HomeMy WebLinkAboutCalifornia Forensic Phlebotomy, Inc. - 2022-04-05 PROFESSIONAL SERVICES CONTRACT BI T1 EE'N
THE CITY Of: I UNTINGTON BEACH AND
CALIFORNIA FORENSIC PHLEBOTUMY. INC.
FOR
ON-CALL BLOOD WITHDRAWAL SERVICES
THIS AGRF..Ei%4EN"I' ("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 . a CaliRxnia Forensic Phlebotomy. Inc. hcreinafter referred to
as "CONSULTANT."
WHEREAS. CITY desires to engage the services of a consultant to provide On-
Call Blood Withdrawal Services: and
Pursuant to documentation on file in the oil-ice 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. TI IEREFORE, it is amcd by CITY and CONSULTANT as follows:
I . SCOPE 017 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 Robert Vega who shall represent it and
be its sole contact and agent in all consultations with CITY during the performance of this
Agreement.
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2. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly with CONSULTANT
in the performance of this Agreement.
3. TERM: TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of CONSULTANT
are to commence on `115, 2022- (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 33 months 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 Ninety Thousand Dollars ($90,000).
5. EXTRA WORK
In the event CITY requires additional services not included in Exhibit "A"
or changes in the scope of services described in Exhibit "A," CONSULTANT will
undertake such work only after receiving written authorization from CITY. Additional
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compensation for such extra work shall be allowed only if the prior written approval of
CITY is obtained.
6. MLTI-]OD OF PAYMENT
CONSULTANT shall be paid pursuant to the terms of Exhibit 'B."
7. DISPOSITION OF PLANS, ESTIMATES AND 0ITILR 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
A. CONSULTANT hereby agrees to protect. defend, indemnify and
hold hanntess 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. it any) negligent (or alleged
negligent) performance of this Agreement or its Failure to comply with any of its
obliu itions contained in this Agreement by CONSULTANT. its officers, agents or
cmplONees except such loss or damage which was caused by the sole negligence or willful
misconduct ot'CITY. CONSULTANT will conduct all defense at its sole cost and expense
and CITY shall approve selection of CONSULTANT's counsel. ']'his indemnity shall
22-11015/276317 3 of I')
apply to all claims and liability regardless of whether anv insurance policies are applicable.
The policy limits do not act as limitation upon the amount of indemnification to be
provided by CONSULTANT.
13. To the extent that CONSULTANT pertorms "Design Professional
Services" within the meaning of Civil Code Section 2782.8. then the following Hold
Harmless provision applies in place ol'subsection A above:
"CONSULTANT hereby agrees to protect. defend, indcnuiify and hold
harmless CITY and its of icers, elected or appointed officials, employees, agents and
volunteers. liom and against any and all claims. damages, losses, expenses. demands and
detcnse costs (including, without limitation. costs and Ices of litigation of every nature or
liability of any kind or nature) to the extent that the claims against CONSULTANT arise
out of, pertain to. or relate to the negligence, recklessness. or willful misconduct of
CONSULTANT. In no event shall the cost to defend charged to CONSULTANT exceed
CONSUL TANT's proportionate percentage of fault. However. notwithstanding the
previous sentence, in the event one or more other defendants to the claims and/or litigation
is unable to pay its share of delensc costs due to bankruptcy or dissolution of the business.
CONSULTANT shall meet and confer with CITY and other defendants regarding unpaid
detcnse costs. The duty to indemnify. including the duty and the cost to defend, is limited
as provided in California Civil Code Section 2782.8.
C. Rceardless of whether subparagraph A or B applies, CITY shall be
reimbursed by CONSULTANT for all costs and attorney's fees incurred by CITY in
enforcing this obligation. This indemnity shall apply to all claims and liability regardless
of whether any insurance policies are applicable. The policy limits do not act as a
limitation upon the amount of indemnification to be provided by CONSUL TANT.
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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 CONSULTAN"I 's professional liability in an amount not less than One
Million Dollars (SI,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 "fen 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 daring
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 bails 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 forthwith terminate this Agreement. Such termination shall not
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effect Consultant's right to be paid for its time and materials expended prior to notification
of termination. CONSULTANT waives the right to receive compensation and agrees to
indemnify the CITY for ally work performed prior to approval of insurance by the CITY.
10. CERTIFICATE OF INSURANCE
Prior to commencing perlormancc 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:
13. 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, tell (10) days`
prior written notice in the event of cancellation for nonpayment of
premium.
CONSULTANT shall maintain the foregoing insurance coverage in lorce
until the work under this A.:recnunt is fully completed and accepted by CITY.
