HomeMy WebLinkAboutItem 23 - Agreement with Forensic Nurse Specialists, Inc.Police Department
www.santa-ana.org/pol ice
Item # 23
or City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
December 19, 2023
TOPIC: Agreement with Forensic Nurse Specialists, Inc.
AGENDA TITLE
Approve an Agreement with Forensic Nurse Specialists, Inc. for Sexual Assault Victim
Exams and Evidence Collection Services (General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute a five-year agreement with Forensic Nurse
Specialists, Inc. for the period of December 19, 2023 through August 31, 2028, to
provide sexual assault victim examinations and evidence collection services for the
Santa Ana Police Department in an amount not to exceed $350,000, subject to non -
substantive changes approved by the City Manager and City Attorney (Agreement No.
2023-XXX).
GOVERNMENT CODE 484308 APPLIES: Yes
DISCUSSION
The Santa Ana Police Department's Special Crimes Section investigates sexual
assaults against adult victims. A critical component of these investigations is the
forensic examination a victim undergoes to gather evidence of the assault and provide
the victim with healthcare services. The Santa Ana Police Department has contracted
with Forensic Nurse Specialists, Inc. (FNS) since January 2000 for these services. FNS
is the sole source provider for these services in Orange County, and no specific
registries utilize forensic nurses solely for exams.
FNS nurses have training and expertise in forensic examinations and are competent in
the California State protocol established by Cal OES (California Office of Emergency
Services). FNS provides their services 24 hours a day, seven days a week. FNS
collects evidence during the examination and packages, labels, and seals it according
to the state and local Orange County Crime Lab requirements. FNS nurses are expert
witnesses and testify in court upon receipt of a subpoena by the District Attorney's
Office.
Agreement with Forensic Nurse Specialists, Inc.
December 19, 2023
Page 2
The costs for the services under this contract are $1,200 per sexual assault forensic
exam, $1,400 for a mobile trauma exam, $300 for a dry run, $600 for a domestic
violence strangulation exam, and $500 a day for court testimony. The prior agreement
with FNS expired on August 31, 2023. This new agreement for the five-year term is for
an amount not to exceed $350,000 and includes services provided since September 1.
2023 to be compensated under this agreement.
FISCAL IMPACT
Funding is available in the FY 2023-24 budget and funding for subsequent fiscal years
will be included in the proposed budgets for City Council consideration as follows:
Fiscal
Accounting Unit —
Fund
Accounting Unit —
Amount
Year
Account No.
Description
Account No. Description
General
Criminal Investigations,
FY 23-24
01114435-62300
Fund
Contract Services-
$ 50,000
Professional
General
Criminal Investigations,
FY 24-25
01114435-62300
Contract Services-
$ 70,000
Fund
Professional
Criminal Investigations,
FY 25-26
01114435-62300
General
Contract Services -
$ 70,000
Fund
Professional
Criminal Investigations,
FY 26-27
01114435-62300
General
Contract Services -
$ 70,000
Fund
Professional
Criminal Investigations,
FY 27-28
01114435-62300
General
Contract Services -
$ 70,000
Fund
Professional
Criminal Investigations,
FY 28-29
01114435-62300
General
Contract Services -
$ 20,000
Fund
Professional
Total
$350,000
The amounts above are estimates and subject to change.
EXHIBIT(S)
1. Agreement with Forensic Nurse Specialists, Inc.
Submitted By: Robert Rodriguez, Acting Police Chief
Approved By: Tom Hatch, Interim City Manager
i0:I:n:3ifi
AGREEMENT BETWEEN FORENSIC NURSE SPECIALISTS, INC AND THE CITY
OF SANTA ANA FOR FORENSIC EXAMINATION SERVICES
This Agreement for Forensic Examination Services is made and entered into as of the
19th day of December 2023 (the "Effective Date"), by and between FORENSIC NURSE
SPECIALISTS, INC ("FNS") a privately owned minority professional corporation, and the City
of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California ("City"), on behalf of the Santa Ana Police
Department ("Department"), with respect to the following:
WHEREAS, the Department requires the collection of forensic evidence with respect to
victims of sexual assault and other forms of interpersonal violence;
WHEREAS, this is a mandatory expense as failure to provide a victim of sexual assault
with an examination by a qualified healthcare professional would be a violation of the California
Penal Code;
WHEREAS, the Department does not have the capability to collect the aforesaid forensic
evidence internally;
WHEREAS, FNS has specialized training and expertise in the forensic examination
services and the Department desires to contract such services from FNS;
WHEREAS, FNS is the sole source providing this service in Orange County and there are
no specific registries that utilizes forensic nurses solely for the purpose of exams;
NOW, THEREFORE, in consideration of the mutual promises, covenants and conditions
contained herein, the parties hereto agree as follows:
Services FNS agrees to provide the following services ( "Services") to the Department:
l .1. Examination. FNS agrees to provide the Department approved forensic -medical
exams 24/7 to sexual assault, strangulation, domestic violence, and other types of victims,
consistent with the terms of this Agreement as identified by the Department, with a 1- hour
response to a mutually agreed upon examination location. The examination will include
digital imaging of injuries and physical findings. The examination will be conducted by
forensic nurses who are trained and competent in the California State Protocol established
by California Office of Emergency Services.("CALOES")
1.2 Evidence All evidence collected during the examination will be packaged, labeled
and sealed according to the state and local crime lab requirements and submitted to the on -
site evidence storage refrigerator with appropriate chain of custody documentation.
