Loading...
HomeMy WebLinkAboutHoag Clinic - 2024-09-03 mod" - A 2000 Main Street, ��A.aq co ,�.oF 9,T4td'Lo Huntington Beach,CA ; v R 92648 ==B City of Huntington Beach APPROVED 7-0 NSOUNTV CP��F ge File#: 24-534 MEETING DATE: 9/3/2024 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Eric G. Parra, Interim City Manager VIA: Scott M. Haberle, Fire Chief PREPARED BY: Bonnie To, Principal Management Analyst Subject: Approve and authorize execution of a Professional Services Contract with Hoag Clinic for medical/wellness blood cancer and ultrasound screening Statement of Issue: The Huntington Beach Fire Department (HBFD) was awarded the FY 2022 Assistance to Firefighters Grant in the amount of$144,290.90 for cancer screening physicals for sworn fire personnel. There is a 10% non-federal matching funds requirement of$14,429.10, which will be absorbed by the Fire Department's operating budget. Therefore, the total project amount is $158,720.00. City Council =_ previously approved and accepted the FY 2022 Assistance to Firefighters Grant. Staff conducted a Request for Proposals (RFP) and staff is requesting that City Council authorize and approve the execution of a contract with Hoag Clinic for medical/wellness blood cancer and ultrasound screening. HBFD's project objective is to provide cancer screenings and related ultrasounds to prioritize wellness of the department's firefighters. Financial Impact: There is no financial impact to the City. Recommended Action: A) Approve and authorize the Mayor and City Clerk to execute a Professional Services Contract between the City of Huntington Beach and Hoag Clinic for medical/wellness blood cancer and ultrasound screening for an amount not to exceed $158,720. Alternative Action(s): Do not approve and direct staff accordingly. Analysis: With the approval of the Assistance to Firefighters 2022 Grant (AFG) budget and guidelines, HBFD City of Huntington Beach Page 1 of 2 Printed on 8/28/2024 powere81 LegistarTM" File#: 24-534 MEETING DATE: 9/3/2024 was seeking bloodwork panels to include a cancer detection bloodwork screen and ultrasound screenings for the Fire Department. HBFD's focus on personnel health, wellness, and safety also aligns with the AFG's focus on enhancing safety of the public and firefighters. The City published a RFP for medical/wellness blood cancer and ultrasound screenings on March 19, 2024. A total of four bids were received, and they were evaluated and scored independently by a panel of four evaluators. After taking into consideration the evaluation criteria, Hoag Clinic was selected as the vendor for the medical/wellness blood cancer and ultrasound screening. Hoag Clinic provided a bid and cost submission that included blood screening, cardiovascular and cancer screening, and optional pelvic screening. The bid also included options of a large-scale screening event or a blood cancer screening added to the annual firefighter wellness exam. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for- .. resulting in physical change to the environment, directly or indirectly. Strategic Plan Goal: Goal 2 - Fiscal Stability, Strategy A- Consider new revenue sources and opportunities to support the City's priority initiatives and projects. For details, visit www.huntingtonbeachca.aov/strategicplan <http://www.huntingtonbeachca.gov/strategicplan>. - - Attachment(s): 1. RFP Submission from Hoag 2. Agreement with Hoag Clinic • • City of Huntington Beach Page 2 of 2 Printed on 8/28/2024 powere2bi LegistarTm hoag.• City of Huntington Beach Medical Wellness Blood Cancer & Ultraspund.Screenina • City of Huntington Beach Attn: Cody Hernandez- Buyer 2000 Main Street _ • Huntington Beach, CA • • :4? - •`*-41ea' • ww.* • 'If bit° r"i 1 041,-471,. a . 218 i 1 off 5F� h a .1 -..,1 , ,.:::. " A. Cover.Letter & Vendor Application Form Hoag:Corporate Health 500 Superior Ave,Suite:200 Newport Beach,CA 92663 910.9 4.9300 City:of Huntington Beach - RFQ,-Medical Wellness Blood Cancer&Ultrasound Screening 200"0'Main Street Huntington Beach,,CA April 26th '2024 TO Whom It May Concern: Hoag Corporate Health is excited at the opportunity'to bid and ultimately participate in the Blood Cancer and, Ultrasound-screening program.'Inthe following proposal,Hoag:Corporate Health will illustrate just how uniquely qualified our First Responder Program staff are to,accomplish every aspect of the.Scope of Services outlined in the RFQ:as welt as our willingness to work"nand in hand with the City Of Huntington Beach to offer."enhanced:service components unique to Hoag; _ At present the Hoag;Corporate.Health First Responder program:conduce roughly 2500 specialty assessments 3 annually,conducting exclusive health and wellness programs for such clients as the Orange County Fire Authority, I.A. . City Fire,Anaheim Fire&Fescue,City of Irvine Police Department,Anaheim Police Department, Huntington Beach Fire and the City of Anaheim,Just to naive a few In the case of 3:of these:agencies,We:have"provided not simply similar programs,:but in the case of thee Orange County Fire Authority,Anaheim Fire'a Rescue'and HBFD,identical'blood canter and ultrasound.screenings:Presently, Haag Corporate.Health is the preeminent clinical partner for the Firefighter Wellness:division at Grail the makers of the Gelleri Multi-Cancer Blood test,Having.conducted:both large scale Galieri:screening events,as well as implementing the testing'protocol directly into the3annuai Firefighter Wellness exam program-for the Orange County fire Authority,'Hoag:Corporate Health.is regularly-asked to consult and advise"agencies contemplatingtt a implementation Of a blood:canter screening program. Hoag Corporate Health is extremely familiar with screening ultrasound programs as this technology is employed lathe Hoag Executive Physical of:which we:conduct.over:7'00 exams annually:In:addition,.the Hoag.First Responder Program • recently,conducted the first large scale ultrasound'screening event.forAnaheim,Fire a Rescue where^'80 firefighters ,over a 3-day;period at their North-Net training facility,to this instance firefighters who:chase'to receive an,ultrasound instead of a full-body CT scan,Were able to have.their ultrasound study performed;prior to their annual Firefighter Wellness Exam,-and results were reviewed in person during their in-office examination,Any abnormral"findings were communicated bya physician immediately following receipt of the radioilogy:reportand the Hoag First Responder team worked with the firefighter ta aid in scheduling and coordination ofan fallow-up testing.. These:two,examples Illustrate the experience and expertise Hoag Corporate Health will bring to the tity of Huntington. Beach Blood and Ultrasound"Screening program.Below'we'will.outline.soine preliminary approachesta haw we foresee im pigmenting.and•supporting this program—as with any of our First Responder programs;,we understand scheduling and.logistics may.limit some of the proposed:options and welcome the ability-to adjust in order to accointnoclate KB personnel.. 219 :** 7riwae• hOag.. Multi-Cancer Bided Screening As assess the options for conducting the Galled multi-cancer blood test,there are a couple logistical options that could be iMplementedt. Option Large Scale Screening Event Hoag Corporate Health has experience conducting this type of event,where specific dates/times are designated for on- duty and/car off-duty personnel are able to receive their blood draw at a City of Huntington Beach location.Hoag Corporate Health would work hand-in-hand with Galled in order to coordinate the labeling and.processing of specimens and all results would be provided to Hoag Corporate Health within.5-7 days of the event. Upon receipt Of the test result Hoag Corporate Health would implement the following results communication: Negative Result Results are communicated to firefighter by secure email.Firefighter receives copy of Galleri Results,along with medical explanation of results from our Chief Medical Officer,:br.James Lindberg. Furthermore firefighters are able to coordinate a follow-up call with,a Hoag Corporate Health provider should they have any additional questions or need clarification on any items. Positive Results- Results are communicated directly to the firefighter by phone,from a Hogg Corporate Health physician.The physician will have been briefed by the Medical Director at Galleri in order to obtain thorough explanation of results and findings.The Hoag Corporate Health provider will explain next steps. Hoagas First Responder Care Team will then make appropriate referrals/recommendation to specific doctors if desired by the patient.Our providers are available to communicate results to the firefighters Primary Care Physician given Galled tests are very new andthe technology may not be familiar to a traditional PCP. Hoag Corporate Health implemented this model for the Orange County Fire Authority in.November 612023 and- conducted-215 Galled Multi-Cancer Blood Screenings aver two separate 4-hour events. Option 2-Blood Cancer Screening Added to Annual Firefighter Wellness Exam Given Option.1 may not be feasible,the other screening option would be to incorporate the Gellert blood draw into the current annual.Firefighter Wellness Exam program that Hoag Corporate Health conducts for'HUD:.In this model,firefighters woUld schedule their annual wellness exam as they alreadydh,upon arrival at the Haag First Responder Program facility,their blood would be drawn for the Galled Multi-Cancer test,.Upon receipt of the results-typically 54 days-Hoag Corporate Health would enact the above outlined Negative/Positive result protocol. Hoag Corporate Health implemented this model for the Orange County Fire Authority In duly of 2023 and to date has conducted 800 Galled Multi-Cancer Blood Screenings via in-office blood dram,on the day of heir annual firefighter welIngss exam. Ultrasound Screening Program Large Scale Screening Event Hoag Corporate Health has experience conducting large scale ultrasound screening events,where designated days/times are offered to on-duty and/or off-duty personnel to receive a multi-system cardiovascular and canter screening ultrasound.study.Haag Corporate Health offers a Unique approach to large scale Ultrasound screening due to our abilityta offer physician review and consultation from our facultyof First Responder M..O.'s both via telehealth/phone or in-person during a participants annual Firefighter Wellness Exam. Furthermore, Hoag Corporate. Health will utilize an algorithm to'risk stratify'findings and any necessary fallow-up while also offering the capability of coordinating specialty referrals and care coordination,should there be significant finding. In this operational delivery model,Hoag will work directly with the City of Huntington Beach or a designated"coordinator"frorma specific 220 hoago. agency-to determine both-the schedule dates as well as individual partitipant and/or crew schedule..Each screening takes.approximately-45-60MinS to complete.At the conclusion of each screening event,ultrasound imagery is transmitted securely forreviewand reading by the imaging radiologist The radiologist will complete their radiology report which will in-turn be sent to the physicians at Hoag Corporate Health for review. Upon.receipt and review athe radiology report Hoag Corporate Health would implement the following results,conntUritcatiori: Negative Result-Reports with notes will be,sent to patients via secure email,or in event the patient has a scheduled Annual Wellness Exam'scheduled within 2-3,weeks Of the ultrasound,.these results will be reviewed dunng their exam by the physician.Patients will receive a copy of their radiology report along With a medical explanation of results from our Chief Medical Officer,Or..lames'Undberg,furthermore,firefighters are able to todlhatea follow-Up call With a Hoag Corporate Health provider should they have any additional Cluestions or need clarification:on.any items. Positive Results- Results are communicated directly to the patient from a Hoag Corporate Health.physician. The physician will have been briefed by the radiologist who read the ultrasound study in order to obtain a thorough explanation Of results and findingS.The Hoag Corporate Health provider will explain next steps. Hoag's First Responder Care Team will then make appropriate referrals/recommendation to specific doctors if desired by the patient. Haag Corporate Health Implemented this mode!with AnaheimFiregt Rescue in August of 2023 and conducted -80:Multi-System Screening Ultrasounds over 4 separate 6-hour screening events-see page 10 below for event flyer Hoag Executive:Health the City of Huntington Beach's consideration ofthefollowing proposal and-we welcome the opportunity to work together.Please note that proposal pricing will be validlor 180 days. Regards, Justin.Davis _ Vice President-,Business Development Hoag Executive Health • Proposed.Delivery Location Hoag Executive Health 500 Superior AYe,Smite.200 Newport Beath GA 92663 940..6294600 221 h. oago• .\.-,... ,i):::•.••..7„2,:,i,. --,..i.",irt,•,,'.• . , . , REQUEST FOR PROPOSAL VENPOlt•APPLICATION FORM. •-• • '•. •• • -— . I ..,-,._ tYPEOF APPLICANT 0 NEW - • .I: n CURRENT VENDOR tegg•CMItrACOPIN#Pe at'Corporation: l„,..:.,.,l.-.,,.,.0da:..v.'.:..;A‘„......,i..”„..0.,..;,,.„..]'...aD,„141.,,...!.;.1!..!U:.'.1.g-5giil...,.-,..wr.....,:.m.R•,.2.,-0N4iIii-F,d17....i.:V,.,...A,...,-..gI,.,...,..,,..fT...,.....:,,S.,,,,.,R,, ... . . I . . :. ,.for cont ,,,,,.—•••••-,..,0•:,,Am..7.e ..:7,,:•4].....:, ...'.:Jil.t.-;...:.-; .m. ,,,aa,.krgiuQ,,i,-.,.•n,-,1,,!4':1,.,i;m-i-qigsi-iTal Contact Agreement:pPerstiti 4,,,..:......,,,,.... :l-Pfir7!"..fi!,!!!!!!-L6.!!!!,i,::::!Ti!!!!!!!!!!!!,,!!:.:,,,h';•;.%1--,;.;,,,::!II.7-:;;;;._;:•,,,,,,,:;:::,:-;:-,.::,,,,,::7;:,,,,-:i,:-,,7,.,,,, . . . , • . 1 alitill- :ul!'7,00:it01'PAc. :0 :‘,.:04.::,*44: ..4.1.7...2;t7.1.6z,,g.,a21--AE:kig!lik,s,,,i,,,. : . cospoTate-moitjgg.444$ $$: -- : ,..._,....;-,;.'..,;,7,.::,,ANil.:;T:::N;m4z:g.geektq fireath,;exte-,..tibi.1 City,'State attort 4 Code:: .:,...,Newport7_ .46467.,. .04.0i.,..6H1044it0, tatsailAci4Fe77t.....,:t,.. .!,.::.2.!z::::::ts;.;;;,;:,--,:iiiii . . Phone: .--,7:,94.'"1-:04004.41 .1111111 . Fai..-!.'-',."'''':'!!!!!..!.'..:.!.!: ',!..''..';',''..!',1':!::.!!..',:,,':'.1::'.';':'..,',1.','.:.:',..,'.'::,';:.:;;1',',;;;;;;;;;;; . ... ...,mg,,,,,,,-.:•,,,,,,,,...---- , .•,•,„.,„7.1.::,,!,:•twimilimmoglit9,.:.; :.: !:4.1iiii,14:atikgimolipg:Iiii.fRgilinapiNgOt for Proposals: 41.itilk04*41.0010tia:k,4:„4k-alik?ARaggvil.y..-,:i.n.Q.,. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,:::,,,,,,,, • • , conta41potson' . . ,-;;:.-------"7---.--:•_'.•..'-'.'Tftm...o.....i. t„..,teifeeft,ig..wo-7gmeo*f.gP..--oy- o74:--p- mi...,:ii E.,• ,Additss,gA-.7•W.v.o-,. r. -',••-R--i,.,-74.7g ,.,,,,,,„•,.,,,,,,,.-F•,,,,.... ii,„,.,-,,E:,-,E:-E•e„A,,-:4:-•..-a.k•?.N,•i,z ,,45 !. . .i•i2,-4,:„.;;•,a-i:EA-,,E,?...:ilsa:_7.,;.11v„m . Business Fax ,w,:;,.,_4• :,:E.E,.•,.t:, ,i,,,i,:...„,;:•,-,,,,,,,,,,,, --- ,. •..-. • Busitioss,roletabono:"9,,$..„,,,..4o„,-0!;qt,,..„..1,4ii,',:ili,:y •:if,i,NTs1. Year Business was Established: • . , . • 1.15:',Irout business:(check one) , . ...: . . • ' --- • . Eli NON PROFIT CORPORATION !..E., FOR.'P.ROFITCORPORATION • -• , .•- -• Isyour business: (check one) . .. . . . , . .. . .. .... CORPORATION 1:3-, : . c LIMITED,LIAB: MITT PARTNERSHIP, . : 0 INDIVIDUAL ::.•,0•SOLE PR.C:3PREETORSTIP .. .,1. 0 PAIONEtslfg" '-CORN:MATED-ASSOCIATIO. •. ::0:-VNZI . - . • - . ..' . , 1.of1 222 ••• h _oa g Vater"::-;114 ..., Names&Titles OrCorporate BOattt.Members • (Also.list Ramei:4 Titles of pemons with written authorizationittsalution to gigotontratts): • Nantes Title Phone • . . Andrew Guarni • Foi4--fig-ako',•g=-0 • ijamw.-tti,'.LLinuuergogaz ,-0111miEgai vOke(Me#1cat officer • Justin Davis •, • '049t6684, . • • Federal Tax Identification Notable City of Huntington Number:. (1.1nont,,:y9Otttlif obtalOollOntingtot BOachEitiSittet.S:LitOOpotkowaict,of;contract.) City . 