HomeMy WebLinkAboutOn Duty Health 2024-02-06COU No. 2324-158
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AGREEMENT FOR
PROFESSIONAL CONSULTING SERVICES
This Agreement, made and entered into this 6th day of February, 2024 (“Effective
Date”), by and between CITY OF UKIAH, CALIFORNIA, hereinafter referred to as "City" and On
Duty Health, a corporation organized and in good standing under the laws of the state of Texas,
hereinafter referred to as "Consultant".
RECITALS
This Agreement is predicated on the following facts:
a. City requires consulting services related to NFPA-1582 Firefighter Health & Fitness
Assessments for fire personnel.
b. Consultant represents that it has the qualifications, skills, experience and properly
licensed to provide these services, and is willing to provide them according to the terms
of this Agreement.
c. City and Consultant agree upon the Scope-of-Work and Work Schedule attached hereto
as Attachment "A", describing contract provisions for the project and setting forth the
completion dates for the various services to be provided pursuant to this Agreement.
TERMS OF AGREEMENT
1.0 DESCRIPTION OF PROJECT
1.1 The Project is described in detail in the attached Scope-of-Work (Attachment "A").
2.0 SCOPE OF SERVICES
2.1 As set forth in Attachment "A".
2.2. Additional Services. Additional services, if any, shall only proceed upon written
agreement between City and Consultant. The written Agreement shall be in the form of
an Amendment to this Agreement.
3.0 CONDUCT OF WORK
3.1 Time of Completion. Consultant shall commence performance of services as required
by the Scope-of-Work upon receipt of a Notice to Proceed from City. Consultant shall
complete the work to the City's reasonable satisfaction, even if contract disputes arise or
Consultant contends it is entitled to further compensation.
4.0 COMPENSATION FOR SERVICES
4.1 Basis for Compensation. For the performance of the professional services of this
Agreement, Consultant shall be compensated on a time and expense basis not to
exceed a guaranteed maximum dollar amount of $21,634.00. Labor charges shall be
based upon hourly billing rates for the various classifications of personnel employed by
Consultant to perform the Scope of Work as set forth in the attached Attachment B,
which shall include all indirect costs and expenses of every kind or nature, except direct
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expenses. The direct expenses and the fees to be charged for same shall be as set
forth in Attachment “A”. Consultant shall complete the Scope of Work for the not-to-
exceed guaranteed maximum, even if actual time and expenses exceed that amount.
4.2 Changes. Should changes in compensation be required because of changes to the
Scope-of-Work of this Agreement, the parties shall agree in writing to any changes in
compensation. "Changes to the Scope-of-Work" means different activities than those
described in Attachment "A" and not additional time to complete those activities than the
parties anticipated on the date they entered this Agreement.
4.3 Sub-contractor Payment. The use of sub-consultants or other services to perform a
portion of the work of this Agreement shall be approved by City prior to commencement
of work. The cost of sub-consultants shall be included within guaranteed not-to-exceed
amount set forth in Section 4.1.
4.4 Terms of Payment. Payment to Consultant for services rendered in accordance with this
contract shall be based upon submission of monthly invoices for the work satisfactorily
performed prior to the date of the invoice less any amount already paid to Consultant,
which amounts shall be due and payable thirty (30) days after receipt by City. The
invoices shall provide a description of each item of work performed, the time expended
to perform each task, the fees charged for that task, and the direct expenses incurred
and billed for. Invoices shall be accompanied by documentation sufficient to enable City
to determine progress made and to support the expenses claimed.
5.0 ASSURANCES OF CONSULTANT
5.1 Independent Contractor. Consultant is an independent contractor and is solely
responsible for its acts or omissions. Consultant (including its agents, servants, and
employees) is not the City's agent, employee, or representative for any purpose.
It is the express intention of the parties hereto that Consultant is an independent
contractor and not an employee, joint venturer, or partner of City for any purpose
whatsoever. City shall have no right to, and shall not control the manner or prescribe the
method of accomplishing those services contracted to and performed by Consultant
under this Agreement, and the general public and all governmental agencies regulating
such activity shall be so informed.
Those provisions of this Agreement that reserve ultimate authority in City have been
inserted solely to achieve compliance with federal and state laws, rules, regulations, and
interpretations thereof. No such provisions and no other provisions of this Agreement
shall be interpreted or construed as creating or establishing the relationship of employer
and employee between Consultant and City.
Consultant shall pay all estimated and actual federal and state income and self-
employment taxes that are due the state and federal government and shall furnish and
pay worker's compensation insurance, unemployment insurance and any other benefits
required by law for himself and his employees, if any. Consultant agrees to indemnify
and hold City and its officers, agents and employees harmless from and against any
claims or demands by federal, state or local government agencies for any such taxes or
benefits due but not paid by Consultant, including the legal costs associated with
defending against any audit, claim, demand or law suit.
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Consultant warrants and represents that it is a properly licensed professional or
professional organization with a substantial investment in its business and that it
maintains its own offices and staff which it will use in performing under this Agreement.
5.2 Conflict of Interest. Consultant understands that its professional responsibility is solely
to City. Consultant has no interest and will not acquire any direct or indirect interest that
would conflict with its performance of the Agreement. Consultant shall not in the
performance of this Agreement employ a person having such an interest. If the City
Manager determines that the Consultant has a disclosure obligation under the City’s
local conflict of interest code, the Consultant shall file the required disclosure form with
the City Clerk within 10 days of being notified of the City Manager’s determination.
