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CONTRACT 6910A AmendmentAgreement No. 6910A FIRST AMENDMENT TO AGREEMENT NO. 6910 BETWEEN THE CITY OF EL SEGUNDO AND PACIFIC HARBOR MEDICAL GROUP THIS FIRST AMENDMENT ("Amendment") to Agreement No. 6910 ("Agreement") is made and entered into this 12th day of September 2025, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation existing under the laws of California ("CITY"), and PACIFIC HARBOR MEDICAL GROUP, a CALIFORNIA CORPORATION ("CONSULTANT'). The parties agree as follows: 1. Pursuant to Section 34 of the Agreement, Section 7 (term) of the Agreement is modified to extend the term so that the Agreement will now expire June 30, 2026. 2. Subsection A of Section 2 is amended to include Exhibit " A," which is incorporated by reference. 3. This Amendment may be executed in any number or counterparts, each of which will be an original, but all of which together constitutes one instrument executed on the same date. In accordance with Government Code §16.5, the parties agree that this Amendment will be considered signed when the signature of a party is delivered by electronic transmission. Such electronic signature will be treated in all respects as having the same effect as an original signature. CONSULTANT warrants that its signatory (or signatories, as applicable) to this Amendment has the legal authority to enter this Amendment and bind CONSULTANT accordingly. 4. Except as modified by this Amendment, all other terms and conditions of the Agreement remain the same. [SIGNATURES ON NEXT PAGE] Agreement No. 6910A IN WITNESS WHEREOF the parties hereto have executed this contract the day and year first hereinabove written. CITY OF EL SEGUNDO ni Darrell George, Cis Manager ATTEST: �,tWP- - '761 SuMain Truax,City Clerk APPROVED AS TO FORM: MARK D. HENSLEY, City Attorney David King, Assi City Attorney &I %m vr� Mary S iron Brennan, Risk Manager PACIFIC HARBOR MEDICAL GROUP I "ter Mikhail, D.O, Medical Director Taxpayer ID No. 20-535-1940 Exhibit A Agreement No. 6910A CITY OF EL SEGUNDO PROFESSIONAL MEDICAL SERVICES 360 N. PACIFIC COAST HIGHWAY, SUITE 3000 EIS SEGUNDO, CA 90245 AUGUST 13, 2025 Agreement No. 6910A Pacific Harbor Medical Group Peter Mikhail, D.O. 360 N. Pacific Coast Highway, Suite 3000 Joseph Mikhail, M.D. El Segundo, CA 90245 Satish Patel, M.D. Paz Eilat, M.D. Board Certified Internal Medicine * Board Certified Osteopathic Medicine * Board Certified Sports Medicine Greetings: I am writing to introduce you to a distinguished team of medical professionals who are committed to providing exceptional executive physical and preventative care medical services: Dr. Peter Mikhail, Dr. Joseph Mikhail, Dr. Satish Patel, and Dr. Paz Eilat. Each physician on our team has greater than 20 years of experience and has had the privilege of caring for firefighters, police officers, highway patrol personnel, and employees of reputable companies such as UPS, Toyota, WNBA Los Angeles Sparks, Mayweather Boxing and many other professional athletes. Our dedication to excellence and our track record of delivering high -quality medical services have solidified our reputation in the industry. Our training at Harbor UCLA, one of the leading medical institutions in the country, has equipped us with the expertise and skills necessary to offer comprehensive executive physical. Over the past two years we have performed executive physicals for LA City Fire and LA County Fire firefighters, in addition to municipalities such as City of El Segundo, City of Santa Monica, City of Manhattan Beach, and City of Hawthorne and others as well as provided services to distinguished companies such as Boeing and Northrop Grumman. Our executive physicals program encompasses: * Thorough medical