CONTRACT 3907E Amendment CLOSEDAgreement No. 3907E
FIFTH AMENDMENT TO
AGREEMENT NO. 3907 BETWEEN
THE CITY OF EL SEGUNDO AND
U.S. HEALTHWORKS OF CALIFORNIA, INC.
THIS 5TH AMENDMENT ( "Amendment ") is made and entered into this 1 st day of October, 2013,
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 ").
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, 2014.
1 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.
ary, OF EL
Greg Ca pent
City . nages
ATTEST:
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Cit
AFP:
By:
SEGUNDO U.S. HEALTHWORKS OF CALIFORNIA, INC.
resident
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Taxpayer ID No. , -y y _�, .q y
Agreement No. 3907E
EXHIBIT "A" — COMPENSATION SCHEDULE
ATTACHMENT A
USHealthworks
Pre - employment costing for each medical evaluation component
Audiogram
$22
Physical Examination
$60
Chest X -Ray (1 view)
$50
Chest X -Ray (2 view)
$65
Lumbar Spine (2 view)
$65
Non - Regulated UDS
$95
(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
Agreement No. 3907E
EXHIBIT "A" — COMPENSATION SCHEDULE
ATTACHMENT B
USHealthworks
Medical Exam Component Profiles Cost
Battalion Chief
$250
Building Inspector
$146
Building Safety Manager
$146
Business Services Manager
$146
City Engineer
$146
Civil Engineer Associate
$146
Community Cable Program Spec /Manager
$146
Computer Graphics Designer
$146
Crime Prevention Analyst
$146
Crime Scene Investigator
$146
Custodian
$146
Dispatcher
$146
Environmental Safety Manager
$146
Equipment Maintenance Supervisor
$146
Equipment Mechanic
$146
Facilities Maintenance Mechanic /Supervisor
$146
Fire Prevention Specialist
$146
Firefighter / Engineer / Captain
$234
Fleet Supervisor
$146
General Services Manager
$146
Information Systems Manager
$146
Library Network Assistant
$146
Librarian / Senior Library Asst / Library Page / Clerk
$146
License Permit Specialist
$146
Lifeguard
$184
Maintenance Craftsworker
$146
Network Assistant
$146
Park Maintenance Worker
$146
Planning Manager / Senior Planner / Asst Planner
$146
Police Assistant
$146
Police Cadet
$146
Police Officer
$224
Police Service Officer
$220
Police Volunteer
$146
Pool Center Maintenance Technician
Pool Manager
Principal Fire Prevention Specialist
USHealthworks
Agreement No. 3907E
$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