HomeMy WebLinkAboutGRUVER, ERIC 11 - 2013INSURANCE ON DICE
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OIITII. INSURANCE EXPIRM
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DATE: DEC 9 CONSULTANT AGREEMENT
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,Sara 14. THIS AGREEMENT, made and entered into this day of November, 2013 by and
(Aokrgetween Eric Gruver, Ph.D., (hereinafter "Consultant'), and the City of Santa Ana, a charter city
COfCE, I) 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
providing psychological evaluation.
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 consulting firm 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 $25,000.00 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 terminate on July 1,
2014, unless terminated earlier in accordance with Section 12, below. The Agreement shall
include those services provided since July 1, 2013. The parties intended to renew the terms of a
previous agreement but due to an oversight on the part of the parties, the previous agreement
expired before it was amended.
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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. Based on the nature of services provided commercial general liability insurance is not
required.
b. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured
against liability for worker's compensation or to undertake self - insurance. Prior to commencing
the performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
c. Professional liability (errors and omissions) insurance, with a combined single limit of
not less than $1,000,000 per claim.
d. 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.
e. 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 termination 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 for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including health, 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 I of 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.
7. 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
infonnation, 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.
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9. NOTICE
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 facsimile 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
Facsimile (714) 647 -6956
With courtesy copies to:
and
City of Santa Ana Police Department
Attention: Chief of Police
60 Civic Center Plaza (M -97)
P.O. Box 1981
Santa Ana, California 92702
Facsimile (714) 245 -8090
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Facsimile (714) 647 -6515
To Consultant: Eric Gruver, Ph. D.
2021 E. 4' Street, Suite 116
Santa Ana, CA 92705
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 facsimile, 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.
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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 Agreerent 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 either party upon thirty (30) days written notice of
termination to the other party.
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 and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed and construed in accordance with the laws of the State of
California. 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.
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15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, continuing education, 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 her 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 hereinbelow 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 OF SANTA ANA
MARIA D. HUIZAR
7 Clerk of the Council
DAVID CAVAZOS
City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
Laura A. Rossini
Senior Assistant City Attorney
AL: -,-'CONSULT
I
CARLOS ROJAS ERIC GRUYER, Ph.D.
Acting Chief of Police �&5—
Tax ID# ��7 �e�
EXHIBIT A
SCOPE OF SERVICES
Complete Pre - employment Psychological Evaluation
Consultant agrees to perform a complete pre - employment psychological evaluation for City's
Police Department applicants. Said psychological evaluation shall comply with the California
Peace Officer's Standards and Training (P.O.S.T.) Psychological Screening Manual, as well as
any additional psychological suitability criteria specified by City's Police Department and agreed
to by Consultant.
a. For the purpose of this Agreement, a complete pre - employment psychological evaluation
includes, but is not limited to a clinical interview, administration of necessary tests,
scoring of tests and preparing verbal and written recommendations for employment.
b. Consultant agrees to provide City's Police Department with verbal recommendation of
the candidate's psychological suitability for the classification of Police Officer as well as
other classifications within the Police Department within two (2) working days of said
candidate's clinical interview.
c. Consultant agrees to provide City's Police Department with a written report of the
candidate's psychological suitability for the classification of Police Officer as well as
other classifications within the Police Department within five (5) working days of the
candidate's clinical interview.
Complete Post - Traumatic Psychological Incident Evaluation
Consultant agrees to give City's Police Department Employees involved in violent incidents,
such as a life - threatening situation and /or serious injury or death to any person, complete post -
traumatic psychological evaluation.
a. A complete post- traumatic psychological incident evaluation includes, but is not
limited to, clinical interview and post - traumatic counseling.
b. Initial psychological service contact with involved officer(s) shall be made
immediately if possible, but no later than forty -eight (48) hours following the
incident.
C. A minimum of three (3) follow -up counseling sessions shall follow, if the Consultant
deems those sessions necessary. Such follow -up sessions shall, whenever possible
and practical, be scheduled by Consultant at Consultant's Orange County office
location, unless otherwise agreed by involved officer(s).
d. If Consultant deems immediate follow -up counseling sessions are not indicated,
Consultant shall schedule one (1) follow -up session within a period of not less that
fourteen (14) days and not more than thirty (30) days following the traumatic incident
with the involved officer(s) to assess whether additional sessions shall be deemed
necessary. Such sessions shall, whenever possible and practical, be scheduled at
Consultant's Orange County office location unless otherwise agreed by involved
officer(s). Following such sessions Consultant shall provide City's Police
Department with verbal recommendation as to the necessity of additional sessions
and an assessment of officer(s) recommended duty status within forty -eight (48)
hours. A written psychological assessment of the officer(s) evaluated shall be
submitted within five (5) calendar days to the City's Police Department upon
completion of such follow -up counseling session(s).