evaluations conducted by our team of experienced physicians and physiologists. • Advanced diagnostic testing to assess cardiovascular health, metabolic function, and overall wellness. • Personalized health consultations to review test results, offer preventive care recommendations, and address any health concerns. • Convenient appointment scheduling to accommodate busy schedules and minimize downtime. We understand the importance of maintaining the health and well-being of your executives, first responders and employees. By partnering with us you can demonstrate a commitment to promoting a culture of health and wellness within your organization. We would be delighted to discuss how our executive physicals program can continue to benefit your company and support your wellness initiatives. Please feel free to contact us at 310-642-1911 or craig.wellman@pacharbormedical.com to schedule a consultation or inquire further about our continued services. We look forward to the opportunity to collaborate with you and contribute to the health and success of your organization. Warm regards, Pacific Harbor Physicians Agreement No. 6910A TABLE OF CONTENTS SECTION A S°I'ATEMENT OF UALIFICATIONS i. Group name, address, contact person. ii. Qualifications of firm, management, staffing experience and credentials iii Type of practice, specialties, and services provided. i. Scheduling needs ii. Description of facility SECTION C — EQUIPMENT LIST AND SUBCONTRACTORS i. Equipment list ii. Subcontractors SECTION D — .B; ",t+"ERENCE8 i. References SECTION E — SCOPE OF SERVICES SECTION F —COST . Proposed Fee Schedule ii. Manner of Payment: Billing procedures and terms of payment Agreement No. 6910A A. Statement of Qualifications i Pacific Harbor Medical Group 360 N. Pacific Coast Highway, Suite 3000 El Segundo, California 90245 E-mail: craig.wellman@pacharbormedical.com Contact Persons: Craig Wellman ii Staffing and credentials. Years of Service: Physicians: Peter Mikhail, D.O. Joseph Mikhail, M.D. See Curriculum Vitae Satish Patel, M.D. for physicians Paz Eilat, M.D. Contract Manager Craig Wellman 25 years Exercise Physiologist Craig Wellman 25 years Exercise Physiologist Sean Riley 20 years Exercise Physiologist Angelo Pacheco 4 years Front Office/Medical Assistant Jennifer Arroyo 5 years Medical Assistant Norma Cortez 1 year Medical Assistant Yolonda Dixon 1 year Phlebotomist Norma Cortez 1 year X-ray Technician Noma Cortez 1 year Agreement No. 6910A Physicians: CURRICULUM VITAE Mikhail, Peter Nabil D.O. 360 N. Pacific Coast Highway, Suite 3000 El Segundo, CA 90245 310-642-0100 doctorpmikhail@hotrnail.com LICENSES California medical #20A9152 DEA#BM9251226 EDUCATION UC Irvine BS Biology December 1996 Western University of Health Sciences/College of Osteopathic Med. of the Pacific, Pomona, California 08/1999-05/2003 D.O. May, 2003 GRADUATE MEDICAL TRAINING UCLA -Harbor General Hospital Internship Family Medicine, June 2003-June 2004 UCLA -Harbor General Hospital Family Medicine Residency, June 2004-June 2006 Area of Concentration -Sports Medicine HONORS/AWARDS (MEDICAL) Best of LA family physician 2011 Patients Choice Award 2006-2015 National Medical Fellowships Scholarship 1999-2000,2000-2001 EMPLOYMENT New Care Clinic Inc. /Urgent Care Partner 10/2010-2019 Pacific Harbor Medical group, Inc., Partner 10/2006-present UCLA/Playa Marina Urgent Care, 8/2007-2017 Kaiser Permanente Urgent Care West L.A. 6/2006-12/2010 Western Medical Group 4/2006-6/2010 Wateridge Providence Urgent Care 2019-present The Mind and Body Club, partner 03/1999-2003 Los Angeles Unified School District, teacher 09/1997-08/1999 UC Irvine Social Ecology Dept., research assistant 02/1996-06/1997 UC Irvine student research (youth drunk driving diversion