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On-Duty Health; 2025-10-14;
Page 1 City Attorney Approved Version 5/30/2025 AGREEMENT FOR PUBLIC SAFETY MEDICAL EXAMS ON DUTY HEALTH, PC THIS AGREEMENT (“Agreement”) is made and entered into as of the ______________ day of _________________________, 20___, by and between the City of Carlsbad, California, a municipal corporation ("City") and On-Duty Health, a professional corporation, ("Contractor"). RECITALS A. City requires the professional services of a licensed physician that is experienced in conducting medical tests and physical examinations for public safety personnel. B. Contractor has the necessary experience in providing professional services and advice specialized in the health of public safety personnel. C. Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained in this Agreement, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services ("Services") that are defined in attached Exhibit "A," which is incorporated by this reference in accordance with this Agreement’s terms and conditions. 2. STANDARD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California area, and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3. TERM The term of this Agreement will be effective from the date first above written through June 30, 2027. The City Manager may amend the Agreement to extend it for two (2) additional two (2) years or parts of a year. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. 4. TIME IS OF THE ESSENCE Time is of the essence for each and every provision of this Agreement. 5. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed ninety-five thousand dollars ($95,000.00). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If City elects to extend the Agreement, the amount shall not exceed ninety-five thousand dollars ($95,000.00) per Agreement year. Payment terms are Net 30 unless otherwise provided in Exhibit “A” or agreed to in writing by the parties. City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E 14th October 25 Page 2 City Attorney Approved Version 5/30/2025 Services specified in Exhibit "A." Pricing is per City of Stockton Agreement NO. 424000511. Incremental payments, if applicable, should be made as outlined in attached Exhibit "A." 6. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under the control of City only as to the result to be accomplished, but will consult with City as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of City for any purposes. The payment made to Contractor pursuant to this Agreement will be the full and complete compensation to which Contractor is entitled. City will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which City may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At City’s election, City may deduct the indemnification amount from any balance owing to Contractor. 7. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of City. If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and City. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by City. 8. OTHER CONTRACTORS City reserves the right to employ other Contractors in connection with the Services. 9. INDEMNIFICATION Contractor agrees to defend (with counsel approved by City), indemnify, and hold harmless the City and its officers, elected and appointed officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described in this Agreement caused by any negligence, recklessness, or willful misconduct of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. If Contractor’s obligation to defend, indemnify, and/or hold harmless arises out of Contractor’s performance as a “design professional” (as that term is defined under California Civil Code Section 2782.8), then, and only to the extent required by California Civil Code Section 2782.8, which is fully incorporated in this Agreement, Contractor’s indemnification obligation shall be limited to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Contractor, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction. Contractor’s liability Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Page 3 City Attorney Approved Version 5/30/2025 for such claim, including the cost to defend, shall not exceed Contractor’s proportionate percentage of fault. The parties expressly agree that any payment, attorneys fee, costs or expense City incurs or makes to or on behalf of an injured employee under City’s self-administered workers’ compensation program is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 10. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor’s agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. 