e. Consultant shall provide City's Police Department with a verbal recommendation for
return of said officer(s) involved in traumatic incidents to full or modified duty status
as soon as possible and in no case later than forty -eight (48) hours following the
incident.
f Consultant shall provide City's Police Department with a written psychological
assessment of officer(s) in question and a recommendation as to their suitability to
return to active duty, full or modified, and need for follow -up treatment within five
(5) days following the post - traumatic counseling session.
g. At the direction and with the consent of City's Police Department, Consultant shall
provide similar post traumatic incident counseling services to immediate family
members of involved officer(s) adversely impacted by the incident. The goal of such
services shall be to stabilize external factors which might otherwise affect officer(s)
return to duty or recovery and to determine if referral to other private service
providers is warranted. Verbal consultation with City's Police Department is
recommended but no written reports of family member counseling sessions are
required unless otherwise indicated or where the fitness for duty of the officer(s)
comes in doubt.
Review of Fitness for Duty
Consultant agrees to review background investigations, clinical interviews, administrative
reports and /or other relevant documents to determine an employee's psychological fitness for
duty, when so directed by City.
a. For the purpose of this Agreement, a fitness for duty review includes, but is not
limited to, clinical interviews, administration of necessary tests, scoring of tests and
preparation of verbal and written recommendation for employment.
b. Consultant agrees to outline all psychological concerns resulting from that review and
submit to City's Police Department a recommendation concerning further testing
and /or evaluation which maybe deemed appropriate.
C. Consultant agrees to provide City's Police Department with verbal notification as to
the above within forty -eight (48) hours, and with a complete written report
concerning reviews of fitness for duty within ten (10) working days following receipt
of documents or the last clinical interview of employee(s) in question.
Crisis Interview Counseling
Consultant agrees to conduct crisis intervention counseling with authorization and approval of
City's Police Department when a Department employee(s) is believed to be gravely disabled as a
result of psychological disorder or emotional disturbance and unable to perform any or all of the
full range of duties of an employee's classification.
a. Consultant agrees to obtain authorization from City's Chief of Police or designate
prior to conducting crisis intervention counseling of City's Police Department
employee(s). Should intervention be requested by employee and not Department,
Consultant agrees to obtain authorization from City's Chief of Police or designate
prior to conducting crisis intervention counseling.
SWAT Consultation
Consultant agrees to be on -call and to respond to SWAT call -outs as requested.
a. Consultant will provide consulting with the SWAT commander regarding
psychological profiles and recommended approach to specific suspects.
b. Consultant will assist in interpreting intelligence data in reference to SWAT call-out
and /or suspect.
COMPENSATION
In consideration for Consultant services, City shall pay Consultant an hourly rate as follows:
1. For complete pre - employment psychological evaluation, City agrees to pay
Consultant four hundred twenty -five dollars ($425.00) per applicant.
2. For complete post- traumatic psychological incident review, fitness for duty review
and crisis intervention, City agrees to pay Consultant the hourly rate of one hundred
seventy -five dollars ($175.00).
3. Initial consultation for post- tramna incidents will be billed at a rate of three hundred
dollars ($300.00) per hour.
4. For testimony in court and court preparation, City agrees to pay Consultant the hourly
rate of two hundred dollars ($200.00).
5. For SWAT consultation and training, City agrees to pay Consultant the hourly rate of
one hundred fifty dollars ($150.00).
The total sum to be expended pursuant to this Agreement shall not exceed Twenty -five Thousand
Dollars ($25,000.00) during the term of this Agreement.
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11
Sep.19,2013 10:56 AM Eric W. Gruver, Ph.D. 17145444996 PAGE
Account Number: CA GRUE 1440 Date: 9/19/13 Initials: KIM
CERTIFICATE OF INSURANCE
DARWIN NATIONAL ASSURANCE COMPANY
C /O: American Profeeaaional Agency, Inc.
95 Broadway, Amityville, NY 11701
This to to certify that the insurance policies epealfied below have been Issued by the aodpany andlaabed
above to the Inourad nosed hersin and that, n0ject to Moir provisions and conditions, such palicies afford
the Coverages Indicated Insofar as such coverages apply to bus ddoupatlan ar business of the dosed ineured(s)
as stited,
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR
ALTERS THE COVERACdE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE.
Name and Address of _Tnsured:
ERIC WAYNE GRUVER, PH.D,
2021 E 4TH STREET
SUITE 116
SANTA ANA CA 92705
Type of Work Covered: PROFESSIONAL PSYCHOLOGIST
Location of operations: N/A
(If differenb the addr000 listed above)
Claim History:
Ra+rnan+iva da +a is 03/01/1992
&%itignal Named RL reds:
PROVED AS TO BYJRi?