6.0 INDEMNIFICATION
6.1 Insurance Liability. Without limiting Consultant's obligations arising under Paragraph 6.2
Consultant shall not begin work under this Agreement until it procures and maintains for
the full period of time allowed by law, surviving the termination of this Agreement
insurance against claims for injuries to persons or damages to property, which may arise
from or in connection with its performance under this Agreement.
A. Minimum Scope of Insurance
Coverage shall be at least as broad as:
1. Insurance Services Office ("ISO) Commercial General Liability Coverage
Form No. CG 20 10 10 01 and Commercial General Liability Coverage –
Completed Operations Form No. CG 20 37 10 01.
2. ISO Form No. CA 0001 (Ed. 1/87) covering Automobile Liability, Code 1
"any auto" or Code 8, 9 if no owned autos and endorsement CA 0025.
3. Worker's Compensation Insurance as required by the Labor Code of the
State of California and Employers Liability Insurance.
4. Errors and Omissions liability insurance appropriate to the consultant’s
profession. Architects’ and engineers’ coverage is to be endorsed to
include contractual liability.
B. Minimum Limits of Insurance
Consultant shall maintain limits no less than:
1. General Liability: $1,000,000 combined single limit per occurrence for
bodily injury, personal injury and property damage including operations,
products and completed operations. If Commercial General Liability
Insurance or other form with a general aggregate limit is used, the
general aggregate limit shall apply separately to the work performed
under this Agreement, or the aggregate limit shall be twice the prescribed
per occurrence limit.
2. Automobile Liability: $1,000,000 combined single limit per accident for
bodily injury and property damage.
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3. Worker's Compensation and Employers Liability: Worker's compensation
limits as required by the Labor Code of the State of California and
Employers Liability limits of $1,000,000 per accident.
4. Errors and Omissions liability: $1,000,000 per occurrence.
C. Deductibles and Self-Insured Retentions
Any deductibles or self-insured retentions must be declared to and approved by
the City. At the option of the City, either the insurer shall reduce or eliminate
such deductibles or self-insured retentions as respects to the City, its officers,
officials, employees and volunteers; or the Consultant shall procure a bond
guaranteeing payment of losses and related investigations, claim administration
and defense expenses.
D. Other Insurance Provisions
The policies are to contain, or be endorsed to contain, the following provisions:
1. General Liability and Automobile Liability Coverages
a. The City, it officers, officials, employees and volunteers are to be
covered as additional insureds as respects; liability arising out of
activities performed by or on behalf of the Consultant, products
and completed operations of the Consultant, premises owned,
occupied or used by the Consultant, or automobiles owned, hired
or borrowed by the Consultant for the full period of time allowed by
law, surviving the termination of this Agreement. The coverage
shall contain no special limitations on the scope-of-protection
afforded to the City, its officers, officials, employees or volunteers.
b. The Consultant's insurance coverage shall be primary insurance
as respects to the City, its officers, officials, employees and
volunteers. Any insurance or self-insurance maintained by the
City, its officers, officials, employees or volunteers shall be in
excess of the Consultant's insurance and shall not contribute with
it.
c. Any failure to comply with reporting provisions of the policies shall
not affect coverage provided to the City, its officers, officials,
employees or volunteers.
d. The Consultant's insurance shall apply separately to each insured
against whom claim is made or suit is brought, except with respect
to the limits of the insurer's liability.
2. Worker's Compensation and Employers Liability Coverage
The insurer shall agree to waive all rights of subrogation against the City,
its officers, officials, employees and volunteers for losses arising from
Consultant's performance of the work, pursuant to this Agreement.
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3. Professional Liability Coverage
If written on a claims-made basis, the retroactivity date shall be the
effective date of this Agreement. The policy period shall extend one year
from date of final approved invoice.
4. All Coverages
Each Insurance policy required by this clause shall be endorsed to state
that coverage shall not be suspended, voided, canceled by either party,
reduced in coverage or in limits except after thirty (30) days prior written
notice by certified mail, return receipt requested, has been given to the
City.
E. Acceptability of Insurers
Insurance is to be placed with admitted California insurers with an A.M. Best's
rating of no less than A- for financial strength, AA for long-term credit rating and
AMB-1 for short-term credit rating.
F. Verification of Coverage
Consultant shall furnish the City with Certificates of Insurance and with original
Endorsements effecting coverage required by this Agreement. The Certificates
and Endorsements for each insurance policy are to be signed by a person
authorized by that insurer to bind coverage on its behalf. The Certificates and
Endorsements are to be on forms provided or approved by the City. Where by
statute, the City's Workers' Compensation - related forms cannot be used,
equivalent forms approved by the Insurance Commissioner are to be substituted.
All Certificates and Endorsements are to be received and approved by the City
before Consultant begins the work of this Agreement. The City reserves the right
to require complete, certified copies of all required insurance policies, at any
time. If Consultant fails to provide the coverages required herein, the City shall
have the right, but not the obligation, to purchase any or all of them. In that
event, the cost of insurance becomes part of the compensation due the
contractor after notice to Consultant that City has paid the premium.
G. Subcontractors
Consultant shall include all subcontractors or sub-consultants as insured under
its policies or shall furnish separate certificates and endorsements for each sub-
contractor or sub-consultant. All coverage for sub-contractors or sub-consultants
shall be subject to all insurance requirements set forth in this Paragraph 6.1.