program, coordinator 11/95-5/96) Agreement No. 6910A RESEARCH COPA project (Creating Opportunity for Physical Activity) 2005-2006 UC Irvine Dept. of Social Ecology 02/1996-2/1997 AWARDS/ACCOMPLISHMENTS/CERTIFICATIONS Board Certification, American Board of Family Medicine -current ACLS/BLS-Exp:03/22 UCLA extension fitness instruction program, completed/certified 10/1999 The Mind and Body Club- training facility created 1999-2005 UC Irvine minor in criminology, law and society 1996 UC Irvine Leadership recognition certification by dean of students 1996 UC Irvine student body council elected representative 1996 Who's Who Among American Universities and colleges 1996 UC Irvine team trainer 1995 Emergency technician certification 1995 MEDICAL SOCIETY MEMBERSHIP American Osteopathic Association American Medical Association American Academy of Family Physicians Student National Medical Association American Academy of Osteopathic Family Physicians EVENT COVERAGE (Sports Medicine) Venice high school football 2004 season Westchester high school 2006, 2007, 2008, 2009 Leuzinger high school football 2005 season Quakes professional women's football 2005 season Los Angeles triathlon 9/2003, 9/2004, 9/2005,9/2006 Long beach Marathon 2004 Los Angeles Marathon 3/2005 US Track and Field Olympic trial finals Home Depot Center Carson CA 6/2005 Adidas Track Classic Home Depot Center Carson, CA 512005 Office Depot LPGA championship Trump National Golf Club L.A. 9/28-10/2/2005 Anaheim Arsenal NBA D-league basketball, team physician 2006/2007, 2007/2008 season Los Angeles Sparks team physician 2011-current Head Physician Mayweather Boxing 2015-current Agreement No. 6910A Joseph Mikhail M.D. 360 Pacific Coast Highway, Suite 3000 El Segundo CA,90245 (310) 642-0100 doctorjmikhail@yahoo.com o r, I,It f_-y'' _.,�-... a Medical Board of California, License#A94568- Current DEA#BM9742873 - Current i ' LD C.E11 Id' I C V110_ S American Board of Family Medicine - Current June 1999 University of California, Los Angeles - Bachelors of Science in Biolgg• May 2004 Drew/UCLA David Geffen School of Diedicine - Doctor of lledicine June 2004-June 2005 UCLA -Harbor General Hospital - Family Medicine Internship June 2005 -June 2007 UCLA -Harbor General Hospital - Family Medicine Residency September 2017- PRESENT Pacific Harbor Medical Group - Family Practice May 2020 - PRESENT Wateridge Urgent Care - Urgent Care June 2010 - May 2020 New Care Clinic - Urgent Care/Occupational Medicine July 2014 - May 2020 Evieore Healthcare - Utilization Review, Associate Medical Director July 2010- July 2014 Venice Culver Marina Medical Group - Occupational Medicine/Urgent Care July 2008 - July 2010 Playa Marina Urgent Care - Occupational Medicine/Urgent Care July 2007-Jure 2010 Western Medical Group - Occupational Medicine/Family Practice Agreement No. 6910A Curriculum Vitae SATISH M. PATEL M.D. Email: Kanniknil@hotmail.com ❑ Medical Education ♦ B.J.MEDICAL COLLEGE, GUJARAT UNIVERSITY; Ahmedabad, India (1984 —1991) ➢ Degree: MBBS ♦ HARBOR -UCLA MEDICAL CENTER, Torrance, California ➢ Family Medicine Residency, June 2004 — June 2006 ➢ Family Medicine Internship, June 2003 — June 2004 ❑ Wor Ic E er ierice ♦ PACIFIC HARBOR MEDICAL GROUP, Los Angeles, CA (Oct 2006- Present) Family Practice and Sports Medicine clinic ♦ PROVIDENCE WATERIDGE URGENT CARE, CA (Jan 2020- Present) Urgent Care Provider ♦ NEW CARE CLINIC, Westchester, CA (Nov 2010- 2019) After Hours Urgent Care ♦ ACCESS MEDICAL GROUP, IPA (July 2012- Jan 2020) Utilization Review- Assistant Medical Director ♦ KAISER PERMANENTE, West LA, (Dec 2006- Jun 2012) After hours Urgent care ♦ WESTERN MEDICAL GROUP, TORRANCE, (August 2008- July 2010) Occupational Clinic ♦ UNIVERSITY OF CALIFORNIA AT LOS ANGELES (UCLA); Los Angeles, CA (Sept 2000- Mar 2003) Work as Registered Respiratory Therapist ❑ LicenselCer°ti tcations. ♦ California State Medical License ♦ Diplomat of American Family Medicine Board ♦ Respiratory Care Practitioner license: by Respiratory Care Board of California (2000) ♦ Advanced Cardiac Life Support Agreement No. 6910A ❑ Awards/Honors: ♦ Honorary Membership in the Juan Ponce de Leon Society for Excellence in the Care of the Elderly ♦ Research Award from 22nd Annual UCLA Multi -Campus Research Forum (May 2006) ♦ Valedictorian in the Respiratory Therapy from California Paramedical & Tech. College ♦ National Merit Scholarship from Government of India ❑ Hobbies & Interests: ♦ Reading, Traveling, Playing tennis, spending time with family., ❑ Lara uq ev Hoene +Other than Ea: fist ♦ Hindi, Gujarati Agreement No. 6910A Education: Medical Education; Graduate Medical Training Medical Licensure: CURRICUUM VITAE PAZ EILAT, M.D. California State University, Long Beach 1983-1986 Bachelorof Arts, Chemistry Long Beach, California Szent-Gyorgyi Albert Medical University 1986-1992 Szeged, Hungary VAMealical Center, Internal Medicine internship 6/93-6/94 VA Medical Center, internal Medidne .Residency 6/94-6/96 Califomia license: A61038 Positions Held: October 1996-Present Supervisor of Physician Assistants February 1997-Present X Ray Technician Supervisor Medical Review Officer Work Experience: Talbert Medical Group, North Torrance 11/96-12197 Lawndale, CA. Dr; Daniel Kao, Pulmonologist-Locum Ten urn 1/98 3/98 Torrance, CA. Ace Medical Group 3/98 2/99 Hawthorne, CA- Hospitalfst Veterans Hospital, Urgent Care 7/96-2001 Reno, NV. Western Medical Group 3/99-12/2017 Torrance, CA. Primary Care, Orwmtbnat Medidne New Care Clinic Urgent Care 10/10-05/20 Westchester, CA. Pacific Harbor Medical Group 09/17-Present Westchester, CA. Pemm Care Wateridge Urgent Care 05/20-Present Agreement No. 6910A Professional Organizations: Member of the American College of Physicians Member of the Medical University Newspaper Editorial Board Student Affiliates of the American Chemistry Society (1983-1986) President of S.A.A.C.S (1985-1986) Research Experience: Medical Director/Principal Investigator Devise Research, Inc. February 2008-2010 Clinical trials Conducted as PI: A Multi -Center Randomized, Double Blind trial to compare the safety and efficacy ofXX)=with XXXXX in Adults with Asthma. A Multi -Center, Randomized, Double -Blind Study comparing XXXX with XXXX in Adult patients with complicated skin structure infections. Agreement No. 6910A x,r 1 bwt, Craig Wellman B.S. Exercise and Sports Science, Colorado State University NIOSH Spirometry Certification FAA Medical Certification Breath Alcohol Technician (BAT) Certification D.O.T. Urine Drug Collection Certification Sean Riley B.S. Biology from Loyola Marymount University J.D. Loyola Law School. M.S. Exercise Science from California State University, Long Beach NIOSH Spirometry Certification CAOHC Hearing Certification FAA Medical Certification Breath Alcohol Technician (BAT) Certification D.O.T. Urine Drug Collection Certification Angelo Pacheco A.A. Data Science, El Camino College B.S. Kinesiology, Glenville State College Certified Breath Alcohol Technician Certified Federal Drug Screen Collector X-ray Technician, Normal Cortez Medical Assistant: Jennifer Arroyo Norma Cortez Yolanda Dixon Phlebotomist: Norma Cortez Agreement No. 6910A iii Type of practice, specialties, and services provided. As discussed in our cover letter the Pacific Harbor Medical Group has been providing medical care to the community for over 20 years. The physicians, all of whom are board certified in internal medicine or D.O., have had extensive experience providing primary care on both an outpatient and in -patient basis. Pacific