Laura A. Rossini
° 'tant City Attorney
Coverages
Policy
Number
Effective
Date
Eltpiration
Date
Limits of
Liability
PROFESSIONAL/
LIABILITY
5010 -7473
3/01/23
3 01 14
2,000,000
4,000,000
NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE TIRST NAMED IN3M= ON THIS
POLICY AND HE OR SHE SHALL ACT ON SEBALT OF ALL INSUREDS WITS RESPECT TO GIVING
OR RECEIVING NOTICE OF CANCELLATION.
Ccw*nts: ADDITIONAL INSUREDS: 1.CITY OF ANAHEIM, ANAHEIM, CA
2.CITY OF SANTA ANA, POLICE & PERSONNEL DEPT, 20 CIVIC
CENTER PLAZA, SANTA ANA, CA 92702.
3.ORANGE CO. SHERIFFS DEPT, 550 NORTH FLOWER,
92702.
This Certificate Issued to;
Name: ERIC WAYNE GRUVER, PH.D,
2021 E 4TH STREET
Address: SUITE 116
SANTA ANA CA 92705
APA 00049 00 (05/2012)
SANTA ANA,CA
RECEIVE: NO. 0446 09/19 /2013 /T H 09:50AM ,
1/ 2
Aug 2S1310:37a MiorosoftdrErloGruver 714- 544 -4996
BOARD OF.PSYCHOLM , ':°
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LieSEnSE NO, PST 5348 -
EXPiRATI6N 01/3165
ERIC WAYNE GRUVER
177.72 1.7TH ST STE 1&6
7USTYN CA 427801 °194.4.
signel.ra RECEIPT ND:
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Mar.12.2014 11:29 AM Eric W. Gruver, Ph.D. 17145444996 PAGE. 2/
Account Number: CA GRUE 1440 Date: 3/12/14 Initials: KB
CERTIFICATE OF INSURANCE
DARWIN NATIONAL ASSURANCE COMPANY
C /O: American Professional Agency, Inc.
95 Broadway, Amityville, NY 11701
800 -421 -6694
This is to certify that the insurance policies specified belov have been issued by the company indicated
above to the insured named herein and that, subject to their provisions and conditions, such policies afford
the coverages indicated insofar as such coverages apply to the occupation or business of the Named insured(s)
as stated.
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR
ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE.
Name and Address of Insured:
ERIC WAYNE GRUVER, PH.D.
2021 E 4TH STREET
SUITE 116
SANTA ANA CA 92705
Type of Work Covered: PROFESSIONAL PSYCHOLOGIST
Location of Operations: N/A
(I£ different than address listed above)
Claim History:
I?o�rnanf;�,c 'Leto is 0'A Inl /19Q'J
Additional Named Insureds:
Coverages
Policy
Number
Effective
Date
Expiration
Date
Limits of
Liabilitv
PROFESSIONAL/
LIABILITY
5010--7473
3/01/14
3/01/15
2,000,000
4 000 000
NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS
POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING
OR RECEIVING NOTICE OF CANCELLATION.
Comments: CITY OF SANTA ANA POLICE & PERSONNEL DEPT. IS LISTED ON THIS
POLICY AS AN ADDITIONAL INSURED.
icate Issued to:
Name: ERIC WAYNE GRUVER, PH.D.
2021 E 4TH STREET
Address: SUITE 116
SANTA ANA CA 92705
APA 00049 00 (05/2012)
RECEIVE: NO.1531 03112/2014/WED 10:11AM
zed Representative
Mar.11.2014 04:04 PM Eric W. Gruver, Ph.D. 17145444996 PAGE. 1/
ERIC WAYNE GRIIVER, PH.D.
2021 E 4TH STREET
SUITE 116
SANTA ANA, CA 92705
ADMINISTERED BY:
AMERICAN PROFESSIONAL AGENCY, INC.
95 Broadway, Amityville, NY 11701
800- 421 -6694 K 631 - 691 -6400
NOTICE: THIS POLICY PROVIDES CLAIMS MADE COVERAGE. A LOWER LIMIT OF LIABILITY APPLIES TO
JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT (SEE THE SPECIAL
PROVISION "SEXUAL MISCONDUCT" IN THE POLICY). PLEASE REVIEW THIS POLICY CAREFULLY AND DISCUSS
THE COVERAGE WITH YOUR LEGAL OR INSURANCE ADVISOR.
We provide this Policy in consideration of the full payment of all premiums when due and In reliance upon the truthfulness of all of the
statements in the application. The Policy consists of a Declarations Page, Insuring Agreement, Exclusions, Definitions and Coverage
Conditions, and may also contain one or more endorsements. Endorsements alter the Policy. Terms printed in bold type have meanings
referenced, In whole or in part, elsewhere in the Policy. Please read the Policy and all the endorsements carefully to determine what is
and what is not covered, as well as the rights and duties of the parties under the Policy.