6.2 Indemnification. Notwithstanding the foregoing insurance requirements, and in addition
thereto, Consultant agrees, for the full period of time allowed by law, surviving the
termination of this Agreement, to indemnify the City for any claim, cost or liability that
arises out of, or pertains to, or relates to any negligent act or omission or the willful
misconduct of Consultant in the performance of services under this contract by
Consultant, but this indemnity does not apply to liability for damages for death or bodily
injury to persons, injury to property, or other loss, arising from the sole negligence, willful
misconduct or defects in design by the City, or arising from the active negligence of the
City.
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“Indemnify,” as used herein includes the expenses of defending against a claim and the
payment of any settlement or judgment arising out of the claim. Defense costs include
all costs associated with defending the claim, including, but not limited to, the fees of
attorneys, investigators, consultants, experts and expert witnesses, and litigation
expenses.
References in this paragraph to City or Consultant, include their officers, employees,
agents, and subcontractors.
7.0 CONTRACT PROVISIONS
7.1 Ownership of Work. All documents furnished to Consultant by City and all documents or
reports and supportive data prepared by Consultant under this Agreement are owned
and become the property of the City upon their creation and shall be given to City
immediately upon demand and at the completion of Consultant's services at no
additional cost to City. Deliverables are identified in the Scope-of-Work, Attachment "A".
All documents produced by Consultant shall be furnished to City in digital format and
hardcopy. Consultant shall produce the digital format, using software and media
approved by City.
7.2 Governing Law. Consultant shall comply with the laws and regulations of the United
States, the State of California, and all local governments having jurisdiction over this
Agreement. The interpretation and enforcement of this Agreement shall be governed by
California law and any action arising under or in connection with this Agreement must be
filed in a Court of competent jurisdiction in Mendocino County.
7.3 Entire Agreement. This Agreement plus its Attachment(s) and executed Amendments
set forth the entire understanding between the parties.
7.4 Severability. If any term of this Agreement is held invalid by a court of competent
jurisdiction, the remainder of this Agreement shall remain in effect.
7.5 Modification. No modification of this Agreement is valid unless made with the agreement
of both parties in writing.
7.6 Assignment. Consultant's services are considered unique and personal. Consultant
shall not assign, transfer, or sub-contract its interest or obligation under all or any portion
of this Agreement without City's prior written consent.
7.7 Waiver. No waiver of a breach of any covenant, term, or condition of this Agreement
shall be a waiver of any other or subsequent breach of the same or any other covenant,
term or condition or a waiver of the covenant, term or condition itself.
7.8 Termination. This Agreement may only be terminated by either party: 1) for breach of
the Agreement; 2) because funds are no longer available to pay Consultant for services
provided under this Agreement; or 3) City has abandoned and does not wish to complete
the project for which Consultant was retained. A party shall notify the other party of any
alleged breach of the Agreement and of the action required to cure the breach. If the
breaching party fails to cure the breach within the time specified in the notice, the
contract shall be terminated as of that time. If terminated for lack of funds or
abandonment of the project, the contract shall terminate on the date notice of
termination is given to Consultant. City shall pay the Consultant only for services
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performed and expenses incurred as of the effective termination date. In such event, as
a condition to payment, Consultant shall provide to City all finished or unfinished
documents, data, studies, surveys, drawings, maps, models, photographs and reports
prepared by the Consultant under this Agreement. Consultant shall be entitled to
receive just and equitable compensation for any work satisfactorily completed
hereunder, subject to off-set for any direct or consequential damages City may incur as
a result of Consultant's breach of contract.
7.9 Execution of Agreement. This Agreement may be executed in duplicate originals, each
bearing the original signature of the parties. Alternatively, this Agreement may be
executed and delivered by facsimile or other electronic transmission, and in more than
one counterpart, each of which shall be deemed an original, and all of which together
shall constitute one and the same instrument. When executed using either alternative,
the executed agreement shall be deemed an original admissible as evidence in any
administrative or judicial proceeding to prove the terms and content of this Agreement.
8.0 NOTICES
Any notice given under this Agreement shall be in writing and deemed given when
personally delivered or deposited in the mail (certified or registered) addressed to the
parties as follows:
UKIAH VALLEY FIRE AUTHORITY ON DUTY HEALTH
ATTN: CHIEF DOUG HUTCHISON ATTN: GREG BATLA
300 SEMINARY AVENUE 1752 E LUGONIA AVE., STE 117-4949
UKIAH, CALIFORNIA 95482-5400 REDLANDS, CA 92374
9.0 SIGNATURES
IN WITNESS WHEREOF, the parties have executed this Agreement the Effective Date:
ON DUTY HEALTH
BY: __________________________ ____________________
GREG BATLA Date
CHIEF EXECUTIVE OFFICER
IRS IDN Number
CITY OF UKIAH
BY: ____________________
SAGE SANGIACOMO Date
CITY MANAGER
ATTEST
____________________
KRISTINE LAWLER Date
CITY CLERK
Apr 12, 2024
Kristine Lawler (Apr 15, 2024 07:42 PDT)
Kristine Lawler Apr 15, 2024
Keeping Firefighters
Healthy & Fit For Service
Physician & Firefighter owned
Attachment A
On-Site Firefighter Health Specialists
•Full NFPA 1582, 1583, and WFI compliant annual assessment at your department.
