HomeMy WebLinkAboutFD Evaluation Facilitation AgreementEVALUATION FACILITATION AGREEMENT
This Evaluation Facilitation Agreement (the "Agreement") is made this 14°i day of July, 2021 (the
"Effective Date") by and between Feelmore Labs, Inc., a Delaware corporation with a place of business at
370 Jay St. Brooklyn NY 11201 (-`Fcelmor'') and The City of San R3fbel Fire Dejoal-Inent_)
("Facilitator"). Feelmore and Facilitator may each be referred to herein as a "Party" or collectively as the
"Parties."
WHEREAS, Feelmore wishes to have Facilitator assist Feelmore in its conduct of testing of its
Cove(D device in a manner consistent with that set forth on Exhibit A attached hereto (the "Evaluation")
Nvith certain emergency medical technicians of City of San Rafael Fire Dep,�rtment located at 1375 5"'
Ave. San Rafael Ca 94901 (such emergency medical technicians, the "EMTs"; such station, the "Station"),
with such assistance to be as more fully set forth on Exhibit B attached hereto (the "Evaluation Plan"); and.
WHEREAS, Facilitator wishes to provide such services to Feelmore in accordance with the terms
and conditions of this Agreement and the Evaluation Plan in order to provide its employees the ability to
evaluate the Cove@ device.
NOW, THEREFORE, in consideration of the premises and the mutual promises set forth in this
Agreement, and other good and valuable consideration, the exchange, receipt and sufficiency of which are
hereby acknowledged, the Parties agree as follows:
1 Services.
1.1 Performance. Facilitator hereby agrees to use commercially reasonable efforts to
perform the services described in the Evaluation Plan (the "Services") and provide the deliverables
described in the Evaluation Plan (e.g., photos of EMTs using the Cove device) (the "Deliverables") on any
applicable timeframe provided in the Evaluation Plan with respect thereto, and shall comply with all
applicable laws, rules, and regulations ("A.,pplicable..Laws") in performing the Services. Facilitator will
ensure that Joseph `Pepi' Morel will have primary responsibility for performing the Services and
communicating with Feelmore.
1.2 Affiliates and Subcontractors. Facilitator shall not assign, delegate, or subcontract any
of the Services to any Affiliate of Facilitator or third party without the prior written approval of Feelmore.
"Affiliate" means an individual, trust, business trust, joint venture, partnership, corporation, association or
any other entity which controls, is controlled by or is under common control with, a Party. For the purposes
of this definition, the term "control" (including, with correlative meanings, the terms "controlled bv" and
"under co►nnion control with") as used with respect to any Party, shall mean the possession (directly or
indirectly) of (a) more than fifty percent (50%) (or such lesser percentage which is the maximum allowed
to be owned by a foreign corporation in a particular jurisdiction) of the outstanding voting securities of a
corporation or comparable equity interest in any other type of entity or (b) the power to direct or cause the
direction of the management or policies of any such Party (whether through ownership of securities or other
ownership interests, by contract or otherwise).
2 Cove Devices. In connection with the Evaluation(s) to be conducted under this Agreement,
Feelmore or its designee plans to transfer to Facilitator or the local coordinator of the National First
Responder Fund (the "NFRF") for the Station up to 22 Cove devices for EMTs participating in the
17 valuation. Cove devices shall only be distributed to EMTs participating in the Evaluation, and shall not
be otherwise distributed or used by the Facilitator. Facilitator shall promptly comply with any requests of
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directions of Feelmore or NFRF with respect to the storage, handling, distribution, and return of Cove
devices.
