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Sigend Agreement, Occupational Medical Serivces for Fire Department, Life Scan Wellness Centers.pdf

Bakersfield City Council
October 7, 2026

Document
Sigend Agreement, Occupational Medical Serivces for Fire Department, Life Scan Wellness Centers.pdf
Meeting
October 7, 2026
Body
Bakersfield City Council
Pages
1
Original file
7.4 MB
Text extracted from the city's file for reading and search. Open the original on pub-bakersfield.escribemeetings.com. That file is the official record.

INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 1 Life Extension Clinics, dba Life Scan Wellness Centers
AGREEMENT NO. ___________________

INDEPENDENT CONTRACTOR'S AGREEMENT
[Over $100,000]
This INDEPENDENT CONTRACTOR’S AGREEMENT (“Agreement”) is made and entered into on _______________________, by and between the CITY OF BAKERSFIELD, a municipal corporation (referred to herein as “CITY”), and LIFE EXTENSION CLINICS, INC. DBA LIFE SCAN WELLNESS CENTERS, a Florida Corporation authorized to do business in California (referred to herein as “CONTRACTOR”).

R E C I T A L S
WHEREAS, CONTRACTOR represents that CONTRACTOR is experienced, well qualified and a specialist in the field of occupational medical services; and WHEREAS, CONTRACTOR provides a variety of occupational medical services including comprehensive physical exams and public safety physical exams; and
WHEREAS, CITY desires to use the occupational medical services that CONTRACTOR provides by utilizing the existing cooperative procurement agreement that was competitively awarded to CONTRACTOR by the City of Modesto, and by which City of Modesto has agreed to said use, as specified in Exhibit A attached hereto and incorporated by reference herein; and WHEREAS, CITY desires to enter into an agreement with CONTRACTOR for their occupational medical services that CITY requires.

NOW, THEREFORE, incorporating the foregoing recitals herein, CITY and CONTRACTOR mutually agree as follows:

1. SCOPE OF WORK. In exchange for the Compensation (defined below), CONTRACTOR shall perform the following: CONTRACTOR shall furnish all labor, materials, equipment, fuel, and tools in the field of occupational medical services, including conducting comprehensive physical exams and public safety physical exams as specified in Exhibit B, attached hereto and incorporated by reference herein (Scope of Work). The Scope of Work shall include all items and procedures necessary to properly complete the task CONTRACTOR has been hired to perform, whether specifically included in the Scope of Work or not.

Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 2 Life Extension Clinics, dba Life Scan Wellness Centers

2. COMPENSATION/PAYMENT PROCEDURE. Subject to the conditions of this section, CITY will pay CONTRACTOR as follows for performing the Scope of Work (“Compensation”):

On a material basis in accordance with the rates as shown on Exhibit B.

CITY will pay CONTRACTOR within thirty (30) days after CONTRACTOR submits an itemized invoice for the portions of the Scope of Work completed and that invoice is approved by CITY. The Compensation will be the total amount paid to CONTRACTOR for performing the Scope of Work and includes, but is not limited to, all out-of-pocket costs and taxes.

CITY will pay no other compensation to CONTRACTOR. In no case will CITY compensate CONTRACTOR more than $429,000 for performing the Scope of Work.

3. TERM. Unless terminated sooner, as set forth herein, this Agreement shall be for a period of two (2) years, with three (3) one-year extension options at the sole discretion of CITY, for a total of up to five (5) years.

In accordance with the terms and conditions of the existing cooperative procurement agreement with, price increases for any subsequent years following the second year shall not exceed the percentage change in the Consumer Price Index (CPI) for West Urban Area in any one Agreement year and shall be negotiated through the Purchasing Division. Requests for price increases shall be submitted by CONTRACTOR in writing, ninety (90) days prior to the annual anniversary date of the Agreement to be effective for the subsequent year.

4. TERMINATION. Either party may terminate this Agreement after giving the other party written notice, as provided herein, ten (10) days before the termination is effective.

5. ACCOUNTING RECORDS. CONTRACTOR shall maintain accurate accounting records and other written documentation pertaining to all costs incurred in performance of this Agreement. Such records and documentation shall be kept at CONTRACTOR's office during the term of this Agreement, and for a period of three (3) years from the date of the final payment hereunder, and made available to CITY representatives upon request at any time during regular business hours.

