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SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT is entered into on I` day of July, 2011, by and between Tustin Irvine Medical Group, a professional corporation ( "Consultant') and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ( "City"). RECITALS: A. The parties entered into that certain Agreement, dated August 3, 2009,(A- 2009 -110), (hereinafter "said Agreement') by which Consultant has provided physical examination and treatment services to all sworn Fire personnel and select Police personnel . B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of the Agreement for an additional one -year period. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to state as follows: This amended Agreement shall commence on July I, 2011 and terminate on June 30, 2012, unless terminated earlier in accordance with Section 12. Should the maximum agreed upon compensation as set forth in Section 2, COMPENSATION, not be exhausted during this additional term this amended Agreement may be extended upon a writing executed by the Fire Chief and the City Attorney. 2. Except as liereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA Acting City Attorney By: Melissa M. Crosthwaite Deputy City Attorney CITY OF SANTA ANA DAVID N. REAY. City Manager TUSTIN IRVINE MEDICAL GROUP NAME: Title: Tax ID #: �1,