HomeMy WebLinkAbout0386.000\
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.My 12. 1990
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THE HONORABlE CITY COUNCIL
Palo Mo, Camomia
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Meiftcal ScreeQing Seryices, A.ward a Contract with Palo AIIo Medica! Founda!ion
Members a \he Counci!:
The City a Palo AIIo con!racts for medica! screening seMces for portee and lire pre
employmeol physicals, rogufar and part-time pre-employmenl physicals, periodic
managemenI examinations, ve!eri1arian exami".ations, and oovers' icense examinaflOOS"
This report recommendS I'1e awarding of a two-yaar contract to Palo AIIo Medica!
Foundalion Funding for ns contract has been provicled ... I'1e 1990-91 and 1991·
92 operating budgets.
8ackClound
Since 1963 I1e City has con!racted with Redwood Med'tcaI Clinic fa< flese various
types of medical examinations" The curreri contract expires June 30, 1990. A. request
for proposal was sen! <M in March 1990 to Palo AIIo Medical Foundation. Redwood
Medical Clinic and Menlo Medical Clinic" Proposals were reteeived rom Palo AIIo
Medir.aJ foundation and AedwoocI MedicaJ Clinic.
A. review committee consisling a 1he RiSK Manager, Employmenl Mar.ager and Human
Resource Aepresenla!i\le reviawed I1e proposals and conducted' interviews with 1he
two bicIcIers. Proposed charges for 1he two-year period vary by only $5,700 per year
between 1he two bids. n considemg all relevant facts including location, converUence,
quaIlty of medical staII', reporting systems and mpiemenlarlOO a 1he Federal drug
tesIiI'lg program. l is sta!fs rl!OOOY1'l8rldafoo flat I1e Palo Alto Me<ftcal FoundaflOO wil
provide a level a seMce wffich most nearly meelS City needs.
The first year con!ract charges, based on tile curren! annual number a examinations,
arll an!icipaled 10 be $60,000. These oosIS are, however, .oojed 10 some tlvcluatioo
due to increases ()( dec<eases in recruilmerlt
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Pass Two
Staff recommends f1aI Council authorize 1he Mayor '" exerule 1he attached contract
wiItl Palo Mo Medical Fouoda!ico for 1he Medical Screen01g Progam.
Respectfu(Iy submitted,
~~K.J~
DQNIo.lO R WEST
Risk Manager
CMR:386:9
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A G I I '_. I' ,
BETWEEN THE CIn OF PALO ALTO
AND i'IIE PALO ALTO MEDICAL FOUNDATION FOR
THE SUPERVISION AND ADMINISTRATION OF
i'IIE CIT,{'S MEDICAL SCREENING PROGRAM
THIS AGREEKENT is made and entered into this day of
July ____ r 1990~ by and between the CITY OF PALO ALTO. ;-muniCipal
corporation of California, hereinafter referred to as ·CITY.-and
the Palo Alto Medical Foundation for Health Care, Research and
Education, a nonprofit public benefit corporation which operates a
multi-specialty clinic in order to provide health care services
pursuant to Section 1206(1) if the california Health and Safety
Code (Taxpayer Identification Number 94-1156581). with offices at
300 Homer Avenue, Palo Alto, California, hereinafter referred to as
·CONTRACTOR-;
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WHEREAS ... CITY desires certain services in conjunction
with the supervision and administration of its medical screening
proqraml hereinafter referred to as the ·Program-; and
~I CITY desires to engage CONTRACTOR to provide
these se~·ices by reason of its qualIfications and experience tor
performill9 such services". and CONTRACTOR has offered to provide the
required services on the terms and in the manner set forth herein:
NOW, THEREFORE. in consideration of their mutual
covenants, the parties hereto agree as follovs:
SECTION 1 -PEFINITIONS
The tera ·City· as used in this Agreement shall mean and
include all the territory lying within the lIunicipal boundaries of
the City of Palo Alto, Callfornia l as pre$ently exlstinql plus all
territory 'Which aay tle added thereto during the ter. of this
Agreement by annexation or otherwise.
1.2 City Mana~
The tera ·City Hanager-shall mean the duly appointed
City Manager of the City of Palo Alto, California l or his
deslqnated representative.
