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Truth Be Told Polygraph, LLC - 2016-06-29
CITY OF HUNTINGTON BEACH Professional Service Approval Form Amendment # 1. Date Requested: 10/09/18 2. Contract Number to be Amended: 3. Department: Police 4. Requested By: Robert Handy, Chief of Police 5. Name of Consultant: Truth Be Told Polygraph Examination Services 6. Amount of Original/Prior Contract: $28,620 7. Additional Compensation Requested: $10,000 8. Original Commencement Date: June 29, 2016 9. Original Termination Date: June 29, 2019 10. Extended Date Requested: 11. Reason for Contract Amendment: The Police Department continues to recruit and conduct backgrounds for vacant positions and needs to increase the compensation amount for this contract. urc sing App val Signature ate 12. Are sufficient funds available to fund this contract? Yes ® No ❑ 13. Business Unit and Object Code where funds are budgeted: Account number Contractual Dollar Amount Business unit. object# Fiscal Year Fiscal Year Fiscal Year Fiscal Year 18/19 10070102.69395 $1Q000 $ $ $ $ $ $ $ 4"Vvy u Approva Signature Date qlju- LLI10-9- /I Depa ment Head Sigfiature Date Ci ager Approval Signature Date professional service approval form-truth be told amendment REV:2016 AMENDMENT NO. I TO PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND TRUTH BE TOLD POLYGRAPH, LLC FOR POLYGRAPH EXAMINATION 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 Truth Be Told Polygraph, LLC, a California corporation, hereinafter referred to as "CONSULTANT." WHEREAS, CITY desires to engage the services of a consultant to provide polygraph examination services as requested; and Pursuant to documentation on file in the office of the City Cleric, 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: 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 Yolanda Gellis, who shall represent it and be its sole contact and agent in all consultations with CITY during the performance of this Agreement. 18-6926/189064 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;THVIE OF PERFORMANCE Time is of the essence of this Agreement. The services of CONSULTANT are to commence on June 29, 2016 (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-Eight Thousand Six Hundred Twenty Dollars ($38,620). 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 is-m6n89W 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 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 fiom 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 18-6926/189064 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 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 insurance has been procured and is in force and paid for, the CITY shall have the right, at the CITY's election, to 18-6926/189064 4 of I I 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 requirement for carrying the foregoing insurance coverage shall not derogate from CONSULTANT's defense, hold harmless and indemnification obligations as set forth in this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of the policy of insurance. CONSULTANT shall pay, in a prompt and timely manner, the premiums on the insurance hereinabove required. 18-69261189064 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 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. 18-6926/189064 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 California Government Code. 16. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONSULTANT's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below. CITY and CONSULTANT may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via r deliver a reputable overnight carrier or U. S. certified mail-return receipt requested: personal y, p g TO CITY: TO CONSULTANT: City of Huntington Beach Truth Be Told Polygraph,LLC ATTN: Captain Russell Reinhart 407 West Imperial Highway H-213 2000 Main Street Brea, CA 92821 Huntington Beach, CA 92648 18-6926/189064 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 18-6926/189064 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 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. 18-6926/189064 9 of I 1 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 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 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 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. 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 18-6926/189064 10 of I I 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 TRUTH BE TOLD POLYGRAPH, LLC California By: Director/Chief \h (Pursuant To HBMC§3,03.100) is print name APPROVED AS TO FORM: ITS: (circle one)Chairman/President/Vice President AND .A-. By: qg City Attkney Date print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. RECEIVE AND FILE: Secretary—Treasurer COUNTERPART City Clerk Date 18-6926/189064 11 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 TRUTH BE TOLD POLYGRAPH, LLC California By: Director/Chief (Pwsirant To HBMC§3.03.100) print name APPROVED AS TO FORM: ITS: (circle one)Chaiiman/President/Vice President AND By: r.