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Amendment
SECOND AMENDMENT TO AGREEMENT BETWEEN THE CITY OF NATIONAL CITY AND GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC This Second Amendment to Agreement is entered into this day of July, 2012, by and between the City of National City, a municipal corporation (the "CITY"), and GROSSMAN PSYCHOLOGICAL ASSOCIATES, a professional corporation (the "CONSULTANT),. RECITALS A. The CITY and the CONTRACTOR entered into an Agreement on July 1, 2010 ("the Agreement"), wherein the CONSULTANT agreed to provide Pre -Placement Suitability Evaluations, Pre - Employment Psychological Examinations, an Officer Assistance Program, Critical Incident Debriefing, and Fitness for Duty Examinations for the National City Police Department located at 1200 National City Boulevard from July 1, 2010 through June 30, 2011, for an amount not to exceed $49,500. B. The Agreement provided an option to extend the term of the Agreement for one-year, with up to three extensions. C. The parties previously extended the Agreement for a one-year term from July 1, 2011 to June 30, 2012, (First Amendment to the Agreement). D. The parties desire to exercise the option to extend the Agreement for the second of the three one-year extensions by extending the term of the Agreement for one additional year, beginning July 1, 2012 and expiring on June 30, 2013. NOW, THEREFORE, the parties hereto agree that the Agreement shall be amended as follows: 1. The term of the Agreement is extended for an additional one-year term from July 1, 2012 through June 30, 2013, for an amount not to exceed $49,500, for a total Agreement amount of $148,500, to provide Pre -Placement Suitability Evaluations, Pre -Employment Psychological Examinations, an Officer Assistance Program, Critical Incident Debriefing, and Fitness for Duty Examinations for the National City Police Department. 2. The parties further agree that with the foregoing exceptions, each and every term and provision of the Agreement dated July 1, 2010, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first above written. CITY OF NATIONAL CITY GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC By: By: 6A—As*'^' Ron Morrison, iterossman, PHD Mayor President APPROVED AS TO FORM: Claudia G. Silva, Esq. City Attorney x DARWIN NATIONAL ASSURANCE 7 COOMpAANjY�y 0 /26/ 11 - A Psyc'hThIS1 A CLAIMS FOLIC MAD PLEAS READ CAREk'15iLY" * * * RENEWAL *** NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT (SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY). DECLARATIONS POLICY NO; 5010-5098 ACCOUNT NO: CA-GR0S455-0 0222406C ITEM I, (a) NAME AND ADDRESS OF INSURED: ITEM I. (b) ADDTHONAL NAMED INSUREDS: GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC 4550 KEARNY VILLA RD STE 214 SAN DIEGO, CA 92123 IRA GROSSMAN, PH.D. TYPE OPORG: PROFESSIONAL CORPORATION ITEM 2. ADDmoNAL INSUREDS: CITY Op' CHULA VISTA PURCHASING DIVISION 276 FOURTH AVE MS F-106 CHULA VISTA, CA 91910 ITEM 3. POLICY PERIOD: 12 ROM: 01A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED/01/12 AS STATED HEREIN: ITEM 4. LIMITS OF LIABILITY: (a) $ (b) $ (c) $ 2,000,P00 25,000 EACH WRONGFUL ACT OR SERIES OP CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE COSTS RELATED TO ANY SINGLE PROCEEDING 4 , 000 , 0.00 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS ITEM S. PREMIUM SCHEDULE: CLASSIFICATION 1ST PSYCHOLOGIST DEFENSE LIMIT NUMBER 1 RATE 1494.00 ANNUAL PREMIUM 1,195.00 7..00 CRED ITEM 6. RETROACTIVE DATE: 2 / 01 / 9 2 ITEM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMRIM (if exercised):$ 2,102.00 SCHEDULED RATING CREDIT INCLUDED 1,201.00 ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY PRGE2000 (3/2006) PRGe1069 (1/2006) PRGe1121 THIS IS NOT A BILL PREMIUM HAS B N'PAID. PROMOS (3/2006) TOTAL PREMIUM: RLZED COMPANY REPRES TATIVE rofessional Agency * 95 Broadway, Amityville, NY 11701 Jun 01 12 08:27a p.2 l , ACORD CERTIFICATE OF LIABILITYIN U RA DATE {MAIIRflJYYYYj 06101/2012 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 EY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE 170ES NOT CONSTITUTE A CONTRACT BETWEEN THE .ISSUING INSURER4S), AU HORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE FOLDER, IMPORTANT; II the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, Subject to the terms and conditions of he policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu oI such endorserfl itt(s). PRODUCER 'MARILYN BILLINGSLEY