6. ASSIGNMENT. Neither this Agreement nor any rights, interests, duties, liabilities, obligations or responsibilities arising out of, concerning or related in any way to this Agreement (including, but not limited to, accounts, actions, causes of action, claims, damages, demands, liabilities, losses, obligations, or reckonings of any kind or nature whatsoever, for compensatory or exemplary and punitive damages, or declaratory, Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 3 Life Extension Clinics, dba Life Scan Wellness Centers
equitable or injunctive relief, whether based on contract, equity, tort or other theories of recovery provided for by the common or statutory law) may be assigned or transferred by any party. Any such assignment is prohibited, and shall be unenforceable and otherwise null and void without the need for further action by the non-assigning party or parties.

7. BINDING EFFECT. The rights and obligations of this Agreement shall inure to the benefit of, and be binding upon, the parties to the Agreement and their heirs, administrators, executors, personal representatives, successors and assigns.

8. COMPLIANCE WITH ALL LAWS. CONTRACTOR shall, at CONTRACTOR’s sole cost, comply with all of the requirements of municipal, state, and federal authorities now in force, or which may hereafter be in force, pertaining to this Agreement, and shall faithfully observe in all activities relating to or growing out of this Agreement all municipal ordinances and state and federal statutes, rules or regulations, and permitting requirements now in force or which may hereafter be in force including, without limitation, obtaining a City of Bakersfield business tax certificate (Bakersfield Municipal Code Chapter 5.02) where required.

9. CORPORATE AUTHORITY. Each individual signing this Agreement on behalf of entities represents and warrants that they are, respectively, duly authorized to sign on behalf of the entities and to bind the entities fully to each and all of the obligations set forth in this Agreement.

10. COUNTERPARTS. This Agreement may be executed in any number of counterparts, each of which shall be considered as an original and be effective as such.

11. DIRECTION. CONTRACTOR retains the right to control or direct the manner in which the services described herein are performed.

12. EQUIPMENT. CONTRACTOR will supply all equipment, tools, materials and supplies necessary to perform the services under this Agreement.

13. EXECUTION. This Agreement is effective upon the date first written above and is the product of negotiation and all parties are equally responsible for authorship of this Agreement. Section 1654 of the California Civil Code shall not apply to the interpretation of this Agreement.

14. EXHIBITS. In the event of a conflict between the terms, conditions or specifications set forth in this Agreement and those in exhibits attached hereto, the terms, conditions, or specifications set forth in this Agreement shall prevail. All exhibits to which reference is made in this Agreement are deemed incorporated in this Agreement, whether or not actually attached.

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15. FURTHER ASSURANCES. Each party shall execute and deliver such papers, documents, and instruments, and perform such acts as are necessary or appropriate, to implement the terms of this Agreement and the intent of the parties to this Agreement.

16. GOVERNING LAW. The laws of the State of California will govern the validity of this Agreement and its interpretation and performance. Any litigation arising in any way from this Agreement shall be brought in Kern County, California.

17. INCLUDED DOCUMENTS. Any bid documents, including, without limitation, special provisions and standard specifications and any Request for Proposals, Request for Qualifications and responses thereto relating to this Agreement are incorporated by reference as though fully set forth herein.

18. INDEMNITY. CONTRACTOR shall indemnify, defend, and hold harmless CITY and CITY’s officers, agents and employees against any and all liability, claims, actions, causes of action or demands whatsoever against them, or any of them, before administrative or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by CONTRACTOR or CONTRACTOR’s employees, agents, independent contractors, companies, or subcontractors in the performance of, or in any way arising from, the terms and provisions of this Agreement whether or not caused in part by a party indemnified hereunder, except for CITY’s sole active negligence or willful misconduct.

19. INDEPENDENT CONTRACTOR. This Agreement calls for CONTRACTOR’s performance of the Scope of Work as an independent contractor.

CONTRACTOR is not an agent or employee of CITY for any purpose and is not entitled to any of the benefits provided by CITY to its employees. This Agreement shall not be construed as forming a partnership or any other association with CONTRACTOR other than that of an independent contractor.

20. INSURANCE.

20.1 Types and Limits of Insurance. In addition to any other insurance or security required under this Agreement, CONTRACTOR must procure and maintain, for the duration of this Agreement, the types and limits of insurance below ("Basic Insurance Requirements").