*,.City Att ey Date print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. RECEIVE AND FILE: Secretary—Treasurer City Clerk OU AR"� Date 18-6926/189064 11 of 11 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) In an effort to hire quality personnel for the Huntington Beach Police Department, it is essential to properly screen candidates during the background investigation process. The Department promotes a careful and complete screening of all candidates,which includes a polygraph . examination. The Department proposes to use a trained professional to administer and evaluate all pre-employment polygraph examinations. The focus of the polygraph examinations is to provide impartial, unbiased and fair screening of all candidates for Police Department positions. B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: I. The CONSULTANT will provide trained and appropriately licensed personnel to administer polygraph examinations. 2. The CONSULTANT will administer polygraph examinations to police candidates for employment when requested to do so. 3, The CONSULTANT will arrange for a date and time to meet with the candidate at the Police Department or a mutually agreed upon location to administer the polygraph examination. 4. The CONSULTANT will explain the process and procedure for administering the polygraph examination to each candidate. 5. The CONSULTANT will provide a pre-screening questionnaire to each candidate to complete. EXHIBIT A 6. The CONSULTANT will administer the polygraph examination in accordance with contemporary and professional standards. 7. The CONSULTANT will video record (including audible) all polygraph examinations and retain the recordings for period of three years from the date of the examiation. 8. The CONSULTANT will analyze the polygraph examinations and provide the Police Department with a written evaluation of the results. 9. The CONSULTANT will provide Worker's Compensation insurance of not less than that set forth by the City contract provisions. 10. The CONSULTANT will invoice the Police Department on a monthly basis for services provided. C. CITY'S DUTIES AND RESPONSIBILITIES: 1. Refer candidates for employment to the CONSULTANT for polygraph examinations. 2. Pay CONSULTANT after an invoice is received from CONSULTANT. 3. Review all reports submitted by CONSULTANT. D. WORK PROGRAMYPROJECT 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: $225.00 per examination for years 2016 and 2017, $250.00 per examination for year 2018 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 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) 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 into 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 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. 2 Exhibit B EXHIBIT "B" Payment Schedule (Fixed Fee Payment) I. CONSULTANT shall be entitled to monthly progress payments toward the fixed fee set forth herein in accordance with the following progress and payment schedules. 2. Delivery of work product: A copy of every memorandum, letter, report, calculation and other documentation prepared by CONSULTANT shall be submitted to CITY to demonstrate progress toward completion of tasks. In the event CITY rejects or has comments on any such product, CITY shall identify specific requirements for satisfactory completion. 3. CONSULTANT shall submit to CITY an invoice for each monthly progress 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 brought into compliance, or until this Agreement has expired or is terminated as provided herein. 4. 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. Exhibit B surd 4 INSURANCE AND INDEMNIFICATION WAIVER HB MODIFICATION REQUEST 1. Requested by: Police Department-Brian Seitz 2. Date- 1/8/19 3. Name of contractor/permittee: Truth Be Told Polygraph, LLC 4. Description of work to be performed- Pre-employment screening for the Police Dept. 5. Value and length of contract- 3 years for a total of $38, 620 6. Waiver/modification request: City Resolution requires "California admitted" carriers 7. Reason for request and why it should be granted: Insurance carrier is a California "non- admitted" carrier underwritten by LLoyds of London 8. Identify the risks to the City in approving this waiver/modification: N/A Department Head Signature Date: APPROVALS Approvals must be obtained in the order listed on this form. Two approvals are required for a request to be granted. Approval from the City Administrator's Office is only required if Risk Management and the City Attorney's O ,ice disagree. 