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3 <br />8) Provide all quarterly and annual summaries as required under the DOT; <br />9) Provide consultation as needed to Risk Management staff regarding medical <br />services provided and outlined in the Agreement. <br />10) Consultant solely shall review all pre-employment/pre-placement medical <br />evaluation services and maintain records, pursuant to the Agreement, in <br />accordance with State and Federal laws, or as otherwise reasonably required <br />by the City, and to the fullest extent permitted by law. <br />11) Consultant agrees to permit duly authorized agents and employees of the <br />City to review such records. <br />12) Consultant shall maintain all books, documents, papers, accounting records, <br />and other evidence pertaining to the fees paid under this Agreement. <br />Consultant will make materials available at their offices at reasonable times <br />and notice, during the period of the Agreement and for three (3) years after <br />date of final payment under the Agreement for inspection by the City or by <br />any other governmental entity or Department participating in the funding of <br />the Agreement, or any authorized agents thereof. <br />13) Consultant’s documents shall not be used, duplicated, or disclosed to any <br />other third party without written permission, unless such disclosure is <br />required by law. Consultant shall not be required to create or maintain books <br />and records not required in the ordinary course of Consultant’s business <br />operations, nor will the Consultant be required to disclose any information, <br />including but not limited to product cost or pricing data, which Consultant <br />considers confidential or proprietary. <br />14) Any Agreement changes, which are mutually agreed upon by and between <br />the parties, shall be incorporated in written amendments to the Agreement. <br />15) If the circumstances on a particular hearing and/or court proceeding warrant <br />the presence of a competent and knowledgeable representative of the <br />Consultant, the City may request and contractor shall provide such <br />representative, at the rates provided in Exhibit A and upon proper HIPAA <br />release. <br />16) Maintain a network of qualified and trained medical providers and medical <br />specialists for necessary exams; Orient City staff in the legal/medical/risk <br />management and human resources aspects of Consultant services; <br />17) Communicate directly with applicants to obtain the confidential medical <br />information that is needed for clearance for a particular job; <br />18) Manage all bill review functions for the medical exams performed by <br />clinics; and, <br />19) Provide access for City staff to Consultant’s tracking system. <br /> <br />E. Depending on job classification, pre-employment and pre-assignment medical <br />examination processes may include: job profile review; review of medical history; <br />check vital signs; detailed vision exam, including check of near/far/peripheral <br />vision, Ishihara 14 and primary color; audiogram (if classification has specific <br />occupational noise exposure or critical hearing demands); chest x-ray; EKG or <br />treadmill stress EKG; Spirometry; chem panel 20; CBC w/diff; dipstick UA, or UA <br />w/Micro (to lab); venipuncture & collection.