3 Confidentiality.
3.1 N_ tutual Obliation. Facilitator and Feelmore each agree that it will not use the other
Party's Confidential Information (defined below) except in connection with the performance of its
obligations hereunder or exercise of its rights hereunder and will not disclose the other Party's Confidential
Information to any third party without the prior written consent of the other Party, except as required by
law, regulation or court or administrative order (provided, that prior to making any such disclosure, the
Party making such disclosure shall, to the extent lawful, (i) give the other Party as much prior notice of the
requirement for and contents of such disclosure as is practicable under the circumstances and (ii) assist the
other Party, as reasonably requested thereby, in seeking confidential or protective treatment of such
information) or, in the case of Feelmore, as necessary to exercise its rights hereunder (provided it uses
reasonable efforts to maintain the confidentiality of such information). Notwithstanding the foregoing,
each Party may disclose the other Party's Confidential Information to any of its Affiliates, advisors, agents,
and subcontractors that (i) need to know such Confidential Information for the purpose of performing under
this Agreement, (ii) are advised of the contents of this Section 3, and (iii) agree to be bound by obligations
and non-use materially as protective as those of this Section 3.
3.2 Dcfi As used in this Agreement, the term "Confidential Inforniation" includes
all confidential and/or proprietary information furnished by a Party, or any of their respective
representatives or Affiliates, to the other Party or its representatives or Affiliates, in connection with this
Agreement or the Evaluation, and furnished in any form, including but not limited to written, verbal, visual,
electronic or in any other media or manner. Feelmore's Confidential Information shall, notwithstanding
anything to the contrary, include, but not be limited to, all Feelmore Results (as defined below) and
infonnation directly related thereto, and Feelmore shall be the disclosing Party, and Facilitator the receiving
Party, with respect thereto.
3.3 Exclusions. Notwithstanding Section 3.2, a disclosing Party's Confidential
Information does not include information that (i) is or becomes generally available to the public or within
the industry to which such information relates other than as a result of a breach of this Agreement, (ii) is
already known by the receiving Party at the time of disclosures, (iii) becomes available to the receiving
Party on a non -confidential basis from a source that is entitled to disclose it on a non -confidential basis, or
(iv) was or is independently developed by or for the receiving Party without reference to or use or benefit
of the Confidential Information of the other Party,
3.4 No Impied License. The receiving Party will obtain no right of any kind or license
under any Confidential Iof the disclosing Party, including any patent application or patent, by
reason of this Agreement, except as explicitly provided in this Agreement. All Confidential Information of
a Party will remain the sole property such Party.
3.5 Return of Confidential Information. Upon expiration or termination of this Agreement,
the Party receiving the other Party's Confidential Information will cease its use and upon written request,
within thirty (30) days either return or destroy (and certify as to such destruction) all Confidential
Information of the other Party, including any copies thereof, except for such copies of the Confidential
Information that (i) need to be retained by the receiving Party under Applicable I,aw or pursuant to this
Agreement or (ii) are retained for purposes of determining such Party's legal obligations or exercising such
Party's rights under this Agreement.
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3.6 Survival. The obligations of this Section 3 will terminate ten (10) years from the
expiration or termination of this Agreement.
3.7 Other Confidentiality Agreements. In the event that the Parties have entered into (or
enter into during the Tenn hereof) a confidentiality agreement(s) and unless expressly agreed to otherwise
by the Parties in a writing specifically referencing this Agreement, the provisions of this Section 3 shall
supersede any pre-existing or subsequent agreement(s) between the Parties in connection with the
Confidential Information disclosed pursuant to this Agreement, including, without limitation, the
representations and warranties by either Party regarding the Confidential Information, the definition of
Confidential Information, and the use or non-use of such Confidential Information.
4 Information; Publicity Rights; Privacy/Data Protection.
4.1 Evaluation -Related Information. All results, data, information, inventions,
improvements, images (including digital photographs), or the like that arise out of Facilitator's performance
of the Services under this Agreement, and all intellectual property rights of Facilitator with respect to any
of the foregoing (collectively, all of the foregoing, "Feelmore Results"), shall be deemed to be the property
and confidential information of Feelmore. Facilitator hereby assigns all right, title, and interest in all of its
rights in Feelmore Results to 1�eelmore, and Facilitator agrees to use commercially reasonable efforts to, at
Feelmore's expense, take, and cause its Affiliates and third party subcontractors to take, any and all actions
necessary to effect the foregoing, including, at Feelmore's expense, such actions as may be reasonably
requested by Feelmore from time to time. Facilitator shall promptly notify Feelmore of any Feelmore
Results.