1 Ris anagement Q Approved ❑ Denied S' ure Date 2. City Attorney's Office / Approved ❑ Deni r Si9 nature Date 3. City Manager's Office ❑ Approved ❑ Denie Signature Date If approved, the completed waiver/modification request is to be submitted to the City Attorney's Office along with the contract for approval. Once the contract has been approved, this form is to be filed with the Risk Management Division of Human Resources I I Insurance Waiver Form (1) 1/7/2019 1:21:00 PM 0 DATE IMMIDONYYY) a��of CERTIFICATE OF LIABILITY INSURANCEF11/512018 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 have ADDITIONAL INSURED provisions or 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 CONTACT NCMF� _ HON COMPLETE EQUITY MARKETS INC Por iu-Fxw (847)541-0900 A/C Nc1: [847}541-0444 1190 Flex Court AD DRIESS: Lake Zurich, IL 60047 _.sa Corrgneta-TMfty INSURER(S)AFFORDING COVERAGE NAIL Sstiv:anrae Atra�.mc, . INSURER A: Underwriters at Llovd's.London INSURED INSURER B: Truth Be Told Polygraph, LLC INSURER C: _ 407 W Imperial Highway Suite H-213 INSURER D: Brea, CA 92821 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 I ADDLISUBRI I POLICY EFF POLICY EXP LIMBS 1TR TYPE OF INSURANCE wcn wvn .POLICY NUMBER f tMM/PD MMIDDIYYYY) X(COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE $ 1.000.000 AMAGE TOF?ENTEO CLAIMS-MADE FXI OCCUR PREMISES(Ea ocuRsnce $ 50 000 'MED EXP(Any one person) $ 5 000 A 1700987 11/1/2018 11/112019 PERSONAL BADV INJURY s EXCLUDED N'LAGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000 000 NPOLICY�jEC LOC { t PRODUCTS-COMPIOPAGG 3` 1,000,000 OTHER ` $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es accidenU I$ �-ANY AUTO BODILY INJURY(Per person) I $ OWNED SCHEDULED BODILY INJURY(Per accident) �$ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE I $ AUTOS ONLY AUTOS ONLY Per aFldent) 1 UMBRELLA LIAR OCCUR � � EACH OCCURRENCE �$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER 1 OTH- AND EMPLOYERS'LIABILrTY I STATUTE ER IN ANY PROP RIETOR/PARTNER/EXECUTIVE Y❑ N 1 A i E.L.EACH ACCIDENT Is M OFFICEREMBER EXCLUDED? (Mandatory in NH) ) E.L.DISEASE-EA EMPLOYE $ If yes,describe under i DESCRIPTIDN OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ Each Claim $1,000,000 A Professional Liability 270156 7/25/2018 7125/2019 A ate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1 at,Additional Remarks Schedule,may be attached if more space is requl 0.0V D Please see pages 2,3 and 4 for additional information. ApP Gp,SES NP OaN�N of: gEPCN � nN TO G N c CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFT ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Huntington Beach Attn: Mr.Jim Slobojan AUTHORIZED REPRESENTATIVE 2000 Main Street Huntington Beach, CA 92648 6 11 ZPXVI�" ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD I 2 Certificate of Insurance TRUTH BE TOLD POLYGRAPH, LLC Policy Number: 1700987 /270156 Subject to all policy terms, conditions, exclusions and endorsements of each respective policy. City of Huntington Beach is an additional insured but only per the terms &conditions of the endorsement generated for each respective policy and subject to all policy terms, conditions, exclusions and endorsements. 30 Day Notice of Cancellation applies to both policies. Waiver of Subrogation and Primary/Non-Contributory applies to the General Liability policy only. SURPLUS LINES NOTICE TO POLICYHOLDER- PLEASE SEE ATTACHED By Lawrence T.P. Molloy binders`138 3 NOTICE: L THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA_ THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER_ YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER: 1-800-927-4357 OR INTERNET WEB SITE )JTWW.INSURANCE.CA.GOV. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT )JTWW.NAIC.ORG. 5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT QID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. h:nders'138 a � 7_ CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS_ ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: VTWWANSURANCE_CA.GOV. 8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU. LMA9098A 04 May 2017 D-2 (Effective January 1, 2017) b�nGers`i?� AMENDMENT NO. I TO PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND TRUTH BE TOLD POLYGRAPH, LLC FOR POLYGRAPH EXAMINATION SERVICES Table of Contents 1 Scope of Services................................................................................................................ 