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SECOND AMENDMENT TO AGREEMENT <br />THIS SECOND AMENDMENT TO AGREEMENT is entered into on July 7, <br />2008, by and between Luis D. Rivera, M.D., Inc. dba Medical Center of Santa Ana, a <br />professional corporation ("Consultant") and the City of Santa Ana, a charter city and <br />municipal corporation of the State of California ("City"). <br />RECITALS: <br />A. The parties entered into Agreement #2007-138, dated June 18, 2007, (hereinafter <br />'`said Agreement'') by which Consultant has provided medical exams for City's Fire <br />and Police personnel. <br />B !n accordance with the terms and conditions of said Agreement, the parties wish to <br />amend the Scope of Services to clarify the services to be provided, add compensation <br />to pay for services during the 2008-09 fiscal year and extend the term of said <br />Agreement for an additional one-year period. <br />V1~'IIEREFORE, in consideration of the covenants contained in said Agreement, and <br />subject to all the terms and conditions of said Agreement, except those amended in this <br />Second Amendment to Agreement, the parties agree as follows: <br />1. Section 1, SCOPE OF SERVICES, shall be deleted in its entirety and replaced with <br />the following: <br />"Consultant shall provide comprehensive physical examinations for all Fire sworn <br />personnel and for those Police sworn personnel who elect to see Consultant as part of <br />the annual wellness program, as set forth in Exhibit A-1, attached hereto. <br />Additionally, Consultant shall provide low cost annual flu vaccinations for City <br />employees." <br />2. Section ~, COMPENSATION, shall be amended to increase compensation by <br />570,000.00 to pay for services during the 2008-09 fiscal year. <br />3. The Term of said agreement shall be extended for an additional one-year period, <br />through June 30, 2009. <br />4. Except as hereinabove amended, all terms and conditions of said Agreement shall <br />remain in full force and effect. <br />/;' <br />25G-3 <br />