20.1.1 Automobile liability insurance, providing coverage for owned, non-owned, and hired autos on an occurrence
basis for bodily injury, including death, of one or more persons, property damage, and personal injury, with limits of not less than $1,000,000 per occurrence.

Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 5 Life Extension Clinics, dba Life Scan Wellness Centers

20.1.2 Commercial general liability insurance, unless otherwise approved by CITY’s Risk Manager, providing coverage on
an occurrence basis for bodily injury, including death, of one or more persons, property damage, and personal
injury, with limits of not less than $1,000,000 per occurrence.

The policy must:

20.1.2.1 Provide contractual liability coverage for the terms of this Agreement;

20.1.2.2 Provide products and completed operations
coverage;

20.1.2.3 Provide premises, operations, and mobile
equipment coverage; and

20.1.2.4 Contain an additional insured endorsement in
favor of CITY and its mayor, council, officers,
agents, employees, and designated volunteers.

20.1.3 Workers' compensation insurance with limits of not less than $1,000,000 per occurrence. In accordance with the
provisions of Labor Code Section 3700, every contractor will be required to secure the payment of compensation to his employees. Pursuant to Labor Code Section 1861,
CONTRACTOR must submit to CITY the following
certification before beginning any work on the
Improvements:

I am aware of the provisions of Section 3700 of the
Labor Code which require every employer to be
insured against liability for worker’s compensation or
to undertake self-insurance in accordance with the
provisions of that code, and I will comply with such
provisions before commencing the performance of
the work of this contract.

By executing this Agreement, CONTRACTOR is submitting the certification required above.

The policy must contain a waiver of subrogation in favor of CITY and its mayor, council, officers, agents, employees, and designated volunteers.

20.2 General Provisions Applying to All Insurance Types.

20.2.1 All policies required of CONTRACTOR must be written on a first-dollar coverage basis, or contain a deductible
provision. Subject to CITY’s advance approval,
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 6 Life Extension Clinics, dba Life Scan Wellness Centers
CONTRACTOR may utilize a self-insured retention in any or all of the policies provided, but the policy or policies may not contain language, whether added by endorsement or
contained in the policy conditions, that prohibits
satisfaction of any self-insured provision or requirement by anyone other than the named insured or by any means
including other insurance or which is intended to defeat the intent or protection of an additional insured.

20.2.2 All policies required of CONTRACTOR must be primary insurance as to CITY and its mayor, council, officers, agents, employees, or designated volunteers and any insurance or self-insurance maintained by CITY and its mayor, council, officers, agents, employees, and designated volunteers
must be excess of CONTRACTOR’s insurance and must not
contribute with it.

20.2.3 The insurance required above, except for workers’ compensation insurance, must be placed with insurers with a Best’s rating as approved by CITY’s Risk Manager, but in no event less than A-:VII. Any deductibles, self-insured retentions, or insurance in lesser amounts, or lack of certain types of insurance otherwise required by this Agreement, or insurance rated below Best’s A-:VII, must be declared prior to execution of this Agreement and approved by CITY in
writing.

20.2.4 The insurance required in this section must be maintained until the Scope of Work is satisfactorily completed as
evidenced by CITY’s written acceptance. All policies must provide that there will be continuing liability thereon, notwithstanding any recovery on any policy.

20.2.5 Full compensation for all premiums which CONTRACTOR is required to pay to satisfy the Basic Insurance Requirements shall be considered as included in the prices paid for the performance of the Scope of Work, and no additional
allowance will be made therefor or for additional premiums which may be required by extensions of the policies of
insurance.

20.2.6 It is further understood and agreed by CONTRACTOR that its liability to CITY will not in any way be limited to or affected by the amount of insurance obtained and carried by
CONTRACTOR in connection with this Agreement.

20.2.7 Unless otherwise approved by CITY, if any part of the Scope Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 7 Life Extension Clinics, dba Life Scan Wellness Centers
of Work is subcontracted, the Basic Insurance Requirements must be provided by, or on behalf of, all subcontractors even if CITY has approved lesser insurance requirements for CONTRACTOR, and all subcontractors must agree in writing to be bound by the provisions of this section.

21. INTERPRETATION. Whenever the context so requires, the masculine gender includes the feminine and neuter, and the singular number includes the plural.

