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HomeMy WebLinkAboutP L PERRIN & ASSOCIATES - P. L. Perrin - PL Perrin - 2007-01-29 CONTRACTS SUBMITTAL TO CITY CLERK'S OFFICE To: JOAN FLYNN, City Clerk Name of Contractor: P. O. Perrin & Associates Purpose of Contract: For Example:Audit Services or Water Quality Testing Huntington Lake—Huntington Central Park Polygraph Services Amount of Contract: $7,200.00 Copy of contract distributed to: The original insurance certificate/waiver distributed ❑ Initiating Dept. ❑ to Risk Management Finance Dept. ❑ ORIGINAL bonds sent to Treasurer ❑ Date: S]�—j 16 Name/Ext nsion City Attorney's Office 5 w Jrrzl F�Rc G:AttyMisc/Contract Forms/City Clerk Transmittal PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND P.L. PERRIN & ASSOCIATES FOR POLYGRAPH SERVICES THIS AGREEMENT ("Agreement") is made and entered into this of day of U[ 2001, by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY, and P. L. Perrin & Associates a sole proprietorship hereinafter referred to as "CONSULTANT." WHEREAS, CITY desires to engage the services of a consultant to administer and evaluate all polygraph tests ; and Pursuant to documentation on file in the office of the City Clerk, the provisions of the Huntington Beach Municipal Code, Chapter 3.03, relating to procurement of professional service contracts have been complied with; and CONSULTANT has been selected to perform these services, NOW, THEREFORE, it is agreed by CITY and CONSULTANT as follows: 1. SCOPE OF SERVICES CONSULTANT shall provide all services as described in Exhibit "A," which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "PROJECT." CONSULTANT hereby designates Pete Perrin who shall represent it and be its sole contact and agent in all consultations with CITY during the performance of this Agreement. agree/forms/profsery 10/15/01-A 1 2. CITY STAFF ASSISTANCE CITY shall assign a staff coordinator to work directly with CONSULTANT in the performance of this Agreement. 3. TERMS TIME OF PERFORMANCE Time is of the essence of this Agreement. The services of CONSULTANT are to commence as soon as practicable after the execution of this Agreement by CITY(the three (3) years fran "Commencement Date"). This Agreement shall expire oacarmencement date_, unless sooner terminated as provided herein. All tasks specified in Exhibit "A" shall be completed no later than three (3) years from the Commencement Date of this Agreement. These times may be extended with the written permission of CITY. The time for performance of the tasks identified in Exhibit "A" are generally to be shown in Exhibit "A." This schedule may be amended to benefit the PROJECT if mutually agreed to in writing by CITY and CONSULTANT. 4. COMPENSATION In consideration of the performance of the services described herein, CITY agrees to pay CONSULTANT on a time and materials basis at the rates specified in Exhibit "B," which is attached hereto and incorporated by reference into this Agreement, a fee, including all costs and expenses, not to exceed Seven thousand two hundred Dollars($ 7.200.00 ). 5. EXTRA WORK In the event CITY requires additional services not included in Exhibit "A" or changes in the scope of services described in Exhibit "A," CONSULTANT will undertake such work only after receiving written authorization from CITY. Additional agree/forms/profserv1 0/1 510 1-A 2 compensation for such extra work shall be allowed only if the prior written approval of CITY is obtained. 6. METHOD OF PAYMENT CONSULTANT shall be paid pursuant to the terms of Exhibit "B." 7. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONSULTANT agrees that title to all materials prepared hereunder, including, without limitation, all original drawings, designs, reports, both field and office notices, calculations, computer code, language, data or programs, maps, memoranda, letters and other documents, shall belong to CITY, and CONSULTANT shall turn these materials over to CITY upon expiration or termination of this Agreement or upon PROJECT completion, whichever shall occur first. These materials may be used by CITY as it sees fit. 8. HOLD HARMLESS CONSULTANT hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands and defense costs (including, without limitation, costs and fees of litigation of every nature or liability of any kind or nature) arising out of or in connection with CONSULTANT's (or CONSULTANT's subcontractors, if any) negligent performance of this Agreement or its failure to comply with any of its obligations contained in this Agreement by CONSULTANT, its officers, agents or employees except such loss or damage which was caused by the sole negligence or willful misconduct of CITY. CONSULTANT will conduct all defense at its sole cost and expense and CITY shall agree/forms/profservl0/l5101-A 3 approve selection of CONSULTANT's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as limitation upon the amount of indemnification to be provided by CONSULTANT. 