HomeMy WebLinkAbout2014 CON Nancy Bohl dba The Consulting Team International - Police Employee Assistance ProgramAGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
NANCY K. BOHL, INC., DBA
THE COUNSELING TEAM INTERNATIONAL
THIS AGREEMENT is entered into this t day of August 2014, by and between the
CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and NANCY K. BOHL,
INC., a California S-Corporation, DBA THE COUNSELING TEAM INTERNATIONAL
(TCTI) (the "CONSULTANT").
RECITALS
WHEREAS, the CITY desires to employ a CONSULTANT to provide an employee
assistance program and critical incident debriefings for the National City Police Department.
WHEREAS, the CITY has determined that the CONSULTANT is qualified by
experience and training and has the ability to provide counseling services, training, critical
incident intervention and support to emergency service personnel , and the CONSULTANT is
willing to perform such services.
NOW, THEREFORE, THE PARTIES HERETO DO MUTUALLY AGREE AS
FOLLOWS:
1. ENGAGEMENT OF CONSULTANT. The CITY agrees to engage the
CONSULTANT, and the CONSULTANT agrees to perform the services set forth here in Exhibit
"A" and in accordance with all terms and conditions contained herein.
The CONSULTANT represents that all services shall be performed directly by the
CONSULTANT or under direct supervision of the CONSULTANT.
2. SCOPE OF SERVICES. The CONSULTANT will perform services as set forth
in the attached Exhibit "A".
The CONSULTANT shall be responsible for all research and reviews related to
the work and shall not rely on personnel of the CITY for such services, except as authorized in
advance by the CITY.
The CITY may unilaterally, or upon request from the CONSULTANT, from time
to time reduce or increase the Scope of Services to be performed by the CONSULTANT under
this Agreement. Upon doing so, the CITY and the CONSULTANT agree to meet in good faith
and confer for the purpose of negotiating a corresponding reduction or increase in the
compensation associated with said change in services, not to exceed a factor of 20% from the
base amount.
3. PROJECT COORDINATION AND SUPERVISION. The Operations Support
Lieutenant hereby is designated as the Project Coordinator for the CITY and will monitor the
1 City's Standard Agreement —2011 revision
progress and execution of this Agreement. The CONSULTANT shall assign a single Project
Director to provide supervision and have overall responsibility for the progress and execution of
this Agreement for the CONSULTANT. Nancy K. Bohl hereby is designated as the Project
Director for the CONSULTANT.
4. COMPENSATION AND PAYMENT. The compensation for the
CONSULTANT shall be based on monthly billings covering actual work performed. Billings
shall include labor classifications, respective rates, hours worked and also materials, if any. The
total cost for all work described in Exhibit "A" shall not exceed $16,000.00 annually (the Base
amount) without prior written authorization from the City Manager. The amount of $9,600.00
shall be section I of Exhibit "A" and $6,400.00 shall be for section II of Exhibit "A." Monthly
invoices will be processed for payment and remitted within thirty (30) days from receipt of
invoice, provided that work is accomplished consistent with Exhibit "A", as determined by the
CITY.
The CONSULTANT shall maintain all books, documents, papers, employee time
sheets, accounting records, and other evidence pertaining to costs incurred, and shall make such
materials available at its office at all reasonable times during the term of this Agreement and for
three (3) years from the date of final payment under this Agreement, for inspection by the CITY,
and for furnishing of copies to the CITY, if requested.
5. ACCEPTABILITY OF WORK. The City shall decide any and all questions
which may arise as to the quality or acceptability of the services performed and the manner of
performance, the acceptable completion of this Agreement, and the amount of compensation due.
In the event the CONSULTANT and the City cannot agree to the quality or acceptability of the
work, the manner of performance and/or the compensation payable to the CONSULTANT in this
Agreement, the City or the CONSULTANT shall give to the other written notice. Within ten (10)
business days, the CONSULTANT and the City shall each prepare a report which supports their
position and file the same with the other party. The City shall, with reasonable diligence,
determine the quality or acceptability of the work, the manner of performance and/or the
compensation payable to the CONSULTANT.
6. RETROACTIVELY EFFECTIVE DATE AND LENGTH OF
AGREEMENT. This Agreement will become effective on July 1, 2014. The duration of this
Agreement is for the period of July 1, 2014 through June 30, 2015, provided that the parties may
by writing, signed by both parties, mutually agree to extend this Agreement on the same terms
and conditions for three additional one-year terms.
7. DISPOSITION AND OWNERSHIP OF DOCUMENTS. The Memoranda,
Reports, Maps, Drawings, Plans, Specifications, and other documents prepared by the
CONSULTANT for this Project, whether paper or electronic, shall become the property of the
CITY for use with respect to this Project, and shall be turned over to the CITY upon completion
of the Project, or any phase thereof, as contemplated by this Agreement.
Contemporaneously with the transfer of documents, the CONSULTANT hereby
assigns to the CITY, and CONSULTANT thereby expressly waives and disclaims any copyright
in, and the right to reproduce, all written material, drawings, plans, specifications, or other work
prepared under this Agreement, except upon the CITY'S prior authorization regarding
reproduction, which authorization shall not be unreasonably withheld. The CONSULTANT
2 Ciy's Standard Agreement —2011 revision
shall, upon request of the CITY, execute any further document(s) necessary to further effectuate
this waiver and disclaimer.
The CONSULTANT agrees that the CITY may use, reuse, alter, reproduce,
modify, assign, transfer, or in any other way, medium, or method utilize the CONSULTANT'S
written work product for the CITY'S purposes, and the CONSULTANT expressly waives and
disclaims any residual rights granted to it by Civil Code Sections 980 through 989 relating to
intellectual property and artistic works.
Any modification or reuse by the CITY of documents, drawings, or specifications
prepared by the CONSULTANT shall relieve the CONSULTANT from liability under Section
14, but only with respect to the effect of the modification or reuse by the CITY, or for any
liability to the CITY should the documents be used by the CITY for some project other than what
was expressly agreed upon within the Scope of this project, unless otherwise mutually agreed.
