IFB_26-C0003_Medical_Screening.pdf

Invitation for Bid

Medical Evaluation

CONTRACT #26-C0003

SECTION I OVERVIEW _______________________________________________1

GENERAL INFORMATION__ _________________________________________1

DPR CONTACT____________ _________________________________________1

SERVICE NEED____________ _________________________________________1

CONTRACT BUDGET______ _________________________________________1

CONTRACT TERM________ _________________________________________1

PROCESS TYPE____________ _________________________________________1

PROCESS SCHEDULE_______ _________________________________________2

SECTION II RULES AND CONDITIONS ___________________________________3

INTRODUCTION _____________________________________________________3

COMMITMENT _____________________________________________________3

ANTITRUST CLAIMS _______________________________________________3

CONTRACTOR’S COST _______________________________________________3

INFORMATION _____________________________________________________4

WRITTEN INQUIRIES _______________________________________________4

ADDENDA ___________________________________________________________4

MODIFICATION OF SUBMITTALS ___________________________________4

ERRORS IN SUBMITTALS _________________________________________4

NEGOTIATING STATE CONTRACTS ___________________________________5

ELECTRONIC WASTE RECYCLING ___________________________________5

USE TAX ___________________________________________________________5

SMALL BUSINESS (SB) PREFERENCE ___________________________________5

SUBCONTRACTORS _______________________________________________5

INELIGIBLE BUSINESSES _________________________________________5

LOSS LEADER___________ _________________________________________6

DARFUR CONTRACTING ACT _________________________________________6

IRAN CONTRACTING ACT _________________________________________6

CALIFORNIA CIVIL RIGHTS LAWS_____________________________________6

SECTION III BID SUBMITTAL REQUIREMENTS _______________________7

INTRODUCTION _____________________________________________________7

DEADLINE ___________________________________________________________7

NUMBER OF COPIES _______________________________________________7

QUALIFICATION AND RESOURCES ___________________________________7

REFERENCES _____________________________________________________8

ORGANIZATION _____________________________________________________8

CONTRACT ELIGIBILITY _________________________________________8

LICENSES ___________________________________________________________8

TRAVEL AND PER DIEM _________________________________________8

COST BREAKDOWN _______________________________________________9

SMALL BUSINESS (SB) PARTICIPATION _____________________________9

DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) PARTICIPATION _9

SECTION IV EVALUATION AND SELECTION __________10

INTRODUCTION _________________10

GROUNDS FOR REJECTION _________________10

BID OPENING _________________10

AWARD OF AGREEMENT _________________10

REJECTION OF AWARD _________________10

BIDDER NOTIFICATIONS _________________10

NOTICE OF INTENT TO AWARD _________________11

PROTEST OF AWARD _________________11

SECTION V DESCRIPTION OF WORK __________12

INTRODUCTION ____________12

WORK TO BE PERFORMED ____________12

TASKS ____________17

CONTROL OF WORK __________20

SECTION VI DEFINITION OF TERMS 21

ATTACHMENTS ____________

Bid Sheet _________________________________________________ (Attachment A) Bidder Declaration _________________________________________ (Attachment B) Contractor Status Form _____________________________________ (Attachment C) Client References __________________________________________ (Attachment D) Darfur Contracting Act _____________________________________ (Attachment E) Iran Contracting Act _______________________________________ (Attachment F) California Civil Rights Laws__________________________________ (Attachment G) Bid Completion Checklist ___________________________________ (Attachment H)

SECTION I OVERVIEW

General Information The Department of Pesticide Regulation’s (DPR) mission is to protect human health and the environment by regulating pesticide sales and use, and by fostering reduced-risk pest management. For more information on the Department and its program, please see our Web site, www.cdpr.ca.gov.

DPR Contact

Department of Pesticide Regulation Attn: Samuel Martinez, MS 4A EMAIL: ContractsUnit@cdpr.ca.gov

Service Need

Occupational health and screening services

Contract Budget Subject to the availability of funds and approval by the Department, there is a current maximum budget of $30,000.00

DPR reserves the right to amend the budget for this Agreement as needs arise.

Contract Term The term of this Agreement will span approximately 35 months and is expected to begin in July/2026

DPR reserves the right to amend the term of this Agreement as needs arise.

Process Type Invitation for Bid (IFB).

http://www.cdpr.ca.gov/ mailto:ContractsUnit@cdpr.ca.gov

OVERVIEW CONT.

Process Schedule

This process will be conducted according to the following tentative schedule:

Advertisement Date February 6, 2026

Written Questions Due by 5:00 pm on February 13, 2026

Questions Answered by 5:00 pm on February 20, 2026

Submittal’s Due/Bid Opening by 2:00 pm on February 27, 2026

Intent to Award March 6, 2026

SECTION II RULES AND CONDITIONS

Introduction

There are conditions that this IFB, submitting Bidders, bids and resulting Agreements are subject to and/or required to comply with.

Commitment

Upon submittal of a Bid, the Contractor has committed to comply with the following requirements:

• All items noted in IFB documents

• General Terms and Conditions available for viewing at www.ols.dgs.ca.gov/Standard+Language.

• Contractor Certification Clauses available for viewing at www.ols.dgs.ca.gov/Standard+Language.

