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HomeMy WebLinkAboutSAXE-CLIFFORD, SUSAN 9INSURANCE NOT ON FILE WORK MAY NOT PROCEED &LERK OF COUNCII C,rPC/ DATE: JUL 10 20 18 AGREEMENT TO PROVIDE PS-YCI#OLOGICAL EVALUATION SERVICES Q _ vwe 0 FOR THE CITY OF SANTA ANA POLICE DEPARTMENT N-2018-136 THIS AGREEMENT is made and entered into this 12th day of June, 2018 by and between Susan Saxe Clifford, Ph.D., a professional corporation ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). A. On January 4, 2018, the City issued a Request for Proposal ("RFP") No. 18-001 for the purpose of retaining a consultant having special skill and knowledge in the field of providing psychological evaluation and counseling services for the City's Police Department. B. The City received numerous responses to the RFP. Consultant is one of the three parties selected by the City. Consultant represents that she is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the psychological evaluation services described and set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit B. The total sum to be expended under this Agreement shall not exceed $7,000. b. Payment by City shall be made within 45 days (forty-five) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. This Agreement shall commence on July 1, 2018 and continue for a one (1) year term through June 30, 2019, unless terminated earlier in accordance with Section 13, below. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City, This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. iCommeeciab Genora][2 Liability Insurance:. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include; but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self, - insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $ 1,000,000 per occurrence, Such insurance shall include coverage for owned, hired and non -owned automobiles. Q. Worker's Compensation: insurance, In accordance with the provisions of Section 3700 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance, Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and emissions) insurance, with a combined single limit of not less than $1,000,O00 per claim with $2,000,10 in the aggregate. e. The following requirements apply to tine insurance to be provided by Consultant pursuant to this section: i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement, ii. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. iii. Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. iv. Where the amounts or coverage provided by the certificates of insurance provides coverage greater than those listed by this Agreement, the amounts provided by the certificates of insurance shall be incorporated by reference into the Agreement. V. Consultant shall supply City with a fully executed additional insured endorsement. f If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work pet -formed prior to approval of insurance by the City. 6. IND]EMNIF"ICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability. (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations ofthe Consultant, its subcontractors, agents, employees, or otherpersons acting on its behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effncts arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered or alleged to have been suffered, by reason of the events referred to in this Section or by reason of tine terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selectedbythe City, regarding any action by third party challenging thevalidity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terns of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782,8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant, RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. S. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means, Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source^, (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law, or (e) is independently developed by the Consultant without reference to information disclosed by the City. 9. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 10. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations, 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City; Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 13. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate, b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. WAIVER No waiver of breach, failure of any conditions, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies, I $- JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 16. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, acid shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the bony of this Agreement. 18. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons. To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Chief of Police Santa Ana Police Department 20 Civic Center Plaza (M-97) P.O. Box 1981 Santa Ana, California 92702 Fax:714-245-8090 To Consultant: Susan Saxe -Clifford, Ph.D. 16530 Ventura Boulevard, Suite 603 Encino, California 91436 SoniaR. Carvalho City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax: 714- 647-6515 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent N-2018-136 by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year fast above written. M�6W e k of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney sy: � Tamara ogosian Assistant City Attorney RECOMMENDED FOR APPROVAL: ENTIN Chief of Police Santa Ana Police Department CITY OF SANTA ANA "Il Raul GodCity Man CONSULTANT: Susan Saxe -Clifford, Ph.D. President EXHIBIT A SCOPE OF SERVICES N-2018-136 SCOPE OF WORK The City of Santa Ana is seeking a professional and experienced company to pre -employment psychological evaluation services, peer support training, and crisis counseling. Specific responsibilities include, but are not limited to: A. Complete Pre -Employment Psychological Evaluations Perform a complete pre -employment psychological evaluation for the City's Police Department applicants. Said psychological evaluation shall comply with the California Peace Officer's Standards and Training (POST) Psychological Screening Manual, as well as any additional psychological suitability criteria specified by the City's Police Department. A complete pre -employment psychological evaluation includes, but is not limited to a clinical interview, administration of necessary tests, scoring of tests and preparing verbal and written recommendation for employment. Consultant shall: 1. Provide the City's Police Department a list of available appointment times for psychological evaluations; the appointment times must be provided 24 hours prior to pre -scheduled Commander oral interviews, The psychological evaluations shall be administered within seven business days of the Commander oral interviews. 2. Provide the City's Police Department with verbal recommendation of the candidate's psychological suitability for the classifications of Police Officer as well as other classifications within the Police Department within two (2) working days of said candidate's clinical interview, 1 Provide the City's Police Department with a written report of the candidate's psychological suitability for the classification of Police Officer as welt as other classifications within the Police Department within five (5) working days of the candidate's clinical interview. This report must be received by the PD within five working days via US Mail, or may be sent in a pdf document via e-mail. 4. Complete the necessary Police Officer Standards and Training (POST) Continuing Professional Education (CPE) required for psychologists conducting pre -employment peace officer evaluations. The initial CPE requirement of six hours must be completed by April 1, 2018, Evaluators will need to complete 12 hours of POST - approved CPE every two years, The CPE Tracking System will calculate the required hours based on the effective date of this requirement (September 1, 2014) and the date the psychologist began conducting peace officer evaluations, 8. Complete Post -Traumatic Psychological incident Evaluation Provide City's Police Department employees involved in violent incidents, such as a life -threatening and/or serious injury or death to any person, complete post -traumatic psychological evaluation. A complete post -traumatic psychological incident evaluation includes, but Is not limited to, clinical interview and post -traumatic counseling, City of Santa Ana — RFP 18-001 for Psychological Services Page 10 Consultant shall provide: 1, initial psychological service contact with involved officer(s) shall be made immediately if possible, but no later than forty-eight (48) hours following the incident. 2. A minimum of three (3) follow-up counseling sessions shall follow, if the Consultant deems those sessions necessary. Such follow-up sessions shall, whenever possible and practical, be scheduled by Consultant at Consultant's office location, unless otherwise agreed by involved officer(s). 3. One (1) follow-up session within a period of not less than fourteen (14) days and not more than thirty (30) days following the traumatic incident with the involved officer(s) to assess whether additional sessions shall be deemed necessary. Following such sessions, provide City's Police Department with verbal recommendation as to the necessity of additional sessions and an assessment of officer(s) recommended duty status within forty-eight (48) hours. A written psychological assessment of the officer(s) evaluated shall be submitted within five (5) calendar days to the City's Police Department upon completion of such follow-up counseling session(s). 