•Full body ultrasound screening
•Cardiopulmonary Exercise Testing (CPET)
•TRUE VO2 Max testing
•Comprehensive labs and urinalysis
•Vision and audiometry testing
•Muscular strength and endurance testing
•In-depth behavioral health assessments
•Human Performance & Health Analysis
•Department-wide Health Dashboards
•Return-to-duty assessments
•New hire assessments
•Health education seminars
•Behavioral health support
•Nutrition counseling
•Fitness training
•Conducting, participating in, and incorporating the latest research in firefighter health
Keeping Firefighters
Healthy & Fit For Service
On Duty Health
First Responder Health
512.655.3578
info@onduty.health
1752 E Lugonia Ave, STE 117-4949
Redlands, CA 92374
Dear Firefighter,
Thank you for your interest in On Duty Health regarding your annual firefighter health & fitness
assessments. We take very seriously the high calling that it is to serve this critical population.
And we’re confident that we’ll provide you with expert health assessments as well as excellent
customer service.
Included in this proposal, you’ll find the outline of services we offer, including a full NFPA 1582,
1583 and WFI compliant annual assessment at your department. This includes a full body
ultrasound screening, comprehensive labs, a maximal 12-lead EKG treadmill stress test (WFI
protocol), TRUE VO2 Max testing, vision and audiometry testing, muscular strength and
endurance testing, in-depth behavioral health assessment, and more.
Our medical record system is fully electronic, meaning that each of your members will always
have a secure online portal through which they can track their health results year to year. And,
we provide administration with a department-wide analytics dashboard to help inform your
decisions on where to implement health improvement plans, with our guidance.
We also hope to partner with you to offer continuing services such as return-to-duty
assessments, new hire assessments, health education seminars, behavioral health support,
nutrition counseling and fitness training. Consider us your one-stop-shop for all your fire health
needs.
Our Co-owner and Chief Operating Officer is a recently retired Fire Chief with 28 years in the
industry, bringing a firefighter-tailored experience and perspective to everything we do. We
practice evidence-based medicine, following current peer-reviewed research, offering novel
cancer screening tools such as the Galleri Multi-Cancer Detection Blood Test and Low Dose CT.
Our physicians are board certified in cardiology, radiology, dermatology, general and
preventative medicine. And our team of Physician Assistants, Nurse Practitioners, Ultrasound
Technicians, Exercise Physiologists, Counselors, Nutritionists, Personal Trainers and
Phlebotomists are all specifically trained in firefighter occupational health.
Again, thank you for your request. I’m hopeful that we’ll be working together soon to help keep
your firefighters healthy and fit for service. And please don’t hesitate to call or email us if you
have any questions.
Warm regards,
Kristin Batla, DMSc, PA-C
Chief Medical Officer, Co-owner
On Duty Health
Company Profile
On Duty Health is a physician, firefighter and female-
owned, customer-service-centered healthcare company
specifically specialized in mobile firefighter health. We
currently serve over 5,400 first responders in 104
agencies across Texas, California and Missouri with our
comprehensive annual health and fitness assessments.
This company was founded specifically to improve health outcomes for
firefighters; a highly at-risk population. These risks include:
Cancers (NIOSH)
•9% higher risk of being diagnosed with cancer
•14% higher risk of dying from cancer
•Significantly higher risk for specific types of cancer
Cardiac Deaths (NFPA)
40-50% of annual duty-related fatalities
Behavioral Health Issues (IAFF)
19% experienced suicidal thoughts
27% struggled with substance abuse
65% suffer from PTSD
80% said asking for help would make them seem “weak”
With the above statistics in mind, our system has been designed to identify life
threatening issues early so a firefighter may have the best chance at not only
surviving, but thriving well into retirement. We are fully NFPA-compliant, but go
well beyond the NFPA standards by incorporating the latest research and
knowledge in firefighter-specific health concerns. And, we bring the best value
for your taxpayer dollars by focusing on providing the most comprehensive
option, for the best pricing; This includes providing our full physical assessment
for every member, every year, as well as providing for Radiology and
Cardiology followups when indicated.
Packages
We offer the following pricing packages to fit the specific needs of your agency. One package must be
selected for entire department, however, certain customizations including those listed under “Additional
Services” below are available.