The requirement for carrying the foregoing insurance coverage shall not
derogate from CONSULTANf's defense, hold harmless and indemnification obligations as
set lorth 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 hereinaboye required.
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1 I. 1NDEPENDEN T 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 am-, in connection with the
PROJL*CL 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. hi the event of termination, all finished and
unfinished documents. exhibits, report, and evidence shall, at the option of CI I'Y. 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
cntity without the prior express written consent of CITY. [fan 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 liereinaboye.
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14. COPYRIGHTS/13AT6N'I'S
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 6MPLOYBLS AND 01-1-ICIAI_S
CONSULTANT shall employ no CITY oflicial 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 ofthc California Government Code.
16. NOTICES
Anv notices, certificates, or other communications hercundcr shall be given
either by personal delivery to CONS fANI's agent (as designated in Section l
hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed
envelope. postage prepaid, and depositing the same in the United States Postal Service. to
the addresses specified below. CITY and CONSULTANT may designate different
addresses to which subsequent notices, certificates or other communications will be sent by
notifying the other party via personal delivery, a reputable overnight carrier or U. S.
certified mail-return receipt requested:
TO Cfl Y: TO CONSULTANT:
CitV of I-luntington Beach California Forensic Phelbotomv, Inc.
ATTN: Jason iMclschau ATTN: Robert Vega
2000 Main Street 6763 L. Santa Ana Canyon Road. Ste G553
Huntington Beach. CA 92648 Anaheim Hills. CA 92807
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17. CONSENT
When CITY's consent/approval is required under this Agreement, its
consent/approval for one transaction or event shall not be deemed to be a consent/approval
to any subsequent occurrence of the same or any other transaction or event.
18. MODIFICATION
No waiver or modification of any language in this Agreement shall be valid
unless in writing and duly executed by both parties.
19. SECTION HEADINGS
The titles. captions, section, paragraph and subject headings. and descriptive
phrases at the beginning of the various sections in this Agreement are merely descriptive
and are included soleiv Tor 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 atTect the remaining covenants and provisions of this Agreement. No covenant or
provision shall be deemed dependent upon any other unless so expressly provided here.
As used in this Agreement, the masculine or neuter gender and singular or plural number
shall be deemed to include the other whenever the context so indicates or requires.
Nothing contained herein shall be construed so as to require the commission of any act
22-11015/276317 901, 13
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. IMMIGRA-TION
CONSULTANT AN T 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. CONSUI I-AN"T understands that
pursuant to 11unlington Beach City Charter Section 309, the City Attorney is the exclusive
legal counsel for CITY; and CITY shall not be liable for payment of any legal services
expenses incurred by CONSULTANT.
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24. ATTORNEY'S FEES
In the event suit is brought by either party to construe, interpret and/or
enforce the terms and/or provisions of this .Agreement 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 attorneys fees from the nonprevailing party.
25. SURVIVAL
-1'erms 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
'['his Agreement shall be governed and construed in accordance with the
laws of the State ol'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
Agrecment. 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
']'he 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 park s behalf, which are not embodied in this Agreement, and that
that party has not executed this Agreement in reliance on am representation. inducement.
22-11015/276317 11 of' ] ')
promise. agreement. warranty. fact or circumstance not expressly set forth in this
Agreement. This Agreement. and the attached exhibits, contain the entire agreement
bcthyeen 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 hereol.
29. LFI--FC"I IVL DA"rL
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 %\%I"INI SS WFILRL'-OF, the parties hereto have caused this Agreement to be
executed by and through their authorized officers.
22-11015/276317 12 of 13
CONSULTANT, CITY OF HUNTINGTON BEACH,
CALIFORNIA FORENSIC PHLEBOTOMY, a municipal corporation of the State of
INC. Califo '
7
By.
City Manager
pri name INITIA AND APMOV
ITS: (circle one)C'hairrnaNPresident/Vice President
U Chief of Police
;1
By: APPROVED AS jPfORM.
amc
ITS: (circle on Sccretn hicf Financial Officer/Asst. jtCe
orney 1w
Secretary—Treasu
EIVEE ALND FILE:
City Clerk
Date y16122-
22-110151276317 13 of 13
EXHIBIT "A"
A. S'I'A'1'L-'MENT OF WOItK: (Narrative of work to be performed)
Contractor to provide employees who shall remain available on an on-call basis at all times.
seven (7) days per week. twenty0four (24) hours per day, three hundred sixty five (365) days a year,
and agree to said employees to conduct tests identified in the City's agreement, as requested.
