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HomeMy WebLinkAboutPsychological Consulting Associates, Inc. - 2011-06-01 (5) ®, > 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 ❑ A, L&,�44 Date: NdmdExtensiQfi City Attorney's Office G:AttyMisc/Contract Forms/City Clerk Transmittal PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Psychological Consulting Associates, Inc FOR Ps cy hological 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: I. 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. agree/surfnet/professional services 50 to 100 12-07 1 of l I 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 agree/surfnet/professional services 50 to 100 12-07 2 of 11 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 agree/surfnet/professional services 50 to 100 12-07 3 of 11 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 two (2) 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 agree/surfnet/professional services 50 to 100 12-07 4 of 11 forthwith terminate this Agreement. Such termination shall not affect 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 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. agree/surfnet/professional Svcs to$49 I2-07 5 of 11 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. agree/surfiiet/professional services 50 to 100 12-07 6 of I I 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 agree/surfnet/professional services 50 to 100 12-07 7 of 11 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 agree/surfnet/professioualservices 50 to 100 12-07 8 of 11 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. agree/surfnet/professional services 50 to 100 12-07 9 of 11 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. CONSULTANT'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 agree/surfnet/professional services 50 to 100 l z-07 10 of 11 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 ulc�to(o�"t Wn-sK A)i h A&5ou a+s (Ptc. California OMPANY NAME nn F ed ikon—City Manager By: cJ 4wy w (at'nu pia I�l'yah ph• D . INITI T' D APPROVED: print name ITS: (circle one)Chairm residen ice President C Cnm& Kenneth W. Small—Chief of Police AND APPROVED AS TO FORM: ,blUily p int name ✓ ` --�- ITS: (circle one) ecreta hief Financial 0fficer/Asst. Secretary—Treasurer Jenn'fer McGrath— Attorney 101101 Date , agree/surfiiet/professional services 50 to 100 12-07 11 of 11 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 naba and cost schedule: FM Fitness for Dut Evaluation Amount $1,250.00 $1,250.00 Consulting/Training Per Hour $250.00 $250.00 Emergency Crisis Intervention I 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 app 'intrnenta. within 24 hours of the scheduled date and time. 4. CONSULTANT ahm|| be remitted $175 for re-testing of any oandidate, if not in succession of another test with the same candidate within a 1-year period. ' 5. CONSULTANT shall be remitted $350 for no-testing of any candidato, if not in succession 0f another test with the same candidate beyond a 1-yemr period. B. 1. Charges for time during travel are normally not reimbursable and will only be paid if such time in actually used in performing oemioao for CITY or as otherwise arranged with CITY. 3. As CITY oonnaUrnes uses consultants that are outside of the nearest metropolitan area, CITY is very conscious of travel costs. Subject to agreement othenwioo. CONSULTANT will be held to charging nofees on travel time toor from Huntington Beach. 3. Automobile expenses are limited tothe IRS standard business mileage rate. All other travel expenses must be approved in writing in advance byCITY. Requests for approval shall be submitted at least fourteen (14) days in advanca, to a||ovv 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 ,ccount Number: CA PSYC 1870 Date: .5/09/11 Initials : JA CERTIFICATE' OF INSURANCE DARWIN NATIONAL .ASSURANCE COMPANY .C/O: Ametican Professional - Agency, Inc'.' 95: 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'cbnditions,.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. Vame 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 (If different than address listed above) AP OWED AS TO F RMa 74211/ Claim History: J NIFERMcGRATH,City Attorney, 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_ TEE FIRST NAMED . INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON 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: florae: PSYCHOLOGICAL .CONSULTING ASSOCIATES, INC; Address: 5182 KATELLA .AVE STE 205 Au prized Representative LOS ALAMITOS CA 90720 .. OP ID: KP CERTIFICATE OF LIABILITY INSURANCE DATEIMMIOD,YYYY, 06/21/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 310-473-9611 CONTACT NAME: e s 310-312-4993 t Insurance,Inc. PHONE 1333 FAx 1333 Westwood Blvd. A/c No Ell: (A/C,.No Los Angeles,CA 90024 E-MAIL Phaedra Miller ADDRESS: PRODUCER pSYGH-2 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE' NAIC# INSURED psychological Consulting INSURER A:Hartford Ins Grp 00914 Associates,Inc. INSURERS Gina Gallivan PHD : 5182 Katella Avenue #205 INSURERC: Los Alamitos,CA 90720 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR AvO POLICY NUMBER MM/DD MM/DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMA A X COMMERCIAL GENERAL LIABILITY 72SBZB1037 10/07/10 10/07/11 PREMISES( a occurrence) $ 300,000 CLAIMS-MADE I OCCUR ME EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE �= AGGREGATE $O _ DEDUCTIBLE A r ROV E S t �p1� $ RETENTION $ CSA $ WORKERS COMPENSATION T WC STATU- OTH- AND EMPLOYERS'LIABILITY Y 1 N - NbFER MCC:TRA- r C'ty /( TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Lv /� I/gvf - E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N f A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE_HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Huntington Beach Police Dept- ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE V. ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD - : CITY OF HUNTINGTON BEACH h 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 I 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.) r ® 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 t Limits of$30,000 or less exempt procedure wi/ll/be utilized. Depa ent Head �gnature Date L/ r /J Director of Financ 's Initials �, ate S ld GI Deputy City Administrator's Initials Date APPROVE kENIED ❑ City Administrator's Signature Date CITY OF HUNTIN TON BEACH F Professional Service Approval Form PART II Date: 5/27/2011 Project Manager: Shirleen McNamee Requested by Name if different from Project Manager: Department: Police PARTS I & II OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORMA MUST BE COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED FOR APPROVAL. PART I & 11 MUST BE FILED WITH ALL APPROVED CONTRACTS. 1) Name of consultant: Psychological Consulting Associates, Inc. 2) Contract Number: POL 10070109 (Contract numbers are obtained through Finance Administration x 5630) 3) Amount of this contract: $ 30,000 4) Is this contract less than $50,000? ® Yes ❑ No 5) Does this contract fall within $50,000 and $100,000? ❑ Yes ® No 6) Is this contract over $100,000? ❑ Yes ® 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 the contract.) 7) Were formal written proposals requested from at least three available qualified consultants? ❑ Yes ® No 8) Attach a list of consultants from whom proposals were requested (including a contact telephone number.) 9). Attach Exhibit A, which describes the proposed scope of work. 10) Attach Exhibit B, which describes the payment terms of the contract. Direo or of Finan (or designee) Signature Date