PULMONARY CONSULTANTS & PRIMARY CARE PHYSICIANS MEDICAL GROUP, INC. 4B - 2009

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I 1 RANUL ON FiLr A- 2008 - 183 -001 WORK MAY PROCEED UNTIL INSURA.V, Fir CLERK OF COl YA, nnTG q��q SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT is made and entered into this 13th day of July, 2009 by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City ") and Pulmonary Consultants & Primary Care Physicians Medical Group, Inc. ( "Consultant'). rlz�RECITALS: o , c� Q 1. City and Consultant entered into Agreement N- 2007 -192, dated August 20, 2007, (hereinafter "said Agreement'), by which Consultant has provided SWAT physicals and annual hazardous materials medical examinations for Police and/or Fire U V) Department personnel who handle hazardous materials, pursuant to Title 8, Section 5144 of the CALOSHA Respiratory Protection Regulation. 2. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of said Agreement for an additional one -year period and increase compensation to pay for services during the extended term. WHEREFORE, in consideration of the mutual and respective covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, City and Consultant agree as follows: 1. Section 2.a., COMPENSATION, shall be amended to add $25,000 to pay for medical examination services during the 2009 -10 fiscal year. 2. Section 3, TERM, shall be amended to extend the term of said Agreement for an additional one -year period, through June 30, 2010. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, City and Consultant have executed this Second Amendment to Consultant Agreement on the day and year first set forth above. ATTEST: MARIA D. HUIZAR Clerk of the Council Additional signatures on next page CITY OF SANTA ANA 0, w, M�A 0 " POR T IUMAIRB61M City Manager