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HomeMy WebLinkAbout2013 CON Grossman Psychological Associates - Officer Assistance Program - Amendment #3THIRD 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 1st 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 PPROV/ED AS TO FORM: audia 1 aitua Silva City Atto GROSSMAN PSYCIIOLOGICAL ASSOCIATES, APC By: Ira Grossman, PHD President Third Amendment - 2- Between the City of National City and to 2011 Agreement Grossman Psychological Associates, APC p.2 ACC?RD THISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFIBELOW.CATE DOES NOT THS CERTIFICATEFOFhATIVELY INSURANCERDOES ATIVELY AMEN, NOT CONSTITUTExTEND OR A CONTRACTTER THE BETWEENOTFEEIISSUINGGE FORDED BY THE NSURER(S)AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SJBROGATION 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 CERTIFICATE OF LIABILITY INSURANCE MARILYN BILLINGSLEY 5takFarm 1527 W LEWIS ST 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 CONTACT NAME: PHONE IAIC. No E:EL-_6_19-226-65D5 E-MAIL ADDRESS: DATE (MM DOITY I 10116/2013 AlC Nei.619-296-1863 INSURER(S) AFFORD, NG COVERAGE N AlC tl INSURER A: State Farm General In Su Price Company INSURER IS INSURER C INSURER D 25161 INSURER E INSURER F BER: COVERAGES IS —0 INDICATED. ECERTIFICATE XCLUSIONS E) L:CI'CIii-n.glC1Num:acn:THIS THE CERTIFY THAT THE POLICIES OF - INSURANCE NOTWTHSTAND NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OOR OTHER RDOCUMENTED EPAD CLAIMSC AND YCONDITION6 OF SUCH POLICIES. LIMITS SHOWN M YOR MAY PERTAIN, THE INSURANCE FHARDED BY THE AVE BEEN REDUCED ICIS BYE ------ ICY PERIO AWITH RESPECT TOBOVE FOR TH.E IWHICH THIS HEREIN LS SUBJECT TO ALL THE TERMS, LTR TYPE OF INSURANCE 4DDL INGR SUER �/VO POLICY NUMBER POLICY EFF POLICY EXP (MHVDDIYYY11 (MNIKKVYYYYl UMRS 90.51-4271-4 01/09/2 13 01/09/2014 ACH OCCURRENCE 5 1,000,000 A GENERAL LIAEIUTY Y I Y 1 CAMANTED 'REMISES (Ea rc r noel 3 300,00G X I COMVERCIA.L GENERAL LIABILITY UED EXP (Any one person) 5 5,000 jCLAIMS -MADE X II OCCUR EPSONAL&ADV INJURY 5 sENERAL AGGREGATE 5 2,000,000 'RODUC-S-CDMP/OPAGG 5 2,000,0005 GEN'L X POLICY AGGREGATE LIMIT APPLIES FER: r`07 F LOC , CVMBINGD SINGLE LIMIT Ea accident) 5 AUTOMOBILE LIABILITY 30OILY INJURY (Pe' WT.', 5 AVL A_L AUTO CANED SCHEDULED 30DILY INJURY (Peraa:denU 5 AJTCS H RED AJTOS AUTOS NON-OV AIEC AUTOS RTY aR0°ERTY DAMAGE 1Per a^ 5 UMBRELLA EXCESS UM LAD O OCCUR CLAIMS -MADE — _j EACH OCCURRENCE 5 AGGREGATE $ [RETENTIONS :ED WORKERS AND EMPLOYERS' ANY P OFFIC (Mann yes COMPENSATION LIABILITY 20PRETOR'PARTNER;EXECUTVE IVIN c!MEMBER EXC W DD07 tory In NH) fes under NIA ` i I f VVC STATU- Orr• UNITS ER I TORS LIMITS T E.L. EACH T $ E.L. DISEASE - EA EMPcOYEE` f E L. DISEASE -F'OLIGY LIMIT 5 eFCFIPTN><N If OF nPF RA TIn NR hpinw DESCRIPTIC N OF OPERATIONS) LOCATIONS 1 VEHICLES (Attach ACORD 10n, Additional Remarks Schedule, II more space Is requisedl CERTIFICATE HOLDER THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS, OFFICERS, AGENTS AND EMPLOYEES 1200 NATIONAL CITY BLVD NATIONAL CITY CA 91950.4302 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE G THE EXPIRATION DATE TH ACCORDANCE WITH THE POLIC ESCRIBED POLICIES ISE CANCELLED BEFORE :REOF, NOTICE WILL BE DELIVERED IN Y PROVISIONS. AUTH a -¢lam REP RESJ=.fyTATIVr 61988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 p.3 Pol BU A PS 45 SA Ad Cl ITS AG NA SECTION II ADDITIONAL INSURED ENDORSEM cy No.. 90-51-4271-4 ed Insured: CIGROSS, RICHARD L MD EDICAL CORP & GROSSMAN CHOLOGICAL ASSOC 0 KEARNY VILLA RD STE 214 DIEGO CA 92123-1563 itional Insured (include address): OF