22. KEY PERSONNEL. At request of CITY, CONTRACTOR shall name all key personnel to be assigned to the work set forth herein. CITY reserves the right to approve key personnel, which approval shall not be unreasonably withheld. Once the key personnel are approved CONTRACTOR shall not change such personnel without the approval of CITY.

23. LICENSES. CONTRACTOR shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement any licenses, permits and approvals which are legally required for CONTRACTOR to practice its profession and perform the Scope of Work. If CONTRACTOR is a corporation, at least one (1) officer or key employee shall hold the required licenses or professional degrees. If CONTRACTOR is a partnership, at least one (1) partner shall hold the required licensees or professional degrees.

24. MERGER AND MODIFICATION. This Agreement sets forth the entire agreement between the parties and supersedes all other oral or written representations. This Agreement may be modified only in a writing approved by the City Council and signed by all the parties.

25. NO WAIVER OF DEFAULT. The failure of any party to enforce against another party any provision of this Agreement shall not constitute a waiver of that party's right to enforce such a provision at a later time and shall not serve to vary the terms of this Agreement.

26. NON-INTEREST. No CITY officer or employee shall hold any interest in this Agreement (California Government Code section 1090).

27. NOTICES. All notices relative to this Agreement shall be given in writing and shall be personally served or sent by certified or registered mail and be effective upon actual personal service or depositing in the United States mail. The parties shall be addressed as follows, or at any other address designated by notice:

CITY: CITY OF BAKERSFIELD

CITY HALL
1600 Truxtun Avenue
Bakersfield, CA 93301
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 8 Life Extension Clinics, dba Life Scan Wellness Centers
CONTRACTOR: LIFE EXTENSION CLINICS, INC.

DBA LIFE SCAN WELLNESS CENTERS
1011 N Mac Dill Ave
Tampa, FL 33607

28. RESOURCE ALLOCATION. All CITY obligations under the terms of this Agreement are subject to the appropriation and allocation of resources by the City Council.

29. SB 854 COMPLIANCE. To the extent Labor Code Section 1771.1 applies to this Agreement, a contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, be subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5. It is not a violation of Labor Code Section 1771.1 for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Labor Code Section 1725.5 at the time the contract is awarded. The prime contractor is required to post job site notices in compliance with California Code of Regulations, Title 8, Section 16451. This project is subject to compliance monitoring and enforcement by the California Department of Industrial Relations.

30. STANDARD OF PERFORMANCE. The Scope of Work shall be performed in conformity with all legal requirements and industry standards observed by a specialist of CONTRACTOR’s profession in California.

31. STARTING WORK. CONTRACTOR shall not begin work until authorized to do so in writing by CITY. No work will be authorized before the date first written above.

32. TAX NUMBERS.

CONTRACTOR’s Federal Tax ID Number 59-3530228
CONTRACTOR is a corporation? Yes X No
(Please check one.)

33. THIRD-PARTY CLAIMS. In the case of public works contracts, CITY will timely notify CONTRACTOR of third-party claims relating to this Agreement. CITY shall be allowed to recover from CONTRACTOR, and CONTRACTOR shall pay on demand, all costs of notification.
///
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 9 Life Extension Clinics, dba Life Scan Wellness Centers

34. TITLE TO DOCUMENTS. All documents, plans, and drawings, maps, photographs, and other papers, or copies thereof prepared by CONTRACTOR pursuant to the terms of this Agreement, shall, upon preparation, become CITY property.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the date first written above.
"CITY" “CONTRACTOR”
CITY OF BAKERSFIELD LIFE EXTENSION CLINICS, INC.

