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HomeMy WebLinkAboutHR First Responder Counseling Services; Second AmendmentSECOND AMENDMENT TO THE PROFESSIONAL SERVICES AGREEMENT WITH
PUBLIC SAFETY FAMILY COUNSELING GROUP, INC. FOR FIRST RESPONDER
COUNSELING SERVICES
THIS SECOND 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 05/17/24
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, the CITY and CONSULTANT entered into a First Amendment to the
Professional Services Agreement dated July 14, 2023 to extend the Agreement term by one year
and for additional professional services in connection with CITY'S First Responder Counseling
Services, for an amount not to exceed $60,000 and increasing the total not to exceed under the
Agreement to $120,000; 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, 2023, to extend the Agreement term by six
months, through June 30, 2024.
2. Article II of the Agreement, entitled "DUTIES OF CONSULTANT" is hereby
amended to include the additional services set forth in CONSULTANT's
proposal, attached to this Second 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 Second
1
Amendment, on a fixed fee basis in accordance with the Exhibit A, in an amount
of $25,000. Should CITY authorize any services described as ADDITIONAL
SERVICES in Exhibit A, CITY shall compensate CONSULTANT as described
in Sections 3, 4, and/or 5 of the "COMPENSATION" section of Exhibit A,
provided that in no event shall the total additional compensation under this
Amendment exceed $30,000, changing the total not -to -exceed amount under the
agreement to $150,000.
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 Second Amendment on the
day, month, and year first above written.
CITY OF SAN RAFAEL
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CRISTINE ALILOVICH, City Manager
ATTEST:
LINDSAY LARA, City Clerk
APPROVED AS TO FORM:
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GENEVIEVE COYLE, Assistant City Attorney
2
CONSULTANT
By: Public Safety Family Counselii
._
Name: 4.
Title: Owner, CEO
[If Contractor is a corporation, add signature
of second corporate officer]
By: Public Safety Family Counsel
Name: ..„
Title: Owner, VP
Public Safety Family Counseling Group, INC.
Exhibit A — Scope of Services and Compensation
SCOPE OF SERVICES
The primary purpose of this service contract is the on -going support of a peer support team 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. In -House Training Services
6.1.1. Upon request, Consultant will conduct up to 15 hours of in-house training for City
personnel. Training is intended to be a joint effort between City's Fire and Police
Departments; however, it is incumbent on City to coordinate scheduling and
attendance of their personnel.
6.1.2. Training will be presented at City facilities and may be open to outside agencies
upon City's request with Consultant approval.
6.1.3. Training under this clause must occur within the one-year contract term and is
subject to availability. No refund or discount will be extended for unused training
hours.
6.2. Regional Peer Support Continuing Education Training
6.2.1. Participation in Regional Peer Support Continuing Education Training for all City
designated liaisons, coordinators, and peers is included as a Base Service.
6.2.2. 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.
6.2.3. Regional training may be offered in person or via a virtual electronic platform.
6.3. Peer Led Briefing Trainings
6.3.1. 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/attended 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. The term of this Agreement shall be 6 months running from January 1, 2024, through June
30, 2024.
1.1. Additional renewal terms of this Agreement shall run from July 1 through June 30
following a fiscal year calendar.
2. City shall compensate Consultant a pro -rated flat base fee of $25,000.00 for the 6-month
term for all "Base Services" outlined under Scope of Services Sections 1 through 8, subject
to the following provisions.
2.1. 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.
2.2. Regional Peer Support Continuing Education Training may be provided in person or
virtually and may be rescheduled, postponed, or cancelled for extraordinary events.
2.3. 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.
3. 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.
4. Additional Training and Meeting Services requested by City outside those outlined in base
services and provided by consultant shall be compensated at a rate of $350.00 per hour on
an "as -utilized" basis.
4.1.1. Billing for Training and Meeting Services shall include course development or
preparation time as required to create or adapt training or otherwise prepare for
presentation to City.
4.1.2. All services rendered away from Consultant's office in Brentwood, CA are billed
"portal-to-portal" and include all time spent onsite.
4.1.3. ICISF Licensed training courses are subject to the following additional
approximated fees.
ICISF Registration and Licensing $300 per course
Materials Fees $150 per person
ICISF Certificates $10 per course, per person
5. Additional Service Terms
5.1. Services rendered under this Agreement do not include expert witness fees, deposition,
court fees, representation, or testimony for or during any legal or formal administrative
proceeding. Fees related to any actual or proposed action in any proceeding start at
$500.00 per hour and are subject to a minimum advanced deposit prior to any required
appearance.
5.2. Copyright and Right of Use
5.2.1. Any and all work, artwork, copy, posters, billboards, photographs, videotapes,
audiotapes, systems designs, software, reports, designs, specifications,
drawings, diagrams, surveys, source codes or any original works of authorship
created by Consultant or its subcontractors or subconsultants in connection with
services performed under this Agreement shall be deemed the exclusive
intellectual or otherwise licensed property of Consultant and Consultant shall
retain all rights therein except where provided by a separate agreement.
