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HomeMy WebLinkAboutFD First Responder Counseling Services; First Amendment0
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FIRST AMENDMENT TO THE PROFESSIONAL SERVICES AGREEMENT WITH
PUBLIC SAFETY FAMILY COUNSELING GROUP, INC. FOR FIRST RESPONDER
COUNSELING SERVICES
THIS FIRST AMENDMENT to the Professional Services Agreement by and between
the CITY OF SAN RAFAEL (hereinafter "CITY"), and PUBLIC SAFETY FAMILY
COUNSELING GROUP, INC. (hereinafter "CONSULTANT"), is made and entered into as of
the day of , 202'?
RECITALS
WHEREAS, the CITY and CONSULTANT entered into a Professional Services
Agreement dated January 20, 2022 to perform professional services in connection with CITY'S
First Responder Counseling Services, for an amount not to exceed $60,000 (the "Agreement");
and
WHEREAS, under the terms of the Agreement, the Term of the Agreement was to
expire on December 31, 2022; and
WHEREAS, CITY requires additional professional services from the CONSULTANT,
and the CONSULTANT is willing to provide such services.
AMENDMENT TO AGREEMENT
NOW, THEREFORE, the parties hereby agree to amend the Agreement as follows:
1. Article V of the Agreement, entitled "TERM OF AGREEMENT" is hereby
amended, effective as of December 31, 2022, to extend the Agreement term by
one year, through December 31, 2023,
2. Article II of the Agreement, entitled "DUTIES OF CONSULTANT" is hereby
amended to include the additional services set forth in CONSULTANT's
proposal dated January 1, 2023, attached to this First Amendment as Exhibit A
and incorporated herein by reference.
3. Article IV of the Agreement, entitled "COMPENSATION" is hereby amended to
include additional compensation payable to CONSULTANT for the full
performance of the BASE SERVICES described in Exhibit A to this First
Amendment, on a flat fee basis in accordance with the Exhibit A, in an amount of
$50,000. Should the CITY authorize any services described as ADDITIONAL
SERVICES in Exhibit A, CITY shall compensate CONSULTANT as described
1
in Sections 2 and/or 3 of the "Compensation" section of Exhibit A, provided that
in no event shall the total additional compensation under this Amendment exceed
$60,000, changing the total not -to -exceed amount under the Agreement to
$120,000.
3. Except as specifically amended herein, all of the other provisions, terms and
obligations of the Agreement between the parties shall remain valid and shall be
in full force.
IN WITNESS WHEREOF, the parties have executed this First Amendment on the day,
month, and year first above written.
CITY OF SAN RAFAEL
Cristine Alilovich
Cristine Alilovich (Jul 14, 2023 16:58 PDT)
CRISTINE ALILOVICH, City Manager
ATTEST:
8441-01%� x�elz�,
Brenna Nurmi (for) (Jul 14, 20 17:00 PDT)
LINDSAY LARA, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, City Attorney
2
CONSULTANT
By: �.
Name:4"Zo4e-7-4 rPPxur,;C--
Title:
[If Contractor is a corporation, add signature
of second c rporate officer]
By:
Name:�%•� vEa
Title: SA'-TA'-Twc—g
Public Safety Family Counseling Group, INC.
Exhibit A — Scope of Services and Compensation
January 1, 2023
SCOPE OF SERVICES
The primary purpose of this service contract is the creation and implementation of a first -year
peer support ream and Critical Incident Stress Management (CISM) program while providing
24/7/365 program response and support services to the City of San Rafael Police and Fire
Departments (City) and their employees.
BASE SERVICES
1. 24/7 On-Call/Standby Availability
1.1. Consultant will be available 24 hours a day, 7 days a week for Crisis Response and
Stabilization Services for City and City's personnel.
2. Crisis Response and Stabilization services. Such services may include, but are not limited to
critical incident stress debriefings, crisis management briefings, on -site response, crisis
intervention, and in person consultation as necessary following extraordinary events
encountered by City's personnel or impacting the performance of City personnel's duties.
2.1. Crisis Response and Stabilization Services may be rendered at City's offices, in the
field, at Consultant's offices, or virtually as approved by Consultant.
2.2. In the event that Consultant is requested to respond to an active scene or incident, City
personnel shall accompany Consultant when requested.
3. Individual Crisis Stabilization and Counseling Services
3.1. Consultant will provide Individual Crisis Stabilization and Counseling Services as
requested for City personnel, including 24/7 availability as needed.
3.2. Consultant will provide first responder specialized support and short-term individual
crisis intervention and. as necessary, appropriate professional referrals to City's
employee assistance program or other suitable venue when indicated.
3.2.1. Short-term individual crisis intervention is defined as up to five (5) one-on-one
crisis intervention sessions per quarter without the need for referral or
authorization from City. Such sessions may be provided either in -person at
Consultant's offices or virtually.
