For City Council Meeting November 10, 2026
TO: Honorable Mayor and City Council
FROM: Tanya Williams, City Manager
AUTHOR: Christopher P. Jensen, Fire Chief
Title
Request City Council to: (1) Approve a Three-year Professional Services Agreement with On Duty Health, PC., in the Amount of $113,536 Annually, Not to Exceed $340,608 with the Option to Extend for Two Additional One-Year Terms in the Amount of $119,212.80 for the Optional Fourth-year and $125,173.44 for the Optional Fifth-year with a Total Contract Value of $584,994.24 at the City’s Sole Discretion; and (2) Authorize the City Manager or Designee to Execute All Related Documents.
(ACTION)
Body
RECOMMENDATION
Staff recommends that the City Council:
1. Approve a Professional Services Agreement (PSA), in the amount of $584,994.24, with On Duty Health, PC, for the Silver Package Health and Fitness Assessment;
2. Authorize the City Manager, or designee, to execute all related documents.
BACKGROUND
The Rialto Fire Department has contracted with On Duty Health, PC, to provide comprehensive health and fitness assessments for Fire Department personnel since March 22, 2023.
Since the initiation of services, staff has identified the need to continue and maintain the scope of services under the Silver Package Health and Fitness Assessment to ensure continued compliance with applicable National Fire Protection Association (NFPA) standards and to support the health, safety, and operational readiness of sworn personnel. As well as the Rialto Professional Firefighters Calif. Local 3688 Memorandum of Understanding requirements under Article 6.A.3., which states:
In addition to the fitness assessment, the City will pay for each employee to receive a Prostate Specific Antigen (PSA), mammography, stool sample evaluation, multi-cancer early detection blood draw test that meets/has the same requirements as the Galleri Cancer Screening test or equivalent, and an ultrasound test from the company the City contracts with each year. Effective July 1, 2024, the City and the Association agree to meet and discuss the process of the multi-cancer early detection blood test.
These services include enhanced medical evaluations, expanded diagnostic testing, and related program components necessary to maintain a comprehensive and standardized assessment program for first responders.
Accordingly, a formal Professional Services Agreement for the three-year agreement with two optional one-year terms in the total not to exceed amount of $584,994.24 is being requested.
The continued use of On Duty Health, PC ensures consistency in medical evaluation protocols, continuity of care, and efficient program administration. Utilizing the same provider avoids duplication of services, minimizes disruption to personnel scheduling, and maintains standardized health data tracking for departmental use.
ANALYSIS/DISCUSSION
On Duty Health, PC was selected as a sole source provider due to its specialized expertise in delivering comprehensive, NFPA-compliant health and fitness assessments tailored specifically for first responders, including on-site advanced diagnostics and integrated physician oversight. On Duty Health is also locally based and is able to facilitate make-up testing for members unable to attend the original testing dates provided. No other known vendor provides this full scope of services in a single, coordinated program that meets the City’s operational and compliance needs. Procuring these services from multiple vendors would result in fragmented service delivery, potential inconsistencies in medical evaluation standards, and increased administrative burden, which could impact the effectiveness of the program.
This Professional Services Agreement with On Duty Health, PC for firefighter annual wellness and medical fitness examinations is set at a not-to-exceed amount of $113,536 per fiscal year, beginning in Fiscal Year 2026/2027 and concluding in Fiscal Year 2028/2029, for a total contract value of $340,608. The City has also included the option to exercise two additional one-year extensions based on satisfactory performance. For each extension, On Duty Health, PC has proposed a 5% increase. A projected cost proposal for the services is provided in Table 1 below.
Table 1

ENVIRONMENTAL IMPACT
The proposal is not a “Project” as defined by the California Environmental Quality Act (CEQA). Pursuant to Section 15378(a), a “Project” means the whole of an action, which has a potential for resulting in either a direct physical change in the environment, or a reasonably foreseeable indirect physical change in the environment. According to Section 15378(b), a Project does not include: (5) Organizational or administrative activities of governments that will not result in direct or indirect physical changes in the environment.
GENERAL PLAN CONSISTENCY
This purchase supports the City of Rialto’s General Plan, particularly:
Goal 5-3.1: Provide for fire personnel, equipment, and fire stations to have adequate and appropriate resources to meet the needs and serve all areas of Rialto. The Professional Services Agreement with On Duty Health, PC. for firefighter health examinations supports the City's fire protection capabilities by providing appropriate occupational health resources for Fire Department personnel and helping maintain personnel readiness.
LEGAL REVIEW
The City Attorney's Office has reviewed the agreement and approved it as to form.
FINANCIAL IMPACTS
Operating Budget Impact
Funds for the Professional Services Agreement with On Duty Health, PC., in the amount of $113,536 for Fiscal Year 2026/2027 are available in Account No. 10105174-52011.
Capital Improvement Budget Impact
This action has no impact on the Capital Improvement Budget.
Licensing
On Duty Health, PC. will pay a Business License tax prior to the execution of the Professional Services Agreement.
ATTACHMENTS
1. Attachment 1 - Professional Services Agreement
2. Attachment 2 - Sole Source
3. Attachment 4 - Conflict Disclosure Form
4. Attachment 3 - Estimate