CONTRACT 3912J Amendment CLOSED Agreement No. 3912J
Agreement No. 3912J
TENTH AMENDMENT TO
PROFESSIONAL SERVICES AGREEMENT
BETWEEN
THE CITY OF EL SEGUNDO AND
WESTCHESTER MEDICAL GROUP/CENTER FOR HEART AND HEALTH
This Tenth Amendment is entered into this 19t" day of September, 2018, by and between
the CITY OF EL SEGUNDO, a municipal corporation and general law city ("CITY") and
WESTCHESTER MEDICAL GROUP/ CENTER FOR HEART AND HEALTH, a General
Partnership ("CONSULTANT").
1. Pursuant to the Term Renewal Section 8, of Agreement No. 3912 ("Agreement"), the
parties desire to amend the Agreement by replacing the existing Exhibit A and adding
CONSULTANT's updated Exhibit A, and amend the term of the Agreement, so that
the Agreement will now expire on September 30, 2023, in accordance with updated
Exhibit A projected pricing.
2. The parties also desire to amend the Agreement to increase the total amount of the
Agreement not-to-exceed $60,000 annually.
3. This Amendment may be executed in any number or counterparts, each of which will
be an original,but all of which together constitutes one instrument executed on the
same date.
4. Except as modified by this Amendment, all other terms and conditions of Agreement
No. 3912 remain the same.
[Signatures on next page]
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Agreement No. 3912)
Agreement No. 3912J
IN WITNESS WHEREOF the parties hereto have executed this Amendment the day and
year first hereinabove written,
CITY OF EL SEGUNDO WESTCHESTER MEDICAL GROUP
CENTER FOR HEART AND HEALTH
G4reg - ent Crai '7'e4man,
City snag 41�1 I 1 ' 01
city a4g Hez Phy olo"'k
Robert A. Reiss,M.D., F.A.C.P.
Co-Medical Director, Partner
ATTEST:
Taxpayer ID No. 95-2019672
Tracy Wea er,
City Clerk
APPROVED AS TO FORM:
W4 1 ,-Of
Mark D.Hensley, V
City Attorney
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Agreement No. 3912J
EXHIBIT A
10/01/18
PERFORMANCE OF 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.
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.
11. Family and Personal Medical History.
12. Social history to discuss exercise, diet, alcohol intake, tobacco usage, and perceived
stress level.
13. Review of all laboratory data,x-ray(s),pulmonary function tests,audiometry results,and
resting/stress EKG interpretation.
14. Discuss preventative health measures that are specific to each examinee.
15. Final recommendations provided in a detailed report to examinee.
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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Agreement No. 3912J
EXHIBIT A
10/01/18
CITY OF EL S'EGUNDO "FIRE, "POLICE", AND "EXECUTIVE"
HEALTH AND FITNESS PROGRAM.
• A physical examination by a physician
0 Blood Analysis: Chemistry panel, complete blood count, lipid profile, thyroid (TSH), iron
level,blood type (if needed),prostate specific antigen (if needed).
M Urinalysis
0 Height/Weight measurement
! Body Composition Analysis via skinfold calipers
0 Vision Testing (Titmus/ETDRS)
0 Color vision(H.R.R./Farnsworth)
• Hearing Test(Audiogram 500Hz—8000Hz)
+ Pulmonary Function Testing
• Chest x-ray, 1-view(First visit and then if needed per physician recommendation)
0 Resting EKG
0 Maximal Stress EKG(treadmill or bike)
• Push-up evaluation(not included in Executive Program)
0 Curl-up evaluation or Plank(not included in Executive Program)
0 Flexibility evaluation"Acuflex I—"sit&reach" (not included in Executive Program)
Follow-up or referral to health care practitioner
Y Counseling, after the examination, by the physician to review the results that are available,
discuss exercise and dietary guidelines, and ways to reduce risk factors for heart disease.
A physical exam report with all laboratory/x-ray results and physician recommendations will
be mailed to examinee.
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Agreement No. 3912)
EXHIBIT A
10/01/18
CONTRACTOR RATES
EVALUATION COMPONENT FIRE AND POLICE
lPhysician examination $200.00
Vision $20.00
Audiometry $25.00
Chest x-ray(I vieNv) $50.00
Blood analysis $75.00
Urinalysis $12.00
Pulmonary Function Testing, $75.00
Resting
EKG
$50.00
Stress EKG
$150.00
�Strength&flexibility $20.00
lHei,ght,Weight Body composition $15,00
Report to patient No charge
DMV forms 5875&5876 No charge
OSHA Respirator Questionnaire Review No charge
Total Cost: $692.00
,City"package"discount cost: $500.00
Addition,al.Components:
lResting EKG& Stress test(a la carte) $200.00
lChest x-ray(2 views—PA/Lateral) $65.00
TB Skin Test(PPD). Includes admin.fee
and supplies. $65.00
Hepatitis A(2 doses) Negotiable
Hepatitis B(3 doses) Negotiable
Hepatitis C Antibody I $75.00
Hepatitis B Surface Antibody $40.00
Immunizations Negotiable
�Vaccinations Negotiable
IPap smear Referral only
(Colonoscopy Referral only
Mammogram Referral only
Cardiology consultation I Referral only
Pricing effective October 1,2018
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Agreement No. 3912J
EXHIBIT A
10/01/18
CONTRACTOR RATES
EVALUATION COMPONENT _ Exeeutive
Physician examination $200.00
Vision $20.00
Audiometry $25.00
Chest x-ray(1 view) $50.00
Blood Analysis $75.00
Urinalysis $12.00
Pulmonary function(FEV,FVC) $75.00
Resting EKG $50.00
Stress EKG (Bruce protocol) $150.00
Height, Weight,Body composition $15.00
Report to patient No charge
Total Cost: $672.00
City discount cost: $480.00
Additional Conlponents:
..._......... .._.......
_
lResting EKG& Stress test(a la carte) $200.00
lChest x-ray(2 views--PA/Lateral) $65.00
aB Skin Test(PPD). Includes admin.fee
nd supplies. $65.00
(Hepatitis A(2 doses) Negotiable
Hepatitis B (3 doses) Negotiable
4Hepatitis C Antibody $75.00
Hepatitis B Surface Antibody $40.00
,Immunizations Negotiable A
Vaccinations Negotiable 0
Pap smear Referral only
Colonoscopy Referral only
Imammogram Referral only
Cardiology consultation Referral only
Pricing effective October 1,2018
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