9. PROFESSIONAL LIABILITY INSURANCE CONSULTANT shall obtain and furnish to CITY a professional liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for CONSULTANT's professional liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and in the aggregate. The above- mentioned insurance shall not contain a self-insured retention, "deductible" or any other similar form of limitation on the required coverage except with the express written consent of CITY. A claims-made policy shall be acceptable if the policy further provides that: A. The policy retroactive date coincides with or precedes the initiation of the scope of work (including subsequent policies purchased as renewals or replacements). B. CONSULTANT shall notify CITY of circumstances or incidents that might give rise to future claims. CONSULTANT will make every effort to maintain similar insurance during the required extended period of coverage following PROJECT completion. If insurance is terminated for any reason, CONSULTANT agrees to purchase an extended reporting provision of at least two (2) years to report claims arising from work performed in connection with this Agreement. agree/forms/profsery 10/1510 1-A 4 10. CERTIFICATE OF INSURANCE Prior to commencing performance of the work hereunder, CONSULTANT shall furnish to CITY a certificate of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this Agreement; the certificate shall: A. provide the name and policy number of each carrier and policy; B. shall state that the policy is currently in force; and C. shall promise that such policy shall not be suspended, voided or canceled by either party, reduced in coverage or in limits except after thirty (30) days' prior written notice; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium. CONSULTANT shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverage shall not derogate from CONSULTANT's defense, hold harmless and indemnification obligations as set forth in this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of the policy of insurance. CONSULTANT shall pay, in a prompt and timely manner,the premiums on the insurance hereinabove required. 11. INDEPENDENT CONTRACTOR CONSULTANT is, and shall be, acting at all times in the performance of this Agreement as an independent contractor herein and not as an employee of CITY. CONSULTANT shall secure at its own cost and expense, and be responsible for any and agree/forms/profsery 10/15/01-A 5 all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONSULTANT and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services to be performed hereunder. 12. TERMINATION OF AGREEMENT All work required hereunder shall be performed in a good and workmanlike manner. CITY may terminate CONSULTANT's services hereunder at any time with or without cause, and whether or not the PROJECT is fully complete. Any termination of this Agreement by CITY shall be made in writing, notice of which shall be delivered to CONSULTANT as provided herein. In the event of termination, all finished and unfinished documents, exhibits, report, and evidence shall, at the option of CITY, become its property and shall be promptly delivered to it by CONSULTANT. 13. ASSIGNMENT AND DELEGATION This Agreement is a personal service contract and the work hereunder shall not be assigned, delegated or subcontracted by CONSULTANT to any other person or entity without the prior express written consent of CITY. If an assignment, delegation or subcontract is approved, all approved assignees, delegates and subconsultants must satisfy the insurance requirements as set forth in Sections 9 and 10 hereinabove. 14. COPYRIGHTS/PATENTS CITY shall own all rights to any patent or copyright on any work, item or material produced as a result of this Agreement. agree/forms/profsery 10/15/01-A 6 15. CITY EMPLOYEES AND OFFICIALS CONSULTANT shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the applicable provisions of the California Government Code. 16. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONSULTANT's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below. CITY and CONSULTANT may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, a reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONSULTANT: City of Huntington Beach P. L. Perrin & Associates ATTN: Lisa Kermedy Attn: Pete Perrin 2000 Main Street Huntington Beach, CA 92648 24551 Raymond Way #290 Lake Forest, CA 92630 17. CONSENT When CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or any other transaction or event. agree/forms/profserv10/15/01-A 7 18. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 19. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of matters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 20. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement agree/forms/profsery 10/15/0 1-A 8 which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 21. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 22. IMMIGRATION CONSULTANT shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of the United States Code regarding employment verification. 23. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONSULTANT and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONSULTANT understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONSULTANT. 24. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, agree/forms/profserv10/15/01-A 9 each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 25. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement, shall so survive. 26. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 27. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached exhibits, contain the entire agreement between the parties respecting the subject matter of this Agreement, and supercede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. agree/forms/profsery 10/15/01-A 10 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day, month and year first above written. CONSULTANT, P.L. Perrin & Associates CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California irector of Kam. By: � (Pursuant To HBM §3.03.100) print nam + ITS: ( I AAPPRO ED AS TO FORM: AND 4-1. City Attorne M�� By: REVIEWED A ROVED: print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. Secretary—Treasurer 1 Administrator (on7contr�a 0,000.00 and over) agree/forms/profserv10/15101-A I I EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) In an effort to hire quality personnel for the Fire department to serve the public, it is essential to properly screen candidates during the hiring process. The City of Huntington Beach Fire Department promotes a careful complete screening of all Fire candidates, by conducting a polygraph test. The City has proposed the use of a contract, trained professional to administer and evaluate all polygraph tests. The focus of the test is to screen candidates in a fair and impartial manner. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES i. The Consultant will provide trained and appropriately licensed personnel to administer polygraph tests.. 2. The Consultant will respond to requests from the Fire Department to administer polygraph tests to Fire candidates. 3. The Consultant will arrange for a date and time to meet with the candidate at the Consultant's office or a mutually agreed upon location to administer the polygraph test. 4. The Consultant will- explain the procedure to the candidate and the process for administering the test. 5. The Consultant will provide a pre-screening questionnaire to the candidate to fill out. 6. The Consultant will administer the polygraph test to the candidate. 7. The Consultant will record each question asked of the candidate in a written format and will record all results on a permanent media,such as a computer or paper readout. 8. The Consultant will review the results of the polygraph and provide a written evaluation to the Fire Department. 9. The Consultant will maintain all appropriate licenses as necessary. 10. The Consultant will provide Workers Compensation insurance of not less as set forth by City contract provisions. C. CITY'S DUTIES AND RESPONSIBILITIES: I. Pay contractor after an invoice is received from the Consultant. 2. Review all reports submitted by the Consultant. 3 Negotiate rates with the Consultant as necessary. 5 Provide overall review of the services. jmp/contracts group/exA/10/4/06 1 of 2 f EXHIBIT "A" D. WORK PROGRAM/PROJECT SCHEDULE: These services will be conducted within the annual contract period. It is understandable that some services will continue beyond the contract period if the services are on going. These on- going services will not have any costs that will be assessed beyond the contract period. jmp/contracts group/exV10/4/06 2 of 2 EXHIBIT "B" Payment Schedule(Hourly Payment) A. Fees CONSULTANT'S fees for such services shall be based upon the following rate per unit: 1. Administration of polygraph test including all incidental services related to the administration and evaluation of all tests, including any written documents at $180 per unit. Total fees shall not exceed Two Thousand Four Hundred Dollars ($2,400.00) per year. Contract limit for the three-year term shall not exceed Seven Thousand Two Hundred Dollars($7,200.00). 2. A unit is described as the administration and evaluation of one polygraph test for one candidate. 