4. A verbal recommendation to the City's Police Department for return of said officer(s) involved in traumatic incidents to full or modified duty status as soon as possible and In no case later than forty-eight (48) hours following the incident. 5. A written psychological assessment to the City's Police Department of officer($) in question and a recommendation as to their suitability to return to active duty, full or modified, and need for follow-up treatment within five (5) days following the post - traumatic counseling session. 6. At the direction and with consent of City's Police Department, similar post -traumatic Incident counseling services may be requested for immediate family members of involved officer(s) adversely impacted by the incident. The goal of such services shell be to stabilize external factors which might otherwise affect officer(s) return to duty or recoveryand to determine if referral to other private service providers is warranted.. Verbal consultation with City's Police Department is recommended but no written reports of family member counseling sessions are required unless otherwise indicated or where the fitness for duty of the officer(s) comes into doubt. C. Review of Fitness for Duty Review background investigations, clinical interviews, administrative reports and/or other relevant documents to determine an employee's psychological fitness for duty, when so directed by the City. Fitness for duty review Includes, but is not limited to, clinical interviews, administration of necessary tests, scoring of tests, and preparation of verbal and written recommendations for employment. Consultant shall: Outline all psychological concerns resulting from that review and submit to City's Police Department a recommendation concerning further testing and or evaluation which may be deemed appropriate. 2. Provide City's Police Department with verbal notification as to the above within forty- Gity of Santa Ana - RFP 18-001 for Psychological Services Page 11 eight (48) hours, and with a complete written report concerning reviews of fitness for duty within ten (14) working days following receipt of documents or the last clinical interview of employee(s) in question. Note: The City may elect to enter into two agreements to allow for a separate psychologist to conduct fitness for duties. D. Crisis Intervention Counseling Conduct crisis intervention counseling with authorization and approval of City's Police Department when a Department employee(s) is believed to be suffering from a psychological disorder or emotional disturbance and unable to perform any or all of the full range of duties of an employee's classification. Consultant shalt: 1. Obtain authorization from City's Chief of Police or designate prior to conducting crisis intervention counseling of City's Police Department employee(s). Should intervention be requested by employee and not Department, consultant agrees to obtain authorization from City's Chief of Police or designate prior to conducting crisis intervention counseling. E. Critical Incident Stress Management The work of law enforcement professionals exposes them to significant incidents that can have a lasting effect on their mental health and welt -being. The Santa Ana Police Department recognizes the importance of routine and post -incident debriefings to assist employees in processing events in a healthy and productive manner while minimizing the risk of post incident stress that can lead to physical and psychological disorders. Therefore, at the request of the Chief of Police or his/her designee, the consultant shall: 1: Conduct routine group debriefings with units that are regularly exposed to high levels of stress (i.e. child abuse Investigators, crime scene investigators, and dispatchers) to ensure the group's ongoing well-being. 2. Hold a post -critical incident meeting ahead of a formal debriefing to discuss normal reactions to stress and healthy methods to process stress. When necessary, such meetings shall be conducted prior to the affected employee's end of watch. 1 Facilitate post -incident group debriefings with affected employees following a critical incident. Such debriefings should ideally be held within 24-72 hours of the incident but, given the need to coordinate varying work schedules, shall be conducted as close in time to the Incident as practical. F.Consultation services On -call status is required to respond to criminal incidents such as SWAT call -outs or major Investigations as requested. Consultant shall: Consult with the Department's management regarding psychological profiles and recommended approach to addressing specific suspects 2. Assist in interpreting intelligence data in reference to criminal incidents and/or suspect. City of Santa Ana — RFP 18-001 far Psychological Services Page 12 G. Psychological Training Services Provide City's Police Department employees with relevant psychological