10.1 Coverages and Limits. Contractor will maintain the types of coverages and minimum limits indicated below, unless Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. City, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available to the named insured shall also be available and applicable to City as an additional insured. 10.1.1 Commercial General Liability (CGL) Insurance. Insurance written on an “occurrence” basis, including personal and advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 10.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work for City). $2,000,000 combined single-limit per accident for bodily injury and property damage. 10.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. 10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor’s profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Page 4 City Attorney Approved Version 5/30/2025 10.2.1 City will be named as an additional insured on Commercial General Liability which shall provide primary coverage to City. 10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 10.2.3 If Contractor maintains higher limits than the minimums shown above, City requires and will be entitled to coverage for the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage will be available to City. 10.2.4 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to City sent by certified mail pursuant to the Notice provisions of this Agreement. 10.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then City will have the option to declare Contractor in breach, or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by City to obtain or maintain insurance and City may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 10.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete and certified copies of any or all required insurance policies and endorsements. 11. BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. 12. ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of four (4) years from the date of final payment under this Agreement. 13. OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of City. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy of the work product for Contractor’s records. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Page 5 City Attorney Approved Version 5/30/2025 14. COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in City and Contractor relinquishes all claims to the copyrights in favor of City. 15. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement are: For City: For Contractor: Name Caitlyn Smith Name Greg Batla Title Communications Manager Title Chief Executive Officer Dept Police Address 1752 E Lugonia Ave, STE 117-4949 CITY OF CARLSBAD REDLANDS, CA 92373 Address 2560 Orion Way Phone 512-655-3578 Carlsbad, CA 92010 Email greg@onduty.health Phone 442-339-2139 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 16. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. Contractor shall report investments or interests as required in the City of Carlsbad Conflict of Interest Code. Yes ☐ No ☒ If yes, list the contact information below for all individuals required to file: Name Email Phone Number 17. GENERAL COMPLIANCE WITH LAWS Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor's services with all applicable laws, ordinances and regulations. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 6 Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants whose services are required by this Agreement. 18. CALIFORNIA AIR RESOURCES BOARD (CARB) ADVANCED CLEAN FLEETS REGULATIONS Contractor’s vehicles with a gross vehicle weight rating greater than 8,500 lbs. and light-duty package delivery vehicles operated in California may be subject to the California Air Resources Board (CARB) Advanced Clean Fleets regulations. Such vehicles may therefore be subject to requirements to reduce emissions of air pollutants. For more information, please visit the CARB Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-clean-fleets. 19. DISCRIMINATION, HARASSMENT, AND RETALIATIONPROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination, harassment, and retaliation. 20. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or City will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten (10) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The City Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the City Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 21. TERMINATION In the event of Contractor's failure to prosecute, deliver, or perform the Services, City may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If City decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by City and all work in progress to City address contained in this Agreement. City will make a determination of fact based upon the work product delivered to City and of the percentage of work that Contractor has performed which is usable and of worth to City in having the Agreement completed. Based upon that finding City will determine the final payment of the Agreement. City may terminate this Agreement by tendering thirty (30) days written notice to Contractor. Contractor may terminate this Agreement by tendering ninety (90) days written notice to City. In the event of termination of this Agreement by either party and upon request of City, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. City will make the final determination as to the portions of tasks completed and the compensation to be made. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 7 22. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. 23. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to City, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code Sections 12650 et seq., the False Claims Act applies to this Agreement and, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorneys fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is grounds for City to terminate this Agreement. 24. JURISDICTION AND VENUE This Agreement shall be interpreted in accordance with the laws of the State of California without regard to, or application of, choice of law rules or principles. Any action at law or in equity brought by either of the parties for the purpose of enforcing a right or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other county. 25. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon City and Contractor and their respective successors. Neither this Agreement nor any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of City, which shall not be unreasonably withheld. 26. THIRD PARTY RIGHTS Nothing in this Agreement should be construed to give any rights or benefits to any party other than City and Contractor. 27. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. This Agreement may be executed in counterparts. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 8 28. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. Executed by Contractor this___________ day of _______________________, 20____. CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California On Duty Health, a professional corporation By: By: (sign here) Geoff Patnoe, City Manager Greg Batla / Chief Executive Officer (print name/title) ATTEST: By: SHERRY FREISINGER, City Clerk (sign here) By: Kristin Batla / Chief Financial Officer Morgen Fry, Assistant City Clerk (print name/title) If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups. Group A Group B Chairman, Secretary, President, or Assistant Secretary, Vice-President CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney BY: _____________________________ Senior Assistant City Attorney Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E 25October10 City Attorney Approved Version 5/30/2025 Page 9 EXHIBIT A SCOPE OF SERVICES AND FEE 1. General On Duty Health, PC (“Contractor”) shall provide specialized medical testing and physical examinations for members of the Carlsbad Police Department. The Contractor shall provide a mobile medical clinic to perform all testing and examinations on city property, staffed by a licensed physician, and scheduled over various shifts and days to accommodate operational needs. 2. Project Scope • Contractor shall provide services on an as-needed basis, as requested by the city. • Contractor shall provide the city with a de-identified Health Dashboard summarizing Police Department health metrics. • Contractor shall provide each patient secure access to a web-based patient portal for electronic medical records, test results, year-over-year health metrics and trends, and secure doctor- patient messaging. • If the Contractor develops a health application, the Contractor shall grant the city access at no additional cost. Access shall be limited to Police Department employees. 3. Specifications Silver Package Laboratory Testing & Urinalysis • Urinalysis • Complete Blood Count (CBC) • Complete Metabolic Panel (CMP) • Lipid Panel with LDL/HDL Ratio • Hemoglobin A1C • Thyroid Stimulating Hormone (TSH) • Prostate Specific Antigen (PSA) – males age 40+ • CA-125 – females • FIT Fecal Occult Screening Kit – members age 40+ • On-site phlebotomy (as applicable) Comprehensive Physical Examination • Full physical examination with medical history review and vitals • Titmus V2 Advanced Vision testing • Audiometry testing • Skin cancer screening • Behavioral health assessment • Review of results with development of a personalized health plan Cardiopulmonary Screening & Fitness Assessment • Cardiopulmonary Exercise Testing (CPET) consisting of: Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 10 o 12-lead EKG treadmill/stepmill stress test to maximal