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HomeMy WebLinkAboutPsychological Consulting Associates, Inc. - 2016-05-01 PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. FOR PSYCHOLOGICAL SERVICES 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 California corporation, hereinafter referred to as "CONSULTANT " WHEREAS, CITY desires to engage the services of a consultant to provide psychological services as requested, 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 Gina Gallivan, Ph D., 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 sves to$49 10115 1 of 11 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 1 / Q/ , 20 /6 (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," wluch is attached hereto and incorporated by reference into this Agreement, a fee, including all costs and expenses, not to exceed Fourty-three Thousand and Eighty-Seven Dollars ($43,087 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 agree/sudDet/professional svcs to$49 10115 2 of 11 work only after receiving written authorization from CITY Additional 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. ESTINMATES 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 apply to all claims and liability regardless of whether any insurance policies are agree/surfnet/professjonal svcs to$49 10115 3 of 11 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 furmsh 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 insurance has been procured and is in force and paid for, the CITY shall have the right, at the CITY's election, to agree/surfnet/professional Svcs to$49 10115 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 sub ect 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 linuts 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 heremabove required agree/surfnet/professional sves to$49 10115 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 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 Tlus 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 aggree/surfnet/professional svcs to$49 10115 6 of 11 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 Califorma 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 heremabove) 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 parry via personal delivery, a reputable overnight carrier or U S certified mail-return receipt requested TO CITY TO CONSULTANT City of Huntington Beach Psychological Consulting Associates. Inc ATTN Captain Russell Reinhart 10940 Wilshire Blvd., Suite 1600 2000 Main Street Los Angeles, CA 90024 Huntington Beach, CA 92648 agree/surfnet/professional svcs to$49 10115 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 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 0 agree/surfnet/professional svcs to$49 10115 8 of 11 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 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 ongmal instrument as against any parry 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 svcs to$49 10115 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 or to secure the performance hereof, each party shall bear its own attorneys fees; such that the prevailing party shall not be entitled to recover its attorney's fees from the nonprevailmg 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 SIGNATORIES Each undersigned represents and warrants that its signature herembelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall mdemrufy 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 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 this Agreement, and that that party has not executed this agree/surfnet/professional sves to S49 10115 10 of 11 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 EFFECTIVE DATE This Agreement shall be effective on the date of its approval by the City Attorney This Agreement shall expire when terminated as provided herein IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers CONSULTANT, CITY OF HUNTINGTON BEACH, a municipal corporation of the State of PSYCHOLOGICAL CONSULTING California ASSOCIATES, INC COMPANY NAME (241" By M /P (Pursuant To HBMC§3 03 100) ('l.SI�(GN�t APPROVED AS TO FORM print name Q •13 •�(� ITS (circle one)Chairman/PresidentNice President AND City Attorney VY-Q SI J 1 Wo •�v By Date RECEIVE AND FILE print name ITS (circle one) Secretary/Chief Financial Officer/Asst Secretary—Treasurer City Clerk Date p� agree/surfnet/professional svcs to$49 10115 11 of 11 EXHIBIT "A" A STATEMENT OF WORK (Narrative of work to be performed) In an effort for the Huntington Beach Police Department to hire quality personnel that will serve the public, it is essential to properly screen candidates during the hiring process The Police Department requires a careful and complete screening of all candidates for employment; which includes a psychological evaluation for sworn police officers and certain