HomeMy WebLinkAboutPsychological Consulting Associates, Inc. - 2011-06-01 CONTRACTS SUBMITTAL TO
CITY CLERK'S OFFICE
To: JOAN FLYNN, City Clerk
Name of Contractor: Psychological Consulting Associates, Inc.
Purpose of Contract: For Example:Audit Services or Water Quality Testing Huntington Lake—Huntington Central Park
Psychological Services and Training
Amount of Contract: $30,000
Copy of contract distributed to: The original insurance certificate/waiver distributed
Initiating Dept. ❑
to Risk Management El
Finance Dept. ❑ ORIGINAL bonds sent to Treasurer ❑
Date:
Name/Exten ion
City Attorney's Office
dol(
G:AttyMisc/Contract Forms/City Clerk Transmittal
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
Psychological Consulting Associates, Inc
FOR
Psychological Services and Training
THIS AGREEMENT ("Agreement") is made and entered into by and between the
City of Huntington Beach, a municipal corporation of the State of California, hereinafter
referred to as "CITY, and Psychological Consulting; Associates, Inc. , a Corporation
hereinafter referred to as "CONSULTANT."
WHEREAS, CITY desires to engage the services of a consultant to
provide psychological services and training_; 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 the 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 Gina L. Gallivan, PHD who shall
represent it and be its sole contact and agent in all consultations with CITY during the
performance of this Agreement.
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2. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly with
CONSULTANT in the performance of this Agreement.
3. TERM: TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of CONSULTANT
are to commence on June 1 , 2011 (the "Commencement Date"). This
Agreement shall automatically terminate three (3) years from the Commencement Date,
unless extended or sooner terminated as provided herein. All tasks specified in Exhibit
"A" shall be completed no later than three (3) years from the Commencement Date.
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.
In -the event the Commencement Date precedes the Effective Date,
CONSULTANT shall be bound by all terms and conditions as provided herein.
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 thirty thousand Dollars
($30,000).
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
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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 (or alleged
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 approve selection of CONSULTANT's counsel. This indemnity shall
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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 without the express written
consent of CITY; however an insurance policy "deductible" of Ten Thousand Dollars
($10,000.00) or less is permitted. 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 three (3) years to report claims arising from work performed in
connection with this Agreement.
If CONSULTANT fails or refuses to produce or maintain the insurance
required by this section or fails or refuses to furnish the CITY with required proof that
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insurance has been procured and is in force and paid for, the CITY shall have the right , at
the CITY's election, to forthwith terminate this Agreement. Such termination shall not
effect Consultant's right to be paid for its time and materials expended prior to notification
of termination. CONSULTANT waives the right to receive compensation and agrees to
indemnify the CITY for any work performed prior to approval of insurance by the CITY.
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. 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 requirements 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 is 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.
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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 the CITY.
CONSULTANT shall secure at its own cost and expense, and be responsible for any and
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.
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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.
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 I
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 address specified below. CITY and CONSULTANT may designate different
addresses to which subsequent notices, certificated 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 Gina L. Gallivan, PHD
ATTN: Mindy James 5182 Katella Avenue, Ste 205
2000 Main Street Los Alamitos, CA 90720
Huntington Beach, CA 92648
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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.
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 heading, 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
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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
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.
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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 to secure the performance hereof,
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 nonprevailing party.
25. SURVIVAL
Terms and conditions of the Agreement, which by their sense and context
survive the expiration or termination of this Agreement, shall so survive.
26. GOVENING LAW
This Agreement shall be governed and construed in accordance with the
laws of the State of California
27. SIGNATORIES
Each undersigned represents and warrants that its signature hereinbelow has
the power, authority and right to bind their respective parties to each of the terms of this
Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the
event that such authority or power is not, in fact, held by the signatory or is withdrawn.
CONSiTLTANT's Initials
28. 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 the Agreement, and that
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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 supersede all prior
understandings and agreements whether oral or in writing between the parties respecting
the subject matter hereof.
29. EFFECITVE DATE
IN WITNESS WHEREOF, the parties hereto have caused this Agreement
to be executed by and through their authorized officers. This Agreement shall be effective
on the date of its approval by the City Attorney. This Agreement shall expire when
terminated as provided herein.
CONSULTANT, CITY OF HUNTINGTON BEACH,
a municipal corporation of the State of
PSKdn.o(01 i4k Cast R*J ksor T,6' California
COMPANY NAME IJ k
re Wilson—City Manager
By: w
646 a (f j fa h Ilk . D• INITI APPROVED:
print name
ITS: (circle one)Chairman/ residenU ice President r �A/b
I�r nneth W. Small—Chief of olice
AND
By:
APPROVED AS TO FORM:
print name
ITS: (circle on Secretar Chief Financial Officer/Asst.