training to assist in the Providing organizational wellness services. Consultant shall: Provide training to members of Police Department including, but not limited to, peer support services, crisis Intervention stress management, and suicide intervention/prevention training. City of Santa Ana — RFP 18.001 for Psychological services Page 13 P' N-2018-136 CITY OF SANTA ANA RE4UEST FOR PROPOSALS FOR PSYCHOLOGICAL SERVICES PROPOSER$ CERTIFICATION ANO PROPOSAL ITEM PRICiNG Certification - I certify that I have rend, understand and agree to the terms and conditions of this Request for Proposals, i have examined the Scope of Services (Exhibit A) and am familiar with the services being requested. i understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarificatton prior to the submission of my proposal. Proposal she([ Include all costs for a three-year psychological Services agreemProposal Item Price - Pricing shall be &II Inclusive and based on the scope of services described in Exhibit A. Cost ent. Service Pricing Anticipated No. Subtotal A, Pre -employment psychological $ of Units Per Yr, TBD $ evaluatlons Mgff B. Cat ete PostrTraumaitic $ NiA Psychological Incident Evaluation C. Review of Fitness for G?uty $ Per hour TBD $ q. Crisis Intervention Counseling $ Per hour u N/A E. Critical Incident Stress Per hour N/A Mana ement ! . Gcnsuitation 5arvicas Per hour N/A S G. Psychological Training Services $ Per hour NIA Tastlmony in court and court Per hour TBD --preparation Yoe, p rJne»YearTctal Three 'Year $ Total City of Santa Ana --RF'P 18-001 for Psychological Services Page 20 '```� u CERTIFICATE OF LIABILITY INSURANCE DATEIMW2D/YYYTI Oi/29/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ORDER THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE THE ISSUING R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certitcate holder is an ADDITIONAL INSURED, the pollcy(iss) must he ADDITIONAL INSURED provisions be Or endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies licies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER SCdk�?i'r3Y.fdP ° ER OL HASSAN NAME_ _ EROL HASSAN PHONECN. 31054b-6579 rAC No: 310546-6821 3540 HIGHLAND AVE E-MAIL --'-- -ADDRESS: ' MANHATTAN BEACH, CA 90266 INSUItER(SI AFFORDING COVERAGE NAIC P wsuREa A: State Farm General Insurance Company 25151 -- WsuRED INSURER B: State Farm Fire and Casualty Company 25143 CUFFORD, SUSAN SAXE DR INSURER C:INSURER A PROFESSIONAL CORPORATION 16530 VENTURA BLVD — D: STE 203 — INSURER-E: ENCINOCA 91436 INSURER F: COVERAGPS rcorm.nw.�... •....'..._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE NUMBER: BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE DOCUMENT WITH RESPECT TO WHICH THIS POLICIES DESCRIBED HEREIN IS SUBJECT EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN TO ALL THE TERMS, REDUCFD BY PAID CLAIMS. INTN DI —"' —" TYPE OF INSURANCE AUSV POLICYEFF POLICY EEP POUCYNV UER MM1DDlYYYY MWID W UNITS COMMERCIAL GENERAL LIABILITY LAIMS-MADE OCCUR 'bhCH—MADETSRENYEE $ 1,000,000 PREMISES Eeo 3 300,000 --- Y N MEDEXP(ALr enan) s 5,000 92-92-2679-2 04/i B/2018 04/18/2019 JGN'LAGGREGATE PERSONAL B ADV INJURY S UMIT"(PLIE""��S PER:GENERAL JEC LOCR: AGGREGATEY LI PRODUCTS-COMP/OPAGG S 2,000,000 BILE LABILITY COMR NED BINDLE LI 1 ANY AUTO 1'eemlaenq t BODILY INJURY (Per Person) 8 OVMEO SCHEDULED AUTOS ONLV AUTOS HIRED NON-ONNED BDUUYINJURY(Peramia.n,) t AUTOS ONLY AUTOS ONLY p �aween-AGE --'— S UMBRELLA LAB OCCUR EYCESSUAB CIAIMS.4IAOE EACHOCCIIRRENCE C AGGREGATE 3 TIED i RETENTIONS —' COMPS A 3 B AND EMPS LIABILITY ILIT AND EMPLOVERS'LIABIUTY YIN ANY PROPRIETORIPARTNER:EAECUTIVE STATUTE ERtI E.L. EACH ACCIDENT -- s 1,000,000 OFFICERAIEMSEREXCWDE09 Y NIA N � 92-LH-2103-0 07/01/2018 07/01/2019 IhlYeetltlIPTIO opal E.L. CISEASE-EA EMPLOYE g T,OOQOOD OhSCRiPTiON OF OPERATIONS bHav EA- DISEASE - POLICY UMIT i i 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD tut, AtlGNanel Remarks Schedule, may be aaacbe0lf mom sW ce Is requirotl7 PsycOlogieal Services CERTIFICATE HOLDER .....__.. "_._._ CITY OF SANTA ANA 60 CIVIC CENTER PLAZA SANTA ANA. CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, WZEDMREPRRE,SENTATIVE —,,. wname aria Togo are registered marks Of ACORD All rights 1W1486 132849.12 P&10-2016 /,v'PG%er✓�c /�Otic� frF�TS �EQ S D� �,QF�/'�.i� �r��. S'D,c'�.t�so�✓ CA Policy No, 92-92-2579-2 CMP-4786.1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, Page 1 of CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 92-92-2579-2 Named Insured: CLIFFORD, SUSAN SAXE DR A PROFESSIONAL CORPORATION 16530 VENTURA BLVD STE 603 ENCINO CA 91436-5017 Name And Address Of Additional Insured Person Or Organization: THE CITY OF SANTA ANA ITS OFFICERS EMPLOYEES AGENTS VOLUNTEERS AND REPRESENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 1. SECTION 11 — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage'or "personal and advertis- ing injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products - Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit' is tendered to us. 0, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services office, Inc., with its permission. CONTINUED lo4lLrl�7V ;ItJT s'o�'Fi✓s'ayt/ 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "Sint" brought for damages for which you are provided coverage. 