BRONZE PACKAGE
Description
BRONZE HEALTH & FITNESS ASSESSMENT PACKAGE
Labs & Urinalysis
• Urinalysis
• Complete Blood Count
• Complete Metabolic Panel
• Lipid Panel with LDL/HDL Ratio (Total Cholesterol)
• A1C (Glucose/Hemoglobin)
• Thyroid Stimulating Hormone
• Prostate Specific Antigen (male members over 40)
Full Physical
• Comprehensive Physical with Health History & Vitals
• Vision Testing
• Audiometry Testing
• Skin Cancer Assessment
• Behavioral Health Assessment
• Review of Results w/ Personalized Health Plan
Cardiopulmonary Screening & Fitness Assessment
• EKG Treadmill Stress Testing; Consisting of 12-lead EKG treadmill/stepmill stress test run to maximal
volition utilizing WFI protocol, VO2 Max Calculation)
• Pulmonary Function Testing (Spirometry)
• Metabolic Analysis w/ Body Composition
• Muscular Endurance, Strength and Flexibility Evaluation
SILVER PACKAGE (most popular)
Description
SILVER HEALTH & FITNESS ASSESSMENT PACKAGE
Labs & Urinalysis
• Urinalysis
• Complete Blood Count:
• Complete Metabolic Panel
• Lipid Panel with LDL/HDL Ratio
• A1C
• Thyroid Stimulating Hormone
• Prostate Specific Antigen (male members 40 and over)
• FIT Fecal Occult Screening Kit (members 40 and over)
Full Physical
• Comprehensive Physical with Health History & Vitals
• Titmus V2 Advanced Vision Testing
• Audiometry Testing
• Skin Cancer Assessment
• Behavioral Health Assessment
• Review of Results w/ Personalized Health Plan
Cardiopulmonary Screening & Fitness Assessment
• Cardiopulmonary Exercise Testing (CPET) consisting of 12-lead EKG treadmill/stepmill stress test run
to maximal volition utilizing WFI protocol, Blood Pressure readings, and TRUE VO2 Max Testing)
• Pulmonary Function Testing (Spirometry)
• Metabolic Analysis w/ Body Composition
• Muscular Endurance, Strength and Flexibility Evaluation
• Cardiology followup interpretation for irregular results
Ultrasound Enhanced Cancer Screening
• Ultrasound imaging of the heart with function,
aorta & aortic valves, carotid arteries, thyroid, liver, pancreas, gall bladder, spleen, kidneys, bladder, pelvic
(women), testicular and prostate (men)
• Radiology followup interpretation for irregular results
GOLD PACKAGE
Description
GOLD HEALTH & FITNESS ASSESSMENT PACKAGE
Labs & Urinalysis
• Urinalysis
• Complete Blood Count:
• Complete Metabolic Panel
• Lipid Panel with LDL/HDL Ratio
• A1C
• Thyroid Stimulating Hormone
• Prostate Specific Antigen (male members 40 and over)
• FIT Fecal Occult Screening Kit (all members)
Full Physical
• Comprehensive Physical with Health History & Vitals
• Titmus V2 Advanced Vision Testing
• Audiometry Testing
• Skin Cancer Assessment
• Behavioral Health Assessment
• Review of Results w/ Personalized Health Plan
Cardiopulmonary Screening & Fitness Assessment
• Cardiopulmonary Exercise Testing (CPET) consisting of 12-lead EKG treadmill/stepmill stress test run
to maximal volition utilizing WFI protocol, Blood Pressure readings, and TRUE VO2 Max Testing)
• Pulmonary Function Testing (Spirometry)
• Metabolic Analysis w/ Body Composition
• Muscular Endurance, Strength and Flexibility Evaluation
• Cardiology followup interpretation for irregular results
Ultrasound Enhanced Cancer Screening
• Ultrasound imaging of the carotid arteries, thyroid, liver, pancreas, gall bladder, spleen, kidneys,
bladder, pelvic (women), testicular and prostate (men)
• Radiology followup interpretation for irregular results
Galleri 50+ Multicancer Detection Test
• Able to detect over 50 types of active cancers with very high specificity (99.5%) and very low false positivity (~0.5%) • Offered annually for members 50+ and every five years for members 40-49 (age 40, age 45) (numbers estimated)
PLATINUM PACKAGE
Description
PLATINUM HEALTH & FITNESS ASSESSMENT PACKAGE
Labs & Urinalysis
• Urinalysis • Complete Blood Count: • Complete Metabolic Panel • Lipid Panel with LDL/HDL Ratio • A1C • Thyroid Stimulating Hormone • Prostate Specific Antigen (male members 40 and over) • FIT Fecal Occult Screening Kit (ALL members)
Full Physical
• Comprehensive Physical with Health History & Vitals • Titmus V2 Advanced Vision Testing • Audiometry Testing • Skin Cancer Assessment • Behavioral Health Assessment • Review of Results w/ Personalized Health Plan
Cardiopulmonary Screening & Fitness Assessment
• Cardiopulmonary Exercise Testing (CPET) consisting of 12-lead EKG treadmill/stepmill stress test run to maximal volition utilizing WFI protocol, Blood Pressure readings, and TRUE VO2 Max Testing) • Pulmonary Function Testing (Spirometry) • Metabolic Analysis w/ Body Composition • Muscular Endurance, Strength and Flexibility Evaluation • Cardiology followup interpretation for irregular results, if indicated
Ultrasound Enhanced Cancer Screening
• Ultrasound imaging of the carotid arteries, thyroid, liver, pancreas, gall bladder, spleen, kidneys, bladder, pelvic (women), testicular and prostate (men) • Radiology followup interpretation for irregular results, if indicated
Galleri 50+ Multicancer Detection Test
• Able to detect over 50 types of active cancers with very high specificity (99.5%) and very low false positivity (~0.5%) • Offered annually for members 50+ and every five years for members 40-49 (age 40, age 45) (numbers estimated)
Low Dose CT Lung Screening
• Lung cancer screening available through nearby regional partners. With radiologist review and report. • Offered every five years for every member (numbers estimated)
NEW HIRES RECOMMENDED PACKAGE (FYI)
New Hires may be scheduled at the time and location of your annual physicals, or being seen at a nearby
department. Special pricing for a “rapid strike” option where our team deploys to your location to
specifically assess your new hires is also available.