1 2 City Staff Assistance...........................................................................................................2 3 Term;Time of Performance................................................................................................2 4 Compensation......................................................................................................................2 5 Extra Work..........................................................................................................................2 6 Method of Payment.............................................................................................................3 7 Disposition of Plans, Estimates and Other Documents.......................................................3 8 Hold HarmIess.....................................................................................................................3 9 Professional Liability Insurance ..............................................................................4 10 Certificate of Insurance.......................................................................................................5 11 Independent Contractor.......................................................................................................6 12 Termination of Agreement..................................................................................................6 13 Assignment and Delegation..................................................................................................6 14 Copyrights/Patents..............................................................................................................7 15 City Employees and Officials..............................................................................................7 16 Notices... ........................................................................................... .....................7 17 Consent................................................................................................................................8 18 Modification........................................................................................................................8 19 Section Headings.................................................................................................................8 20 Interpretation of this Agreement.........................................................................................8 21 Duplicate Original...............................................................................................................9 22 Immigration.......................................................................................................................... 23 Legal Services Subcontracting Prohibited ...........................................................................9 24 Attorney's Fees..................................................................................................................... 10 25 Survival................................................................................................................................ 10 26 Governing Law..................................................................................................................... 10 - 27 Signatories............................................................................................................................ 10 28 Entirety................................................................................................................................ 10 29 Effective Date.................................................................................I I i PROFESSIONAL SERVICES FISCAL YEAR 2018/19 Police Current PSA Balance: $186,949 Impact to Future Years Date Descri lion Amount I Notes FY 19/20 FY 20/21 FY 21122 Psychological exams,polygraph,legal consultations,rape and medical exams,crime prevention, hazmat physical exams,flight crew 711l2018 physicals,blood withdraws,transcription,juvenile 335,825 diversion,gang prevention and other related consulting and professional services Total PSA 5 336,825 T-tatContract Date Description Amount Value Notes 1$120 FY 20121 FY 21122 7/1/2018 CSP Inc 105,876 283.516 Victims Assistance Services(grant fund 124) 7/1/2018 Background investigation Services-Traub 10,000 27,500 RFP 10,000 - 7/1/2018 Background Investigation Services-Beard 13,000 33,500 RFP 13,000 711/2018 RCS Investigative Services 10,000 20,000 10/24/2018 Truth be Told Polygraph Examination Services 10,000 38,620 Amendment No,1 Total Value $ 148,876 Balance $ 186,949 10/.31/ ig General Ledger Joumal Purchase Object Business Address G Order Account Unit L Date Amount Entry Remark Number Explanation 00020757 69365 10070109 7/5/2016 275.00 TRUTH BE TOLD POLYGRAPH LLC change order#1 83858 00020757 69365 10070109 7/5/2016 175.00 TRUTH BE TOLD POLYGRAPH LLC Polygraph Services 2014/15 83858 00020757 69365 10070109 8/15/2016 1,125.00 TRUTH BE TOLD POLYGRAPH LLC Polygraph Services 2014/15 83858 00020757 69365 10070109 8/30/2016 450.00 TRUTH BE TOLD POLYGRAPH LLC Polygraph Services 2014/15 83858 00020757 69365 10070109 10/19/2016 876.50 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00020757 69365 10070109 10/19/2016 23.50 TRUTH BE TOLD POLYGRAPH LLC Polygraph Services 2014/15 83858 F b022368 69365 10070112 11/4/2016 675.