4 - of Huntington Beach Business License E,Xpitatwit Date: 03/31/2025 • _ • • • •• • • • • • • • . . . • . :• • •• •- • • • c. • • • •• . • • • 42, • 223 k _44 B. References • 1. Orange County Fire Authority&Oc Professional Firefighters Association Brian Abney—Director of COFA ,julY2023—Present EtdanAbnevg0C-Firefikhtert:org 805.331.8404 Hoag Corporate Health conducts the entiretyof the Orange County Fire Authority's Wellness and Fitness MOM Program and has done 50 since lamiary of 2018,tondUcting'n,000 First Responder physical exams annually in'addition to conducting educational/instruction-based station VisitS to all firehouses..in 2023 the OC Professional Firefighters Association(Local 3631)requested to add the',palled Multi-Cancer Blood Test to the WeFit program:, Hoag corporate Health worked with the 0C.PFA to establish a first of its kind blood cancer screening cadence allowing for augmented , testing parameters based.on age and risk level.To kick off the program Hoag conducted 2 large scale screening events which were held at.00PFA Head Quarters where'412$fire fighters were screened.:In addition,Hoag began incorporating the Oalleri MOW-Cancer blood test into the annOalWeFit exam protocol,allowing bcFA fire fightersto get the test drawn at the same time they are onsite for their physicalexandnation.Assuch,Hoag Corporate Health as administered aellerj,cancer screenings to PC:FA personnel in N3-morihts,Hoag Corporate Health' also implemented a-comprehensive education and post-screening protocol designed to fully support and assist with care navigation for any positive tests as Well as allow for individual post result follow-up for any fire tighter,who wants additional information regarding negative test results as well. Lastly, Hoag supported the OCPFA and:OCFA,by aiding in the development of the protocols,messaging and concerns related to implementation of the program—meeting with Administration leadership and Stakeholders to understand both the science and clinical specifics of the Galleri test as well as the internal and external,messaging. 2. City of Anaheim Fire&Rescue •• Robert Stuart—Battalion Chief Augzolt,Present rsitiarteartaheintriet 714.772.1917 . . „.„. Hoag Corporate Health has conducted annual exams and fitness screenings for"200 eligible Anaheim'fire&Rescue suppression and HazMat personnel and have done so since November of 2018, In addition to the annual clinical exam program, has had'A full-body CT screening:program in place for Many years.Since we',began:engaging with.-- department,Hoag has voiced our concerns about this program and the significani radiation exposure associated'CO a full-body CT.As such we worked With the department to identify alternative solutions to this screening modality, which we suggested could be the implementation of 'Ultrasound,screening program.in late 2023 Hoag Corporate Health along with our preferred,ultrasound partner,conducted 3 full-day ultrasound screening.events,:conducted inside of AF&R's"NorthNet"training facility.72.ultrasound screenings were conducted Over the 3-day event,It was extremely well received and Hoag plans to continue supporting this alternative screening protocol at we hopefully transition away from full-body CT. 3. Huntington Beach,Fire Department Jeff Lopez•—:Division Chief Dec 2023:/fanuary20,24 ilobezgaurftitAb.ok714.314.5375 Haag Executive'Health hasconducted the Medical Wellness Exam program for HBFD since 2019,recently transitioning to ayear-rOund exam delivery schedule. In.2023 HBFDI contacted Hoag Corporate Health and requested to have'410 Gallert Multi-Cancer screenings conducted pre-designated'firefighter personnel'.We implemented 2 delivery :Models,with.roughly half of the participants"adding"the the multi-cancer blood test onto their scheduled annual medical' wellness exam—getting drawn;in office,and the other half coming to our office specifically to have the blood.draw for the test and;not incorporating the draw into their annual inediCaland,wellneSs exam. 224 • „:„.„--.........,,,, . ..., hoag. ( „ , ,, , ....., .......:..... ....„ . ,,,"...„.. i. ,...,..„.%„.„,„ References.,Supporting Inforrna- tion Hoag i bt' A Multi-Cancer Woad'Test Media Coverage • . • ' - I. Aehi.n F d the.Bod4e eettUte, p.o.dm.fewkofit.At‘out Gaiter' Cancer :Screening mil, Behind the Badge ,. , . . .. .... .. . . •Geller;cancer Screening - ,,DePaTtinerkt Wde Offertnaltuly-2023 -Every memberotthe 0CPFA Healtkaretrust has an - ---.,- J-,-----'""---77771.1 IN' • . opportunity to take part in the 0alteri°Cancer, 'Screening , .,,,,. ,-..,. , ,. ..; this year ,,..... , ,- . „, . , . ii_rill , .. . -Test performed during WENT Wm.Simple Blood DraYkt - -,--,--V,-,-.?.,,v1-4,,,-`•`,-,-;%,„:'',', '',V 4,- • . -Results are typically received Withip,7:10.days. ‘'','.,''•'.•'•,zTAr..,qpi,‘"`',1.,...::. •.:,,.,-,7.'.....i;., . • •"•.- ,',g••,,..,,..:-W.,-.''.,`.f,•.,:.,'''',,',. • . , • -"-°:',.-',. '44,42.:.'::', . .Cancer Screening Event ....,. .;...•-4,,,,,......,..4.- :;,:- _ „... --Heittat Local'3631 Headquarters on,November15 and ,-- '-''''.` r::...1r; .., 7'...1,1' 1..'( 16,2023 'Isqr - ''*-it'--',. ---..4.44.0,-_--,-, . . . . --Gave the-opportunity to-firefighters-who already came to •• !•,,•,•,7,7f.4. 14064 i'''';';';`: et,,, INEFIT,prior toluirl,to gettile Galled Test ...:le14-1---,?', -4Si .;,- s- --',,-; , •-Screened 215 Firefighters during 2-rlay event ''' ,, , t !-','''...-47.v.rs..i",:m. .,..,,,L,4_, ,.. •- , . Behind the Badge Article ., .. ..,„.. :1:thriedrailholdeawerscrodninifardronweeunw firefeherir .r' . Wag. 'I .https://behjndthebadke.cortr/hogggrait-haid:tanceu-screenihgfor-orange-countyfirefighiers/ •.-. 1., Sioectrum t —57oCcr I fi/lOrketk:New York M.....arket. News • - NparananiVedericesi,or ... .. , Galleri Cancer Screening ...... . . • .. . -K,-......--.7go.k:,:,..,g:„.,.. ::,-;;: rq,-;;J •.,,.—,:l.-,4--:,it...,t,,,,,....,•::,.,,,!.....7.1 •.6.allprUCapcer creening 0,,,a,'-',,A.., i.... 1, _1.4;s, - . .• e,,,,,',.-s,,,,t.,.-.',A.,,,,,,- , ... i._ ','--* ' - ',7,-....- --- --7:11 ANI t' .1 '4.!4::•V*-::',Aarm • i . I -Icreenrid:a'Wei of 60.'Fltsrfill4efsil?6 PiPnrr.5 trrorithlY -----4-iThr-1 11 r•o I if :, iti•, ,Fr— ...-.: . .., -Z Peottive pietas: i:v.31 ,r, _ -0.3x1POsitivityRatm, 2'4'., —... E51 • ir, .'"" r. • 4.ii • 'g`'''''.:.'..''''. 011. '". , • .. . ResultsCommunication . ( • -hlegativa Result-Restiltsare conununicatecito,firefighter ., , \0 :by-secure email.Firefighter receives copy of Galleri . ......,,El ."1 n" - •. PeSultot.alongwith rnedieal explanation Of results from Or .„ - -—. , • -- • ' Lindberg: •- ....,„ ., ' • • --Poisitiiiii Restritt-firrirrItivare•COriiintiniCated directly to '''''!"-'0,-”....4,‘,.rvrairr•-•*•4,--;.....,,,,*-ri.,,,,,k,,,,,,,,,,,ri,cr•r--,,,,,,-, ,• ' I • the firefighter by phone,from.the•physician,The physician :11:311 acre yritworretrurest reer A!ta!ort carrell, •has beelibriefed.by the Medicattiirectorar Galled for• thorough explanatfintrif results,ondlintlings.()Odor will 4) ilr10,4,...0.0 . .. . - . explain•next steps.HootCarelbarn will then make • • ,appropriate referrals/recommendation,ter$Pecific doctors: • Seectrurn News Story' _. if desired by the patient:Ourdoctore are available to communicate reoilts roPriniary:care Physicians as welt . boag. ' A • • ,. • , , . , .. h tt PS://r1V1.co ruin\ft/ I 1-b 0 to ugh ti h. a ith/2024"0112 3/6 tfa 7gots,b I o cid-tet-th at, cren .-fo r-,50-C a ri de rs' • • 225 • . „ ,,,„:„.......,.., .. . hoago. 3. Anaheim Fire& fiesclie Ultrasound Screening Flyer ,,,,,,.!,,...„..,c.ti,,,.7.,,:viitio;;:i.,:5,e,,,J.,,,,..;:,:,:i.,,:, ,,,1,°, pf„ 1 criai...,.6fi4friiiitttitibtt.tn the United Stiza wits suffeattxte.a heart 1:clit*Aaricer or strateiriliseir5fetirrt.theseimitientp can i6lai•suaersiut: rly riecite,Azutittert. -•.,. ' It.....›.....,-„,•-t -1 --'''''''11;.,'C'','•:`:''‘41Vt:-,,„:, i'l",;1;;;;... -,,,:'''.`;i-,.. '4„.,,i.'”QS'';‘.14,,,,..".•;;,''"--,-,‘r.,c<:;,,,,,':' *:';a'/,-,, .,,- ' ,',' ' '',",,,,Z•`",,-, "'"i- '''''' - , rit, .. i EA -„'. :,4 - ,- E 4 ., '0'4-:;4,-,,,;;,'„i'i,-4$4.,,'.,,;,',,4',,/1',1 '''''';2.;RT.'::‘,'"T i..f;,,,,s,„744,-.1%,,„-Zo ip''',".,',,'-.' -.,''''.:.;t'';',''';;Wit, •,- .r.--? ' ';---' i -*,,,,,,4:t-..-,;,',,S,',.•simA 1"4.24' "ik i I^'.t%tt., -- . ,ovirthi- --,t,pla ,,,-'i,-, '...-,- ,, =1,,,, .,...,'"m?,,,..-:-.,,""-t..,.., '4",t,"• itItItaliF 1 lIgiogloi?::VA,;,i, fit ' ''',,,'414,,,,r,„;,,-1'.,,t1:,,,,,,,,,'5„:":".,f:467,,•; I -,,,,:',,%':',".n,>:,,,,---,,-,,,,''•":„"n.,".' -.,-; -,-.-."-,.;:l',..,,,`f ".:. '''' ri ..";ll--,,, for Cardiovascuktr Disease and Cancer Prevention : 10-SCREENING cAROICVASCULAR/STROKE SCREENINGS #1 Echocardiogram ULTRASOUND PACKAGE Ultrasound to detect early signs of heart disease AS PART OF AF&R I #2 Carotid Ultrasound EMPLOYEE HEALTH screens for fatty plaque in the carotid artery to detect - 1 ASSESSMENT WITH HOAG stroke , - - #3 Aortic Aneurysm Screening Detects early signs of an aortic aneurysm using Valued At Over 34000 in Rospitals ultrasound _ i , - • - - •- CANCER SCREENINGS Abdominal Cancer 5-In-I Screening • Schedule your 'appointment: #4 Liver -tt5 Kidneys-its Pancreas' Call Ted Schaper IN at -#7 Gallbladder-#8 Spleen i fl.k.,S49), Screens for early signs of dander using ultrasound .. 7(53-7133 It9 Thyroid Ultrasound • Screens for early signs of cancer using ultrasound #10 Colon Cancer Screening A safe and effective at-home test that yields . immediate results Complimentary with screening package• . . AIJUST',71 12. &25- . ,, . .' OPTIONAL SCREENING - . . Pelvic Ultrasound Screening for Women . Detects abnormalities in the uterus,ovaries,and , r' fgDErOirrilkT, endornetnum . . 'CONPSRENCE RO(DM ' 'Some+mem or me pono eas cx.r.m.t:be seen itstng ultrosetind ........ . . . _ r ( 226 1 h oa •g v.„........ iy.:fr -,.:-t-,.-m..m.v.,:,.•,,,,, 1 C Pricing ',:ilttre :Multi;C: Iiii4i,i44kiiiin-V231k.::.: :::altIN5iii-TETUf . N Galleri,Molti-Cancer,Olood Screening..., .. ,. ,. .. _ ,_. $750/ea. , Ultrasound i614;141417-i$NIfigaitar .':;:::; Cardiovascular and Cancer Screenings $490/ea.. Optional Pelvic Screening(Women): $110/ea.. • Screening,Service Detail Galled Multi-Cancer Blood Screening 1, includes cost.of test, blood draw,result deliveryand consultation with a physician to review results i 2. Includes consultation,direction and insight far HBFD leadeithip regarding the clinical rationale,implications and messaging related to the rollout of the multi-cancer blood screening program. . 1 I 3 Includes care coordination and support for any firefighterwho receives a positive test i a.. Physician ConsUltation with firefighter 13. Physician Outreach and consultation with,firefighters primary care doctor •C, Support with identifying specialist and scheduling preliminary appointments inside or outside of Haag network. Cardiovascular Ultrasound Screening I 1. Echocardiogram-Evaluates cardio functions using digital ultrasound with color flow imaging 2 Carotid UltrasoOnd-Screens the Main arteries of the neck to detect blockages to blood flow and identify narrowing of vessels,tumors and other abnormalities 1 Aortic.AneUrysrn-Screensthe:abdominal aorta in Searelt of precUrsars or signs Of abdornina I aortic aneurysdis Cancer Ultrasound Screening 1. 4iverScreening-screensliVer for masses and cysts 1. kidneys Screening-Screens the kidneys for masses and cysts; ,3. Pancreas Screening-Screens the pancreas for masses and cysts.(Note:-some areas Of the pancreas are not visible . through ultrasound) 4, Gallbladder Screening-Screens the kidneys for masses and cysts 5. Spleen Screening-Screens-the spleen for massesand cysts 6 Thyroid Screening-Screens the thyroid for masses and cysts - 7. Colon Cancer Screening'kit-FDA Approved EZ Detect Occult Blood Test kittridetect pre-symptomatic hidden intestinal tract diseases including talbrectal cancer . Optional"add-ore Ultrasound Screening 1 Pelvic Screening(For*Often) Screens for masses,cysts,fibroids and other abnormalities in the uterus,ovaries,and endarnetrium 227 1 . •,.„. hOag* D. Federal Grant Forms GENERAL PRINCIPLES CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply with generally accepted'accounting principles and good business practices. CONSULTANT shall, at its own.-expense, furnish all cost items associated with the proposed services except as specified to be furnished by City. CONSULTANT shall retain financial records,supporting documents, statistical records, and all other records pertinent to the proposed services for a period of a'minimum of three(3)years from the expiration of the term of the Master Agreement. CONSULTANT shall take reasonable measures to safeguard protected personally identifiable information and other information designated as sensitive or is considered sensitive consistent with laws regarding privacy and responsibility over confidentiality. CONSULTANT shall also certify that none of the proposed equipment or services are produced•by Hytera Communications Corporation. Hangzhou•Hittviathh Digital TeohnOlogy Company„or Daiwa Technology Company tor any subsidiary or affiliate of such entities):or produced by an entity owned or controlled by, or otherwise connected; to, the government of a covered foreign county in accordance with 2 CFR:200216. In order to,endure objective contractor performance and eliminate Unfair.competitive advantage, CONSULTANT must certify that they did not assist in the development of draft specifications, requirement*statements of work,or invitations for bids or requests for proposals far the protect_ Business Name:Hoag Clinic D.B.A.Hoag Executive Health 4/274924 Justin Owls--Vice President Business Development Date: By: Name and Title of Authorized Representative Signature of Authorized Representative 228 , • • . ;fa?:->:.4--,,,,'.,,e.:•:. II , III )ag NON-DISCRIMINATION CERTIFICATION.FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply With'the proviiions of Title VII of the tivil.Rights Act of 1964 in that it will not discriminate against any individual With respect to his or her compensation,terms,conditions, or privileges of employment nor shall CONSULTANT discriminate in any way that would depriVe or intend to deprive any individual of employment opportunities or otherwise adversely affect his or her status as an employee becausesof sucnindividuart race, color,religion,sex,.national Origin, age, handicap, disability,medical condition,sexual orientation,gender identity,or marital status,These actions shall include, but not be limited to,,the following:.ereployntent, ,upgrading, demotion or transfer;recruitment or recmittnentadVertising; lay&Or termination;rates of pay Cr other-farina of compensation,and aelettien for training,including apprenticeship. CONSULTANT shall ensure that services and facilities are provided without regard'to ethnic group . "• identiOcation, race, color-, national:origin, creed,Terigion, age, sex,:physical or mental disability, pOlitical afrthation,or Marital status in.aceardance,With applicable.laws, including,.but not.limited,to, Title VI of the Civil Rights Act of 1964(42 U.S.C.'290-4,•Sedirin 162(4of the Federal-Aid Highway Act of 1973 (23 U.S.C... 324) Section.504 of the 'RehribilkatiOn Act of 1973; the Civil Frights Restoration Act of 1997(R1_190-299);Executive Order 12999(February 11,1994);Executive Order 13166 (August 16;2900); Title VII of the.Civil Rights Act of 4964 (42 ttl.S.d .2990-d); the Age Discrimination Act of 1975(42 U.S.C.6101.),Article 95,thanter 1,Part 4,DiVision2;Title 2(Section .. 11135,etseq)of the California Government Code;Titte9,Chapter 4,subchapter*(sectiort'WO*, 6t,§0,q)Pritte CbR and California DePedineet of Soda!Services Manual of Policies:and fmced. ores (CDSS'PAPP) D* - . il.•21_ CONSULTANT shell-ensure that proppeed activftke be.accomprished in an equitable amlirripartiat manner zo that no person shall be eicluded because of race,color,gender,or national Origin from participation in, or be denied ille benefits, or:any program or activity'fiat-which federal 'inertial .. . assistance IS received pi.CF11.-Paiti22).. BUslnessName:Hoag Clinic.D.13A,Hoag'Executive Health. 4/2712024 Justin Davis-Vice President•BOsiness Development Date: By: Name and Title of Authorized Representative ,.......... ..