4.2 Feelmore Use of Facilitator's and EMTs' Names. If, in the reasonable judgment of
Feelmore, the Evaluation is successful, Feelmore and NFRF shall have the perpetual, irrevocable, fully -
paid, royalty -free right (which may be sublicensed and/or transferred) to use the name, logos, symbols, and
trademarks (and images of the uniforms, facilities, and/or vehicles) of the San Rafael Fire Department,
provided that Facilitator is provided an opportunity to review the proposed use of such name, logos,
symhols, or trademarks (or 1111agCs Of the u11160rins, facilities, an6or vehicles) and has al)l)1-OVCd such use,
and, subject to the applicable EMTs' consenting to such use, names of the EMTs participating in the
Evaluation in connection with any publicity or advertising related to the use by the EMTs of the Cove
device.
4.3 Facilitator Use of Feelmore Results. If, in the reasonable judgment of Feelmore, the
Evaluation is successful and such use is requested by the Facilitator, Feelmore shall permit the Facilitator
to promote the Cove device to its employees in a manner consistent with Feelmore's advertising for the
device, provided that any such promotion shall be subject to Feelmore's prior written approval.
4.4 No Licenses. Except as set forth above, neither party shall be deemed to have granted
to the other by reason of this Agreement any right or license under any of its patents, patent applications,
or other intellectual property rights, and, except as expressly provided herein or required by Applicable
Law, neither Party shall use the name, logo, or trademark of the other Party or any of its Affiliates without
the other Party's prior written consent.
4.5 Privacy/Data Protection. Facilitator shall be responsible for complying with any
applicable privacy or data protection laws that apply to results, data, or other information provided by
Facilitator to Feelmore, including without limitation any personal information relating to participating
EMTs that is included therein, and shall be solely responsible for providing any required notices, or
obtaining any required consents, that are or may be necessary for Facilitator to provide such information to
Feelmore hereunder.
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5 Term and Termination.
5.1 Unless earlier terminated in accordance with Sections 5.2 or 5.3 below or otherwise as
permitted by this Agreement, this Agreement shall be in effect from the Effective Date hereof until
December 31, 2021provided that the Parties may mutually agree in writing to extend the term of this
Agreement.
5.2 This Agreement may be terminated by Feelmore, without cause, upon ten (10) days
notice to Facilitator.
5.3 Upon expiration or termination of this Agreement, Facilitator will promptly deliver
and/or return to Feelmore, at Feelmore's expense, all Cove devices in Facilitator's possession or received
from any EMTs, as well as all Deliverables, to the extent not previously provided to Feelmore.
5.4 Expiration or termination of this Agreement shall not relieve the Parties of any
obligation accruing prior to such expiration or termination, and Sections 2, 3, 4.1, 4.2, 5.4, 7.3, 8 and 9 shall
survive expiration or termination of this Agreement
6 Rcprescntations and Warranties.
6.1 Each Party represents and warrants to the other Party that: (a) it has the power and authority
to enter into and perform as required by this Agreement (including, in the case of Facilitator, any approvals,
consents, or waivers required from any other government body, entity, agency, or authority) and (b) neither
its entering nor performing this Agreement will violate any right of or breach any obligation to any third
party under any agreement or arrangement between such Party and such third party.