3. With respect to the insurance afforded to the additional insured, the following is added to SECTION II — LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the ap- plicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occur- rence, Offense, Claim Or Suit of SECTION 11— GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as of- fense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any in- jured persons and witnesses; and CMP-4786.1 CMP-4766.1 Page 2 of 2 (3) The nature and location of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insur- ers who may have insurance potentially available to, the additional insured; and C. Agree to make available any other insur- ance the additional insured has for de- fense or damages for which we would Provide coverage under SECTION 11 — LIABILITY. 5. With respect to the insurance afforded the ad- ditional insured, the following replaces SEC- TION 11 —LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION 11 — COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured is a named in- sured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured has been added as an additional in- sured on other policies. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. C. Copyright, State Farm Mutual Automobile Insurance company, 2013 1007033 148011 08-21-2014 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 16VI" fie JQi�En/.fOv✓ Account Number: CA SUSA 1650 Date: 2/23/18 Initials: LPD CERTIFICATE OF INSURANCE ALLIED WORLD INSURANCE COMPANY C/O: American. Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 8OD-421-6694 This is to certify that the insurance policies specified below have been issued by the company indicated above to the insured named herein and that, subject to their provisions and conditions, such policies afford the coverages indicated insofar as such coverages apply to the occupation or business o`. the Named Insured(s) as stated. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE - Name and Address of Named Insured: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. 16530 VENTURA BLVD STE 603 ENCINO CA 91436 Type of Work Covered: PROFESSIONAL PSYCHOLOGIST Location of Operations: N/A (if a. ferent than address listed above) Claim History: PPtYnarti ,a-F- 4 - -I - , Additional Named lnsureds: SUSAN SAXE-CLIFFORD, PHD CATHY GOODMAN, PHD WILLIAM SMITH, PSY.D. MEREDITH RIMMER, PH.D. Coverages NomberLV Piicy Effective Expiration Limits of Date Date Liability PROFESSIONAL/ LIAD-T ITY 5011-0137 3/01/18 3/01/1.9 4,000,000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL ACT ON BEHALF OF ALL INSURE➢S WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Comments: Defense Reimbursement Prcceedinqs Limit is $150,000. This Certificate Issued to: Name: SUSAN SAXE-CLIFFORD, PH.D- A PROFESSIONAL CORP. Address: 16530 VENTURA BLVD STE 603 Aut on ENCINO CA 91436 APA 00138 00 (06/2014) ---- 1WbR eAic F 1001'161' �� r� ��m IS of 6 2c Fri —ice/ Representative Account Number: CA SUSA 1650 Date: 2/05/19 Initials: LPD CERTIFICATE OF INSURANCE ALLIED WORLD INSURANCE COMPANY C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 800-421-6694 This is to certify that the insurance policies specified below have been issued by the compan indicated above to the insured named herein and that, subject to their provisions and condition such policies afford the coverages indicated insofar as such coverages apply to the occupation or business of the Named Insured(s) as stated. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. Name and Address of Named Insured SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. 16530 VENTURA BLVD STE 603 ENCINO CA 91436 Type of Work Covered: PROFESSIONAL PSYCHOLOGIST Location of Operations: N/A (If different than address listed above) Claim History: RPt_rnA1f_i1'c lq. -_ 4 1 no /n' Mn- Additional Named Insureds- SUSAN SAXE-CLIFFORD, PHD CATHY GOODMAN, PHD WILLIAM SMITH, PSY.D. MEREDITH RIMMER, PH.D. Coverages Policy v Number Effective Date Expiration Limits of Date Liability PROFESSIONAL/ 2,000,000 LIABILITY-5011-0137 3/O1/19 3/01/20 4,000,000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION. _ Comments: Defense Reimbursement Proceedings Limit is $150,000. 3/13 ADDL.INS.BELOF This Certificate Issued to: Name: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. Address: 16530 VENTURA BLVD STE 603 ENCINO CA 91436 APA 00138 00 (06/2014) AutXorized Representative s B/z�Ms