8. INDEPENDENT CONTRACTOR. Both parties hereto in the performance of
this Agreement will be acting in an independent capacity and not as agents, employees, partners,
or joint venturers with one another. Neither the CONSULTANT nor the CONSULTANT'S
employees are employees of the CITY, and are not entitled to any of the rights, benefits, or
privileges of the CITY'S employees, including but not limited to retirement, medical, unemploy-
ment, or workers' compensation insurance.
This Agreement contemplates the personal services of the CONSULTANT and
the CONSULTANT'S employees, and it is recognized by the parties that a substantial
inducement to the CITY for entering into this Agreement was, and is, the professional reputation
and competence of the CONSULTANT and its employees. Neither this Agreement nor any
interest herein may be assigned by the CONSULTANT without the prior written consent of the
CITY. Nothing herein contained is intended to prevent the CONSULTANT from employing or
hiring as many employees, or SUBCONSULTANTS, as the CONSULTANT may deem
necessary for the proper and efficient performance of this Agreement. All agreements by
CONSULTANT with its SUBCONSULTANT(S) shall require the SUBCONSULTANT(S) to
adhere to the applicable terms of this Agreement.
9. CONTROL. Neither the CITY nor its officers, agents, or employees shall have
any control over the conduct of the CONSULTANT or any of the CONSULTANT'S employees,
except as herein set forth, and the CONSULTANT or the CONSULTANT'S agents, servants, or
employees are not in any manner agents, servants, or employees of the CITY, it being understood
that the CONSULTANT its agents, servants, and employees are as to the CITY wholly
independent CONSULTANT, and that the CONSULTANT'S obligations to the CITY are solely
such as are prescribed by this Agreement.
10. COMPLIANCE WITH APPLICABLE LAW. The CONSULTANT, in the
performance of the services to be provided herein, shall comply with all applicable state and
federal statutes and regulations, and all applicable ordinances, rules, and regulations of the City
of National City, whether now in force or subsequently enacted. The CONSULTANT and each
of its SUBCONSULTANT(S), shall obtain and maintain a current City of National City business
license prior to and during performance of any work pursuant to this Agreement.
11. LICENSES, PERMITS, ETC. The CONSULTANT represents and covenants
that it has all licenses, permits, qualifications, and approvals of whatever nature that are legally
3 City's Standard Agreement —2011 revision
required to practice its profession. The CONSULTANT represents and covenants that the
CONSULTANT shall, at its sole cost and expense, keep in effect at all times during the term of
this Agreement, any license, permit, or approval which is legally required for the
CONSULTANT to practice its profession.
12. STANDARD OF CARE.
A. The CONSULTANT, in performing any services under this Agreement,
shall perform in a manner consistent with that level of care and skill ordinarily exercised by
members of the CONSULTANT'S trade or profession currently practicing under similar
conditions and in similar locations. The CONSULTANT shall take all special precautions
necessary to protect the CONSULTANT'S employees and members of the public from risk of
harm arising out of the nature of the work and/or the conditions of the work site.
B. Unless disclosed in writing prior to the date of this Agreement, the
CONSULTANT warrants to the CITY that it is not now, nor has it for the five (5) years
preceding, been debarred by a governmental agency or involved in debarment, arbitration or
litigation proceedings concerning the CONSULTANT'S professional performance or the
furnishing of materials or services relating thereto.
C. The CONSULTANT is responsible for identifying any unique products,
treatments, processes or materials whose availability is critical to the success of the project the
CONSULTANT has been retained to perform, within the time requirements of the CITY, or,
when no time is specified, then within a commercially reasonable time. Accordingly, unless the
CONSULTANT has notified the CITY otherwise, the CONSULTANT warrants that all products,
materials, processes or treatments identified in the project documents prepared for the CITY are
reasonably commercially available. Any failure by the CONSULTANT to use due diligence
under this sub -paragraph will render the CONSULTANT liable to the CITY for any increased
costs that result from the CITY'S later inability to obtain the specified items or any reasonable
substitute within a price range that allows for project completion in the time frame specified or,
when not specified, then within a commercially reasonable time.
13. NON-DISCRIMINATION PROVISIONS. The CONSULTANT shall not
discriminate against any employee or applicant for employment because of age, race, color,
ancestry, religion, sex, sexual orientation, marital status, national origin, physical handicap, or
medical condition. The CONSULTANT will take positive action to insure that applicants are
employed without regard to their age, race, color, ancestry, religion, sex, sexual orientation,
marital status, national origin, physical handicap, or medical condition. Such action shall include
but not be limited to the following: employment, upgrading, demotion, transfer, recruitment or
recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and
selection for training, including apprenticeship. The CONSULTANT agrees to post in
conspicuous places available to employees and applicants for employment any notices provided
by the CITY setting forth the provisions of this non-discrimination clause.
14. CONFIDENTIAL INFORMATION. The CITY may from time to time
communicate to the CONSULTANT certain confidential information to enable the
CONSULTANT to effectively perform the services to be provided herein. The CONSULTANT
shall treat all such information as confidential and shall not disclose any part thereof without the
prior written consent of the CITY. The CONSULTANT shall limit the use and circulation of
such information, even within its own organization, to the extent necessary to perform the
services to be provided herein. The foregoing obligation of this Section 13, however, shall not
apply to any part of the information that (i) has been disclosed in publicly available sources of
4 City's Standard Agreement —2011 revision
information; (ii) is, through no fault of the CONSULTANT, hereafter disclosed in publicly
available sources of information; (iii) is already in the possession of the CONSULTANT without
any obligation of confidentiality; or (iv) has been or is hereafter rightfully disclosed to the
CONSULTANT by a third party, but only to the extent that the use or disclosure thereof has been
or is rightfully authorized by that third party.