6.2 Disclaimer. EXCEPT AS EXPRESSLY STATED IN THIS ARTICLE 6, NO
REPRESENTATIONS OR WARRANTIES WHATSOEVER, WHE I'HER F,XPRESS OR IMPLIED,
INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE,
NON -INFRINGEMENT, OR NON -MISAPPROPRIATION OF THIRD PARTY INTELLECTUAL,
PROPERTY RIGIiTS, IS MADE OR GIVEN BY OR ON BEHALF OF A PARTY. EXCEPT AS
F,XPRESSLY STATED IN THIS AGREEMENT, ALL REPRESENTATIONS AND WARRANTIES,
WHETHER ARISING BY OPERATION OF LAW OR OTHERWISE, ARE HEREBY EXPRESSLY
EXCLUDED.
7 Indemnification.
7.1 Facilitator agrees to indetrulify, defend and hold harmless Feelmore and its directors,
officers and employees (collectively, "Feelnlore Indemnitees") from any third -party claim, action or
proceeding ("Claim"), and any associated losses, damages, liabilities, or expenses (including but not limited
to attorneys' lees) ("Losses"), arising from the gross negligence, intentional misconduct. or failure to
comply with Applicable Law on the part of Facilitator, its Affiliates, or any of its employees, agents or
representatives, except in each case, and to the extent caused by any of the circumstances set forth in clause
(b) of Section 7.2.
7.2 Feelmore agrees to indemnify, defend and hold harmless Facilitator, its Affiliates, and
its and their employees, agents, and other representatives (collectively, "1:acilitator Lndemnitees") against
any Claim, and associated Losses, arising from (i) any claim for death or personal injury brought by any
EMT as a result of their proper use of the Cove device during the livaluation in accordance with the
instructions therel'or provided by Feelmore or (ii) Feelmore's (a) reliance upon, use, development,
commercialization, or other exploitation of any Feelmore Results or (b) gross negligence, intentional
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misconduct, or failure to comply with Applicable Law, except in each case, to the extent caused by the
negligence, intentional misconduct, failure to comply with Applicable Law, or breach of this Agreement
by Facilitator, its Affiliates, or its or their employees, agents, and other representatives.
7.3 Procedures. Each Party's agreement to indemnify, defend, and hold harmless under
this Section 7 is conditioned upon the indemnified party (a) providing written notice to the indemnifying
party of any claim or loss arising out of the indemnified matter as soon as reasonably possible, (b) permitting
the indemnifying party to assume control over the investigation of, preparation and defense against, and
settlement or voluntary disposition of any claim, (c) assisting the indemnifying party, at the indemnifying
party's reasonable expense, in the investigation, preparation, defense, and settlement or voluntary
disposition of any such claim or loss, and (d) not compromising, settling, or entering into any voluntary
disposition of any such claim without the indemnifying party's prior written consent, which consent shall
not be unreasonably withheld; provided, however, that, if the party entitled to indemnification fails to
promptly notify the indemnifying party pursuant to the foregoing clause (a), the indemnifying party will
only be relieved of its indemnification obligation to the extent materially prejudiced by such failure. In no
event may the indemnifying party compromise, settle, or enter into any voluntary disposition of any claim,
demand or action in any manner that explicitly admits material fault or wrongdoing on the part of the
indemnified party or incurs non -indemnified liability (including any payment obligation) on the part of the
indemni lied party without the prior written consent of the indemnified party.
8 Limits of Liabilitv.
8.1 NOTWITHSTANDING ANYTHING TO THE CONTRARY IN TIIIS AGREEMENT,
FEELMORE'S AND ITS AFFILIATE'S' TOTAL LIABIL1 FY, UNDER ANY THEORY OF LIABILITY
(WHEII'HER BREACH OF CONTRACT, NEGLIGENCE., STRICT LIABILITY, OR OTHERWISE)
AND WHETHER OR NOT CLIENT HAS BEEN ADVISED OF TIIE POSSIBILITY OF SUCII
DAMAGES, ARISING UNDER ANY CAUSE OF ACTION AND ARISING IN ANY WAY OUT OF
AGREEMENT SHALL NOT IN ANY IsVENT EXCEED $100,000.