classes of civilian employees The CITY of Huntington Beach has proposed to enter into a contract with a licensed professional to administer and evaluate pre-employment psychological tests The CITY requires that the psychological evaluations be administered and evaluated in a fair and impartial manner B CONSULTANT'S DUTIES AND RESPONSIBILITIES 1 The CONSULTANT shall meet the professional experience requirements detailed in California Commission on Peace Officer Standards and Training (POST) Commission Regulation 1955, including for continuing professional education 2 The CONSULTANT will administer psychological evaluations for sworn and certain classes of civilian candidates for employment with the Police Department in adherence with the requirements of POST Commission Regulation 1955 3 The CONSULTANT will schedule with the candidate to conduct the evaluation The evaluation will take place at the CONSULTANT's office or a mutually agreed upon location 4 The CONSULTANT will provide the Police Department with a written report of each evaluation EXHIBIT A 5 The CONSULTANT will make themselves available for consultation with Police Department staff when requested 6 The CONSULTANT will conduct pre-employment psychological examinations for sworn and selected civilian candidates of the Police Department throughout the duration of the contract 7 The CONSULTANT will provide fitness for duty evaluations on Police Department employees and other psychological services on an as needed basis 8 The CONSULTANT will provide tactical decision making and stress management training when requested to do so 9 The CONSULTANT will provide ongoing training to the Police Department's Trauma Support Team when requested to do so The training will include psychological debriefing techmques 10 The CONSULTANT will attend periodic Trauma Support Team meetings when requested to do so 11 The CONSULTANT will provide psychological therapy and debriefing services for Police Department employees when requested to do so 12 The CONSULTANT will provide psychological crisis intervention for Police Department employees when requested to do so 13 The CONSULTANT will maintain all appropriate professional licenses and certifications 14 The CONSULTANT will invoice the Police Department on a monthly basis for services provided EXHIBIT A 15 The CONSULTANT will provide worker's compensation insurance of not less than what is set forth by CITY contract provisions C CITY'S DUTIES AND RESPONSIBILITIES 1 Refer candidates for employment to the CONSULTANT for psychological services 2 Pay CONSULTANT after an invoice is received from CONSULTANT 3 Review all reports submitted by CONSULTANT D WORK PROGRAM/PROJECT SCHEDULE 1 Services will be assigned to the CONSULTANT on an as-needed basis EXHIBIT A EXHIBIT "B" Payment Schedule (Hourly Payment) A Hourly Rate CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule Refer to attached Psychological Consulting Associates; Inc fee schedule B Travel Charges for time during travel are not reimbursable 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 nlonth'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 subrrut 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 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 1 Exhibit B brought mto compliance, or until this Agreement has expired or is terminated as provided herein 5 Any billings for extra work or additional services authorized in advance and in wntmg 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 2 Exhibit B Gina L. Gallivan, Ph.D., A.B.P.P. PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. LICENSE NUMBER PSY 18184 10940 Wilshire Boulevard,Suite 1600 Los Angeles,California 90024 www.helpforpolice.com pcaincorporated@gmall.com Office(424)289-0299 Cell(310)951-1282 May 26, 2016 Captain Chuck Thomas Huntington Beach Police Department 2000 Main Street Huntington Beach, California 92648 Re: Proposal to Provide Comprehensive Psychological Services to the Huntington Beach Police Department Dear Captain Thomas Pursuant to your request, this correspondence is a proposal to provide Psychological Services to the Huntington Beach Police Department Psychological services provided by me, Gina L Gallivan, Ph D., A B P P. (through my corporation Psychological Consulting Associates, Inc ), and my staff are performed within my mission to provide professional, responsible, and compassionate care for those who give so much to the communities they serve I am a Licensed Clinical Psychologist in the State of California, License Number PSY18184 I am one of about 60 psychologists nationwide Board Certified in Police and Public Safety Psychology I have committed my entire practice of clinical and consulting psychology to law enforcement, and have been doing so since August 1998 My training experience in counseling extends back to 1994 My law enforcement training began at the Los Angeles County Sheriff's Department, where I completed a pre-doctoral internship and a post-doctoral fellowship in law enforcement psychology. I have extensive experience in the areas of trauma and substance abuse, and I have conducted countless psychological evaluations. Huntington Beach Police Department Proposal Page 2 To offer comprehensive services to the Huntington Beach Police Department, four areas of psychological resources are proposed: 1 Training and Consultation Services. 