If the bidder fails to meet any of the requirements or comply with DPR requests, DPR can reject, disqualify, or remove the firm from the process.

DPR is not committed to award an Agreement resulting from this IFB.

Antitrust Claims

In submitting a Bid Package to a public purchasing body, the Bidder offers and agrees that if the Bid Package is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 [commencing with Section 16700] of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, materials, or services by the Bidder for sale to the purchasing body pursuant to the Bid Package. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the Bidder. (See Government Code Section 4552.)

If an awarding body or public purchasing body receives, either through judgment or settlement, a monetary recovery for a cause of action assigned under this chapter, the assignor shall be entitled to receive reimbursement for actual legal costs incurred and may, upon demand, recover from the public body any portion of the recovery, including treble damages, attributable to overcharges that were paid by the assignor but were not paid by the public body as part of the Bid Package price, less the expenses incurred in obtaining that portion of the recovery. (See Government Code Section 4553.)

Upon demand in writing by the assignor, the assignee shall, within one year from such demand, reassign the cause of action assigned under this part if the assignor has been or may have been injured by the violation of law for which the cause of action arose and (a) the assignee has not been injured thereby, or (b) the assignee declines to file a court action for the cause of action. (See Government Code Section 4554.)

Contractor’s Cost

All costs resulting from the Contractor’s participation in the IFB process are at the firm’s expense.

No costs incurred by the Contractor participating in the IFB process will be reimbursed by DPR.

http://www.ols.dgs.ca.gov/Standard+Language http://www.ols.dgs.ca.gov/Standard+Language

RULES AND CONDITIONS CONT.

Information

All information obtained or produced during the course of the Agreement will be made available to DPR.

Any information that the Bidder deems confidential, must so be marked prior to submission to DPR.

DPR will hold information deemed confidential by the Bidder to the extent allowable by the California Public Records Act and the Public Contract Code.

Written Inquiries

Bidders needing clarification of the requirements of this solicitation may submit questions to DPR’s Contracts Unit using the contact information found in Section I.

All inquiries must be received no later than 5:00PM on Friday, February 13, 2026.

The time and date of the receipt of the email must not be later than the due date and time.

Questions, suggestions or objections regarding the content of this solicitation, including but not limited to the purpose, scope of work, etc., not submitted by the deadline for questions shall be deemed waived and may not be raised at a later time.

Oral communications with DPR officers and employees shall be non-binding on the State and shall in no way exclude the Bidder of any obligations as set forth in this package.

All questions or inquiries regarding this solicitation shall be submitted using the DPR Contact information provided in Section I.

E-mails should be clearly marked “Questions Relating to SOLICITATION 26- C0006.”

Addenda

DPR reserves the right to amend, alter, or change the rules and conditions of this

IFB.

Any ambiguity, conflict, discrepancy, omission, or other error discovered in the IFB should immediately be reported to DPR prior to the deadline for submission of written questions. DPR will issue addenda to address such issues.

Modification of

Submittals

A Bid submitted prior to the submittal deadline, can be withdrawn or modified by the submitting Bidder. The Bidder must:

• Provide a written request

• Identify the requesting individual and their association to the Bidder

A Bid cannot be withdrawn for modification after the submittal deadline has passed.

Errors in Submittals

An error in a Bid Package may be cause for rejection of that bid.

DPR may make certain corrections, if the Bidder’s intent is clearly established based on review of the complete bid.

Negotiating State

Contracts

This solicitation and any resulting contract or amendments are subject to the conditions set forth in PCC 6611.

If any of the conditions identified in PCC 6611 exist, the State may perform contract negotiations, if it is determined to be in the best interest of the State.

Electronic Waste

Recycling

If the Contractor or any subContractors participate in activities that result in the disposition of electronic components, they will comply with the provisions of PRC Chapter 8.5.

Use Tax

If, during the course of the agreement, the Contractor will be involved in the re-sale of goods to the State, they must comply with the requirements of Section 6452.1, 6487, 6487.3, 7101, and 18510 of the Revenue and Taxation Code, in addition to Section 10295.1 of the Public Contract Code.

Small Business (SB)

Preference

Any Bidder competing in this process as a California Certified Small Business, or as a non-SB certifying to subcontract a minimum of 25% of the total contract services to a California Certified SB, will receive a five percent (5%) preference.

Certification must be provided by the Department of General Services (DGS), Procurement Division (PD), Office of Small Business and DVBE Services (OSDS).

DPR will apply the preference per State law and as described on the DGS website at http://www.pd.dgs.ca.gov/smbus/sbpref.htm .

The preference is used solely for computation purposes in determining the lowest responsive bidder. The preference does not alter the amounts of the resulting agreement.

A copy of the Bidder’s SB certification should be included with the Bid Package.

Subcontractors

All Subcontractors identified in the bid, must be experts in their respective disciplines and capable of performing the tasks for which they are hired.

If awarded the agreement, the Contractor must use all of the SB and Disabled Veteran Business Enterprise (DVBE) firms identified on the SB/DVBE Participation Summary.

DPR reserves the right to approve substitutions of subcontractors, as long as, certified business participation levels remain unchanged.

Ineligible Businesses

Any Contractor or Sub-Contractor currently on the DPR Unreliable list, is ineligible to apply for or participate in this contract.

