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5. 1st Renewal 03/22/2023 FIRST RENEWAL OF AGREEMENT BETWEEN MONROE COUNTY AND LIFE EXTENSION CLINICS INC. THIS AGREEMENT is made and entered into this 22nd day of May, 2023 between MONROE COUNTY, a political subdivision of the State Of Florida, whose address is 1 100 Simonton Street, Key West, Florida 33040, its successors and assigns, hereinafter referred to as *'County,"through the Monroe County Board OfCOLmty Commissioners ("BOCC") and the Board ol`Governors of Fire and Ambulance District 1 OrOnroe County, Florida ("BOG`), and LIFE EXTENSIONIS INC., a Florida Corporation, to renew the agreement between the parties dated May 18th, 2022. WHEREAS, on May 18"i,2022, the parties entered into an agreement to provide anilLlal physical examinations for Monroe COLlnty Fire IZeSCLie personnel, and WHEREAS, the term of the initial agreement was for one (1) year and provides the COLlnty with the Option to renew the Agreement for LIP to an additional two (2) years terminating on December 31, 2024, and WHEREAS, the parties desire to extend the terms of the Agreement through December 31, 2024, and NOW, THEREFORE, in consideration of the promises, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereby agree as follows: l. Paragraph 7.2.1 of the original Agreement is amended to reflect the new pricing sheet, attached hereto as Attachment A. 2. Paragraph 7.4 of the original Agreement is amended to reflect that the term of' the Agreement has been extended for an additional two (2) year period, terminating Oil December 31, 2024. 3. All other terms and conditions of the original Agreement entered into on May 18, 2022, not inconsistent herewith, shall remain in full force and effect. (signatures on next page) IN WITNESS WHEREOF, the Parties have caused their respective duly authorized representatives to execute this Agreement on the date first written above. ON BEHALF OF: BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AND BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY,FLORIDA James Callahan, Fire Chief MONROE COUNTY ATTORNEY APPROVED AS TO FORM Christina Cory ASSISTANT COUNTY ATTORNEY Date: z 3 WITNESS LIFE E NSIO C NICS INC. By: By p _.. ...� Printed: Printed: 4 "` Title: �� Title: --..................... .......................--............ ..................... ........—------ —------ LIFF S(. AN [It BLIC SAFE'UN PINK SICAL I-XV)l 202.3 Monroe( mint t' Fk.v' Rescue Nbradlon, FL Cheri'I amlhorski 2023 2024 I,cbrum'N 1,2023 "I.................... .......... ............................... .......... ............-.-................................... .......... Ph�'skee/P I vam, A F/'�'1 1582 OmMliant ........... .......................... . ...................... Medical & Occu ational/Environmental QUeStionnaire Included IIICIUded --—----------- Corm� ensive I lands-On P lvsjc, I Exam Included Included -Z�� ..............................................- ...... -----------------................................... .......... Vital' S i�L!-i-s: -1'1 e Blood PreSSUre, Pulse 111CILIded 111CILIded ........... ...................ILI..--..-........................ ........................-............ ............ ............................... ................................... Behavioral Health Evaluation Included 111CILIded -......... ....................... --...... ...........................---..........................................-.........- -------- --............ Sleep Disorder Evaluation, Lj�worth Sleek Scale Included 111CILided .................... ..........1�......................... ................... ..................... Back Health Evaluation 111CIUded IrICILIded ----------------- ............. Uripal Included Included .................................. ............................. .......--I-I.----.....................--------- Auclimuam Included Included .... ......... --- ....................... .............- ................. ....................................- ........... ViSLIal Acuity Fest,Titalus Included Included ............ .......................... ...... ............ .. .......... ` itmus(:)ccu aatronal Vision with Per I e-al. 1) mh A-ron Co ded . ,and Color ITIClU Included .............- I.. ....... .....................................................-.-........... ............. ......... Breast Exam with Self-Exam edLICatiOII 111CIUded Included . ........... , ,-... .......... Personal Consultation with review of test'ng results Included Included ........... .................. ..L............. ....................................... ....................................I..........------------- ..... .....................---------- ............ .......... ........................................ .............................. ............. ............... Metabolic Panel, Blood ClIeI.IIjstI'.-- Included 111CIUded y ............................... ........... -----------------------------------Complete Blood Count, I lematology Panel Included Included ................................ HeMOCCUlt Stool Test for Colon Cancer Screening Included 111CILIded..........Total LiP I*d Panel . Included Included Th roid Test TSH IIICILAcled 111CILided .......... .......................—............. ....... ........... Glucose IIICILided Included -------........... ---------1-1e�mogylobin A K Included IIICILided ................. .................... .................... ...... PSA_(I"rostate-cancer e'i' i"i i n-ket Men ------........... IIICIUded I I I C I LI d e d 'Festosterone( Men) 111CILided Included ............-----------.............. ...... CA 125 (Ovarian cancer marker, Women) 111CILided Included .............. .......................................... ................ I in v S' (J"ur&Detection ............ !2j Heari Dbwyse and Cywcer): .......... .............. ............. ' oc rdi gr n Included 11CIUded - . ...-- ........ . .................. Carotid Arteries Ultrasound ITICILIcled Included ............................... ............ ....................................... .......................... ................... ----------........................... Aorta and Aortic Valve I.Atrasounds 111CILIcled 111CIUded ............................................-.............. ............ ............................... ...... .............. ........ ................... Liver UltrasOUIld Included Included Gall Bladder Ultrasound 111CILided 111CILICIC(I KJ-ClIIey�s"UlIrasOLa1d . 111CILIded Included --------------------- .......... ........... ------------- S leen UltraSOLInd Included 111CILIded P -..-....................................................... ..................................................... ------------ .......... ................-------- Bladder 1.1 Itrasound Included Included ---------------------------- ---------------------------...................................--- - .............Th IfICILICIC(I yroid Ultrasound Included Prostate UltraSOLIncl 111CIUded Included ................. ................................................................--.-.................. --------- .............------------- Testicular Ultrasound IIICIUcled IIICIUcled -11--------------- ...... . .............. ....... ...................................... .......................................................-.-..............................................................----............. Ovaries and I JterLIS Ultrasounds I]ICILICIC(I Included -.-............................ --------- ...........- -........................................................ ....... ..........- (tuill R!"ah ................................... .......................... ........ .................................--.................. .......... Cardiac 1---S-t-ress-1 1-F-l-cI s1t11� readm ll with 12 lead,sub-maximal Bruc1-e1 protocol) Included 11)C I L(ed -, -- - - 11- . 1- .--1 -- ....-FKG, 12 Lead Included Included ..................... .....................---...... --------------- ----------.............. . IIironletrv' PI Lt C InCILICIC(I Included .............................---- TL-- J�e ....... ------ .......... ............ ---------------------- OSI IA Reamr1tor Medical Clearance 111CIUded Included ............. ................ ----------------------------- 1,if it e ks P,v a Itt u,fie)i m, eu,A FP,1 158. 1 Ff IF H efin n s I io 4 e s s hfilhI61'e", ---------------------- ------------------------------ ........... ----------------------- Fitness tests for muscular strem4th & endurance Included 111CIUded —---—----------------------------------- Sit and Reach, Planking.,_( .......... .......... Included Included Sit IJLI'est, Wall Sit, Flexibility Included Included V02 Max Cale for Aerobic Capacity Included Included ............................... 13 Id_y eioh nd o Included_,it.a C ni2osition 111CILicled ................. ....... --------- ..........--.- -- Personal Fitness Rx Included lnclLIdCd ....................... ---------- .......... ............. Personal Wellness Plan with recommendations Included 111CIUded ..................................... ......................................... ............................................... LI FE S(AN PU BLIC SAFFTY III IYSICA L EXAM 2023 Per Person $455.00 S491.00 ............ ............................. ------------- - LAne Item Cost Line Item Cost 07HER Teets Avi�tilable: 2023 2023 _ _...._._ __ .. ___..__ ___.__.._ ___ _ Chest X-Rae 2 view with radiologist review $81 00 $87.00 .._ _ __. ....._ ....._ _ I umbau X Ray,2 view with radiolouist review $81.00 `ii87.00 __._.....______._.____._.._.....___..._.__.........._.__.-._ .._.___......__.__....._-_-__ _._...................... .........._ Ilazrntt.C.holinestresc and Ilcayy Metals 151.00 $16 .00 I epatitis A Fiter $I9 00 `n42 00 Ifepalitis_fi`scrcenuro, lest ` 60 00 ` 65 00 ........ ..._._... ......... ... _._. _._. Ilepatitis_B Titer `� 9 00 $4100 _ --_.. _. I_lk.e.patitis C Screenin lest 60 00 . $64.00w ..... ..........._.............. . ........_ _............_........ _.. . .._..........._.....__--.._ ........ �.. Test, Gen 4 . ___ ...... ......... Hepatitis Vaccines each shot(A 2 shot series, 13-5 Shot series)(Based on `b76.00 each $82.00 Per shot current market costs) shot __ _....._ .___..__..._ __ .----.._ ...._.— _...... ._.... ... .........................................._______._.____.._.. ..__ _..._.................._..... ......................................_ PP1) 1 I3 Skin Pest $24.00 $26.00 _._..__ ........__...�..____.........._....................._......_................._...__... _.___--__------.._...__.............__. _ _ ...._......._. uwrntiPeron TB Blood Test `fa7100 `�79.00 ....._. _. .._. ... ..... ...........-.-.......... .. I'dap(Tetanus, Dij2hthcr i r Pertussis)Titer $32 00 $34 00 ...-__........._._._.._.__.._...._ .... _(:SI IA Rcs atc_�rr Mask Flit TcstinL' (Portacount� � � $4� 0O ---- $46 f1t�1_._.. ._.... _.. ... ..___..............._._._........__.__...__. C)ru4 Screen, I CUP $51.00 `£55.00 __ ...... ....._._ _... _...._. ......___-___.._..__...._..._..._.._._.._._-_._ --_-_ .. _.... _....._--- Dr u�� Rescreen with confirmation $ 0 00 $65.00 __...... -_ ...._.. _..__._�_.�....___.. ____. —_._-. ABO `ir29.00 $39.00 - -- -....._.._......._.._._._.......__..... --._ .....�._._..�._..........._._..__..___._._..___-___ —__._..—_.__.._—.............$7 __......—. .. _.------ Nicotine $70.00 ;Ii7(i.OG) _..__. —... ..._.._...._.__._....._..........._........._.___._..__._..________.__. _...---. Phlebotomist(lal«oci drt�tw) $27 00 $24.01�1 Price increase agreed by City ol'Clearwater based on the CPI of 8.39N). ..this increase is effective January 1,2023, to December 31, 2023 and 2024.