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HomeMy WebLinkAboutPromptcare Occupational Medicine - 2025-12-01 SERVICE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND PROMPTCARE OCCUPATIONAL MEDICINE FOR PRE-EMPLOYMENT MEDICAL EXAMS 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 Promptcare Occupational Medicine, hereinafter referred to as "Contractor." Recitals A. The City desires to retain a Contractor having special skill and knowledge in the field of pre-employment medical exams. 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 Robert H. Vu, M.D., 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. 25-17165/393449 1 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 One Hundred Thousand Dollars ($100,000.00) 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 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 I2081.2 , 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 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 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. 25-17165/393449 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, 25-17165/393449 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. 25-17165/393449 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. 25-17165/393449 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 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 Promptcare Occupational Medicine Attn: Director of Public Works Attn: Linda Trang 2000 Main Street 18800 Delaware Street, Suite 200 Huntington Beach, CA 92648 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. 25-17165/393449 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; 25-17165/393449 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. 25-17165/393449 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 Teirns 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. 25-17165/393449 9 35. Effective Date IN WITNESS W'IIEREOF, the parties hereto have caused this Agreement to he executed by and through their authorized officers. This Agreement shall he effective on the date of its approval by the Mayor. This Agreement shall expire when terminated as provided herein. • CONTRACTOR CITY OF HUNTINGrTON BEACH, a PROMPTCARE OCCUPATIONAL, municipal corporation of the State of MEDICINE California By:. ~� Mayor Print name ITS: (circle one) Chairman/President/ 0114:1t, 414' Vice President ity Clerk - AO/254a' AND By: .INITIATEI) AND APPROVED: Print name 1•I S: (circle one) ,y eretary/Chief Financial 0111cer/Asst, Secretary-Treasurer Director of I luman Resources APPROVED AS To FORM: Attorney REVIEWED ANT)APPROVED: City Manager 25-17165/3934.19 10 COUNTERPART 'I 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 PROMPTCARE OCCUPATIONAL, municipal corporation of the State of MEDICINE California" ^Mayor Zo17€4- /mot Print name ITS: (circle one) Chairman/President/ Vice President City Clerk • AND By: INITIATED AND APPROVED: Print name L/ 4,J6 ITS: (circle one) cretry/Chief Financial. Officer/Asst. Secretary-Treasurer Director of Human Resources APPROVED AS TO FORM: Pvt/ , —,City Attorney REVIEWED AND APPROVED: City Manager 25-17165/393449 - 10 COUNTERPART HR nePs.�FOl�1¢'��5A�t1.�?:41 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 PROMPTCARE OCCUPATIONAL municipal corporation of the State of MEDICINE California 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 Human Resources APPROVED AS TO FORM: 4 ..-'City Attorney REVIEWED AND APPROVED: City Manager 25-17165/393449 10 COUNTERPART EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Provide comprehensive occupational physical examinations in compliance with applicable federal, state, and industry-specific standards, including NFPA, 1582, DOT, OSHA, and employer-specific requirements. The exams are intended to determine medical fitness for duty for pre-employment, periodic, return-to-work, and other job-related evaluations B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: SEE ATTACHED EXHIBIT A C. CITY'S DUTIES AND RESPONSIBILITIES: D. WORK PROGRAM/PROJECT SCHEDULE: 25-17165/393449 11 NOTE TO FILE Due to Confidential Information Contained in Exhibit "A" Response to Request for Proposal (RFP) For Pre-Employment Medical Exams Invitation# 2025-0710 The Exhibit will not be made available to the public EXHIBIT "B" Payment Schedule (Fixed Fee Payment) 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. SEE ATTACHED EXHIBIT B 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 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. 25-17165/393449 12 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. 25-17165/393449 13 EXHIBIT B PRICING TABLE ,Class A Cost PPD (TB) Skin Test 30.00 4-Panel Non-DOT Urine Rapid Drug Screen 30.00 Class B Cost Medical History Questionnaire 10.00 General Pre-placement Physical Exam: 75.00 • Vital Signs:temperature,pulse,respiration, blood pressure, height, and weight. • Physician's Examination: head, eyes, ears,nose and throat, neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. Physician's summary, including comments related to job requirements. Dipstick Urinalysis: blood, glucose, and protein. 