2. Psychological Evaluations Pre-Employment and Fitness for Duty. 3 Psychotherapy To provide clinical services to department employees for both traumatic and cumulative work stress You will find my group therapy for alcohol and anger management particularly valuable as these services in the community tend to service the criminal population Your employees will receive treatment in an environment that is safe and peer based 4 Emergency on-call services available 24 hours per day 7 days per week for Critical Incident Stress Debriefings and Officer Involved Shooting Debriefings Below please find my fees for psychological services. I am willing to provide any or all of the services listed below for your department. On a fee for service basis, the costs are: ■ Psychotherapy (50 minute session) $150 00 per person ■ Group Psychotherapy (80 minute sessions) $112 50 per person ■ Pre-Employment Psychological Evaluation $400 00 per person ■ Annual Routine Debrief Individual $350 00 per person ■ Emergency Call-Out $350.00 per hour ■ Emergency Call-Out (between 9pnn&sann) $450 00 per hour ■ Fitness for Duty Evaluation $350 00 per hour (4-5 hrs needed) ■ Critical Incident Stress Debriefing $350 00 per hour ■ Officer Involved Shooting Debriefing $350 00 per hour ■ Standard Lectures and Training $300/hr, 2hr min $1,200 %day $2,400 full day Huntington Beach Police Department Proposal Page 3 Some Training and Lecture topics include: 1. Managing Problem Employees 2 Stress Management 3. Wellness for Dispatchers 4 Law Enforcement Families (Relationship Health) 5 Post-Traumatic Stress Disorder and Stress Exposure Management Specialized Training: 1 Trauma Support Team Training $2,800 full day/$350 per hr A complete explanation and description of the above trainings will be provided upon your request. Thank you for allowing me the opportunity to serve your agency I look forward to your response to this proposal Respectfully Submitted, Gina L Gallivan, Ph D , A.13 P P Psychological Consulting Associates, Inc GLG Is Account Number. CA PSYC 1870 Date : 4/11/16 Initials : LUCILLEK CERTIFICATE OF INSURANCE ALLIED WORLD INSURANCE COMPANY C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 800-421-6694 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 insureds) 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. Name and Address of Insured: Additional Named insureds - PSYCHOLOGICAL CONSULTING GINA L. GALLTVAN, PH, D ASSOCIATES, INC. 10940 WILSHIRE BLVD SUITE 1600 LOS ANGELES CA 90025 Type of Work Covered, PROFESSIONAL PSYCHOLOGIST Location of Operations : N/A (If different than address listed above) Claim History: Retroactive date is 04/15/2002 Policy Effective Expiration Limits of Coverages Number Date Date Liability PROFESSIONAL/ 1, 000, 000 LIABILITY 5011-2743 4/15/16 4/15/17 3, 000, 000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN To THE FIRST NAMED INSURED, WHO SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION Comments, THE FOLLOWING IS AN ADDITIONAL INSURED ON THIS POLICY: CITY OF HUNTINGTON BEACH POLICE DEPT. This Certificate Issued to: Name- PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. APPROVED AS TO R 1 Address 10940 WILSHIRE BLVD + SUITE 1600 �' Aut orized Representative LOS ANGELES CA 90025 APA 00138 00 (06/2014) By. I "Chael Gates,City At am@y CERTIFICATE 4F LIABILITY INSURANCE Root F4"71T, 2'016) THIS CERTIFICATEiS 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(les)must be endorsed If SUBROGATIONIS 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), _ 00 CER CONTACT NAME GROSSLIGHT INSURANCE TNC/PHS �AICN.Exq (866) 467-8730 iacNn) (688) 493-6112 250765 O P : (866) 461-8730 f: (888) 443-6132 AhRIESS PO BOX 3 3015 INSURERS)AFFORDING COVERAGE NAICs SAN ANTONIO TX 78265 INSURFRA Sentinel Ins Co T,TD 11000 INSURED INSURCR B PSYCHOLOGICAL CONSULTING ASSOCIATES INSURER INC. INSURER 0 10940 WILSHIRE BLVD STE 1600 IN9URERE LOS ANGELES CA 90024 INSVRERF 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 rAn 71`11 UI INS 1,8A YLL ADD( SOBR P01(C)AOdRlrR PolH rI Pt POIIC)'f XP IISfITS A!H/1110 r))) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000 CLAIMS MADE19 OCCUR DAMAGE TO RENTED t l 000, 000 PREMISES(Ea occurrence) X General Llab X 72 9BM AH1037 10/07/2015 10/07/2016 MED EXP(Any Una panon) 310, 000 PERSONAL&AOV INJURY 3 2, 000, 