Locations for taking of blood samples shall include, but are not limited to. Huntington Beach Police
Department, local hospitals. Orange County Jail. field locations in and around the City of
Huntington Beach. Contractor to provide related employees to appear and conduct requested tests
within forty-five (45) days minutes of such request. Contractor to provide twenty-four (24) hour
access to a supervisor to remedy any problems or questions that may arise.
Contractor to provide medical supplies and equipment necessary to conduct tests at no cost to the
Cite. Contractor to provide transportation for employees at no cost to the City.
Contractor's employees may request of the City and/or the Orange Count\, District Attorney.
shall take blood samples and appear in court or any other designated location. at no additional cost,
for the purpose of discussion or testimony concerning collecting samples. Contractor's said
employees agree to appear in court at the time designated by the City and/or the Orange County
District Attornev. The City and/or the Orange County District Attornev will provide at least one-
hour notice to such appearance.
In addition to applicable laws, all blood sample collection and subsequent handling shall be
conducted in accordance with direction and procedures prescribed by the Orange County Sheriffs
Department Forensic Science Services Division. Only employees of the Contractor, deemed
acceptable by the City. hereunder shall perform services: the City will refuse to permit blood
FXH1BIT A
sampled to be collected by any employee of Contractor considered. by the City in its sole discretion,
to be unacceptable.
All blood samplers shall be refrigerated immediately and deposited by the Contractor at the
Comity of Orange's refrigerated blood locker within six (6) hours of withdrawal. Contract to
provide. at Contractor's expense, supplies necessary to ensure that blood samples are properly
refrigerated as directed by the Orange County Sheriffs Department Forensic Science Services
Division.
Upon request. with advanced notice, the City may require the Contractor to provide an
employee at a fixed post (i.e. UDI Checkpoint) to perform contracted services. Contractor shall
charge a flat hourly rate. rather than an individual fee for each blood test conducted at the fixed
post. A minimum of three (3) hours of service would be required.
13. CONSULTANTS DUIIGS AND RESPONSIBILITIES:
Weekly letters sent to the District Attorney and Victim Witness offices at each of the Justice
Centers, the DIMV. and the Orange County Crime Lab detailing employee availability and vacation
schedules:
Subpoenas returned on a weekly basis for former personnel with detailed forwarding
information on said personnel;
Extensive program to assure employee availability;
Company management readily available to testify to business records as needed;
Continued increased dialog with District Attorneys Office and the DMV
Continued increase in employee retention rate:
Soliciting increased feedback from the District Attorney's Office and the DMV;
Continued promotion of a company wide attitude of overall importance of the criminal
courts and the DNI V Division of Driver Safety Program.
EXHIBIT A
New communication system that allows law enforcement agencies or the District Attorney's
Office immediate direct access to our on-duty supervisor 24 hours a day without going through our
answering service or waiting for a page to be returned.
C. CITY'S DUI IE-S AND RESPONSIBILITIES:
Pav contractor within 30 days after invoice is received from CONSULTANT.
Rcvicw all repons submitted by CONSULTANT.
D. WORK PROGRANYPROJECT SCHEDULE:
Ongoing and as-needed.
EXHIBIT "B"
Payment Schedule (Hourh Payment)
A. Hourly Rate
CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost
schedule:
SECTION F—FEE PROPOSAL
Blood Withdrawal Testin Service
10/1/21 -9130/22 10/1/22-9130/23 10/123-6130124
Period 1 Period 2 Period 3
$103.00 per draw $103.00 per draw $103.00 per draw
Chec ints
10/121 - 9/3022 1011/22-9/3023 10/123-6/3024
Period 1 Period 2 Period 3
$103.00 per hour $103.00 per hour $103.00 er hour
Court Appearances Upon request by City or District Attorney)
10/121 -9/3022 10/122-9/3023 10/123-6/30/24
Period 1 Period 2 Period 3
No charge, including No charge, including No charge, including
employee on-call for employee on-call for employee on-call for
court court court
13. Travel. Charges for time during travel are not reimbursable
C. Billing
I. 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.
3. 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 identity 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;
l
Exhibit 13
13) 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 pertorned 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 writin<o of the reasons for nun-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.
5. Anv 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 13
AC RO O® DATE ILUAo W)
�� CERTIFICATE OF LIABILITY INSURANCE D314r2022
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 pollcy(les) must have ADDITIONAL INSURED provlslons 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 cortillcatD does not confer rights to the certificate holder In Ilou of such endorsements).