volition (per WFI protocol) o Blood pressure monitoring o TRUE VO₂ Max testing • Pulmonary function testing (spirometry) • Metabolic analysis with body composition assessment • Muscular endurance, strength, and flexibility evaluation • Cardiology follow-up interpretation for irregular results, if indicated Ultrasound-Enhanced Cancer Screening • Ultrasound imaging of: carotid arteries, thyroid, liver, pancreas, gall bladder, spleen, kidneys, bladder, pelvic (female), testicular and prostate (male) • Radiology follow-up interpretation for irregular results, if indicated Galleri 50+ Multi Cancer 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) 4. Internal and External Standards and Guidelines • Contractor services shall comply with NFPA 1580, and the IAFF/IAFC Wellness-Fitness Initiative (WFI), 4th Edition. • City shall provide the Contractor a comprehensive list of all employees scheduled to receive services no later than six (6) weeks prior to commencement of services. • Upon receipt of the employee list, Contractor shall provide the city with a schedule template outlining each available appointment. The schedule template shall be provided no later than two (2) weeks prior to the City’s first appointment. • Contractor shall provide all equipment and supplies necessary for the services, except for a treadmill. The city shall provide a properly functioning treadmill (variable speed and incline) and adequate space for services. • The city shall make best efforts to ensure all employees arrive with their patient intake (online check-in) completed. • Employees arriving more than 15 minutes late shall be turned away, except when tardiness is due to an emergency call. o Contractor shall allow substitution of another city employee when an appointment is vacated due to tardiness. • If nearby agencies cannot receive services during their scheduled time, the city may allow a limited number of members from other agencies to be served on city premises, at the city’s sole discretion. o Contractor shall not invoice the city for services provided to another agency’s employee on city premises. o All Contractor requests to provide services to outside agencies on city premises require prior city approval (email approval permitted). o Contractor shall promptly notify the city of any outside agency individuals receiving services, to allow sufficient time for waiver/release forms to be completed. o Contractor shall not serve any outside agency member who fails to submit a completed waiver/release form. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 11 o Contractor shall provide the same reciprocity to city employees when serving other agencies. 5. Scheduling and Cancellation Policy • More than six (6) weeks before the Assessment Start Date: o City many cancel or modify the expected number of participants without penalty • Within six (6) weeks of the Assessment Start Date: o The number of participants cannot be decreased. Additional participants may be added as needed. o The City shall remain responsible for all fees based on the number of participants listed in the six-week Employee Roster. • Day-of Absences: o If an employee cannot attend due to illness, injury, or other absence, they may reschedule a makeup appointment. o The makeup appointment must occur within two hundred (200) days of the originally scheduled date. o Makeup appointments will be held at another On Duty Health location where the onsite team has availability. 6. Compensation The compensation rate for the Police Department Health and Fitness Assessment shall be seven hundred forty-nine dollars ($749.00) per participant, twenty-nine dollars ($29.00) per participant for on- site phlebotomy and seven hundred thirty-nine dollars ($739.00) per participant for the Galleri 50+ MultiCancer Detection Test. The total annual compensation under this agreement shall not exceed ninety-five thousand dollars ($95,000.00) per agreement year. 7. Additional Services The following price list shall apply to any additional services requested of the Contractor. Compensation for such services shall be made in accordance with the rates set forth below which are set forth in the City of Stockton Agreement No. 424000511: Category Service Price Phlebotomy On-site Phlebotomy $29.00 Cancer Labs Galleri Multi-Cancer Early Detection Blood Test $739.00 CA-125 (ovarian cancer screening – women) $49.00 Cancer Antigen 15-3 (CA 15-3) – Breast Cancer $99.00 Additional Fecal Occult Colorectal Cancer Screening Kits $59.00 Other Labs Hepatitis A, B, and C Test (Acute Hepatitis Panel) $69.00 Medical Professionals Urine Drug Screen (12 Drug Panel) $99.00 Nicotine Screening (Urine) $49.00 HIV Testing $49.00 Heavy Metals Profile I, Blood (arsenic, lead, mercury) $129.00 