3. CONSULTANT shall be remitted one-half (1/2) of the set fee for cancellation of scheduled tests,within two(2)hours of the scheduled date and time. 4. CONSULTANT shall be remitted the full fee for re-testing of any candidate, if not in succession of another test with the same candidate, as requested by the CITY. B. Travel 1. Charges for time during travel are normally not reimbursable and will only be paid if such time is actually used in performing services for CITY or as otherwise arranged with CITY. 2. As CITY sometimes uses consultants that are outside of the nearest metropolitan area, CITY is very conscious of travel costs. Subject to agreement otherwise, CONSULTANT will be held to charging no fees on travel time to or from Huntington Beach. 3. Automobile expenses are limited to the IRS standard business mileage rate. All other travel expenses must be approved in advance by CITY in writing. Requests for approval shall be submitted at least fourteen (14) days in advance, to allow for reduced transportation fares. Meals are not billable to CITY,without prior written consent of CITY. C. Billin 1. CONSULTANT shall submit to CITY an invoice for each monthly payment due. Such invoice shall: A) Reference this Agreement; B) Describe the services performed; C) Show the total amount of the payment due; D) Include a certification by a principal member of CONSULTANT's firm that the work has been performed in accordance with the provisions of this Agreement; and E) For all payments include an estimate of the percentage of work completed. Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is making satisfactory progress toward completion of tasks in accordance with this Agreement,CITY shall approve the invoice, in which event payment shall be made within thirty(30)days of agree/forms/exB-hourly fee/]0/10/06 1 of 2 t EXHIBIT r}B" Payment Schedule(Hourly Payment) receipt of the invoice by CITY. Such approval shall not be unreasonably withheld. If CITY does not approve an invoice, CITY shall notify CONSULTANT in writing of the reasons for non-approval and the schedule of performance set forth in Exhibit "A" may at the option of CITY be suspended until the parties agree that past performance by CONSULTANT is in, or has been brought into compliance, or until this Agreement has expired or is terminated as provided herein. 2. Each month's bill should include a total to date. That total should provide,at a glance,the total fees and costs incurred to date for the case or matter. 3. Telephone, cellular phone and postage charges are billable at actual cost. A copy of all service bills/costs should accompany the billing for each single item that exceeds Seventy- Five Dollars ($75.00). The fee for the sending or receiving of facsimiles shall not exceed Twenty-five Cents ($0.25)per page. CITY will not pay a fee or charge for telephone calls or facsimiles to CITY. Photocopier costs should be no more than the actual cost of duplication,or Ten Cents($0.10)per page,whichever is less. 4. CITY will not pay for secretarial time or secretarial overtime. CITY will not pay for secretarial tasks or tasks that should be subsumed into CONSULTANT's overhead. For example, time spent for faxing, mailing, arranging for messengers and calendaring are not acceptable charges. 5. CITY will not pay for word processing charges. This includes per page or hourly charges. 6. CITY will not pay for billing or discussion of bills. If CITY has questions about billing or needs additional information on bills, that is not a chargeable event; CONSULTANT should respond without charging CITY for the time required. 7. Delivery of work product: A copy of every memorandum, letter, report, calculation and other documentation prepared by CONSULTANT shall be submitted to CITY to demonstrate progress toward completion of tasks. In the event CITY rejects or has comments on any such product, CITY shalt identify specific requirements for satisfactory completion. 8. Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the information required above, and in addition shall list the hours expended and hourly rate charged for such time. Such invoices shall be approved by CITY if the work performed is in accordance with the extra work or additional services requested,and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. Such approval shall not be unreasonably withheld. Any dispute between the parties concerning payment of such an s invoice shall be treated as separate and apart from the ongoing performance of the remainder of this Agreement. i f S 2y5p t3 3 agree/forms/exB-hourly fee 0/10/06 2 of 2 i S I S . INSURANCE AND INDEMNIFICATION WAIVER m MODIFICATION REQUEST DECEIVED 1. Requested by: Mindy James JAN 16 2007 2. Date: December 27, 2006 3. Name of contractor/ ermittee: PL Perrin & Associates City of Attorney's Beach p c�ri gttorney�s Office 4. Description of work to be performed: Provide polygraph testing and evaluation 5. Value and length of contract: $20,000 and Three years 6. Waiver/modification request: $1,000 deductible each claim and cancellation clause language 7. Reason for request and why it should be granted: Underwriter refuses to provide zero deductible and to modify the cancellation clause language and this service is necessary for the operation of the PD. 8. Identify the risks to the City in approving this waiver/modification: none known. Department Head Signature Date: APPROVALS Approvals must be obtained in the order listed on this farm. Two approvals are required for a request to be granted. Approval from the City Administrator's Office is only required if Risk Management a e City Attomey's ice disagree. 