—a- . Signature of Authorized Representative 229 1 iirgrouPogi. hOagor MBE and ANSE CERTIFICATION FOR FEDERALAID CONTRACTS It is the Policy of the City to ericotreage the participation at disadvantaged, minority and Women. owned business enterprises in the City's proOorethent process: CONSULTANT agrees to use its best efforts to'carry out this palicy when sourcing the use of outside coniultants,'ariViscas and contractors to the frilled.extentSpiacticable cantisterit with the efficient performance of a contract. CONSULTANT May rely on written representations by,consultants, advisors and contractors"regarding their status..CONSULTANT shell report to the City the names of all consultants,advisors and contractors hired for the proposed services and information on whether Or not they are 3 disadvantaged, minority or women-owned business enterprise, as defined. in Sectice 8 of &nag 8tIsilleat. (15.U,8•C•'8eci•,837). CONSULTANT shalt,in accordance With 2 CFI 200;321,take affirmative steps*include minority business, women's business enterprises, and labor.surplus area hums when'sourcing the use of otittidel consultants.advisors,and contractors for a contract:by: (a) Placing:qualified small and Minority businestresand women's business entevrises on ealiCitatiorr ltsb; Illy Assuring that small and minonly businesses and WOITteres business enterprises 'are solicited wheneverthey are potential sources; (c) Dividing total requirements,.when economically feasible,into smaller tasks or quantities : • to permit rriaxiiiitn,participation by small and Minoritybuilnessesand women's business enterprites; Establishing delivery.schedules,where the reqUirementspermit,which encourage participation by small and Mino*businesses and women's business enterprises;:end Using the services and assistance,as appropriate of such organizations as the.Sinai! Business Arkilinistration and the Minority:Business Development Agency of the Department of Cettimerce, BusinesSName:-Hoag Clinic D.B.A.Hoag Executive Health 4/27/2024 JuStin Davis-ViceOresident BuSinesebevelcoment Date: Name,and,Title of Authorized Representative Signature of Authorized.Representative 230 hoag. DOMESTIC PREFERENCE CERTIFICATION FOR FEDERALAID CONTRACTS It is the policy of the City to encourage a preference teethe purchase,acquisition,or use of goods, products, or materials produced in the United States (including but not limited to iron,aluminum. Steel,cement,and other manufactured products).The requirements of this section must be included all including all contratte and purchaseorders.. .CONSULTANT agrees to use its best efforts to comply with 2 CFR 200.322 to the fullest extent posaible consistentwith the elfitient perfonnancea4 card,* RECOVERED MATERIALS CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply with2 CFR 200322 and procure onlyitemadesignated in. UidlinesOf :the Environmental Protection Agency(EPA):at 44 CFR part 247/Abet contain the highest percentage Of recovered materials practicable; Consistent with maintaining a satisfactory level of competition. Where the purchase price Of the item exceeds S10,000 or the value of the quantity acquired during .the preceding fiscal year exceeded $10,000. CONSULTANT certifies that the percentage of recovered materials to be used in-the performance of this Agreement,will be at feast the amount required by applicable specifications Or other contractual reciiiiernents..Far contracts over$10,000 in total 'Value, CONSULTANT shall estimate the percentage.of tote/ material: utilized for the performance of the project that is recovered materials and shall provide with estimate te City upon request Business Name:Haag Clinic-03A Haag Executive Health 4/27/2024 _Justin:Davis-Vice President Business Development Date By: Name and Title of,Authorized Representative Signature of Authorized Representative 231 hoag. • CLEAN AIR ACT AND.FEDERAL WATER POLLUTION-CONTROL ACT CERTIFICATION FOR FEDERAL-MD CONTRACTS CONSULTANT agrees to comply Oh a pplicablestandard%orders regUlationSissuedpuratiant to the Clean Air Act,as aMergladr.42 V.S.C.-§§7401,70714t,CONSULTANT agrees to report each vioratiori to the USDA and the appropriate:EPA Regidtel Office: CONSULTANT agrees to comply with all applicable standards,orders or regulattonsissued pursuant to the Federailltrater Pollution Control Act as amended (33 U.S.:a:H1261-13E474.CONSULTANT agrees:tO report each violation toll*USDA and the apptopilate EPA:Regional:Office: _ I BusinessName: Hoag Clinic D.B.A. Hoag Executive Health 4/27/N24 Justin-I)** VicaPresident Business Development Date:: By: Name and Title of Authorized:Representative Signature Authorized Representative - • 232 ..,..../„.„,...„,,„ 1 hoag.' Certification Regarding ittebarment, Suspension.,and Other Responsibility Matters Primary Covered Transactions *Scot-Oration is required by,the regulatiOns implementing Executive Order 12549;Debarment and Suspension, 13 CFR Part 145 The regulations were published as Part VII of the May 26„ 1996 Federal:Register(pages 19160-1.9211), (BEFORE COMPLETING CERTIFICATION,'READ INSTRUCTIONS ON FOLLOWING PAGE) 1, The prospective'primary particiPant Certifies to the knowledge andbelief that it and its PPals: (a) Are not presently debarred, suspended„ propotedJor disbarment, declared,ineltible, or voluntarily excluded from covered transactor*by any Federal department or agency:, (b) Have not'Within a three-year period preceding this application been convicted of or hada civil judgement rendered against them for commission of fraud or a criminal offense in connection:With-obtaining„attempting to obtain, Or performing a public(Federal;State, or ) local) transaction or contract under a public transaction; violation of federal or State antitrust statutes or commission of embezzlement theft, forgery, bribery,falsification or I tlestructiOn Of re66144;Ma Iring,false statereents.ertweivin0 stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental , . t entity(Federal State. or local)with commission of any of.the offenses enumerated in ?„ paragraph(1 Xb)of this and (d) Have nOt*Rhin 3 three-year period preceding this application had One or More public •transactions(Federal,State,or local)terminated for cause or default 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such,prospective primary participant shalt attach an explanation to this Certification. Indicate to whom it applies„initiating agency,and dates Of action: .. Business Name:Hoag Clinic D.B.A.1-ioacr Executive Health 4/27/2024 Justin Davis-Vice President Business Development Date: By:. Name and Title of Authorized Representative Signature Of Of Authorized Representative 1 I 233 (a •h ag• INSTRUCTIONS FOR CERTIFICATION 1,By signing and.subinitlina,thisnreposal,the prospective primary participant is ProViding the certification set out below. 2.The:inability at a person to provide the certification required below will not necessarily result in denial of participation in this covered'transaction_The prospective participant shall submit an explanation of why it cannot provide the certification set out below.The certification or explanation Wili be considered in connection • with the department or agency's determination whether to enter into this transaction.However,failure of the prospective prtntary parkirrant tor furnish a certification or explanation shall disqualify such person from participation in this transaction. IThetertificatiort in this clause is a material representatiorint fact upon which reliance Was placed when the department.or agency.determinerito enter into this k it(a,later determined th*the,prospective , . . • primary participant AnoWingiy rendered an erroneous tertiliOgrat‘10:ad4itidt to other remedies available to the Federal Government,the department or agenCyrnay,terminatethIS transaction for cause or default. 4,The prospective witsfy participant shall provide immediate Whiten notice to the department or agency to , . which this proposal iS submitted if at any time the prospective primary participant(041S-that:its certification • was erroneouawhensiiihnitted.br has became erroneous by reason of changed circumstances. 5 The terms:'covered.transaction,""debarred,""Suspended: 'lower tier Covered transaction," "participant,'.".Pelson,""Ptfroallt covered transaction," :"proposal,'and Natrintanly,excluded,'as used in this clause, have the, meanings,Set out. the Definitions and Coverage sections of the, rules implementing ExetUtive.Order 12549.You may contact the department or agency.to whith this proposel is. submitted for assistance in obtaining:.a copy of those rOdniattont.(13 CFR Part 1.45).; 6.The prospective Ofilharlf.Pattkillgnt agre%‘,by:affbriflitia0 this,proposal lhOt should the proposed covered transaction baenterectintb;it shall not knowingly enter into lower tier covered transaction with eperSon who is debarred;suspended,ilgranifd ineligible, or voluntarily excluded from participation in this ;riveted transaction:unless authorized by the departmentoragency entering Into this transaction. 7.The prospective primary participant further agrees by submitting this proposal that it will include the clause titled 'Certification Regarding Debarment, Suspension, ineiigibility and Voluntary Exclusion—Lower Tier Covered TransaCtions,provided'by the department or agency entering into this coveredtransaCtion,vitnant. . ModficatiorLinaa lower tier covered transactions and In all solicitations for lower tier covered transactions. 8.A participant in a covered transaction may rely upon a certification"re a pinspecttle participant in tinWer tier covered transaction that it is not debarred,suspended, ineligible,or voluntarily excluded from the covered transaction,unless it‘.knows that the certification IS erroneous.A participant may decide the method and frequency by*h!ch It determines the ineligibility ofits principals.Each may,but is not re401.0..0 check the htprtOror:urerrierd List 9.Nothing contained in the foregoing shall be construed to require establishment of a system ofrecords in order.to render in good faith the certification mood by iciaaan,. The knowledge and infonnetterr of a participant is not required to exceed that which[anemia11Y possessed by a prudent persori in the ordinary course of business dealings. 10:::Except for transactions authorized under paragraph 6 of these Instructions,if a:participant In a covered transaction knowingly enters into slower det,cOverediransaction with a person Wtio is suspended,debarred, Ineligible,or vOuntatity excluded from Paftletpatinn in transaction, in addition to other remedies available to Federal dqvernmeel,the department or agency may terminate this transaction for Carta or default. 234 Lik a • g NON-LOBBYING'CERTIFICATION FOR FEDERAL-AM CONTRACTS The prospective participant,certges,by signieg,and sulenittlattthiS document,to thebestof hie or her knowledge and belief,that (1) No Federal approphatedfunds have been paid or will be.paid,,by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of'congress, an officer or „ employee of Congress.°ran employee of a Member of Congress in connection With the awarding of any federal contract,the making Ofen1(Federal grant the making Of any Federal loan,the entering into of any cooperative agreement,and the extension,continuation,,renewal,amendment or modification of any Federal contract grant,loan;or c,00peratke agreement, (2) It any funds other than Federal appropriated funds have been or will be paid to any Orton for influencing or attempting to influence art or employee of any'Federal agency,a Member of Congress,an officer or employeeofeangress, orari employee of aMeniberof Congress ipcaapecjiaalivitfrt*Fed6plicciritrapt, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-L11, Disclosure of Lobbying ACtiVities:in conformance With its instructianS, This certification is a material representation Of fact upon which,reliance was placed when this transaction was made or entered into.:Submission of this certification is prerequisite for entering into,,thistiansactinn.imposed by Section 1352,Title 31.U S Code Any person*he faileto- filethesequired certification shall be-Subjecfto a civil pendity of not less than110,000..arld,nct more than$100:613°for each such failure- the prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tierstibcontrects,which exceed $100;000 andthat all such subrecipients shall certifYand.cliatkise actbrdiright, Business Name:'Hoag Clinic D,BA. HOSQ Executive Health 4/27/2024 Justin Davis-Vide President Business Develotainerit, Date: By:. . Name and Title ofAuthorized Represewative Signature of Authorized Representative 235 hoag.. v„.... ,.,,,...,,. .f..„.....„..,,,, • . . . „ . NOT AP-PI ICA.' 'IllE'T-0 :11 0 A, G' .. . „ .*i.,.11qt.itilrfq#0:00ANTOtti 4NV-141-011:VENGACTIV,rti4 ... P.1$04010 00' 4011•414 AOltert.10: . . ,COMPt.4.54:1111.54PIEM TO 01$C1..04g..C.140,17.0071API1VITigS.PPIPO*T70.11‘14,.*C•13:<5:!2. .. • IL Type;of Pcdeitit.Actia0 2. -$00,4, et :114461$1 3,.:Reit*Typo *000 . . .• r..i. i,_, U m:cOnitztot a „:-tiOafteriagiallaatiaa: Li "a: faittia . 1;‘.Eimiiiatonirit tt nitiatti01:04ow t...c0400**0014001**1 t.,0**,44 iL 1004 ' forMAgeitIc4100.0131Y4 , . . . .c.ittnognigoOtoe ..•i* • sti1J3014#.. .:,.t Jima inaucal*. 'aPtolitia*,i,i.Ogic. . 4 !Nianazsaii,,i4004.0*.Ociiiiiinit Oilitu:; 4, :ligaisiaiciat knit*tia:,4 $abanaiiiii* .i4stor Nalaatiaut4iaiiirakzi,iittriatc't ' . a Piiina. 1:1 Salaiwanfew . • Twr ..,if4aowii •. . 014t,tritvtiontil:Diiirickirlitioovv: .: . C.006kiiitkatilaOttigk ifitrtikl= . . •ft, :rodtelltivoritocatt'AgoOtyt liti, Teriottot PrOgtrivAl`AntentatOpthOtt • • .. .. •• . . , • Ii. friki.0 0411 N,1.010041.1PAIWW.: •,.• •Aifir0141111:tejtknovax S• • . . •• #04 :14fittoor Ott AildfrOatOf2tanh*Riii0004 ifkk:huilolott rolohniatiiit tio.oicei Ortiiitivion' 1;!6Infiroa;rine 130114 ii.4 (ittiji4.iii Otft4iostift:16r4itittrioutc.Op. • . . :(liti.t ostioF.;.1:irit satrOill0.-, • . . . . ., , ... . ., . . . . . . • . .. .. (OttokliCatittitigithi ShOtt(i)it tottaOtity); . . . .. . 11, litiYitbieditga ..aucititoal"Oir.nilift vii0 041312 6- 54Tfitifir • • ut4041114.710.411/$4Aiiii!PO. This . . dWitralgO 4 tolO)1nit iK 444000 a-0:*tr.riet .:PrintNinout• : , . . . . . it7prwotottoo rpt.00..ivata.whial tr4600,.mtas: , 101444*dot 6ir,tkoto o,,1.44•14 04:14-10itwOoti • molt.ric'otolio.t'Oath.Tiiiit,ilitotoOtroli oo •TittO ,. ,. - papOuto tte4t.:14.4,c..;4.:44'...••''14t4 Ian***Ill,. . . 11141v4114.113r1i004.440.0* Gila to Kii:itiolitiCa*tt'igictoCtairo:iltoll:',1w.sotillidi TOSIdtgliN-64 :Ekie .. • • itt.:4•401"ittootty.OfIttti i0si ti*stiiitioi-004* 1,0**0-st0.0*(fikitit pOt 04.*Stiquit.... • AittliOO:Oittlitilrlik4 Repit*ItOzfiaii rgilierillIse Onlyt *ani$44.F.rin .04..(ito.,747y- . . , . 236 . . • iS .......... erk;4":: t "'". • • I ........... ;0 REQUEST FOR PROPOSAL FOR. MEDICAL WELLNESS:BLOOD CANCER.AND ULTRASOUND SCREENINC, 1 FIRE I .Departntenit CITY-OF TINOTON BEACH' Released on March 19,2024 Compliant With Federal and State Grant Requirements Pursuant to Title 2 of the Code of Federal Regulations.(cF.R..)partz* 237 General Liability Third Party Claims Administration REQUEST FOR PROPOSAL(RFP) 1. BACKGROUND&OBJECTIVE The City of Huntington Beach(City)is a local municipality located along the coast of Southern California within the County of Orange, 35 miles south of Los Angeles and 90 miles north of San Diego. It is bordered by the Pacific Ocean on the west, and is known for its 8.5 miles of beautiful beach. The City services a population of approximately 200,000 residents and draws over 11 million visitors to the City each year. The City of Huntington Beach is a full-service City and provides Police,Fire and Marine Safety services to the citizens. The intent of this RFP is to solicit quotes from qualified vendors (hereafter referred to as "Vendor")for medical/wellness cancer detection bloodwork and ultrasound screening for the City of Huntington Beach(hereafter referred to as the"City") The Huntington Beach Fire Department(hereafter referred to as the"Department")is seeking bloodwork panels to include a cancer detection bloodwork screen. Additionally, the Department is also seeking bids to provide ultrasound screening for the current employees. The Department may consider options to consolidate one or both of these services to a single vendor,while also considering the most cost-effective options for each independently.Vendors should quote elements separately as well as combined,if available. The ideal vendor,medical facility,or facilities would be located within Orange County, California limits. The City reserves the right to cancel,amend,modify and/or redistribute services needed for one or all items listed in this RFP,if determined to be in the best interest of the City,for any reason. This RFP may be partially or fully grant funded and Vendor agree to follow all grant, Federal, State,and City policies,guidelines,and regulations if selected as an awarded vendor for this RFP.The City will hold final decisions on the acceptance or denial of a claim and on any settlement authority. 