The CONSULTANT shall not disclose any reports, recommendations,
conclusions or other results of the services or the existence of the subject matter of this
Agreement without the prior written consent of the CITY. In its performance hereunder, the
CONSULTANT shall comply with all legal obligations it may now or hereafter have respecting
the information or other property of any other person, firm or corporation.
CONSULTANT shall be liable to CITY for any damages caused by breach of this
condition, pursuant to the provisions of Section 14.
15. INDEMNIFICATION AND HOLD HARMLESS. The CONSULTANT agrees
to defend, indemnify and hold harmless the City of National City, its officers and employees,
against and from any and all liability, loss, damages to property, injuries to, or death of any
person or persons, and all claims, demands, suites, actions, proceedings, reasonable attorneys'
fees, and defense costs, of any kind or nature, including workers' compensation claims, of or by
anyone whomsoever, resulting from or arising out of the CONSULTANT'S performance or other
obligations under this Agreement; provided, however, that this indemnification and hold
harmless shall not include any claims or liability arising from the established sole negligence or
willful misconduct of the City, its agents, officers, or employees. The indemnity, defense, and
hold harmless obligations contained herein shall survive the termination of this Agreement for
any alleged or actual omission, act, or negligence under this Agreement that occurred during the
term of this Agreement.
16. WORKERS' COMPENSATION. The CONSULTANT shall comply with all of
the provisions of the Workers' Compensation Insurance and Safety Acts of the State of
California, the applicable provisions of Division 4 and 5 of the California Government Code and
all amendments thereto; and all similar State or federal acts or laws applicable; and shall
indemnify, and hold harmless the CITY and its officers, and employees from and against all
claims, demands, payments, suits, actions, proceedings, and judgments of every nature and
description, including reasonable attorney's fees and defense costs presented, brought or
recovered against the CITY or its officers, employees, or volunteers, for or on account of any
liability under any of said acts which may be incurred by reason of any work to be performed by
the CONSULTANT under this Agreement.
17. INSURANCE. The CONSULTANT, at its sole cost and expense, shall purchase
and maintain, and shall require its SUBCONSULTANT(S), when applicable, to purchase and
maintain throughout the term of this Agreement, the following checked insurance policies:
A. ® If checked, Professional Liability Insurance (errors and
omissions) with minimum limits of $1,000,000 per occurrence.
B. Automobile Insurance covering all bodily injury and property damage
incurred during the performance of this Agreement, with a minimum coverage of $1,000,000
combined single limit per accident. Such automobile insurance shall include owned, non -owned,
and hired vehicles ("any auto"). The policy shall name the CITY and its officers, agents and
employees as additional insureds, and a separate additional insured endorsement shall be
provided.
5 City's Standard Agreement -2011 revision
C. Commercial General Liability Insurance, with minimum limits of
$2,000,000 per occurrence and $4,000,000 aggregate, covering all bodily injury and property
damage arising out of its operations under this Agreement. The policy shall name the CITY and
its officers, agents and employees as additional insureds, and a separate additional insured
endorsement shall be provided. The general aggregate limit must apply solely to this "project" or
"location".
D. Workers' Compensation Insurance in an amount sufficient to meet
statutory requirements covering all of CONSULTANT'S employees and employers' liability
insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed
with a waiver of subrogation in favor of the City. Said endorsement shall be provided prior to
commencement of work under this Agreement.
If CONSULTANT has no employees subject to the California Workers'
Compensation and Labor laws, CONSULTANT shall execute a Declaration to that effect. Said
Declaration shall be provided to CONSULTANT by CITY.
E. The aforesaid policies shall constitute primary insurance as to the CITY,
its officers, employees, and volunteers, so that any other policies held by the CITY shall not
contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior
written notice to the CITY of cancellation or material change.
F. If required insurance coverage is provided on a "claims made" rather than
"occurrence" form, the CONSULTANT shall maintain such insurance coverage for three years
after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date
must be on or before the date of this Agreement.
G. Insurance shall be written with only California admitted companies that
hold a current policy holder's alphabetic and financial size category rating of not less than A VIII
according to the current Best's Key Rating Guide, or a company equal financial stability that is
approved by the CITY'S Risk Manager. In the event coverage is provided by non -admitted
"surplus lines" carriers, they must be included on the most recent California List of Eligible
Surplus Lines Insurers (LESLI list) and otherwise meet rating requirements.
H. This Agreement shall not take effect until certificate(s) or other sufficient
proof that these insurance provisions have been complied with, are filed with and approved by
the CITY'S Risk Manager. If the CONSULTANT does not keep all of such insurance policies in
full force and effect at all times during the terms of this Agreement, the CITY may elect to treat
the failure to maintain the requisite insurance as a breach of this Agreement and terminate the
Agreement as provided herein.
I. All deductibles and self -insured retentions in excess of $10,000 must be
disclosed to and approved by the CITY.
18. LEGAL FEES. If any party brings a suit or action against the other party arising
from any breach of any of the covenants or agreements or any inaccuracies in any of the
representations and warranties on the part of the other party arising out of this Agreement, then in
that event, the prevailing party in such action or dispute, whether by final judgment or out -of -
court settlement, shall be entitled to have and recover of and from the other party all costs and
expenses of suit, including attorneys' fees.
For purposes of determining who is to be considered the prevailing party, it is
stipulated that attorney's fees incurred in the prosecution or defense of the action or suit shall not
be considered in determining the amount of the judgment or award. Attomey's fees to the
prevailing party if other than the CITY shall, in addition, be limited to the amount of attorney's
6 City's Standard Agreement —2011 revision
fees incurred by the CITY in its prosecution or defense of the action, irrespective of the actual
amount of attomey's fees incurred by the prevailing party.