14.00 Visual screening bilateral: near, far, depth, color, and peripheral. 25.00 PPD (TB) Skin Test 30.00 4-Panel Non-DOT Urine Rapid Drug Screen 25.00 Audiogram 45.00 POST Medical Examination Report—Public Safety Dispatcher 20.00 TOTAL EXAM COST: 244.00 Class C • Cost Medical History Questionnaire 10.00 General Pre-placement Physical Exam: 75.00 • Vital Signs:temperature, pulse, respiration,blood pressure,height, and weight. • Physician's Examination: head, eyes, ears,nose and throat,neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. Physician's summary, including comments related to job requirements. Dipstick Urinalysis: blood, glucose, and protein. 14.00 Visual screening bilateral: near, far, depth, color, and peripheral. 25.00 PPD (TB) Skin Test 30.00 4-Panel Non-DOT Urine Rapid Drug Screen (specific positions) 25.00 Audiogram (specific positions) 45.00 OSHA Respirator Questionnaire (specific positions) 30.00 PFT w/interpretation (specific positions) 65.00 DOT Exam and Certification (specific positions) 120.00 DOT SAMHSHA Urine Drug Test(specific positions) 40.00 TOTAL EXAM COST: 479.00 Page 1 of 4 PRICING TABLE, Class D Cost . Medical History Questionnaire 10.00 General Pre-placement Physical Exam: 75.00 • Vital Signs:temperature,pulse,respiration, blood pressure,height, and weight. • Physician's Examination: head, eyes, ears,nose and throat,neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. Physician's summary, including comments related to job requirements. Dipstick Urinalysis: blood, glucose, and protein. 10.00 Visual screening bilateral: near, far, depth, color, and peripheral. 25.00 PPD (TB) Skin Test 30.00 4-Panel Non-DOT Urine Rapid Drug Screen 25.00 Audiogram 45.00 PFT w/interpretation 60.00 TOTAL EXAM COST: 280.00 Class E . " Cost POST Medical History Questionnaire 10.00 General Pre-placement Physical Exam: 75.00 • Vital Signs: temperature,pulse,respiration,blood pressure, height, and weight. • Physician's Examination: head, eyes, ears,nose and throat, neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. • Physician's summary, including comments related to job requirements. Dipstick Urinalysis: blood, glucose, and protein. 15.00 Visual screening bilateral: near, far, depth, color, and peripheral. 20.00 PPD (TB) Skin Test 25.00 4-Panel Non-DOT Urine Drug Screen 20.00 Marijuana(THC) Oral Fluid Drug Screen 20.00 Audiogram with OSHA Approved Sound Booth (500—8000Hz) 40.00 Chest X-Ray (PA) with Interpretation 40.00 Treadmill Stress Test with Interpretation (Bruce Protocol— 12 METS; 85% 175.00 Maximum Predicted Heart Rate) Complete Blood Count(CBC) with Differential/Platelet 20.00 Comprehensive Metabolic Panel or Chemistry Profile 23 20.00 Spirometry 60.00 Respirator Questionnaire—C 10.00 Respirator Certificate 5.00 Page 2 of 4 PRICING TABLE XR: Lumbar/Sacral 60.00 Hepatitis B Vaccine Series 95.00 TOTAL EXAM COST: 710.00 Class F (NFPA 1582•Compliant) Cosh General Pre-placement Physical Exam: 90.00 • Vital Signs:temperature,pulse,respiration, blood pressure,height, and weight. • Physician's Examination: head, eyes, ears, nose and throat, neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. • Physician's summary, including comments related to job requirements. Vision 25.00 Audiogram 45.00 Spine/Lumbosacral X-Ray 60.00 TB Test 30.00 Tetanus Vaccine 75.00 Drug Screen DOT 4 Panel 35.00 UA Lab 14.00 Pulmonary Function Test with Interpretation 65.00 MMR Titers 50.00 Hepatitis B and Hepatitis C Titers 30.00 Varicella Titer 25.00 CBC 20.00 Chemical Panel 20.00 DOT/DMV Exam for DOT Medical Examiners' Certification (optional—by 120.00 request): • Exam • Vision • Labs: UA (if different than above) Note:DOT/DMV Exam—no DOT drug screen required TOTAL EXAM COST: 704.00 Page 3 of 4 PRICING TABLE Class G (NFPA 1582 Compliant) . ". Cost General Pre-placement Physical Exam: 75.00 • Vital Signs: temperature,pulse,respiration, blood pressure,height, and weight. • Physician's Examination: head, eyes, ears,nose and throat, neck, chest, heart, abdomen, extremities, back, neurological, vascular, lymphatic, and skin. • Range of Motion: back exam. • Gross hearing test. • Physician's summary, including comments related to job requirements. Vision 10.00 Audiogram with OSHA Approved Sound Booth (500—8000Hz) 40.00 Spine/Lumbosacral X-Ray 60.00 C-Spine 2V X-Ray 50.00 Chest X-Ray (PA&LAT) with Interpretation 50.00 Physical Performance Test 40.00 EKG 25.00 Treadmill Test(Bruce Protocol - 12 METS; 85%Maximum Predicted Heart 175.00 Rate) TB Test 30.00 Tetanus Vaccine 55.00 Drug Screen DOT 4 Panel 35.00 UA Lab 10.00 MMR Titers 50.00 Hepatitis B and Hepatitis C Titers 35.00 Varicella Titer 35.00 CBC 10.00 Chemical Panel 10.00 OSHA Respirator Questionnaire 15.00 Pulmonary Function Test with Interpretation 60.00 TOTAL EXAM COST: 870.00 Page 4 of 4 PROMPTC-01 SCAVANAUGH CC7►/2p CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYYYY) 11/1012025 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 NAME: Vatlltari Insurance and Risk Services (NC,No,Eat):(888)524-0798 FAX(NC,No):(866)206-8646 PO Box 458 Converse,TX 78109 ,mbs,.certificates@vaultariins.com INSURER(S)AFFORDING COVERAGE NAIC U _ INSURER A:Allmerica Financial Benefit Insurance INSURED INSURER B:Hanover Atlantic Insurance Company,Ltd Promptcare INSURER C: 18800 Delaware Street,Suite 200 _INSURERD: Huntington Beach,CA 92648 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 TYPE OF INSURANCE AODL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSO wvo fr,IM/DDIYYYYI IMMIDD/YYYY! A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE X OCCUR X MISES PRE Z2FJ722828 01 5/15/2025 5/15/2026 DAMAGE REoccurEDrence) S 1,000,000 TO(Ea NT MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 POLICY JECT PRO- LOC PRODUCTS-COMP/OPAGG S Included OTHER S A AUTOMOBILE LIABILITY (Ea a©ccident)SINGLELIMIT S _ 1,000,000 ANY AUTO X Z2FJ722828 01 5/15/2025 5/15/2026 BODILY INJURY(Per person) S OWNED SCHEDULED _ AUTOS ONLY _ AUTOS BODILY INJURY(Per acadent) S X HIRED ONLY X NOOTOS ONES PROPERTY DAMAGE Per accident) S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER PER H YIN W2F-J722845-01 5/15/2025 5/15/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICERr151EMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,descrbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B Professional Liabili L3F M147501 00 9/4/2026 9/4/2026 Claims made 1,000,000 B Professional Liabili L3F M147501 00 9/4/2025 9/4/2026 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are named as Additional Insureds with r s ct to General Liability and Auto per endorsement 822-0001 08 19.Coverage is Primary and Noncontributory per endA t 3 orrsgppen -4(lt)1103'f DIIM MICHAEL J.VIGLIOTTA CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CITY OF HUNTINGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main St. Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE 41,; ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Z2F J722828 01 5701725 POLICY NUMBER: Z2F J722828 01 COMMERCIAL GENERAL LIABILITY CG20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. Required by the contract or agreement; or 1. In the performance of your ongoing operations; or 2. Available under the applicable Limits of 2. In connection with your premises owned by or Insurance shown in the Declarations; rented to you. whichever is less. However This endorsement shall not increase the applicable Limits of Insurance shown in the 1. The insurance afforded to such additional Declarations. insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 26 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Insured Copy Z2F J722828 01 5701725 SECTION III—ADDITIONAL CONDITIONS 9 A. Liberalization 9 B. Concealment, Misrepresentation or Fraud 10 C. Insurance Under Two or More Coverages 10 • SECTION IV—EXCLUSIONS 10 A. Coverage A—Bodily Injury and Property Damage Liability and Coverage B—Personal and 10 Advertising Injury Exclusions Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability 10 Aircraft Products,Grounding and Testing 10 • Professional Services 11 Unmanned Aircraft 11 B. Coverage A—Bodily Injury and Property Damage and Coverage C—Medical Payments 12 Exclusions Nuclear Energy Liability 12 C. Amended Exclusion With Coverage Extension 13 • Aircraft(Other Than Unmanned Aircraft),Auto or Watercraft 13 SECTION V—AMENDED DEFINITIONS 13 "Bodily Injury" 14 "Products—Completed Operations Hazard" 14 "Property Damage" 14 SECTION I—ADDITIONAL INSURED PROVISIONS e. Does not apply if the "bodily injury", A. Automatic Additional Insured Provisions "property damage" or "personal and Including Primary and Non-contributory: advertising injury" is otherwise excluded from coverage under this Coverage Part, 1. SECTION II — WHO IS AN INSURED is including any endorsements thereto. amended to include as an insured any person or organization described in paragraphs 4.a f. Does not apply to any person or through 4.g. below, whom you agree to add as organization included as an insured by an Additional Insured. another endorsement issued by us and made part of this Coverage Part. 2. However, the insurance afforded to such Additional Insured described below. 3. The most we will pay on behalf of the Additional Insured for a covered claim is the lesser of the a. Only applies to the extent permitted by law. amount of insurance: b. Will not be broader than the insurance a. Required by the applicable written contract, which you are required by the written agreement or permit, if any; or contract, agreement or permit, if any, to provide for such additional insured. b. Available under the applicable Limits of Insurance shown in the Declarations or any c. Applies on a primary basis and we will not endorsement to the policy. seek contribution from any other insurance available to the Additional Insured, if that is 4. Additional Insureds required by an applicable written contract, The following persons or organizations qualify agreement or permit. as additional insureds under this endorsement: d. Will not be broader than coverage provided to any other insured. 