EXHIBIT BAPPROVED FEE SCHEDULETEST 1: Desk/FieldCity Medical Questionnaire $ 42.00 Basic Physical (a) $ 118.00 Height & weightBlood pressure Pulse rate Lung & chest check Head, eyes, ears, nose & throat check Abdomen check Nervous system check (e.g., reflexes, gate, etc.)Musculoskeletal check Flexibility & range of motion check Vision and Color Screen $ 71.00 Hearing Screen $ 85.00 TOTAL COST $ 316.00 TEST 2: Manual Labor City Medical Questionnaire $ 42.00 Basic Physical + (c) $ 118.00 Height & weight Blood pressure Pulse rate Lung & chest check Head, eyes, ears, nose & throat check*Abdomen check* Nervous system check (e.g., reflexes, gate, etc.) Musculoskeletal check* Flexibility & range of motion check Neck Exam Iguinal hernia check Vision and Color Screen $ 71.00 Hearing Screen $ 85.00 Resting EKG (12 Leads) $ 114.00 TOTAL COST $ 430.00 TEST 3: Commercial Drivers DMV Medical History Questionnaire Basic Physical (a) $ 136.00 Height & weightBlood pressure Pulse rate Lung & chest check Head, eyes, ears, nose & throat check Abdomen check Nervous system check (e.g., reflexes, gate, etc.)Musculoskeletal check Flexibility & range of motion check Vision and Color Screen $ 71.00 Hearing Screen $ 85.00 Urinalysis $ 84.00 TOTAL COST $ 376.00 TEST 4: Sworn Fire Fire Medical History Questionnaire (use OHSA Respirator Questionnaire) $ 68.00 Extended Basic Physical (b) $ 142.00 Height & weight Blood pressure Pulse rate Lung & chest check Head, eyes, ears, nose & throat check Abdomen check Nervous system check (e.g., reflexes, gate, etc.) Musculoskeletal check Flexibility & range of motion check Iguinal hernia check Vision and Color Screen $ 71.00 Hearing Screen $ 85.00 Resting EKG (12 Leads) $ 114.00 Chemistry Panel (electrolytes, renal function, liver function and glucose) $ 118.00 CBC (white blood count, red blood count & platelets) $ 101.00 Urinalysis $ 84.00 Sprirometry $ 98.00 TOTAL COST $ 881.00 TEST 5: Sworn Police Post Medical History Questionnaire - Sworn Police Officers Included in Physical Extended Basic Physical (b) $ 143.00 Height & weightBlood pressure Pulse rate Lung & chest check Head, eyes, ears, nose & throat check Abdomen check Nervous system check (e.g., reflexes, gate, etc.)Musculoskeletal check Flexibility & range of motion check Iguinal hernia check Vision and Color Screen $ 71.00 Hearing Screen $ 85.00 Resting EKG (12 Leads) $ 114.00 Chemistry Panel (electrolytes, renal function, liver function and glucose) $ 118.00 CBC (white blood count, red blood count & platelets) $ 101.00 Urinalysis $ 84.00 Sprirometry $ 98.00 TOTAL COST $ 814.00 COMPONENT ALA CARTE Physician examination $ 118.00 Height/weight and/or body fat analysis N/AVision screening (far/near/depth/color/peripheral) $ 71.00 Color vision screening (H.R.R. or Farnsworth) $ 64.00 Audiometry (hearing screening) $ 85.00 Spirometry (Pulmonary Function Testing) $ 98.00 Chest x-ray (1 view) $ 121.00 Chest x-ray (2 views) $ 145.00 Resting EKG $ 114.00 LABS ALA CART Chemistry Panel (electrolytes, renal function, liver function and glucose) $ 118.00 CBC (white blood count, red blood count & platelets) $ 101.00 Lipid panel (cholesterol profile) $ 107.00 TSH (thyroid