19. - MEDIATION/ARBITRATION. If a dispute arises out of or relates to this
Agreement, or the breach thereof, the parties agree first to try, in good faith, to settle the dispute
by mediation in San Diego, California, in accordance with the Commercial Mediation Rules of
the American Arbitration Association (the "AAA") before resorting to arbitration. The costs of
mediation shall be bome equally by the parties. Any controversy or claim arising out of, or
relating to, this Agreement, or breach thereof, which is not resolved by mediation shall be settled
by arbitration in San Diego, California, in accordance with the Commercial Arbitration Rules of
the AAA then existing. Any award rendered shall be final and conclusive upon the parties, and a
judgment thereon may be entered in any court having jurisdiction over the subject matter of the
controversy. The expenses of the arbitration shall be borne equally by the parties to the
arbitration, provided that each party shall pay for and bear the costs of its own experts, evidence
and attomeys' fees, except that the arbitrator may assess such expenses or any part thereof
against a specified party as part of the arbitration award.
20. TERMINATION.
A. This Agreement may be terminated with or without cause by the CITY.
Termination without cause shall be effective only upon 60-day's written notice to the
CONSULTANT. During said 60-day period the CONSULTANT shall perform all services in
accordance with this Agreement.
B. This Agreement may also be terminated immediately by the CITY for
cause in the event of a material breach of this Agreement, misrepresentation by the
CONSULTANT in connection with the formation of this Agreement or the performance of
services, or the failure to perform services as directed by the CITY.
C. Termination with or without cause shall be effected by delivery of written
Notice of Termination to the CONSULTANT as provided for herein.
D. In the event of termination, all finished or unfinished Memoranda Reports,
Maps, Drawings, Plans, Specifications and other documents prepared by the CONSULTANT,
whether paper or electronic, shall immediately become the property of and be delivered to the
CITY, and the CONSULTANT shall be entitled to receive just and equitable compensation for
any work satisfactorily completed on such documents and other materials up to the effective date
of the Notice of Termination, not to exceed the amounts payable hereunder, and less any
damages caused the CITY by the CONSULTANT'S breach, if any. Thereafter, ownership of said
written material shall vest in the CITY all rights set forth in Section 6.
E. The CITY further reserves the right to immediately terminate this
Agreement upon: (1) the filing of a petition in bankruptcy affecting the CONSULTANT; (2) a
reorganization of the CONSULTANT for the benefit of creditors; or (3) a business
reorganization, change in business name or change in business status of the CONSULTANT.
21. NOTICES. All notices or other communications required or permitted hereunder
shall be in writing, and shall be personally delivered; or sent by overnight mail (Federal Express
or the like); or sent by registered or certified mail, postage prepaid, return receipt requested; or
sent by ordinary mail, postage prepaid; or telegraphed or cabled; or delivered or sent by telex,
telecopy, facsimile or fax; and shall be deemed received upon the earlier of (i) if personally
delivered, the date of delivery to the address of the person to receive such notice, (ii) if sent by
overnight mail, the business day following its deposit in such overnight mail facility, (iii) if
mailed by registered, certified or ordinary mail, five (5) days (ten (10) days if the address is
7 City's Standard Agreement —20I I revision
outside the State of California) after the date of deposit in a post office, mailbox, mail chute, or
other like facility regularly maintained by the United States Postal Service, (iv) if given by
telegraph or cable, when delivered to the telegraph company with charges prepaid, or (v) if given
by telex, telecopy, facsimile or fax, when sent. Any notice, request, demand, direction or other
communication delivered or sent as specified above shall be directed to the following persons:
To CITY: Manuel Rodriguez,
Chief of Police
City of National City Police Department
1200 National City Boulevard
National City, CA 91950-4302
To CONSULTANT:
Nancy K. Bohl
Nancy K. Bohl, Inc., DBA The Counseling Team International
1881 Business Center Drive, Suite 11
San Bernardino, CA 92408
Notice of change of address shall be given by written notice in the manner
specified in this Section. Rejection or other refusal to accept or the inability to deliver because of
changed address of which no notice was given shall be deemed to constitute receipt of the notice,
demand, request or communication sent. Any notice, request, demand, direction or other
communication sent by cable, telex, telecopy, facsimile or fax must be confirmed within forty-
eight (48) hours by letter mailed or delivered as specified in this Section.
22. CONFLICT OF INTEREST AND POLITICAL REFORM ACT
OBLIGATIONS. During the term of this Agreement, the CONSULTANT shall not perform
services of any kind for any person or entity whose interests conflict in any way with those of the
City of National City. The CONSULTANT also agrees not to specify any product, treatment,
process or material for the project in which the CONSULTANT has a material financial interest,
either direct or indirect, without first notifying the CITY of that fact. The CONSULTANT shall
at all times comply with the terms of the Political Reform Act and the National City Conflict of
Interest Code. The CONSULTANT shall immediately disqualify itself and shall not use its
official position to influence in any way any matter coming before the CITY in which the
CONSULTANT has a financial interest as defined in Government Code Section 87103. The
CONSULTANT represents that it has no knowledge of any financial interests that would require
it to disqualify itself from any matter on which it might perform services for the CITY.
❑ If checked, the CONSULTANT shall comply with all of the reporting
requirements of the Political Reform Act and the National City Conflict of Interest Code.
Specifically, the CONSULTANT shall file a Statement of Economic Interests with the City Clerk
of the City of National City in a timely manner on forms which the CONSULTANT shall obtain
from the City Clerk.
The CONSULTANT shall be strictly liable to the CITY for all damages, costs or
expenses the CITY may suffer by virtue of any violation of this Paragraph 22 by the
CONSULTANT.
8 City's Standard Agreement —2011 revision
23. PREVAILING WAGES. State prevailing wage rates may apply to work
performed under this Agreement. State prevailing wages rates apply to all public works contracts
as set forth in California Labor Code, including but not limited to, Sections 1720,1720.2, 1720.3,
1720.4, and 1771. Consultant is solely responsible to determine if State prevailing wage rates
apply and, if applicable, pay such rates in accordance with all laws, ordinances, rules, and
regulations.