2. SCHEDULE OF EVENTS This request for proposal will be governed by the following schedule: Release of RFP March 19,2024 Deadline for Written Questions April 2,2024 by 4 p.m. Responses to Questions Posted on Web April 11,2024 Request for Proposal Due April 26,2024 by 4 p.m. Tentative Award May 2024 238 1 3. SCOPE OF WORK The vendor is to provide the City with the following services: A. Program Administration: Vendor shall provide: A. Bloodwork panels to include a cancer detection bloodwork screen for Department employees. This blood panel should include but is not limited to detection screening for multiple cancers such as: Adrenal Cortical Carcinoma, Ampulla of Vater, Anus, Appendix Carcinoma,Bile Ducts,Intrahepatic Bladder,Urinary Bone,Breast,Cervix, Colon and Rectum, Esophagus and Esophagogastric Junction, Gallbladder, Gastrointestinal Stromal Tumor, Gestational Trophoblastic Neoplasms, Kidney, Larynx,Leukemia,Liver,Lung,Lymphoma(Hodgkin and Non Hodgkin),Melanoma of the Skin, Merkel Cell Carcinoma, Mesothelioma, Malignant Pleural,Nasal Cavity f and Paranasal Sinuses, Nasopharynx, Neuroendocrine Tumors of the Appendix, Neuroendocrine Tumors of the Colon and Rectum, Neuroendocrine Tumors of the Pancreas, Oral Cavity, Oropharynx (HPV-Mediated, p16+), Oropharynx (p16-) and - Hypopharynx, Ovary, Fallopian Tube and Primary Peritoneum, Pancreas, exocrine, Penis,Plasma Cell Myeloma and Plasma Cell Disorders,Prostate,Soft Tissue Sarcoma of the Abdomen and Thoracic Visceral Organs, Soft Tissue Sarcoma of the Head and Neck,Soft Tissue Sarcoma of the Retroperitoneum, Soft Tissue Sarcoma of the Trunk and Extremities,Soft Tissue Sarcoma Unusual Histologies and Sites, Stomach, Testis F Uterus, Carcinoma and Carcinosarcoma, Ureter, Renal Pelvis, Uterus, Sarcoma, Vagina and Vulva. A telehealth consultation with a physician should be provided for all POSITIVE results. = i B. Ultrasound screening for the Department employees. The ultrasound screen F1 should include but is not limited to:Cardiovascular/Stroke,.Carotid,Aortic Aneurysm. _ The ultrasound should also include liver,kidney,pancreas,gallbladder,spleen,thyroid, colon and pelvic screen for women. A telehealth consultation with a physician should be provided for all POSITIVE results. { C. The Department may consider options to consolidate both of these services,while also considering the most cost-effective options for each independently. Vendors should quote elements separately as well as combined,if available. B. Optional A. The ideal vendor would be located within Orange County,California limits. if 239 • 4.SPECIFICATIONS AND SERVICE PERFORMANCE STANDARDS A. All federal, state, and local authorizations needed, such as certifications and licenses required, for listed bloodwork panels, listed ultrasound screenings, and other listed scope of work items. B. An example can be found on the GRAIL website: GRAIL's clinical laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accredited by the College of American Pathologists (CAP). The Galleri test was developed, and its performance characteristics were determined by GRAIL.The Galleri test has not been cleared or approved by the Food and Drug Administration. GRAIL's clinical laboratory is regulated under CLIA to perform high-complexity testing. The Galleri test is intended for clinical purposes. C. Turnaround time between bloodwork panels and ultrasound screenings should be ten(10)days or less.Ideally,we can complete both tests for each staff in one visit,but separate test schedules is acceptable. D. Vendor should have the ability to schedule and test 128 staff members within a six (6)week period.This proposal is for one cycle of testing and covers 128 staff members. E. Vendor should be able to do a mobile blood draw located at Central Net Training Center in Huntington Beach. The vendor shall commit to four (4)mobile blood draw events and should have the ability to draw blood for up to 60 people at each event.The vendor should have a location within Orange County where staff members can go to obtain blood draws if they are unable to attend one of the four mobile blood draw events. F. Vendor should be able to do a mobile ultrasound located at Central Net Training Center in Huntington Beach. The vendor shall commit to four mobile ultrasound events and should have the ability to conduct ultrasound for up to 60 people at each event. The vendor should have a location within Orange County where staff members can go to obtain ultrasounds if they are unable to attend one of the four(4)mobile ultrasound events. 5. EVALUATION CRITERIA The City's consultant evaluation and selection process is based upon Qualifications Based Selection(QBS)for professional services. The City of Huntington Beach may use some or all of the following criteria in its evaluation and comparison of proposals submitted. The criteria listed are not necessarily an all-inclusive list. The order in which they appear is not intended to indicate their relative importance: A. Compliance with RFP requirements B. Understanding of Project C. Methods and approach described to accomplish the Scope of Work of this RFP. D. Recent experience in conducting work of similar scope, complexity, and magnitude for other public agencies. 240 E. Educational background, work experience, most importantly public sector work experience,and directly related consulting experiences. F. Price G. References from local clients with particular emphasis on local government. The City may also contact and evaluate the bidder's and subcontractor's references; contact any bidder to clarify any response;contact any current users of a bidder's services;solicit information from any available source concerning any aspect of a proposal; and seek and review any other information deemed pertinent to the evaluation process. The evaluation committee shall not be obligated to accept the lowest priced proposal,but shall make an award in the best interests of the City. After written proposals have been reviewed, discussions with prospective firms may or may not be required. If scheduled,the oral interview will be a question/answer format for the purpose of clarifying the intent of any portions of the proposal. The individual from your firm that will be , directly responsible for carrying out the contract, if awarded, should be present at the oral interview. A Notification of Intent to Award may be sent to the vendor selected. Award is contingent upon the successful negotiation of final contract terms. Negotiations shall be confidential and not subject to disclosure to competing vendors unless an agreement is reached. If contract negotiations cannot be concluded successfully,the City may negotiate a contract with the next highest scoring vendor or withdraw the RFP. 6.PROPOSAL FORMAT GUIDELINE Interested vendors are to provide the City of Huntington Beach with a thorough proposal based on the Scope of Work using the following guidelines: A. Vendor Application Form and Cover Letter Complete Appendix A, "Request for Proposal-Vendor Application Form" and attach this form to the cover letter. A cover letter, not to exceed three (3) pages in length, should • summarize key elements of the proposal. An individual authorized to bind the consultant must sign the letter. The letter must stipulate that the proposal price will be valid for a period of at least 180 days.Also,the cover letter should indicate the address and telephone number of the contractor's office located nearest to Huntington Beach,California,and the office from which services will be provided,if they differ. B. References Provide at least three references that have received similar services from your company. It • is preferrable in the references are for either other governmental agencies or are local companies. The City reserves the right to contact any of the organization o individuals listed. Complete Reference form in Appendix A or provide references in your own formatting containing all the required information. 241 C. Fee.Proposal Indicate which services your able to provide as Well as the cost for those services Indicate the testingprice for each individual to include cancer screen bloodwork and ultrasound. D. Federal Grant Forms Complete the various required certifications for Federal-Aid Contracts(Appendix D) The City will only award a contract or purchase order to a responsible bidder possessing the ability to perform successfully Wider the terms and conditions of this procurement and which will be most advantageous to the City. 7. PROCESS FOR SUBMITTING PROPOSALS prepoSals must be submitted in PDF file lot a .. • * Content of Proposal The proposal must be submitted using the format as indicated in the proposal format guidelines • Preparation.of Proposal Each proposal shall be prepared simply and economically, avoiding the use of elaborate promotional Material beyond those sufficient to provide a complete,accurate and reliable presentation. • Number of Proposals. Submit one (1)PDF file format copy of your proposal in sufficient detail to allow for thorough evaluation and coniparative analysis. Submission of Proposals complete written proposals.must be submitted electronically in PDF fik format via the Planetbids.com website no later than 4.10p.,114.(P.5.7)on 4prit20,2024. Proposals will not be accepted after this deadline, ,Faxed or e-mailedproposalkwill not be accepte4 • Inquiries Questions about tins must be directed via Planetbids through the A A tab no later than April 2024'@ 4pm Cody Hernandez,Buyer 'Cody.hemandezPsurfeity-hb.org 242 From the date that this RFP is issued until a firm is selected and the selection is announced, firms are not allowed to communicate for any reason with any City employee other than the contracting officer listed above regarding this RFP, except during the pre-proposal conference. Refer to the Schedule of Events of this RFP or the City webpage to determine if a pre-proposal conference has been scheduled. The City reserves the right to reject any proposal for violation of this provision. No questions other than written will be accepted, and no response other than written will be binding upon the City. • Conditions for Proposal Acceptance This RFP does not commit the City to award a contract or to pay any costs incurred for any services. The City, at its sole discretion, reserves the right to accept or reject any or all proposals received as a result of this RFP, to negotiate with any qualified source, or to cancel this RFP in part or in its entirety. All proposals will become the property of the City of Huntington Beach,USA. If any proprietary information is contained in the proposal,it should be clearly identified. 8. STANDARD TERMS AND CONDITIONS • Amendments The City reserves the right to amend this RFP prior to the proposal due date. All amendments and additional information will be posted via planetbids.Bidders should check this web page daily for new information. • Cost for Preparing Proposal The cost for developing the proposal is the sole responsibility of the bidder. All - proposals submitted become the property of the City. • Contract Discussions Prior to award,the apparent successful firm may be required to enter into discussions with the City to resolve any contractual differences. These discussions are to be finalized and all exceptions resolved within one (1) week from notification. If no resolution is reached, the proposal may be rejected and discussions will be initiated with the second highest scoring firm. See Appendix B for a sample agreement. • Confidentiality Requirements The staff members assigned to this project may be required to sign a departmental non- disclosure statement. Proposals are subject to the Freedom of Information Act. The City cannot protect proprietary data submitted in proposals. • Financial Information The City is concerned about bidder's financial capability to perform, therefore, may ask you to provide sufficient data to allow for an evaluation of your firm's financial capabilities. 243 • Payment by Electronic Funds Transfer—EFT: The City requires that payment be made directly to the vendor's bank account via an Electronic Fund Transfer(EFT)process. Banking information will need to be provided to the City via an Electronic Credit Authorization form. A City Representative will provide the Electronic Credit Authorization form upon intent to award. Vendor will receive an Electronic Remittance Advice with the payment details via email. It is solely the responsibility of the vendor to immediately notify the City of any change to their information related to payments. The City reserves the right to cancel, amend, modify and/or redistribute services needed for one or all items listed in this RFP, if determined to be in the best interest of the City,for any reason. This RFP may be partially or fully grant funded and Vendor agree to follow all grant, Federal, State,and City policies,guidelines,and regulations if selected as an awarded vendor for this RFP. • Insurance Requirements &Sample Agreement City Resolution 2008-63 requires that licensees,lessees,and vendors have an approved Certificate of Insurance (not a declaration or policy) on file with the City for the issuance of a permit or contract.Within ten(10)consecutive calendar days of award of contract, successful bidder must furnish the City with the Certificates of Insurance proving coverage as specified in Appendix C. Failure to furnish the City with the required certificates within the time allowed will result in forfeiture of the Proposal Security. The City strongly encourages all bidders to review the Sample Agreement and Insurance Requirements before responding to the Request for Proposal. Please carefully review the Sample Agreement and Insurance Requirements before responding to the Request for Proposal enclosed herein. The terms of the agreement, including insurance requirements, have been mandated by the City Council and can be modified only if extraordinary circumstances exist Your response to the Request for Proposal must indicate if you are unwilling or unable to execute the agreement as drafted as well as providing the insurance requirements. The City will consider this in determining responsiveness to the Request for Proposal 244 APPENDIX _ 1 { 245 1 REQUEST FOR PROPOSAL VENDOR APPLICATION FORM TYPE OF APPLICANT: ❑ NEW ❑ CURRENT VENDOR Legal Contractual Name of Corporation: Contact Person for Agreement: Corporate Mailing Address: City,State and Zip Code: E-Mail Address: Phone: Fax: Contact Person for Proposals: Title: E-Mail Address: Business Telephone: Business Fax: Year Business was Established: Is your business: (check one) ❑ NON PROFIT CORPORATION ❑ FOR PROFIT CORPORATION Is your business: (check one) - ❑ CORPORATION ❑ LIMITED LIABILITY PARTNERSHIP ❑ INDIVIDUAL ❑ SOLE PROPRIETORSHIP ❑ PARTNERSHIP ❑ UNINCORPORATED ASSOCIATION f4 1of2 246 Names&Titles of Corporate Board Members (Also list Names&Titles of persons with written authorization/resolution to sign contracts) Names Title Phone • fi fi Federal Tax Identification Number: City of Huntington Beach Business License Number: (If none,you must obtain a Huntington Beach Business License upon award of contract.) City of Huntington Beach Business License Expiration Date: - - f 1 yt[f 2 of 2 247 . i References of Work Performed Form (Like agencies preferred) Company Name: 1.Name of Reference: Address: Contact Name: Phone Number: Email: Dates of Business: 2. Name of Reference: } Address: Contact Name: Phone Number: Email: Dates of Business: 3. Name of Reference: Address: Contact Name: Phone Number: Email: Dates of Business: } - i 248 APPENDIX B - i 249 } SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND • FOR 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 called"City,"and ,a California Limited Liability Company, hereinafter referred to as"Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of janitorial and porter services. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement,Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a comparable company or firm in the field. Contractor has been selected to perform these services pursuant to Huntington Beach Municipal Code Chapter 3.02. NOW,THEREFORE,it is agreed by City and Contractor as follows: 1. Scope of Services Contractor 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." Contractor hereby designates ,who shall represent it and be its sole contact and agent in all consultations with City during the performance of this Agreement. c 2. City Staff Assistance City shall assign a staff coordinator to work directly with Contractor in the performance of this Agreement. 