In addition, as required by PRC§42290 et seq., any business determined to be in non-compliance with the Recycled Content Plastic Trash Bag Law is ineligible to apply for or participate in this contract.

http://www.pd.dgs.ca.gov/smbus/sbpref.htm

Loss Leader

It is unlawful for any person engaged in business within this state to sell or use any article or product as a ‘loss leader’ as defined in Section 17030 of the Business and Professions Code.

Darfur Contracting Act

For solicitation of non-IT goods and services only. If IT, delete this clause here and in the Table of Contents and remove Attachment E.

All Proposers competing in this process must comply with the requirements of the Darfur Contracting Act (Public Contracting Code sections 10475 through 10481), effective January 1, 2009. To comply, Proposers must complete the Darfur Contracting Act form (Attachment E) and return with their Proposal.

Iran Contracting Act

Prior to bidding on, submitting a proposal or executing a contract or renewal for a State of California contract for goods or services of $1,000,000 or more, Proposers must complete the Iran Contracting Act form (Attachment F) and return with their Proposal.

California Civil Rights

Laws

Pursuant to Public Contract Code section 2010, all Proposers that submit a bid or proposal to, or otherwise propose to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above competing in this process must comply with the requirements of the California Civil Rights Laws. To comply, Proposers must complete the California Civil Right Laws (Attachment G) and return with their Proposal.

SECTION III BID SUBMITTAL REQUIREMENTS

Failure to follow the instructions contained in this document may be grounds for rejection of a Bid.

DPR may reject any Bid if it is conditional, incomplete or contains irregularities.

DPR may waive an immaterial deviation in a Bid, if deemed in the best interest of

DPR.

Deadline

The Bid Package must be received by DPR, at the address listed in Section I, Overview.

Bids received after the deadline, will be considered late and returned to the Bidder unopened.

Number of Copies

The Bidder is required to submit all required documents in the following format:

• One electronic copy viewable by Adobe Acrobat Reader

It is the submitting Bidder’s responsibility to ensure that the electronic copy is formatted in Adobe Acrobat Reader and viewable by DPR.

Qualifications and

Resources

The prospective Contractor and subcontractors must have the experience, qualifications, and resources to perform the required tasks of the project.

Each bid must include a description of the resources to be used on the project while demonstrating an individual or team members abilities to perform the work.

The bid must include resume for the Manager/Lab Director overseeing laboratory technicians and engineers that detail the following area(s) of expertise:

• Experience

• Knowledge

• Educational Background

• Appropriate licensing

• Tasks to be performed and number of hours

BID SUBMITTAL REQUIREMENTS CONT.

References

The Bidder’s team must provide a minimum of three (3) verifiable references and/or experience.

DPR reserves the right to seek references in addition to the client references provided by the Bidder, as it deems necessary.

If a reference or project experience is unable to be verified, it will be disregarded.

Negative responses from references may be cause for rejection of the bid.

Organization

Provide a brief description of the organization’s or team’s services and activities, including:

• Date of establishment

• History

• Location

• Any known conflict’s of interest

• An organizational chart of the laboratory which outlines laboratory personnel and management structure.

Contract Eligibility

The Bidder must include a written declaration, stating that the Contractor and any SubContractors to be used during the performance of the contract are eligible to contract with the State of California, pursuant to PCC 10286.

Licenses

The Contractor shall be an individual or firm licensed to do business in California.

Required documentation includes the following as applicable:

• A copy of the Proposer’s county/city issued license with proof of expiration date, must be included with the Proposal submittal.

• Additionally, pursuant to the California Business and Professions Code, for services of a “professional” nature requiring a professional license issued by the CA Department of Consumer Affairs, Proposers must submit a copy of the appropriate license(s) for each team member who will provide “professional” services under the contract.

Travel and Per Diem

Lodging, food, and incidental expenses on trips in support of services will be reimbursed at the following State per diem rates per 24 hour day for the length of the contract.

• Lodging – up to a maximum of $84 per day

• Meals (breakfast, lunch and dinner) – up to a maximum of $34 per day

• Incidentals – up to a maximum of $6 per day.

• Coach airfare, mid-size/economy rental cars, and fuel – actual costs verified by bills or receipts. First Class or Business Class air travel is not allowed.

BID SUBMITTAL REQUIREMENTS CONT.

Cost Breakdown

The bid must specify the total cost and include detailed project costs, as required in the Bid Sheet.

All firm and individual commitments must be identified by task and dollar amount and included in the task by task bid submittal.

The costs identified, should take into consideration the length of the contract, rise in salaries and administrative overhead costs.

The amount identified on the cost breakdown may not be changed and will remain in effect for the life of the agreement.

Small Business (SB)

Participation

A small business preference of five percent (5%) is applied to all bids from and/or including small business participation from a California OSDS Certified SB. DPR encourages a minimum of twenty-five percent (25%) of the project services to be contracted to a California OSDS Certified SB that performs a commercially useful function.

This goal can be achieved by a combined effort of the prime and/or any subcontractors, that includes:

• If the Bidder is a Certified OSDS SB, as defined in Section V Definitions and Terms, the Participation Summary (see Attachments) must be completed and submitted with the proposal.

