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City of Santa Ana Response to Request for Updated Scope of Work 15/31/18 In the event that the restrictions or accommodations aren't reasonable, the client must then determine if an alternate job, for which the employee is otherwise qualified (retains the necessary knowledge, skills and abilities), exists and is presently vacant, allowing the employee to return to work with the City tinder a new job title. If alternative job placement is not available, the client now has legally defensible documentation to justify that the proposed accommodations are unreasonable. Occu-Med's report (Med- Legal Analysis) integrates the functional limitations of the employee and the legal and practical ramifications regarding the agency's ability to accommodate the employee's restrictions or the legally appropriate path for terminating the employee. Occu-Med considers all the relevant factors of the case before rendering a medically appropriate and legally defensible job suitability recommendation. In cases where the employee is unresponsive to Occu-Med's correspondence a report documenting the attempts to contact the employee and the employee's failure to engage in the reasonable accommodation process will be provided to the City. With the City's approval, a Notification of Medical Disqualification (Failure to Engage in the. Reasonable Accommodation Process) letter will be sent to explain to the employee that his or her lack of response to the Individualized Assessment/Reasonable Accommodation invitation constitutes his or her failure to engage in the reasonable accommodation process. This letter may also be used in the case that the employer's medical condition is a contraindication to job placement and no reasonable accommodation could be made. Occu-Med's IRTW Report and recommendation will allow the City to make an informed, legally defensible decision as to whether or not an employee should be returned to work. E. Occu-VAX Occu-VAX is the scheduling and coordination, immunization record management and the on-going management of all immunization and chemoprophylaxis treatments for applicants and employees for jobs. This service includes an individualized evaluation of each applicant / employee to assess the appropriateness and necessity for administering the immunization and chemoprophylaxis treatments outlined in the specific Occu-VAX Profile prior to and, when appropriate, during employment. Scheduling and Coordination: Upon completion of the medical evaluation or concurrently by requirement or request from a designated City employee, Occu-Med will promptly contact applicants / employees to: a) assess the appropriateness and necessity for receiving immunization and 13 1 Occu-Med 25L-23