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Contract 2019-66AADocuSign Envelope ID: E7511DC7-FB73-4DF9-89E8-9F0802FFD95D FOURTH AMENDMENT TO AGREEMENT FOR PUBLIC SAFETY PHYSICAL EXAMINATION SERVICES THIS AMENDMENT is entered into as of this 25t' day of August 2024 and is to that certain Agreement dated August 27, 2019, No. 2019-66 hereinafter "the Agreement", by and between the CITY OF CLERMONT, FLORIDA, a municipal corporation under the laws of the State of Florida whose address is: 685 W. Montrose Street, Clermont, Florida, hereinafter referred to as "CITY' and FLORIDA AND LIFE EXTENSION CLINICS, INC. d/b/a LIFE SCAN WELLNESS CENTERS, 1011 North MacDill Ave., Tampa, FL 33607 hereinafter referred to as "CONTRACTOR". The parties, in exchange for the mutual covenants contained herein and in the Agreement, agree as follows: 1. This Amendment expressly modifies the Agreement and in the event of a conflict, the terms and conditions of this Amendment shall prevail. 2. The Compensation Schedule is being amended as provided in Exhibit A. 3. All other terms and conditions set forth in the Agreement shall remain in full force and effect and unchanged as agreed to by the parties. IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the dates set forth below. City of Clermont DocuSigned by: 431F57D413554D6... Freddy Suarez, Procurement Services Director Date: 6/4/2024 Florida and Life Extension Clinics, Inc. d/b/a Life Scan Wellness Centers DocuSigned by: nau., a. Sk"'. B y. 1 AE07FO68CCD455... Patricia Johnson, CEO Attest: DocuSigned by: ? A Nowt 3AD7F34905B344A... Tracy Ackroyd, City Clerk DS DocuSign Envelope ID: E7511 DC7-FB73-4DF9-89E8-9F0802FFD95D EXHIBIT A Life Scan Wellness Centers: Request for Increase RENEWAL 3 Medical Examination and Drug/Alcohol Testing Services, No. 2019-66 Annual Physical Examination Requirements PRICING FOR RENEWAL 3 Price per Service Notes Police Officer or Firefighter Physical Examination $ 495.00 Aditional Test Services, (Section B,1K) Price per Service Chest X-ray: Optional anually, required a minimum evert five (5) years $ 71.00 Respirator Fit Testing (SCBA/N95 Fittest) $ 39.00 (Per mask) Hepatitis C Test $ 56.00 Hepatitis B Test (antigen) $ 56.00 Hepatitis B Titer (antibody) $ 28.00 Hepatitis B Vaccine (3 per series) $ 236.00 (78.66 each) Hepatitis ATest (antigen) $ 33.00 Hepatitis A Titer (Antibody) $ 28.00 Hepatitis A Vaccine (2 per series) $ 162.00 ($81.00 each) PPD Test $ 14.00 Tetanus $ 27.00 Tuberculosis screening, annually by QuantiFERON - TB Gold In -Tube Test (QFT-GIT) $ 68.00 Additional Services: Job Applicant Examinations for Fire, Police, and General Employee - (Section B, 2) Price per Service Pre -employment Drug Screen $ 38.00 Height, Weight, and Blood Pressure Included Blood Chemical Profile 1. Complete Blood Count (CBC) $ 16.00 2. Lipid Panel $ 16.00 3. Comprehensive Metabolic Panel $ 16.00 4. Thyroid Stimulating Hormone (TSH) $ 27.00 Urinalysis Included Resting ECG or Stress ECG if recommended by Physician $ 38.00 Stress ECG (includes resting ECG and Stress 12 lead) $ 189.00 Purified Protein Derivative (PPD) $ 11.00 Chest X-ray (2 view) $ 68.00 Vision Test (Snellen and Ishihara Color) $ 16.00 Audiometric Test $ 24.00 Pulmonary Function Test (PFT) $ 24.00 HAZMAT: Heavy Metals and Cholinesterase $ 130.00 (65.00 each) NFPA 1583 Fitness Evaluation (PD,FD, Pre -employment) Included Life Scan Wellness Centers: Request for Increase for RENEWAL 3 Medical Examination and Drug/Alcohol Testing Services, No. 2019-66