Secretary—Treasurer Je fe�McG�rath y Attorney
Date
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EXHIBIT "A"
A. STATEMENT OF WORK: (Narrative of work to be performed)
In an effort to hire quality personnel for the police department to serve the public, it is essential
to properly screen candidates during the hiring process. The City of Huntington Beach — Police
Department promotes a careful and complete screening of all candidates which, for selected
civilian and all sworn candidates, includes a psychological examination.
The Police Department also uses the services of a professional psychological/psychiatry service
to provide therapy, trauma support, fitness for duty evaluations, consulting, debriefing and
emergency crisis intervention for police personnel. The City has proposed the use of a contract,
trained professional to assist in these areas.
The focus of this service request is to provide necessary and essential services in order to
facilitate the smooth operation of the Police Department and to provide impartial screening of
candidates for selected police department positions.
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:
1. The consultant will conduct pre-employment psychological evaluation for sworn and
selected civilian candidates of the Police Department throughout the life of the
contract and provide written reports of the evaluations.
2. The consultant will provide training to specific officers in tactical decision making.
The course is designed to train the trainer in an effort to certify them so they may
provide training to additional department personnel in the same subject. The
purpose of this training is to provide officers with the skills to prevent momentary or
prolonged shock reactions when they encounter unanticipated threats.
3. The consultant will provide at least six (6) eight (8) hour sessions for"Stress
Exposure Management" to selected police department employees. The classes are
designed to provide effective methods to manage work stress.
4. The consultant will participate with the department wellness committee on a monthly
basis to coordinate department wide wellness planning and encourage physical
fitness for physical and mental well-being.
5. The consultant will train and develop the Trauma Support Team. The training will
consist of the "Psychological Debriefing Technique" developed by the consultant.
The training consists of 16 hours of class training for trauma support personnel with
the consultant. The consultant will also attend the monthly meetings of the trauma
support personnel.
6. The consultant will make available therapy sessions for department members as
requested by the department or as recommended by the consultant.
Surfnet Exhibit A
7. The consultant will make available emergency crisis intervention as requested by the
department.
8. The consultant will provide debriefing services for department personnel as
requested by the department.
9. The consultant will maintain all appropriate licenses as necessary.
10. The consultant will provide Worker's Compensation insurance of not less than that
set forth by City contract provisions.
C. CITY'S DUTIES AND RESPONSIBILITIES:
1. Pay consultant after an invoice is received from the consultant.
2. Review all reports submitted by the consultant.
3. Negotiate rates with consultant as necessary.
4. Provide overall review of the services.
D. WORK PROGRAM/PROJECT SCHEDULE:
These services will be conducted within the contract period. It is understandable that some
services will continue beyond the contract period if the services are ongoing. These ongoing
services will not have any costs that will be assessed beyond the contract period.
Surfnet Exhibit A
EXHIBIT "B"
Payment Schedule (Hourly Payment)
A. Hourly Rate
1. CONSULTANT'S fees for such services shall be based upon the administration of work
outlined in the statement of work with the following hourly rate and cost schedule:
! ,IVE EARAI,,�,'F -,RATE' y kA TE,,I'-
g jj E%H16
-T ROVIDE11,
Prei-Emp o entEvaluations Per Candidate $350.00 $350.00
Therapy r How $1 Per 50.00 $150-00
Fitness for Duty Evaluation Amount $1,250.00 $1,250.00
_Trauna Support Team Training Per Hour $250.00 250.00
_qqnsultingjraining Per Hour $250.00 $250.00------------------ --------------_ ___----------- _-_------------ __-------------_____----- ----------__
Debriefing Per Hour $250.00 $250.00
-------- ..............................
Emergency Crisis Intervention j Per Hour $350.00 $350.00
2. CONSULTANT shall be remitted $75 for cancellation of scheduled therapy
appointments, within 24 hours of the scheduled date and time.
3. CONSULTANT shall be remitted $175 for cancellation of scheduled evaluation
appointments, within 24 hours of the scheduled date and time.
4. CONSULTANT shall be remitted $175 for re-testing of any candidate, if not in
succession of another test with the same candidate within a 1-year period.
5. CONSULTANT shall be remitted $350 for re-testing of any candidate, if not in
succession of another test with the same candidate beyond a 1-year period.
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 writing in advance by CITY. Requests for approval
shall be submitted at least fourteen (14) days in advance, to allow for reduced
Surfnet Exhibit B hourly
transportation fares. Meals are not billable to CITY, without prior written consent of
CITY.