17-6145/170197/11/28/17/DO 1 250 3. Compensation a. City agrees to pay,and Contractor agrees to accept as total payment for its services,the rates and charges identified in Exhibit"B." The total sum to be expended under this Agreement,shall not exceed ($ )per year for any one year during the term of this Agreement,with a year aggregate total not to exceed amount of ($). b. Payment by City shall be made within thirty(30)days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. c. Contractor shall be paid pursuant to the terms of Exhibit"B." 4. Term Time is of the essence of this Agreement. The services of Contractor are to commence ,or as soon as practicable after the execution of this Agreement by City(the"Commencement Date") and terminate ,unless terminated earlier in accordance with the provisions of this Agreement. Contract may be extended for 2 additional one-year periods if mutually agreed to in writing by both parties. The time for performance of the tasks identified in Exhibit"A"are generally to be shown in Exhibit "A." This schedule and Term may be amended to benefit the Project if mutually agreed to in writing by City and Contractor. In the event the Commencement Date precedes the Effective Date,Contractor shall be bound by all terms and conditions as provided herein. 5. Extra Work !!k In the event City requires additional services not included in Exhibit"A"or changes in the scope of services described in Exhibit"A,"Contractor will undertake such 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. Disposition of Plans,Estimates and Other Documents Contractor 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,date or programs,maps,memoranda, letters and other documents,shall belong to City,and Contractor 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. 17-6145/170197/11/28/17/DO 2 251 7. Hold Harmless Contractor 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,and consequential damage or liability of any kind or nature,however caused, including those resulting from death or injury to Contractor's employees and damage to Contractor's property,arising directly or indirectly out of the obligations or operations herein undertaken by Contractor,caused in whole or in part by any negligent act or omission of the Contractor,any subcontractors,anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable,including but not limited to concurrent active or passive negligence, except where caused by the active negligence,sole negligence,or willful misconduct of the City. Contractor will conduct all defense at its sole cost and expense and City shall approve selection of Contractor's counsel. 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 Contractor. 8. Workers Compensation Insurance Pursuant to California Labor Code Section 1861,Contractor acknowledges awareness of Section 3700 et seq. of this Code,which requires every employer to be insured against liability for workers' compensation; Contractor covenants that it will comply with such provisions prior to commencing performance of the work hereunder. Contractor shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. Contractor shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors'employees. Contractor shall furnish to City a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and Contractor shall similarly require all subcontractors to waive subrogation. 9. General Liability Insurance In addition to the workers' compensation and employer's liability insurance and Contractor's covenant to defend,hold harmless and indemnify City,Contractor shall obtain and furnish to City, a policy of general public liability insurance,including motor vehicle coverage covering the Project/Service. This policy shall indemnify Contractor, its officers,employees and agents while acting within the scope of their duties,against any and all claims arising out of or in connection with the Project/Service, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage,including products/completed operations liability and blanket contractual liability,of One Million Dollars($1,000,000)per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, 17-6145/170197/11/28/17/DO 3 252 the aggregate limit must be no less than One Million Dollars($1,000,000)per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars ($1,000,000)for this Project/Service. This policy shall name City,its officers,elected or appointed officials,employees,agents, and volunteers as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the ti Project/Service shall be deemed excess coverage and that Contractor's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self- insured retention,or a"deductible"or any other similar form of limitation on the required coverage. 10. Automobile Liability Insurance Contractor shall obtain and furnish to City an automotive liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for Contractor's automotive liability in an amount not less than One Million Dollars ($1,000,000.00)per occurrence and a separate"Additional Insured Endorsement"page listing both the policy number and naming the"City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers"as additional insured on the endorsement. The above-mentioned insurance shall not contain a self-insured retention,"deductible"or any similar form of limitation on the required coverage except with the express written consent of City. 11. Certificate of Insurance Prior to commencing performance of the work hereunder,Contractor 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. 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. Contractor shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by City. This requirement for carrying the foregoing insurance coverage shall not derogate from Contractor'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. Contractor shall pay,in a prompt and timely manner,the premiums on the insurance hereinabove required. 17-6145/170197/11/28/17/DO 4 253 _ I 12. Independent Contractor Contractor 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. Contractor 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 Contractor 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. 13. Conflict of Interest Contractor covenants that it presently has no interests and shall not have interests, direct or indirect,which would conflict in any manner with performance of services specified under this Agreement. 14. Termination This Agreement may be terminated by the City upon thirty(30)days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to _ receipt of such notice of termination,subject to the following conditions: a. As a condition of such payment,the Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law,and Contractor consents the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 15. Exclusivity and Amendment This Agreement represents the complete and exclusive statement between the City and Contractor,and supersedes any and all other agreements,oral or written,between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto,the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with,or in addition to,the terms and conditions hereof,shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations,inducements,promises or agreements, orally or otherwise,have been made by any party,or anyone acting on behalf of any party,which are not embodied herein. 17-6145/170197/11/28/17/DO 5 254 16. Assignment Inasmuch as to this Agreement is intended to secure the specialized services of Contractor,Contractor may not assign,transfer,delegate,or subcontract any interest herein without the prior written consent of the City and any such assignment,transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 17. City Employees and Officials Contractor 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. 18. Notices Any notices,certificates,or other communications hereunder shall be given either by personal delivery to Contractor'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 below. City and Contractor 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 U.S. certified mail-return receipt requested: To City: Contractor: City of Huntington Beach Attn: Attn: . . 2000 Main Street Huntington Beach,CA 92648 19. 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 transactions or event. 20. Modification • No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 17-6145/170197/11/28/17/DO 6 255 21. 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. 22. Interpretation of this Agreement The language of all parts of this Agreement shall in all cases be construed as a whole,according to its fair meaning,and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable,void,illegal or invalid,such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement,the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act 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. 23. 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. 24. Immigration Contractor 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. • 25. Legal Services Subcontracting Prohibited Contractor 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. Contractor understands that pursuant to Huntington Beach City Charter Section 309,the City Attorney is the exclusive legal counsel for City; 17-6145/170197/11/28/17/DO 7 256 1 and City shall not be liable for payment of any legal services expenses incurred by Contractor. 26. Confidentiality Contractor recognizes that in the performance of its duties under this Agreement,it must conduct its activities in a manner designed to protect information of a sensitive nature from improper use or disclosure. Contractor warrants that it will use reasonable efforts consistent with practices customary in the facilities management industry in recruiting,training and supervising employees and in otherwise performing its duties hereunder in order to achieve this result. In the furtherance of this, Contractor agrees,at the request of the City,to require its employees to execute written undertakings to comply with the foregoing confidentiality provision. 27. Discrimination Contractor shall not discriminate because of race,color,creed,religion,sex, marital status,sexual orientation, age,national origin,ancestry,or disability,as defined and prohibited by applicable law,in the recruitment,selection,training,utilization, promotion,termination or other employment related activities. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal,state and local laws and regulations. 28. Jurisdiction—Venue This Agreement and all questions relating to its validity,interpretation, performance,and enforcement shall be government and construed in accordance with the - -- laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity,interpretation,performance,and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County,California, shall be the venue for any action or proceeding that may be brought or arise out of,in connection with or by reason of this Agreement. 29. Professional Licenses Contractor shall,through the term of this Agreement,maintain all necessary licenses,permits,approvals,waivers,and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States,the State of California,the City of Huntington Beach and all other governmental agencies. Contractor shall notify the City immediately and in writing of her inability to obtain or maintain such permits,licenses,approvals,waivers, and exemptions. Said inability shall be cause for termination of this Agreement. } 17-6145/170197/11/28/17/DO 8 257 • 30. 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 non-prevailing party. 31. Survival Terms and conditions of this Agreement,which by their sense and context survive the expiration or termination of this Agreement,shall so survive. 32. Governing Law This Agreement shall be governed and construed in accordance with the laws of the State of California. 33. 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. 34. Entirety (a) 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 parry's behalf,which are not embodied in this Agreement,and that that party has not executed this Agreement in reliance on any representation,inducement, promise,agreement warranty,fact or circumstance not expressly set forth in this Agreement. (b) All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 17-6145/170197/11/28/17/DO 9 258 35. Effective Date IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH,a municipal corporation of the State of ,a California California limited liability corporation By: Mayor Print name ITS: (circle one)Chairman/President/ Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Director of APPROVED AS TO FORM: City Attorney REVIEWED AND APPROVED: City Manager 17-6145/170197/11/28/17/DO 10 259 { APPEND Ix c { 3i ji ti { I 1 260 • CITY REQUIREMENTS ' AVInlenniarggli'lf!liiiiit i.iliiitivilitifIi: . sAili IlligilioilnimintagiamissoMMIPMWNSwante.Requirements ,::!:• ::': H : :i ,•?:• ••,::,EN i li:,,oig Vendor Type :mitli ::•,,iii;:;mgmm•:,ig,?iliii,agomNi!•, ,a•Q] ,:ipagosme,g,-Agi,,,,,,,, ,,,,,,,Aw:,:,,!:,i,,,dalcogg,,,gmanK,,,,,::,:, ,,,,,„,,,,,,:i,,,iiongw,, ,, „,: ,,,• •,„„,,„n: , ,„,,,,,,, 4, !:;:!,: :',,:•IADITh,::'1,•',,,v,a:,', :g:,-,::•,wg•m,,,• ••,••••,•1•••••k:•:•,ii••,i:E•J!•ii,,g, ii•H-:••••• ••:Automobile o:,:r ,• :NamiNngo•,:g•,1Ain32.4%':fek]mgrorosslanavi,•!,,,rToligoyak,:: :,f,,::,:3:4:,!,,alimil,,,,,,,ki:!ev,,,,:Iloplok lAktigiitymmo 4,,,:gGeneral ttopity,:m 0:,:m,Liability?,:tii 3,jfilurmw,E,W9fIctrtkPMt A10,91#P.,..,1400',, • 00nm-ton:Beach City CounedResolutwu No 2008-63 requires submittal of certificates of insurance evidencing the following mitsiniutn:liniitswitita California adinfrie4;carrier wilkocurrent44140esOs Rinintenolearthank.VIL.,SOoF.rihilnicAt-4forsamplefarms •grnail;!.;Instira jtroOn4@4.infeko4AorrornO4rhoriCamibolleoorickAkorr.Phone.;714-374-5378 or.71:4450..4210...Fav 7144164212.. .... .. _. , .. ... .. . ...... . . . .... . ... .. , AO deduetiMe'titheillieds those allowed in this iiiiiiii4 selfqinsuredSOA#*0*4Ait0h**-cof0t*ko:g*.At*ifioi0*or modifications approved by 00'404 Manager and'cit*Aiiarno Of the Civoiltantinpnrikach. NOTE: Waiversarn i intniodifications istiadtstOuragait anwill be considered 44xiiitdet:Ektmorditiar 1 etroonstanem! Contractors: Any persons of entities,who Kninnitnuf Combined single limit : As,required by• 1041(10 the contract with the City and/or provide services $1,000,000,per bodily injury and ; :the State of policy number the City which are readily available and occurrence for ] property damage, . : : California,with and Additional gOoiotlypt000to..4.bt ootpotitikiwaiog, . bodily injury. ! Minimum-of Statutory Limits Insured personal Witty $1,0011,000pet ! ]and Employer's Endorsement and property • occurrence Allows Liability Requirement Peribitteek Any Persons orentitiesvholnake -- -- - • damages.,Allows ••up to$5,000 • 'Insurance with -!statement application to the:cityfot,401*.00 up to$1,004 . deductible . . ' a limit Ono • belOw.,.400:pti#0, encroachment upon any street,waterway,: ' - : • :. -• 40ductibieigge: ,(Adailionalloure4 less than 3 below) pier;,or City propetty. . Note 1 7,OlOwj! Endorsement Li always ! • $10001:100 per; Vendors: Any persons or entities who transfers ! ::required with General ! • accident for . ! Liability h&j ! property or go0'410:010 city vwoh,:tx1:0W--)Aay ' bodilyinjuryot not involve•delivery and/or installation, disease:,(See Note 2 4ero*:) Note 1-Automobile Liability:,The CitYcf.tlinithigtou Beach,its officers,elected.or gpppirit0 officials,employees,agents and volunteers must be named as certificate holder and as additional insured by Separate ettacheitvodorsementrPennittees who.do not use vehicles or equipment in connection with,theperinit shall not be required to provide auto insurance To beiexempt from this requirement,perouttees:414,5t:expcutp a-declaration'Sg4..as Exhibit 1 attaChed, 11 ,. ....... .. ... . Note 2-Workers'Compensation Exemption If entity has no ooployoos,:4 signed Declaration of Non-Employee Status form is required: . , Note:3.