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with its permission. Page 2 of 14 Copyright 2019 The Hanover Insurance Company.All Rights Reserved. Insured Copy Z2F J722828 01 5701725 The following is added to SECTION II—WHO container, part or ingredient of any IS AN INSURED: other thing or substance by or for a. Broad Form Vendors the vendor; (1) Any person or organization that is a (h) "Bodily injury" or "property vendor with whom you agreed in a damage" arising out of the sole written contract or agreement to negligence of the vendor for its include as an additional insured under own acts or omissions or those of this Coverage Part is an insured, but its employees or anyone else only with respect to liability for"bodily acting on its behalf. However, this injury"or"property damage"arising out exclusion does not apply to: of"your products"which are distributed (i) The exceptions contained or sold in the regular course of the within the exclusion in vendor's business. paragraphs(d)or(f)above;or (2) With respect to insurance afforded to (ii) Such inspections, such vendors, the following additional adjustments,tests or servicing exclusions apply: - as the vendor has agreed to The insurance afforded to the vendor make or normally undertakes does not apply to: to make in the usual course of business, in connection with (a) "Bodily injury" or "property the distribution or sale of the damage" for which the vendor is products. obligated to pay damages by reasons of the assumption of (i) "Bodily injury" or "property liability in a contract or agreement. damage" arising out of an This exclusion does not apply to "occurrence"that took place before liability for damages that the you have signed the contract or insured would have in the absence agreement with the vendor. of the contract or agreement; (j) Any insured person or (b) Any express warranty organization, from whom you have unauthorized by you; acquired such products, or any ingredient, part or container, (c) Any physical or chemical change in entering into, accompanying or the product made intentionally by containing such products. the vendor; b. Co-owner of Insured Premises (d) Repackaging, unless unpacked solely for the purpose of Any person or organization who is a co- inspection, demonstration, testing, owner of premises described in the or the substitution of parts under declarations. Such person(s) or instruction from the manufacturer, organization(s) is an insured only with and then repackaged in the original respect to their liability as co-owner of the container; co-owned premises. (e) Any failure to make such c. Controlling Interest inspection, adjustments, tests or Any person or organization that has a servicing as the vendor has agreed majority controlling interest in you, but only to make or normally undertakes to with respect to their liability arising out of: make in the usual course of (1) Their financial control of you;or business in connection with the sale of the product; (2) Premises they own, maintain or control while you lease or occupy these (f)' Demonstration, installation, premises. servicing or repair operations, except such operations performed This insurance does not apply to structural at the vendor's premises in alterations, new construction and connection with the sale of the demolition operations performed by or for product; such additional insured. (g) Products which, after distribution d. Mortgagee,Assignee,or Receiver or sale by you, have been labeled Any mortgagee, assignee or receiver, but or relabeled or used as a only with respect to their liability as 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with Its permission. Page 3 of 14 Copyright 2019 The Hanover Insurance Company.'All Rights Reserved. Insured Copy Z2F J722828 01 5701725 mortgagee, assignee, or receiver and the acts or omissions of those acting on your arising out of the ownership, maintenance behalf, but only with respect to: or use of a premises by you. a. Premises you own, rent, lease or occupy; This insurance does not apply to structural b. Your ongoing operations for the additional alterations, new construction or demolition insured(s) designated in the written operations performed by or for such contract, agreement or permit; additional insured. c. "Your work" included in the "products- e. Grantor of Franchise completed operations hazard", but only if: Any person or organization who is a grantor (1) The written contract, agreement or of a franchise to you, but only with respect permit requires you to provide such to their liability as grantor of a franchise to coverage to the additional insured; and you. (2) This Coverage Part provides coverage f. Lessor of Leased Equipment for"bodily