Subject to the applicable limits and all terms, conditions and exclusions of this Policy, We and You agree as follows:
1. WHAT THIS POLICY COVERS:
A. Pavcholoviists' Professional Liability:
We will pay on Your behalf, and subject to Our applicable limit of Liability, amounts You are legally required
to pay to others as judgments (including pre- and post - judgment Interest) or settlements as the result of any
Claim first made against You during the Policy Period for Your Wrongful Acts, or for the Wrongful Acts of
others for whom You are legally responsible. The Wrongful Act must be in the conduct of Your
profession as a Psychologist and must take place on or after the Retroactive Data specified in the Declarations.
S. Premises Liability:
We will pay on Your behalf and subject to Our applicable Limit of Liability, amounts You are legally
required to pay to others as judgments (including pre- and post - judgment interest) or settlements as the
result of any Claim first made against You during the Policy Period for Bodily Injury or Property Damage
caused by an Occurrence which takes place on the premises used principally in Your practice as a
Psychologist and which takes place on or after the Retroactive Date specified In the Declarations.
C- Costa Belated to Proceedings:
We will reimburse to You reasonable costs You Incur, including reasonable fees charged by an attorney
representing You, in the investigation or defense of any Proceeding arising from Your profession as a
Psychologist and first brought during the Policy Period. The amount shown in Item 4(b) of the Declarations is the most
We will reimburse to You in connection with any single Proceeding under this Policy Section I.C.
II. ADDITIONAL BENEFITS:
We will provide the following benefits in addition to the Limits of Liability applicable to Policy Sections I.A. and I.B. With respect
to any Claim, and subject to Section V., these benefits end after the Limits of Liability applicable to that C im has been used
up In paying judgments (including pre- or post - judgment interest) or settlements. _
K
DRGE2000 (3/2006)
-1-
RECEIVE: NO.1528 03/11/20147TUE 02:47PM
R
Mar.11.2014 04:05 PM Eric W. Gruver, Ph.D. 17145444996
DARWIN NATIONAL ASSURANCE COMPANY
12/19/13 - A Psycholo PHIcists' Professional Liability Policy
S A CLAIMS MADE POLICY - PLEASE READ CAREFULLY
* ** RENEWAL * **
NOTICE: A LOWER LIM II' OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THF,RE ARP, ALLI- GATIONS
OF SEXUAI. MISCONDUCT (SEETHE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY).
POLICY NO: 5010 -7473
ITEM 1. (a) NAME AND ADDRESS OF INSURED:
ERIC WAYNE GRUVER, PH.D.
2021 E 4TH STREET
SUITE 116
SANTA ANA, CA 92705
2, ADDII'IONAL INSUF
CITY OF ANAHEIM
ANAHEIM, CA
ITEM 3. POLICY PERIOD:
ITEM 4. LIMITS OF LIABILITY:
PAGE. 2/
ACCOUNTNO: CA- GRUE144 -0 000G288C
ITEM 1. (b) ADDITIONAL, NAMED INSUREDS:
'TYPE OF ORG: INDIVIDUAL
CITY OF SANTA ANA ORANGE CO. SHERIFFS DEPT
POLICE & PERSONNEL DEPT 550 NORTH FLOWER
20 CIVIC CENTER PLAZA SANTA ANA, CA 92702
SANTA ANA, CA 92702
/ Continued...
03 T
/
12 :01A.M. STAND TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN:
(a) 2,0 0 0 , 0 0 0 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPRAXED
OR INTERRELATED WRONGFUL ACAS OR OCCURRENCE
(b) $ _ _ 75,000 COSTS RELATED TO ANY SINGLE PROCEEDING
(c) g 4, 0 0 0, 0 0 0 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS
ITEM S. PREMIUM ,SCHEDULE:
E:
- - CLASSIFICATION
NUMBER
RA'I'D.
ANNUALPREMIUM
PART TIME PSYCHOLOGISTS
1
971.00
738.00
DEFENSE LIMIT
140.00
ADDITIONAL INSUREDS
5
150.00
RR; PROACTIVE DATE: 03/01/92 TOTAL PREMIUM:
954.00
ITEM 6.
ITEM 7.
KOPINN91
EXTENDED REPORTING PERIOD
ADDITIONAL PREMIUM (if excreised):$ 1,670.00 SCHEDULED RATING CREDIT INCLUDED
ITEM 8, POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY
PRGE2000 (3/2006) PRGe1069 (1/2006)
PRGell24 (3/2006)
T111515 NOT A HILL. PREMIUM NAS BEEN PAID. UT R1ZED COMPANY REPRESENTATIVE
PRG132005 (312006) Americ rofessienal Agcncy " 95 Broodwey, Amityville, NY 1 1701
RECEIVE: N0.1528 03/11/2014/TUE 02:47PM