Heavy Metals Profile II, Blood (arsenic, cadmium, lead, mercury) $159.00 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City Attorney Approved Version 5/30/2025 Page 12 Category Service Price Cholinesterase (HazMat) Testing $69.00 Testosterone Levels $49.00 CT Screening Low Dose CT Lung, Screening (via regional partners) $349.00 CT Coronary Artery Calcium Scoring (via regional partners) $249.00 Continuous Health Monitoring Smartwatch monitoring with 24/7 on-call providers $99.00/month Personal Training Certified personal trainer – individual or group packages $199.00/month Nutrition Counseling Licensed nutritionist – individual or group packages $199.00/month New Hire & Return to Duty Ongoing with regional scheduling or Rapid Strike option Variable Pricing Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E BA20241774224 Entity Details Corporation Name On Duty Health, PC Entity No.5288716 Formed In CALIFORNIA Street Address of Principal Office of Corporation Principal Address 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Mailing Address of Corporation Mailing Address 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Attention Street Address of California Office of Corporation Street Address of California Office None Officers Officer Name Officer Address Position(s) •GREG BATLA 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Chief Executive Officer •BRENT BATLA 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Secretary •KRISTIN BATLA 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Chief Financial Officer Additional Officers Officer Name Officer Address Position Stated Position •WAYNE DYSINGER 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Chairperson of Board Directors The number of vacancies on Board of Directors is: 0 Director Name Director Address •WAYNE DYSINGER 1752 E LUGONIA AVE STE 117-4949 REDLANDS, CA 92374 Agent for Service of Process California Registered Corporate Agent (1505)CAPITOL CORPORATE SERVICES, INC. Registered Corporate 1505 Agent Type of Business STATE OF CALIFORNIA Office of the Secretary of State STATEMENT OF INFORMATION CORPORATION California Secretary of State 1500 11th Street Sacramento, California 95814 (916) 657-5448 B3 0 9 0 - 4 3 5 6 1 0 / 0 4 / 2 0 2 4 9 : 4 0 A M R e c e i v e d b y C a l i f o r n i a S e c r e t a r y o f S t a t e Page 1 of 2 For Office Use Only -FILED- File No.: BA20241774224 Date Filed: 10/4/2024 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Type of Business Mobile Occupational Medicine Email Notifications Opt-in Email Notifications Yes, I opt-in to receive entity notifications via email. Labor Judgment No Officer or Director of this Corporation has an outstanding final judgment issued by the Division of Labor Standards Enforcement or a court of law, for which no appeal therefrom is pending, for the violation of any wage order or provision of the Labor Code. Electronic Signature By signing, I affirm that the information herein is true and correct and that I am authorized by California law to sign. Karina Ruiz Signature 10/04/2024 Date B3 0 9 0 - 4 3 5 7 1 0 / 0 4 / 2 0 2 4 9 : 4 0 A M R e c e i v e d b y C a l i f o r n i a S e c r e t a r y o f S t a t e Page 2 of 2 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 8/22/2025 Arthur J.Gallagher Risk Management Services,LLC2850GolfRoadRollingMeadowsIL60008 Juanita Ortiz 713-623-2451 713-623-0967 Juanita_Ortiz@ajg.com Evanston Insurance Company 35378 ONDUTYH-01 StarStone National Insurance Company 25496ONDUTYHEALTH-TEXAS,PLLCOnDutyHealth–Texas,PLLC;On Duty Health PC;On Duty Health LLC2028EastBenWhite Boulevard Ste 240-4949AustinTX78741 Chubb National Insurance Company 10052 Coalition Insurance Company Ohio Casualty Insurance Company 24074 223926458 A X 1,000,000 X 100,000 5,000 Excluded 2,000,000 X Y Y 3AA851511 1/11/2025 1/11/2026 2,000,000 B X 2,000,000 X Y 73756X251ALI 1/11/2025Y 1/11/2026 2,000,000 C XY718112122/26/2025 2/26/2026 1,000,000 1,000,000 1,000,000 DE CyberLiabilityEquipmentFloater C4NH9258445CYBER2025BMO68155411 8/5/20259/6/2025 8/5/20269/6/2026 Limit /RetentionlimitDeductible $2M /$5,000$60,000$1,000 MEGL0009-01 0918 Blanket Additional InsuredCityofCarlsbad,its officials,officers,agents,employees,volunteers are included as Additional Insureds as respects to General Liability and Umbrella Liabilitypolicies,pursuant to and subject to the policy's terms,definitions,conditions and exclusions.Waiver of Subrogation applies to Additional Insureds as respects toGeneralLiability,Umbrella Liability and Workers Compensation policies,pursuant to and subject to the policy's terms,definitions,conditions and exclusions. City of Carlsbad1635FaradayAveCarlsbadCA92008 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E POLICY NUMBER:COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B.With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in- jury" or "property damage" occurring after: (1)All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2)That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. 