CONTRACT 3907D Amendment CLOSED3907 ► . j L.,r
FOURTH AMENDMENT TO
AGREEMENT NO. 3907 BETWEEN
THE CITY OF EL SEGUNDO AND
U.S. HEALTHWORKS OF CALIFORNIA, INC.
THIS 4TH AMENDMENT ( "Amendment") is made and entered into this 1st day of October, 2012,
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 ( "Agreement "), executed by the parties on or about
February 25, 2009 and subsequently amended, the term of the agreement is extended until
September 30, 2013.
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
IN WITNESS WHEREOF the parties hereto have executed this contract the day and year
first hereinabove written.
ATTEST:
APPROVED A
MARK D. H
U1.1 a
erger, A.ssXtat City Attorney
Taxpayer ID No. 0 -//b � t0 9
,
EXHIBIT "A" — COMPENSATION SCHEDULE
ATTACHMENT A
USHealthworks
Pre- employment costing for each medical evaluation component
Audiogram
$22
Physical Examination
$40
Chest X -Ray (1 view)
$40
Chest X -Ray (2 view)
$50
Lumbar Spine (2 view)
$50
Non - Regulated UDS
$48
(Drug screen — insta- check)
$40
PPO (TB test)
$25
Pulmonary Function Test
$35
"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
$60
Stress EKG with over read
$47
Tetanus
$48
Hepatitis A (2 series)
$120
Hepatitis B (3 series)
$90 each
EXHIBIT "A" — COMPENSATION SCHEDULE
ATTACHMENT B
USHealthworks
Medical Exam Component Profiles Cost
Battalion Chief
$175
Building Inspector
$100
Building Safety Manager
$100
Business Services Manager
$100
City Engineer
$100
Civil Engineer Associate
$100
Community Cable Program Spec /Manager
$100
Computer Graphics Designer
$100
Crime Prevention Analyst
$100
Crime Scene Investigator
$100
Custodian
$100
Dispatcher
$100
Environmental Safety Manager
$100
Equipment Maintenance Supervisor
$100
Equipment Mechanic
$100
Facilities Maintenance Mechanic /Supervisor
$100
Fire Prevention Specialist
$100
Firefighter / Engineer / Captain
$175
Fleet Supervisor
$100
General Services Manager
$100
Information Systems Manager
$100
Library Network Assistant
$100
Librarian / Senior Library Asst / Library Page / Clerk
$100
License Permit Specialist
$100
Lifeguard
$135
Maintenance Craftsworker
$100
Network Assistant
$100
Park Maintenance Worker
$100
Planning Manager / Senior Planner / Asst Planner
$100
Police Assistant
$100
Police Cadet
$100
Police Officer
$165
Police Service Officer
$135
Police Volunteer
$100
Pool Center Maintenance Technician
$100
Pool Manager
$100
Principal Fire Prevention Specialist
$100
EXHIBIT "A" — COMPENSATION SCHEDULE
USHealthworks
Medical Exam Component Profiles
Cost
Program Coordinator
$100
Public Works Director
$100
Public Works Street Maintenance Worker /
Lead / Supervisor
$100
Rangemaster
$100
Recreation and Parks Director
$100
Recreation Leader/ Coordinator
$100
Recreation Supervisor (plus Aquatics)
$100
Revenue Inspector
$100
Sedentary
$100
Special Events Coordinator
$100
Street Maintenance Worker I / II
$100
Technical Services Analyst
$100
Tree Maintenance Worker
$100
Utilities Manager
$100
Video Specialist
$100
Wastewater Supervisor
$100
Wastewater / Water Maintenance Worker
$100
Water Supervisor
$100