CONTRACT 3912C Amendment CLOSEDTHIRD AMENDMENT TO
AGREEMENT NO. 3912 BETWEEN
THE CITY OF EL SEGUNDO AND
WESTCHESTER MEDICAL GROUP /CENTER FOR HEART AND HEALTH
THIS 3RD AMENDMENT ( "Amendment ") is made and entered into this First day of October,
2011, 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, 2012.
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 SEGUNDO WESTCHESTER MEDICAL GROUP/
CENTEReFOR HEA RT AND HEALTH
Douglas Willmore
City Manager
ATTEST:
Cindy Mortesen,
City Clerk
APPROVED AS TO FORM:
MARK D. HENSLEY, City Attorn
By: .
Karl H, 'Berger, Assistant City Att4rney
19
Robert A. Reiss, M.D., F.A.C.P,
Co- Medical Director, Partner
Taxpayer ID No. %:5-' dC/ Ille 7-2
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EXHIBIT A
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The Westchester Medical Group Robert A. Reiss, M.D., F.A.C.P.
Center For Heart and Health Allen H. Pachtman, M.D.
360 North Sepulveda Blvd., Suite 3000 David M. Weiss, M.D.
El Segundo, California 90245
(310) 348 -4160, Fax (310) 670 -1433
Board Certified Internal Medicine a Board Certified Sports Medicine
July 19, 2011
City of El Segundo
350 Main Street
El Segundo, CA 90245
To Whom It May Concern:
The Westchester Medical Group Center for Heart and Health is pleased to have the opportunity to
continue providing medical evaluation services for the City of El Segundo. The testing protocols are to
remain similar to current services although we are willing to modify any program to meet any additional
requests. Department of Motor Vehicle (DMV) forms will be completed at no additional charge as part of
an executive physical.
The pricing will remain the same as 2010 -2011 fee schedule.
This service agreement is active from October 1, 2011 through September 30, 2012. If any questions
need to be addressed or any other concerns, I can be contacted at (310) 348 -4160 or by e -mail at
craig.e.wellman@gmail.com.
Attached are the service components and the pricing matrix.
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PERFORMANCE OF SERVICES
C A physical examination by a physician will always include, but not limited to, the following:
1. HEENT (Head, Ears, Eyes, Nose and Throat).
2. Cardiopulmonary examination.
3. Abdominal examination.
4. Musculoskeletal examination.
5. Vascular examination.
6. Neurological status examination.
7. Vital Signs.
8. Upper/Lower extremity exam for mobility and strength.
9. Digital rectal examination and fecal occult blood for males 40 years of age and older.
10. Testicular examination for males.
1 L. Breast examination and-Pap smear will be offered to females.
12. Family and Personal Medical History.
13. Social /personal history to discuss exercise, diet, alcohol intake, tobacco usage, and
perceived stress level.
14. Review of all laboratory data, x- ray(s), pulmonary function tests, audiometry results,
and resting /exercise EKG interpretation.
15. Discuss preventative health measures that are specific to each examinee.
16. Final recommendations provided in a detailed report to examinee and only a "Fitness
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Each examinee will work one -on -one with an Exercise Physiologist throughout the testing
protocol. The Exercise Physiologists on staff are well trained in every aspect of the testing
protocol. This allows for a timely and comfortable transition through the physical. It also allows
the Exercise Physiologist to get to know the examinee to help assist in developing an appropriate
exercise prescription and advise lifestyle modifications per conversations with that examinee.
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SERVICE COMPONENTS PROVIDED AS FART OF THE
CITY OF EL SEGUNDO EXECUTIVE HEALTH AND FITNESS PROGRAM
• A physical examination by a physician
• Blood Analysis (chemistry panel, complete blood count, thyroid, blood type, prostate
specific antigen)
• Urinalysis
a Hemoccult slide testing
a Height/Weight measurement
a Body Composition Analysis
a Vision Testing (Titmus /Snellen)
a Color vision (Ishihara/Farnsworth)
a Hearing Test (Audiogram 500Hz — 8000Hz)
a Pulmonary Function Testing
a Chest x -ray (1- view /2 views)
a Back x -rays when applicable
o Resting EKG
a Maximal Stress EKG (treadmill or bikc)
O Push -up evaluation
a Curl-up evaluation
a Flexibility evaluation (Acuflex I — "sit & reach ")
a Vaccinations, immunizations, antibody testing, etc. upon request.
a Follow -up or referral to health care practitioner
a Counseling, after the examination, by both the physician and Exercise Physiologist to
review the results that are available, discuss exercise and dietary guidelines, and ways to
reduce risk factors for heart disease.
a A report with all laboratory /x -ray results, exercise prescription and physician
recommendations will be mailed to examinee.
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CONTRACTOR RATES
EVALUATION COMPONENT
__._... _._.... .
Executive, Police, Fire
Physician examination
$200.00
Vision
$15.00
Audiometry
$10.00
Chest x -ray (1 view)
$35.00
Blood panel includes,
$53.00
Chemistry panel,
Complete blood count
...__
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 Duty" Report Form Only
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Repor to patie
No charge
__...... _... ........
Total Cost.
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$580.00
Citv discount cost.
_......._
$450.00
Agreement active from October 1, 2011 through September 30, 2012.
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