000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGORt GATE $4, 000, 000 POLICYEI PE O a LOG PRODUCTS COMPIOP AGG ,4, 0 0 0, 000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a 2,o 0 0 000 (Fe accident) I ANY AUTO 13DDILY INJURY(Par person) S A ALL OWNED SCHEDULED 72 SBM ZB1037 10/01/2015 10/07/2016 60DILY INJURY(Per acddeo0 s AUTOS AUTOS X HIRED AUTOS X NON OWNED PROPERTY DAMAGE 9 AUTOS (Per accwOnp UMBRELLA LIAR OCCUR \041P�^ ��®�� TO ���� EACH OCCURRENCE g EXCESS LIAR CLAIMS MADE K AGGREGATE S oEo IWIENTIUNS S _ IIDNAratl111/rt1siwN PER OTIf I Wnl 111110)I n1 IIAIIJIIYY STATUTE I I FR ANY PROPRIETORIPARTNERIEXECUTIVE YIN E L EACH ACCIDENT OFFICER/MVIASER EXCLUW 01 NIA �; 7 ,, r (Mandatory In NH) —�' vv E L DISEASE EA EMPI OYEF MIChB 1 Gates,GGy Af torne If yes desuriUe under DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCA VONS/VEHICLES(ACORO 101 Ad,;iwonal Remarks Schedule may be at(eehod If more space is required) Those usual to the Insured' s Operations . Certificate holder is an additional inbuled per the Business Liability Coverage Form SS0008 attached to this Poll(-Y. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of IIUnLltl Lori Beach BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE Y y DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS Police Department AUTHORIZED REPRESENTATIVE 2000 MAIN ST HUNTINGTON BEACH, CA 92 64 8 ©1988-2014 ACORD CORPORATION All rights reserved ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �~ n SC F4711212016 fNINtR)D'YY YY) CERTIFICATE OF LIABILITY INSURANCE R002 THIS CERTfFICATEIS 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(tes)must be endorsed If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require on endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER CUNTALT NAME NUTMEG INSURANCE AGENCY 1NC/PHS cN Em) (866) 467-8730 (AICNa) (888) 443-6112 025657 P: (866) 467-8730 F: (888) 443-6112 A0nRESS - PO BOX 29611 INSURER(S)AFFORDING COVERAGE NAICa CHARLOTTE NC 28229 INSURERA Hartford (lndcrwiaters Ins Co 50104 INSURED INSURER D PSYCHOLOGICAL CONSULTING ASSOCIATES INSURER INC, INSURER 0 10940 WILSHIRE BLVD STE 1600 INSURER LOS ANGELES CA 90024 INSURFRF COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FDR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CDNDITION 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 /v$R Ti'14 OI r,vv R,1NCI ADDI tr/RR--— Pot ICY A NAIIII R rof fc rt I r Pot IC I ryr Lll/!rS _ Ahwin/YI YI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMA g CLAIMS MADE FOCCUR PREMISES TO RENTED PREMISES(Ee ocwrrarics) MED EXP(Any one person) g PERSONAL&ADV INJURY GEN'L AGGRrGATF LIMIT APPLIES PER GENERAI AGGREGATE 5 POLIr'Y PRO LOC PRODUCTS COMP,UPAGG p JCCT OTHER A �T COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY S (Ea eccidan0 ANY AUTO BODILY INJURY(Par parson) ALI OWNED SCHEDULED BODII Y INJURY(Per acclden0 q AU", AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per amdonl) 5 UMBRELLA LIAR id OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS MADE AGGREGATE 5 5 DCo 11CTCNTIV11$ 11 ORKr If$COAII1 NGTIOA X PER OTH I%00If L01t Kl IIARILIT3 STANTC ER ANY PROPRIFTOR/PARTNER/EXFCIITIVE YIN E L EACH ACCIDCNT 11, 000, 000 OFFICFR/MEMBER FXCI UOFO? (--� A (Mandatory In NH) I I NIA 02 WCG CR5206 10/03/2015 10/03/2016 EL DISEASE EA EMPLOYEE $1, 000, 000 If yes derma under t EL DISEASE P01 ICY LIMIT '1, 0 0 0 1 0 0 0 DESCRIPTION OF OPERATIONS balow DESCRIPTION OF OPERATIONS)LOCATIONSI VEHICLES(ACORD 101 Additional Remarks Schedule may be attached If more apace is required) Those usual to the Insured' s Operations CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE City Of Huntington Beach DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS Police Department AUTHORIZED REPRESENTATIVE 2000 MAIN ST / ,�,- a, HUNTINGTON BEACH, CA 92648 ©1988-2014 ACORD CORPORATION,All rights reserved ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Bid Results for Project Psychological Evaluation Services (2016-0323e) Issued on 03/23/2016 Bid Due on April 14, 2016 4 00 PM (Pacific) Exported on 05/25/2016 Bidder Info VendorlD Vendor Name Address Address 2 City State ZipCode Nancy K Bohl Inc PO Box 10427 San Bernardino CA 92423 United States Ewing Diagnostic& Psychological Services Inc 100 Howe Ave Suite 155N Sacramento CA 95747 United States Shaffer Psychological Institute 753 Basin Street San Pedro CA 90731 United States Psychological Consulting Associates, Inc 10940 Wilshire Boulevard Suite 1600 Los Angeles CA 90024 United States Vendor Type Respondee Respondee Title Respondee Phone Brenda Hulsey Executive Assistant to the Director 909-884-0133 Ext 223 cteambrenda@aol com Troy Ewing, Psy D, CEO CEO 916-482-6463 Ext info@ewingpsychology com Dr Stuart Shaffer Psychologist 310-548-6868 Ext Stuart Shaffer@shafferpsychological com GINA GALLIVAN PRESIDENT 310-951-1282 Ext GINALDE@AOL COM s