Description
NEW HIRES HEALTH & FITNESS ASSESSMENT PACKAGE
Labs & Urinalysis
• Urinalysis
• Complete Blood Count:
• Complete Metabolic Panel
• Lipid Panel with LDL/HDL Ratio
• A1C
• Thyroid Stimulating Hormone
• Hepatitis Panel (A, B, C)
• HIV Screening
• TB Screening (QuantiFERON Gold Blood Test)
• Urine Drug Screen
• Heavy Metals I Profile
• Prostate Specific Antigen (male members 40 and over)
• FIT Fecal Occult Screening Kit (all members)
Full Physical
• Comprehensive Physical with Health History & Vitals
• Titmus V2 Advanced Vision Testing
• Audiometry Testing
• Skin Cancer Assessment
• Behavioral Health Assessment
• Review of Results w/ Personalized Health Plan
Cardiopulmonary Screening & Fitness Assessment
• EKG Treadmill Stress Testing; Consisting of 12-lead EKG treadmill/stepmill stress test run to maximal
volition utilizing WFI protocol, VO2 Max Calculation)
• Pulmonary Function Testing (Spirometry)
• Metabolic Analysis w/ Body Composition
• Muscular Endurance, Strength and Flexibility Evaluation
Additional Services Available (per person)
Item Description
Phlebotomy On-Site Phlebotomy Services (fee may be excluded if utilizing a local LabCorp or Quest for
the draws
Cancer Labs Galleri Multi-Cancer Early Detection Blood Test (50+ cancers)
CA-125 (ovarian cancer screening - women)
Cancer antigen 15-3 (CA 15-3) [breast cancer]
Other Labs Hepatitis A, B and C Test (Acute Hepatitis Panel)
QuantiFERON Gold TB (Blood test)
Medical Professionals Urine Drug Screen (12 drug panel)
Nicotine Screening (Urine)
HIV testing
Heavy Metals Profile I, Blood (arsenic, lead, mercury)
Heavy Metals Profile II, Blood (arsenic, cadmium, lead, mercury)
Cholinesterase (HazMat) testing
Testosterone levels
Radiology Low Dose CT Lung Screening. Reviewed by Radiologist. (Available through regional off-
site partners)
Cardiology Cardiac CT Calcium Scoring (Available through regional off-site partners)
Continuous Health
Monitoring
Partnership with Transcend Health to offer continuous health monitoring services through a
members smartwatch, with AI analysis and on-call providers with periodic health checkins
New Hire & Return to Duty Available on an ongoing basis with regional scheduling (Send member to us at a nearby
agency). Same pricing as full assessment.
Mental Health Support Each health assessment comes standard with a written and oral behavioral health
assessment, designed for firefighters. For continued support, we use counselors &
therapists that are specifically trained to meet the needs of your firefighter with PTSD
support and more. Can be offered on-site or through tele-medicine.
Personal Training Our certified personal trainer can build individual or group packages to improve health
outcomes through customized workout routines and demonstrations
Nutrition Counseling Each health assessment comes standard with nutrition recommendations. However, our
licensed nutritionist can build individual or group packages to work with your members for
guidance in meal planning, shopping, cooking, and more for enhanced health outcomes.
Health Dashboards
Awareness of your department’s overall health is extremely important. We assist you by
providing a de-identified Health Dashboard which shares various key health metrics,
guiding you for improving the health and longevity of your crew. This data-driven model
allows department administration to see exactly where attention and investment might be
needed.
Galleri 50+ Multicancer Test
We have partnered with Grail to offer the Galleri test, which is a revolutionary new blood
test that can detect over 50 different types of active cancers. Incredibly, this test has a
false positivity rate of 0.5% and a specificity of 99.5%. Our rate is drastically reduced
from the standard price of $949/pp (plus provider fees) due to an agreement with the
IAFF. Click the picture to the right to learn more.
No Member Left Behind
We offer the most competitive pricing, while also offering the most advanced,
comprehensive exam available. Our COO, as a retired Fire Chief, has made
it a priority for us to offer this high-level of service, while keeping costs down
to ensure taxpayers that their dollars are being spent wisely. From our lower
pricing, you can see one simple, but important reality: On Duty Health is
focused on First Responder Health, not maximizing profits. An important
principle in our pricing structure is: NO MEMBER LEFT BEHIND. That
means, for most of our packages, every member is receiving the Ultrasound
Screening and Stress Testing every year. While there is some research to support age stratification,
where members under 40 receive these tests over longer intervals, we have found cancer and life
threatening heart conditions in this younger population. Our system provides the most comprehensive
option by including these important testing elements for each member every year.
Research Driven
We are not only interested in utilizing the newest available research for
firefighter health, we are interested in driving it. Currently, we are involved in
multiple research studies to further firefighter health and wellness, particularly in
regards to firefighter Behavioral Health, Cancer, and Cardiac Health. We are
currently partnered with organizations such as the National Fire Academy, Fire
Service Psychology Association, University of Arizona’s Center for Firefighter
Health Collaborative Research, the National Disease Research Interchange’s
Center for Fire, Rescue, and EMS Health Research, and Loma Linda University.
With these current research projects, we are hoping to further the fire industry as a whole, by continuing
to develop the best standards possible for firefighter health.
California Based
We are based in Southern California, and currently serve 41 CA First Responder agencies, from the San
Diego area all the way up to Eureka.
CA References:
Jay Wojnowski, Heartland Fire
jwojnowski@heartlandfire.org
Alex Kargbo, Santa Barbara Fire
akargbo@SantaBarbaraCA.gov
Jay Enns, Paso Robles Fire
JEnns@prcity.com
Reviews:
✪✪✪✪✪ On Duty Health has set a very high bar for Health and Wellness screenings, and consulting. The team at On Duty Health
took great care of our Firefighters, spent ample time explaining the findings of our assessments, and set us up for success to better
serve our community. We look forward to working with them annually. -Sid Jamotte, Health & Wellness Coordinator, Ross Valley, CA
FD.
✪✪✪✪✪ On Duty Health has been great for all our members at Santa Barbara City Fire and would recommend ODHs services to
any and everybody. Amazing staff and end product. -Alex Kargbo, Health & Wellness Coordinator, Santa Barbara, CA FD.