• If the Bidder has identified subcontractors to be utilized to meet this goal, the Participation Summary (see Attachments) must be completed and submitted with the proposal.

Please contact the Department of General Services, Office of Small Business and DVBE Services to locate potential SB firms at http://www.pd.dgs.ca.gov/smbus/default.htm.

Disabled Veteran

Business Enterprise Participation (DVBE)

DPR encourages a minimum of three percent (3%) of the project services to be contracted to a California OSDS Certified DVBE that performs a commercially useful function.

This goal can be achieved by a combined effort of the prime and/or any subcontractors, that includes:

• If the Bidder is a Certified OSDS DVBE, as defined in Section V, Definitions and Terms, the Participation Summary (see Attachments) must be completed and submitted with the proposal.

• If the Bidder has identified subcontractors to be utilized to meet this goal, the Participation Summary (see Attachments) must be completed and submitted with the proposal.

http://www.pd.dgs.ca.gov/smbus/default.htm

SECTION IV EVALUATION AND SELECTION

DPR will perform a Pre-Qualification Evaluation process to ensure that the Bidder has included all required documentation in the Bid submittal.

If a bid package does not meet all of the requirements set forth in this IFB, it will be considered non-responsive and rejected from further competition.

Those Bidder’s submittals that pass this review will be allowed to participate in the public bid opening.

Grounds for Rejection

All bids may be rejected whenever the determination is made that the bids received are not really competitive, when the cost is not reasonable, or when the cost exceeds the amount expected.

Additionally, a bid may be rejected if:

• It is received after the due date and time for submittal

• The bid submittal is unsigned

• The bid cost is not prepared as required by the IFB

• The Bidder has been prohibited from contracting with the State by the

Department of Fair Employment and Housing

• The Bidder has received a substantive negative contract performance from the State

• Any items required by the IFB are not included with the submittal

No bid may be rejected arbitrarily or without reasonable cause.

Bid Opening

The qualified bids will be opened publicly at the time set in Section I, Schedule.

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Award of Agreement

Award of this Agreement will be to the lowest cost responsive responsible Bidder meeting all of the IFB requirements.

If the SB Preference is claimed by any Bidder, it will be equal to five percent (5%) of the lowest responsive bid of a non-certified small business Bidder.

Certified SB bids equal to or less than a non-certified bid will be awarded to the certified business.

In the event of a tie, DPR shall utilize a tie breaker to determine the winning Bidder.

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DPR reserves the right to not award an Agreement.

Rejection of Award

If the Bidder fails to enter into a satisfactory Agreement within a reasonable timeframe after the award is made, DPR may deem that the Bidder has rejected the award.

DPR reserves the right to disqualify the awardee and award the Agreement to the next lowest responsive responsible Bidder.

DPR will notify the rejected lowest responsive Bidder, at least five (5) days prior to the award being made, of the decision not to award the agreement.

Bidder Notifications

DPR will notify all Bidders of the outcome of their bid submittals, prior to the award of the contract.

EVALUATION AND SELECTION CONT.

Notice of Intent to Award

DPR will post a notice of intent to award the agreement resulting from this IFB, upon written request of any Bidder.

The request must be submitted to DPR contact contained in Section I, Overview.

Protest of Award

A Bidder may protest the proposed award by filing an official protest with the Department of General Services. The protest must be filed within the five (5) day period of the notice of intent to award timeframe.

Within five (5) days of the initial protest filing, the Bidder must submit a detailed written statement with information that supports that the Bidder would have been awarded the contract and the grounds for that position.

The Agreement will not be awarded until a decision has been made on the filed protest.

The protest documents should be sent via registered mail to the following parties:

Department of General Services Office of Legal Services Attn: Bid Protest Coordinator 707 Third Street, 7th Floor, Suite 7-330 West Sacramento, CA 95605 Email: OLSProtests@dgs.ca.gov

Department of Pesticide Regulation Attn: Contracts Unit 1001 I Street, MS-4A Sacramento, CA 95814 Fax 916.445.6845 Email ContractsUnit@cdpr.ca.gov mailto:ContractsUnit@cdpr.ca.gov

SECTION V DESCRIPTION OF WORK

The Contractor shall provide comprehensive occupational health and screening services for employees participating in the Department of Pesticide Regulation’s (DPR) Respiratory Protection Program. These examinations include medical questionnaires, physical exam, spirometry (when needed), complete blood count, chemistry lipid panel, job hazard assessment, and the evaluation of screening results by a physician to assess employee fitness for respirator use in compliance with the Cal-OSHA Protection standard, Title 8, California Code of Regulations (CCR), Section 5144, and the Department of Pesticide Regulation Respiratory Protection Standard, Title 3, CCR, Section 6739.

The Contractor shall sub-contract all laboratory analyses to Quest Diagnostics Incorporated or another laboratory certified by the Department of Public Health to collect chemistry lipid panel data. While Quest Diagnostics is the preferred provider, equivalent certified laboratories may be used, provided they are located within 8 to 12 miles of DPR’s office locations. These laboratory services shall be provided for field employees that may need to wear respirators each fiscal year.

The examinations are required for employees in DPR’s Respiratory Protection Program. The Physician or other Licensed Health Care Professional (PHLCP) shall screen field employees at baseline and every 2- 3 year after dependent on age.