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1.3 City Attorney
The term ·City Attorney· shall mean the duly appointed
city Attorney of the City of Palo Alto.., California, or his
desiqnated representative.
1..4 City Clerk
The tera ·City Clerk-shall mean the duly appointed city
Clerk of the City of Palo Alto, California .. or her desiqnated
representative.
1.5 BiBt Manager
The term -Risk Manager-shall mean the duly appointed
Risk Manager of the City of palo Alto... California, or his
desiqnated representatIve.
SECTION 2 -PROJECT COORpINATION
2.1 £ili
The City Xanaqer sball be representative of CITY for all
purposes uDder this Agreement. The City's Director of Personnel is
desiqnated as the PROJECT XA.."tIAGER for the City Manager .. and he
shall supervise the progress and execution of this Agreement.
2.2 contractor
CONTRACTOR shall assign a single PROJECT DIRECTOR to have
overall responsibility for the progres.s and execution of this
Agreement for CONTRACTOR._ Natalie JOhnson hereby is designated as
the PROJECT DIRECTOR for CONTRACTOR. Should circumstances or
conditions subsequent to the execution of this Agreement require a
substitute PROJECT DIRECTOR for any reason,. the PROJECT OIRECTOR
designee shall be subject to the prior written approval of the
PROJECT KANAGER.
SECTION 3 -OU'J'IES OF CONTRACTOR
3.1 Services to be furnished
CONTRACTOR shall provide
connection with the Program, as set
Schedule marked Exhibit -A-, wbich is
rated herein by this reterence:
all specified services in
forth below and in the Fee
attached hereto and incorpo-
3 .. 1.1 CONTRACTOR shall adJdnister services as to
all examinations made durinq the term of this Agreement. The
services herein contemplated shall cover the operations of CIT¥
involvinq: employees and prospectlve employees who mayor could
become employees of CITY.
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J .1. 2 CONTRACTOR shall act as representative .of
CITY in matters related to CITY's administrative obligation
relatinq to the .edieal and psychiatric screening process and shall
provide the services more particularly set forth hereinaft1!r:
provided, hoWever .. CONTRACTOR shall not perform. any serotices 'Which
are now, or in the future are, deemed to be the practice ot law.
3.1.2.1 CONTRACTOR shall administer the
program in fQll compliance with the requirements of accepted
medical standards and administrative procedures of the State of
California.
3.1.2.2 CONTRACTOR shall provide ~onthly a
machine-tabulated report on the Proqram .. including. but not limited
to the employee'. name, eXalIining physician and tests rendered ...
relating to all adminIstered pre-employment, management or special
examinations ... including psychiatric evaluations upon request of the
Risk Manager or bis designee.
3.1.2.3 OONTRACTOR shall coordinate ... consult"
and fully cooperate with CITY Personnel Department in the adalnis
~ration of the Program; CO~CTOR shall notify the Risk Manager
i1lllllediately with any information authorized by section 56.1.0 ot the
California Civil Code and as it may bereafter be amended during the
ter:. of this Aqreeme.nt.. CONTRACTOR shall observe its leqal duties
and obligations as established in the case of Tarasoff y. the
University of California {1976j 17 Cal.3d 425.
3.1.3 CONTRACTOR shall make appointment time
available in all exa.ination categories within a 24-hour period on
Monday throuqh Friday. when said appointment is deemed by the Risk
Manager as an urqent necessity. The Risk Hanager or his designee
shall call the Project Director to arrange for the appointment.
Results of all tests/examinations shall be made available to Risk
Manager within 72 hoUrs of said examination.
