Loading...
HomeMy WebLinkAbout2011 CON Grossman Psychological Associates - Amendment #1 Officer Assistance ProgramFIRST AMENDMENT TO AGREEMENT BETWEEN THE CITY OF NATIONAL CITY AND GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC This First Amendment to Agreement is entered into this 1st day of July, 2011, 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 desire to exercise the option to extend the Agreement for the first of the three one-year extensions by extending the term of the Agreement for one additional year, beginning July I, 2011 and expiring on June 30, 2012. NOW, THEREFORE, the parties hereto agree that the Agreement entered into on July 1, 2010, shall be amended as follows: 1. The term of the Agreement dated July 1, 2010, is extended for an additional one-year term 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, 2011 through June 30, 2012, for an amount not to exceed $49,500, for a total agreement amount of $99,000. 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 on Morrison, Mayor A' "RAVED AS TO FORM: CI City Attor ilva, Esq. y GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC By Ira Grossman, PHD President 10/26/10 - A DARWIN NATIONAL ASSURANCE COMPANY PSYChTHIS TS A CLAIMS MADE POL C Ya PLEA E READtCARE1�ULEYy *** 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-GROS455-0 0222406C ITEM 1. (a) NAME AND ADDRESS OF INSURED: ITEM 1. (b) ADDITIONAL NAMED INSUREDS: IRA GROSSMAN, PH.D. GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC 4550 KEARNY VILLA RD. SUITE 214 SAN DIEGO, CA 92123 TYPE OF ORG: PROFESSIONAL CORPORATION ITEM 2. ADDITIONAL INSUREDS: CITY OF CHULA VISTA PURCHASING DIVISION 276 FOURTH AVE MS F-10 CHULA VISTA, CA 91910 ITEM 3. POLICY PERIOD: ITEM 4. LIMITS OF LIABILITY: (a) $ (b) $ CITY OF SAN DIEGO- BID # 7584 PURCHASING DEPT 6 1200 THIRD AVE STE 200 SAN DIEGO, CA 92101 FROM: 12/01/10 TO: 12/01/11 12:01A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: 2,000, 000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE 25, 000 COSTS RELATED TO ANY SINGLE PROCEEDING 4 , 000 , 000 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS ITEM 5. ITEM 6 rxr.iviiurvi a rmL,vl.r.. CLASSIFICATION NUMBER RATE ANNUAL PREMIUM 1ST PSYCHOLOGIST DEFENSE LIMIT ADDITIONAL INSUREDS 1 2 1494.00 1,195.00 75.00 75.00 RFTRnACTIVEDATE: 12/01/92 TOTAL PREMIUM: 1,226.00 ITEM 7. IIEM 8. EXTENDED REPORTING PERIOD ADDY CLONAL PREMIUM (if exercised):$ CRED 2,146.00 SCHEDULED RATING CREDIT INCLUDED POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY PRGE2000 (3/2006) PRGe1069 (1/2006) EPRGe1121 AUTJX5RIZED COMPANY REPRESENTATIVE AmericaiiProfessional Agency * 95 Broadway, Amityville, NY 11701 THIS IS NOT A BILL. PREMIUM HAS BEEN PAID. PRGE2005 (3/20061 Rug 1 / u l 3rp p.2 CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Aurora, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder RI00PRD T. 3UCCIGROSS MD A MEDICAL CORP & GROSSMAN PSYCfOLOGICAL ASSOC Address of policyholder 9550 KEARNEY VILLA RD STE 214 SAN DIEGO CA 92123 Location of operations Description of operations SAME BUSINESS -OFFICE The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these polities is subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 90-51.-4271-4 This insurance includes: Comprehensive Business Liability ■ Products - Completed Operations ■ Contractual Liability • Personal Injury ❑ Advertising Injury ■ I■ ❑ 01/09/2011 ; 01/09/2012 BODILY INJURY AND PROPERTY DAMAGE Each Occurrence $ 1, 000, 30e General Aggregate $ 2, 000, 000 Products - Completed $ 2,000, 000 Operations Aggregate EXCESS LIABILITY ❑ Umbrella El Other POLICY PERIOD Effective Date 1 Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) Each Occurrence $ Aggregate $ Workers' Compensation and Employers Liability POLICY Effective Date PERIOD Expiration Date Part I - Workers Compensation - Statutory Part II - Employers Liability Each Accident $ Disease - Each Employee $ Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date ; Expiration Date LIMITS OF LIABILITY at beginning of policy period) _ THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder ADDL INSURED - SECTION TI The City of National City IL's officers, agents & employees 1243 NaL-_onal City Blvd National City, CA 91950-4301 556-994 a.6 Pririled in U.S.A. Rev. D5-09-2006 If any of the described policies are canceled before their expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents orrepresentativves. Signature of Authorized Represent AGENT License 0656407 09/17/2011 Title Data MARILYN BILLINGSLEY Agent Name Telephone Number 6192966505 Agent's