24. MISCELLANEOUS PROVISIONS.
A. Computation of Time Periods. If any date or time period provided for in
this Agreement is or ends on a Saturday, Sunday or federal, state or legal holiday, then such date
shall automatically be extended until 5:00 p.m. Pacific Time of the next day which is not a
Saturday, Sunday or federal, state, or legal holiday.
B. Counterparts. This Agreement may be executed in multiple counterparts,
each of which shall be deemed an original, but all of which, together, shall constitute but one and
the same instrument.
C. Captions. Any captions to, or headings of, the sections or subsections of
this Agreement are solely for the convenience of the parties hereto, are not a part of this
Agreement, and shall not be used for the interpretation or determination of the validity of this
Agreement or any provision hereof.
D. No Obligations to Third Parties. Except as otherwise expressly provided
herein, the execution and delivery of this Agreement shall not be deemed to confer any rights
upon, or obligate any of the parties hereto, to any person or entity other than the parties hereto.
E. Exhibits and Schedules. The Exhibits and Schedules attached hereto are
hereby incorporated herein by this reference for all purposes.
F. Amendment to this Agreement. The terms of this Agreement may not be
modified or amended except by an instrument in writing executed by each of the parties hereto.
G. Waiver. The waiver or failure to enforce any provision of this Agreement
shall not operate as a waiver of any future breach of any such provision or any other provision
hereof.
H. Applicable Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of California.
I. Audit. If this Agreement exceeds ten -thousand dollars ($10,000), the
parties shall be subject to the examination and audit of the State Auditor for a period of three (3)
years after final payment under the Agreement, per Government Code Section 8546.7.
J. Entire Agreement. This Agreement supersedes any prior agreements,
negotiations and communications, oral or written, and contains the entire agreement between the
parties as to the subject matter hereof. No subsequent agreement, representation, or promise
made by either party hereto, or by or to an employee, officer, agent or representative of any party
hereto shall be of any effect unless it is in writing and executed by the party to be bound thereby.
K. Successors and Assigns. This Agreement shall be binding upon and shall
inure to the benefit of the successors and assigns of the parties hereto.
L. Construction, The parties acknowledge and agree that (i) each party is of
equal bargaining strength, (ii) each party has actively participated in the drafting, preparation and
negotiation of this Agreement, (iii) each such party has consulted with or has had the opportunity
to consult with its own, independent counsel and such other professional advisors as such party
has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv)
each party and such parry's counsel and advisors have reviewed this Agreement, (v) each party
has agreed to enter into this Agreement following such review and the rendering of such advice,
and (vi) any rule or construction to the effect that ambiguities are to be resolved against the
9 City's Standard Agreement -2011 revision
drafting party shall not apply in the interpretation of this Agreement, or any portions hereof, or
any amendments hereto.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
and year first above written.
CITY OF NATIONAL CITY
g�lu-
Leslie Deese, City Manager
PROVED ' TO FORM:
dia Gacitu
City Attorney
NANCY K. BOHL, INC.
DBA THE COUNSELING TEAM
INTERNATIONAL
(Signatu s of two corporate officers required)
By: _ W� ,
e)
(Print)
(Title)
(Print)
(Title)
10
City's Standard Agreement —2011 revision
EXHIBIT "A"
The Counseling Team International
Scope of Services
A. Employee Assistance Program
All benefits and services below will not exceed the budgeted annual
amount of $9,600.00. This will be billed at $800.00 per month.
1. Short-term confidential, professional counseling for approximately
130 employees (sworn and non -sworn) and their eligible
dependents living within the home.
2. Supervisor Referrals/Consultations — provide consultations with
supervisors regarding problem employees and/or any aspect of the
Employee Support Services.
3. Follow-up Sessions — for employees involved in Critical Incidents.
4. TCTI will conduct an initial orientation for all levels of staff
explaining the Employee Support Services (ESS) Program.
5. TCTI will attend one health fair a year
B. Critical Incident Intervention
1. Provide stand -by -status (SBS) 24/7/365 On -call Critical Incident
Stress Management services at the reduced rate of $175.00 per
hour.
EMPLOYEE SUPPORT SERVICES TO BE DELIVERED
A. TCTI shall provide short-term counseling services to employees and their eligible
family members living in the home. Short-term counseling is determined by the
Mental Health Professional on a case by case basis. If it is determined that the issues
require long-term treatment (ie: acute or chronic emotional disorders) then the Mental
Health Professional can refer accordingly.
B. TCTI %hall provide training for the management team and supervisory team related to
the program. They will receive short training sessions on how the program works,
and how he or she can relate to the program and support it. It is important to build the
relationship between managers and supervisors so they can work together as part of a
cooperative team. Training them together supports this teamwork.
C. TCTI provides initial orientation training to all employees related to the program. We
believe that this is a very important aspect which gives the employee an opportunity
to find out who we are and learn about our program.
D. TCTI shall maintain the confidentiality of all employees and their eligible family
members living in the home referred for counseling. The cornerstone of every
successful Employee Support Services Program is the pledge of confidentiality;
without it, there is no credibility. Employees will not reveal their personal problems
if there are not clear legal guidelines about confidentiality. Confidentiality means
that all personal information parted will be respected and safeguarded. It may be
used only in a responsible manner for the purpose of helping in rehabilitating the
person. Our records are kept secure in accordance with our professional code of
ethics, Federal Regulations and state laws. We also have a top of the line alarm
system installed, which protects our records. TCTI will not reveal the names or
identities of employees or family members who come to the program voluntarily.
E. TCTI's staff will be available to provide counseling services in a convenient and timely
manner. To make an appointment, an employee or eligible family member may appear in
person or phone the office between the hours of 7:30 A.M to 4:30 P.M. Monday through
Friday. The employee or the eligible family member will then come to the office at thc
prescribed time, where a counseling session will take place. When an emergency takes
place, TCTI provides a 24-hour answering service and the staff is equipped with cell phones.
