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DocuSign Envelope ID: F6FC7567-B2A5-4D17-B26D-0567A89DAEF4 <br />A-2019-006-01 <br />MAYOR <br />Vicente Sanniento <br />MAYOR PRO TEM <br />`�j <br />David Penaloza <br />N <br />COUNCILMEMBERS <br />,e <br />Phil Became <br />Johnathan Ryan Hernandez <br />-c— <br />Jessie Lopez <br />-`j <br />Nelida Mendoza <br />Thai Viet Phan <br />iI FILE <br />WOhK Mi1Y PROCEED <br />UNIIL IP:SUI;A(dCE OPIRES <br />December 3, 2021 <br />CITY OF SANTA ANA <br />HUMAN RESOURCES <br />20 Civic Center Plaza . P.O. Box 1988 <br />Santa Ana, California 92702 <br />wW W.santa-ana.oM <br />-� Occupational Health Centers of California, a Medical Corporation <br />�3pYV,6 g �� 5080 Spectrum Drive, Suite 120OW <br />Addison, TX 75001 <br />Attn: Jeffrey Wainstein, MD, President and Treasurer <br />CITY MANAGER <br />Kristine Ridge <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Daisy Gomez <br />Re: Extension of Agreement to Provide Medical Services Review, No. A-2019-006 <br />Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Concentra <br />Medical Center dba Occupational Health Centers of California, a Medical Corporation, and the <br />City of Santa Ana, dated January 15, 2019, the time period of the Agreement is hereby extended <br />for a one-year period, from January 31, 2022 through January 30, 2023. Any insurance certificates <br />are required to be extended and/or renewed to cover this extension. All other terms and conditions <br />of the Agreement remain unchanged and in full force and effect. <br />j <br />elyMotsick <br />tive Director <br />Human Resources Department <br />CITY OF SANTA ANA <br />ATTEST <br />IGVine Ridge Daisy Gomez City Manager Manager rk of the Counctl r <br />APPROVED AS TO FORM <br />don Salvatierra <br />Deputy City Attorney <br />OCCUPATIONAL HEALTH CENTERS <br />OF CALIFORNIA, A MEDICAL <br />C JON <br />IUaiwsft,il&I AQ <br />Name: Jerrrey Wainstein, MD <br />Title: President <br />SANTA ANA CITY COUNCIL <br />Vicente Saemienlo DaNd Panel.. Thai Viet Phan Jewle Lopez Phil Became Johnatban Ryan Hemandez Nelida Mendoza <br />Mayor Mayor Poo Tem. Ward 2 Ward WerJ3 Word Wind Wahl <br />58mh.rm(p'maii-ene.pm dome ozaAsanla-anaa Ioharyipianla-ana.om m pbeLeTtl(,nmle-mm am rvanhemandeznasenlaana.me nmendozadsanla-anaom <br />