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 0022368 69365 10070112 12/12/2016 450.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00020757 69365 10070109 1/23/2017 2,125.00 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00022368 69365 10070112 2/14/2017 1,325.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00020757 69365 10070109 3/6/2017 225.00 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00020757 69365 10070109 3/28/2017 225.00 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00020757 69365 10070109 5/8/2017 1,350.00 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00020757 69365 10070109 6/5/2017 1,900.00 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00020757 69365 10070109 7/3/2017 798.50 TRUTH BE TOLD POLYGRAPH LLC Change Order 83858 00022368 69365 10070112 7/3/2017 2,576.50 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070112 8/3/2017 2,125.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070112 10/9/2017 675.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070112 11/6/2017 450.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070112 12/4/2017 675.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070112 1/2/2018 1,125.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070102 2/5/2018 1,016.50 TRUTH BE TOLD POLYGRAPH LLC poLYGRAPH 83858 00022368 69365 10070112 2/5/2018 233.50 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 83858 00022368 69365 10070102 3/5/2018 1,500.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 00022368 69365 10070102 4/2/2018 1,500.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 00022368 69365 10070102 4/30/2018 1,250.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 00022368 69365 10070102 6/4/2018 2,250.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 00022368 69365 10070102 7/9/2018 500.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 00022368 69365 10070102 8/7/2018 2,000.00 TRUTH BE TOLD POLYGRAPH LLC POLYGRAPH 17/18 83858 Total Posted 29,875.00 MAIN TOTAL 29 87 28,101.5 PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTING TON BEACH AND TRUTH BE TOLD POLYGRAPH, LLC FOR POLYGRAPH EXAMINATION SERVICES THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of Califorrua; hereinafter referred to as "CITY," and Truth Be Told Polygraph. LLC, a Califorrua corporation; hereinafter referred to as "CONSULTANT " WHEREAS, CITY desires to engage the services of a consultant to provide polygraph examination 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 Yolanda Gellis, 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 Svcs 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 �U�� p�cJ , 20 1A (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 Twenty-Eight Thousand Six Hundred and Twenty Dollars ($28,620) 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/surfnet/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, ESTIMATES AND OTHER DOCUMENTS CONSULTANT agrees that title to all materials prepared hereunder, including, without lmutation. 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 terimination 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) ansing 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/professional sves 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 r 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 reportmg 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 10/15 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 indemrufy 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 furmsh 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 earner 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 requirement for carrying the foregoing insurance coverage shall not derogate from CONSULTANT's defense, hold harmless and indemnification obligations as set forth in this Agreement CITY or its representative shall at all times have the right to demand the original or a copy of the policy of insurance CONSULTANT shall pay, in a prompt and timely manner, the premiums on the insurance hereinabove required agree/surfnet/professional Svcs to$49 10115 5 of I 1 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 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 