3.2.2. In the event that an employee requires more than five (5) hours of service per
quarter, the City employee seeking service shall obtain written authorization in
advance from City or authorize Consultant to contact City on behalf of the affected
employee. The authorization process shall not require Consultant to disclose of
the affected employee's crisis or other HIPAA information without the employee's
consent.
3.2.3. Referrals to third party services such as employee assistance programs, outside
wellness training, or recovery/treatment retreats are not covered under this
Agreement and are subject to other agreements between City and the third -party
provider.
4. Telephone, email, and virtual Consultations
4.1. Expert collaboration with City Personnel regarding issues related to Critical Incident
Stress, crisis intervention, education needs, organizational matters, and other
psychological services as requested.
4.2. Provide on -going consultation to the City's Peer Support Team on topics including, but
not limited to, program development, team selection, and team operations.
4.3. Consult with City Personnel regarding critical incident stress management support
education services for line, supervisory, and management staff as requested.
4.4. Unlimited telephone, email, and virtual consultations are provided as "Base Services"
under this agreement.
5. Peer Support Team Member Services
5.1. Consultant will provide two, one-on-one check -in appointments per year for each peer
support team member, coordinator, and liaisons for the purpose of fostering
professional wellness in their assigned role and to support positive wellness habits.
6. Training Services
6.1. Command Presentation and Training
6.1.1. Upon request, Consultant will conduct one presentation and training for Command
Staff in order to familiarize them with CISM and peer support team program goals
and operations.
6.2. Supervisory Presentation and Training
6.2.1. Upon request, Consultant will conduct three presentations for supervisory staff in
order to familiarize them with CISM and peer support team program goals and
operations. These presentations may be up to 2 hours each.
6.3. Line Personnel Training
6.3.1. Upon request, Consultant will provide up to six, four-hour training blocks covering
CISM, wellness, and resiliency for line level personnel.
6.3.2. Training will be presented at City facilities and may be open to outside agencies
upon City's request with Consultant approval.
6.3.2.1. Outside training under this clause must occur within the one-year contract
term and is subject to availability.
6.4. Regional Peer Support Continuing Education Training
6.4.1. Participation in Regional Peer Support Continuing Education Training for all City
designated liaisons, coordinators, and peers is included as a Base Service.
6.4.2. Participating agencies share a rotating responsibility for hosting Regional Peer
Support and Coordinator Meetings. Responsibility for hosting said trainings and
meetings is split among participating agencies on a rotating basis.
6.4.3. Regional training may be offered in person or via a virtual electronic platform.
6.5. Peer Led Briefing Trainings
6.5.1. Consultant shall design and supply one 15-minute training program designed to
be presented by peer support team members during briefing or other short format
gatherings. These training programs shall be designed to enhance resiliency,
increase mental wellness, and/or address specific problems within the agency or
industry as a whole (i.e., healthy alcohol consumption, dealing with personal
crisis, available CISM resources).
7. Meetings
7.1. Consultant will help facilitate and attend peer support team meetings exclusively for
City's peer support team members. Said meetings shall be set up by a Peer Support
Team Coordinator or Liaison and should occur once per quarter. These meetings may
be held/aftended in -person or virtually.
7.2. Consultant will help facilitate and attend a monthly peer support team coordinator and
liaison meeting. Said meetings shall be set up by a peer support team coordinator or
liaison. These meetings may be held/attended in -person or virtually.
7.3. Consultant shall attend Command Staff meetings as requested for the purpose of
discussing and making recommendations as to CISM and peer support program needs
and goals.
8. Policy Development and Review
8.1. Consultant will supply City with a Sample Peer Support Policy and assist City personnel
with review and recommendations for creating a comprehensive Peer Support Team
and CISM Policy upon request.
8.2. City shall have their own City Attorney and/or risk manager review any recommended
policy prior to implementation. City is responsible for ensuring that any proposed policy
is compliant with city, state, and federal law.
9. When City requests services to be rendered onsite, City shall make suitable space available
to Consultant. When suitable space is not available, City shall make other location
arrangements appropriate for the services to be rendered.
10. When Consultant is unavailable or unable to render services as indicated above. Consultant
shall make necessary arrangements for referral to appropriate mental health professionals
for coverage and make contact information available to City personnel.
11. Consultant shall not be responsible for computer, video, audio, or other technological needs
for City or City's personnel to attend training or access services.
ADDITIONAL SERVICES
1. Additional Individual Crisis Stabilization and Counselling Services
1.1. The City may elect to authorize additional Individual Crisis Stabilization and Counselling
Services for impacted employees (beyond the 5 session per quarter afforded under
section 2) on a case -by -case basis.