F. TCTI designed a website with the interactive user in mind! Thought for the Day, Articles &
Handouts (Over 75 articles & handouts, hundreds of quotes on various topics, Surveys &
Tests (Measurement tools for self and various situations), Guided Imagery & Visualization,
Relaxation Techniques, Breathing Exercises, Slide Shows and more.
G. TCTI will provide UNLIMITED employee referral services. Child care (adoption, child
safety and day care), Elder care (in -home care givers, support groups, meal services,
transportation services and any other issue regarding elderly care), Pet care, Chemical
dependency, etc.
CRITICAL INCIDENTS
A Critical Incident can be a situation faced by employees. Two types of crises can occur during a
Critical Incident. An Exhaustion Crisis is when an individual has been coping with an intense
stressful situation(s) or event(s) for a long period of time and reaches the point of exhaustion and
cannot cope. A Shock Crisis is when a sudden change or event such as shooting, fire, assault, etc.
Examples are:
- Serious injury, death, or suicide of a fellow co-worker
- Shootings (including both shooting or being shot at, whether anyone was hit or not)
- Any other serious threat to the life of you or your co-worker
- Serious injury or death of a civilian resulting from department's operations
- Any incident in which circumstances are unusual
- Any incident in which sights and sounds are distressing
- Any catastrophic event/major disasters
- Rescuing a victim, where pain and suffering is obvious
- Mass casualty event
- Knowing the victim
- Death, injury, or abuse of a child
- Contact with communicative diseases, e.g. AIDS/Hepatitis B
- Major traffic accident
- Death of a close family member
- Sudden Infant Death Syndrome
- Toxic chemical fire/explosion
- Extreme attempts where lives are lost
- Hostage or barricaded situation
- Physical or Sexual Assault
HIGH STRESS EVENTS
- Incidents that attract extremely unusual or possible derogatory news media coverage
- Current social/legal/media reactions to your department
- Accumulative critical events in a short time span
- Serious threat to child, spouse, relative or friend
- Injuries or illness that could threaten career
- Victim resembles loved one
INSURED
ACORC7a
CERTIFICATE OF LIABILITY INSURANCE
DATE (}AMIDOJYYYYI
06117/2014
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 Derliticate holder is an ADOiT10NAL INSURED, d1e policylistl) must be endorsed. II SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the
certificate holder in lieu of such entlorspmon2(s).
PRODUCER CONTACT
Skala Insurance Agency Inc h E F4 909 (iva 88b1 �;� ,
rnl Gene Skala, Agent
4214 N Sierra Way, San Bernardino, CA 02407 i1,8ue, R{SJ AFTPRVNG COVERAGE
ICaSueER-',pate Farm General I nE W anCe (:::,,pithy
I:SURERZ •Iii,ite FHIm mutual AUIOIYIChhe Ins.,o,wce l,.Osr,}lolly
COVERAGES
NANCY t< BOWL INC
DBA THE COUNSELING TEAM
INTERNATIONAL AND DBA THE
ORGANIZATIONAL NETWORK
CERTIFICATE NUMBER.
INSURERC:
IL4U4ER — . _.. ,.
IFISUNbR E:
3NS3,RE:1tr,
REVISION NUMBER:
NA,C k
2E151
25178
THIS IS to (*-NTiFY TT?Al I)HP POI.iC1ES OF iNSURANC
INUICIAIfa0 NOTVV3ii18TANL1INCr ANY 11EO014IMUNI,
CEPIIFICAll. MAY at: IS'AUI[D Oft MAY PERTAIN
EX(;LUS1(ON5ANO coNraTIONS O{ SUCH POI 1CUsa;
INsei . �._... ..»... ... .,. __ ADf`LfSu011
silk TYPE OF INSURANCE MO;
I. MJSTFS' BELOW HAVL BEEN 1Sal M 1U. 111r (NSI9I0.0 NAMED Rf0'1, 1 GII 1dtl, f'n)t-I1 Y PI-hh,[)iJ
1LR04 OR CDf41)IT1,)N Of ANY GQNIi4AT:1 ON 0111EN DiJOUl,IENI WI 1 131. ;44(-1 I,, i/(1/ 14I$
141E INSI11LAN12F Al FORT)I 1) BY 'TNF POi..lt;l%5 Di SCRIBED Ri':FtC111 ,„ S1'ETIE01 10 t11.L T>11"
I I01 r6 S110+AN MAY NAVL tti•E:H REDUCt-17 BY PAID CLAiM1i
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UMBRELLA LIAO L',X,'R EXCESS LIAR I ICJ ,tR.44144`
76C - 1RrTGNanI:E
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY
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CA 02563
DESCRIPTION OF OPERATIONS/ LOCATIONS! VEHICLES IACORO 10T, A8dilbnaI Remarks 9che4vla, may ha attached Ir inf. lPree Ie rtg.m,nI
Business Ottice Property Locations'.
1881 Business Center Dr, San Bernaldlna, CA 92408 428 W HARRISON STE 101. CLAREh10NT CA 01711
1545 Anacap0 Rd Ste 7C, Viclorville. CA 02392 135 S S1 A1F. COLLEGE BLVD STE 200, BREA CA 02821
444 CAMINO DEL RIOS STE 215, SAN DIEGO CA 92108 39755 MURRIERTA HOT' SPRINGS HD STE D160, HURRIETA,
42900 BOB HOPE DR STE 110, RANCHO MIRAGE CA 02270
CERTIFICATE HOL
R
CANCELLATION
THE CITY OF NATIONAL CITY, ITS ELECTED OFFICIALS,
OFFICERS, AGENTS, AND EMPLOYEES
1200 NATIONAL CITY BLVD
NATIONAL CITY, CA 91950
ACORD 26 (2014101)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
/ 491988<2014 ACOR
The ACORD name and logo a e registered marks of ACORD
rights reserved.
1001408 132849.9 02-04-2014
Certificate of Insurance (Proof of Coverage) Date Issued:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFF'ORDn BY THE POLICIES
8/20/2013
CERTIFICATE HOLDER.