DBA LIFE SCAN WELLNESS CENTERS
By:________________________________ By:_________________________________

KAREN GOH
Mayor

TODD LEDUC
CEO
APPROVED AS TO CONTENT:

BAKERSFIELD FIRE DEPARTMENT
By:_______________________________

KEVIN ALBERTSON
Fire Chief
APPROVED AS TO FORM: COUNTERSIGNED:

Deputy City Attorney: _________________________________ Finance Director: _________________________________

VIRIDIANA GALLARDO-KING RANDY MCKEEGAN
Insurance:____________
Attachments: Exhibit A
Exhibit B
VGK/blf
S:\FIRE\Agrs\26-27\Life Extension Clinics.docx
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F “PROUDLY SERVING, PROTECTING, AND PARTNERING FOR A SAFER COMMUNITY” Modesto | Ceres | Oakdale | Knights Ferry | Valley Home | Riverbank | Empire | Waterford | La Grange | Turlock | Salida

FROM THE DESK OF THE

ASSISTANT FIRE CHIEF
Andrew Hunter
www.modestofire.com
409 12th STREET | MODESTO, CALIFORNIA 95354 | PHONE 209.572.9590 July 28, 2026
Chief Kevin Albertson
Bakersfield Fire Dept
2101 H St.

Bakersfield, CA 93301
Dear Chief Albertson,
On behalf of the Modesto Fire Department, I am pleased to confirm our support for the Bakersfield Fire Department's use of the Modesto Fire Department's competitively solicited Request for Proposals (RFP) for firefighter occupational health and wellness services with Life Scan Wellness Centers.

The Modesto Fire Department completed a competitive procurement process for these services in accordance with applicable public contracting requirements. The resulting agreement was awarded to Life Scan Wellness Centers and includes language permitting cooperative purchasing by other public agencies, where authorized by law and acceptable to the vendor.

We support Bakersfield Fire Department utilizing the awarded contract as the basis for procuring similar services through a cooperative purchasing, or "piggyback," process.

We are pleased that our procurement process may benefit another fire agency in providing comprehensive occupational health and wellness services for its personnel. If additional documentation regarding the procurement process or contract award is needed to support your purchasing requirements, we will be happy to provide it.

If you have any questions or require additional information, please feel free to contact me.

Sincerely,
Andrew Hunter
Assistant Fire Chief
Modesto Fire Department
EXHIBIT A Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Life Scan Wellness Centers
1011 N Macdill Ave Tampa, FL 33607
813-876-0625
Quote
Date Sent:

Exp. Date:
07-22-2026
2027-06-30
Prepared for Bakersfield Fire
Bakersfield CA
Member Exams: TBD
Based on Modesto RFP 2026-252

NAME PRICE QTY SUBTOTAL
Comprehensive Hands On Physical
Includes PPD & Mandatory LifeScan NFPA
Proprietary EMR System with Behavioral Health
Assessments
$890.00 1 $890.00
$890.00

OPTIONAL ADD ONS
On site Blood Draw $36.00 1 $36.00
Calcium Scoring $240.00 1 $240.00
Hep A Screening $63.00 1 $63.00
Hep B Screening $63.00 1 $63.00
Hep C Screening $63.00 1 $63.00
Labs w/o appointment
Labs drawn but no life scan appointment attended
$100.00 1 $100.00
Form Fees
If additional forms need filling out for department
purposes
$50.00 1 $50.00
$615.00
Total Per Person $1,505.00
Additional items outside of those in the Modesto contract are subject to pricing given by Life Scan This quotation is subject to the following terms and conditions:

1. While our pricing is listed on a per-patient basis for transparency, please note that departments will be billed per day of service. Each scheduled day includes up to 9 patient slots, and we staff and travel our clinical teams accordingly. This structure ensures operational efficiency and cost-effectiveness, especially when departments request extended service periods (e.g., 4 weeks or 20 days). If you do not meet the requirements to fill a day or week please discuss with scheduling

EXHIBIT B
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Life Scan Wellness Centers
1011 N Macdill Ave Tampa, FL 33607
813-876-0625

2. Minimum of 5 days or 45 appointments to come on site. Can combine multiple departments or use self pay spouses and retirees to get to this number.

3. Pricing subject to annual increase
Additional Info:

We have added partnered with a radiologists and cardiologists across the country to provide reads for all US images, pricing is listed in optional tests section of this quote.