C. Billing
1. All billing shall be done monthly in fifteen (15) minute increments and matched to an
appropriate breakdown of the time that was taken to perform that work and who
performed it.
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 project.
3. A copy of memoranda, letters, reports, calculations and other documentation prepared
by CONSULTANT may be required to be submitted to CITY to demonstrate progress
toward completion of tasks. In the event CITY rejects or has comments on any such
product, CITY shall identify specific requirements for satisfactory completion.
4. 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) Include, for all payments, an estimate of the percentage of work completed.
5. 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 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.
6. 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.
7. CITY will not pay for word processing charges. This includes per page or hourly
charges.
8. 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.
Surfnet Exhibit B hourly 2
9. 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 invoice shall be treated as separate and apart from the
ongoing performance of the remainder of this Agreement.
Surfnet Exhibit B hourly 3
IV 7/ CdW 1 i a • v v _
ccount Number: -CA PSYC 1870 Date: 5/09/11 Initials : JA
CERTIFICATE OF INSURANCE
DARWIN NATIONAL .ASSURANCE COMPANY
American Professional Agency:, Inc
9'5: Broadway, Amityville, NY 11701
This is to certify that the insurance policies specified below have been issued by .the company indicated
above to the insured named herein and that, subject to their provisions and conditions, such .policies afford
the coverages indicated insofar as such coverages apply to the occupation or business of the Named insured(s)
as stated.
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR
ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE.
flame and Address of Insured: Additional Named Insureds :
PSYCHOLOGICAL CONSULTING GINA L. GALLIVAN, PH.D
ASSOCIATES, INC. TODD LANGUS
5182 KATELLA AVE TRACI FOX
STE 205 TOM RICHARD
LOS ALAMITOS CA 90720
type of Work Covered: PROFESSIONAL. PSYCHOLOGIST
Location of Operations: N/A ARROVED AS TO FORM
(If different than address listed above)
NIFER cCRAT
Claim History: 9�azf�i
Retroactive date is 04 15 2002
Policy Effective Expiration Limits of
Coverages Number Date Date Liability
PROFESSIONAL/ 1,000,000
LIABILITY 5011-2743 4 15 11 4/1-5/1-2 3,000,000
NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAM(ED. INSURED ON THIS
POLICY AND HE OR SHE SHALL ACT 01; BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING
OR RECEIVING NOTICE OF CANCELLATION.
Comments: THE DEFENSE REIMBURSEMENT LIMIT ON THIS POLICY IS $50,000.
This Certificate Issued to:
Name: PSYCHOLOGICAL .CONSULTING
ASSOCIATES, INC.
Address: 5182 KATELLA .AVE
STE 205 Au ori.zed Representative
LOS ALAMITOS CA 90720 -.
CITY OF HUNTINGTON BEACH
Professional Service Approval Form
PART I
Date: 4/13/2011 Project Manager Name: Shirleen McNamee
Requested by Name if different from Project Manager:
Department: Police
PARTS I OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE
COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED BY THE CITY
ADMINISTRATOR, FOR APPROVAL, BEFORE PROCEEDING WITH THE SOLICITATION OR
CONTRACT PROCESS. PART/MUST BE FILED WITH ALL APPROVED CONTRACTS.
1) Briefly provide the purpose for the agreement:
-This is to request the services of a psychologist for pre-employment medical exams and support
to the department. Peace Officers Standards and Training (POST) requires that all candidates
considered for hire must submit to a psychological examination. In addition, all
Communications Operators and Detention Officers must submit to a similar exam. In addition to
the pre-employment psychological exam, duties could include therapy, fitness for duty exams,
consulting, debriefing, and emergency crisis intervention.
2) Estimated cost of the services being sought: $30,000 '
3) Are sufficient funds available to fund this contract? ® Yes ❑ No '
If no, please explain:
4) Is this contract generally described on the list of professional service contracts approved by the
City Council? If the answer to this question is "No," the contract will require approval from the
City Council.) ® Yes ❑ No
5) Amount, Business Unit(8 digits) and Object Code (5 digits)where funds are budgeted:
1007-010.69300 $ 30,000 - $
$ $
6) Check below how the services will be obtained:
❑ A Bid solicitation process in accordance to the MC 3.03.060 procedures will be conducted.
❑ MC 3.03.08(b)—Other Interagency Agreement procedure will be utilized.
® MC 3.03.08—Cont r Limits of$30,000 or less exempt procedure will be utilized.
4 -1 41_ //
Depa ent Head 'gnature Date
Dir or of Finan 's Initials lbateL
5 to u
Deputy City Administrator's Initials Date
APPROVED NIED ❑
.e, 50-tv-1 )
Crty Administrator's Signature Date
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