BELOW.
THIS CERTIFICATE
Insured Name and M iilin ; Address*
Program Administrator
Nancy K. Bohl Inc.
d.b.a. The Counseling Team
1881 Business Center Dr. Stell
San Bernardino, CA 92408
Administered By:
CPH and Associates
711 S. Dearborn, Suite 205
Chicago, IL 60605
312-987-9823 F. 312-987-09(12infor?cP hins.cont
Underwritten By:
P
Coverage
Polite' #: PHCP025826 i Effective Date: 08/31/13 Expiration Date: 08/31/14
THE P<>LVIES OF INXITRAi lrE LISTED BELOW HAVE BEEN ISSUE➢ TO THE. INSURED
NOTIVITHSTANDINO ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT
CERTIFICATE MAY REISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE
TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES .AGGREGATE LIMITS SHOWN
N.thmt) ABOVE FOR THE
OR OTHER DOCUMENT WITH
POLICIES DESCRIBED HEREIN
POLICY PERIO➢ INDICATED
RESPECT TO WHICH THIS
IS SUBJECT TO ALL THE
BY PAID CLAIMS
MAY HAVE BEEN REDUCED
Limits of Liability
Coverage Part
EACH OCCURRENCE
(Per individual claim)
AGGREGATE
(Total amount per policy rear)
$1,000.000
S5,(100,00(1 Professional Liability
N/A
N/A
Commercial General Liability
Includes: General Liability, Fire &
Water Legal Liability, and
Per oonal Liability
N/A
NJA
Property Coverage
$1,114./0,(100
$5,000,0(1()
Supplemental Liability
Unlimited
Unlimited
Defense ExpeuseCoverago
$35,000
$35,000
State Licensing Board
Investigation Defense
Coverts e
$75,f!(14)
S15,000 Assault Coverage
$10,000
^._
$35,000
Deposition Expense Benefit
Medical Expense Coverage
$�1f 000
$5,000/person
S15,000
$15,000
First Aid Coverage J
Description/Special Provisions:
Certificate Holder
Cancellation
PROOF OF COVERAGE
Should any of the above described policy be cancelled before the expiration date
thereof, the Issuing insurer will endeavor to mall 30 days written notice to the
certificate holder named to the left, but failure to do so shall impose no obligation
or liability of any Lind upon the insurer, its agents or representatives.
Holder has also been added to the policy as an add
isTo
tionalinsured:**
the policy(ies) must
confer rights to the
I Authorized Representative
j C. Philip Hodson
_Yes/
**lithe certificate holder is an ADDITIONAL INSURED,
be endorsed. A statement on this certifica to does not
certificate holder in lieu of such endorsement(s).
insurer(s), authorized
extend, or alter the
DISC LAINIER: The Certificate of Insurance does not constitute a contract between the issuing
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
afforded by the policies listed thereon.
col -wage
STATE
COMPENSATION
I N IJ RA N C t
FUND
ISSUE DATE: 08-12-2013
POLICYHOLDER COPY
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
GROUP:
POLICY NUMBER: 07022781-2013
CERTIFICATE ID: 1OS112-2014
CERTIFICATE EXPIRES:
08-12-2013/08-12-2014
SJ
This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 80 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. NotwithstandIng any requirement issued or to terrn or ihickof may coma ontractthr or th rartocument
with respect to which this certificate of insurance may
bafforded by the policy described herein is subject to all the terms, exclusions. and conditions, of such policy.
{•ate
Li
✓ President and CEO
Authorized Representative
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #1600 - NANCY K. BOHL, PRES,SEC,TRES - EXCLUDED.
ENDORSEMENT
FORMS A
OMENT AND 5ENTITLED
CERTIFICATE NOTICE EFFECTIVE 08-12-2011 IS
EMPLOYER
NANCY K BOHL INC
1881 BUS CTR DR # 11
SN BERNRDNO CA 92408
SJ
SJ
M0410
CITY OF NATIONAL CITY BUSINESS LICENSE APPLICATION
1243 NATIONAL CITY BLVD, NATIONAL CITY, CA 91950
LICENSE WILL NOT BE ISSUED IF REQUIRED INFORMATION IS INCOMPLETE. ENCLOSE PAYMENT
WITH APPLICATION. MAKE CHECKS PAYABLE TO THE CITY OF NATIONAL CITY.
PLEASE TYPE OR PRINT
A. GENERAL INFORMATION
BUSINESS NAME (D.B.A. OR INDIVIDUAL NAME)
—rhL CoUiw rn ' n 1
DILA.
COPORATE.NAME F 03
NUMBER
DIR
STREET NAME
ROOM/SUITE NO.
NUMBER DIR STREET NAME .FO1'/„ZT��
(0*7
ROOM/SUITE NO.