The OSHA respirator medical evaluation questionnaire shall be completed online or in-person at the clinic annually. The clinic should provide the service request form with employees’ personal information, services that need to be performed, and locations of clinics throughout California where employees will select for their appointment.

OSHA medical renewals are required annually. Most of the exams are conducted at the beginning of the year to coincide with the annual renewals; however, scheduling remains flexible based on individual renewal dates, new hires, or job duty changes. Services must therefore be available year-round.

Work to be Performed

Medical Evaluations

• Initial (baseline) and periodic (every 2-3 years based on age) evaluations.

• Online OSHA Respirator Medical Evaluation Questionnaire.

• In-person clinical evaluations not to exceed two hours per visit.

OSHA Respirator Medical Evaluation

Shall be conducted online or in-person. If any follow-up is required with online submission telehealth option shall be used as long as it does not compromise the integrity, performance, or validity of required testing or medical evaluations

Services to Be Provided

• OSHA questionnaire review

• Physical examination

• Spirometry (when needed)

• Laboratory tests (subcontracted to Quest Diagnostics)

• Lipid panel

• Vision test

• Job hazard assessment

• Physical evaluation and respirator clearance determination

• Follow-up testing (as required)

1. PHYSICAL EXAM AND HISTORY INTAKE:

a. Height/Weight The employee’s height and weight using a balance beam scale and stadiometer will be determined and recorded. Height and weight parameters will be used to calculate various other physiological and anatomic values. Height will be taken without shoes. Weight will be taken with indoor clothing and without shoes.

b. Blood Pressure Blood pressures will be measured using sphygmomanometers or automated blood pressure monitor. The employee will be in a sitting position during the reading. If blood pressure results exceed either systolic (140) or diastolic (90) reference range, the test will be repeated after the employee has been at rest for 10 minutes.

If the employee has been diagnosed as hypertensive, all medications that the employee is using to control the hypertension will be recorded.

c. Pulse A radial pulse will be measured manually or by automated pulse monitor. The pulse rate and rhythm will be recorded.

d. General Appearance and Development It will be recorded if the employee is overweight. Any posture defects, perceptible limp, tremor, or other defects that might be caused by alcoholism, thyroid intoxication, or other illnesses will be noted.

e. Head: eyes, ears, nose, throat, and teeth Any evidence of disease or injury involving the eyes, ears, nose, sinuses, and throat, including any that could interfere with breathing or use of mask respirators will be recorded. Ears: Any evidence of mastoid or middle ear disease, tympanic membrane perforation or scarring, discharge, symptoms of vertigo, or Meniere’s syndrome will be recorded. Teeth: Dentition must be adequate to support the normal facial structures. Note any evidence of deformities of the teeth, loose teeth, or prosthetic devices that could interfere with breathing.

f. Lungs/Chest Stethoscopic examination is required. Note wounds, injuries, scars, or weakness of thoracic muscles that would be indicative of an underlying pathology sufficient to interfere with normal breathing. List any diagnosis such as asthma or chronic obstructive pulmonary disease and medications the employee uses to control symptoms related to the disorder.

g. Heart and Circulatory System Stethoscopic examination is required. Note murmurs and arrhythmias, and any past or present history of cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, enlarged heart, or congestive heart failure. Perfusion of the extremities must be included in the cardiac assessment.

List any diagnosis such as angina, arrhythmias, status post myocardial infarction, ventricular septal defect, or other factors, and medications the employee uses to control symptoms related to the disorder.

h. Abdomen Note wounds, injuries, scars. Note any disease of the gastrointestinal system.

i. Extremities Record the loss or impairment of a leg, foot, toe, arm, hand, or fingers. Also record any impairments or structural defects that may interfere with the employee’s use of an extremity.

j. Spine Note deformities, limitations of motion, or any history of pain, injuries, or disease, past or presently experienced in the cervical, thoracic, or lumbar regions of the spine. Describe any scars that have been caused by a surgical procedure, or prosthetic devices that the employee uses for lumbar support or scoliosis.

k. Skin Note scars, tattoos, rash, and dark nevi.

l. Neurologic

Describe employee’s motor and sensory deficits in detail. Knee jerks are to be reported absent only when not obtainable upon reinforcement and as increased when foot is actually lifted from the floor following a light blow on the patellar tendon.

m. Mental Condition Document any psychotropic medications, dosages, and frequency of administration.

2. VISION TESTING:

a. Document and use of uncorrected and corrected – distant i Both eyes simultaneously ii Left eye iii Right eye

b. Visual acuity stated in Snellen fraction

c. Note ptosis, discharge, visual fields, ocular muscle imbalance, corneal scars, exophthalmos, or strabismus, uncorrected by corrective lenses.

d. Record distant visual acuity using Snellen fraction with 20 as the numerator and the smallest type read at 20 feet as the denominator.

e. Color vision: Ability to distinguish colors assessed using Ishihara plates. If unable to distinguish Ishihara, must be able to distinguish red, green, amber, color felts.

f. Radial I Keratotomy (RK): persons who have undergone radial keratotomy must demonstrate stable visual function before being assigned to a position that requires the use of a respirator.

