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HomeMy WebLinkAboutDR. KATALIN BASSETT MD, INC.-2013INSURANCE ON FILE WORK MAY PROCEED UNIIL INSURANCE EXPIRES CLERK Of COUNCIL`'p1 ,Y DATE. `PorvlP CONSULTANT AGREEMENT N-2013-040 906a F• THIS AGREEMENT, made and entered into this 1 s' day of April, 2013 by and between Dr. Katalin Bassett MD, Inc., a Professional Corporation (hereinafter "Consultant"), 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 (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of employee medical examinations. B. Consultant represents that Consultant is able and willing to provide such services to the city. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional medical doctor in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $25,000 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and shall terminate June 30, 2014, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Executive Director of Personnel Services. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. b. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. (iv) Certificates and renewals shall be sent to Executive Director of Personnel Services. c. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such tennination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE With the exception of insurance certificates and renewals covered by Section 5.b.iv, above, 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 telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council 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: Executive Director of Personnel Services City of Santa Ana 20 Civic Center Plaza (M-24) P.O. Box 1988 Santa Ana, California 92702 Fax 714-647-647-6930 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6515 To Consultant: Dr. Katalin Bassett MD, Inc. 1401 N. Tustin Ave., Santa Ana, CA 92705 Tel. (714) 550-0508 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herembelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY O"ANT9 ANA cf MARIA D. HUIZAIR Kevin O'Rom Clerk of the Council City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attgrpey ' , /, By: Jos+ City Attorney RECOMMENDED FOR APPROVAL: &- I NA I- Ed Raya Executive Director of Personnel Services CONSULTANT 26n, ? (NAME) (Title) Tax ID# 35-d ?4 0 4 EXHIBIT A SCOPE OF SERVICES 03/19/2013 12:08 17145500344 KATALIN BASSETT MD PAGE 02/06. FEE SC MDiJLB FAIL FITNESS FAR ,DUTY Ev.AL UA.TJt3N Face to face Evaluatioxi Records Review $250.00 x hour ---------- $250.00 x hoar Psychological Testing: 96100 Beck Anxiety.75 min -. .w...,?_, 96100 .Beck Depression .75 mixt --- .._? 96100 n m 1f11 5 h $6.00 96.00 as _ . 96100 .h2ttJ 2 1.5 hrs _ 96100 Wail R 3.5 hrs. - .- 96100 Tmf i .75 man 96100 Rey 15 ,75 min 96100, Projective Human pi g ?__ ?. _ 172.00 172.00 400,00 86.00 86.00 5$.00 03919/2013 12:08 17145500344 KATALIN BASSETT MD PAGE 03/06 A CLAIMS-MADE PROFESSIONAL T H E Qd CTO RS C 0 M PANY LIABILITY POLICY COVERAGE SUMMARY Effective bate expiration Date Policy Number Policy Period from 01/01/2013 to 0110112014 0421028 (12:0) A.M. Standard Time at the Principal Address of the First Named Insured) First Named Insured Katalln Bassett MD Principal Address Mailing Address 1401 N Tustin Ave Suite 120 1409 N Tustin Ave Suite 120 Santa Ana, CA 92706 Santa Ana, CA 92706 First Named Insurees coverage LIMITS OF LIABILITY Claim Limit Aggregate Limit Coverage A-tndividuai Professional Uability $1,000,000 $3,000,000 Coverage S Entity Professional Liability (optional) Policy Aggregate (if any) -- Specialty PSY01 Psychiatry Retroactive Date 07101 11 9 9 0 Rating Territory California Area B Rating and Coverage information for any other Protected Party is shown In the Endorsements. Coverage under your policy is subject to the terms and conditions of the Endorsements fisted below: MPL10011/04 Business Associate MPL21911/04 MediGuaM Coverage Agreement (HIPAA) MPL240 01169 IRB-Approved Clinical Trials MPLIDICA 11104 California Changes MPL293 90109 Extended Reporting MPL20811/04 Sexual Misconduct 5ublimit Provision MPL20911104 Additional Coverage - MPL31101/09 Limited Claims-Mada Psychiatrists Premises Liability Cov WARNING: A SMALLER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SE"iTLIEMENT$ WHEN THERE ARE ANY ALLEGATIONS OF SEXUAL MISCONDUCT. (SEE ENDORSEMENT MPL208 "SEXUAL MISCONDUCT SUBLIMIr') S Continued MPL002(1%4) 208 Page tof2 MDO02 $079939-00 insured O3/19/2013 12:08 17145500344 KATALIN BASSETT MD PAGE 04/06 1 THEDOCTORS COMPANY COVERAGE SUMMARY Policy Premium $6,455.75 Total $5,455.75 AGENCY The Doctors Company Insurance Services 1888 Century Park East, Suite 800 Los Angeles, CA 90067 (800) $57-2743 DATE: 11/0212012 A CLAIMS-MADE PROFESSIONAL LIABILITY POLICY COMPANY The Doctors Company 185 Greenwood Road P.O. Box 2900 Nape, CA 9455&0900 (707)226-0100,(800)421-2368 THIS IS A CLAIMS-MADE POLICY » READ YOUR POLICY CAREFULLY MPL002 (11/04) 208 Page 2 of 2 MD002 9079935-00 insured