CONTRACT 3907I Amendment CLOSED DocuSign Envelope ID:698B13C2-CCDE-4E80-A9F5-AF3FF68397B4 Agreement No. 39071
NINTH AMENDMENT TO
AGREEMENT NO. 3907 BETWEEN
THE CITY OF EL SEGUNDO AND
U.S. HEALTHWORKS MEDICAL GROUP, P.C.
THIS 9TH AMENDMENT("Amendment") is made and entered into this 1 st day of October, 2017,
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 MEDICAL GROUP,
P.C. incorporated under the laws of the State of California("CONTRACTOR").
I, Pursuant to Agreement No. 3907 ("Agreement"), executed by the parties on or about
February 9, 2018 and subsequently amended, the term of the agreement is extended until
September 30, 2018.
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.
3907 remain the same.
4, Exhibit A is a revised compensation schedule reflecting the increased rates for the period of
October 1, 2017 through September 30, 2018. Amount not to exceed $25,000.00.
IN WITNESS WHEREOF the parties hereto have executed this amendment the day and
year first hereinabove written.
x:IXY OF EL SEGUNDO U.S. HEALTHWORKS MEDICAL GROUP,P.C.
CYo�u�&Y�p'nmtl by:
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(.'i Manager
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APPROVED ASTO FORM:
Attora�ey
MARK D. l-l1 S
Davad King, As ant City Attorney
DocuSign Envelope ID:698B13C2-CCDE-4E80-A9F5-AF3FF68397B4 Agreement No. 39071
EXHIBIT "A" — COMPENSATION SCHEDULE
ATTACHMENT A
USHealthworks
Pre-employment costing for each medical evaluation component
Audiogram $23
Physical Examination $63
Chest X-Ray (1 view) $53
Chest X-Ray (2 view) $68
Lumbar Spine (2 view) $68
Non-Regulated UDS
(Drug screen — insta-check) $42
PPD (TB test) $26
Pulmonary Function Test $37
Vision Test— Ishihara $11
Vision Test— Peripheral $11
Vision Test—Titmus $11
"Stress Treadmill
(performed at Westchester Center for Heart and Health)
Other miscellaneous services
DOT Random drug testing
(Regulated) $68
Reasonable Suspicion
(BAT and confirmation) $84
DMV Physical $74
Stress EKG with over read $68
Tetanus $100
Hepatitis A (2 series) $126
Hepatitis B (3 series) $95 each
Vaccine—Twinrex $147