City of Lubbock. The certificate of insurance described below must reflect that the above wording is included in evidenced policies. All policies must be endorsed to include a waiver of subrogation in favor of the City of Lubbock. IN WITNESS, WHEREOF, The undersigned parties bind themselves to the faithful performance of this Agreement. EXECUTED this 8th day of July, 2009 OCCMED ASSOCIATES, LP Name: ( ,'C' yfIe 61 SoltJ Title: t J i e C Ta✓' City of Lubbock Tom artin, Mayor APPROVED AS TO CONTENT: Vickie Bennett, Director of Human Resources APPROVED AS TO FORM: f Cit Attorney ATTEST: Reb ca Garza, City Secretary EXHIBIT A Resolution No. 2009—RO252 CITY OF LUBBOCK PRICING PROPOSAL SHEET "A" STANDARD PRE-EMPLOYMENT/PROMOTIONAL PHYSICALS (To he completed and rerurned with Proposal) PRICING A.1 STANDARD PRE-EMPLOYMENT/PROMOTIONAL PRYSICAi,S 1. Does this include: a. Background information? �1,l Yes iNo b. General Exam? Iti Yes �h No c. X-rays? i Yes ! vi No If yes, how marry? d. Urinalysis? Yes No e. Other Test required? Yesj N0 Ifyes,examplcs:—_e-�_-- S_ 4 7 —5-Q -____ A.2 STA-NDARD PRE-E►IWPLOVYENT/PROMOTIONAL PHYSICALS (W/SCBA) 1. Same qualifications as (A) above with additional SCDA testing only- S--3-6_0p A.3 ASBESTOS EXAMS (tn accordance with OSHA Standards) 1. For Housing Abatement Requirements Initial $ 204.25 Periodic $76.00-22800 DESCRIBE COMPO'YENTS OF PHYSICAL: Standard Phvsical $ 4 7 . 5 0 Chest X-rat with Imemmaiien $ 7.6. 0 0 l..rinalysis i ria St)irometn --$— 50 A -Read $ 53,2 5 Sec att,ak:hed list ornhv5ic:il vcmnorcr,r� Ht the end of Sectior, H A.3 ASBESTOS PHYSICAL TESTIltiG Initial Exam History and Physical exarn per standard pre•employm�mt physical and (extra attention to gastrointestinal and cardiopuitnonary systems on hi storti and physical) OSIiA Respiratory Questionnaire OSHA Asbestos Initial Questionnaire Pulmonary FtrnOtipn 'fcsti►tg PA and lateral chest x-ray and 13-reaZdine, Physician's written opinion Total Cast =$ 2 0 4. 2 5 Cost Breakdown: Physical = $ 4 7. 50 Spirometry-$28.50 2-View Chest x-ray = $ 7 6.0 0 B-readi►ig = $ 5 2.2 5 Periodic Exam History and Physical exam per standard pre -employment physical (extra attention to gastrointestinal and cardiopulmonary systems on piston, and physical) OSHA Respiratory Questionnaire OSFIA Periodic Asbestos Questionnaire 2-0ew chest x-ray and Breading per the following protocol: Chest x-rays must be read by a B-reader, board eligible/certified radiologist, or physician with exportise in pneumonoconiosis. Chest x-ray frequency, unless physician orders more frequently due to clinical indication: Physician's written opinion Total Cost= $76.00=$204.25 As per initial Exam but both the 2 view chest x-ray and Breading at physician's discretion. Other testing is exceedingly rarely indicated per OSILA 29 CFR 1910.1001; however, if necessary. may include fecal occult blood test ($9 . 50) and CBC ($1 4. 