W LEWIS STREET CONTACT , we):619-298-1S Eel faah 519-296-5 05 1c83 AnOREssI 1527 :. SAN DIEGO, CA 92103 IN5URER(S)AFFORDINGCOVERAGE NAICB RNsuRER A : Stale Farm General insurance Company 25151 INSORED BUCCIGROSS, RICHARD L MDA MEDICAL CORP & GROSSMAN PSYCHOLOGICAL ASSOC 4550 KEARNY VILLA RCS STE 214 SAN DIEGO, CA92123 wsUNERB: (N$URERe• IN$URnta: INSURER Et NSU' - F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. iVC WTHSTANDIMG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED' OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC1Es DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. uMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LT TOPE Am -peen ,N, pt'FL{GY NUMBER(A1ft(IDLVYYYYy POLICY e0 POLICY EXP � : {MtJJODIYYYYi seaartv,UASILm y y 90-51.42714 i 01fd912012 : 01199/2013 , EAC%I OCCURRENCE S 1,000.000 X • GENERAL LiAsILITY DAMAGE TO RENTER 3GO,000 PRE+AISE x PE urrer f $ COMMERCIAL CLAM/PS.-MADE OCCUR MED E (Arty one peso ! S 5,000 PERSONAL &ADV INJURY $ GENERAL AGGREGATE 4 2,000,000 A'PLIE5 PER: PRODUCTS • COMP/OP AG $ 2,OC'D,OOO GEM. AGGREGATE LV4JT RO POLICY If,CT iii lOG � P AUTOMOBILE many- NED q INGLP Liter S {Per BODILY INJURY pe:rson) $ ANY AUTO ALL OWNED SCRECULE) BODILY INJURY (Per ea:Afars) g A AUTOS AUTOSNON-OVINED PROPERTY DAMAGE 1P01 Iden11 3 H HIRED AUTOS AUTOS $ UMBRELLAUAB ' 1 EACH OCCURRENCE $ OCCUR EXCE$5 UAU CLAIMS-MAUE AGGREGATE I CEO I 1 RETENTION $ $ WORKERSCGMPEMSATIGN 1jVic I iccY...S 08r81 Eg- ANO EMPLOYERS' UASIUTY Yf E.L.EACH ACCICENT 4- AHYPROPRIETOWPARTNERIEXECUTIVE I OaFICEAlEMBEREXCLUDED7 j I N/A Li EL. DISEASE- EAEMPLOYEE 1 ;Mandatory In NH) If yes, describe under OF OPERATIONS below - - E.L.I1$EA$ ••POLICY:PIT 5 DFRGR1v'ION . • DESCRJPnONDFOPERATIONS / LOCATIONS! VEHICLES (Abaci AC ORD 101, AddIde nal Flamed= Schedule, If more space Is ressAred) 6USiNESS-OFFICE CERTIFICATE HOLDER CITY OF NATIONAL CITY ITS OFFICERS, AGENTS & EMPLOYEES 1243 NATIONAL CITY 13LVD NATIONAL CITY CA 91950-4397 ACORD 2512010t05) SHOULD. ANY OF THE ABOVE DESCRIBED POUCIEs BE CANCELLED BERME THE EXPIRATION: DATE THEREOF, NOTICE WELL BE DELIVERED IN ACCORDANCE WITH THE PDLUCY PROVISIONS. AurHOR1ZER acmes TA tea. Cs�/t Jt988.2010 ACORN RPO) AT N. AU rights reserved. The ACORD name and logo am registered marks of ACORD �4Ii 1488 122849.7 03-61.2012 Jun 01 12 08`:288a Joeu Poky Nc.: 90 5142714 SECIION 11 ADDITIONAL INSURED ENDORSEIVENT Policy No. 110 6142714 Named Insure&: EUCCIGROSS, RICHARD L MD A [MEDICAL CARP & GROSSMAN PSYCHOLOGICAL ASSOC Adsfitiosnal Insured (include address) CITY OF NATIONAL CITY ITS OFFICERS, AGENTS & EMPLOYEES 1243 NATIONAL Cm, BLVD NATIONAL CITY, CA 81950-4331 WHO 13 AN INSURED, under SECTION It DCS1GP A11ON OF INSURER, is amended 1 an inured the Additional insured shown above, but cnty to the extent that tiabi[ily is im Additional Insured solely because of your work performed fur that Additional Insured sh p.3 FE,asae ,701; Include as on that above. Any insurance provided to the Additonal insured shell only apply with respect to a claim made or a suit brought for damages far which you are provided coverage. The Primary Insurance coverage below applies only vvren there is an "X" in the box. PrimoIrgig Inspurance. The insurance provided to the Additional Insured shown ahoy, shall be primary hemlines. Ariy insurance harried by the Add'diorat insured shall bei none • ibutory with rasped to ©average provkled to you. All other policy proms apply. R t ,lu.SA Jun 01 12 Ot3:28a WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO LIS SCHEDULE Politer Number: 90 51,27i 4 Named Insured: BUCCIGROSS, RICHARD L MD A MEDICAL CORP & GROSSMAN PSYCHOLOGICAL ASSOC Name grid Address of Perna or Organization: CITY OF NATIONAL CITY ITS OFFICERS: AGENTS & EMPLOYEES 1243 NATIONAL C1TY SEND NATIONAL C D(. CA 9195O- 43©1 p,4 I-1 Prge 1 01 The Wowing is added to Psragraph "iO.b. of SECTION 1 AND SECTION 11— COW1ON COND1TtONS: We wanes any tight of recovery we may have against the person or organization shown in the Schedule because ofpayrnents we make for injury or damage arising out of: a. Year ongoing operations: or b_ Your work done ceder cont raetwith that peraort or organization and included in the products - completed operations hazard. This waiver applies only to the person or organization shown in the Schedule. AN Sher poticy provisions apply. CapyngUt,Stara Pam; 1 WWI inctitch s mi i1 kited rnatartar o' tnsura+rce Scrafsr s flee, frra. wAh b psrrnrssi+►n.