NATIONAL CITY OFFICIALS, OFFICERS, NTS & EMPLOYEES NC B LVO I ONAL CITY CA 91950-4302 W 0 IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is ame A•ditional Insured shown above, but only to the extent that liability is imposed on that of your work performed for that Additional Insured shown above. A y insurance provided to the Additional Insured shall only apply with respect to d-mages for which you are provided coverage. T e Primary Insurance coverage below applies only when there is an "X" in the box. Primary Insurance. The insurance provided to the Additional Insured show above shall be primary insurance. Any insurance carried by :he Additional Insured shall be noncontributory wi h respect to coverage provided to you. other provisions of the policy apply. NT FE-56G9 Page ': of 1 Al F'-6609 ded to include as an insured the Additional Insured solely because claim made or suit brought for Jun 01 12 08:28e WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SCHEDULE Policy Humber: 90 5142714 Named Insured: BUCCIGRCSS, RICHARLT L MD A MEDICAL CORD & GROSSSMAN PSYCHOLOGICAL ASBOC Name and Address of Parson or Organl oa: CITY OF NATIONAL CITY ITS OFFICERS, AGENTS & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91900-4301 p.4 FE.8r71 Page 1 of 1 The following is added to Paragraph 10.b. of SECTION I AND SECTION tE— COMMON CONDITIONS: IiVe waive any right of recovery we may nave against the .person or organization shown in the Schedule because eggplants we make for injury or damage arising out of. a. Your ongoing operations: or b. Your work done under contractwith that person or organaatian and included in the products - completed operations hazard. This waiver applies only to the person or organization shown in the Schedule. All other policy lonwistone apply. Frraarl a. f 4909br, Slate Feint 1rt ti t AutartibDe 1nnXanao Canparny, 2008 Inducts* +mpyrighbdrnotanato'4tsuraRCS SWAM Offica, wit esprmntstdon. PAWS t„ ueA DARWIN NATIONAL ASSURANCE COMPANY 9/28/12 - A Psyc THIS IS A CLAIMS MADE POL CY PLEASE READtCAREFULLYy *** 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 ACCOUNT NO: CA-GROS455-01 0222406C ITEM]. (a) NAME AND ADDRESS OF INSURED: ITEM 1: (b) ADDITIONAL NAMED INSUREDS: IRA GROSSMAN, PH.D. POLICY NO: 5 010 - 5 0 9 8 GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC 4550 KEARNY VILLA RD STE 214 SAN DIEGO, CA 92123 TYPE OFORG: 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 /'01 /,12 •To 12 / 01'// 13 • ` 12:01A.M. STANDARD TIME AT THE ADDRESS. OF THE INSURED AS STATED HEREIN: ITEM 4.. _ LIMITS OF LIABILITY: (a) $ 2,000,000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE. (b) $ 25 , 000 COSTS RELATED TO ANY SINGLE PROCEEDING 4 , 000 , 000 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS ITEMS. ITEM 6. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM 1ST PSYCHOLOGIST. 1. 1494.00 1,195.00 _ .... DEFENSE -LIMIT- — .-.. ...---76-1-00— ADDITIONAL INSUREDS 1 50.00 ., .r ,. RETROACTIVE DATE: 12 / 01 / 92 + TOTAL PREMIUM: 1, 2 01. 0 0 ITEM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM (if exercised):$ 2 , 102': 0 0 'SCHEDULED RATING CREDIT INCLUDED ITEM 8. ' 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 (32006) AUT):iORIZED COMPANY REPRESENTATIVE Americar(Professional Agency 95 Broadway, Amityville, NY 11701 CRED RESOLUTION NO. 2013 — 165 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE THE THIRD 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, on July 5, 2011, the City Council adopted Resolution No. 2011-146, approving the First Amendment to the Agreement to extend the term of the Agreement for one