3 • 2 Laws to be CA:.served
CONTRACTOR shall:
3.3 Procure all permits and licellses" pay all charges
and tees" and give all notices which may be necessary and incident
to the due and lawful prosecution of the services to be performea
by CONTRACTOR under this Agreement;
3.3.1 Keep itself fully informed of all existin9
and future federal, state and local laws" ordinances" regulations ...
orders and decrees which may affec~ those engaged or employed by
CONTRACTOR or a sUbcontractor of CONTRACTOR under this Agreement ...
any materials used in CONTRACTOR's performance under this Agree
ment, or the conduct of the servIces under this Agreement:
3.3.2 At all tizes Observe and comply Yith" and
cause all of ita subcontractors and employees" ir any" to observe
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and comply Yith~ all of said laws, ordinances, requlations~ orders
and decrees mentioned above;
3.3.3 Immediately report to the PROJECT MANAGER
in writinq any discrepancy or inconsistency it discovers in said
laws, ordinances, requlations, orders and decrees mentioned above
in relation to any plans, drawings, specifications, or provisions
of this Agreement.
3.( Release of Reports and Information
Subject to California law regarding the confidentiality
and release of medical records, any reports, information, data, or
other material given to .. or prepared or assembled by, CONTRACTOR or
its subcontractors, if any" under this Aqreement shall be the
property of CIT~ 3nd shall not be made available to any individual
or organiz:ation by CONTRACTOR or its subcontractors.. if any II'
without the prior written approval of the City Manager.
3.5 OUalific.ations o_f ______ contrac~Qt:
CONTRAcroR represents that it is qualified to furnish the
services described under this Agreement. As evidence thereof ..
CONTRACTOR warrants that one or more members or employees of the
firm are licensed by the state of California and that the services
to be provided under this Agreement will be performed by them or
under their supervision.
SECTION 4 -COMPENSATION
For the full performance of CONTRACTORYs services
described herein .. CITY sball pay CONTRACTOR within thirty (30} days
of submission by CONTRACTOR of iteDlzed billings in triplicate in
accordance with -A-a Such fees shall remain fixed for the initial
two-year term of this Agree~en~.
$E<:;'I2ION 5 -TERM:
This Agreement shall COmI:lence on or about July _llll' 199011'
and continue in full force for an initial term of t'Wo years upon
mutual agreem-ent of CONTRACTOR and the Director of Personnel. This
Agreement may be extended for an additional t'Wo-year term .. provided.
that the fees mutually agreed upon do not exceed the fees set forth
in EXhibit -A-adjusted by a factor of 8%, and further provided
that the Palo Alto City council shall haYe appropriated funds for
payment under this Agreement in the additional contract years.
SECTION ~ -TEMPORARY SUSPENSION
The City Manager shall have the authority to suspend this
Aqreement .. wholly or in part, for such period of up to sixty (60)
days due to unfavorable conditions cr due to the failure on the
p~rt of the CONTRACTOR to perform any provision of this Agreement.
CITY" -.,ill provide CONTRACTOR with written notice of any such
suspension.
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CONTRACTOR may suspend ~his Agreement wholly or in part ..
for a period not to exceed 60 days due to unfavorable co!")clitions or
the tailure on the part of CITY to make payments to CONTRACTOR for
services under thls Agreementa
SECTION 1 -EXTENSION OF TERM
In the event that t.he services called for under this
Agreement are not completed within the time specified above l the
city Manager shall have the option to extend the time for comple
tiona This paragraph does not preclude the recovery of damages for
delay by either party.
SECTION R -SUSPENSION; TERMINATION
8.1 Right to Suspend or Terminate
Tbe City Manaqar may suspend or ter..inate this Agreement
for any reason by giving sixty (60) days I written notice to
CONTRAC'1'OR. Upon receipt of such no·tiee.. CONTRACTOR shall
immediately discontinue his performance under this Agreement.
CONTR~CTOR ~ay suspend cr terminate this Agreement for
any reason by giving sixty (60) days written notice to CITY.
8 .. 2 Payment
upon such suspension or termination b)" CITY or CONTRAC
TVR. CONTRACTOR shall be paid for all services actually rendered to
CITY to the date ot such suspension or termination; provided,
bowever l if ~his Agreement is suspended or terminated far fault or
CONTRACTOR .. CITY shall be obligated to compensate CONTRACTOR only
for that portion of CONTRACTOR's services 'Wbicb are of benefit t.o
CITY.
l>EcrION 9 -INr>EPEJlDENT JUDQ<!:]IT
Failure of CITY to agree with CONTRACTOR's independent
findings, conclusions, or recotnlllendations, if the same are called
for under this Agreement .. on the basis of differences in !Latters of
judqm~nt shall not be construed as failure on the part of CONTRAC
TOR to meet the requIrements of this Agreement ..