2. Additional Training and Meeting Services
2.1. Consultant may provide Critical Incident Stress Management or other training services
within Consultant's scope of practice for line, supervisory, and management staff as
requested by City.
2.1.1. Training requests must be submitted at least 90 days in advance.
2.2. Consultant may provide or attend additional meetings or other gatherings beyond those
outlined above as requested by City.
COMPENSATION
1. City shall compensate Consultant a flat base fee of $50,000.00 for one year for all "Base
Services" outlined under Scope of Services Sections 1 through 8, subject to the following
provisions.
1.1. Services may be rendered in -person, via telephone, email. or virtual platform based on
the specific circumstances. nature, and needs of the service, City, and Consultant.
Response services shall be provided in -person except under extraordinary
circumstances.
1.2. Regional Peer Support Continuing Education Training may be provided in person or
virtually and may be rescheduled, postponed, or cancelled for extraordinary events.
3. When Consultant is unavailable or unable to 24/7 standby/on-call availability,
Consultant shall make necessary arrangements for referral to appropriate mental health
professionals for coverage and any expense incurred by Consultant in doing so shall be
the sole responsibility of Consultant.
2. Individual Crisis Stabilization and Counseling Services authorized beyond the 5 sessions
per quarter outlined under "Base Services' section 2 and provided in Consultant's offices
shall be compensated at a rate of $200.00 per hour on an "as -utilized" basis.
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Fire
Project Manager: Thomas Wong Extension: x5360
Contractor Name: Public Safety Family Counseling Group
Contractor's Contact: Scott Dansie Contact's Email: scottdansie@psychservicesgroup.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
Click here to
❑
en[er a date
b. Email contract (in Word) and attachments to City
4/20/2023
Attorney c/o Laraine.Gittens@cityofsanrafael.org
❑x
2
City Attorney
a. Review, revise, and comment on draft agreement
6/22/2023
and return to Project Manager
6/22/2023
© NT
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
® NT
3
Department Director
Approval of final agreement form to send to
6/22/2023
contractor
Forward three (3) originals of final agreement to
6/23/2022
4
Project Manager
contractor for their signature
5
Project Manager
When necessary, contractor -signed agreement
❑ N/A
agendized for City Council approval *
*City Council approval required for Professional Services
5]C
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $17S,000
7/5/2023
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
agreement
8
City Attorney
Review and approve insurance in PINS , and bonds
(for Public Works Contracts)
Agreement executed by City Council authorized
9
City Manager / Mayor
official
Attest signatures, retains original agreement and
10
City Clerk
forwards copies to Project Manager
1st Amendment - Public Safety Family
Counseling Group (signed)
Final Audit Report 2023-07-15
Created:
2023-07-06
By:
Thomas Wong (Thomas.Wong@cityofsanrafael.org)
Status:
Signed
Transaction ID:
CBJCHBCAABAA8Ye202Lgj-sMwjlLSeRbOMxXCWkUFJ5Q
"1st Amendment - Public Safety Family Counseling Group (signe
d)" History
Document created by Thomas Wong (Thomas.Wong@cityofsanrafael.org)
2023-07-06 - 6:42:55 PM GMT- IP address: 199.88.89.34
C'. Document emailed to Laraine Gittens (laraine.gittens@cityofsanrafael.org) for approval
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Email viewed by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
2023-07-11 - 11:14:16 PM GMT- IP address: 104.47.65.254
6� Document approved by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
Approval Date: 2023-07-11-11:19:48 PM GMT - Time Source: server- IP address: 199.88.113.8
E`'-. Document emailed to Genevieve Coyle (genevieve.coyle@cityofsanrafael.org) for signature
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6© Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi
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60 Document approved by Brenna Nurmi(city.clerk@cityofsanrafael.org)
Approval Date: 2023-07-12 - 11:42:13 PM GMT - Time Source: server- IP address: 199.88.113.8
fly Document emailed to cristine.alilovich@cityofsanrafael.org for signature
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�i Email viewed by cristine.alilovich@cityofsanrafael.org
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6© Signer cristine.alilovich@cityofsanrafael.org entered name at signing as Cristine Alilovich
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&G Document e-signed by Cristine Alilovich (cristine.alilovich@cityofsanrafael.org)
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Ely Document emailed to city.clerk@cityofsanrafael.org for signature
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Email viewed by city.clerk@cityofsanrafael.org
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&e Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi (for)
2023-07-15 - 0:00:21 AM GMT- IP address: 199.88.113.8
b© Document e-signed by Brenna Nurmi (for)(city.clerk@cityofsanrafael.org)
Signature Date: 2023-07-15 - 0:00:23 AM GMT -Time Source: server- IP address: 199.88.113.8
Agreement completed.
2023-07-15 - 0:00:23 AM GMT
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