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EXHIBIT A <br />TUSTIN IRVINE MEDICAL, GROUP shall provide comprehensive physical evaluations and <br />additional tests as necessary, for all Santa Ana Fire Department sworn personnel as part of the <br />annual wellness program, and for those Santa Ana Police Department sworn personnel who <br />choose Medical Center of Santa Ana to perform the physical as part of the voluntary annual <br />wellness program*, as follows: <br />Comprehensive Physical Evaluations that include: <br />• Review the results of the Santa Ana College fitness assessment <br />• Review of employee's detailed medical history <br />• Review of the twelve-lead ECG from graded treadmill exercise test <br />• Height and weight measurements <br />• Blood pressure and heart rate measurements <br />• Review of the screening procedures (listed below) <br />• Review of the body's medical systems, including cardiovascular, respiratory, <br />gastrointestinal, genitourinary, endocrine, hematology and musculoskeletal <br />Proposed Bid: $40.00 <br />Screening Procedures include: <br />• Urinalysis <br />• Hemocult <br />• Heavy Metal Screening (bloodworm) <br />• TB test <br />• Vision test <br />• Hearing test <br />• Chest X-Ray (two views) <br />• EKG reading by cardiologist <br />• Complete exam, which includes all components necessary in order to satisfy the DMV <br />Commercial Driver's License Class A <br />Proposed Bid $110.00 <br />Additional Testing <br />• Flexible Sigmoidoscopy or Colonoscopy <br />• Treadmill -refer to Cardiologist <br />• Flu Vaccine (optional at employer's site) <br />• PPll <br />• "Tetanus toxoid <br />• Ilepatitis B Surface Antibodies (blood work) <br />$200.00 <br />N/A <br />$20.00 <br />$15.00 <br />$20.00 <br />$20.00 <br />*Medical Center of Santa Ana will not commence any evaluations of Police personnel files until <br />it receives notice from the individual that he/she will be undergoing the physical at the Medical <br />Center of Santa Ana. <br />8 <br />