SECTION lQ -ASSIGNHEF1; SUBCONTRACTORS; EMPlpYEE$
10 .. 1 Assignment
Both parties shall give ~heir personal attention to the
faithful performance of this Agreement and shall not assign,
transfer .. convey, or otherwise dispose of this Agreement or any
rt.qht, title or interest in or t.o the same or any part thereof
without the prior written consent of the other party, and then only
subject to such terms and cor..ditions as the other party may
require.. A consent to one assignment shall not be deemed to be a
consent to any subsequent assig:nments. Any assignment without such
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approval shall be void and, at the option of the other party. shall
tendnate this Agreement and any 1 icense or privileqe granted
herein. This Agreement and any interest h~rein shall not be
assignable by operation of laW" withoot the prior 'Written consent of
the other party.
10.2 Subcontractors
It is agreed that this Agreement is tor the person,,}
services of CONTRACTOR and cannot be performed by any other person
or organization.
10.3 Subcontractors; E~ployees
CONTRACTOR shall be responsible for employing or engaging
all persons necessary to perfona. the services of CONTRAC'l'OR
hereunder. No sUbcontractor of CONTRACTOR will be recognized by
CITY as such; rather. all subcontractors are deemed to be employees
of CONTRACTOR, and it agrees to be responsible for their perform
ance. CONTRACTOR shall give its personal attenti-:.n to t.he
.fulfillment of the provisions of this Agreement by all of its
employees and subcontractors, if any, and shall keep the 'Work under
its ~'trol~ If any employee or sUbcontractor of CONTRACTOR fails
or refuses to carry out the provisions of this Agreement or is
found by CONTRACTOR or CITY to be incompetent or to act in a
disorderly or improper manner, be shall be discharqed immediately
from the work under this Aqreement on demand of the PROJECT
MANAGER.
SECTION 11 -NOTICES
.All notices hereunder shall be given in writing and
mailed. postage prepaid, by certified mail. addressed as follows:
To CITV.: Office of the City clerk
250 Hamilton Avenue
Palo Alto, CA 94303
To CONTRACTOR: Attention of the PROJECT DIRECTOR
at the address of CONTRACTOR recited above
In accepting this Agreement" CONTRACTOR covenants that it
pres:ently bas no interest" and shall not acquire any interest,
direct or indirect, financial or otherwise~ vhich ~ould conflict in
any manner or degree with tbe performance of the services bere
under. CONTRACTOR further covenants that" in the performance of
this Agreement, no subcontractor or person having such an interest
shall be employed. CONTRACTOR certifies that no one who has or
will have any financi~l interest under this Agreement is an officer
or employee of CITY. I~ is expressly agreed that in the perform
ance of the professional services required under this Agreement
CONTRACTOR, and any of its subconsl.lltants or employees, shall at
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all times be considered independent contractors and not agents or
employees of CITY.
~CTION 13 -INDEMNITY
CONTRACTOR agrees to indemnify .. defend and hold harmless
CITV. its officers. agents and employees from any and all demands,
claims, or liability of any nature.. includinq death or injury to
any person, property damag:e or any other loss, caused by or arisi1l9
out of CONTRACTOR's, its otfi~ers', agents', SUBOONTRACTORS t or
employees' negliqent acts, errors, or omissions, or willful
.isconduct, or conduct for wbich the lav imposes strict liability
on CONTRAcroR in the performance or failure to perfonl this
Aqreementa
CITY ag;rees to indemnify, defend and bold harmless
CONTRACTOR, its officers, agents and employees from any and all
demands, claims or 1 lability of any .I'1ature, including death or
injury to any person, property damage or any other loss. caused by
or arisinq out of CITY'S. its officers', agents', or employees f
neqliqent acts. errors. or omissions. or 'Willful miscond,uct .. or
conduct for which the la~ imposes strict liability on CITY in the
performance or failure to perform this Agreement.
