HomeMy WebLinkAboutAmendmentTHIRD AMENDMENT TO AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC
This THIRD AMENDMENT to Agreement is entered into this 1" day of July 2013, by
and between the CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and
GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC, a professional corporation (the
"CONSULTANT").
RECITALS
WHEREAS, the CITY and CONSULTANT entered into a one year Agreement with
CONSULTANT in the not to exceed amount of $49,500 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 located at 1200 National City Boulevard from July 1, 2010 through June 30, 2011.
The Agreement provided an option to extend the term of the Agreement for one-year, with up to
three extensions.
WHEREAS, on July 5, 2011, the City Council approved the First Amendment to the
Agreement extending the term from July 1, 2011 to June 30, 2012, for the not to exceed amount
of $49,500, for a total agreement amount of $99,000.
WHEREAS, on July 17, 2012, the Second Agreement was approved extending the term
from July 1, 2012 to June 30, 2013, for the not to exceed amount of $49,500, for a total
Agreement amount of $148,500.
WHEREAS, the parties now desire to amend the Agreement to extend the term of the
Agreement for an additional year, through Fiscal Year 2013- 2014, beginning July 1, 2013 and
ending June 30, 2014, for the not to exceed amount of $49,500.
WHEREAS, 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.
AGREEMENT
NOW, THEREFORE, in consideration of the mutual benefit to be derived therefrom,
CITY and GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC, agree as follows:
1. The Agreement is hereby amended to extend the term of the Agreement for an additional
year, expiring on June 30, 2014, beginning July 1, 2013 and ending June 30, 2014, for the
total not to exceed amount of $49,500, bringing the total not to exceed amount of the
Agreement to $198,000.
2. The parties further agree that with the foregoing exception, each and every term and
provision of the Agreement dated July 1, 2011, shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to the
Agreement on the date and year first above written.
CITY OF NATIONAL CITY GROSSMAN PSYCHOLOGICAL
L
ASSOCIATES, APC
By:
Ron Morrison Ira Grossman, PHD
Mayor President
APPROVED AS TO FORM:
Claudia Gacitua Silva
City Attorney
Third Amendment - 2- Between the City of National City and
to 2011 Agreement Grossman Psychological Associates, APC
p.2
DATE f VI00 YYYY)
la/16/2013
AID CERTIFICATE OF LIABILITY INSURANCE
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 poticy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsentent(s).
PRODUCER
MARILYN BILLINGSLEY
St tam 1527 W LEWES ST
AID,. SAN DIEGO CA 92103
INSURED
BUCCIGROSS, RICHARD L MD A MEDICAL
CORP & GROSSMAN PSYCHOLOGICAL ASSOC
4550 KEARNY VILLA RD STE 214
SAN DIEGO CA 92123
OO TACT
NAME:
PttJJDNo. E:I• 619- -6305
&MAIL
. Nei 819-298-1sea
INSURERS) AFFORDING COVERAGE
ERIC A
INSURER A: Stale Farm General Insurance CamDany 25150
INSURER B
M AURER C :
INSURER D :
INSURER E
INSURER F :
EVISIGN NUMBER:
THIS IS
INDICATED-
CERTIFICATE
EXCLUSIONS
—0 CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSUR
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEC
AND CONDITIONS OF SUCH POLICIES_ UM1TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NAMED ABOVE FOR THE POLICY PERIOD
WITH RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERNS,
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CERTIFICATE HOLDER
THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS,
OFFICERS, AGENTS AND EMPLOYEES
1200 NATIONAL CITY BLVD
NATIONAL CITY CA 91950.4302
CANCELLATIO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2010105)
9'I988-2010 ACDRD CORPORAL` ON. All rights reserved.
The ACORI7 name and logo are registered marks of ACORI 1001486 132649.8 01-23-2013
p.3
SECTION II ADDITIONAL INSURED ENDORSEM
Pokccy No.: 90-51-4271-4
Named Insured:
BUtiCIGROSS, RICHARD L MD
A MEDICAL CORP & GROSSMAN
PSYCHOLOGICAL ASSOC
4550 KEARNY VILLA RD STE 214
SA V DIEGO CA 92123-1563
Adtilitional Insured (include address):
COOF NATIONAL CITY
ITS OFFICIALS, OFFICERS,
AG :NTS & EMPLOYEFS
1200NCBLVO
NATIONAL CITY CA 91950-4302
WHO IS AN INSURED, under SECTION 11 DESIGNATION' OF INSURED, Is ame
Aoditional Insured shown above, but only to the extent that liability is imposed on tha
of your work performed for that Additional Insured shown above.