cm 5arj
t
sr
7 P3
PHONE UMBEER AT MAI
0
ING AD .INC AREA CODE
a Z° -0I35
cAsHIER'S COPY
EMAIL AMR
ss. C, -61 -J.U./f€-.. cV' Gam
NEW BUSINESS IN NATIONAL CITY: BUSINESS WILL. OPEN/OPENED ON:
OWNERSHIP CHANGE: PREVIOUS BUSINESS NAME:;
BUS A
LIC #
ALL. LICENSES EXPIRE DECEMBER 31
RENEWALS ARE DUE BY FEBRUARY 28
?HI5 STUB WHEN VALIDATED IS YOUR
OFFICIAL RECEIPT FROM THE:
Mug
National City
BUSINESS LICENSE DIVISION
(619) 336-4330
TAXES $
MISC $
SB1186 $ 1.00
TOTAL $
CHECK ONE. A. - WHOLESALE B. RETAIL C. RVICE 0. RENTAL UNITS, # OF UNITS
E. E. MANUFACTURING F. - CONTRACTOR
STATE UCENSE #/ HEALTH PERMI / ABC # - VERS LIC. #
STATE RESALE #
n/ ci
FEDERAL ID #/ SOCIAL SEC. #
33-083 0O1
K�'157 *1 t
DESCRIBE BUSINESS FULLY - INCLUDE PRINCIPAL PRODUCT ' OA+RI SERVICE rA
I ,�I
`'�r��j.J�jrj
fit. l
%, r .►N y by NI 6.1telVtl#$ in fHVI 41
NUMBER OF BUSINESS VEHICLES OPERATING IN NATIONAL CITY WITH YOUR COMPANY 1'r at T1SENG
c ce) ON THEM
V. V W PICROnar anry non n I ay. n
CHECK ONE: 1.. SINGLE PROPRIETORSHIP 2. PARTNERSHIP C.'OORPOWSTION
LIST OWNER/PARTNERS/CORPORATE OFFICERS
p[. FIRWE�1 TITLIDJYo,mil
lB E'/46! q
7
' Wild 0410FOL Viivvw'/GCS
L3NAME FIRST NAME MI l TITLE
HOME PHONE
HOME ADDRESS CRY STATE
ZIP CODE
E. EMERGENCY IJO8MAIION
LIST IN ORDEROFPRIORITY ANDPROXIMITYTOBUSINESS THE PERSON TO BE CONTACTED AT NIGHT IN CASE/OF BREAK IN OR FIRE�yJ
NAME J 1! e. tw,s /Y /4)i
UUUiV
t �j�04441 J1 ✓,-
L H�_ �J
3734,06_63 55
1'374.549'2'7
61"v'-
2. W/1 tI1{a TL 11i '?
it
DO YOU HAVE A BURGLAR ALARM? 1. yy NO 2. . YES: IF YES 3. SILENT 4. AUDIBLE
OF ALARM COMPANY /� A 1 PHONE #
SIGNATURE
BUSINESS N
TITLE /1)
coo 1 a. €' hMZ 1
----OFFICE USE ONLY -
DECALS Vehicle _. -. Decals Video or Coin Op.
DATE H/0 PD B/L SENT INT
FIN 220, 04/1 I
Form w-9
;Rev. August 2013)
Department ofthe Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester, Do not
send to the IRS.
Print or type
See Specific Instructions on page 2
Name (es�On
your in + return) 1
�,-r{J�:`�,�tJr;
Busine
named ��
e, If
i[.%rI ��
f wmabove
. +ve
'i
Check appropriate box for federal tax'EFa8s3fioadon:
111 IndividuaVsole proprietor 0 C Corporation J S Corporation ii Partnership ❑ Trust/estate
Exemptions (see instructions):
Exempt payee code (it any)
(] Limited liability company. Enter the tax classification (C=C corporation. S=S corporation, P=partnership) ►
Exemption from FATCA reporting
code (if any)
❑ Other (seeb tructiona)►
dT/
Untl(q. sl ana apt.,pt'stiit)
•il•jf�/t Ly
Requester's name and address (optional):
Gi(y, state, and ZIP code r
819 05
List ac m'iber(S nuY(Optional)1.
Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line
to avoid backup withholding. For individuals, thls is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
...u:-- a :.. ,,.,,,. ,...,..i.--- 1.Ienti41rorinn ni,mhor /FIN1 If eni, do not have a number. see How to cet a
Social security number
•
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Employer identification number
3
3
U
D
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be Issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt
Certification instructions. You must cross out item 2 above if you have been
because you have tailed to report all interest and dividends on your tax return.
interest pald, acquisition or abandonment of secured properly, cancellation of
generally, payments other than interest and dividends, you are not required to
instructions on page 3.
o�f ., -(1r.6f�%tSignature
u.s,1
Sign
Here
General In
Section references are to 01e Revenue Code unless otherwise noted.
Future developments. The IRS has created a page on IRS,gov for information
about Fomi W-9, at www.irs:goWw9, Information about any future developments
affecting Form W-9 (such as legislation enacted after we release it) will be posted
on that page.
Purpose of Form
A person who is required to tile an Information return with the IRS must obtain your
correct taxpayer Identification number (TIN) to report, for example, Income paid to
you, payments made to you in settlement of payment card and third party network
transactions. real estate transactions. mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or contributions you made
to an IRA,
Use Form W-9 only if you ere a U.S. person (including a resident alien), to
provide your correct TIN to the person requesting it (the requester) and, when
applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a number
to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that es a U.S. person, your allocable share of
any partnership income from a U.S. trade or business is not subject to the
from FATCA reporting is correct.
notified by the IRS that you are currently subject to backup withholding
For real estate transactions, item 2 does not apply. For mortgage
debt, contributions to an individual retirement arrangement (IRA), and
sign the certification, but you must provide your correct TIN. See the
withholding tax on foreign partners share of effectively connected Income, and
4. Certify that FATCA code(s) entered on this form (0 any) indicating that you are
exempt from the FATCA reporting, is correct.
Note. If you are a U.S. person and a requester gives you a form other than Form
W-9 to request your TIN. you must use the requester's form If it Is substantially
similar to This Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S.
person 0 you are:
• An individual who Is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, orassociation creased or organized In the
United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined In Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in
the United States are generally required to pay a withholding tax under section
1448 on any foreign partners' share of effectively connected taxable Income from
such business, Further. In certain cases where a Form W-9 has not been received,
the rules under section 1446 require a partnership to presume that a partner is a
foreign person, and pay the section 1446 withholding tax. Therefore, if you are a
U.S. person that Is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your U.S. status
and avoid section 1446 withholding on your share of partnership income.
Cat. No. 10231X Form W-9 (Rev, 8-2013)
xn1mn� �i
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. calla, CMC - City Clerk
NANCY BOHL
dba
THE COUNSELING TEAM INTERNATIONAL
NCPD Employee Assistance Program
Ronni Zengota (Police) Forwarded Copy of Agreement
to The Counseling Team International