Evidence for mobile exams (off -site) or courtesy cases will be relinquished at the
conclusion of that examination to the authorizing Department. Digital photographs will be
available upon request by Department investigators.
1.3. Equipment and Supplies. FNS will provide all equipment and supplies to conduct
all services listed in Exhibit A.
1.4 Testimony FNS agrees to provide competent court testimony as requested by the
Department (upon receipt of a lawful or properly served summons or subpoena).
2. Compensation In exchange for the Services provided by FNS pursuant to Section 1 above,
the Department shall compensate FNS according to Exhibit A, "FNS Fee Schedule" attached
hereto and incorporated herein. Services can be added at any time per the Department's request
and negotiated rates. The total amount of compensation to FNS shall not exceed $350,000. Any
increase over this amount, for any services provided by this Agreement, shall be effectuated by
written amendment between parties subject to approval by the Santa Ana City Council.
2.1 Rate Adjustment Th e Department acknowledges and agrees that FNS is entitled
to adjust the rates set forth in this Section 2, Exhibit A, from time to time and at any time.
FNS shall use reasonable efforts to give Department at least sixty (60) days advance written
notice of any increase or adjustment to rates, subject to the not -to -exceed compensation
amount in Section 2, above.
3. Payment
3.1 FNS shall invoice the Department monthly for all Services performed in each
previous month. Department shall remit payment to FNS within thirty (30) days of receipt
of an invoice.
3.2 City shall compensate FNS for any services provided since September 1, 2023 until
the effective date of this Agreement, as defined in the effective date above
4. Term This Agreement shall be for a term of five (5) years commencing on December
19, 2023 and expiring on August 31, 2028.
4.1. Termination Either party may terminate this Agreement without cause at any time
during the term of this Agreement by providing the other party at least thirty (30) days
prior written notice of termination
5. Indemnification The parties each shall indemnify, defend, and hold the other party
harmless from and against any and all liability, loss, damages, costs, and expenses (including
reasonable attorneys' fees) caused by the negligence or wrongful acts or omissions of such
indemnifying party or its employees, officers or agents. The provisions of this paragraph shall
survive termination of this Agreement
6. Insurance FNS shall procure and maintain for the duration of the contract
insurance against claimsfor injuries to persons or damages to property which may arise
from or in connection with theperformance of the work hereunder and the results of
that work by FNS , its agents, representatives, employees or subcontractors.
MINIMUM SCOPE AND LIMIT OF INSURANCE
Coverage shall be at least as broad ase follows:
Commercial General Liability (CGL): Insurance Services Office Form CG
00 01 covering CGL on an "occurrence" basis, including property damage,
bodily injury and personal & advertising injury with limits no less than
$2,000,000 per occurrence. If a general aggregate limit applies, either the
general aggregate limit shall apply separatelyto this project/location (ISO CG 25
03 or 25 04) or the general aggregate limit shall betwice the required occurrence
limit.
2. Automobile Liability: Insurance Services Office Form Number CA 0001
covering Code 1 (any auto), or if INS has no owned autos, Code 8 (hired) and
9 (non- owned), with limits no less than $1,000,000 per accident for bodily
injury and propertydamage. (Not required if FNS provides written verification
vehicles are not required to perform service.)
3. Workers' Compensation insurance as required by the State of California, with
Statutory Limits, and Employer's Liability Insurance with limit of no less than
$1,000,000 per accident for bodily injury or disease.
4. Sexual Abuse or Molestation (SAM) Liability: If the work will include
contact withminors, and the CGL policy referenced above is not endorsed to
include affirmative coverage for sexual abuse or molestation, FNS shall obtain
and maintain a policycovering Sexual Abuse and Molestation with a limit no
less than $1,000,000 per occurrence or claim.
If FNS maintains broader coverage and/or higher limits than the minimums shown
above, the City requires and shall be entitled to the broader coverage and/or the higher
lirn.itsmaintained by the Instructor_ Any available insurance proceeds in excess of the
specified minimum limits of insurance and coverage shall be available to the City.
Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions:
Additional Insured Status
The City, its officers, officials, employees, and volunteers are to be covered as
additional insureds on the CGL policy with respect to liability arising out of work or
operations performed by or on behalf of the FNS including materials, parts, or
equipment furnished in connectionwith such work or operations. General liability
coverage can be provided in the form of an endorsement to the FNS's insurance (at least
as broad as ISO Form CG 20 10 1185 or if notavailable, through the addition of both
CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used).
Primary Coverage
For any claims related to this contract, the FNS's insurance coverage shall be primary
coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers,
officials, employees, and volunteers. Any insurance or self-insurance maintained by
the City, its officers, officials, employees, or volunteers shall be excess of the FNS's
insurance and shall not contribute with it.