-Additiong InsutedEodotgemeoc.'w4uitothow The City,its officers,elected or appointed officials,employees,agents,and volunteers are to be: •• i• covorod'o044itiOnabasutO4by:SOgataW4tta.bbed...ebdorsoment(O'as respects liability arising out of action performed by or on behalf of the contractor, products and:completed operations of the contractor.,vratnisevovnied,occupied,or used by the 004004 or automobiles owned,leased or borrowed by the cottitaetOr,Tbe etiVeria$e sit411.40titaitiO0 Weeieflittiitatibea,:41ttliaacop.a:Ofpreteetionafforded to the City • " . . ,. . fl.P1.1usPr4uc.,P:Malki*:•Tevise4.4-7.'4 6(4)*Islc ; ' . ' ' I,of 4 • . . • ; . • - , 261 i . CITY OF BUISTTIIY6TON BEACH INSURANCE.REQUIREMENTS Minimum Vendor Typ Insurance Requirements Additional' 7; • - „ Autimoinktr,otrif?;' jrefassionet , Insured Liability General Liability LiabilityInsurance Workers'Camp Endorsements Huntington Beath,(ityttattrietilleSehitieri No '00446$requires submittal efeettfficates of insurance evidencing the following minimum limits with a California admitted carrier with a-current AM Best's Rating ofno less.0444.A;',a4.Sgc Exhibits -41forsam,pleferms,- Emaihiustin:Wesseli@surfeaphkorrarikatheneatiiplielignitle104h.org 11,0110`;' Fax;:7144.1.64212, Any tieductifilgolher than Oesealloweitin:..thismatitc-self-insured retentions oesimilailiorms of easerage.liinitiniens or nieiltfleationt Midi be approved by the kick Manager and City ofthe 061.(fOoniiisoin.„Beach. :h1QTR: Waivers and/or modifications are discouraged and will he eonsideted only under extraordinary circumstances: Design . , Professionals: Professional service, Minimum of contractors who contract with the City and/or $1,000;000 per. provide architectural and/or engineering services occurrence and to the City. in the FrOfe$4101141$0,VICOS: Services that involve• aggregate .Allows up to. the.exercise of professional.discretion and . .$10,000 independent judgment bat04.On an advanced Or deductible specialized knowledge,expertise or training gained by formal studies or experience Or services winch are titit readily or efficiently procured by competitive bidding pursusntln Muni Code 3.02.Services includes but are not. limited to those services provided by Appraisers, architects,attorneys,engineers instructors, • insurance advisors,physicians and other specialized consultants. Claims niade.policies are aCceptableifthe poliCyturilier provideSthat:; 1)The policy retroactive date coincides with or precedes the professional services contractor's start of wOric. (including subsequent policies purchased as renewals or replacements). 2)The professional services contractor will make every effort to maintain similar insurance during the required extended period of coverage following project completion,including the requirement oradding all.additional insureds. 3)Ifinsurance is terminated for any reasen,.prefessiunal.services contractor agrees to purchase an extended reporting provision of St least two(2)years to report claims arising front work performed,in connection with this agreement or.permit. 41)•Thereporting of circumstances or Mcidents that tiiight give rise to future claims. ,O.iasurstee Mat*.reVii044446(2)citts . . Zpf41. 262 - , - CITY OF IfITTISTTINGTON Itt,ACIf OTS ,URMC't Ufgata1STEINTS -• 4,7 •zr,,,;. v.?k •;••7:- , 441 - Vendor Type ••.: .141 '•; •"!;.:''?"-',5*tigr,;,:fig 4fessien4t c:::Property •t oviipowilon vavoilittti-i- Allgort*si:3oticerf,Cutup rsement fluntinKton lear.fraiy'Council Reselaikaz.NEN200g-631.rauirte tubmittatoftett(tica tekaftatatanee.evideicelitgthefollowiiviiiiiinnaa kinits ivith a.Cahfom& •am ilta:cooler with,a arrent4111;liesi'e Rating rffnaloss.ilianAWIL See,lehibiit Al ,fer,sampk forms: liOtta.fileeeelsWwfcliy-likorgor ffeuahmeampbellOwfctijpaorg Phone;.71447443 nt er714-53.67521#:Pam!7144364212i Arfp aedadibkotheethanwijoeidiewedli,this ii#04v$0.04$4,1*t.OfOgi(i0 or$1*11.0)7ators playerage.11,04a4mt or modlicatfOne,muet te approveil:by the Sfaetaget gal 0014itentejro.t the:Ci6.0 villuagingtoh BeEZCJ NOTE: Watt,et*ailit/OritiodWatians.ara itiseasititga Wid will beatisiderial on!yiladekazitaardiiiiill crcuM1011041. Licensees/Lessees;Anypersons orentities Combined single limit Full As required by Include die • who contract with the Cityfor the use ofpublic, he4Y4anL te$40.etnent the.STate'Of poliOY twnibeo • property, propertydamage. cost.with no California,with. alld Additional. Minimum,of coinsurance $tatototy Limits Insured $1i000;000:per penalty. and.ErnPloyees Endorsement • occurrence:Allows 'provision: Liability Requirement 01).10.$,Si,000 fitsutanOe.*ith. Statement deductible. liniitutna below.gie Note. OdaiiipniztirOatinfg, )0so:thatk: 2); Endiosemt i„000poo per, tolatted.wiih:General accident for ztabiliiyhto hod*injury or disease..Pee: Notel.hdow.,J Note 1 tyliao.*3 employees',nsigtied:Oeolar4Onufl4:00tniployco Status form itrequired. . . . . : ... . . . . , Note'.2.—Additianal.InsurediEndorsement Requirements The officers,elected or appointed officials,employees,agents,ott.volotiteoat*tifY be. ecoVeredn$additional losotottl)y.toi7ar:4-to atttotted.-otortontexty asrespects liability ariiingnut of action performed by or on behalf of the contractor, products and completed operations of the contractor,premises owned,occupied or used by ilincontractor,or automobiles owned,leased or borrowed by the contractor The shall contain no special liMitatiOnS Mite SOOpe of protection afforded to the City... . . . • • • • MI.1 fps_stance-104x!tOsed,44-16:(2)Aint 4.664, , • • • 263 ••••. • • • - • 1 CITY OF HUNTINGTON BE,k.CII.INSUR&N,CE REQUIRKKE'iTS antihero Beach City Coanel Resolution No.200843 requites submittal of certificateS f ittsaraneeevidetteing the fallaningoinitnunt lintini with a Callfarnia admitted earner with a eurrentAlit.Reses Rating eine less than AirilL Any dedaellble oilier than lhoseallenvedla this matrbri self-insured'retentions-0e sitallarfinakefeoverage limitations:or ,nod ion 'Aunt heopplintally the Risk Atanaget-einl.CityAtterney ofthe City,efOrititingptt Beach. NOTR Waivers and/or nteaffeations areWisenetraged:and will he considered ottO undeo;extraardinarytittanistatteex. . m, iiimnusuranct- tou- ir •••, , • • . .• • 17C1:- ; •, Design Professionals,: Professional service contractors who Minimum of$1,000.;00fiper occurrence and in contract with the-City,anclior provide,architectural and/or .the aggregate..Allows up to$1:0,000 deductible. engineeringserVices to the City: Professional Services: Services that involve the exercise of professional discretion and independent judgment basecbmian advanced or specialited ImoWle4gUeXPertise or training gained by formal studies or experience or services which are notreadily or efficiently procured bycompetitive bidding pursuant to HE Mimi Code 3.02.Services includes but isnot limited to those services provided by appraisers,architects,attorneys,engineers,Instructors, insurance atiVisers,phrite lens:and.ether sPecializect consultartts, Cairns made policies are acceptable if the polic7futther provides that: 1)The policy retroactive'date coincides with or precedes the professional services contractor's,start of work • (including subsequent 139*1.0 PtIrehased TenovVats*tdPlacemel#4,,, 4 The professiOnal services contractor will make every:sant to maintain sirrular insurance during thorequired extended period of coverage following project completion,iiieludhig the requirement of adding all additional insureds, insurance kterminatcd for:any:reason,professional services contractor agrees to purchase ae extended reporting provision,of at least two(2)years to report claims arising from work performed in connection With this agreement or • permit 4),Thereporting,efeircutustances or incidents that might give rise to future claims. AB:Insurance MatIbLrditi6144=16;(2)0d# •4 of 4 264 APPENDIX D • • • j3 1 { 265 _ 3 GENERAL PRINCIPLES CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply with generally accepted accounting principles and good business practices. CONSULTANT shall, at its own expense, furnish all cost items associated with the proposed services except as specified to be furnished by City. CONSULTANT shall retain financial records, supporting documents, statistical records, and all other records pertinent to the proposed services for a period of a minimum of three (3) years from the expiration of the term of the Master Agreement. CONSULTANT shall take reasonable measures to safeguard protected personally identifiable information and other information designated as sensitive or is considered sensitive consistent with laws regarding privacy and responsibility over confidentiality. CONSULTANT shall also certify that none of the proposed equipment or services are produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company(or any subsidiary or affiliate of such entities);or produced by an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country in accordance with 2 CFR 200.216. In order to ensure objective contractor performance and eliminate unfair competitive advantage, CONSULTANT must certify that they did not assist in the development of draft specifications, requirements, statements of work, or invitations for bids or requests for proposals for the project. _ - Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative ' I " l 1of11 266 NON-DISCRIMINATION CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply with the provisions of Title VII of the Civil Rights Act of 1964 in that it will not discriminate against any individual with respect to his or her compensation,terms,conditions, or privileges of employment nor shall CONSULTANT discriminate in any way that would deprive or intend to deprive any individual of employment opportunities or otherwise adversely affect his or her status as an employee because of such individual's race, color, religion, sex, national origin, age, handicap, disability, medical condition, sexual orientation, gender identity, or marital status. These actions shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. CONSULTANT shall ensure that services and facilities are provided without regard to ethnic group identification, race, color, national origin, creed, religion, age, sex, physical or mental disability, political affiliation, or marital status in accordance with applicable laws, including, but not limited to, Title VI of the Civil Rights Act of 1964(42 U.S.C. 200-d); Section 162(a)of the Federal-Aid Highway Act of 1973 (23 U.S.C. 324); Section 504 of the Rehabilitation Act of 1973; the Civil Rights Restoration Act of 1987(P.L. 100-209);Executive Order 12898(February 11, 1994);Executive Order 13166 (August 16, 2000); Title VII of the Civil Rights Act of 1964 (42 U.S.0 2000-d); the Age Discrimination Act of 1975(42 U.S.C.6101);Article 9.5,Chapter 1, Part 1,Division 2,Title 2(Section 11135, et seq)of the California Government Code;Title 9, Chapter 4,Subchapter 6(Section 10800, et seq)of the CCR and California Department of Social Services Manual of Policies and Procedures (CDSS MPP)Division 21. CONSULTANT shall ensure that proposed activities be accomplished in an equitable and impartial manner so that no person shall be excluded because of race, color, gender, or national origin from participation in, or be denied the benefits, or any program or activity for which federal financial assistance is received (31 CFR Part 22). Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative 2of11 267 MBE and WBE CERTIFICATION FOR FEDERAL-AID CONTRACTS It is the policy of the City to encourage the participation of disadvantaged, minority and women- owned business enterprises in the City's procurement process. CONSULTANT agrees to use its best efforts to carry out this policy when sourcing the use of outside consultants, advisors and contractors to the fullest extent practicable, consistent with the efficient performance of a contract. CONSULTANT may rely on written representations by consultants, advisors and contractors regarding their status. CONSULTANT shall report to the City the names of all consultants,advisors and contractors hired for the proposed services and information on whether or not they are a disadvantaged, minority or women-owned business enterprise, as defined in Section 8 of the Small Business Act(15 U.S.C. Sec. 637). CONSULTANT shall, in accordance with 2 CFR 200.321, take affirmative steps to include minority business, women's business enterprises, and labor surplus area firms when sourcing the use of outside consultants, advisors, and contractors for a contract by: (a) Placing qualified small and minority businesses and women's business enterprises on solicitation lists; (b) Assuring that small and minority businesses and women's business enterprises are solicited whenever they are potential sources; (c) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses and women's business enterprises; (d) Establishing delivery schedules,where the requirements permit,which encourage participation by small and minority businesses and women's business enterprises; and (e) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce. Business Name:Date:_ By: Name and Title of Authorized Representative f4 Signature of Authorized Representative 3of11 268 , I DOMESTIC PREFERENCE CERTIFICATION FOR FEDERAL-AID CONTRACTS It is the policy of the City to encourage a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel,cement,and other manufactured products).The requirements of this section must be included in all subawards including all contracts and purchase orders. CONSULTANT agrees to use its best efforts to comply with 2 CFR 200.322 to the fullest extent possible consistent with the efficient performance of a contract. RECOVERED MATERIALS CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT shall comply with 2 CFR 200.322 and procure only items designated in guidelines of the Environmental Protection Agency(EPA)at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000. CONSULTANT certifies that the percentage of recovered materials to be used in the performance of this Agreement will be at least the amount required by applicable specifications or other contractual requirements. For contracts over$100,000 in total value, CONSULTANT shall estimate the percentage of total material utilized for the performance of the project that is recovered materials and shall provide such estimate to City upon request Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative 4of11 269 CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT CERTIFICATION FOR FEDERAL-AID CONTRACTS CONSULTANT agrees to comply with all applicable standards,orders or regulations issued pursuant to the Clean Air Act, as amended, 42 U.S.C. §§7401-7671q. CONSULTANT agrees to report each violation to the USDA and the appropriate EPA Regional Office. CONSULTANT agrees to comply with all applicable standards,orders or regulations issued pursuant to the Federal Water Pollution Control Act as amended (33 U.S.C. §§ 1251-1387). CONSULTANT agrees to report each violation to the USDA and the appropriate EPA Regional Office. Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative - I 5of11 270 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145. The regulations were published as Part VII of the May 26, 1988 Federal Register(pages 19160-19211). (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON FOLLOWING PAGE) 1. The prospective primary participant certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this application been convicted.of or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b)of this certification; and (d) Have not within a three-year period preceding this application had one or more public transactions(Federal, State, or local)terminated for cause or default. 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this certification. F Indicate to whom it applies, initiating agency, and dates of action. { Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative 6of11 271 INSTRUCTIONS FOR CERTIFICATION 1.By signing and submitting this proposal,the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in.this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below.The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3.The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government,the department or agency may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is submitted for assistance in obtaining a copy of those regulations(13 CFR Part 145). 