injury" or"property damage" Any person or organization from whom you included within the "products- lease equipment is also an additional completed operations hazard". insured, but only with respect to liability for 2. The insurance afforded to such additional "bodily injury", "property damage" or insured described above: "personal and advertising injury"caused, in whole or in part, by your maintenance, a. Only applies to the extent permitted by law. operation or use of equipment leased to b. Will not be broader than the insurance you by such person or organization. which you are required by the written However, the insurance afforded to such contract,agreement or permit to provide for additional insured does not apply to any such additional insured. "occurrence" that takes place after the c. Applies on a primary basis and we will not equipment lease expires. seek contribution from any other insurance g. Manager or Lessor of Premises available to the Additional Insured, if that is required by the written contract,agreement Any person or organization from whom you or permit. lease premises is also an additional insured, but only with respect to liability d. Does not apply if the "bodily injury", arising out of the ownership, maintenance "property damage", or "personal and or use of that part of the premises leased to advertising injury" arises out of sole you. negligence of the additional insured. However, this provision does not apply to: e. Will not be broader than coverage provided to any other insured. (1) Any"occurrence"that takes place after you cease to be a tenant in the f. Does not apply if the "bodily injury", premises. "property damage" or "personal and advertising injury" is otherwise excluded (2) Structural alterations, new construction from coverage under this Coverage Part, or demolition operations performed by including any endorsements thereto. or for such additional insured(s). g. Does not apply unless the written contract B. Additional Insured by Contract, Agreement or or agreement was executed or permit was Permit With Completed Operations and Primary issued prior to the"bodily injury", "property and Non-contributory damage", or "personal and advertising 1. Any person or organization who does not injury". qualify as an Additional Insured in A. h. Does not apply to any person or Automatic Additional Insured Provisions organization included as an insured by Including Primary and Non-contributory, 4. another endorsement issued by us and Additional Insureds, paragraphs a.through g. made part of this Coverage Part. above with whom you agreed in a written contract, agreement or permit to add as an i. Does not apply to any lessor of equipment additional insured on your policy is an after the equipment lease expires. additional insured only with respect to liability j. Does not apply to any: for "bodily injury", "property damage", or (1) Owners or other interests from whom "personal and advertising injury" caused, in land has been leased if the whole or in part, by your acts or omissions, or "occurrence"takes place or the offense 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with its permission. Page 4 of 14 Copyright 2019 The Hanover Insurance Company.All Rights Reserved. Insured Copy Z2F J722828 01 5701725 is committed after the lease for the land b. Up to$2500 for cost of bail bonds required expires; or because of accidents or traffic law (2) Managers or lessors of premises if: violations arising out of the use of any vehicle to which Bodily Injury Liability (a) The "occurrence" takes place or Coverage applies. We do not have to the offense is committed after you furnish these bonds. cease to be a tenant in that c. The cost of bonds to release attachments, premises;or The "bodilyinjury", "propertybut only for bond amounts within our Limit (b) ry , of Insurance. We do not have to furnish damage", "personal and these bonds. advertising injury" arises out of d. All reasonable expenses incurred by the structural alterations, new con- insured at our request to assist us in the struction or demolition operations q performed by or on behalf of the investigation or defense of the claim or manager or lessor. "suit", including actual loss of earnings up to $500 a day because of time off from k. Does not,apply to"bodily injury", "property work. _ damage" or "personal and advertising e. All court costs taxed against the insured in injury"arising out of the rendering of or the the"suit".However,these payments do not failure to render any professional services. p y include attorneys' fees or attorneys' This exclusion applies even if the claims expenses taxed against the insured. against any insured allege negligence or other wrongdoing in the supervision, hiring, f. Prejudgment interest awarded against the employment,training or monitoring of others by insured on that part of the judgment we that insured, if the"occurrence" which caused pay. If we make an offer to pay the Limit of the "bodily