CONTRACTOR .. by e~ecutinq this Agreement. certifies that
it is aware of the provisions of the Labor Code of the State of
California whicb require every employer to be insured against
liability tor workers 1 compensation or to undertake self-insorance
in accordance with the prOVisions of that Code .. and certifies that
it will comply with such provisions before commenCing the perform
ance of the vork of this Agreement.
SECTION 15 -INSURANCE
CONTRACTOR, at its sole cost and expense, shall obtain
and maintain, in full force and effect throughout the entire term
of ~h1s Agreement, the insurance coverage described in Exhibit -B-"
attached hereto and incorporated herein by this reference" insuring
not only CONTRACTOR and its subcontractors. if any, but also" with
the exce~ion of workers' compensation and employer's liability
insurance, CITY .. its offi~ers .. agents and employees, and each of
them, with respect to activIties and services performed by
CONTRACTOR for or on behalf of CITY under the prOVisions of tbis
Agreement.
certIficates of such insurance, preferably on the forms
provided by CITY. shall be filed with CITY concurrently with the
execution of this Agreement or .. with CITY's approval. witr~in ten
flO) vorkinq days thereafter. Said certificates shall be subject
to the approval of the CITY Risk Manager and shall contain an
endorsement stating that said insurance is primary coverage and
will not be canceled or altered by the insurer except after filing
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o " vith the City Clerk thirty (30) days' prior ~itten notice of such
cancellation or alteration, and that the city of Palo Alto is named
as an additional insured (except in pol icies of professional
liabil ity insurance).. CUrrent certIficates of such insurance shall
be kept on file at all times during tbe term of this Agreement with
the City Clerk.
CONTRACTOR agrees to permit CIT¥ to audit.. at any
reasonable time during the term of this Agreement and for three (3)
years thereafter, CONTRACTOR's records pertaining to matters
covered by this Aqreementa CONTRACTOR further aqrees to maintain
such records for at least three (3) years after the term of this
Agreement.
SECTION 11 -AGRE£M~NT BINDING
The terms, covenants, and conditions of this Agreement
shall apply to, and snaIl bind, the heirs. successors$ executors.
administrators, assigns, and subcontractors of both parties.
§~CTION' _l~ -WAFERS
The vaiver by either party of any breach or violation of
any term, covenant, or condition of this Agree:nent or of aIlY
provision~ ordinance~ or. law shall not be deemed to be a waiver of
any other term, covenant, condition, ordinance, or law or of any
subsequent breach or vi~lation of the same or of any other term,
covenant, condition~ ordinance, or law~ The subsequent acceptance
by either party of any tee or other money which may become due
hereunder shall not be deemed to be a .. aiver of any preceding
breach or violation by the otber party of any term, covenant, or
condition of this Agreement or of any applicable la~ Qr ordinance.
SECTION 19 -cosTS >.ND ATTORNEYS' FEES
The prevail inq party in any action brought to enforce the
terms of this Agreement or arising out of this Agreement may
recover its reasonable costs and attorney fees e~nded in
connection with such an action from the ot.her party.
SEcrIO~ 20 -NC I~~L!ED WAIVER
No payment, partial payment, acceptance, or partial
~cceptance by CITY shall operate as a waiver on the part of CIT~ of
any of its rights under this Agreement.
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No payment, partial payment, acceptance,
acceptance by CONTRAC"!'OR shall operate as a 'Waiver on
CONTRACTOR of any of its riqhts under this Aqreement.
SECTION 21 ... NONDISCRIXU1ATION; PENALTY
21.1 PUty of Contractor
or partial
the part of
No discri.ination shall be made in the employment of
persons under this Aqreement b~cause of the race l color, national
origin, ancestry. religion or sex of such person~ If the value of
this Agreement 18, or may be, Five Thousand Dollars ($5,000) or
"acre, CONTRACTOR agrees to met all requirements of the Palo Alto
Municipal Code pertaining to nondiscrimination in employment a.nd to
complete and submit the -Compliance Report--Nondiscrimination
Provisions of city of Palo Alto Contracts· on the form furnished by
CITY".
