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CONTRACT 3912B Amendment CLOSEDTHIS 2ND AMENDMENT ( "Amendment ") is made and entered into this First day of October, 2010, 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, 2011. 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. ATTEST: Cindy Morten City Clerk APPROVED MARK D. H By: Berger, "sustant City Robert A. Reiss, M.D., F.A.C.P. Co- Medical Director, Partner Taxpayer ID No. B:Mig1-r A CONTRACTOR RATES 3912, EVALUATION COMPONENT Executive, Police, Fire Physician examination $200.00 Vision $15.00 Audiometry $10.00 Chest x -ra (1 view) $35.00 Blood panel includes: $53.00 Chemistry panel $40.00 Complete blood coup $37.00 Prostate Specific Antigen As needed/recommended Urinalysis $12.00 Pulmonary function (FEV, FVC) $25.00 Resting EKG $50.00 Stress EKG (Bruce protocol) $150.00 Strength & flexibility $20.00 Body composition $10.00 Report to El Segundo "Fit for Du !y" Report Form Only Report to patient No charge Total Cost: $580.00 Kity 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 (PPD). Includes admin. fee and supplies. $65.00 He atitis A_(2 doses) Negotiable Hepatitis B (3 doses) Negotiable Hepatitis C Antibody $40.00 Hepatitis B Surface Antibody $37.00 Immunizations Negotiable Vaccinations Negotiable Pap smear Patient expense Colonoscopy Referral only ,Mammogram Referral only ICardiology consultation Referral only Agreement active from October 1, 2010 through September 30, 2011. ,3 of