25) . A.1 TEST COMPONENTS OF EACH PHYSICAL Each physical exam consists of: Questionnaire wid physician review of past medieai history, past surgical history, past psychiatric history, history of on the job injuries, history of bock injuries, history ofsignifrcarrttrauma. family history, current and recent medications taken. and ciru`Y ali4taics- Vital signs (Height, Weight, Blood Pressure., Pulse) Distant Vision (corrected or uncorrected) Red'Green'Yellow differentiation (to determine any color blindness) H:E.ENT (Head, eyes, cars. nose. throat) Teeth, gums, and mouth 'deck exam for thyroid enlar¢cment, carotid bruits and range of motion Cardiac exam (rate, rhythm, murmurs, etc.) Abdominal exam Upper and lower extremi# , exam (strength, sensory and range of motion) inguinaligroin exam (males only) for hernia, testicular anomalies, etc. Dermatolonical exam for rashes Spinal exam for scars and range of motion Neuroloaical exam (reflexes, Romberg) Gait (abnormalities rioted) Urine Dipstick (10 items) Glucose Bilirubin Ketones Specific Gravity Blood PH Protein Urobilinogen Nitrite Leukocytes "focal Cost = $47. 50 Additional cost for Titmus vision test administration W $ 2 3 . 7 5 A.? STANDARD PIYSICAL AS IN SECTION A.f AND OSHA RESPIRATOR QUESTIONNAIRE AND SPIROMET.RY focal Cost = $76. 00 Brcakdown oCcosr: Physical = $ 4 7 . 50 Questionnaire rcview andspiromelr� $28. 50 CITY OF LUBBOCK PRICLNG BID SHEET "B" FIRE (To be completed and r�ttrned «0h Proposal) B.1 STANDARD FIRE PHYSICALS OSHA 29CFR 1910.134 1. Cost SCBA Testing: B.2 HAZARDOUS MATERIAL OSHA 29CFR 1910.120 B.3 PHYSICAL EXAM FIRE — NFPA 1582 ' Treadmill stress test, additional cost per C3rdiologist of Lubbock *Optional Testing as below DESCRIBE COMPONENTS OF PHYSICAL: B.1 Standard ph ical w•ich 0SHA_Res piratory Questinnn;tire. S irn� Resolution No. 2009—RO252 PRIC IN G S__7�--a12 5 209.00 $--2Dg n n *$319.20--416.10 $76.00 8.2 Hazardous Nlaterial Complete Metabolic Panel $1 9 . 00 Lipid Panel $1 9. 0 0 CBC $14.25 Apdiomei $1 9 . 0 Standard Physical 13.1 $ b . ,t t OSHA ResviratoD, Questioanaire EKG $ 61 .75 Spirometry _-- -0_ ' optional 13ep ,4 $ 71 .25 Other Lab Tests if needed B.3 Fire CMP $19.00 Lipid Panel $1 9 . 0 0 _ Urinalysis -0- CDC $14.25 Audiometry $1 9. 0 0 EKG with interpretation $ 61 .75 Spiromeh-v 4- Standard Physical S. ] $76 . with OSHA Respirauorv-[ uestionnaire ' Treadmill Stress Test $ 11 9 . 2 0— 41 6 . 1 0 as per CardaoE�iei�ts i�f ubbock 'Chest x-ray with interpretation 76.00 4 2 3 . 7 5 *Hera A $ 71 .25 See raaached list aGhvsical I.)m.ponents at tllc end of Section I i' I, i rr..pleyrUnt Ph}sisil INalrin--icn_ and Dr g:Alcahol S:rcm II CITY or LL'MOCK PRICING AID SHEET "C" FIRE Iig1 ,,'Ts, be completed and returned with Proposal) N rlr a 1500 NFV 4 ISbI E.2 ASBESTOS EX-tM E.3 EXPCRT SFRVICES PRICING S PER SERVICE INITIAL $204. 25 S PERIODIC $76-228. 00 5285_0f) %HR Expert 'Testimony Consulting, Advising, and Researching DESCRIBE COMPONENTS OF I'HYSICA-L; 40 M SICALS CRITERIA PRE-PL.ACEMENT and PROMO TONAL PHYSICALS are comprised of the follo�aing: a itai signs Visual acuity and peripheral t ision Red ' green ' yellow differentiation Dermatological s) stem FIE Eli T Neck exam Cardiovascular system Respiratory system Gastrointestinal system Inguinal / groin exam Musculoskeletal system Neurologic systern Spinal exam Gait Urinalysis Questionnaire and physician review of past medical history, surgical history, past psychiatric history, history of significant trauma, and current medications taken HAZ--SAT PHYMALS are comprised of the following: Vital signs Audiometry OSHA respiratory questionnaire Visual acuity and peripheral vision Red +`green 1 yellow differentiation Spirornetry Dermatological system HEENT Neck Card iovascWar system Respiratory system Gastrointestinal system Endocrine and metabolic system Inguinal 'groin exam Musculoskeletal system 'neurological exam Cl,1P, lipid, and