Loading...
AG 24-079 - OBSIDIAN FORENSICSRETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: Police Department 2. ORIGINATING STAFF PERSON: Thaddeus Hodge EXT: 6764 3. DATE REQ. BY: ASAP 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT O PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: Peer support 6. NAME OF CONTRACTOR: Obsidian Forensics ADDRESS: 2132 N. 117th Street Seattle WA. 98133 TELEPHONE 425 681-5003 E-MAIL: DrCecchet@ObsidianFS.com FAX: SIGNATURE NAME: Stacy CeCChet TITLE Owner 7. EXHIBITS AND ATTACHMENTS: © SCOPE, WORK OR SERVICES A COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: 1 June 2024 COMPLETION DATE: 31 December 2024 9. TOTAL COMPENSATION $ $19,000 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES A NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED © PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED * PROJECT MANAGER TH/032624 * DIRECTOR AH 4/25/24 ❑ RISK MANAGEMENT (IF APPLICABLE) 0 LAW JE 3/27/24 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12 CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) ❑ LAW DEPARTMENT A SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG# COMMENTS: Changes and comments/questions within the document - JE 3/27/24 INITIAL / DATE SIGNED r � . clfr OF CITY HALL All 33325 Federal Way Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway. com PROFESSIONAL SERVICES AGREEMENT BETWEEN THE CITY OF FEDERAL WAY AND BEHAVIORAL HEALTH GLOBAL, LLC dba OBSIDIAN FORENSICS This Professional Services Agreement ("Agreement") is made and entered into this Pt day of June 2024, by and between the City of Federal Way, a Washington Municipal corporation ("City"), and Behavioral Health Global, LLC dba Obsidian Forensics, a Washington limited liability company ("Consultant"). The City and Consultant (together "Parties") are located and do business at the below addresses, which shall be valid for any notice required under this Agreement: BEHAVIORAL HEALTH GLOBAL, LLC dba I CITY OF FEDERAL WAY: OBSIDIAN FORENSICS: Dr. Stacy Cecchet 2132 N. 117th Street Seattle, WA 98133 (425) 681-5003 (cell) DrCecchetA0bsidiatiFS.com Andy Hwang, Chief of Police 33325 8th Ave. S. Ste. 101 Federal Way, WA 98003-6325 (253) 253-835-6701 (telephone) (253) 253-835-6739 (facsimile) Deanna.patterson&federalwaywa. gov 1. TERM OF AGREEMENT. The term of this Agreement begins June 1, 2024, and ends on December 31, 2024. This Agreement may be extended for additional periods of time upon the mutual written agreement of the Parties. 2. COMMENCEMENT AND COMPLETION. The Consultant shall begin the Work outlined in the "Scope of Work" upon receipt of written notice to proceed from the City. The City will acknowledge in writing when the Work is complete. Time limits established under this Agreement shall not be extended because of delays for which the Consultant is responsible but may be modified or extended by the City, in writing, for the City's convenience, or as negotiated and agreed to by the Parties. 3. SERVICES AND SCOPE OF WORK. 3.1 The Mental Health Professional Program is intended to mitigate the negative effects of stressors that may lead to or create employee trauma by making culturally competent Mental Health Care Professionals ("MHP") available to provide evidence-based/evidence-informed services. The Scope of Work of this Agreement and the time scheduled for completion of such Work are: 3.1.1 The Consultant will be present at the Federal Way Police Department ("FWPD") at least eight (8) hours per quarter as available for the term of this Agreement; and 3.1.2 The Consultant will offer individual one-on-one meetings via phone, virtually, or in person as Consultant schedule allows for a minimum of 8 total hours per month during the months no onsite quarterly visit occurs. crry OF Federal way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway. com 3.2 Any notes or records the Consultant takes while providing services to FWPD employees are maintained by the Consultant and only released as required or permitted by law. 3.3 The Work is subject to City review and approval. The Consultant shall confer with the City periodically and prepare and present information and materials (e.g., a detailed outline of completed Work) requested by the City to determine the adequacy of the Work or the Consultant's progress. 3.4 The Consultant warrants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not relieve Consultant of responsibility for the performance of the Services in accordance with this Agreement, notwithstanding the City's knowledge of defective or non -complying performance, its substantiality or the ease of its discovery. 4. PAYMENT. The Consultant will be reimbursed at a rate of $225/h r. for services provided by the Consultant. Total compensation under this Agreement shall not exceed $19,500 unless modified by a written amendment to this Agreement. The Parties agree that the hourly rate includes all direct, indirect, and fixed fees for the project, and the Consultant agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for the Term. The Consultant shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance of Services and payment under this Agreement. 