CONTRACT 3912I Amendment CLOSED Agreement No. 39121
NINTH AMENDMENT TO
AGREEMENT NO. 3912 BETWEEN
THE CITY OF EL SEGUNDO AND
WESTCHESTER MEDICAL GROUP/CENTER FOR HEART AND HEALTH
THIS 9TH AMENDMENT("Amendment") is made and entered into this First 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 WESTCHESTER Mr-MICAt.,
GROUP/CENTER FOR HEART AND HEALTH, a General Partnership("CONSULTANT").
1. Pursuant to Agreement No. 3912 ("Agreernent"), executed by the parties on or about
February 25,2009 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. 3912 remain the same.
4. Exhibit A is incorporated by reference. Amount not to exceed$40,000.00.
IN WITNESS WHEREOF the parties hereto have executed this amendment the day and
year first hereinabove written.
CIT I 'F EL SEGU 0 WESTCHESTER MEDICAL GROUP/
CENTER FO HE l r AND HEALTH
Gie arpent el
Ci anage iolog
be Reiss,M.D., F.A.C.P.
Co-Medical Director, Partner
NI'TE ST:
Taxpayer ID No. Y;F-
Tracy WWeaver,
City Clerk
APPROVED AS TO FORM:
MARK D. City Attorney
By.
David King, Asst,,,i ity Attorney
Agreement No. 39121
EXHIBIT A
PERFORMANCE Or SERVICES,
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.
S. 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.
11. 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 E1(G interpretation.
15. Discuss preventative health measures that are specific to each examinee.
16. Final recommendations provided in a detailed report to examinee and gal "Fitness
For Duty" report form will berp gvidpd to the City of El caundo.
Each examinee will work orae-ora-one with an :Exercise Physiologist throughout the testing
protocol, The Exercise Physiologists on staff are well trained in every aspect of the testing
protocol. ']'his 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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Agreement No. 39121
SERVICE COMPONENTS PROVIDED AS PART 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
• Hemoccult slide testing
• Height/Weight measurement
• Body Composition Analysis
• Vision Testing(Titmus/Snelien)
• Color vision(Ishihara/Farnsworth)
• Hearing Test(Audiogram 500Hz—8000Hz)
• Pulmonary Function Testing
• Chest x-ray(1-view/2 views)
• Back x-rays when applicable
• Resting EKG
• Maximal Stress EKG(treadmill or bike)
• Push-up evaluation
• Curl-up evaluation
• Flexibility evaluation(Acuflex I—"sit&reach")
• Vaccinations, immunizations,antibody testing,etc. upon request.
• Follow-up or referral to health care practitioner
• 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 report with all laboratory/x-ray results, exercise prescription and physician
recommendations will be mailed to examinee.
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Agreement No. 39121
CONTRACTOR RATr!,s
EVALUATION COMPONENT Exec
F11;7SIC—lian exatnination $200,00
Vision $15,00
Audiometry $10,00
El-lest x-ray(I view) $35.00
Blood panel includes:
ChernistrtPLnel
Complete blood count
Prostate SL)LciEic Am en As ncoded/mcomment d_A
grinalysis $12.00
pulmonary function(FEV,FVQ --$25-.00
Resting EKG _$50.00
Stress EKG(Bruce protocol) $150.00
Strcal th&flexibility $20,00
Body composition $10.00
Report to El Segundo "Fit for Lout X!_Leport Form On_iL
Report to patient No charge
QTotal Cost: $580.00
ICRY discount cost: $450.00
QResting EKG&Stress test(a la carte) $200,00
lChest x-ray 12 views—PA/Lateral)
rB Skin Test(PPD), Includes admin,fee
and supplies. $05.00
Ifiepatitfs A(2 doses) Ne&otiable
�le
dtitisB(3 doses) Negotiable,patifis C Antibody $40.00
Hepatitis B Surface Antibody $37.00
Inimunizations 'Negotiable
Vaccinations Negotiable
Eaj)smear Referral only
Colonoscopy Referral only_ _
Lconsammogram Referral o I
ardiolqy
ultation Referral cantly
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