21.2 Penalty fo:rmnDiscrimination
If CONTRACTOR is found in violation of t.he nondiscrimina
tion provisions of the State of California Fair Employment
Practices Act or si.ilar provisions of fed~ral law or e~ecutive
order in the pertormance of this Agreement, it shall the~eby be
found in ~a~erial breach of this Agreement. Tbereupon# CITY shall
have the power to canceL or suspend this Agreement, in vhole or in
part# or to deduct from the amount payable to CONTRACTOR the SUllo of
Twenty-Five Dollars ($25) for each person for each ~alendar day
during which such person was discriminated against# as damages for
said breach of contract, or both. Only a finding of the State of
Cali~ornia Fair Employment Practices Commission or the equivalent
federal aqency or officer shall constitute evidence of a violation
of contract under this section.
If CONTRACTOR is found in violation of tbe DOneHs
crimination provisions of this Agreement or the applicable
affirmative action quidelines pertaining to this Agreement l
CONTRACTOR shall be found in )Dater-ial breach of this Agreement.
TbereupoD# CITY sball have the power to cancel or suspend this
Agreement, in .... hole or in part., or to deduct from the amount
payable to CONTRACTOR tbe sum of TWo Hundred Fifty Dollars ($250)
tor each calendar day during wbich CONTRACTOR is found to have been
in such noncompliance as damaqes for said breach of contract# or
both.
SEC'rIQN 22 -AGREEKENT, CONTAINS ALL UNDERSTANDIN~
ho'IEIWt!EN'l
This document represents the entire and integrated
agreement between CIT'! and CONTRACI'OR and supersedes all prior
negotiations, representations, and agreements, either written or
oral. This document »ay be amended only hy written instrument,
Signed by both CITY and CONTRACTOR.
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SECTION 21 -C9YEBNING I~W
This Aqreement shall be qoverned by the laws or the st,ate
ot californIa ..
IN WIT)iESS 'WHEREOF, t1'1e parties hereto have executed this
Agreement the day and year first above written ..
ATTEST: CITY OF PALO ALTO
city Clerk Mayor
APPROVED AS TO FORK:
Assistant City Attorney
APPROVED:
Assistant city Manager
Director o~ Finance
Risk Hanaqer
APPROVED AS TO CONTEN'r:
Director of Personnel
Attach:me"rits:
EXHIBIT -Aw: FEE SCHEOOLE
EXHIBIT -Sw: INSURANCE
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o Palo Alto Medical ---_~I •
EXHIBIT A
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LABORER HI
APPROXIMATElf 20/2S PER YE4R
<,
Exall $61.00
vi.ion 0.00
Audio 18.00
(lein. 0.00
Chest X-Ray (2 Viev) 13.00
SUBTOTAL
Sack X-Ray (3
15
TOTAL (3
TOTAL (5
1;6.00
Vie,,) ~2.00
Viev) 127.DO
vi.,,) 2;0.00
Viev) 285.00
DRIVER EXAftI~ATION
APPROXIMATELY 25/35 PER YEAR
Exam ( iDCludes arlnel $45.00
Vision. 0.00
Audio 18.00
Itesting EKG 38.00
DOT DRUG SCREE~ING PE~ DOT REGULATIO~ 149CFR Part 199
First year testing 'Will induoe appr<l1imatel,1 ISO persons. with approximately
50 persons per year thereafter.
Substance abuse eollec~io~ $22.00
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PRE-EKPLOYMENT PHYSICALS -POLICE AND F1RE
APPROXIMATELY 25/30 PER YEAR
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1. Ex ... (in<:lud •• urine) $67.00
2. Visi.on 0.00
J. . Audio IS.OO
•• Spirometry (PFT) 23.00
5. Resting EKG 38.00
E. Dynamic EJ.G-P 127.00
1. urine 0.00 .
e. SMAC 20 B.OO
9. cae I7.M
10. STS (VORL) 13.00
11. Chest X-Ray (2 "ie,,) 73.00
SUBTOTAL 399.00
12. Back X-Ray 11 vie,,) 92.00
(S view) 127.00
TOTAL {l yiew, $491.00
Total (5 view) $526.00 ,
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~ Alto ~d!ela FoundatioD
PRE-EMPLOYMENT PHYSICALS -GENERAL
APPROXIMATtLY 4~f50 Pt~ YEAR
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1. En .. (includ •• uriae) $51.00
2. Vhlon 0.00
3. Audio [8.00
C. TIB .. Tine 9.00
5. Resting EKG 38.00
,. Dynamic EKG 121.00
1. Sl<AC 20 23.00
8. 51'S (YDRL) 1l.00
-9. O\est X":Rar 12 View) 73.00
10. lie ln09l obin 7.00
SUBTOTAL 375.00
,:·e
U. Bock X-l<al' (] Vie,,) 92.00
(S Vie,,) 127.00
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TOTAL (3 View) $467.00 l-.
