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EXHI BIT B <br />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 />1 have examined the Scope of Services (Exhibit A) and am familiar with the services being requested. I understand and <br />agree that 1 am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the <br />submission of my proposal <br />Proposal <br />proposal <br />Item Price - Pricing shall be ail inclusive <br />shalt include all costs for a three-yearpsychological <br />Service <br />and based on the scope <br />services agreement. <br />Pricing <br />of services described in <br />-Anticipated <br />Exhibit A. Cost <br />No. <br />Subtotal <br />A. <br />_..... ___ . ..... <br />of Units Per Yr. <br />7BD <br />$ TBD <br />Pre -employment psychological <br />$ Per applicant <br />evaluations <br />Sn <br />Post -Traumatic �LLu� <br />Po - <br />$ _---Per hour-� <br />__. <br />$ ------.""" <br />Psychological <br />y gicalIncident <br />Evaluation <br />C <br />_ <br />Review of Fitness for Duty <br />_ <br />- - - Pe/r�hour <br />TBD —� - <br />$ TBD ~ <br />tD. <br />Crisis Intervention Counseling <br />$ Per hour- <br />E. <br />Critical Incident Stress <br />$ Per hour <br />$ <br />Nti1Rc9QG('flfrYlt <br />_ _ <br />F, <br />Consultation Services <br />_ <br />$ Per hour <br />G. <br />Psychological Training Services <br />$ Per hour <br />$ <br />- <br />WTestimony in court and court <br />$ Per hour„ <br />TBD -- <br />$ TBD Y <br />J <br />nrnrrarnfinn <br />Nnn. 00 <br />City of Santa Ana —RhP 19-040 for Psyc�Iogical Services,-- <br />Page 20 <br />