8.2 NOTWITHSTANDING ANYTHING TO THE CONTRARY IN TIIIS AGREEMENT,
NEITHER PARTY NOR ANY AFFILIATE' T HEREOF SHALI. 13E LIABLE FOR LOST PROFITS,
LOST REVENUE, LOST SAVINGS, LOSS OF USE, DAMAGE TO GOODWILL, OR FOR ANY
SPECIAL, INDIRECT, INCIDENTAL, EXEMPLARY, CONSEQUENTIAL OR PUNITIVE
DAMAGES, HOWEVER CAUSED, UNDER ANY THEORY OF LIABILITY (WHETHER BREACH
OF CONTRACT, NEGLIGENCE, STRICT LIABILI'T'Y, OR OTIIERWISE) AND WHETHER OR NOT
11' OR AN AFFILIATE 'THEREOF IIAS BF,EN ADVISED OF THE: POSSIBILITY OF SUCH
DAMAGES, ARISING UNDER ANY CAUSE OFACTION AND ARISING IN ANY WAY OUT OF
THIS AGREEMENT.
8.3 NOTWITHSTANDING ANYTHING TO THE CONTRARY, NEITHER SECTION 8.1
OR 8.2 SHALL APPLY TO OR LIMIT EITHER PARTY'S INDEMNIFICATION OBLIGATIONS
ABOVE OR LIABILITY FOR BREACH OF SECTION 3.
9 Miscellaneous.
9.1 Independent Contractor_Relationshiy. The Parties hereto arc independent contractors
and nothing contained in this Agreement shall be construed to place them in the relationship of partners,
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principal and agent, employer/employee or joint venturer. Both Parties agree that neither shall have power
or right to bind or obligate the other, nor shall either hold itself out as having such authority.
9.2 Force IvIaicure. In the event either Party shall be delayed or hindered in or prevented
from the performance of any act required hereunder by reasons of strike, lockouts, labor troubles, restrictive
government or judicial orders, or decrees riots, insurrection, war, Acts of God, inclement weather or other
similar reason or cause beyond such Party's control, then performance of such act shall be excused for the
period of such delay. Notice of the start and stop of any such force majeure shall be provided to the other
Party. In the event that a Party's performance is delayed due to force majeure for a period of more than
ninety (90) days, the other Party may terminate this Agreement upon written notice to the affected Party.
9.3 Notices. All notices and other communications provided for herein shall be dated and
in writing and shall be deemed to have been duly given (a) on the date of delivery, if delivered personally,
by e-mail or by facsimile machine, receipt confinned, (b) on the following business day, if delivered by a
nationally recognized overnight courier service, with receipt acknowledgement requested, or (c) three (3)
business days after mailing, if sent by registered or certified mail, return receipt requested, postage prepaid,
in each case, to the Party to whom it is directed at the following address (or at such other address as any
Party hereto shall hereafter specify by notice in writing to the other Parties hereto):
If to Facilitator: Darin White, Fire Chief
San Rafael Fire Department
13755 1h Ave.
San Rafael, Ca 94901
Darin. White@cityofsanrafael.org
If to Feelmore: Marlene Aguilar
l,eclmore Labs Inc.
370 Jay St. 7`h Fir
Brooklyn NY 11201
lIy lclleceryi.alnuorclabs.cwu
9.4 Governing Law: Jurisdiction. This Agreement shall be governed by and construed and
enforced in accordance with the laws of the State of Delaware, excluding that body of law known as choice
of law, and shall be binding upon the parties hereto in the United States and worldwide.
9.5 Severability. If any one or more provisions of this Agreement shall be found to be
illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions
shall not in any way be affected or impaired thereby, provided the surviving agreement materially comports
with the Parties' original intent.