6. The prospective primary participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction,unless authorized by the department or agency entering into this transaction. 7.The prospective primary participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transactions,"provided by the department or agency entering Into this covered transaction,without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8.A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that It Is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the ineligibility of its principals. Each participant may, but Is not required to, _ check the Nonprocurement List. 9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person In the ordinary course of business dealings. 10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended,debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government,the department or agency may terminate this transaction for cause or default. 7of11 • 272 1 1 NON-LOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this document,to the best of his or her knowledge and belief,that: (I) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement,and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency,a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S.Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts,which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Business Name: Date: By: Name and Title of Authorized Representative Signature of Authorized Representative 8of11 273 DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C.1352 1. Type of Federal Action: 2. Status of Federal 3. Report Type: Action: a. contract ❑ a. bid/offer/application ❑ a. initial b. grant b, initial award b. material change c. cooperative agreement c. post-award d. loan For Material Change Only: e. loan guarantee year quarter f. loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: 0 Prime Subawardee Tier ,if known Congressional District,if known: Congressional District,if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10.a. Name and Address of Lobby Registrant 10.b.Individuals Performing Services (If individual,last name,first name,MI) (including address if different from No.10) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Information requested through this form is Signature: authorized by Title 31 U.S.C.Section 1352. This disclosure of lobbying activities is a material y'"g Print Name: representation of fact upon which reliance was placed by the tier above when his transaction was made or entered into. This disclosure is required Title: pursuant to 31 U.S.C.1352. This information will be available for public inspection.Any person who fails to file the required disclosure shall be subject Telephone No.: Date: to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form—LLL(Rev.7-97) 9of11 274 • INSTRUCTIONS FOR COMPLETING SF-LLL,DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime federal recipient at the initiation or receipt of covered federal action or a material change to previous filing pursuant to title 31 U.S.C.Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency,a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered federal action. 2. Identify the status of the covered federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported,enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to: subcontracts,subgrants,and contract awards under grants. 5. If the organization filing the report in Item 4 checks"Subawardee"then enter the full name,address,city,state,and zip code of the prime federal recipient. Include Congressional District,if known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organization level below agency name,if known. For example,Department of Transportation,United States Coast Guard. 7. Enter the federal program name or description for the covered federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate federal identifying number available for the federal action identification in item 1 (e.g., Request for Proposal(RFP) number, Invitation for Bid (IFB)number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the federal agency). Include prefixes,e.g.,"RFP-DE-90-001." 9. For a covered federal action where there has been an award or loan commitment by the Federal agency,enter the federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a)Enter the full name,address,city,state,and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in Item 4 to influence the covered federal action. (b)Enter the full names of the individual(s)performing services and include full address if different from 10(a). Enter Last Name,First Name and Middle Initial(Ml). 11. The certifying official shall sign and date the form,print his/her name,title,and telephone number. According to the Paperwork Reduction Act,as amended,no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No.0348-0046.Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect 10of11 275 of this collection of information,including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,DC 20503. • • • • I 1 ` t 11 of 11 276 SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND HOAG CLINIC FOR MEDICAL WELLNESS BLOOD CANCER& ULTRASOUND SCREENING 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 called"City," and Hoag Clinic, a California Limited Liability Company, hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of medical wellness blood cancer and ultrasound screening. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field.and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a comparable company or firm in the field. Contractor has been selected to perform these services pursuant to Huntington Beach Municipal Code Chapter 3.02. NOW, THEREFORE, it is agreed by City and Contractor as follows: 1. Scope of Services Contractor 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." Contractor hereby designates Justin Davis, who shall represent it and be its sole contact and agent in all consultations with City during the performance of this Agreement. 2. City Staff Assistance City shall assign a staff coordinator to work directly with Contractor in the performance of this Agreement. 24-14998/350645 1 3. Compensation a. City agrees to pay, and Contractor agrees to accept as total pa ment for its services, the rates and charges identified in Exhibit"B." The total sum to be expended under this Agreement, shall not exceed One Thousand Fifty Eight Thousand Seven Hundred Twenty Dollars ($158,720.00) during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of per uormance set forth in the Recitals which may reasonably be expected by City. c. Contractor shall be paid pursuant to the terms of Exhibit"B." 4. Term Time i of the essence of this Agreement. The services of Contractor are to commence g13/2 , or as soon as practicable after the execution of this Agreement by City (the"Commencement Date") and terminate three (3) years from Commencement Date, unless terminated earlier in accordance with the provisions of this Agreement. Contract may be extended for 2 additional one-year periods if mutually agreed to in writing by both parties. The time for performance of the tasks identified in Ixhibit"A" are generally to be shown in Exhibit"A." This schedule and Term may be a ended to benefit the Project if mutually agreed to in writing by City and Contractor. In the event the Commencement Date precedes the Effective Date, Contractor shall be bound by all terms and conditions as provided herein. 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," Contractor will undertake such 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. Disposition of Plans, Estimates and Other Documents Contractor 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, date or programs, maps, memoranda, letters and other documents, shall belong to City, and Contractor 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. 24-14998/350645 2 7. Hold Harmless Contractor 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, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to Contractor's employees and damage to Contractor's property, arising directly or indirectly out of the obligations or operations herein undertaken by Contractor, caused in whole or in part by any negligent act or omission of the Contractor, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the City. Contractor will conduct all defense at its sole cost and expense and City shall approve selection of Contractor's counsel. 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 Contractor. 8. Workers Compensation Insurance Pursuant to California Labor Code Section 1861, Contractor acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; Contractor covenants that it will comply with such provisions prior to commencing performance of the work hereunder. Contractor shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. Contractor shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. Contractor shall furnish to City a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and Contractor shall similarly require all subcontractors to waive subrogation. 9. General Liability Insurance In addition to the workers' compensation and employer's liability insurance and Contractor's covenant to defend,hold harmless and indemnify City, Contractor shall obtain and furnish to City, a policy of general public liability insurance, including motor vehicle coverage covering the Project/Service. This policy shall indemnify Contractor, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out of or in connection with the Project/Service, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000)per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, 24-14998/350645 3 the aggregate limit must be no less than One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars ($1,000,000) for this Project/Service. This policy shall name City, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the Project/Service shall be deemed excess coverage and that Contractor's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self- insured retention, or a"deductible" or any other similar form of limitation on the required coverage. 10. Automobile Liability Insurance Contractor shall obtain and furnish to City an automotive liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for Contractor's automotive liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and a separate "Additional Insured Endorsement" page listing both the policy number and naming the"City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers" as additional insured on the endorsement. The above-mentioned insurance shall not contain a self-insured retention, "deductible" or any similar form of limitation on the required coverage except with the express written consent of City. 11. Certificate of Insurance Prior to commencing performance of the work hereunder, Contractor 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. 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. Contractor shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by City. This requirement for carrying the foregoing insurance coverage shall not derogate from Contractor'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. Contractor shall pay, in a prompt and timely manner,the premiums on the insurance hereinabove required. 24-14998/350645 4 12. Independent Contractor Contractor 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. Contractor 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 Contractor 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. 13. Conflict of Interest Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 14. Termination This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment,the Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 15. Exclusivity and Amendment This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to,the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise,have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 24-14998/350645 5 16. Assignment Inasmuch as to this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 17. City Employees and Officials Contractor 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 Goverment Code. 18. Notices Any notices, certificates, or other communications hereunder shall be given either by personal delivery to Contractor'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 below. City and Contractor 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 U.S. certified mail-return receipt requested: To City: Contractor: City of Huntington Beach Hoag Clinic Attn: Fire Chief Attn: Justin Davis 2000 Main Street 500 Superior Avenue, Suite 200 Huntington Beach, CA 92648 Newport Beach, CA 92663 19. 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 transactions or event. 20. Modification No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 24-14998/350645 6 21. 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. 22. Interpretation of this Agreement The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act 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. 23. 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. 24. Immigration Contractor 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. 25. Legal Services Subcontracting Prohibited Contractor 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. Contractor understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for City; 24-14998/350645 7 and City shall not be liable for payment of any legal services expenses incurred by Contractor. 26. Confidentiality Contractor recognizes that in the performance of its duties under this Agreement, it must conduct its activities in a manner designed to protect information of a sensitive nature from improper use or disclosure. Contractor warrants that it will use reasonable efforts consistent with practices customary in the facilities management industry in recruiting, training and supervising employees and in otherwise performing its duties hereunder in order to achieve this result. In the furtherance of this, Contractor agrees, at the request of the City,to require its employees to execute written undertakings to comply with the foregoing confidentiality provision. 27. Discrimination Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 28. Jurisdiction—Venue This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 29. Professional Licenses Contractor shall,through the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Huntington Beach and all other governmental agencies. Contractor shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 24-14998/350645 8 30. 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 non-prevailing party. 31. Survival Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement, shall so survive. 32. Governing Law This Agreement shall be governed and construed in accordance with the laws of the State of California. 33. 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. 34. Entirety (a) 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 Agreement in reliance on any representation, inducement, promise, agreement warranty, fact or circumstance not expressly set forth in this Agreement. (b) All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 24-14998/350645 9 35. Effective Date IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH, a HOAG CLINIC municipal corporation of the State of Califo By: Or Print name ITS: (circle one) Chairman/President/ :P`'2 Vice President City Clerk AND By: INITIATED AND APPROVED: Print name ITS: (circle one) Secretary/Chief Financial Lr Officer/Asst. Secretary-Treasurer Fire Chief APPROVED AS RM: City Attorney REVIEWED AND APPROVED: C--- Cit Manager • y COUNTERPART 24-14998/350645 10 35. Effective Date IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein. CONTRACTOR CITY OF HUNTINGTON BEACH,a HOAG CLINIC municipal corporation of the State of California By: -n - Mayor Yf 1�' ry"frcGt� Cie" ' Print name ITS: (circle one)Chairman/President/ Vice President City Clerk AND By. INITIATED AND APPROVED: Print name ITS: (circle one)Secretary/Chief Financial Officer/Asst. Secretary-Treasurer Fire Chief APPROVED AS TO FORM: a' . City Attorney REVIEWED AND APPROVED: City Manager COUNTERPART 24-14998/350645 10 EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Galleri Multi-Cancer Blood Screening 1. Includes cost of test, blood draw, result delivery and consultation with a physician to review results 2. Includes consultation, direction and insight for HBFD leadership regarding the clinical rationale, implications and messaging related to the rollout of the multi-cancer blood screening program. 