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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