year for the not to exceed amount of $49,500; and WHEREAS, on July 17, 2012, the City Council adopted Resolution No. 2012- 157, approving the Second Amendment to the Agreement to extend the term of the Agreement for one year for the not to exceed amount of $49,500; and WHEREAS, the parties desire to exercise the option to extend the Agreement for the third of the three one-year extensions by extending the term of the Agreement for one additional year, through June 30, 2014, in the amount of $49,500, for a total agreement amount of $198,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute a Third 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 through June 30, 2014. Said Third Amendment to Agreement is on file in the office of the City Clerk. PASSED and ADOPTED this 5'h day of Nber, 2013. ATTEST: A211,1i Michael R. Dalla, Ci Clerk Morrison, `fbtao r PP City At ED AS TO FORM: acitua Silva Passed and adopted by the Council of the City of National City, California, on November 5, 2013 by the following vote, to -wit: Ayes: Councilmembers Cano, Morrison, Natividad, Rios, Sotelo-Solis. Nays: None. Absent: None. Abstain: None. AUTHENTICATED BY: RON MORRISON Mayor of the City of National City, California 7 City National City, California yairi rk of the City o By: Deputy I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. 2013-165 of the City of National City, California, passed and adopted by the Council of said City on November 5, 2013. City Clerk of the City of National City, California By: Deputy CITY OF NATIONAL CITY, CALIFORNIA COUNCIL AGENDA STATEMENT C`d00:',- :4 "cETING DATE: November 5, 2013 AGENDA ITEM NO. ITEM TITLE: Resolution of the City Council of the City of National City authorizing the Mayor to execute a Third 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 DEPARTMENT: Police PHONE: '4516 APPROVED BY:,------ ��� EXPLANATION: 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. On July 5, 2011, the City extended the Agreement for one year (First Amendment) through June 30, 2012, for the not to exceed amount of $49,500. On July 17, 2012, the City extended the Agreement for an additional one year (Second Amendment) through June 30, 2013, for the not to exceed amount of $49,500. This Third Amendment to the Agreement in the not to exceed amount of $49,500 exercises the option for the third one-year extension through June 30, 2014. Bringing the total Agreement amount to 198, 000. ossman Psychological Associates, APC is a licensed psychologist that has specialized in police psychology since 1982, and is qualified by experience and ability to perform these ices requi ed. ry FINANCIAL STATEMENT: APPROVED: le 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: 1 j FINAL ADOPTION: i STAFF RECOMMENDATION: Adopt Resolution BOARD / COMMISSION RECOMMENDATION: N/AN "TTACHMENTS: Amendment to Agreement Proposed resolution THIRD 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 1st 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 ASSOCIATES, APC By: (OAN-.--- 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 AC RO D CERTIFICATE OF LIABILITY INSURANCE DATE (MINODIWYY) 10/16/2013 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 T. E ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE DR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SJBROGATION 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 MARILYN BILLINGSLEY StateFarra 1527 W LEWIS ST A. SAN DIEGO CA 92103 INSURED 13UCCIGROSS, RICHARD L MD A MEDICAL CORP & GROSSMAN PSYCHOLOGICAL ASSOC 4550 KEARNY VILLA RD STE 214 SAN DIEGO CA 92123 CONTACT NAME: PHONE N. Em: 819-295.6505 EMAIL ADDRESS INSURERS) AFFORD MG COVERAGE INSURER A: Stale Farm General Insurance Company INSURER B a IAICC. Mel: 61 B-296-1883 NAIC p 25151 INSURER C INSURER 0 INSURER E : INSURER F: FEVISION NUMBER: I,.J ..H.. THIS IS INDICATED_ CERTIFICATE EXCLUSIONS .J vim.