9.6 Waiver. Waiver or forbearance by either Party or the failure by either Party to claim a
breach of any provision of this Agreement or exercise any right or remedy provided by this Agreement or
applicable law, shall not be deemed to constitute a waiver with respect to any subsequent breach of any
provision hereof.
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9.7 Changes and Modification. No changes or modifications of this Agreement or any
Evaluation Plan shall be deemed effective unless in writing and executed by the Parties hereto.
9.8 Assi - hent. Except as explicitly contemplated by this Agreement, neither this
Agreement nor any rights or obligations hereunder may be assigned or otherwise transferred by either Party
without the prior written consent of the other Party (which consent shall not be unreasonably withheld);
provided, however, that Feelmore may assign this Agreement and its rights and obligations hereunder
without Facilitator's consent (a) in connection with the transfer or sale of all or substantially all of the
business or assets of Feelmore (or that portion thereof to which this Agreement relates) to a third party,
whether by merger, sale of stock, sale of assets or otherwise, or (b) to any of its Affiliates. Notwithstanding
the foregoing, any such assignment to an Affiliate shall not relieve Feelmore of its responsibilities for
performance of its obligations under this Agreement, so long as such Affiliate remains an Affiliate of
Feelmore. Each Party shall promptly notify the other Party of any purported assignment of this Agreement.
The rights and obligations of the Parties under this Agreement shall be binding upon and inure to the benefit
of the successors and permitted assigns of the Parties. Any purported assignment not in accordance with
this Agreement shall be void.
9.9 Entire Ag[cement. This Agreement represents the complete and entire understanding
between the Parties regarding the subject matter hereof and supersedes all prior negotiations,
representations or agreements, either written or oral, regarding this subject matter.
9.10 Countcmarts. The parties may execute this Agreement in counterparts, each of which
is deemed an original, but all of which together constitute one and the same agreement. This Agreement
may be delivered by facsimile transmission or email (PDF), and facsimile or email (PDP) copies of executed
signature pages shall be binding as originals.
[Signature page to follow.]
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IN WITNESS WHEREOF the Parties hereto have executed this Agreement as of the Effective
Date.
FEELMORE LABS, INC.
OocuSigned by:
13y.. �1BC260A99098453
Francois Kress
Name:
Title- CEO
7/15/2021
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CITY OI' SAN RAFAEI.
BY:
Name:
Title—,&
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A hug for your mind
"I definitely have
been sleeping
better and since
my sleep has
improved, my stress
level at work has
been reduced."
Larry., 38
NY FIRST RESPONDER
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EXHIBIT A
EVALUATION
Conquer Stress. Sleep Better.
Respond Better.
As a first responder, stress and exhaustion can feel Ne part
of the job. Yet, they can also limit your effectiveness at work
and contribute to a decline in overall wellbeing. Cove can help.
Developed by neuroscientists, Cove activates a brain pathway
that helps you sleep better and overcome stress, effortlessly.
For best results
Use Cove twice daily. For example, many users wear it once during the day (before or
dur rig work) one once at night, just before bed. You may also find it useful to add a
session before or after a stressful event. Fhere's no wrong time to wear Cove• and you
can wear it while doing other things like watching N, reading, driving, etc so develop
a routine that works for you
Personalize your Intensity. Stronger is not better when it tomos to Cove For optimal
results, simply set the intensity to the lowest level of which you perceive it Adjust your
intensity as your sensitivity evolves, always keeping it at a level you just begin to
perceive it
Check In. You will be asked to complete brief daily surveys regarding your experience
with Cove. Please do respond to these prompts, as this information helps us to
continue improving Cove.
Stay Consistent. You will be asked to complete brief daily check ins regarding your
stress and sleep. Please do respond to these prompts within the Cove app, as this
information helps us to continue improving Cove.
What to expect
Start by taking our Enrollment Survey.
Unbox your Cove, and follow the setup guidelines on the card provided.
Cove for 30 days, twice daily.
After 30 days of use, complete your participation by taking our Fxit Survey.