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TOTAL (5 View) $502.00 • f
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rOAlto !'lediu.l Foundation 0
MANAGEMENT PHYSICALS
APPROXIMATELf 45/50 PER lEAR
-,
1. Exa_ (includes urine)
2. visio-n
3. Audio
~. Spirometry (PFT)
5. Resting EKG
,.. Dynamic EKG
7.. UrIne C , PI
8. SMAC 20
9. esc
10. Cbest X-Ray (2 View]
11. Sigmoid (Proctology)
Optional
12:. Pap' Smeor/Optional
... 7"
13.
SOB TOTAL
Bad X-Ra J' (3 ( s
Women
>ren
Vie\i')
View)
1.. Re turn Yisi t.JOptional
"9.00
0.00
18.00
23.00
38.00
127.00
11.00
23.00
17.00
73.00
91.00
20.00
52'0.00
500.00
92.00
127.00
45.00
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0alCll Alto Medical FoundatIon & {)
V&TERIMARI~ EXAMI~'TION
1.
2.
l.
C.
5.
6.
1.
B.
9.
10.
B.
12.
APPROllMATfL'~/5 P£R Y£AR
..
Exall
Vision
Audio
SpiroDletry (PFT)
Restin':;1 1!r.C;
Ut"ine
" SKAC 20
CBe
Chest X-Ray C2 View)
SUBTOTAL
Spatwa cu1t~re
lJ<"ine Cytology
167.00
0.00
IS.OO
2l.00
l8.00
0.00
2l.oo
17 .00
"13.0a
259.00
19.00
57.00
lidney '" Liver SCan •
Ultta SOund P~ocedyre
Liver" Xidney ~ether 283.00
~ Liver and spleen scan
I.fdoey scan
1322.00
IHO.OO
Live~ and spleen sean and kidney 6cana are currently being done separate days.
Our Isotope scanning department 00 locger does a liver and kidney scan~
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PA0.o\LTO~1EPlCALFOloo)ATO_
lff..Al. rn CAU. KXS£ARCH. RIl'CATJGN
Additional Information -Fees
Th~ service ·wi~e otfi-!, clip.nt CC1npanies 1nc!u<1es a revie"\~" of tl.l~ current
;-:c;mi:1atJoos being done to identify testing that should be added or deleted
t>i>sed on th-e !lK>St current medi<:a1 information The <XCIJpation"t medidne
il~ld in the last t"n years has gJo"m in the numt~r of physidans ,.",eking
board coi'rtifkation in the field, and in tl'le amount ,0{ reaP.a.rch d(>fIe into tlle
C"$t-i-ff&cti';'~Il.;.ss vf (..;.-rtain tksts. Dr-. ru.iim~to has t,.rc-ugbt his .:z.'}'~rtise in
~is Mo?-a Ptv't.d·:!l ben;;:fit: ... the ;:'a!o • .:.jto !\~~dk:al Four.r1auvn a:nd tb-2 rJj'::fl~ ~v~·e
:::2f\"o? Tn~ fo?3.1 val:.l-3' in f.s-dll':ing un.r .. o?~-=ssary te:.;t1n.g 1':: in r>2<l~j_ct!Lg tl"Je
o?::,,-'p(,s.1J.r~s (1.-:-. ra,jiati:,n) t.~e 8.W1i.-::?nt!Hnployee &:,+~ri.;.ni;?S ~n''!:'l E::1Vlng
t.l1e cOr:J.p~,n7 mon~y.