-i.•iv�.r• •- ... TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE) 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. LIMITS 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 TERMS. INSR LTR TYPE OF INSURANCE ADOL INSR SUER POLICY NUMBER P��1IccY EFF I POLICYEXP Nana.'YYYYI fMM/DOr7W1_.., UNITS A GENERALUABILIT' X 1 CCMNERCIAL GENERAL LIABILITY r ' y 7 - Iy��D—� I Y 90-51.4271-4 P1109/2013 01f0912014 EACH OCCURRENCE $ 1000,000 JAMAG£ R) REM -CEO 'REMISES(Ea orcurrancel S 300,000 'RED EXP (Anyone harem) 5 5,000 CLAIMS -MADE X OCCUR aERSDNAL 6. ADV INJURY 5 3ENERAL AGGREGATE $ 2,000,COO 'ROOUCTS • COMP/OP AEG $ 2,000,000 GEN'L X P)LLOY AGGREGATE LIMIT APPLIES PER: 1 JR{-0I 7 I kLOC $ AUTON{OBILE As'y AI UABLITY AUTO OWNED SCHEDULED �M1IbINEDSINGLE LIMN $ 3Ea �IL INJURY {Pe' person; BODILY INJURY (Par ate(dana s HIRTED AJTOS — AUTOS NON.OAPRI5.ERTY AUTOS 'NEC DAMAGE jeer e denS S $ UMBRELLA MOMS LAG LIAR O OCCUR CLAIMS -MADE • I f] EACH OCCURRENCE i AGGREGATE $ 5 CEO I RETENDON$ WORKERS AND EMPLOYERS' ANY PROPRETDRPARTNER,EXECUT:VE OPEC (Mono Eyes, COMPENSATION UABIUTY 1Y1 IIE.L. 0M1EMRE2 EXCLUDVD7 sorry In MeD Ielate under OF OPERATIONS LeIo N JA TORYTAMIUS DER EACH ACCI:ENT S EL. DISEASE - EA EMPLOYEE $ E L. DISEASE -POLICY LIMIT $ nEBOSIPTION OESCRIPTICLN OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space la remitted) CERTIFICATE HOLDER CANCEL THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS, OFFICERS, AGENTS AND EMPLOYEES 1200 NATIONAL CITY BLVD NATIONAL CITY CA 91950-4302 SHOULD ANY OF THE ABOVE LESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE FOLIC Y PROVISIONS. AUTHOR6EO REPRE SOW•`'ATN��- ACORD 25 (2010/05) ©1988-2010 AC )RD CORPORA ION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 p.3 Poi Na BU A PS 45 SA Ad IT AG NA w A of SECTION II ADDITIONAL INSURED ENDORSEM yNo.' 90-51-4271-4 ed Insured: CIGROSS, RICHARD L MD EDICAL CORP & GROSSMAN CHOLOGICAL ASSOC 0 KEARNY VILLA RD STE 214 DIEGO CA 92123-1563 Mortal Insured (include address): OF NATIONAL CITY OFFICIALS, OFFICERS, NTS & EMPLOYEES NC BLVD IONAL CITY CA 91950-4302 Q IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is ame ditional Insured shown above, but only to the extent that liability is imposed on tha our work performed for that Additional Insured shown above. A y insurance provided to the Additional Insured shall only apply with respect to d.mages for which you are provided coverage. T e Primary Insurance coverage below applies only when there is an "X" in the box. Primary Insurance. The insurance provided to the Additional Insured show Any insurance carried by the Additional Insured shall be noncontributory wi you. A. other provisions of the policy apply. F -6600 FE-6609 Page of 1 NT ded to include as an insured the Additional Insured solely because claim made or suit brought for above shall be primary insurance. h respect to coverage provided to Jun 01 12 08r28a 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 OFFICE, AGENTS & EMPLOYEES 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950-430 i p,4 tl6aen Page 1 or The following Is added to Paragraph lab. of SECTION I AND SECTION 11— COMMON CONDITIONS: We waive any tight of recovery we may have apahnst the ,person or organnztian ahoy* 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 contractwith 