Code Stamp Agent Code B56C AFO Code F410 II II V I.J/F1 p.i J06M Policy No.: 90 514271 4 SECTION II ADDITIONAL INSURED ENDORSEMENT Policy No.: 90 514271 4 Named Insured: BUCCIGROSS, RICHARD L MD A MEDICAL CORP & GROSSMAN PSYCHOLOGICAL ASSOC FE-6609 Additional Insured (include address): CITY OF NATIONAL CITY ITS OFFICERS, AGENTS & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY. CA 91950-4301 WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box, Z Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE-6609 Printed in U.SA. Hug "I! "I'I u1:;.3ip p.4 FE-6671 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SCHEDULE Policy Number: 90 514271 4 Named Insured: BUCCIGROSS, RICHARD L MD A MEDICAL CORP & GROSSMAN PSYCHOLOGICAL ASSOC Name and Address of Person or Organization: CITY OF NATIONAL CITY ITS OFFICERS, AGENTS & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950-4301 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. Your work done under contract with that person or organization and included in the products - completed operations hazard. This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. FE-6671 ®, Copyright, State Farm Mutual Automobile insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. FE-6071 (04f09) Pnnted in U.S.A. RESOLUTION NO. 2011 — 146 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE THE FIRST AMENDMENT TO THE AGREEMENT WITH GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC, IN THE NOT -TO -EXCEED AMOUNT OF $49,500 FOR AN ADDITIONAL ONE YEAR TERM TO PROVIDE PRE -PLACEMENT EVALUATIONS, PRE -EMPLOYMENT EXAMS, AN OFFICER ASSISTANCE PROGRAM, CRITICAL INCIDENT DEBRIEFINGS, AND FITNESS FOR DUTY EVALUATIONS FOR THE NATIONAL CITY POLICE DEPARTMENT WHEREAS, on July 1, 2010, the City entered into a one year agreement with Grossman Psychological Associates, APC, in the amount of $49,500 to provide pre -placement evaluations, pre -employment exams, an officer assistance program, critical incident debriefings, and fitness for duty evaluations for the National City Police Department; and WHEREAS, said Agreement provided the option to extend the term of the Agreement for three additional one-year terms; and WHEREAS, the parties desire to exercise the option to extend the Agreement for the first of the three one-year extensions by extending the term of the Agreement for one additional year, beginning July 1, 2011, and expiring on June 30, 2012, in the amount of $49,500, for a total agreement amount of $99,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute a First Amendment to the Agreement in the not -to -exceed amount of $49,500 with Grossman Psychological Associates, APC, to provide pre -placement evaluations, pre -employment exams, an officer assistance program, critical incident debriefings, and fitness for duty evaluations to the Police Department from July 1, 2011 through June 30, 2012. Said First Amendment to Agreement is on file in the office of the City Clerk. PASSED and ADOPTED this 5th day of July, 2011. ATTEST: Michael R. DallaCity Clerk ROVED AS TO FORM: Iva ty At Morrison, Mayor Passed and adopted by the Council of the City of National City, Califomia, on July 5, 2011 by the following vote, to -wit: Ayes: Councilmembers Morrison, Natividad, Rios, Sotelo-Solis, Zarate. Nays: None. Absent: None. Abstain: None. AUTHENTICATED BY: RON MORRISON Mayor of the City of National City, California letR4 City Clerk of the City f National City, California By: Deputy I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. 2011-146 of the City of National City, California, passed and adopted by the Council of said City on July 5, 2011. City Clerk of the City of National City, California By: Deputy CITY OF NATIONAL CITY, CALIFORNIA COUNCIL AGENDA STATEMENT MEETING DATE: July 5, 2011 AGENDA ITEM NO. 14 i I'EM TITLE: Resolution of the City Council of the City of National City authorizing the Mayor to execute a First Amendment to the Agreement with Grossman Psychological Associates, APC, in the not -to exceed amount of $49,500 to provide Pre -Placement evaluations, Pre -Employment exams, an Officer Assistance Program, Critical Incident Debriefing and Fitness for Duty Evaluations for the Police Department for the term of one year. PREPARED BY: Ronni Zengota, Operations Assistant PHONE: 4516 EXPLANATION: DEPARTMENT: Police pp APPROVED BY: On July 1, 2010, the City entered into an Agreement with Grossman Psychological Associates, APC, to provide Pre -Placement evaluations, Pre -Employment Exams, Officer Assistance Program, Critical Incident Debriefing and Fitness for Duty Exams