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CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR PSYCHOLOGICAL SERVICES <br />PROPOSERS CERTIFICATION AND PROPOSAL ITEM PRICING <br />Certification- I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. <br />I have examined the Scope of Services (Exhibit A) and am familiar with the services being requested. I understand and <br />agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the <br />submission of my proposal. <br />Proposal Item Price - Pricing shall be all inclusive and based on the scope of services described in Exhibit A. Cost <br />proposal shall include all costs for a three-year psychological services agreement. <br />Service <br />_ Pricing <br />Anticipated No. <br />Subtotal <br />A. <br />Pre -employment psychological <br />$ 300 Per applicant <br />of Units Per Yr. <br />TBD <br />$TBD <br />_ <br />evaluations <br />®• <br />Complete Post -Traumatic <br />$200 Per hour <br />— ------------ <br />TBD <br />'$TBD-------- <br />Psychological Incident <br />Evaluation <br />C. <br />Review of Fitness for Duty <br />$ N/A Per hour -- <br />N/A <br />N/A — <br />D. <br />Crisis Intervention Counseling <br />$105 Per hour <br />TBD y <br />$TBD <br />E. <br />pCritical Incident Stress <br />$200 Per hour <br />TBD <br />$TBD <br />I Management <br />I <br />FJG. <br />Consultation Services <br />$105 Per hour <br />TBD — <br />$TBD <br />Psychological Training Services <br />$ Per hour <br />IT BD <br />$TBD <br />_ <br />187.50 <br />Testimony in court and court <br />$ NyA Per hour <br />N/A <br />$ N/A — <br />_qreparation _ <br />w_— <br />One -Year Total <br />Three -Year <br />Total�- <br />City of S0 for P <br />anta Ana — Rf p 19-04sychologlcai Services <br />Page 20 <br />J <br />V. <br />