3. PULMONARY FUNCTION (SPIROMETRY):

a. Note if the employee’s breathing is labored or tachypneic. Confirm whether the employee has used a bronchodilator within the preceding 48 hours.

b. Guidelines for the National Institute of Occupational Safety and Health (NIOSH) approved testing may be reviewed at American College of Occupational and Environmental Medicine website: Guidance Statements | ACOEM

c. Testing to determine forced vital capacity (FVC) and forced expiratory volume at one second (FEV1) must be conducted according to the American Thoracic Society standards. This requires a volume-time curve showing a minimum of three acceptable FVC maneuvers. Measurements must be made of the FVC and the FEV1. Calculate and express the FEV1/FVC ratio as a percentage.

Record the largest FVC and the largest FEV1.

d. Spirometry shall be conducted by an appropriate trained staff using a spirometer that meet the American Thoracic Society’s specifications. Spirometers must be cleaned and maintained according to the manufacturer’s specifications and calibrated as recommended by the American Thoracic Society.

4. EXERCISE TOLERENCE TEST (If Applicable)

a. The National Guidelines recommend subject be able to reach a minimum of 10 METS on exercise testing without developing ischemia or cardiac arrhythmia.

b. It is expected that standard Bruce Protocol or equivalent will be performed and 10 METS will be reached late in the third stage.

c. It is the responsibility of the Medical Surveillance Program director to determine if treadmill testing is indicated for a particular employee.

5. STRESS ECHOCARDIOGRAM (If Applicable)

a. Patients who have positive or questionable exercise tolerance test results may be asked to undergo a stress echocardiogram. The stress echocardiogram is a non-invasive procedure in which the subject exercises while undergoing an electrocardiogram. At the end of the exercise period the subject also receives an echocardiogram, which provides an image of the heart using techniques similar to sonar used in submarines.

6. LABORATORY TESTS:

Note: Laboratory testing is obtained to provide baseline information for comparison purposes in case the subject has a subsequent exposure to chemicals. The laboratory testing focuses on indicators of function for the kidneys, liver, and bone-marrow (where blood cells are formed). These are chosen because chemical exposures are likely to affect these organs. If a subject has chemical exposure, it is reassuring to see that these laboratory tests remain in the normal range. If they are abnormal following exposure, it is helpful to see if they were normal at baseline (which implies that the abnormality is new and may be due to the exposure) or if they were abnormal already at baseline (implying that the patient may have apre-existing abnormality not related to the exposure.

a. Chemistry Lipid Panel Electrolytes without CO2 Sodium, Serum Potassium, Serum Chloride, Serum Chemistries Urea Nitrogen, Blood (BUN) Creatinine, Serum Calcium, Serum Phosphorus, Serum Uric Acid, Serum Total Protein Albumin Globulin, Total A/G Ratio Glucose Enzymes and Bilirubin Lactate Dehydrogenase (LDH)

AST (SGOT)

Bilirubin, Total

ALT (SGPT)

Alkaline Phosphate

GGT

Iron, Total Lipid, Profile Cholesterol, Total Triglycerides VLDL Cholesterol (Calculated) LDL Cholesterol (Calculated) Cholesterol, HDL Cholesterol/HDL Ration Cardiac Risk Factor LDL/HDL Ratio

Cholesterol and other fats in the blood are measured, as elevated levels increase the risk for buildup of plaque inside blood vessels, which can lead to heart attack and stroke

b. Complete Blood Count White blood count Red blood count Hemoglobin Hematocrit

MCH

MCHC

Red Cell Dist. Width Neutrophils Lymphocytes Monocytes Eosinophils Basophils Neutrophils (ABS Value) Lymphocytes (ABS Value) Monocytes (ABS Value) Eosinophils (ABS Value) Platelet count White and red blood cells are evaluated as an indicator of bone marrow function

MD CONSULTATION SERVICES:

Hourly consultation from a physician for questions and projects in environmental health and safety, industrial hygiene, and toxicology.

Additional Services (If Applicable Due to Exposure Risk)

8. Blood Lead Test Note that all tested employees have blood lead levels below the applicable industrial standard, as described in CCR Title 8, Section 5216. Based on these levels, they may work in areas with lead containing materials. However, please note that medical removal may be required in cases where employees are at special increased risk from lead (such as pregnancy, anemia, past history of lead poisoning, or kidney disease), even though the employee’s blood lead level is below industrial standards.

Also note that the most important aspect in preventing occupational lead poisoning is to maintain low lead levels in the working environment. This may be achieved by having the company industrial hygienist regularly review areas and processes where lead is used and monitor exposure levels.

9. Cholinesterase On the basis of our evaluation, the following measures should be taken:

• Group I levels are normal, approved to work around pesticides

• Group II levels are decreased from baseline. Repeat testing is needed.

• Group III levels are decreased from baseline. Repeat testing is needed and employees may not work around pesticides until levels have normalized.

10. Hepatitis B Surface Ab levels A HBsAb (hepatitis B surface antibody) level of > or = 10 indicates adequate immunity to hepatitis B. If HBsAb level is <10 (inadequate), the 3 vaccine series should be given and the antibody level checked six weeks after the third vaccine.