Detailed scope of work can be found on page 2
Additional testing that can be added to the exam is listed on page 3 & 4 Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Life Scan Wellness Centers
1011 N Macdill Ave Tampa, FL 33607
813-876-0625
Public Safety Physical Exam (NFPA 1582 Compliant)
Medical & Occupational/Environmental Questionnaire Included Comprehensive Hands-On Physical Exam Included
Vital Signs: Height, Weight, Blood Pressure, Pulse Included Behavioral Health Eval - Epworth Sleep, PCL-5, PHQ-9 Included Back Health Evaluation Included
Urinalysis Included
Audiogram Included
Titmus Occupational Vision Exam Included
Breast Exam with Self-Exam education Included
Personal Consultation with review of testing results Included Laboratory Tests:

Comprehensive Metabolic Panel, Blood Chemistry Included Complete Blood Count, Hematology Panel Included
Hemoccult Stool Test for Colon Cancer Screening Included Total Lipid Panel Included
Thyroid Test TSH Included
Glucose Included
Hemoglobin A1C Included
Men: PSA (Prostate cancer marker) and Testosterone Included Women: CA-125 Included
Ultrasound Screenings (Early Detection of Heart Disease and Cancer):

Echocardiogram (Heart Ultrasound) Included
Carotid Arteries Ultrasound Included
Aorta and Aortic Valve Ultrasounds Included
Liver Ultrasound Included
Gall Bladder Ultrasound Included
Kidneys Ultrasound Included
Spleen Ultrasound Included
Bladder Ultrasound Included
Thyroid Ultrasound Included
Men: Prostate and Testicular Ultrasounds Included
Women: Ovaries and Uterus Ultrasounds Included
Cardiopulmonary Testing & Fitness Eval (NFPA 1583 &IAFF WFI) Cardiac Stress Test (Treadmill with 12 lead, sub-maximal) Included EKG, 12 Lead Included
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Life Scan Wellness Centers
1011 N Macdill Ave Tampa, FL 33607
813-876-0625
Public Safety Physical Exam (NFPA 1582 Compliant)
Spirometry, PFT with OSHA Respirator Medical Clearance Included Fitness tests for muscular strength & endurance Included VO2 Max Calc for Aerobic Capacity Included
Body Weight and Composition Included
Personal Fitness Rx Included
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:

PRODUCER
(A/C, No, Ext): PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A

SUBR WVDADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
9/2/2026
Sihle Insurance Group Inc.
1021 Douglas Ave
Altamonte Springs FL 32714
Certificate Department 407-869-0962 407-389-3580 [email protected] Hartford Underwriters Insurance Company 30104 LIFEEXT-01 MSIG Specialty Insurance USA Inc 34886 Life Extension Clinics Inc.
dba Life Scan Wellness Centers
1011 N MacDill Ave
Tampa FL 33607
Certain Underwriters at Lloyds 112200 661429222
A X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X X Y Y 21SBMBA9FTH 11/10/2025 11/10/2026
2,000,000
B 1,000,000 X XY Y HNO1000294-03 3/2/2026 3/2/2027
A X
21SBMBA9FTH 11/10/2025 11/10/2026
1,000,000 1,000,000 X
10,000
C
A
Cyber Liability
Employment Practices Lia
ESO0140879485
21SBMBA9FTH
6/26/2026
11/10/2025
6/26/2027
11/10/2026
Each Occurrence
Each Claim
Aggregate
2,000,000
25,000
25,000
CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS are included as additional insureds on a primary/non-contributory basis on the General Liability and Auto Liability, as required by the written contract. A Waiver of Subrogation applies, when required by written contract, to the General Liability and Workers' Compensation policies in favor of CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS. CITY OF BAKERSFIELD

OFFICE OF RISK MANAGEMENT
1600 TRUXTUN AVE
BAKERSFIELD CA 93301
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Included
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F 21SBMBA9FTH Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F            


   
  
 
 
   
 

       
             


 

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MSES 14910 06 21 Page 1 of 1
© 2021 MSIG Holdings (U.S.A.), Inc.

All rights reserved Includes copyrighted material of Insurance Services Office, Inc., with its permission.

ADDITIONAL INSURED – SCHEDULED
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by the endorsement.

SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):

Any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the “loss”.

A. SECTION II – COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include as an "insured" the person(s) or organization(s) shown in the Schedule, but only with respect to their liability for "bodily injury" or "property damage" to which this insurance applies, caused in whole or in part, by an “accident” resulting from the ownership, maintenance or use of a covered “auto”.

However, the insurance afforded to such "insured":

1. Only applies to the extent permitted by law; and

2. If coverage provided to the “insured” is required by a contract or agreement, the insurance afforded to such “insured” will not be broader than that which you are required by contract or agreement to provide such "insured".