Harbor Medical Group has provided a variety of medical services to various municipalities and private industry including pre -employment medical exams, POST pre- employment exams, executive physicals, annual physicals, DMV exams, return to work/fitness for duty evaluations, DOT and non -DOT drug and alcohol testing, post - accident evaluations, and vaccinations. All physicians are certified to perform DMV Commercial Driver Medical Testing and are familiar with the disability laws related to employer required medical exams. All of our physiologists are certified to perform DOT Drug and Alcohol Testing. B. Scheduling and facility i. Scheduling needs: Appointments are available 7:30-5:00 Monday — Friday. We will work with your staff to meet your needs. ii. Description of our facility: We occupy 5,000 square feet in a modern office building at the corner of Grand Avenue and Pacific Coast Highway in El Segundo. The entire facility is handicap accessible and is in compliance with all ADA requirements. Parkin is validated. Our office is equipped with: • A hospitable waiting room equipped with free Wi-Fi. • Contemporary examination rooms. • Physician consultation rooms. • Vision/hearing /body fat analysis room. • Laboratory with a dedicated bathroom. • X-ray room • Fitness room (with two digital treadmills and fitness testing equipment) • Locker room. Agreement No. 6910A C. Equipment and Subcontractors i. Ell menu WMGCHH maintains operational equipment through periodic servicing and annual maintenance contracts with equipment manufacturers. TYPE MANUFACTURER AND MODEL SERIAL # 3558 Audiometric Booth Acoustic Systems RE120 Audiometer Monitor Instruments/MI-7000. 70306 Vision Tester (2) Titmus 2a Vision Screener (Occupational Model) 50356 E.T.D.R.S. by Vectorvision Inc. Model CSV-1000 002764 Spirometer Easy One Air Spirometer/Model #: 2500 1160864 Skinfold Calipers John Bull/British Indicators LTD N/A Bicycle Ergometer Monark Ergomedic 828E N/A Treadmill (2) GE T2100-ST2 GEDC-2354 GE T2100-ST2 GEDC-2355 Hand grip Jamar 20200511358 H.R.R. Fourth Edition Color vision Farnsworth D-15 N/A Ishihara Colour Deficiency Edition 2000, Flexibility equipment Acuflex I Sit -and Reach equipment N/A Lifeloc Phoenix 6.0 Breath Alcohol Tester SN10001568 Agreement No. 6910A ii. Subcontractors Laboratory services performed by: LabCorp (Primary testing facility) 13112 Evening Creek Dr. South San Diego, CA 92128 (858) 668-3700 Pacific Harbor Medical Group (draw station) 360 N. Pacific Coast Highway, Suite 3000 El Segundo, CA 90245 (310) 348-4160 LabCorp draw station (backup draw station if needed) 390 N. Pacific Coast Highway, Suite 2080 El Segundo, CA 90245 (310) 417-8845 (LabCorp draw station is located within building complex and easily accessible with short walk.) Radiographs interpreted by: Emergent Connect 2303 Ranch Rd. 620 South, Suite 135 Lakeway, TX 78734 Phone: (800) 539-5936 (All radiographic studies are performed on our premises and interpreted via electronic transmission). Cardiology: Thomas T. Togioka, M.D. 390 N. Pacific Coast Highway, Suite 1055 El Segundo, CA 90245 Phone: (310) 673-3945 Fax: (310) 673-0273 (Resting EKG and cardias stress test overreads (if needed)). Agreement No. 6910A D. References Experience providing industrial medical services for medium to large sized employers. We have provided a variety of medical services to various municipalities and private industry including pre -employment medical exams, executive physicals, annual physicals, DMV exams, Return to work/Fitness for duty evaluations, Drug and Alcohol testing, Occu-med evaluations, and vaccinations. i. Contract References Los .n ales Count Narek Artonian, Principal Analyst Occupational Health Programs Department of Human Resources 500 West Temple Street, Room 588 Los Angeles, CA 90012 Mobile: (213) 369-6748 Email: nrtonian@hr.lacounty.gov Exams: LA County Fire Fitness for Life program exams. City of Santa Monica Jennifer Garcia Human Resources Benefits Administrator 1685 Main Street, Room 101 Santa Monica, CA 90401 Office: (310) 458-8206 Email: jepni cr.