heremabove agree/surfnet/professional sves to$49 10115 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 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 wluch subsequent notices. certificates or other communications will be sent by notifying the other party via personal delivery, a reputable overnight earner or U S certified mail-return receipt requested TO CITY TO CONSULTANT City of Huntington Beach Truth Be Told Polygraph, LLC ATTN Captain Russell Reinhart 407 West Imperial Highway H-213 2000 Main Street Brea, CA 92821 Huntington Beach, CA 92648 agree/surfnet/professional sves 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 convemence 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 smgular 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 agree/surfnet/professional sves 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 original 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 sves 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 hereinbelow has the power, authority and right to bmd 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 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, mducements, 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 agee/surfnet/professional svcs to$49 10/15 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 TRUTH BE TOLD POLYGRAPH, LLC California COMPANY NAME B DrYeetvr/ y (Pursuant To HBMC§3 03 100) APPROVED AS TO FORM print name ITS (circle one)Chairm residen ice President AND City Attorney 0tQ S1J1\%6 I^N By Date 64 12'e9r& print name RECEIVE AND FILE ITS (circle one)Secretary/Chief Financial Officer/Asst Secretary—Treasurer �^ ` City Clerk Date agree/surfnet/professional svcs to S49 10115 11 of 11 EXHIBIT "A" A STATEMENT OF WORK (Narrative of work to be performed) In an effort to hire quality personnel for the Huntington Beach Police Department, it is essential to properly screen candidates during the background investigation process. The Department promotes a careful and complete screening of all candidates. which includes a polygraph examination The Department proposes to use a trained professional to adnum'ster and evaluate all pre-employment polygraph examinations The focus of the polygraph examinations is to provide impartial, unbiased and fair screening of all candidates for Police Department positions B CONSULTANT'S DUTIES AND RESPONSIBILITIES 1 The CONSULTANT will provide trained and appropriately licensed personnel to administer polygraph examinations 2 The CONSULTANT will administer polygraph examinations to police candidates for employment when requested to do so 3 The CONSULTANT will arrange for a date and time to meet with the candidate at the Police Department or a mutually agreed upon location to administer the polygraph examination 4 The CONSULTANT will explain the process and procedure for adnunistenng the polygraph examination to each candidate 5 The CONSULTANT will provide a pre-screening questionnaire to each candidate to complete EXHIBIT A 6 The CONSULTANT will administer the polygraph examination in accordance with contemporary and professional standards 7 The CONSULTANT will video record (including audible) all polygraph examinations and retain the recordings for period of three years from the date of the examiation 8 The CONSULTANT will analyze the polygraph examinations and provide the Police Department with a written evaluation of the results 9 The CONSULTANT will provide Workers Compensation insurance of not less than that set forth by the City contract provisions 10 The CONSULTANT will invoice the Police Department on a monthly basis for services provided C CITY'S DUTIES AND RESPONSIBILITIES 1 Refer candidates for employment to the CONSULTANT for polygraph examinations 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 Hourlv Rate CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule $225 00 per examination for years 2016 and 2017 $250 00 per examination for year 2018 B Travel Charges for time during travel are not reimbursable C Billiniz 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) 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 into 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 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 ongomg performance of the remainder of this Agreement 2 Exhibit B ��® � DATE(MM10DlYYYY) I CERTIFICATE OF LIABILITY INSURANCE 11/18/2015 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 poltcy(les)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) CONTACT PRODUCER NAME COMPLETE EQUITY MARKETS INC RCN ADDRESSE EXt (847) 541-0900 A/c No (847)541-0444 1190 Flex Court .c'cmr '•= ui'v'r- _ nemd7�e rayJrcY Ire Lake Zurich, IL 60047 INSURER(S) AFFORDING COVERAGE NAICM