B. SECTION II - COVERED AUTOS LIABILITY COVERAGE, B. Exclusions is amended to include:

This insurance does not apply to:
"Bodily injury" or "property damage" for which the Person(s) or Organization(s) shown in the Declarations or Schedule is obligated to pay damages by reason of the assumption of liability in a contract or agreement
C. SECTION II – COVERED AUTOS LIABILITY COVERAGE, C. Limits Of Insurance is amended to include:

The most we will pay on behalf of the “insured” shown in the Schedule is the amount of insurance:

1. Required by the contract or agreement you have entered into with the "insured"; or

2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.

Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F 21SBMBA9FTH Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form SL 30 36 10 18 Page 1 of 1
Process Date: 10/01/2025 © 2018, The Hartford Policy Expiration Date: 11/10/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission)

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS
POLICY NUMBER: 21 SBM BA9FTH
This endorsement modifies insurance provided under the following:

BUSINESS LIABILITY COVERAGE FORM
Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply.

The following is added to Section C. WHO IS AN INSURED:

Additional Insured – Owners, Lessees Or Contractors – Completed Operations a. The person(s) or organization(s) shown in the Schedule on the Declarations is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" and at the location designated and described in the Location And Description Of Completed Operations Schedule in the Declarations performed for that additional insured and included in the "products-completed operations hazard".
b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including:
(1) The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications, payment requests, manuals or instructions; (2) Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (3) Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service;
(4) Monitoring, sampling, or testing service necessary to perform any of the services included in (1), (2) or (3) above;
(5) Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in (1), (2) or (3) above;
c. The insurance afforded to these additional insureds only applies to the extent permitted by law. d. If coverage provided to these additional insureds is required by a written contract, agreement or written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement or permit to provide for these additional insureds.

Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F 21SBMBA9FTH
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:

PRODUCER
(A/C, No, Ext): PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A

SUBR WVDADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
9/2/2026
Arthur J. Gallagher Risk Management Services, LLC
101 Plaza Real South Ste 201
Boca Raton FL 33432
888-581-0807 [email protected] License#: 0D69293 Key Risk Insurance Company 10885 INFIRES-01 CTMJ, Inc
dba Infiniti Resource Management
3014 Us Hwy 301 North
Suite 1000
Tampa FL 33619 1977121370
A Y KEYPEO00751000 1/1/2026 1/1/2027
X
1,000,000 1,000,000 1,000,000
Coverage provided for all leased employees but not subcontractors of: Life Extension Clinics, Inc. dba Life Scan Wellness Centers, LS Wellness PLLC Location coverage effective: 7.29.2026
Waiver of Subrogation in favor of certificate holder as respects Workers Compensation (Per attached form WC 00 03 13) as required by contract subject to the terms and conditions of the policy. City of Bakersfield Office of Risk Management
1600 Truxtun Ave
Bakersfield CA 93301
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 7-01)
c

POLICY INFORMATION PAGE ENDORSEMENT
The following item(s)
Insured's Name (WC 89 06 01)
Policy Number (WC 89 06 02)
Effective Date (WC 89 06 03)
Expiration Date (WC 89 06 04)
Insured's Mailing Address (WC 89 06 05)
Experience Modification (WC 89 04 06)
Producer's Name (WC 89 06 07)
Change in Workplace of Insured (WC 89 06 08)
Insured's Legal Status (WC 89 06 10)
is changed to read:

Item 4. Change To:

Classifications Code
No.

Premium Basis
Total Estimated
Annual
Remuneration
Rate Per $100
Remuneration
Estimated
Annual Premium
Total Estimated Annual Premium $
Minimum Premium $ Deposit Premium $
*
of
All other terms and conditions of this policy remain unchanged.

NCCI Carrier Code No.
2001 National Council on Compensation Insurance.

WC 89 06 00 B
WC 89 06 00 B
(Ed. 7-01)
Item 3.C. States (WC 89 06 13)
Item 3.A. States (WC 89 06 11)
Item 3.B. Limits (WC 89 06 12)
Item 3.D. Endorsement Numbers (WC 89 06 14)
Item 4.* Class, Rate, Other (WC 89 04 15)
Interim Adjustment of Premium (WC 89 04 16)
Carrier Servicing Office (WC 89 06 17)
Interstate/Intrastate Risk ID Number (WC 89 06 18)
Carrier Number (WC 89 06 19)
Issuing Agency/Producer Office Address (WC 89 06 25)
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
X
Effective 07/30/26 added BWOS ifo Life Extension Clinics Inc for states of FL, KS, MD, MO, OK, SC, and VA for charge of $250 and for TX for charge of $10 07/30/2026 KEYPEO00751000
CTMJ, Inc.