If you like, you con keep Cove and we'll ask you about how you feel 3 months later.
Sign up by scheduling a virtual appointment with us:
https://go.oncehub.com/FeelmoreStudyConsent
Want to learn more? Visit www.feelcove.com
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EXHIBIT B
EVALUATION PLAN
Facilitator Responsibilities:
• Provide Feelmore or NFRF the names and email addresses of the 20 EMTs that will be evaluating
Feelmore's Cove device (so that Feelmore can provide them with the Consent)
• Provide the Evaluation description set forth on Exhibit A to all EMT participants
• If and as requested by Feelmore, (i) take delivery of the Cove devices from Feelmore and store in
a safe, secure location until distributed to EMTs participating in the Evaluation and (ii) promptly
distribute Cove devices to EMTs with completed Consent
• Encourage Cove usage and keep Feelmore and NFRF informed about progress on all Evaluation -
related activities/matters via weekly emails
• Promptly inform Feelmore if any EMT drops out of the Evaluation or stops participating in the
Evaluation or if a Cove device needs to be reassigned to another EMT
• If and as reasonably requested by Feelmore, take (or permit NFRF to take) multiple pictures of
EMTs participating in the Evaluation while wearing the Cove device and, if taken by Facilitator,
provide copies to Feelmore. Any such pictures will be taken at specific angles directed by Cove
so that the identity of the participant is not recognizable
• Cooperate with NFRF with respect to the Evaluation and any of the above activities
Feelmore Responsibilities:
• Send each participating EMT a form of written consent and waiver ("Consent") in which the
EMT agrees to the terms of the Evaluation
• Enroll each participating EMT completing a Consent in the Evaluation via a virtual appointment.
• Inform Joseph ,Uorel of the EMTs who have fully enrolled to participate in the Evaluation
• Provide Cove devices for EMTs who have qualified and fully enrolled into the Evaluation. Up to
20 Cove devices will be shipped to the Station by Feelmore
• Send each participating EMT a baseline questionnaire on stress & sleep, daily notifications to
check in and answer questionnaires via the Cove app, and an exit questionnaire via email (for a
before & after comparison of effect of the Cove device on various factors)
• Analyze the data captured from the participating EMTs during the 30 day study
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CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheetto circulate all contracts for reviewand approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Fire
Project Manager: Jason Hatfield/Joseph Morel Extension: 415-720-9039
Contractor Name: Cove
Contractor's Contact: Marlene Aguilar Contact's Email: marlene@feel morel abs.com
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step
RESPONSIBLE
DESCRIPTION
COMPLETED
REVIEWER
DEPARTMENT
DATE
Check/Initial
1
Project Manager
a. Email PINS Introductory Notice to Contractor
-K „CIU W
❑
'nter a clate.
b. Email contract (in Word) and attachments to City
6/30/2021
Attorneyc/o Laraine.Gittens@cityofsanrafael.org
2
City Attorney
a. Review, revise, and comment on draft agreement
7/9/2021
® LG
and return to Project Manager
7/9/2021
® LG
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
3
Department Director
Approvaloffinal agreement form tosend to
i
contractor
���c,%
date.
4
Project Manager
Forward three (3) originals of final agreementto
, pick here t
contractor for theirsignature
entera dat
5
Project Manager
When necessary, contractor -signed agreement
N/A
agendized for City Council approval *
*City Council approval required for Professional Services
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $175,000
Date of City Council approval
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
6
Project Manager
Forward signed original agreements to City
Attorney with printed copy of this routing form
7
City Attorney
Review and approve hard copy of signed
7/20 Z0zc
agreement
8
City Attorney
Review and approve insurance in PINS, and bonds
�/
for Public Works Contracts))�
9
City Manager/ Mayor
Agreement executed by City Council authorized
-�
official
10
City Clerk
Attestsignatures,retains original agreementand
forwards copies to Project Manager
7
/V