CBC Urinalysis Spinal exam Gait Questionnaire and physician re�:e«, of past medical history. surgical iiston', patii psychiatric history, history of sig;ti E;cant n-amia, and current wedic itions uik:°n .Additional tests as indicated per protocols dependent upon %vhich hazardous materials are being handled. FIREFIGHTER PHYSICALS NFPA 1582 FIREFIGHER PHYSICAL is comprised of the following: Vital signs ALLdiometr).' Visual acuity and peripheral i ision Red.'creeri'yellow differentiation Spirometry OSIIA respiratory questionnaire Dermatological system 11EENT Neck exam Cardiovascular system Respiratory systetn l ndocrine1vietaboIis InguinaU'groin exam Spinal exam Gait lVlusculoskeletal system Neurological system Titmus/Seel len EKG wZth interpretation CHIP, lipid panel, urinalysis, and CBC Questionnaire and physician revie,"- of past medical History, surgical history, and past psychiatric history; history ol'significarit trauma, and current medications taken :additional tests as indicated: 2-view chest x-ray, treadmill stress test as indicated, and others are done if indicated and priced separately POLICE ENTRANCE is comprise of: Vital signs Audiometry/Forced Whisper Visual acuity and peripheral visiall Red/green'yellow differentiation.' Yarn Test Derniatoloeical systerlt FIFENT Neck exam Cardiovascular system Respiratory system Gastrointestinal system lr]builial: groin exam Spinal exam Gait NIusculoskeletal systern Neurological system Urinalysis Physical Activity Readiness,'PAR Q — Police department discretioti AC:SI4 Risk Stratification,) minute Ste} Test -- Police dcpartnicnt discretion ?V chest x-ray uitlt interpretation -- doctors discretion Sti' ]umbar x-ray «ith interpretation — doctor's Cll5Crction CITY OF LUBBOCK PRICING BID SHEET "C" BLOODBORNE PATHOGEN (To b-- completed and returned with Proposal) P RICrNC; C. BLOO.DBORNEPATHOGEN -Insignificant expo�>ure S 47.50 u(Physical and Physicians Statement Only) Significant exposure 3 see next page Priced per Dr. visit & lams requires! DESCRIBE COMPONENTS OF PHYSICAL, See attached list of physical components and fee. breakhwn. C. Bloodborne Pathogen Testing Ile OSHA 1910.1030 Exposure shalt be determined by USPHSICDC guidelines. If source i; known and th-c exposure is `i itifcartt, att:;mpts will be (.rade t,) test Hhe scrological status of the source. If the source: is unknown or uriwilling to provide serological status and the exposure is significant, the exposed individual will be given the option of receiving the post -exposure prophylaxis. Serological testing will b performed according to CDC recommendations. Possible referral to infectious disease specialist if warranted. Physician's statement after initial and all Follow-up visits. Cost breakdown: • insignificant Exposure Piiysical and pliysiaian-s statement = $ 4 7. 5 0 • Significant Exposure • Lab tests priced by test run Initial office visit : $1 18 . 75 Serological testing (Flee .A, Hep B, Hep C, H7V) = $1 9 0.0 0 CMP= $1 9.00 CBC= $14.25 Hep C=$20.90 Hep B Surface AD = $ 4 9. 6 4 Hri ,_ $66.50 CITY OF LUBBOCK PRICING BID SHEET "D" POLICE ENTRANCE (To he completed and returned with Proposal) PRICING E. POLICE ENTRANCE EXAM (Per City of Lubbock Civil Service S0.25 Commission Rules and Regulations Section 5.01, PAR-Q, and AC5tit risk stratification Guidelines). * Includes ,audio, PAR-Q & Step Test - -not previously included in entrance exam E. EXPERT SERVICES Consulting, Advising, and Rcsearching Expert testimony _ . 