1. isk Management Approved ❑ Denied Signature Date 2. City Attorney's Office proved ❑ Deni SignatureU Date 3. City Administrator's Office ❑ Approved ❑ Denied Signature Date If approved, the completed waiver/modification request is to be submitted to the City Attorney's Office along with the contract for approval. Once the contract has been approved, this form is to be filed with the Risk Management Division of Administrative Services PI Parrin inco irronro\A/aivor Barn iacf rint- 17/77/7nnA 1-AA PM 12/13/06 10: 18AM From: Complete Equity Markets, Inc. Fax: (847) 777-7475 —7 CERTIFICATE OF LIABILITY INSURANCE D``'M`"MMOIYY 12 11 23/2 M 0 6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COMPLETE EQUITY MARKETS INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR..-„< 1098 S Milwaukee Ave #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wheeling, IL 60090 847 541-0900 INSURERS AFFORDING COVERAGE NAIC# INSURED Paul Lee Perrin INSURERA: Underwriters at Lloyd's, London INSURER B: 24551 Raymond Way Suite 290 INSURER C: Lake Forest, CA 92630 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RISK WUL POLICY EFFECTIVE POLICY EXPIRATION crR o TYPE POLICY NUMBER DATE MMID DATE MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES -R NTEUorcure ce S CLAIMSMADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S F OUCY PRO- JECT LOC AUTOMOBILE LIABILITY ANYAUTO (EaccideM SINGLE LIMIT S ALL OWNED AUTOS - BODILYWJURY S SCHEDULEDAUTOS - (Per person) - - HIRED AUTOS BODILYINJURY S NON-OWNEDAUTOS (Peracadent) PROPERTY DAMAGE S (Peraoddent) GARAGE LIABILITY - - - - - l AUTO ONLY-EAACCIDENT S " ANYAUTO EAACC $ OTHER THAN AUTOONLY: AGG S EXCESSIUMBRELLA LIABILITY _ D� EACH OCCURRENCE $ OCCUR CLAIMSMADE a AGGREGATE S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATIONAND W 7A7 - EMPLOYERS'LIABILITY T f IM ANY PROPRIETWUPARTNEMEXECUTIVE EL.EACHACCIDENT f OFFICOWEMBER EXCWDED7 _ E.L.DISEASE-EA EMPLOY S Ifyes,describe under SPECIAL PROVISIONS below I- DISEASE-POLICY LIMIT IS OTHER 1,000,000 Each Claim X Professional 204728 12/03/06 12/03/07 $1,000,000 Aggregate Liability 1 1 $1,000 Ded Each Claim DESCRIPTION OF OPERATIONS/LOCATIONS I VEH ICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Disciplinary Proceedings Coverage - $5,000 Each Claim/$1,000 Ded Each Claim Subject to all policy terms, conditions, exclusions and endorsements. j CERTIFICATE HOLDER IS NOT AFFORDED COVERAGE UNDER THE POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Huntington Beach DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN Attn: Mindy James NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Fax- 714-374-1584 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �p 4of !-�• ACORD25(2001108)`" CACORD CORPORATION 1988, CITY OF HUNTINGTON BEACH Professional Service Contracts Purchasing Certification 1. Date: 12/13/2006 2. Department: Fire 3. Requested by: Lisa Kennedy 4. Name of consultant: P. L. Perrin &Associates 5. Attach the written statement of the specification, conditions and other requirements for the requested services that was provided to solicited consultants in your answer to 11 of this form. 6. Amount of the contract: $7,200 ✓ 7. Are sufficient funds available to fund this contract?' ®Yes ❑ No 8. Is this contract generally described on the list of professional service contracts approved by the City Council'? E Yes ❑ No 9. Company number and object code where funds are budgeted: 10065203.69505 ✓ 10. Is this contract less than $50,000? E Yes ❑ No 11. Does this contract fall within $50,000 and $100,000? ❑ Yes E No 12. Is this contract over$100,000? ❑ Yes E No (Note: Contracts requiring City Council Approval need to be signed by the Mayor and City Clerk. Make sure the appropriate signature page is attached to contract.) 13. Were formal written proposals requested from at least three available qualified consultants? ❑Yes E No 14. Attach list of consultants from whom proposals were requested (including a contact telephone number). 15. Attach proposed scope of work. 16. Attach proposed payment schedule. Department Head Signature y j�q t oa RI HAR AMADRIL, Manager Purchasing/Central Services', 1. If the answer to this question is "No,"the contract will require approval from the City Council.