✪✪✪✪✪ This is our second year using this service. We are very pleased. Thank you for keeping our people healthy. Amazing staff
and end product. -Brian Hayward, Division Chief, Heartland Fire & Rescue, CA.
✪✪✪✪✪ On Duty Health has been a fantastic company to work with. After transitioning to them for our annual department
physicals, our personnel have had nothing but positive things to say about the experience. The consensus, which is hard to get with
180 personnel, is that the thoroughness and quality of their services is far superior to our previous provider. In my position I interact
with numerous vendors and On Duty is at the top of my list for the best to work with. From the ownership to the practitioners on site,
everyone is professional and responsive to our needs. Communications are clear and timely, with a truly collaborative effort existing
between our department and On Duty. I highly recommend On Duty Health to anyone looking into providers for their department’s
physicals. -Captain Kyle Williford, Richardson, TX FD
Current CA Departments:
Arcata
Atascadero
Atwater
Barona
Big Bear
Carpenteria-Summerland
Central Marin
Coronado
El Cajon PD
Eureka PD
Five Cities
Heartland (El Cajon, La Mesa, Lemon Grove)
Humboldt Bay
Kentfield
Loma Linda
Montecito
Morrow Bay
Mountain View
National City
North County Fire Authority (Daly City)
North County Fire Protection Dist (Fallbrook)
Oxnard
Palm Springs
Paso Robles
Rancho Santa Fe
Rialto
Ross Valley
San Bernardino County
San Manuel
San Miguel
Santa Barbara City
Santa Barbara County
Santee
South Placer
Tiburon
Ukiah
Victorville
West Covina
Contact
512.655.3578
info@onduty.health
CALIFORNIA OFFICE
1752 E Lugonia Ave, STE 117-4949
Redlands, CA 92374
TEXAS OFFICE
2028 E Ben White Blvd, STE 240-4949
Austin, TX 78741
www.onduty.health
Follow Us
@ondutyhealth
E ST I M AT E
O n Du ty Health , PL L C
1752 E Lugonia Av e, STE 240-4949
R ed land s , CA 92373
info@ond uty.health
+1 (512) 655-3578
www.ond uty.health
Uki ah, C A Fire De partment
B ill to
Chief Douglas Hutchins on
Uk iah, CA Fir e D ep ar tment
1500 South State Street
Uk iah, CA 95482
Sh ip to
Chief Douglas Hutchins on
Ukiah, CA Fir e D ep ar tment
1500 South State Street
Ukiah, CA 95482
Estimate d etails
E s timate no.: 1033
E s timate d ate: 01/03/2024
E xp iration d ate: 04/30/2024
#Produ ct o r service SKU Q ty Rate A mou n t
1."Silver Package" Health & F itn ess A ssessmen t 26 $729.00 $18,954.00
Lab s & Urinaly s is :
Urinaly s is , Comp lete B lood Count, Comp lete M etab olic Panel , Lip id Panel with LD L/HD L R atio, A1C, Thy roid Stimulating
Hormone , Pr os tate Sp ecific Antigen (male memb er s 40 and ov er), FIT Fecal Occult Scr eening Kit (memb ers 40 and ov er )
Full Phy s ical:
Comp rehens iv e Phy s ical with Health His tory & Vitals , Titmus V 2 Ad v anced V is ion Tes ting , Aud iometry Tes ting , Sk in Cancer
As s es s ment , B ehav ior al Health As s es s ment , R ev iew of R es ults w/ Pers onalized Health Plan
Card iop ulmonar y Screening & Fitnes s As s es s ment
Card iop ulmonar y E x er cis e Tes ting (CPET, cons is ting of 12-lead E KG tr ead mill/s tep mill s tres s tes t run to max imal v olition
utilizing WFI p r otocol, B lood Pres s ure r ead ings , and TR UE V O2 M ax Tes ting), Pulmonary Function Tes ting (Sp irometr y ),
M etab olic Analy s is w/ B od y Comp os ition , M us cular E nd ur ance, Strength and Flexib ility Ev aluation, Car d iology followup
inter p retation for irr egular res ults , if ind icated
Ultras ound Cancer Screening:
Ultras ound imaging of the car otid ar teries , thy roid , liv er, p ancr eas , gall b lad d er, s p leen, kid ney s , b lad d er, p elv ic (women),
tes ticular and p ros tate (men) , R ad iology followup inter p retation for irr egular res ults , if ind icated
2.O n Site Ph leb o tomy 26 $49.00 $1,274.00
Send ing p hleb otomis t on-s ite to p er form d raws and urinaly s is
3.Heavy Metals II 4 $159.00 $636.00
Ars enic, Cad mium, Lead , M ercury
4.Ch o lin esterase Blood Test 4 $69.00 $276.00
HazM at Tes ting
5.DMV Q u estio n n aire 26 $19.00 $494.00
Firefi ghter End ors ement
Total $21,634.00
E xp iry
d ate 04/30/2024
MASTER TERMS AND CONDITIONS
These Master Terms and Conditions (“MTC”) govern all use of the Services from On Duty Health
(“Company”) by the “Customer”, as defined in the Proposal/Purchase Order (collectively the “Parties” and
individually a “Party”).
1. Services. The Company shall provide the Customer’s employees with certain services (“Services”).
Services consist of those listed in the “Estimate” or “Proposal.”
2. Employee List & Schedule. At least six (6) weeks before the Company performs the Services, the
Customer shall provide the Company with a list of all employees that will receive the Services
(based off of the “Roster Template” provided by the Company). At least two (2) weeks before the
Company performs the Services, the Customer shall provide the Company with a Schedule of
which Employees will be seen at what date and time (based off of the “Schedule Template”
provided by the Company).