PRODUCER NAME. T Stefanie Fold
Coto Insurance 8 Financial Services PHONE EMJ: (805)366 0838 FAX.Na1`{949)858-7301
200 Spectrum Center Drive,SIR 150 EMAIL stefanle mlolnsurance.com
APRRE55: @
INSUREFUS)AFFORDING COVERAGE NAIC0
Irvine CA 92618 INSURER A: Evanston Insurance Company 35378
INSURED INSURER D: F.mplo em Preferred Insurance Company 31283
California Forensic Phlebotomy Inc INSURER C:
5753 E Santa Ana Cyn lid.,Suite G-553 INSURER m
Anaheim Hills CA 92807 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 T'HE POLICY PERIOD
INDICATED. NOTV.t1HSTANDiNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wTH RESPECT TO WHICH THIS
CERTIIACATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 'I-HE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMI I S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR PY ESP
TYPE OF INSURANCE IAODI.$l 1 POLICY NUMBER AN DIYYPOLICY E� M�O ri LIMITS
X COM:AERCLIL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000.00
-fiAL1AGEY0 k�NtEo
C1NL15.'MCE �X OCCLti FaErayA€S.IEe_W_-ktltlKel_ 5 SO,000.00
X PROF LIABILITY-CLAIMS MADE MEOEXP(Aerymepwa, )_ $ 5.000.00
A X MKLV5PSM000019 IV1712021 11/17/2022 PERSONALAADVINJURY S 2,000,000.00
GENLAGGREGATE LIMATAPFUES PER, GENERALAGGREGATE S 3,000,000.00
PCLICYEl P007 ❑LOC PRODUCTS-COMPNOPAGG s INCLUDED
OTHER: PROF LIAB AGGRE $ 3,000,000.00
AUTOMOBILE LIABILITY BINED 'NL1LEUMU eo - I $ 1,000,000.00
ANY AUTO EcDILY INJURY 1Per parson) $
AP
OWNED "HELWLED MKI-V5PSM000019 11/170021 11117/2022 BOOK Y INJURY IN,xW O $
AUTOS ONLY HIRED vAUTOSAUTOS ONLY A 0 ONLY PROPER DAMAGE S
S
UMBRELLA LIAR OCCUR FACH OCCURRENCE 5
EXCESS LUIS CWMS MADE AGGREGATE. 5
DEO AEIENTIONS 5
WORKERSCOMPENSATION X H
AND EMPLOYERS LIABILITY YIN —-STATUTE-—LilR—
ANYPROPRIF.TONPARTNEbEXECUTNE E.L.EACNACCICENT S 1,000,000.00
B OFFICERAAEMAER EXCLUDED? N1 A EIG 4719173 00 04112r2021 0411212022
(tA+Mtlory In NHI E.L.DISEASE,EA CIMPLOYEE 5 1,000,000.00
OE^u 0yaa.deaed00 OF CRIPTION OF OPERATIONS�-wr EL DISEASE.POLICY LINK S 1,000,000.00
E801 PER CLAIM 1,000,000.00
A PROFESSIONAL LIABILITY MKLV5PSM000019 11117r2021 11117/202.2 AGGREGATE 3,000,000,00
DESCRIPTION OF OPERATIONS 1 LOCAPONS 1 VEHICLES (ACORD 101,ALdlbntl Ramarka Schedule,may I a anachea Ir mma apace le Ap"OVED AS TO FORM
M ICh1AF.1.( GATF,S
CIT" AT FORNEY
CITY OF HUNTINGTON BEACH
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Huntington Beach
200 Main Street AUTHORIZEOREPRESENTATIVE
Huntington Beach,CA 92648
STEFANIE FORD
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26(2018/03) The ACORD name and logo are registered marks of ACORD
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City of Huntington Beach
T: 2000 Main Street ♦ Huntington Beach, CA 92648
(714) 536-5227 ♦ w"%,Nv.huntingtonbeachca.gov
Office of the City Clerk
Robin Estanislau, City Clerk
April 5, 2022
California Forensic Phlebotomy, Inc.
Attn: Robert Vega
5753 E. Santa Ana Canyon Road, Suite G553
Anaheim Hills, CA 92807
Dear Mr. Vega:
Enclosed is a fully executed duplicate original of the Professional Services Contract
between the City of Huntington Beach and California Forensic Phlebotomy, Inc. for On-
Call Blood Withdrawal Services.
Sincerely,
Robin Estanislau, CMC
City Clerk
RE:ds
Enclosure
Sister Cities: Anjo, Japan Waitakere, New Zealand