Key Risk Insurance Company
37044
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
1,000
337,474
New Estimated Premium
Less Previously Billed
Additional Due
1,225.00
337,474.00
336,249.00
1,225.00
New Estimated Tax
Less Previously Billed
Additional Due
161.00
156.00

5.00 Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
1983 National Council on Compensation Insurance.

WC 00 03 13
(Ed. 4-84)
c
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Date: Policy No. Endorsement No.

Carrier Name / Code:

Policy Effective Date: to Premium $
Insured:

DBA:

Countersigned by
Page of
KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
1 1
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B (Ed. 6-14)

TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page.

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.

2. Operations:

3. Premium:

The premium charge for this endorsement shall be percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described.

4. Advance Premium:

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date: Policy No.

Policy Effective Date: to
Insured:

Endorsement No.

Premium
DBA:

Carrier Name / Code:

Countersigned by

Page 1 of 1 ends

WC 42 03 04 B
(Ed. 6-14)
Copyright 2014 National Council on Compensation Insurance, Inc. All Name of person or organization
(X) Blanket Waiver

1. ( ) Specific Waiver
The premium for this endorsement is shown in the Schedule.

Schedule
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract KEYPEO00751000
Key Risk Insurance Company
CTMJ, Inc.
07/30/2026
01/01/2026 01/01/2027
Infiniti Resource Management
Any Party with whom the insured, Life Extension Clinics Inc, agrees to waiver of subrogation in a written contract
-
$10
$10
Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Docusign Envelope ID: 64F92E4F-AE16-800B-8147-3316D0340E7F Certificate Of Completion
Envelope Id: 64F92E4F-AE16-800B-8147-3316D0340E7F Status: Completed Subject: Complete with Docusign: Agreement - Life Extension Clinics.pdf Source Envelope:

Document Pages: 42 Signatures: 2 Envelope Originator:

Certificate Pages: 5 Initials: 0 City Clerk's Office
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
[email protected]
IP Address: 174.46.226.5
Record Tracking
Status: Original
9/10/2026 3:17:12 PM
Holder: City Clerk's Office
[email protected]
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Signer Events Signature Timestamp

TODD LEDUC
[email protected]
CEO
Life scan wellness centers
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2600:1700:6a32:c50:d55c:aa1:69ce:7d39
Signed using mobile
Sent: 9/10/2026 3:19:53 PM
Viewed: 9/10/2026 3:32:51 PM
Signed: 9/11/2026 4:01:06 AM
Electronic Record and Signature Disclosure:

Accepted: 9/10/2026 3:32:51 PM
ID: f1c47c7a-8343-4cfa-9f0f-f971a885b633
Kevin Albertson
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 174.46.226.5
Sent: 9/11/2026 4:01:08 AM
Viewed: 9/15/2026 4:10:11 PM
Signed: 9/15/2026 4:10:17 PM
Electronic Record and Signature Disclosure:

Accepted: 9/15/2026 4:10:11 PM
ID: 5de5fb00-d50a-42d5-ae5f-0eab2641ca80
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 9/10/2026 3:19:53 PM
Envelope Summary Events Status Timestamps
Envelope Updated Security Checked 9/15/2026 4:31:10 PM
Certified Delivered Security Checked 9/15/2026 4:10:11 PM Signing Complete Security Checked 9/15/2026 4:10:17 PM
Completed Security Checked 9/15/2026 4:31:10 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Bakersfield (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 6/28/2022 10:51:05 AM Parties agreed to: TODD LEDUC, Kevin Albertson
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact City of Bakersfield:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: [email protected] To advise City of Bakersfield of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at [email protected] and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from City of Bakersfield
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to [email protected] and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with City of Bakersfield
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to [email protected] and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guidesigning-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
 You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
 Until or unless you notify City of Bakersfield as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by City of Bakersfield during the course of your relationship with City of Bakersfield.

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