function) $ 140.00 PSA (prostate specific antigen) $ 127.00 Iron $ 103.00 Dipstick Urinalysis (performed day of physical) $ 84.00 Urinalysis (sent to lab) $ 82.00 Blood type $ 104.00 Lead $ 126.00 ZPP $ 104.00 *Phlebotomy fee included in above pricing VACCINATIONS (per dose)Hepatitis A (2 Shot) $ 170.00 Hepatitis B (3 Shot) $ 169.00 Hepatitis A/B twinrix $ 259.00 TB Skin Test $ 72.00 Influenza (flu) $ 45.00 Tdap (tetanus diphtheria/pertussis) $ 142.00 Td (tetanus diphtheria) N/A Rabies (2 Injections) $ 529.00 DRUG & ALCOHOL DOT urine drug test (includes MRO charge) $ 97.00 Non-DOT urine drug test (negative result) (Rapid) $ 100.00 Non-DOT urine drug test (positive+ MRO charge) (Rapid) $ 100.00 Breath alcohol (DOT & non-DOT) $ 69.00 OTHER DMV Exam $ 136.00 OSHA Respirator Questionnaire Review & Clearance $ 68.00 Respirator Qualitative Fit-Testing $ 85.00 Respirator Quantitative Fit-Testing $ 98.00
Approved for use 6/1/23
2817434v1.doc City of MB Form
AMENDMENT NO. 1 TO THE PROFESSIONAL SERVICES AGREEMENT
BETWEEN THE CITY OF MANHATTAN BEACH AND OCCUPATIONAL
HEALTH CENTERS OF CALIFORNIA
This Amendment No. 1 (“Amendment No. 1”) to that certain agreement by and between the City of Manhattan Beach, a California municipal corporation (“City”) and Occupational Health Centers of California , a Medical Corporation (“Consultant”) (collectively, the “Parties”) is hereby entered into as of June 9, 2025 (“Effective Date”).
RECITALS
A. On July 1, 2024, the City and Consultant entered into an agreement for professional services for the Consultant to provide professional medical services (“Agreement”).
B. The Parties now desire to amend the Agreement to increase the Maximum Compensation.
NOW, THEREFORE, in consideration of the Parties’ performance of the promises, covenants, and conditions stated herein, the Parties hereby agree as follows:
Section 1. Section 3.A of the Agreement is hereby amended to increase the Maximum Compensation amount by $34,000, for a new Maximum Compensation of $74,000.
Section 2. Except as specifically amended by this Amendment No. 1, all other provisions of the Agreement shall remain in full force and effect. [SIGNATURE PAGE FOLLOWS]
Docusign Envelope ID: E5BEA012-6201-427F-AA2D-499FA810F3B6
-2-
Approved for use 6/1/23
2817434v1.doc City of MB Form
IN WITNESS THEREOF, the Parties hereto have executed this Amendment No. 1 on the day and year first shown above.
City:
City of Manhattan Beach,
a California municipal corporation
By:
Name: Talyn Mirzakhanian
Title: City Manager
Date:
ATTEST:
By:
Name: Liza Tamura
Title: City Clerk
Date:
APPROVED AS TO FORM:
By:
Name: Quinn M. Barrow
Title: City Attorney
Date:
APPROVED AS TO FISCAL IMPACT:
By:
Name: Elizabeth Bretthauer-Long
Title: Acting Finance Director
Date:
APPROVED AS TO CONTENT:
By:
Name: Lisa Jenkins
Title: Human Resources Director
Date:
Consultant:
Occupational Health Centers of California,
a Medical Corporation
By:
Name: Kathy Le, MD
Title: Vice President & Treasurer
Date:
Docusign Envelope ID: E5BEA012-6201-427F-AA2D-499FA810F3B6 6/13/2025
6/16/2025
6/13/2025
6/23/2025
Michael Lang
Acting City Manager
6/24/2025
_______________
_____________________
6/24/2025