FIRST AMENDMENT TO AN AGREEMENT WITH WORKFORCE MEDICAL GROUP, INC. TO PROVIDE PRE-PLACEMENT AND OCCUPATIONAL HEALTH MONITORING PHYSICAL EXAMINATIONS AND SERVICES

The amendment to the agreement made this _____day of January 2004, by and between the COUNTY OF SAN MATEO, hereinafter designated as "County" and WORKFORCE MEDICAL GROUP, INC., hereinafter designated WMG.

WITNESSETH:

WHEREAS, County and WMG mutually agree to amend said Agreement as to total payment amount:

WHEREAS, County and WMG agree that said Agreement shall be amended as follows:

1. Paragraph 2. Payments. The total amount of fees for services is amended to read $562,500.

2. The remainder of the Agreement shall remain in full force and effect.

IN WITNESSETH WHEREOF, the parties hereby execute this Agreement.

County of San Mateo

Date: _____________________

___________________

Mark Church

President Board of Supervisors

County of San Mateo

400 County Center

Redwood City, CA 94063

Date: _____________________

____________________

Imee DeBose

Workforce Medical Group, Inc.

201 Arch Street

Redwood City, CA 94062-1305