5.3. Third Party Insurance Verification
5.3.1. In the event that City utilizes a Third -Party Insurance Verification Service or
requires specialized terms in addition to the insurance industry standard terms
provided for in Consultant's current insurance policies an additional fee of
$3000.00 per year shall apply.
5.4. HIPAA Requirements
5.4.1. Confidentiality of Consultant's services and records are governed by State and
Federal statues, court decisions, ethical standards, and generally accepted
business practices for their profession. Notwithstanding any other section of this
Agreement, no record or other identifying information, including but not limited to
HIPAA protected information shall be released without a valid court order, written
authorization from the individual(s) affected by the information release, or other
legal authority compelling release of such information. Additionally, compliance
with any audit or inspection requirement contained herein necessitates an
investment of Consultant's time, efforts, and resources in order to maintain the
required confidentially of records subject to audit or inspection and as such, shall
be considered billable hours and compensated according to this Agreement. This
section shall supersede all other sections and shall survive termination,
cancellation, or expiration and remain in effect indefinitely.
5.5. Confidentiality of Consultant's Information
5.5.1. The terms of this Agreement are considered public information pursuant to the
California Public Records Act (Government Code section 6250 et seq.). The
Parties agree to exercise at least the same care, legal and professional
standards, security, and confidentiality for any confidential information received
from the other party as they would for their own confidential and protected
information.
5.6. Billing and Invoices
5.6.1. Consultant shall endeavor to provide a monthly utilization statement to the City
no later than the 15th day of each month following the month in which services
are provided. The utilization will include a description of services rendered and
the date on which such services were provided. In addition, the monthly
statement will provide a running account of hours utilized and remaining hours on
account. Due to HIPAA restrictions individual client information will at no time be
included in accounting information. Utilization statements shall be combined with
monthly invoices for convenience.
5.6.2. City shall ensure timely requests for and utilization of Consultant's services. All
services not utilized within the one-year term of this Agreement are non-
refundable and will be lost as of December 315t of each year this Agreement
remains in effect. Failure of City to utilize Consultant's services in a timely
manner shall not be cause for a refund or extension of time.
04/03/2024
PSFCG San Rafael PD-FD 3-4-24 - 61VI0 2024
Final Audit Report 2024-03-05
Created: 2024-03-04
By: alissa curtin (alissa.curtin@cityofsanrafael.org)
Status: Signed
Transaction ID: CBJCHBCAABAAZ5HLos72mUmO-souTXFvp-s3T6P9ZpiN
"PSFCG San Rafael PD-FD 3-4-24 - 61VI0 2024" History
Document created by alissa curtin (alissa.curtin@cityofsanrafael.org)
2024-03-04 - 9:50:42 PM GMT
'► Document emailed to Marissa Sanchez (marissa.sanchez@cityofsanrafael.org) for signature
2024-03-04 - 9:50:47 PM GMT
Email viewed by Marissa Sanchez (marissa.sanchez@cityofsanrafael.org)
2024-03-05 - 1:38:17 AM GMT
�a Document e-signed by Marissa Sanchez (marissa.sanchez@cityofsanrafael.org)
Signature Date: 2024-03-05 - 1:38:33 AM GMT - Time Source: server
4 Agreement completed.
2024-03-05 - 1:38:33 AM GMT
Q Adobe Acrobat Sign
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: Human Resources (for PD/FD)
Project Manager: Alissa Curtin for Marissa Sanchez Extension: 3069
Contractor Name: Public Safety Family Counseling Group, Inc.
