CONTRACT 3912A Amendment CLOSED39 12A
FIRST AMENDMENT TO
AGREEMENT NO. 3912 BETWEEN
THE CITY OF EL SEGUNDO AND
WESTCHESTER MEDICAL GROUP /CENTER FOR HEART AND HEALTH
THIS 1ST AMENDMENT ( "Amendment ") is made and entered into this First day of October,
2009, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation
existing under the laws of California ( "CITY "), and WESTCHESTER MEDICAL
GROUP /CENTER FOR HEART AND HEALTH, a General Partnership ( "CONSULTANT ").
1. Pursuant to Agreement No. 3912 ( "Agreement "), executed by the parties on or about
February 25, 2009 and subsequently amended, the term of the agreement is extended
until September 30, 2010.
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. 3912 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.
CITY OF EL
W ayt
Manager
ATTEST:
. .. ........
Cindy Mortesen, �
City Cl
APPRC
MARK
I:
Taxpayer ID No. o
P
EXHIBIT A
CONTRACTOR RATES
EVALUATION COMPONENT
Executive, Police, Fire
h sician examination
$200.00
Vision
$15.00
udiome
$10.00
Chest x-ray (I view
$35.00
Blood panel includes:
$53.00
-9hemkstry anel
$40.00
Complete blood coup
$37.00
Prostate Specific Anti en
As needed/recommended
rival sis
$12.00
ulmonary function EV, PVC
$25.00
estin EKG
$50.00
Stress EKG race protocol)_
$150.00
Sfxengffi & flexibili
$20.00
Body composition
$10.00
Report to El Segundo
"Fit for Duty" Report Form Only
e ort to atient
No charge
Total Cost:
$580.00
City discount cost:
$450.00
Additional Com onents:
Resting EKG & Stress test a la carte
$200.00
Chest x-ray 2 views— PA/Lateral
$65.00
TB Skin Test PD0
$30.00
Hepatitis A 2 doses
Ne otiable
Hepatitis B 3 doses
Negotiable
Hepatitis C Antibody
$40.00
Hepatitis B Surface Antibody
$37.00
Immunizations
Negotiable
Vaccinations
Ne otiable
Pap smear
Patient expense
Colonosco y
Referral only
ammo am
Referral only
Cardiologyconsultation
Referral only
Agreement active from October 1, 2009through September 30, 20 10