3. Includes care coordination and support for any firefighter who receives a positive test a. Physician Consultation with firefighter b. Physician Outreach and consultation with firefighters primary care doctor c. Support with identifying specialist and scheduling preliminary appointments inside or outside of Hoag network. Cardiovascular Ultrasound Screening 1. Echocardiogram - Evaluates cardio functions using digital ultrasound with color flow imaging 2. Carotid Ultrasound- Screens the main arteries of the neck to detect blockages to blood flow and identify narrowing of vessels,tumors and other abnormalities 3. Aortic Aneurysm- Screens the abdominal aorta in search of precursors or signs of abdominal aortic aneurysms Cancer Ultrasound Screening 1. Liver Screening - screens liver for masses and cysts 2. Kidneys Screening - screens the kidneys for masses and cysts 3. Pancreas Screening - Screens the pancreas for masses and cysts (Note: some areas of the pancreas are not visible through ultrasound) 4. Gallbtadder Screening - Screens the kidneys for masses and cysts 5. Spleen Screening - Screens the spleen for masses and cysts 6. Thyroid Screening - Screens the thyroid for masses and cysts 7. Colon Cancer Screening Kit- FDA Approved EZ Detect Occult Blood Test kit to detect pre-symptomatic hidden intestinal tract diseases including colorectal cancer Optional "add-on" Ultrasound Screening 1. Pelvic Screening (For Women) - Screens for masses, cysts, fibroids and other abnormalities in the uterus, ovaries, and endometrium. 24-14998/350645 11 B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 24-14998/350645 12 EXHIBIT "B" Payment Schedule (Fixed Fee Payment) -sNit...; reb .. Multi-Cancer Blood Screening.. •Gatleri Multi dancer Blood Screening $750/ea � UltrasoundlScreening x , Cardiovascular and Cancer Screenings $ 0/ea Optional Pelvic Screening(Women) $�10/ea: 1. 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. 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. Each month's bill shall include a total to date. That total shall provide the total fees and costs incurred to date for the project. A copy of memoranda, letters, reports, calculations, and other documentation prepared by CONSULTANT may be required to be submitted to the CITY to demonstrate progress towards completion of tasks. In the event the CITY rejects or has comments, on any such product, CITY shall identify specific requirements for satisfactory completion. 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. If CITY does not approve an invoice, CITY shall notify CONSULTANT in writing of the reasons for non-approval and the schedule of 13 24-14998/350645 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. All extra work or additional services will be in accordance with the extra work or additional services and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. 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. 24-14998/350645 14 RECEIVED SEP 0 5 2024 City of Huntington Beach City Attorney's Office AC� to DATE(MM!DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 8/13/2024 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(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 certifi::ate does not confer rights to the certificate holder in lieu of rush endorsement(s). PRODUCER CONTACT Jenny Norbeck NAME: FAX Alliant Insurance Services,Inc. (ac No,Est): (949)527-9825 (A/C,No): 18100 Von Karman Avenue EMAIL ADDRESS: Ienny.norbeck@ellant.com 101h Floor Irvine,CA 92612 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A: Hoag Memorial Hospital Self•Insured Program INSURED INSURER B: BETA Risk Management Authority Hoag Memorial Hospital Presbyterian INSURER C: 1 Hoag Drive Newport Beach,CA 92663 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE __ INSR WVD POLICY NUMBER (MM/DD(YYYY) (MMIOD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE I X 1 OCCUR PREMISES(Ea occurrence) $ 2,000,000 A X PROFESSIONAL LIABILITY Hoag Memorial Hospital MED EXP(Any one person) $ 2,000,000 X CLAIMS-MADE X Self-Insured Program 07/01/2024 07/1/2025 PERSONAL&ADV INJURY $ 2,000,000 Retro Date:10/01/1986 GENT AGGREGATE LIMIT APPLIES PER" GENERAL AGGREGATE $ 2,000,000 POLICY I I JE T I I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: s COMBINEDtSINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person)- $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ _ HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 XHCL-24-1394 07/01/2024 07/1/2025 $ 5,000,000 B x EXCESS LIAR x CLAIMS-MADE X AGGREGATE - _ DED X [RETENTION 52M _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Ii yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more arriMIRQUrFrIP AS TO FORM Evidence of Professional and General Liability Insurance for Hoag Memorial Hospital Presbyterian. By: MICHAEL E. GATES CITY ATTORNEY CANCELLATION CITY OF HUNTINGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach, CA 92648 AUTHORIZED REPRESENTATIVE -/ .ram. �._ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD!YYYY) 08/27/2024 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(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 Ileu of such endorsement(s). PRODUCER CONTACT Kelly Grunerud or Brandon Ferguson NAME: Brown&Brown Insurance Services,Inc. PHONE AODREss: (612)333-3323 I(AAC,No); (A!C No,Exll: 80 South 8th Street E-MAIL Brandon,Ferguson@bbrown.com Suite 700 INSURER(S)AFFORDING COVERAGE NAIC S Minneapolis MN 55402 INSURER A; National Union Fire Insurance Company of Pittsburgh,Pa. 19445 INSURED INSURER a Hoag Memorial Hospital Presbyterian INSURER C: One Hoag Drive INSURER 0: PO Box 6100 INSURER£: Newport Beach CA 92658 INSURER F: COVERAGES CERTIFICATE NUMBER: 24-25 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. TR TYPE OF INSURANCE � Uy D POLICY NUMBER air POLICY POLICY EXP LIMITS (MM(DDIYYYI() fMM/DDIYYYY} COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENED CLAIMS-MADE n OCCUR• PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY piJE T LOC •PRODUCTS-COMP/OP AGG $ ' OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accldenn X ANY AUTO BODILYINJURY(Perperson) $ A — OWNED ^SCHEDULED Y CA5630125 03/02/2024 03/02/2025 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Par accidentl $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ ^— EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE I I NIA E.L,EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may bo attached I!more space Is required) City of Huntington Beach,Its officers,elected or appointed officials,employees,agents and volunteers are additiorAjy¢lsprerWjtsAgtrggtjl> IN ab Iity . policy where required by written contract,subject to the policy terms and conditions. MICHAEL E, GATES CITY ATTORNEY 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 City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /�RO DATE(MMroorrrr,) CERTIFICATE OF LIABILITY INSURANCE o9MMno24 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(les)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 Kelly Grunerud or Brandon Ferguson NAME: Brown&Brown Insurance Services,Inc PHONE (909)243-8200 FAX ytiC.No.Exit I(A/C,No): 3633 Inland Empire Blvd. ADOREss: Brandon.Ferguson @bbrown.com Suite 890 INSURER(S)AFFORDING COVERAGE NAIC H Ontario CA 91764 INSURER A: National Union Fire Insurance Company of Pittsburgh,P 19445 INSURED INSURER B: Hoag Memorial Hospital Presbyterian INSURER C One Hoag Drive INSURER D: PO Box 6100 INSURER E: Newport Beach CA 92658 INSURER F COVERAGES CERTIFICATE NUMBER:. 23-24 AUTO Only 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE HEW woo POLICY POLICY M?DDJY EFF POLICY(DDIYYEXP LIMITS LTR - (MMIDD/YYYY) (MMS)DA'YYI) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE $ CLAIMS-MACE OCCUR PREMISESO(EnENTED occurrencel S MED EXP(My ono person) $ �T PERSONAL&ADVINJURY $ OEN-L AGGREGATE LIMIT APPLIES PER: GENERALAGOREGATE $ POLICY n jECT n LOC PRODUCTS-COMP/OP AGO .S OTHER: • $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ee accident) X- ANY AUTO BODILY INJURY(Per person) $ a — OWNED SCHEDULED y CA5630125 03/02/2023 03/02/2024 BODILY INJURY(Per acddenl) S AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE S _ AUTOS ONLY ,,.'- AUTOS ONLY (PeraccIdent) 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTION$ $ WORKERS COMPENSATION 3T5 UTE I I ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE n NIA EL,EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory lnNH) EL DISEASE-EJAEMPLOYEE $ If yes,desaibe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1O1,AddlUonai Remarks Schedule,maybe attached If more apace Is required) City of Huntington Beach,Its officers,elected or appointed officials,employees,agents and volunteers are additional insured as respects automobile liability policy where required by written contract,subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 p 1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • ---'....ns ® CERTIFICATE OF LIABILITY INSURANCE DATE,MMI°DrmrY) AO 09/10/2024 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 Leidy Rivera .I NAME: The Liberty Company Insurance Brokers PHONE (888)918-3960 PAX (A/C.No.Evil: (AIC,No): LIa#OD79653 EMAIL leidy.rivera@libertycompany.com ADDRESS: 5955 De Soto Ave,Ste 250 INSURER(S)AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INSURER A: Safety National Casualty Corp 15105 - INSURED INSURER B: Hoag Memorial Hospital Presbyterian INSURER C: One Hoag Drive INSURER D: INSURER E: Newport Beach CA 92663 INSURER F: COVERAGES CERTIFICATE NUMBER:. 24-25 Workers Comp(CA) 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 AWL : POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS ' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ l CLAIMS-MADEn OCCURD AGE TO RENTE0 PREMISES(Ea occurrence) $ • MEO EXP(Any one Person) S. PERSONAL 6ADV INJURY S GEM.AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY n 127 n LOC PRODUCTS-COMP/OP AGG ' $ . OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea eoddent) ^—ANYAUTO - BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ' _ AUTOS ONLY _ AUTOS ONLY (Per accident) , $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ SIR s 1,000,000 WORKERS COMPENSATION v AND EMPLOYERS'LIABILITY X STATUTE Er • ANY PROPRIETORIPARTNEREXECUTIVE Y❑ NIA Y SP4067257 0910112024 09101/2025 E.L,EACHACCIDENT $ 1,000,000 (Manda• OFFICEtory InN ER EXCLUDE°? 1,000,000 (Mandatory In NH) EA.DISEASE-EAEAIPLOYEE S If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below ,E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1LOCATIONS/VEHICLES(ACORD lot Additional Remarks Schedule,may be attached II mom apace Is required) RE:Medical Wellness Blood Cancer&Ultrasound Screening Whereby required by written contract or agreement,Waiver of Subrogation applies to the workers compensalion policy in favor of the certificate holder. CERTIFICATE HOLDER • CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION.DATE THEREOF,NOTICE WILL BE DELIVERED 1N City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. Attn Fire Chief 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92848 tilt,.iL tr.-----� • i t • ©1988-2015 ACORD CORPORATION. All rights reserved. • ACORD 25(2016103) The ACORD name and logo are registered marks Of ACORD 1 • c. August 13, 2024 Hoag Memorial Hospital Presbyterian 1 Hoag Drive Newport Beach, CA 92663 Re: Hoag Memorial Hospital Presbyterian Professional and Commercial General Liability Insurance Term: July 1, 2024 to July 1, 2025 TO WHOM IT MAY CONCERN: This is to confirm that Hoag Memorial Hospital Presbyterian maintains through BETA Risk Management Authority, excess Professional and General Liability Insurance Coverage. Professional Liability: The Hospital is self-insured for $2 Million with respects to its Hospital Professional, including Hospital General Liability Insurance Coverage. General Liability: The Hospital is self-insured for $2 Million with respects to its General Liability Insurance Coverage for non-hospital operations and exposures. Hoag Memorial Hospital Presbyterian, as a self-insured entity for its Hospital Professional and General Liability exposures can elect to extend Additional Insured coverage to third parties by agreement, up to $2 Million limit. City of Huntington Beach is hereby named Additional Insured as respects General Liability; Waiver of Subrogation and Primary Non-Contributory apply to General Liability. For those Hospital Professional and Hospital General Liability agreements requiring higher than $2 Million, underwriting approval will be necessary. Please contact our office if you have any questions. Sincerely, David Harper SVP, Alliant HealthCare Alliant Insurance Services,Inc.• 18100 Von Kerman Avenue, 10th Floor.Irvine,CA 92612 mum.(949)756-0271 •w 'w.alliantinsurance.com BETA Risk Management Authority("BETARMA") A Public Entity AMENDMENT BLANKET SUPPLEMENTAL MEMBER GENERAL LIABILITY FOR NAMED MEMBER'S CONTRACTS � Certificate Number: Amendment No: XHCL 24-1394 X507-0I Issued to:Hoag Memorial ilospital Presbyterian Effective Date:07/01/2024 at 12:01 a.m. Expiration Date:07/01/2025 at 12:01 a.nt. Additional Contribution:Per Contract It is understood and agreed that coverage afforded by Section 3 (Excess Bodily Injury and Property Damage Liability)and Section 4(Excess Personal Injury,Advertising Injury and Discrimination Liability)of this Contract is extended to any person or organization for whom the Member or Subsidiary is required by a written agreement to obtain and maintain insurance or other coverage as a Supplemental Member pursuant to Section 7.2,but only for legal liability arising out of the acts,errors or omissions of the Named Member or a Subsidiary solely in the performance of the written agreement between the Named Member or Subsidiary and the Supplemental Member. This Amendment does not extend coverage for the acts,errors or omissions of the Supplemental Member,third parties or their agents or employees. in addition,where required by such written agreement or contract,the coverage extended by this Amendment shall be primary and non-contributory as respects any other insurance policy issued to such Supplemental Member. Otherwise,Section 7.14.APPLICABILITY OF INSURANCE OR OTHER COVERAGE A MEMBER MAY ALSO HAVE,applies. This coverage applies only to the extent of the limits of liability required by such agreement or contract,not to exceed the Limits of Liability in this Contract. ALL OTHER TERMS,CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. \AAR fp— Vka—r---•• Authorized Representative of BETAttMA XHCL-X507(07/21) Page I of I Date issued:July I,2024(Initial) • • BETA Risk Management Authority("BETARMA") ' A Public Entity AMENDMENT LIMITED BLANKET WAIVER OF SUBROGATION PRIOR TO LOSS • Certificate Number; .. Amendment No: `:iXHCL-24-1394 X892-01 • Issued to:.Hong Memorial Hospital Presbyterian Effective Date:07/01/2024 at 12:01 a.m. Expiration Date:07/01/2025 at 12:01 a.m. Additional Contribution:Per Contract • It is understood and agreed that Section 7.13--Transfer of Rights of Recovery Against Others to BETAiu IA-- does not apply to any Lessors of equipment or premises under Section 3(Excess Bodily Injury and Property Damage Liability)with whom the Named Member or a Subsidiary agreed under a written contract prior to the loss to waive its right to subrogation against the person(s)or organization(s). ALL OTHER TERMS,CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. (31). 21111414—.. Authorized Representative of BETAaMA • • • • • • • • XHCL-X892(05/23) Page I of l Date Issued:July I,2024(Initial) ENDORSEMENT This endorsement, effective 12:01 A.M. 03/02/2024 forms a part of Policy No. 563-01-25 issued to HOAG MEMORIAL HOSPITAL PRESBYTERIAN by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S OR ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF ACOVERED "AUTO". I. SECTION II-LIABILITY COVERAGE, A. Coverage, 1. -Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However,the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or iteli4Aatth Authorized Representative or Countersignature(in States Where Applicable) 87950 (10/05)Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 1