11. Rabies Antibody Level A rabies antibody titer of > 0.1 IU/mL (0.1 IU/mL = 1:5 dilution) is considered an adequate level of protection. An antibody level of < 0.1 IU/mL indicates inadequate protection against rabies. Test antibody levels at six weeks after third vaccine. If the three vaccine series has been completed and the antibody level is <

0.1 IU/mL, one booster is required. Test six weeks after the booster vaccine. If the series was interrupted, repeat the series of three and test six weeks after the third vaccine.

12. TB Screening A negative TB test indicates that no TB infection is present. A positive TB test may indicate current or past TB infection. A chest x-ray is required for any positive TB skin test. A test with an indeterminate result should be repeated.

Our program follows the Cal-OSHA Protection standard, Title 8, California Code of Regulations (CCR), Section 5144, and the Department of Pesticide Regulation

Respiratory Protection Standard, Title 3, CCR, Section 6739 and must be compliant with the regulations.

Tasks

1. Locations & Scheduling

• Clinics must be available in within 8 – 12 miles range from DPR’s office locations

• Below are the DPR’s office locations:

Northern Offices o 1001 I Street, Sacramento, CA, 95814 o 3077 Fite Circle, Sacramento, CA, 95827

Central Regional Office o 395 Spruce Avenue, Clovis, CA, 93611

Northern Offices o 2 MacArthur Place, Santa Ana, CA, 92707

• Services must be available Monday – Friday, 8:00 AM – 5:00 PM, excluding state holidays.

• The Contractor must provide a scheduling form including clinic location options and required services.

2. Service Request Forms and Scheduling Materials The Contractor must provide:

• A Service Request Form for each employee, to be filled out by DPR, listing:

o Employee name and contact info o Required services o Preferred clinic region (Northern or Southern California)

• A list of available clinic locations

• Instructional materials or guidance for employees on how to schedule appointments online or by phone

• The contractor shall provide the Service Request Form to the DPR contract manager. The contract manager will distribute the form to DPR’s staff as needed.

Once completed, the form will be returned to the Contractor. Upon confirmation, the contractor’s clinic scheduler will contact the DPR employee directly to schedule the appointment.

These forms must be updated as clinic availability changes and shared with DPR.

3. Deliverables The Contractor shall provide the following deliverables as part of the Respirator Medical Clearance Program. All deliverables must be submitted in a timely and professional manner to ensure compliance with regulatory standards and facilitate DPR program operations.

Medical Clearance Reports (Individual) Each employee shall receive a comprehensive Medical Clearance Report prepared by Physician or Other Licensed Health Care Professional (PHLCP), which includes:

• Employee full name, employee ID or unique identifier

• Date and Location of service

• List of services performed (e.g., physical examination, spirometry, etc.)

• Respirator clearance status with applicable group designation (I, IA, II, etc.

explained under category “H”)

• Any restrictions or recommendations

• Follow-up requirements (if needed)

• Signature of PHLCP

• The report shall be sent in PDF or secure digital format, encrypted if containing PII or PHI.

Reports shall be submitted to the DPR Respiratory Protection Program Manager.

Cover Letter Report (Per Batch) due within 2 – 4 weeks of service completion

A formal cover letter summarizing the clearance results of a group (e.g., employees seen in a given clinic session or date range) shall include:

• Total number of employees screened

• Location(s) and date(s) of service

• Breakdown of clearance groups (Group I, II, etc. explained later under category “H”)

• Notes on any pending or provisional clearances

• Recommendations for employees requiring follow-up

• Contact information for medical consultation if needed

• Below is an example of a report

OSHA Review Only:

A response of “Yes”, indicates that the individual is only required to complete the OSHA medical questionnaire for that year

A response of “No”, indicates that the individual must complete a physical examination and any additional testing in addition to the OSHA questionnaire.

Quarterly Program Summary Reports A quarterly report shall be sent within 30 days after the end of each quarter.

Quarterly reports will provide DPR with program-wide data and trend analysis, including:

• Total number of employees evaluated

• Number of employees per clearance category

• Number of incomplete assessments or pending follow-ups

• Summary of reasons for disqualification or restrictions

• Data on the frequency of required services (e.g., how many received spirometry, lab tests)

• Identification of trends (e.g., recurring provisional clearances)

Reports must be provided in a spreadsheet and/or dashboard format and include:

• Employee name

• Clearance group

• Date of service

• Clinic location

Any pending items (nothing whether the delay is on the employee’s or contractor’s side)

4. Monthly Invoicing and Biling Documentation

• Monthly invoices are due at the end of each month.

• Invoices must include:

o Employee names or IDs o Date of services rendered o Itemized list of services performed and associated costs o Clinic/location of service o Total amount due o Any notes on pending or unverified services

Invoices must match the services confirmed by the submitted Medical Clearance Reports. DPR will not process payment without verification

Please Note: The Contractor shall not increase the price for any services during the term of this Contract. Any violation of this clause may be considered a breach of contract and subject to legal action.

5. Medical Records Storage and Access Contractor shall:

• Store all medical records in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and Cal-OSHA recordkeeping requirements

• Provide DPR with access to records upon request (within 3 business days)

• Maintain medical records for at least 30 years per OSHA 29 CFR 1910.1020

6. Customer Service & Point of Contact

• Contractor shall designate a primary point of contact (POC) for all DPR correspondence

• POC must respond to DPR inquiries (general, medical, scheduling, billing) within 2 business days

• Emergency medical concerns must be escalated within 24 hours

7. Respirator Clearance Categories The respirator clearance category shall follow the following criteria:

• Group I is approved to use respirator equipment, no limitations.