4.1 Payment Procedures. The Consultant may submit invoices as frequently as once per month during the progress of Work for partial payment for Work completed to date, including a description of what Services have been performed, the name of the personnel performing such Services, and any hourly labor charge rate for such personnel. The Consultant shall also submit a final bill upon completion of all Services. Payment shall be made on a monthly basis by the City only after the Services have been performed and within thirty (30) days following receipt and approval by the appropriate City representative of the voucher or invoice. If the Services do not meet the requirements of this Agreement, the Consultant will correct or modify the work to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement. 5. PROTECTION OF PROPERTY. The Consultant is responsible for protecting its person(s) and property at all times, including but not limited to supplies and equipment to perform services hereunder. The Consultant releases and agrees to hold the City harmless from liability for losses or damages of any kind sustained by the Consultant in performing the services required hereunder. 6. INDEMNIFICATION. Consultant shall defend, indemnify, and hold the City harmless from and against all claims, demands, losses, damages, or costs, including but not limited to damages arising out of bodily injury or death to persons and damage to property caused by or resulting from: 6.1 The sole negligence or willful misconduct of the Consultant, its officers, employees, agents, or sub -consultants; 6.2 The concurrent negligence of the Consultant, its officers, employees, agents, or sub - consultants but only to the extent of the negligence of the Consultant, its officers, employees, agents, -2 CITY OF CITY HALL Federal Way Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com or sub -consultants; 6.3 The negligent performance or non-performance of the Agreement by the Consultant; or 6.4 The use of any design, process, or equipment that constitutes an infringement of any patent in effect or violates any other intellectual proprietary interest, including copyright, trademark, and trade secret. Consultant waives its immunity under Title 51 RCW to the extent it is required to indemnify, defend, and hold harmless the City and its officials, agents, or employees. 7. INSURANCE. Consultant agrees that it will maintain premises operations and vehicle liability insurance in force with coverages and limits of liability typically maintained by Consultants performing Work of a scope and nature similar to that called for under this Agreement, but in no event less than the coverages and/or limits required by Washington state law. Such insurance shall include "The City of Federal Way" as an additional insured for primary and non-contributory limits of liability. Workers compensation insurance shall also be maintained if required by Washington state law. 8. AUDIT. Upon request, the Consultant shall permit the City and any other governmental agency ("Agency") involved in funding the Work to inspect and audit all pertinent books and records. This includes the Work of the Consultant, any sub -consultant, or any other person or entity that performed connected or related Work. Such books and records shall be made available at any and all times deemed necessary by the Agency, including up to six years after final payment or release of withheld amounts. Such inspection and audit shall occur in King County, Washington, or other reasonable locations that the Agency selects. The Consultant shall permit the Agency to copy books and records. The Consultant shall ensure that inspection, audit, and copying rights of the Agency are a condition of any subcontract, Agreement, or other arrangement under which any other person or entity may perform the Mental Health Professional Program Agreement performed under this Agreement. This audit requirement does not apply to individual healthcare records maintained by the Consultant. 9. INDEPENDENT CONSULTANT. The Consultant is an independent consultant. This Agreement does not intend the Consultant to act as a City employee. The City has neither direct nor immediate control over the Consultant nor the right to control the manner or means by which the Consultant works. Neither the Consultant nor any Consultant employee shall be an employee of the City. This Agreement prohibits the Consultant to act as an agent or legal representative of the City. The Consultant is not granted express or implied rights or authority to assume or create any obligation or responsibility for or in the name of the City or to bind the City. The City is not liable for or obligated to pay sick leave, vacation pay, or any other benefit of employment, nor to pay social security or other tax that may arise from employment. The Consultant shall pay all income and other taxes as due. The Consultant may perform Work for other parties; the City is not the exclusive user of the services that the Consultant provides. 10. KEY PERSONS. The Consultant shall not transfer or reassign any individual designated in this Agreement as essential to the Work without the express written consent of the City, which shall not be unreasonably withheld. If any such individual leaves the Consultant's employment, the Consultant shall present to the City one or more individuals with greater or equal qualifications as a replacement, subject to the City's approval, which shall not be unreasonably withheld. The City's approval does not release the Consultant from its obligations under this Agreement. 