for the Police Department from July 1, 2010 through June 30, 2011, for the not to exceed amount of $49,500. The Agreement provides the option to extend the Agreement for three (3) one-year terms. This First Amendment to the Agreement in the not to exceed amount of $49,500 exercises the option for the first one-year extension through June 30, 2012. Grossman Psychological Associates, APC is a licensed psychologist that has specialized in police ;ychology since 1982, and is qualified by experience and ability to perform the services required by the )lice Department. FINANCIAL STATEMENT: APPROVED: pq0,2 JAI, Finance ACCOUNT NO. Budgeted through the General Fund APPROVED: MIS 001-411-000-205-0000 — Pre -placement, Pre -employment, Critical Incident Debriefing, Fitness For Duty 001-411-000-299-0000 — Officer Assistance Program ENVIRONMENTAL REVIEW: N/A ORDINANCE: INTRODUCTION: FINAL ADOPTION: STAFF RECOMMENDATION: Adopt Resolution BOARD / COMMISSION RECOMMENDATION: N/A 'TTACHMENTS: ...nendment to Agreement RESOLUTION NO. 2011 — RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE THE FIRST AMENDMENT TO THE AGREEMENT WITH GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC, IN THE NOT -TO -EXCEED AMOUNT OF $49,500 FOR AN ADDITIONAL ONE YEAR TERM TO PROVIDE PRE -PLACEMENT EVALUATIONS, PRE -EMPLOYMENT EXAMS, AN OFFICER ASSISTANCE PROGRAM, CRITICAL INCIDENT DEBRIEFINGS, AND FITNESS FOR DUTY EVALUATIONS FOR THE NATIONAL CITY POLICE DEPARTMENT WHEREAS, on July 1, 2010, the City entered into a one year agreement with Grossman Psychological Associates, APC, in the amount of $49,500 to provide pre -placement evaluations, pre -employment exams, an officer assistance program, critical incident debriefings, and fitness for duty evaluations for the National City Police Department; and WHEREAS, said Agreement provided the option to extend the term of the Agreement for three additional one-year terms; and WHEREAS, the parties desire to exercise the option to extend the Agreement for the first of the three one-year extensions by extending the term of the Agreement for one additional year, beginning July 1, 2011, and expiring on June 30, 2012, in the amount of $49,500, for a total agreement amount of $99,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute a First Amendment to the Agreement in the not -to -exceed amount of $49,500 with Grossman Psychological Associates, APC, to provide pre -placement evaluations, pre -employment exams, an officer assistance program, critical incident debriefings, and fitness for duty evaluations to the Police Department from July 1, 2011 through June 30, 2012. Said First Amendment to Agreement is on file in the office of the City Clerk. PASSED and ADOPTED this 5th day of July, 2011. Ron Morrison, Mayor ATTEST: Michael R. Dalla, City Clerk APPROVED AS TO FORM: Claudia G. Silva City Attorney FIRST AMENDMENT TO AGREEMENT BETWEEN THE CITY OF NATIONAL CITY AND GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC This First Amendment to Agreement is entered into this 1st day of July, 2011, 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 desire to exercise the option to extend the Agreement for the first of the three one-year extensions by extending the term of the Agreement for one additional year, beginning July 1, 2011 and expiring on June 30, 2012. NOW, THEREFORE, the parties hereto agree that the Agreement entered into on July 1, 2010, shall be amended as follows: 1. The term of the Agreement dated July 1, 2010, is extended for an additional one-year term 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, 2011 through June 30, 2012, for an amount not to exceed $49,500, for a total agreement amount of $99,000. 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: Ron Morrison, Ira Grossman, PHD Mayor President APPROVED AS TO FORM: Claudia G. Silva, Esq. City Attorney OFFICE OF THE CITY CLERK 1243 National City Blvd. National City, California 91950 YNCOIiJQ*ATED J Michael R. Dalla, CMC - City Clerk 619-336-4228 phone 619-336-4229 fax August 22, 2011 Dr. Ira Grossman Grossman Psychological Associates, APC Landmark Centre 4550 Kearney Villa Road, Suite 214 San Diego, CA 92123-1563 Dear Dr. Grossman, On July 5th, 2011, Resolution No. 2011-146 was passed and adopted by the City Council of the City of National City, authorizing execution of Amendment #1 to an Agreement with Grossman Psychological Associates, APC. We are enclosing for your records a certified copy of the above Resolution and a fully executed original Amendment. Michael R. Dalla, CMC City Clerk Enclosures cc: Police Dept.