• Group IA (if applicable) has limited use of respirator equipment with minimal exertion for no more than 15 minutes at a time. If an employee needs to be approved for respirator use without limitations, please contact our office so that we may schedule further testing.

• Group II employees are provisionally approved to use respirator equipment until the Provisional Approval Expiration Date noted. Failure to obtain the required testing before this date will result in expiration of approval.

• Group IIA employees are provisionally approved to use respirator equipment with Group IA restrictions.

• Group III employees are not approved to use respirator equipment due to inadequate information.

• Group IV employees are not approved to use respirator equipment due to medical contraindications.

• Group V are employees who received an exit exam.

*This is an example of respirator medical clearance categories. Contractors may use their own templates, provided they clearly identify the level of respirator medical clearance and the type(s) of respirator(s) for which the individual is cleared*

Control of Work

1. DPR staff have the authority to determine the quality and acceptability of the following:

• Work to be performed

• Rate and progress of the work

• Fulfillment of the services provided by the Contractor

• Compensation for services provided by the Contractor

These decisions will be deemed final and enforceable by DPR staff when the Contractor fails to complete orders required by this Agreement.

2. The Contractor will designate a Program Manager who holds the following authority:

• Act as the Contractor’s Representative for work to be provided under this Agreement

• Act as the Contractor’s Representative regarding contractual matters relating to this Agreement

If during the course of the Agreement, it is deemed necessary to replace the Program Manager, DPR staff approval is required.

SECTION VI DEFINITION AND TERMS

General Unless the context otherwise requires, wherever in this IFB or addenda, the following abbreviations and terms, or pronouns in place of them, are used, the intent and meaning shall be interpreted as provided in this Section.

Working titles having a masculine gender, such as “draftsman” and “journeyman” and the pronoun “he”, are utilized in these provisions for the sake of brevity, and are intended to refer to persons of either sex.

Abbreviations

ADA Americans with Disabilities Act CCR California Code of Regulations DVBE Disabled Veteran Business Enterprise EPA Environmental Protection Agency IFB Invitation for Bids GC Government Code DPR Department of Pesticide Regulation PCC Public Contract Code SB Small Business SOW Scope of Work OSDS The Department of General Services (DGS), Procurement Division

(PD), Office of Small Business and DVBE Services (OSDS)

Agreement

The written agreement covering performance of the work and furnishing of labor, materials, tools, and equipment in providing the work. The Agreement shall include the IFB, Bid, general and specific terms and conditions, and supplemental agreements which may be required to complete the work in a substantial and acceptable manner.

Bid

A potential Contractor’s reply to a solicitation for purchase of goods or services which represents what the Contractor would charge to provide those goods or services.

Bidder

Any business venture that responds to an Invitation to Bid by submitting a bid to the contracting agency. A potential Contractor.

Bidder’s Conference

A meeting with potential bidders before the bid submission date.

Bid Opening

A public meeting, where the costs bid by a Bidder on an advertised project, are opened and a determination is made as to the apparent low bidder.

DPR

The Department of Pesticide Regulation.

DEFINITION AND TERMS CONT.

Consultant

The person or persons, firm, partnership, corporation, or combination thereof, which may enter into this Agreement with DPR to provide work pursuant to this IFB or his or their legal representatives.

Contract

A legally binding agreement between the state & another entity, public or private, for the provision of goods or services.

Contract Manager

A person designated by the responsible state agency or department to manage performance under a contract.

Contractor

A party contracting with the awarding agency. Vendor is often used synonymously with Contractor.

Director

The Director of the Department of Pesticide Regulation, or designees. Any references to Executive Officer shall mean the Director and/or its designated officer.

Disabled Veteran

Business Enterprise (DVBE Certified)

A business that meets all of the following criteria: (1) at least 51% of the business is owned by one or more disabled veterans or, in a business whose stock is publicly held, at least 51% or more of the stockholders are disabled veterans (2) the management and control of the business are exercised by one or more disabled veterans; (3) the business is domestically owned and its home office is in the United States; and (4) the business has been certified as a DVBE by the State.

Legal Holidays

Those days designated as State holidays in the Government Code.

Program Manager

Contractor’s representative for all work performed under this Agreement.

Responsible Bidder

A bidder who is fully capable of performing the contract.

Responsive Bidder

A bidder whose bid meets the specifications & other requirements contained in the

IFB.

Scope of Work

The description of work required of a Contractor by the awarding agency.

Small Business

(Certified)

A business that has been certified by the Office of Small Business Certification and Resources, Department of General Services, as a small business as defined in GC 14837 and 2 CCR 1896.

State

The State of California.

DEFINITION AND TERMS CONT.

State Contract Law

The Public Contract Code and other applicable laws that form and constitute a part of the provisions of this Agreement to the same extent as if set forth herein in full.

SubContractor

A person or entity which contracts with the Contractor to perform all or a portion of the work as specified in the Scope of Work.

ATTACHMENTS

ATTACHMENT A – Bid Sheet

Bid Sheet

Medical Evaluation 26-C0003

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