11. ASSIGNMENT AND SUBCONTRACTING. The Consultant shall not assign or subcontract -3 CITY OF qWhNz1.1 Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www.. cityoffederalway.com its obligations under this Agreement without the City's written consent, which may be granted or withheld in the City's sole discretion. The Consultant shall ensure that all sub -consultants comply with all obligations and requirements applicable to the subcontracted Work. The City's consent to any assignment or subcontract does not release the Consultant from liability or any obligation within this Agreement, whether before or after City's consent, assignment, or subcontract. 12. INTELLECTUAL PROPERTY RIGHTS. 12.1 Copyrights. The Consultant shall retain the copyright (including the right of reuse) to all materials and documents prepared by the Consultant for the Work, whether or not the Work is completed. The Consultant will allow the City to use, copy and distribute every document and all the materials prepared by the Consultant for the City under this Agreement, as long as the City does not modify the Work from the original from, to include re -branding or the editing of content. If the City would like to use the Work for a purpose outside of this scope, they will discuss this request with the Contractor first, and permission will be granted on a case by case basis. If requested by the City, a copy of all drawings, prints, plans, field notes, reports, documents, files, input materials, output materials, and the media upon which they are located (including cards, tapes, discs, and other storage facilities), software program or packages (including source code or codes, object codes, upgrades, revisions, modifications, and any related materials and/or any other related documents or materials developed solely for and paid for by the City to perform the Work, shall be promptly delivered to the City. 12.2 Patents. The Consultant assigns to the City all rights in any invention, improvement, or discovery, with all related information, including but not limited to designs, specifications, data, patent rights, and findings developed with the performance of the Agreement or any subcontract. Notwithstanding the above, the Consultant does not convey to the City, nor does the City obtain, any right to any document or material utilized by the Consultant created or produced separate from the Agreement or was pre-existing material (not already owned by the City), provided that the Consultant has identified in writing such material as pre-existing before the commencement of the Work. In the event pre-existing materials are incorporated into the Work, the Consultant grants the City the right to use, execute, reproduce, display, and transfer the pre-existing material, as long as the City does not modify the Work from the original from, to include re -branding or the editing of content. 12.3 The City may make and retain copies of such documents for its information and reference with its use on the project. The Consultant does not represent or warrant that such documents are suitable for reuse by the City or others, on extensions of the project, or on any other project. 13. PROPRIETARY AND CONFIDENTIAL INFORMATION. The State of Washington's Public Records Act (Release/Disclosure of Public Records) Under Washington State Law (reference Chapter 42.56 RCW, the Public Records Act), all materials received or created by the City of Federal Way are considered public records. These records include but are not limited to bid or proposal submittals, agreement documents, contract work products, or other bid material. The State of Washington's Public Records Act (PRA) requires that public records must be promptly disclosed by the City upon request unless the PRA or another Washington State statute specifically exempts records or portions thereof from disclosure. Exemptions from the PRA are narrow and explicit and are listed in Washington State Law (including but not limited to Ch. 42.56 RCW and Ch. 19.108 RCW). W CfTY OF CITY HALL ,.�. Fed a ra 1 Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 vvww cityoffederalway com If the City receives a public disclosure request for any records or parts of records that the Consultant has properly and specifically listed on the City Non -Disclosure Request Form submitted with the Consultant's bid/proposal, or records that have been specifically identified in this Agreement, the City will notify Consultant in writing of the request. While it is not a legal obligation, the City, as a courtesy, may allow the Consultant up to ten (10) business days to obtain and serve the City with a court injunction to prevent the City from releasing the records (reference RCW 42.56.540). If Consultant fails to obtain a Court order and serve the City within ten (10) days, the City may release the documents. The City will not assert an exemption from disclosure on Consultant's behalf. If Consultant believes that its records are fully or partially exempt from disclosure, the Consultant is responsible for seeking an injunction under RCW 42.56.540. The Consultant acknowledges that the City will have no obligation or liability to the Consultant if the records are disclosed. 