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. Al other policy provisions apply. Marin .. copyright, Slate Fawn FRttial Aumnobla rnearnnw Company, 2CD tnaradea mpptineS matatlal or Imam tea Samos 0lRCe. Irt . wall ILI psymisvWn. PA#0In LP A DARWIN NATIONAL ASSURANCE COMPANY 9 / 2 8 / 12 - A' PSYcTIIlIS i5 A CLAIMS MADE POL CYa PLEASE�READtcAREFULLYy *** 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 ACCOUNT NO: CA-GROS455-0� 0222406C' ITEM 1. (a) NAME AND ADDRESS OF INSURED: ITEM 1. (b) ADDITIONAL NAMED INSURED• S: IRA GROSSMAN, PH.D. POLICY NO: 5010-5098 • GROSSMAN PSYCHOLOGICAL ASSOCIATES, APC 4550 KEARNY 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: 12 R.ROM: 12 / OIA.M. STAND TIMEAT THE ADDRESS OF THE INSURED AS STATED HEREIN ITEM 4., _ LIMITS OF LIABILITY: (a) $ 2, 000, 000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL AC1 S OR OCCURRENCE . (b)$ 25,000 COSTS RELATED TO ANY SINGLE PROCEEDING 4,000, 0 0 0 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS ITEM 5 ITEM 6, ITEM 7. PREMIUM SCHEDULE: CLASSIFICATION .•::NUMBER RATE ANNUAL PREMIUM 1ST PSYCHOLOGIST. 1. 1494..00 1,195.00 DEFENSE' IiIMIT-�-,...,.. ---•----,-..-75-00.- ADDITIONAL INSUREDS 1. 50.00 ..... .. n'. . . .. . .. ...k ,r' ' . - - . . ' - . . , - . . " ,. . ii •.' ' r,• RETROACTIVE DATE: 12 / 01 / 9 2 TOTAL PREMIUM: 1, 2 01: 0 0 ADDITIONAL PREMIUM (if exercised):$" 2, 102' 0'0 SCHEDULED. RATING CREDIT INCLUDED ITEM 87 " POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY PRGE2000 (3/2006) PRGe1069 (1/2006) PRGe1121- EXTENDED REPORTING PERIOD • CRED AUTj:IORIZED COMPANY REPRESENTATIVE Americ ofessional Agency * 95 Broadway, Amityville, NY 11701 THIS IS NOT A BILL. PREMIUM HAS BEEN PAID. PRGE200S (3/2006) RESOLUTION NO. 2013 — RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE THE THIRD 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, on July 5, 2011, the City Council adopted Resolution No. 2011-146, approving the First Amendment to the Agreement to extend the term of the Agreement for one year for the not to exceed amount of $49,500; and WHEREAS, on July 17, 2012, the City Council adopted Resolution No. 2012- 157, approving the Second Amendment to the Agreement to extend the term of the Agreement for one year for the not to exceed amount of $49,500; and WHEREAS, the parties desire to exercise the option to extend the Agreement for the third of the three one-year extensions by extending the term of the Agreement for one additional year, through June 30, 2014, in the amount of $49,500, for a total agreement amount of $198,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute a Third 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 through June 30, 2014. Said Third Amendment to Agreement is on file in the office of the City Clerk. PASSED and ADOPTED this 5th day of November, 2013. Ron Morrison, Mayor ATTEST: APPROVED AS TO FORM: Michael R. Dalla, City Clerk Claudia Gacitua Silva City Attorney CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950 619-336-4228 phone / 619-336-4229 fax Michael R. Dalla, CMC - City Clerk November 14, 2013 Dr. Ira Grossman Grossman Psychological Associates 4550 Kearney Villa Road, Suite 214 San Diego, CA 92123 Dear Dr. Grossman, On November 5th, 2013, Resolution No. 2013-165 was passed and adopted by the City Council of the City of National City, authorizing execution of the Third Amendment to the Agreement with Grossman Psychological Associates. We are enclosing for your records a certified copy of the above Resolution and a fully executed original Amendment. Sincerely, Michael R. Dalla, CMC City Clerk Enclosures cc: Police Dept.