Any insurance provided to the Additional Insured shall only apply With respect to
damages for which you are provided coverage.
The Primary Insurance coverage below applies only when there is an "X* in the box.
® Printery. Insurance. The insurance provided to the Additional Insured show above shall be primary insurance.
Any insurance carried by the Additional Insured shall be noncontributory wi h respect to coverage provided to
you.
Aother provisions of the policy apply,
NT
FE 56c9
Page of 1
FE-66o9
ded to include as an insured the
Additional Insured solely because
claim made or sult brought for
Jun e112 01:28a
WAIVER OF TRANSFER OF RIGHT$ OF RECOVERY AGAINST
OTHERS TO US
$CHrLE
Poesy Number: SC 5142714
Maenad homed: BUCOIGRCSS, RICHARD? L MD
A MEDICAL. CORP & GROSSMAN
PSYCHOLOGICAL. ASSOC
Herne and Address of Parson or Organl na:
CITY OF NATIONAL CITY Erss OFFJCE1 S AGENTS & EMPLOYEES
1243 NATIONAL CITY BLVD
NATIONAL. CITY. CA 91 1
p.4
s
massigri
The togowing Is added to Peragraph 70.b . of SECTION 1 AND SECTION 11— COMMON
CONDITIONS:
We waive any sight of recovery we may have easing' the .person or organization abowrr in the
Schedule because of paytrientts we =aka fflr in ny or damage ariarng out of
a. Your ongo n opt or
b. Your work done under contractwdh that person or organization and inciudad In the products -
completed operations heard.
MIS waiver applies only to the person or organization shown In the Schedule.
AEI ether poky provielona apply.
WW1
Stabs Famrttarhuet Awamobte rrgrod=company, 200$
intruder roote>fatvt boron" McRB Wks, Ink will! B petmis5Ton.
244
DARRWIN NATIONAL ASSURANCE COMPANY
9 / 2 8 / 12 - A Psych°'sl U ACLAM_Professional
M MADE POLICY PLEASES R AADtCAREFULLr
*** RENEWAL'***
NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE AI •I .PGATIONS
OF SEXUAL MISCONDUCT (SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" 1N THE POLICY).
DECLARATION.
ACCOUNT NO: CA-GROS455-0 0222406C'
ITEM L (b) ADDITIONAL NAMED INSUREDS:
IRA GROSSMAN, PH'.D.
POLICY NO: 5010-5098
ITEM I. (a) NAME AND ADDRESS OF INSURED:
GROSSMAN PSYCHOLOGICAL
ASSOCIATES, APC •
4550 KEARI3Y VILLA RD
STE 214
SAN DIEGO, CA 92123
TYPEOFORG: . PROFESSIONAL CORPORATION
ITEM 2. ADDITIONAL INSUREDS:
CITY OF CHULA VISTA
- PURCHASING DIVISION
276 FOURTH AVE MS F-106
CHULA VISTA, CA 91910 - •
ITEM 3 ; POLICY PERIOD: ' -• •FROM: 12 -0
. . • _ :.. `'•"12:01A.M. STAND TI
ITEM 4. , LIMITS OF LIABILITY: (a) $ , 2,000, 000
.0)$ 25,000
•
•12 • tO: •• •-•• - 12/017/13
AT THE THE ADDRESS_ OF THE INSURED AS STATED HEREIN:
EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEALED
OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE .
COSTS RELATED TO ANY SINGLE'PROCEEDING
4 , 0 0 0 , 000 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS
ITEM 5.
PREMIUM SCHEDULE:
CLASSIFICATION
...NUMBER RATE
ANNUAL PREMIUM
ITEM 6.
ITEM1.
• 1ST PSYCHOLOGIST.
-... .
ADDITIONAL INSUREDS
•
1
• 1494;. 00
1
1,195.00
r •.�.4-7 5 r0O
50.00
RETROACTIVE DATE: 12 / 01 / 92 • TOTAL PREMIUM:
EXTENDED REPORTING PERIOD ' ' • - • • I `' ° , r • n - • . • • 4 ,, -
• ADDITIOIVALPREMIUM (if exercised):$- 2, 102'`. 0Z? SCHEDULED. RATING CREDIT • INCLUDED
ITEM( ' ' POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY
PRGE2000 (3/2006) PRGe1069 (1/2006) PRGe1121-
THIS IS NOT A BILL. PREMIUM HAS BEEN PAID.
PRGE2005 (3/2006)
1,201:0D`
RIZED COMPANY RE' ' ATIVE
essional Agency* 95 Broadway, Amityville, NY 11701
CRED