14. CONFLICT OF INTEREST. It is recognized that Consultant may or will be performing professional services during the Term for other entities or persons; however, such performance of other services shall not conflict with or interfere with Consultant's ability to perform the Services. Consultant agrees to resolve any such conflicts of interest in favor of the City. Consultant confirms that Consultant does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Consultant's selection, the negotiation, drafting, signing, administration of this Agreement, or the evaluation of the Consultant's performance. 15. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Consultant or its subconsultants of any level, or any of those entities' employees, agents, subconsultants, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, honorably discharged veteran or military status, sexual orientation including gender expression or identity, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply, but not be limited to the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Consultant shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Parts 21, 21.5, and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination. 16. DISPUTES. 16.1 Any dispute or misunderstanding that may arise under this Agreement concerning the Consultant's performance shall first be through negotiations, if possible, between the Consultant's Project Manager and the City's Project Manager. It shall be referred to the Director and the Consultant's senior executive(s). If such officials do not agree upon a decision within a reasonable period of time, either party may decline or discontinue such discussions and may then pursue the legal means to resolve such disputes, including but not limited to alternative dispute resolution processes. Nothing in this dispute process shall mitigate the rights of the City to terminate the Agreement. 16.2 Notwithstanding all of the above, if the City believes in good faith that some portion of the Work has not been completed satisfactorily, the City may require the Consultant to correct such -5 CITY OF CITY HALL All* 33325 Fe d e ra I Way Feder l Avenue South -6325 Federal Way, WA 98003 (253) 835-7000 www cityoffederalway com Work prior to the City payment, consistent with the provisions of this Agreement. The City will provide the Consultant with an explanation of the concern and the City's expected remedy. The City may withhold from any payment otherwise due an amount that the City in good faith finds to be under dispute, or if the Consultant provides no sufficient remedy, the City may retain the amount equal to the cost to the City for otherwise correcting or remedying the Work not properly completed. 16.3 If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the venue, rules, and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under this Agreement. 17. TERMINATION. 17.1 For Cause. The City may terminate this Agreement if the Consultant is in material breach of this Agreement and such breach has not been corrected to the City's reasonable satisfaction in a timely manner. The City may terminate this Agreement immediately if the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Equal Opportunity Employer provisions of this Agreement. Termination for such conduct may render the Contractor ineligible for City agreements in the future. 17.2 For Reasons Beyond Control of the Parties. Either party may terminate this Agreement without recourse by the other where performance is rendered impossible or impracticable for reasons beyond such party's reasonable control, such as, but not limited to: an act of nature, war or warlike operation; civil commotion; riot; labor dispute including strike, walkout or lockout, except labor disputes involving the Consultant's own employees; sabotage; or superior governmental regulation or control. 17.3 For City's Convenience. The City may terminate this Agreement without cause and including the City's convenience upon written notice to the Consultant. 17.4 Notice. Notice of termination under this Section shall be given by the Party terminating this Agreement to the other not fewer than five (5) business days prior to the effective date of termination. 17.5 Actions upon Termination. If termination occurs and is not the fault of the Consultant, the Consultant shall be paid for the services properly performed prior to termination, with any reimbursable expenses are then due, but such compensation shall not exceed the maximum compensation to be paid under the Agreement. The Consultant agrees this payment shall fully and adequately compensate the Consultant and all sub -consultants for all profits, costs, expenses, losses, liabilities, damages, taxes, and charges of any kind (whether foreseen or unforeseen) attributable to the termination of this Agreement. 17.6 Upon termination, the Consultant shall provide the City with the most current design Z CITY OF CITY HALL Fe d e ra I Way Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com documents, contract documents, writings, and other products the Consultant has produced to termination, along with copies of all project -related correspondence and similar items. The City shall have the same rights to use these materials as if the termination had not occurred. 