3AA742914 City of Carlsbad, its officials, officers, agents, employees, volunteers 3AA851511 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E City of Carlsbad, its officials, officers, agents, employees, volunteers 3AA851511 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E STARSTONE NATIONAL INSURANCE COMPANY HOME OFFICE: WILMINGTON DELAWARE Harborside 5 185 Hudson Street, Suite 2600 Jersey City, NJ 07311 Tel: 201 743 7700 Fax: 201 743 7701 www.starstone.com Report claims to: claims@starstone.com FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY SSN EXS 0002 CW 03 16 Page 1 of 2 DECLARATIONS 12/23/2024 4:18:24 PM POLICY NO.: 73756X251ALI RENEWAL OF: 73756X240ALI ITEM 1.(a)NAMED INSURED:On Duty Health- Texas, PLLC; On Duty Health PC; On Duty Health LLC (b)ADDRESS:2028 E Ben White Blvd, Ste 240-4949 Austin, TX 78741 ITEM 2.POLICY PERIOD: From: 01/11/2025 To:01/11/2026 (12:01 A.M. prevailing time at the address stated in Item 1. above) ITEM 3.RETROACTIVE DATE:Not Applicable ITEM 4.COVERAGE: Following Form Excess Liability ITEM 5.LIMITS OF LIABILITY:$2,000,000 Per Occurrence $2,000,000 Other Aggregate Included In GL Products/Completed Operations Aggregate Excess of Total Limits in Item 6. below ITEM 6.TOTAL LIMITS OF UNDERLYING POLICIES: See Schedule of Followed Policies and Limits ITEM 7.FOLLOWED POLICY: See Schedule of Followed Policies and Limits RPSSMB/2024.12.30 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E STARSTONE NATIONAL INSURANCE COMPANY HOME OFFICE: WILMINGTON DELAWARE Harborside 5 185 Hudson Street, Suite 2600 Jersey City, NJ 07311 Tel: 201 743 7700 Fax: 201 743 7701 www.starstone.com Report claims to: claims@starstone.com FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY SSN EXS 0002 CW 03 16 Page 2 of 2 ITEM 9.NOTICES TO THE INSURER: (a)All notices of Occurrence or Claim: Claim Department (b)All other notices:Underwriting Department At the address and numbers shown at the top of the Declarations Page. ITEM 10.POLICY FORM: SSN EXS 0001 CW 03 16 together with endorsements as per attached form SSN EXS 0004 CW 03 16 Schedule of Endorsements: Authorized Representative Date of Issue: 12/23/2024 ITEM 8.(a) PREMIUM:$2,025 $20 Additional TRIPRA Premium (b) MINIMUM EARNED PREMIUM:$0 Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E SSN EXS 0005 CW 03 16 Page 1 of 1 Named Insured:On Duty Health- Texas, PLLC; On Duty Health PC; On Duty Health LLC Policy No:73756X251ALI Endorsement No:2 Endorsement Effective Date:01/11/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY SCHEDULE OF FOLLOWED POLICIES AND TOTAL LIMITS OF UNDERLYING POLICIES ITEM 6.TOTAL LIMITS OF UNDERLYING POLICIES and ITEM 7. FOLLOWED POLICY of the DECLARATIONS are amended to read as follows: ITEM 6.TOTAL LIMITS OF UNDERLYING POLICIES: $1,000,000 Per Occurrence $2,000,000 Other Aggregate Included In GL Products/Completed Operations Aggregate $1,000,000 Personal and Advertising Injury ITEM 7.FOLLOWED POLICIES: Company:Evanston Insurance Company Policy Number:3AA851511 Coverage:COMMERCIAL GENERAL LIABILITY Policy Period:01/11/2025 to 01/11/2026 Limits of Liability: $1,000,000 Per Occurrence $2,000,000 Other Aggregate Included In GL Products/Completed Operations Aggregate $1,000,000 Personal and Advertising Injury ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS SHALL REMAIN THE SAME. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/21/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 11550 Fuqua, Suite 205 Houston, TX 77034 CONTACT NAME: Credentialing Team PHONE (A/C, NO, EXT): 281-674-1420 FAX (A/C, No): 281-674-1460 E-MAIL ADDRESS: GSHIS@AJG.COM INSURER(S) AFFORDING COVERAGE NAIC # COMPANY A: Evanston Insurance Company 35378 INSURED On Duty Health PC 2028 E Ben White Blvd # 240-4949 Austin, TX 78741-6966 COMPANY B: COMPANY C: COMPANY D: COMPANY E: COMPANY F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS N/A N/A N/A EACH OCCURRENCE $ N/A COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ N/A CLAIMS MADE OCCUR MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ N/A GENERAL AGGREGATE $ N/A GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ N/A POLICY PRO- JECT LOC $ N/A AUTOMOBILE LIABILITY N/A N/A N/A COMBINED SINGLE LIMIT (Ea accident) $ N/A ANY AUTO BODILY INJURY (Per person) $ N/A OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ N/A HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ N/A $ N/A UMBRELLA LIAB OCCUR N/A N/A N/A EACH OCCURRENCE $ N/A EXCESS LIAB