injury" or"property damage" or the Insurance,we will not pay any prejudgment offense which caused the "personal and interest based on that period of time after advertising injury" involved the rendering of or the offer. failure to render any professional services by or g. All interest on the full amount of any for you. judgment that accrues after entry of the 3. With respect to the insurance afforded to these judgment and before we have paid,offered additional insureds, the following is added to to pay, or deposited in court the part of the SECTION III—LIMITS OF INSURANCE: judgment that is within our Limit of The most we will pay on behalf of the additional Insurance. insured for a covered claim is the lesser of the These payments will not reduce the Limits of amount of insurance: Insurance. 1. Required by the written contract, B Alienated Premises agreement or permit described in B. SECTION I — COVERAGES, COVERAGE A — Additional Insured by Contract, BODILY INJURY AND PROPERTY DAMAGE Agreement or Permit With Completed LIABILITY,2.Exclusions,j.Damage to Property, Operations and Primary and Non- paragraph(2)is replaced by the following: contributory,paragraph 1.or . (2) Premises you sell,give away or abandon,if the 2. Available under the applicable Limits of "property damage" arises out of any part of Insurance shown in the Declarations or any those premises and occurred from hazards that endorsement to this policy. were known by you,or should have reasonably This provision shall not increase the applicable been known by you, at the time the property Limits of Insurance shown in the Declarations. . was transferred or abandoned. SECTION II—COVERAGE EXTENSIONS A. Supplementary Payments Extension C. Broad Form—Property Damage Legal Liability SECTION I —COVERAGES, SUPPLEMENTARY The following is added to SECTION III-LIMITS OF PAYMENTS—COVERAGES A AND B,paragraph INSURANCE, Paragraph 6. 1. is replaced by the following: The Damages to Premises Rented to You Limit 1. We will pay, with respect to any claim we shown on the Declarations will apply to a claim investigate or settle, or any "suit" against an because of "property damage" to any one insured we defend: premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily a. All expenses we incur. 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with its permission. Page 5 of 14 Copyright 2019 The Hanover Insurance Company.All Rights Reserved. Insured Copy CITY OF HUNTINGTON BEACH `[1/1]. BUSINESS LICENSE i= P.O.Box 190 Huntington Beach,CA 92648-2702 (714)536-5267 David Cain Interim Chief Financial Officer �� HNY0110A 212 1 AB 0.593 7000000214 00.0001.0212 212/1 ..... u1iI.III.iII1iIIhN1lnlll 1111lll1lllullll19llllH1lll11ll UMMINIM ROBERT VU MD •' 20031 SAND DUNE LN • -. HUNTINGTON BEACH CA 92648-2645 Dear Business Owner: • Thank you for your payment. Attached is your City of Huntington Beach Business License certificate. Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does riot arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to:ownership, address,business name, business vehicle,or type of business conducted.Additionally,please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act)prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services. However,the Act does not prohibit price differences based on the amount of time,difficulty,or cost of providing the services. In addition to prohibiting discrimination based on a person's gender,the Act requires certain businesses to clearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners,and laundries providing services to individuals.To access the Department of Consumer Affairs publication,please use the following webpage: https://www.barbercosmo.ca.gov/consumers/gender_policy.pdf. To access the publication in Korean,Spanish,Vietnamese, Traditional Chinese,Simplified Chinese,or Tagalog, please use the following webpage: https://www.dca,ca.gov/publications/index.shtml There are many resources available to our business owners. Listed below are a few that might be of interest and assistance to you. Office of Business Development-(714)536-5582 Service Corps of Retired Executives-(714)550-7369 Huntington Beach Chamber of Commerce-(714)536-8888 Fictitious Business Name Information-(714)834-2889 CA Department of Tax and Fee Administration-(949)440-3473 Community Development-(714)536-5271 If you have any questions, please call a Business License representative at(714)536-5267. City of Huntington Beach Business License License Number Business Name/Service Address POST IN PUBLIC VIEW A318050 ROBERT VU MD 18800 DELAWARE ST Unit 200 HUNTINGTON BEACH CA Effective Date fi ,SyTIN6r ' . � , ?4' t 4\ 1/1/2025 Owner/Corporation t; Expiration Date ROBERT VU MD "+ i ) 12/31/2025 License Type �� ?+« k-14s® / Amount Paid PROFESSIONAL SERVICES Ot1NT1 G $110.80 THIS LICENSE IS ONLY FOR THE BUSINESS AND TYPE SHOWN. IT IS FOR THE PERSON TO WHOM ISSUED AND IS NON-TRANSFERABLE. RENEWAL.IS DUE ON OR BEFORE THE EXPIRATION DATE.