Contractor's Contact: Scott Dansie Contact's Email: scoff@psfcg.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
N/A
❑
3/6/2024
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
®amc
2
City Attorney
a. Review, revise, and comment on draft agreement
3/12/2024
and return to Project Manager
3/12/2024
® NT
b. Confirm insurance requirements, create Job on
COI in Folder
PINS, send PINS insurance notice to contractor
❑X NT
3
Department Director
Approval of final agreement form to send to
3/12/2024
M amc for
contractor
ms
4
Project Manager
Forward three (3) originals of final agreement to
3/12/2024
©amc
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
Agreements and purchases of goods and services that exceed Or
$75,000; and for Public Works Contracts that exceed $175,000
5/6/2024
Date of City Council approval approved by
Council
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
Forward signed original agreements to City
6
Project Manager
Attorney with printed copy of this routing form
7
City Attorney
Review and approve hard copy of signed
City Attorney
agreement
8
Review and approve insurance in PINS , and bonds
COI in Folder
(for Public Works Contracts)
9
City Manager / Mayor
Agreement executed by City Council authorized
official
10
City Clerk
Attest signatures, retains original agreement and
forwards copies to Project Manager
PSFCG San Rafael PD-FD 3-4-24 - 61VI0 2024 -
2 Amendment full doc
Final Audit Report 2024-05-17
Created: 2024-05-08
By: alissa curtin (alissa.curtin@cityofsanrafael.org)
Status: Signed
Transaction ID: CBJCHBCAABAAnNZCOvjLaR7znwxKyil4bplYsvGscrkP
"PSFCG San Rafael PD-FD 3-4-24 - 61VIO 2024 - 2 Amendment
_full doc" History
Document created by alissa curtin (alissa.curtin@cityofsanrafael.org)
2024-05-08 - 5:47:38 PM GMT
E-4' Document emailed to Scott Dansie (scoff@psfcg.com) for signature
2024-05-08 - 5:47:42 PM GMT
Email viewed by Scott Dansie (scoff@psfcg.com)
2024-05-08 - 7:41:55 PM GMT
r4 alissa curtin (alissa.curtin@cityofsanrafael.org) replaced signer Scott Dansie (scoff@psfcg.com) with Elizabeth
Dansie (beth@psfcg.com)
2024-05-08 - 9:16:21 PM GMT
Py Document emailed to Elizabeth Dansie (beth@psfcg.com) for signature
2024-05-08 - 9:16:21 PM GMT
alissa curtin (alissa.curtin@cityofsanrafael.org) replaced signer Elizabeth Dansie (beth@psfcg.com) with Elisa
Hughes (elisa@psfcg.com)
2024-05-08 - 9:16:39 PM GMT
15 Email viewed by Elizabeth Dansie (beth@psfcg.com)
2024-05-09 - 7:36:42 PM GMT
6© Document e-signed by Elizabeth Dansie (beth@psfcg.com)
Signature Date: 2024-05-09 - 7:38:17 PM GMT - Time Source: server
'. Document emailed to Elisa Hughes (elisa@psfcg.com) for signature
2024-05-09 - 7:38:18 PM GMT
10 Adobe Acrobat Sign
Email viewed by Elisa Hughes (elisa@psfcg.com)
2024-05-09 - 7:40:26 PM GMT
0o Document e-signed by Elisa Hughes (elisa@psfcg.com)
Signature Date: 2024-05-09 - 7:53:10 PM GMT - Time Source: server
P-4 Document emailed to Laraine Gittens (laraine.gittens@cityofsanrafael.org) for approval
2024-05-09 - 7:53:11 PM GMT
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2024-05-09 - 7:54:31 PM GMT
Email viewed by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
2024-05-13 - 10:31:19 PM GMT
40 Document approved by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
Approval Date: 2024-05-13-10:38:59 PM GMT -Time Source: server
24 Document emailed to Genevieve Coyle (genevieve.coyle@cityofsanrafael.org) for signature
2024-05-13 - 10:39:00 PM GMT
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2024-05-13 - 10:39:50 PM GMT
6© Document e-signed by Genevieve Coyle (genevieve.coyle@cityofsanrafael.org)
Signature Date: 2024-05-13-10:40:38 PM GMT - Time Source: server
P-► Document emailed to City Clerk(city.clerk@cityofsanrafael.org) for approval
2024-05-13-10:40:39 PM GMT
,) Email viewed by City Clerk (city.clerk@cityofsanrafael.org)
2024-05-13 - 10:49:41 PM GMT
b© Document approved by City Clerk (city.clerk@cityofsanrafael.org)
Approval Date: 2024-05-13-10:49:49 PM GMT - Time Source: server
C'.► Document emailed to Cristine Alilovich (cristinea@cityofsanrafael.org) for signature
2024-05-13 - 10:49:50 PM GMT
Email viewed by Cristine Alilovich (cristinea@cityofsanrafael.org)
2024-05-15 - 2:31:02 PM GMT
'E Email viewed by Cristine Alilovich (cristinea@cityofsanrafael.org)
2024-05-17 - 5:59:04 PM GMT
&0 Document e-signed by Cristine Alilovich (cristinea@cityofsanrafael.org)
Signature Date: 2024-05-17 - 5:59:18 PM GMT - Time Source: server
Q Adobe Acrobat Sign
El Document emailed to City Clerk (city.clerk@cityofsanrafael.org) for signature
2024-05-17 - 5:59:19 PM GMT
t Email viewed by City Clerk(city.clerk@cityofsanrafael.org)
2024-05-17 - 9:04:30 PM GMT
A) Signer City Clerk(city.clerk@cityofsanrafael.org) entered name at signing as Brenna Nurmi (for)
2024-05-17 - 9:04:50 PM GMT
be Document e-signed by Brenna Nurmi (for)(city.clerk@cityofsanrafael.org)
Signature Date: 2024-05-17 - 9:04:52 PM GMT - Time Source: server
Agreement completed.
2024-05-17 - 9:04:52 PM GMT
Q Adobe Acrobat Sign