18. GENERAL PROVISIONS. 18.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect. Any act done by either Parry prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly authorized representatives of the Parties. 18.2 Compliance with Laws. The Consultant shall comply with and perform the Services in accordance with all applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may be rendered null and void, at the City's option. 18.3 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Consultant's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies available to the City at law, in equity, or by statute. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. 18.4 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number of counterparts, each of which shall be -7 CITY of CITY HALL ��.. Federal Way Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com deemed an original and with the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof, it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement shall be the "date of mutual execution" hereof. [Signature page follows] :. CITY OF CITY HALL Feder R WayFeder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederatway com IN WITNESS WHEREOF, the above and foregoing Agreement has been executed by the Parties hereto and made effective on the day and year first above written: CITY OF FEDERAL WAY; Andy J. Hwang, Chief of Police BEHAVIORAL HEALTH GLOBAL, LLC dba OBSIDIAN FORENSICS: N09 Dr. Stacy Cecchet, Owner, M A►`M a" CERTIFICATE OF LIABILITY INSURANCE YYY 09/16/2023 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Trust Risk Management Services, Inc Trust Risk Management Services, Inc. PHONE A/c, No, Ext : 877,637.9700 FAX AIC. No): 877.251.5111 EMAIL ADDRESS.* info trustrms.com 1791 Paysphere Circle Chicago, IL 60674 INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED Stacy Cecchet INSURER B: INSURER C: 2132 N 117th St Seattle, WA 98133 8516 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ CLAIMS MADE OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC P'OTHER;m PRODUCTS—COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per Person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accidenl $ PROPERTY DAMAGE JPer acciden $ HIRED AUTOS AUTOS NON -OWNED UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER STATUTE OTH• ER $ E.L,EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under ❑ E.L. DISEASE -POLICY LIMI $ DESCRIPTION OF OPERATIONS below Psychologist's Professional A Liability 581326072669 11/11/2023 11/11/2024 Each Incident Annual $1,000,000 $3,000,000 Retroactive Date: 11/11/2013 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required): CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3/26/24, 10:20 AM Washington State Department of Revenue Washington State Department of Revenue < Business Lookup C License Information: New search Back to results Entity name: BEHAVIORAL HEALTH GLOBAL, LLC Business OBSIDIAN FORENSICS name: Entity type: Limited Liability Company UBI #: 603-390-857 Business ID: 001 Location ID: 0002 Location: Active Location address: 2132 N 117TH ST SEATTLE WA 98133-8516 Mailing address: 2132 N 117TH ST SEATTLE WA 98133-8516 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held i License # Count Details Status Expiration First issua https://secure.dor.wa.gov/gteunauth/—,/#3 1/3 3/26/24, 10:20 AM Washington State Department of Revenue Endorsements held i License # Count Details Status Auburn General BUS-3846 Active Business - Non - Resident Richland General Pending Business - Non - Resident Vancouver General Business - Non - Resident Active Expiratior First issua Dec-31-21 Mar-31-2 Mar-31-21 Dec-31-21 May-30-2 Governing People May include governing people not registered with Secretary of State Governing people Title C ECC H ET, STACY Registered Trade Names Registered trade names Status OBSIDIAN FORENSICS Active STACY CECCHET, PH.D. Active First issued Mar-30-2017 Apr-02-2014 View Additional Locations The Business Lookup information is updated nightly. Search date and time: 3/26/2024 10:18:32 AM https://secure.dor.wa.gov/gteunauth/_/#3 2/3 3/26/24, 10:20 AM Washington State Department of Revenue Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported hftps://secure.dor.wa.gov/gteun.auth/—,/#3 3/3 3/26/24, 10:20 AM Corporations and Charities System BUSINESS INFORMATION Business Name: BEHAVIORAL HEALTH GLOBAL, LLC UBI Number: 603 390 857 Business Type: WA LIMITED LIABILITY COMPANY Business Status: ACTIVE Principal Office Street Address: 2132 N 117TH STREET, SEATTLE, WA, 98133, UNITED STATES Principal Office Mailing Address: 2132 N 117TH STREET, SEATTLE, WA, 98133, UNITED STATES Expiration Date: 12/31/2024 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 12/17/2014 Period of Duration: PERPETUAL Inactive Date: Nature of Business: HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION REGISTERED AGENT INFORMATION Registered Agent Name: STACY CECCHET Street Address: 2132 N 117TH ST, SEATTLE, WA, 98133-8516, UNITED STATES Mailing Address: 2132 N 117TH ST, SEATTLE, WA, 98133-8516, UNITED STATES GOVERNORS Title Governors Type Entity Name GOVERNOR INDIVIDUAL First Name STACY Last Name CECCHET https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 1 /1