CLAIMS MADE AGGREGATE $ N/A DED RETENTION $ $ N/A WORKERS COMPENSATION AND EMPLOYERS’ LIABILITY Y/N N/A N/A N/A N/A WC STATU-TORY LIMITS OTH-ER $ N/A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $ N/A E.L. DISEASE – EA EMPLOYEE $ N/A E.L. DISEASE – POLICY LIMIT $ N/A A OTHER Medical Prof. Liability Retro Date: 01/07/2022 Type: Claims Made MKLV3PSM002861 01/07/2025 01/07/2026 Each Med. Incident: $2,000,000 Aggregate Limit: $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ADDITIONAL INSURED: On Duty Health PC INSURED SPECIALTY: Entity City of Carlsbad, its officials, officers, agents, employees, volunteers1/7/2022-05/14/2025 Limits are $1M/3M, Effective 05/14/2025 limits are $2M/$3M CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/21/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 11550 Fuqua, Suite 205 Houston, TX 77034 CONTACT NAME: Credentialing Team PHONE (A/C, NO, EXT): 281-674-1420 FAX (A/C, No): 281-674-1460 E-MAIL ADDRESS: GSHIS@AJG.COM INSURER(S) AFFORDING COVERAGE NAIC # COMPANY A: Evanston Insurance Company 35378 INSURED On Duty Health PC 2028 E Ben White Blvd # 240-4949 Austin, TX 78741-6966 COMPANY B: COMPANY C: COMPANY D: COMPANY E: COMPANY F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS N/A N/A N/A EACH OCCURRENCE $ N/A COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ N/A CLAIMS MADE OCCUR MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ N/A GENERAL AGGREGATE $ N/A GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ N/A POLICY PRO- JECT LOC $ N/A AUTOMOBILE LIABILITY N/A N/A N/A COMBINED SINGLE LIMIT (Ea accident) $ N/A ANY AUTO BODILY INJURY (Per person) $ N/A OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ N/A HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ N/A $ N/A UMBRELLA LIAB OCCUR N/A N/A N/A EACH OCCURRENCE $ N/A EXCESS LIAB CLAIMS MADE AGGREGATE $ N/A DED RETENTION $ $ N/A WORKERS COMPENSATION AND EMPLOYERS’ LIABILITY Y/N N/A N/A N/A N/A WC STATU-TORY LIMITS OTH-ER $ N/A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $ N/A E.L. DISEASE – EA EMPLOYEE $ N/A E.L. DISEASE – POLICY LIMIT $ N/A A OTHER Medical Prof. Liability Retro Date: 01/07/2022 Type: Claims Made MKLV3PSM002861 01/07/2025 01/07/2026 Each Med. Incident: Shared $2M Aggregate Limit: Shared $3M DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ADDITIONAL INSURED: On Duty Heath,PLLC INSURED SPECIALTY: Entity City of Carlsbad, its officials, officers, agents, employees, volunteers1/7/2022-05/14/2025 Limits are $1M/3M, Effective 05/14/2025 limits are shared $2M/$3M CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME:FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER: $ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A(Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 9/19/2025 (888) 416-2402 20260 On Duty Health PC Greg Balta 1752 E Lugonia Av Ste 117-494 Redlands, CA 92374 1,000,000A X 50004878601 9/10/2025 3/10/2026 It is agreed that City of Carlsbad, its officials, officers, agents, employees, volunteers are named as additional insureds. * 30 DAY NOC / 10 DAY NOC ONLY FOR NON-PAYMENT OF PREMIUM ** Policy is primary and non-contributory * City of Carlsbad, its officials, officers, agents, employees, volunteers 1635 Faraday Ave Carlsbad, CA 92008 ONDUTYH-02 LEUJA1 Auto Club Services, LLC2601 S. Figueroa StMS H302Los Angeles, CA 90007 Infinity Select X Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E ST-White ADDL INSURED COPY AMEND DATE : 09/10/2025 50461AIS01 ENDORSEMENT : 6-4 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT Copy To Policy ID Number Expiration Date 50004878601 03/10/2026 12:01 a.m. Named Insured ON DUTY HEALTH PC City of Carlsbad its officials, officers, agents, employees, volunteers 1635 Faraday Ave Carlsbad, CA 92008 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. Additional Insured City of Carlsbad its officials, officers, agents, employees, volunteers Part A - Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E ST-White ADDL INSURED COPY AMEND DATE : 09/10/2025 500PNCV01 ENDORSEMENT : 6-4 Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 353-6737 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT Copy To Policy ID Number Expiration Date 50004878601 03/10/2026 12:01 a.m. Named Insured ON DUTY HEALTH PC City of Carlsbad its officials, officers, agents, employees, volunteers 1635 Faraday Ave Carlsbad, CA 92008 This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A – LIABILITY COVERAGE OTHER INSURANCE – PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a.You have agreed in writing in a contract or agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b.Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E Docusign Envelope ID: 5AEE3B71-EA49-4AAA-A05D-FFB09C4C299E