Ebix Insurance No. S200004909
AMENDMENT N(?. 1
TO THE AGREEMENT FOR SERVICES
BETWEEN THE
CITY OF SANTA CLARA, CALIFORNIA,
AND
LIFE EXTENSION CLINICS, INC. DBA LIFE SCAN WELLNESS CENTER
PREAMBLE
This agreement ("Amendment No. 1") is entered into between the City of Santa Clara, California, a chartered California municipal corporation (City) and Life Extension Clinics, Inc. OBA Life Scan Wellness Center, a Florida corporation, (Contractor). City and Contractor may be referred to individually as a "Party" or collectively as the "Parties" or the "Parties to this Agreement."
RECITALS
A. The Parties previously entered into an agreement entitled "Agreement for Services between City of Santa Clara, California, and Life Extension Clinics, Inc.
OBA Life Scan Wellness Center", dated June 2, 2022 (Agreement); and B. The Parties entered into the Agreement for the purpose of having Contractor provide occupational medical services for Santa Clara Fire Department personnel, and the Parties now wish to amend the Agreement to increase compensation by $138,547 for a revised maximum compensation not-to-exceed $238,547, and to extend the term of the Agreement to April 30, 2024.
NOW, THEREFORE, the Parties agree as follows:
AMENDMENT TERMS AND CONDITIONS
1. Section 2 of the Agreement, entitled "TERM OF AGREEMENT" is amended to read as follows:
Unless otherwise set forth in this Agreement or unless this paragraph is subsequently modified by a written amendment to this Agreement, the term of this Agreement shall begin on April 7, 2022 and terminate on April 30, 2024.
2. Section 6 of the Agreement, entitled "COMPENSATION AND PAYMENT" is amended to read as follows:
In consideration for Contractor's complete performance of Services, City shall pay Contractor for all materials provided and Services rendered by Contractor in accordance with Revised Exhibit B 1, entitled "SCHEDULE OF FEES" and Revised Exhibit B2, entitled "FEE DETAILS." The maximum Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit 82-Fee Details Page 2
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compensation of this Agreement is Two Hundred Thirty-Eight Thousand Five Hundred Forty-Seven Dollars ($238,547), subject to budget appropriations, which includes all payments that may be authorized for Services and for expenses, supplies, materials and equipment required to perform the Services. All work performed or materials provided in excess of the maximum compensation shall be at Contractor's expense. Contractor shall not be entitled to any payment above the maximum compensation under any circumstance.
3. Exhibit 81 of the Agreement, entitled "SCHEDULE OF FEES 11 1 is hereby
amended to read as shown in Revised Exhibit B 1, attached and incorporated into this Amendment No. 1.
4. Exhibit 82 of the Agreement, entitled "FEE DETAILS"! is hereby amended to read as shown in Revised Exhibit 82, attached and incorporated into this Amendment No. 1.
5. Except as set forth herein, all other terms and conditions of the Agreement shall remain in full force and effect. In case of a conflict in the terms of the Agreement and this Amendment No. 1, the provisions of this Amendment No. 1 shall control.
Note: Signature block on next page.
Amendment No. 1 to Agreement/Life Extension Clinics, Inc. dba Life Scan Wellness Center Rev. 10/25/2019
Page2
The Parties acknowledge and accept the terms and conditions of this Amendment No. 1 as evidenced by the following signatures of their duly authorized representatives.
CITY OF SANTA CLARA, CALIFORNIA
a chartered California municipal corporation
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'✓LEN R. GOOGINS
�� Attorney
Dated:
e of the City Ma
City of Santa Clara
"CITY"
1500 Warburton Avenue
Santa Clara, CA 95050
Telephone: (408) 615-2210
Fax: (408) 241-677 1
LIFE EXTENSION CLINICS, INC. OBA LIFE SCAN WELLNESS CENTERS a Florida corporation
Dated:
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� By (Signature): �Z,i' ��
Name: atnc,a Jq_ __J,
Title: CEO
Principal Place of 101 1 N. MacDill Avenue
Business Address: _T _a_m__._pa___.;.,_F_L_3_3_6_0_7 __________ _ Email Address: [email protected]
Telephone: (813) 876-0625
Fax: (813) 876-0653
"CONTRACTOR"
Amendment No. 1 to AgreemenULife Extension Clinics, Inc. dba Life Scan Wellness Center Page 3 Rev. 10/25/2019
REVISED EXHIBIT B1
SCHEDULE OF FEES
1. MAXIMUM COMPENSATION
1.1. The maximum amount payable for all services provided under this Agreement shall not exceed Two Hundred Thirty-Eight Thousand Five Hundred Forty Seven Dollars ($238,547), during the term of the Agreement. No additional services will be performed unless both Parties execute an amendment outlining the services requested and the compensation agreed for such services. See below for annual amounts.