Notice of Cancellation.
Each insurance policy required above shall provide that coverage shall not be canceled,
except with notice to the City.
Waiver of Subrogation
INS hereby grants to City a waiver of any right to subrogation which any insurer of
said FNS may acquire against the City by virtue of the payment of any loss under such
insurance. F N S agrees to obtain any endorsement that may be necessary to affect this
waiverof subrogation, but this provision applies regardless of whether or not the City
has received a waiver of subrogation endorsement from the insurer.
Self -Insured Retentions
Self -insured retentions must be declared to and approved by the City. The City may
require FND to purchase coverage with a lower retention or provide proof of ability to
pay losses and related investigations, claim administration, and defense expenses
within the retention. The policy language shall provide, or be endorsed to provide, that
the self -insured retention may be satisfied by either the named insured or City.
Acceptability of Insurers
Insurance is to be placed with insurers authorized to conduct business in the state with a current
A.M. Best's rating of no less than A:Vll, unless otherwise acceptable to the City.
Claims Made Policies (note — should be applicable only to professional liability, see below)
If any of the required policies provide claims -made coverage:
The Retroactive Date must be shown, and must be before the date of the
contract or thebeginning of contract work.
2. Insurance must be maintained and evidence of insurance must be provided
for at least five (S) years after completion of the contract of work.
3. If coverage is canceled or non -renewed, and not replaced with another
claims -made policy form with a Retroactive Date prior to the contract
effective date, the FNS must purchase "extended reporting" coverage for a
minimum of five (5) years after completion of work.
Verification of Coverage
FNS shall furnish the City with original Certificates of insurance including all required
amendatory endorsements (or copies of the applicable policy language effecting
coverage requiredby this clause) and a copy of the Declarations and Endorsement Page
of the CGL policy listing allpolicy endorsements to City before work begins. However,
failure to obtain the required documents prior to the work beginning shall not waive the
FNS's obligation to provide them.
The Cityreserves the right to require complete, certified copies of all required insurance
policies,including endorsements required by these specifications, at any time.
Special Risks or Circumstances
City reserves the right to modify these requirements, including limits, based on the nature of the
risk, prior experience, insurer, coverage, or other special circumstances.
7. Confidentiali of Patient Information None of the parties shall disclose any
confidential patient health information to any third party, except where permitted or required by
law or where the patient expressly approves such disclosure. FNS and the Department shall
comply with all federal and state laws and regulations regarding the confidentiality of such
infonixxation, including without limitation the Health Insurance Portability and Accountability Act
(HTPPA) of 1996.
8. Non Discrimination By signing this Agreement, FNS certifies that it does not
discriminate in hiring or treatment on the basis of race, color, creed, religion, sex, sexual
orientation, age, mental status, national origin, ancestry, physical handicap or medical condition
9. Non Exclusive This Agreement is not exclusive, and nothing herein shall preclude
either party from contracting with any other person or entity for any purpose.
10. Notices Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic
communication in the manner provided in this Section, to the following persons:
To City:
City Clerk
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax: 714-647-6956
With courtesy copies to:
Chief of Police
City of Santa Ana
60 Civic Center Plaza
P.O. Box 1988
Santa Ana, CA 92702
Fax: 714-245-8116
To FNS:
Forensic Nurse Specialists Inc.
P.O. Box 2273
Los Alamitos, CA 90720
[Signatures on following page]
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
JENNIFER L. HALL
City Clerk
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
TAMARA BOGOSIAN
Senior Assistant City Attorney
FORENSIC NURSE SPECIALIST INC.
(FNS) a Professional Corporation in the
State of California
'v
MALINDA WHEELER
President
CITY OF SANTA ANA
STEVEN A. MENDOZA
Acting City Manager
RECOMMENDED FOR APPROVAL:
ROBERT RODRIGUEZ
Acting Chief of Police
EXHIBIT A- FEE SCHEDULE — 2023-2024
Service
Definition
Rate
Sexual Assault Forensic
Evidence collection, clothing, DNA reference
$1200.00
Exam
samples, blood and urine collection, digital
(All ages, reported or non -
photography, medical -forensic documentation
reported cases to law
using state mandated forms, healthcare
treatment for STI prevention, HIV prevention
enforcement)
and pregnancy prevention provided at the
time of the exam.
Mobile Trauma Exam
A forensic exam conducted at any Orange
$1400.00
County hospital in the ER or ICU when a
patient is severely injured and admitted to
that other hospital for on -going medical care.
(Requests for Mobile exams in nursing homes
and psychiatric facilities will be considered on
a case -by -case basis.)
Dry Run
Department calls out the on -call
$300.00
forensic nurse to perform a case and through
no fault of FNS, the victim changes their mind,
refuses to permit the examination, does not
want the examination, or does not permit
forensic nurse to conduct the examination.
Domestic Violence/
A forensic exam focused on body injury and
$600.00
Strangulation Exam
assessment with specific written and
photographic documentation on strangulation
injury.
Testimony
Expert witness testimony by the forensic nurse
$500.00/day
upon receipt of subpoena form the District
in court on
Attorney's office
the stand