INSURER A Underwriters at Lloyd's, London INSURED Truth Be Told Polygraph, LLC INSURER 8 407 W Imperial Highway Suite H-213 INSURER C Brea, CA 92821 INSURER _ INSURER E INSURER F COVERAGES CERTI[ ICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY fHAT THE POLICIES 01 INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWI1HSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PLRTAIN 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 TYPE OF INSURANCE LT3R MM1 L Ef P LIMITS I LTR NSD wvo POLICY NUMBER DD/YYW MMIDDA'YW x COMMERCIAL GVERAL LIABIDrY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �I OCCUR PREMISES Ea occurrence $ 5O OOO 1700710 11/O1/15 11/O1/16 MED EXP(Any one person) $ 5,000 — - -- A PERSONAL 8 ADV INJURY $ EXCLUDED GEN'L AGGREGATE I IMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 X POLICY[ j�O CI LOC PRODUCTS-COMPlOP AGG $ 1 ,000,000 $ OTHER AUTOMOBILE LIABIUIY Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDUI ED BODILY INJURY(Per accident) S AUTOS AUTOS NON OWNED Per accident S HIRED AUTOS AUTOS S UMBRELLA LIAH OCCUR EACH OCCURRENCE $ _- EXCESS LIAB CI AIMS MADtI_ AGGREGATE $ DED REl ENTION$ I _ H. S WORKERS CONIPEN`A1 ION STATUTE ER AND EMPLOYERS LInBILITY YIN ANY PROPRIETOR/PAR,NER/EXECUTI%I- i E L EACH ACCIDENT $ OFFICER/MEMBER EXCI IDED> I NIA '"' (Mandatory in NH) LLL..___ E L DISEASE EA EMPLOYE S If yes describe under DESCRIPTION OF OPi RATIONS by tow E L DISEASE POLICY LIMIT $ A Professional 208617 07/25/15 07/25/16 $1,000,000 Each Claim Liability $2 000 000 Aggregate DESCRIPTION OF OPERAT ONS I LOCATIONS!VEHICLES (ACORD 101 Additional Remarks Schedule may Ir Please see page two, three and four for additional information 8 Michael Gatos,City Attorney CERTIFICATE HOLI)ER CA CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS Attn Mr Jim SloboDan l 2000 Maj.n Street AUTHORIZED REPRESENTATIVE Huntington Beach, CA 92648 '�4 � 7-P/� t I ©1988-2014 ACORD CORPORATION All rights reserved ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD 2 Certificate of Insurance TRUTH BE TOLD POLYGRAPH, LLC Policy Number 1700710/208617 Subject to atl policy terms, conditions, exclusions and endorsements of each respective policy The City of Huntington Beach is an additional insured with 30 Day Notice of Cancellation but only per the terms&conditions of the endoi sement generated for each respective policy and subject to all policy terms,conditions, exclusions and endoi sements *Waiver of Subrogation and Pi imary/Non-Contributory applies to General Liability policy only SURPLUS LINES NOTICE TO POLICYHOLDER - PLEASE SEE ATTACHED By , (-r Lawrence T P Molloy binders'138 3 NOTICE: 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS. 2. THE INSURER l IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. TIDE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS LINE' BROKER OR CONTACT THE CALIFORNIA DIPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER: 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAI, INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT WWW.NAIC.ORG. 5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN TIIE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER OR "SURPLUS LINE" BROKER TO OIITAIN MORE INFORMATION ABOUT THAT INSURER. bmders'138 a 7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INSURANCE.CA.GOV. 8. If� YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN Fl VE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU Ci'iNCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE W IL.L. BE RETURNED TO YOU. D-2 (Effective July 21, 2011) bmders'138 'a Policy Number BA040000021221 1111k MERCURY Effective Date 03/26/2016 1 NSURANCE GROUP Renewal Declarations BUSINESS AUTO DECLARATIONS Issued By Agent. California Automobile Insurance Company CAL COAST INS AGENCY, INC P 0 Box 10730 PO BOX 1150 Santa Ana, CA 92711-0730 FALLBROOK, CA 92088 Billing (888)637-2176 Agent Number 044317 Claims (800)503-3724 Agent Phone (760)731-3214 -. y'f; Y p' x a SC31'k 3 "�f �. � � F %GENERALtIVFORNIATION, RWRAW,,, ��`:� "�� Named Insured: TRUTH BE TOLD POLYGRAPH, LLC Mailing Address- 407 W Imperial Hwy,Suite H-213 Brea,CA 92821 Policy Period From 03/26/2016 to 03/26/2017 at 12 01 AM Standard Time at your mailing address Form of Business: Limited Liability Company Total Policy Premium $1,947.76 This policy may be suoject to final audit. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy ENDORSEMENTS ATTACHED TO THIS POLICY IL 00 17 1198-Common Policy Conditions IL 00 2109 08-Nuclear Energy Liability Exclusion IL 00 03 09 08-Calculation of Premium CA 00 0103 10-Business Auto Coverage Form CA 01 21 02 99-Limited Mexico Coverage CA 0143 05 07-California Changes IL 02 70 09 12-California Changes-Cancellation and CA 23 94 03 06-Silica or Silica Related Dust Exclusion U-245-Auto Body Repair Consumer Bill of Rights MCA85101213-CA-Broadening Endorsement CA 20 48 02 99-Specified Additional Insured CA 20 7110 01-Auto Loan Lease Gap Coverage CA 2154 09 09-California Uninsured Motorists-Bodily CA 99 23 03 10-Rental Reimbursement Coverage CA 99 44 12 93-Loss Payable Clause MCADS030112-CA Page 1 of 5 03/26/2016 12 01 AM PT .. . po|/uyNumber BA040000021221 Pd,14"It MERCURY Effauhva Data 03/26Q016 | N S U RA NC E G R O U P This policy provides only those coverages where a charge is shown /n the premium column below Each of these coverages will apply only tothose ''autos" shown as covered "autos" ''Autus" are shown as covered "autos" fora particular coverage by the entry of one o, more of the symbols from the Covered Autos Section of the Business Auto Coverage rp,m next to the name of the coverage Coverages Coverage Limit Premium Symbol The Most We Will Pay For Any One Accident Or Loss Medical Payments Injury Uninsured Motorists Rejected Property Damage � Actual Cash Value Or Cost Of Repair,Whichever Is Less,Minus Deductible Shown in ITEM THREE For Each Covered � Comprehensive 7 Auto, But No Deductible Applies To Loss Caused By Fire $174 Or Lightning See ITEM FOUR For Hired Or Borrowed Autos Actual Cash Value Or Cost Of Repair,Whichever Is Less, Specified Causes of Loss Minus Deductible Shown in ITEM THREE For Each Covered Auto For Loss Caused By Mischief Or Vandalism See ITEM FOUR For Hired Or Borrowed Autos Actual Cash Value Or Cost Of Repair,Whichever Is Less, Collision 7 Minus Deductible Shown in ITEM THREE For Each Covered $520 Auto See ITEM FOUR For Hired Or Borrowed Autos Towing and Labor 7 See ITEM THREE LIMIT Shown For Each Disablement of An $ Auto Premium For ITEM FOUR(Hired Auto Coverage) $75.00 Premium For ITEM FIVE(Non-Ownership Liability) $148.00 Premium For Endorsements $20300 Miscellaneous Fees and Expense California Consumer Services and Fraud Program Fees $176 Total Policy Premium $1,947.76 � ` [NCADG030112'CA Page of was Policy Number BA040000021221 110% M E R C U RY Effective Date 03/26/2016 1 N S U R A N C E GROUP Z Uf6�'i,&T *�""-'4 k Ili I Covered Description VIN Garaging Cost New Auto No City ST Zip Code Vehicle Equip. 1 2015 TOYOTA 4RUNNER UTILITY JTEBU5JR3F5228296 Placentia CA 92870 $43,420 Covered Radius Auto No (In Miles) Usage Special Industry Class loss Payee 1 Up to 50 Service Use AMERICAN FIRST CU,PO Box 5131 Lake Forest,CA 92609-8631 COVERAGES,PREMIUMS,LIMITS,AND DEDUCTIBLES (Absence of a deductible or limit entry in any column below means that the limit or deductible entry in the corresponding ITEM TWO column applies instead ) Covered Auto Medical UM Bodily Injury UM Property Comprehensive Auto No Liability Premium Payments Damage Premium Premium Premium Deductible Premium 1 $780 $32 $250 $174 Covered Specified Causes Of Loss Collision CDW Towing&Labor Auto No Deductible Premium Deductible Premium Premium Limit Per Premium Disablement 1 $500 $520 $50 $14 Covered Rental Reimbursement Auto Loan/Lease Audio,Visual,&Data Equipment Total Vehicle Auto No Maximum Payment Premium Gap Premium Limit Premium Premium Each Covered Auto 1 $30 per day/30 days $28 $1,548 MCADS030112-CA Page 3 of 5 . . Policy Number BA040000021221 1111k MERCURY Effective Date 03/26/2018 | NSURANCE GROUP Liability $780 Medical Payments Uninsured motorists Bodily Injury $32 Uninsured Motorists Property Damage Collision Deductible Waiver Comprehensive $174 Specified Causes of Loss Collision $520 Towing and Labor $14 Rental Reimbursement $28 Loan/Lease Gap Audio,Visual and Data Electronic Equipment == a [ostofh/remeonsthetoto| omountyov /ncurfurtheh/reof"outos"youdon'tovvn (not/nc|ud/ng"xutos"youbnrrovvorrent � from your partners or"employees" or their family members) Cost of hire does not include charges for services performed by � motor carriers of property orpassengers Estimated Liability Coverage Physical Damage Coverage Total ITEM Annual FOUR Cost Of Hire Premium Limit Of Insurance Premium Premium Actual Cash Value Or Cost Of Repair, If Any $75 Whichever Is Less, Minus$500 Deductible $75 For Each Covered Auto Number Of Employees(Including Volunteers) Total ITEM FIVE Premium Discounts 0 Multi-Line Discount 0 Personal Auto Policy 0 Pay in Full Discount 0 Years In Business Discount Driver Information Listed Drivers Excluded Drivers Additional Insureds CITY OF LONG BEACH BOARD OF HARBOR COMMISSIONERS 4801 Airport Plaza Dr Long Beach,California 90815-1263 yNCADS030112'CA Page 4of6 Jld'11,61k Policy Number BA040000021221 MERCURY Effective Date 03/26/2016 1 NSU RANCE GROUP Other Endorsements Premium Broadening Endorsement $175 MCADS030112-CA Page 5 of 5