����� �aCa a� to ica. ov Exams: Fire NFPA 1582 preplacement, Police POST preplacement, DMV, Fire annual, Executive, other preplacement exams for desk or manual labor positions. City of Manhattan Beach Stephanie Swofford, PHR, SHRM-CP Human Resources Manager 1400 Highland Avenue Manhattan Beach, CA 90266 Phone: (310) 802-5256 Email: sswofford@manhattanbeach.gov Exams: Preplacement with non -DOT drug screen, POST Medicals for Police Department, NFPA-1582 Medicals for Fire Department, Fire Wellness, DMV, TB skin tests, and vaccinations as requested. Additional references available upon request Agreement No. 6910A E. SCOP O1+ SERVICES for "City of El Segundo" Vendor to provide the services below as directed by Santa Monica Police Department: • Physical examination by a physician includes medical, family, and social history. i Blood Analysis: Chemistry panel, CBC, Lipid panel, TSH, Iron, PSA (applicable by age) Urinalysis 0 Vitals: height, weight, blood pressure, pulse, 02 saturation %, temperature. O Body Composition Analysis Vision Testing (Titmus/ETDRS) 0 Color vision (Titmus and/or H.R.R. 4' Edition) 0 Hearing Test (Audiogram SOOHz — 8000Hz) « Pulmonary Function Testing 0 Chest X-ray (1-view, initial exam then every 5 years or as directed by examining physician) 0 Resting EKG 0 Maximal Stress EKG (treadmill or bike) 0 Push-up evaluation • Curl -up evaluation 0 Plank hold 0 Flexibility evaluation d Follow-up or Referral to Health Care Practitioner as needed. 9, Counseling, after the examination by physician to review the results that are available, discuss exercise and dietary guidelines, and ways to reduce risk factors for heart disease. • A report with all laboratory/x-ray/testing results and physician recommendations will be emailed to patients. • DMV certification will be completed upon request at no additional cost. o Each patient will work one-on-one with an Exercise Physiologist or Medical Assistant throughout the testing protocol. The Exercise Physiologists and Medical Assistants on staff are well trained in every aspect of the testing protocol. This allows for a timely and comfortable transition through the physical. It also allows the Exercise Physiologist and Medical Assistant to get to know the patient to help assist in developing an appropriate exercise prescription and advise lifestyle modifications per conversations with that patient. Agreement No. 6910A F. Cost i. Proposed Fee Schedule (See EXCEL spreadsheet for exam components.) Exam Plan Price ........ _..._�._... ESPD Pre -Placement P13ysicKzl1 $1010.00 ESPD Executive Health & Fitness Fio� Examination $972.00 ESFD Pre -Placement Physical $1010.00 ESFD Executive Health & Fitness Program Examination $972.00 Executive Medical Health Examination $924.00 DMV (stand-alone) $330.00 Cardiac stress test (Treadmill or $315.00 Fee stated in the proposal will remain in effect for the agreed upon duration of the contract. ii. Manner of Payment: Billing procedures and terms of payment Manner of Payment. Invoicing City of El Segundo will be invoiced by the 15th day of the month following the month for which services were provided. Invoices will contain the following information: • Patient name. • Patient date of birth • Date of service. • Description of service. • Price of service. • Total charges for month. Pacific Harbor Medical Group 360 N. Pacific Coast Highway, Suite 3000 El Segundo, CA 90245 Terms of payment: 30 days following invoice.