3. Modification and Cancellation of Proposal/Estimate. The Customer may cancel or modify the expected
number of patients to be seen, in whole or in part, without penalty prior to six (6) weeks out
from the date set for receiving the Services (Assessments Start Date). After this point,
the Customer may not modify or cancel the expected number of patients to be seen
(numbers may be increased if needed, but not decreased), and shall be responsible for the
fees for all Services described in the Proposal/Estimate. If Customer has an Employee(s)
who will miss the assessments due to sickness or other reasons, the Customer will hold a “credit”
for that Employee, and may work with Company to schedule them for their assessments at
another time and place. This credit will remain valid for two hundred (200) days from the start
date of the current series of assessments.
4. Fee. The Customer shall pay the Company the fee set forth in the Proposal/Purchase Order for each
Fitness Assessment. The Customer shall remit payment to the Company for all Services within
thirty (30) days of receipt of the invoice. A 2% late fee charge will be assessed after 30 days, and
for each month thereafter that the payment is delayed.
5. Equipment. The Company agrees to provide all equipment and supplies necessary for the assessments,
EXCEPT for a treadmill. The Customer agrees to provide a properly functioning treadmill
(with variable speed and variable incline) and adequate space for the assessments to be
conducted.
6. Tardiness. All patients are encouraged to arrive for their appointed/assigned time slot at least 15
minutes prior to their start time, WITH all patient intake (online check-in) information filled out.
Patients who arrive for their appointment later than 15 minutes after their start time will be
turned away and urged to re-schedule (unless they were tardy due to a call….at On Duty Health,
we respect the call). As is the case with any medical practice, it is important for us to keep our
schedule running on time. If a patient is going to be tardy, please substitute another patient from
later in the schedule if possible. If you need assistance with scheduling, please call our office at
512-655-3578.
7. Location Reciprocity. The Customer agrees to allow a small number of members from other
departments, if any, to be seen on their premises. This allows for make-up physicals if a member
missed at a nearby department, return to duty or new hire physicals. As such, other nearby
departments will be granting such reciprocity to The Customer.
8. Expected Price Increases. The pricing listed in the proposal is valid for one (1) year from the date listed
on the cover sheet. Due to inflation, please expect a ~5% price increase each year (as per the
Medical Price Index average), unless signing a multiyear contract.
9. Limitation of Liability. EXCEPT AS PROHIBITED BY LAW, IN NO EVENT SHALL COMPANY BE
LIABLE TO CUSTOMER FOR ANY INDIRECT, SPECIAL, INCIDENTAL, EXEMPLARY,
MULTIPLE, PUNITIVE OR CONSEQUENTIAL DAMAGES OF ANY KIND, WHETHER
BASED ON CONTRACT, TORT (UNLESS WITHOUT LIMITATION NEGLIGENCE),
WARRANTY, GUARANTEE OR ANY OTHER LEGAL OR EQUITABLE GROUNDS, EVEN IF
COMPANY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
FURTHER, EXCEPT AS PROHIBITED BY LAW AND AS PROVIDED IN SECTION 6.2 OF THE
AGREEMENT FOR PROFESSIONAL CONSULTING SERVICES ATTACHED HERETO, THE
CUMULATIVE, AGGREGATE LIABILITY OF COMPANY (INCLUDING ATTORNEYS’ FEES
AWARDED UNDER THIS AGREEMENT) TO THE CUSTOMER AND ANY OTHER THIRD
PARTIES FOR ALL CLAIMS, LIABILITIES AND DAMAGES ARISING OUT OF OR RELATING
TO THIS MTC, WHETHER IN CONTRACT OR TORT OR BY WAY OF INDEMNITY OR
OTHERWISE, SHALL NOT EXCEED: THE FEES PAID BY THE CUSTOMER TO THE
COMPANY FOR THE TWELVE (12) MONTHS IMMEDIATELY PRECEDING THE BREACH
FOR WHICH THE DAMAGES ARE CLAIMED.
10. Notice. All notices hereunder must be in writing to the other Party. If to the Company, the notice shall
be sent to:
Greg Batla, CEO
1752 E Lugonia Ave, STE 117-4949
Redlands, CA 92373
greg@onduty.health
11. Amendments. No amendment to, modification of, or termination of this MTC will be effective unless it
is in writing and signed by the Parties.
12. Force Majeure. The Company shall not be liable or responsible to the Customer, nor be deemed to
have defaulted or breached this MTC, for any failure or delay in fulfilling or performing any term
of this MTC when and to the extent such failure or delay is caused by or results from acts or
circumstances beyond the reasonable control of the Company including, without limitation, acts
of God, flood, fire, earthquake, explosion, governmental actions, war, invasion or hostilities
(whether war is declared or not), terrorist threats or acts, riot, or other civil unrest, national
emergency, revolution, insurrection, epidemic, pandemic, lock-outs, strikes or other labor
disputes (whether or not relating to either party’s workforce), or restraints or delays affecting
carriers or inability or delay in obtaining supplies of adequate or suitable materials, or
telecommunication breakdown or power outage.
13. Agreement. In signing the Proposal/Purchase Order above, you agree to the entirety of terms and
conditions set forth in this Master Terms And Conditions agreement.
On Duty Health
First Responder Health Specialists
1752 E. Lugonia Ave, STE 117-4949
Redlands, CA 92373
512.655.3578
info@onduty.health