C;&S-E->:i ')n a s.urflru~ry r6'Yi~\'o! {of ttl':; t.esting indi.cat~j in L':le F:~q 1j -?:: t F,x
frqx·.;al, w,. ~li""N tJ-.at thH" may be a "''aY to redIX" tl',,; ,,%t (of tiM
(:-rogram anrlUally by at I .. ast $15,000 by eliminating some (of tl'.,. t..sting
.j·:,r.~. s.eY~ra! t:·f tho? di?:gn-:,-stJ-:; t'2-sts tJav~ "bo?eD studi,;,j in the !'3~.t ;·e .... €-ral
y.;~·.r~. 3.n,j ", .. te-r,g. found tN t.e n·~t .:·)st-eHective. On.: e:,:ampl~ is t:-.,;;: -~3:ck
:o:-r·~7 ... 3n,'j.::in a.rti.:I.::-outlir..:.ii1g U".l.S< r-s-s-e::a.rct.l. is a.t-t'aGh~d. ?r.:: "".~.".~ '..:~·1 't.-e-!la-:;.~,;
~.) ,j: ':·~lJ-3~· t...h~.e re-comm<?t:.;je ti .. :·I'. '5 furth:€,f_
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Ht.a/t.h Clrt o;~i~O:n/'.'O A.Plo Mtd'"Kal" CIirlk::)Of Hom", A.l'etIue, raTo A.b~-C'" ~1-279-t. (4151 321 ="n i
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fOR r\
CLAIMS MADE PROFESSI)rot... lABILITY
INSURArI.'tE POlICY
r<HE DOCTORS'
''J COtvlPANY
PROF ESSION .... L LIABILITY POLICY
poc.ilCV Nl}MBER LO~j~*·A ,oueY P~IOO FROM r c!:t.ou<il;, I TOt c.tlO(J91c: J
NAMED IN$tJRED AND PROf£5SlONAL CH=FlCE PRntISES MAllfNG .ADDRESS
PALO ALTO MEDICAL CLINlC AND RlCHARD E HAINES VP
PALO ALTO MEDICAL FOUNDATION FRED S JAMES <It ro OF CA
300 HOMER A VENUI! . PO BOX 1601
PALO ALTO. CA 94.lO1 SAN FRANCISCO. CA 94120
"
CQVERAGE llMl:LS QE I. tABU. !II
PROfESSIONAl. LWUUTY -per er .. im Is 1,000,000.00 I PROFE"ssroNAL OffICE PREMISES llABIUTY
A. aocA.Y IN.ARY UABD.rrv -..... clair. 1$ l,oao,Ooo.OO I .. PROPERTY DAMAGI! UABIJ'TY ... par cl,.rm Is 50,000.00 I
Co THE PER ACC%OENT LIMIT OF UAalUTY SHAll NOT EXCUD 1$ 1,500,000.00 I
lIfE ANNUAL AGGRtGATE -lI'Mtr Of UASIt.ITY
FOR ONE POLICY YEAR SHAU. HOT UCEm
, l!.. 3, ODD, 000.00 I
.
POUCY E.FFEcnw; 0 .. T'E:" 01/01111 ANNUAL PREMI1JN' S
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Tbc Exchange bjo atis Jlent:Wil CettirlClte .agrees to renew lb. termS an" eocd'itions or your
p;>liq for one leas' ~ $ ..... I.ed b, \he po.liq peticd.
ol Uao previous polieJ will .pply '" this teI1<WaL
AI end'orsements in effect u U1c UpintiOl1
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COVNlUSKiNEO ''f 8r--ft}.~
AGENT THE DOCTORS' INSURANCE AGENCY TELEPHONE (415)472-337)
DATE rWiJ/i9:j
, ..
THl :lOCroIS COW,,,ro1.,. AN 'NTU;',..SIJIt .... IoICE f.)lCHAItIG!'
~I Wt\.$fUI! 1I0Ui.E~'''iIIO. ~",,"T'-).IO~ICA. CA. Q(I..O~
C'1 ... ·U~lOll.10\..1....f'I£t \.')O'l~=.-~!n IC,o"LI;ot..Nl"l. '1'3Q:I.4:!\·::)Io!. ,on'[1. 5T,.~~~