Term Amount
Year 1 (April 7, 2022 - April 30, 2023) $100,000
AMENDMENT NO. 1
Year 2 (May 1, 2023 -April 30, 2024) $116,861
TOTAL REVISED COMPENSATION $216,861
Contingency $ 21,686
TOTAL REVSIED MAXIMUM COMPENSATION NOT- $238,547 TO-EXCEED
1.2. All payments are based upon City's acceptance of Contractor's performance of services specified in Exhibit A, Scope of Services. City shall have no obligation to pay unless Contractor has successfully completed the work for which payment is due.
2. FEES
2.1. City will pay Contractor the fee specified below for annual physicals:
Services Fee
Public Safety Annual Physical $853/Each
2.2. See Revised Exhibit 82 (Fee Details) for specific details of the services included in the Public Safety Annual Physical.
2.3. The City may request optional services specified in Section 2 of Revised Exhibit 82 (Fee Details) at its discretion.
3. PRICING
3.1. Pricing shall be fixed for the term of the Agreement.
Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit B 1-Schedule of Fees Page 1
4. INVOICING REQUIREMENTS
4.1. Contractor will invoice the City on a monthly basis for services provided by Contractor during the preceding month on an invoice and in a format approved by the City, including supporting narrative documentation, and is subject to verification and approval by City.
4.2. City will pay Contractor within thirty (30) days of City's receipt of an approved invoice.
Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit B1-Schedule of Fees Page 2
REVISJ:D EXHIBIT 82
FEE DETAILS
1. The following services are included in the public safety annual physicals:
Public Safety Annual Physical $853/Each
Description: Fee
Medical & Occupational/Environmental Questionnaire Included Comprehensive Hands-On Physical Exam Included
Vital Signs: Heightl Weight, Blood Pressure, Pulse Included Sleep Disorder Evaluation, Epworth Sleep Scale Included Back Health Evaluation Included
Urinalysis Included
Audiogram Included
Titmus Occupational Vision with Peripheral, Depth
Perception, and Color Included
Breast Exam with Self-Exam education Included
Personal Consultation with review of testing results Included Laborator]I Tests:
Comprehensive Metabolic Panel, Blood Chemistry Included Complete Blood Count, Hematoloqv Panel Included
Hemoccult Stool Test for Colon Cancer ScreeninQ Included Total Lipid Panel Included
Thyroid Test TSH Included
Glucose Included
Hemoglobin A 1 C Included
PSA (Prostate cancer marker, Men) Included
Testosterone (Men) 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
Prostate Ultrasound Included
Testicular Ultrasound Included
Ovaries and Uterus Ultrasounds Included
Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit B2-Fee Details Page 1
Description: Fee
Cardiopulmonary Testing
Cardiac Stress Test (Treadmill with 12 lead, sub-
maximal, Bruce Protocol) Included
EKG, 12 Lead Included
Spirometry, PFT LunQ Capacity Included
OSHA Respirator Medical Clearance Included
Fitness Evaluations per NFPA 1583~8AFF/IAFC
Wellness Fitness initiative:
Fitness tests for muscular strength & endurance Included Sit and Reach, Plankinq, Grip StrenQth, Included
Sit Up Test, Wall Sit, Flexibility Included
V02 Max Cale for Aerobic Capacity Included
Body WeiQht and Composition Included
Personal Fitness Rx Included
Personal Wellness Plan with recommendations Included
2. The following are optional services provided by Contractor:
Optional Tests Available Fee Per
Test
Chest X-Rav, 2 view with radioloQist review $80.00
Lumbar X-Ray, 2 view with radiologist review $80.00
Hazmat Cholinestrese $81.00
Hazmat Heavy Metals $81.00
Hepatitis A ScreeninQ Test $60.00
Hepatitis A Titer $38.00
Hepatitis B Screening Test $60.00
Hepatitis B Titer $38.00
Hepatitis C Screening Test $60.00
HIV Test, Gen 4 $29.00
PPD TB Skin Test $29.00
QuantiFeron TB Blood Test $72.00
Tdap (Tetanus, Diphtheria, Pertussis) Titer $32.00
Tdap (Tetanus, Diphtheria, Pertussis) Vaccine, sinqle dose $86.00 MMR Booster $86.00
MMR Titer $86.00
Varicella Vaccine $24.00
Varicella Titer $128.00
Polio Booster $33.00
Polio Titer $64.00
OSHA Respirator Mask Fit Testing (Portacount) $44.00
Drug Screen, I CUP $51.00
Druq Rescreen with confirmation $58.00
Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit 82-Fee Details Page 2
Optional Tests Available Fee Per
Test
Medical Review Officer (MRO) as indicated/secondary $117.00 review Phlebotomist (Blood Draw) Fee $22.00
Cardiac Calcium ScorinQ $150.00
Covid-19 Antibody Test $100.00
Amendment No. 1 to Agreement with Life Extension Clinics, Inc. dba Life Scan Wellness Center/Revised Exhibit 82-Fee Details Page 1