CONTRACT 3907F Amendment CLOSEDAmendment No. 3907F
SIXTH AMENDMENT TO
AGREEMENT NO. 3907 BETWEEN
THE CITY OF EL SEGUNDO AND
U.S. HEALTHWORICS OF CALIFORNIA, INC.
THIS 6TH AMENDMENT ("Amendment") is made and entered into this 1st day of October, 2014,
by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation
existing under the laws of California ( "CITY "), and U.S. HEALTHWORKS OF CALIFORNIA,
Inc., incorporated under the laws of the State of California ( "CONTRACTOR ").
1. Pursuant to Agreement No. 3907 ( "Agreemenf% executed by the parties on or about
February 25, 2009 and subsequently amended, the term of the agreement is extended until
September 30, 2015.
2. This Amendment may be executed in any number of counterparts, each of which will be an
original, but all of which together constitute one instrument executed on the same date.
3. Except as modified by this Amendment, all other terms and conditions of Agreement No.
3907 remain the same.
4. Exhibit A is incorporated by reference. Exhibit A rates remain the same for the period of
October 1, 2014 through September 30, 2015. Amount not to exceed $25,000.00.
IN WITNESS WHEREOF the parties hereto have executed this contract the day and year
first hereinabove written.
ATTEST:
Clerk
U.S. HEALTHWORKS OF CALIFORNIA, INC.
Taxpayer ID No.�°
APPROVED AS TO FORM;
MARK D. HENSLEY, City Attorney
By.
K
Flo
arl H. Berg ; . sistant. City Attorney
Amendment No. 3907F
EXHIBIT "A" -- COMPENSATION SCHEDULE
ATTACHMENT A
USHealthworks
pre- employmenf costing for each medical evaluation component
Audlogram
$22
Physical Examination
$65
Chest X -Ray (1 view)
$5a
Chest X -Ray (2 view)
$65
Lumbar Spine (2 view)
$65
Non - Regulated UDS
$65
(Drug screen -- insta- check)
$40
PPD (TB test)
$25
Pulmonary Function Test
$35
Vision Test -- Ishihara
$10
Vision Test — Peripheral
$10
Vision Test — Titmus
$10
*Stress Treadmill
(performed at Westchester Center for Heart and Health)
Other miscellaneous services
DOT Random drug testing
(Regulated) -
$65
Reasonable Suspicion
(BAT and confirmation)
$80
DMV Physical
$70
Stress EKG with over read
$65
Tetanus
$95
Hepatitis A (2 series)
$120
Hepatitis B (3 series)
$90 each
Vaccine -- Twinrex
$140
Amendment No. 3907F
EXHIBIT "A" COMPENSATION SCHEDULE
ATTACHMENT B
USHealthworks
Medical Exam component Pro #11 es
Cost
$250
Battalion Chief
$146
Bullding Inspector
$146
Building Safety Manager
$146
Business Services Manager
$146
City Engineer
$146
Civil Engineer Associate
Community Cable Program Spec /Manager
$146
$146
Computer Graphics Designer
$146
Crime Prevention Analyst
$146
Crime Scene Investigator
$146
Custodian
$146
Dispatcher
Environmental Safety Manager
$146
$146
Equipment Maintenance Supervisor
$146
Equipment Mechanic
Facilities Maintenance Me
$146
$146
$146
Fire Prevention Specialist
$234
Firefighter l Engineer I Captain
$146
Fleet Supervisor
$146
General Services Manager
$146
Information Systems Manager
$146
Library Network Assistant
Asst 1 Library Page I Clerk
$146
Librarian I Senior Library
License Permit Specialist
$184
Lifeguard
$146
Maintenance Craftsworker
$146
Network Assistant
$146
Park Maintenance Worker
Planning Manager I Senior Planner 1 Asst Planner
$146
$146
Police Assistant
$146
Police Cadet
$224
Police Officer
$220
Police Service Officer
$146
Police Volunteer
Pool Center Maintenance Technician
Pool Manager
Principal Fire Prevention Specialist
USHealthworks
Amendment No. 3907F
$146
$146
$146
EXHIBIT "A" — COMPENSATION SCHEDULE
Medical Exam Component Profiles_
Cost
Program Coordinator
$146
Public Works Director
$146
Public Works Street Maintenance Worker /
Lead / Supervisor
$146
Rangemaster
$146
Recreation and Parks Director
$146
Recreation Leader / Coordinator
$146
Recreation Supervisor (plus Aquatics)
$146
Revenue Inspector
$146
Sedentary
$146
Special Events Coordinator
$146
Street Maintenance Worker I / II
$146
Technical Services Analyst
$146
Tree Maintenance Worker
$146
Utilities Manager
$146
Video Specialist
$146
Wastewater Supervisor
$146
Wastewater / Water Maintenance Worker
$146
Water Supervisor
$146