0 0 /hr DESCRIBE COMPONENTS OF PHYSICAL: E. Police Entrance Exam Phvsical Exam $47.5.0 Physical Activity Readiness / PA Q $1 4 . 2 5 ACSMI Risk Straffication; 3 min. Step Test _ 28. 50 Cbest X-rav f2v with interoretntian x7 Q0 LuMbX -ray 5vl with interpretation $, rin Lab tuts — as noded Vision ! Yam: Snellen 0 Audiotnetn' $1 9.0 0 Sep attached list �,f phc"sia .. comnanents at the end of Sgztion 1-I 34 CITY OF LUBBOCK PRICING PROPOSAL SHEET "E" WORK -SITE ASSESSMENT (To be completed and returned with Proposall PRICING D. WORKPLACE DISABILITY ASSESSMENTIRECON MENDATION 1, Work -site Assessmetiv * S_ j__42,_A(L____ 2. Physical }.?xam and \-iedical Record e%atuatiow " $__; 4,2_50 -...� 3. Doc$ this include expert "itims. Dies E No Expert testinnony (1 hr minimum) per hour $_ 285.00 (*) Numbers 1 and 2, above, require wvitten recommendations. DESCRIBE COMPONENTS OF WORK -SITE ASSESSN ENT AND PHYSICAL: Rork -site Assessment_ Physician. 142_-1;0/hr fur- could include one or more of the fnito%vine: ]j_ analS_sis ofthe physical capabilities nfthe individual related to a speciticJpb ') recommendations for ada itat ion of the job em'irtnnment or methods to accomplish the 3) evaluation of the specific phvsical requirements of the inb :snd.'or 4) The determination of the essential functions of the job See attached list of components at the end of Section l-I Certified Erzonomic Physical Therapist: Functional Capacity ;5 D.1 WORKPLACE DIS.A_BI.LITY ASSESSMENT Workplace Disability _'assessment is available to evaluate the work environment specific to a person and/or a job. It could uaclude one or more of the followbig: I. Analysis ofthephysieal capabilities of the individual related to a specific job . Recommendations For adaptation of the Job environment or methods to accomplish the work 3. Evaluation of the specific physical regturements of the job, and:'or 4. The determination of the essential functions of the job Certified Ergonomic Physical Therapist will provide Functional Capacity Evaluation as needed. (See swnple report attached) I Resolution No. 2009-RO252 kr;r 1111-0,75.NLA cm.plovincin Phsical Fmmnalirm.% and Druppktcchol Scrocruit; CITY OF LUBBOCR PRICING PROPOS;1L SHEET'IF" DRUG'ALCOHOL SCREENING ,.To b. cf;rnp1ettdand re.'or%d with Proposal) PRICING 14.1 DRUGSCREEN Co!;r of Urinal%sis with scrcen:.,ig: S__Z3_15 _aOT Docs this ine-Lide screening fir a!ll �.f the following: 20.90 NON -DOT :E. ', Ia rij Udna' �- No o. Cocaine? Yes GNo ,;. Amphetamines" "_1 Ye s __No 11 Opiates JnJudinq Heroin',' 7Ycs ---'No -,Yes --7No Does this inc'Lide export �Vc ! l'yes, in dicaic cost S 142.50/hr mro 14 . 25 If.2 CIVIL SERVICE 1. Cost of Urinalysis with Ten (10) Paul screening S 20-90 7. Ocas this Lnclude screening f� 011 ��fele following: a. Marijuana? _Yes! No Cocaine? L._jYes --jNo C Amphetairilles? :-:Yes DN10 Cpiates Onc:vdin, Hcroiji.l' : -,Yes 7 No Poency clldiix -N3? -;yes,._10 f. ::Yes "-No I Deus this includc cxjxrr fc.Amon% -_JYes!-'No 1 CYCS, 41d".GaIC COST. S, -142.50/-hr 11.3 ALCOTIOL i. Copt of Breath Alcohol tcstinp with Screening: S. 4 Dj.* this inchile :xp-1 'f -Yes 7No 14 2 50 /hr indicate cost. S D r.SCRIBF COMPONENTS OF PHYSICAL: E!FR P RT 49 SEE -PROCEDURE -PnR. DRUG TRSTING ANP Go;Gr-c-TieWATTACHED MRO SERVICES PER GUIDELINES OF &MERICAN ASSOCIATION RV_VIPfW CMCERS PAGES Fe-P. RIEFORTf-1-cl W