HomeMy WebLinkAbout24I090 - International Board of Credentialing and Continuing Education StandardsCONTRACT ABSTRACT
Contract/Amendment
Name of Contract:
Company Name:
Company Contact:
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Summary of Services:
Contract Price:
Contract Term:
Public Integrity/ Business
Disclosure Forms:
Contract Administration
Lead Department:
Contract Administrator/ Ext:
Contract Approvals
Council/City Manager Approval Date:
Agreement Number:
Amendment Number:
Contract Compliance
Exhibits:
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Sole Source Co-Op
CoOp Agmt #: Sole Source
Documents: CoOp Name:
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By: Submitted on:
Contract Abstract Form Rev 8.16.23
Authorized Signers:
Name, Email
(Corporations require 2 signatures)
IBCCES Neurodiverse Training/Certification
International Board of Credentialing and Continuing Education Standards
Meredith Tekin
meredith@ibcces.org
Training to certify the City as a Neurodiverse Employer
10,250
One year
Meredith Tekin
City Manager's Office
Jeremy Hammond x8218
N/A
24I090
N/A
-
N/A
Yes
Procurement
N/A
No
Procurement is exempt under §
7.01.030 (10).
N/A
N/A
N/A
4/26/24 Jeremy Hammond
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
International Board of Credentialing and Continuing Education Standards
4651 Salisbury Rd, Ste 340, Jacksonville, FL 32256 US
Phone (877) 717-6543 | Fax (888) 959-6067
Draft PROPOSAL
Proposal Date: May 22, 2023
Expiration Date: June 15, 2023
TO: ACCOUNTING/BILLING CONTACT:
Hailey Greer
Human Resources Executive Admin Assistant
City of Palm Springs
Hailey.Greer@palmspringsca.gov
3200 E. Tahquitz Canyon Way Palm Springs, CA 92262
760.323.8212 Direct
Contact Name
Address
Telephone
Email City, State, Zip Code
IBCCES CONTACT
Meredith Tekin meredith@ibcces.org 904-508-0135
QTY DESCRIPTION RATE PER UNIT DISCOUNT PER UNIT TOTAL
Certified Neurodiverse Workplace (CNW) designation 1 $5,000.00 $2,500.00 $2,500.00 (after 80% training requirement met - 440)
500 Neurodiversity In Workforce: 30-minute online training $ 35.00 $ 30.00 $ 2,500.00
50 Neurodiversity For Leadership: 4 CE online training and CNP certification $250.00 $ 175.00 $ 3,750.00
1 Neurodiversity Process Review + Recommendations Report $ 2,500.00 $ 1,000.00 $ 1,500.00
TOTAL BEFORE DISCOUNT $ 37,500.00
TOTAL DISCOUNTS $ 27,250.00
TOTAL $ 10,250.00
Terms and Conditions
These terms and conditions (the “Terms and Conditions”) govern your use of the Content (as defined herein) and all other matters related to your CNW designation with International Board of
Credentialing and Continuing Education Standards, LLC (“IBCCES”). In the event of any conflict between these Terms and Conditions and the proposal, the terms of these Terms and Conditions
shall control.
Financial
You agree that you will pay for all products and services you purchase from IBCCES, and that IBCCES may charge your payment method for any products purchased and for any
additional amounts (including any late fees, as applicable) that may be accrued by your account with IBCCES (“Account”). YOU ARE RESPONSIBLE FOR THE TIMELY PAYMENT OF ALL
FEES AND FOR PROVIDING IBCCES WITH A VALID PAYMENT METHOD FOR PAYMENT OF ALL FEES. Payment or a purchase order number is required to be implemented in our
program. This ensures you have a seat reservation for the training, certification and/or exam.
Professional Responsibility
You understand that the credential does not in any way provide permission to practice outside the scope of your professional license. IBCCES assumes no liability for your irresponsible practice or
behavior. You are expected to seek continuing education that will enhance the care and/or education for students and/or clients entrusted to your care. You maintain your certification by staying
current with the following continuing education requirements based on your certification:
Initials
CNW REQUIREMENTS IBCCES PROCESS
•Dedicated to inclusive hiring and management practices for neurodivergent individuals
•At least 80% of staff is trained in neurodiversity
•Committed to ongoing training
•CNW designation is valid for one (1) location/organization and is non- transferable. Earning a
CNW does not allow for “train the trainer” or for a CNW to designate another individual or
organization as a CNW
•CNW designation must be renewed every 2 years (based on date of purchase)
CNW DELIVERABLES
•Framed Certification (1)
•Press Release for distribution
•Digital Certification Badge for display on website
•Listing on Registry and website as a CNW
•Once proposal is signed, IBCCES will generate an invoice
•Once payment or purchase order is received, access to training will be
implemented via direct email to applicants or a landing page
•All participating staff/applicants must complete training & pass an online
competency exam
•IBCCES will provide a list of items for review as part of the Process Review and report
generation, which must be submitted in a timely manner in order for the report to be
prepared and shared
•After 80% training requirement is met or exceeded, designation will be awarded
•IBCCES will collaborate with partner for press announcement and communication best
practices
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
Certified Neurodiverse Workplace Badge (logo)
Consumers have come to know and trust the Certified Neurodiverse Workplace (CNW) Badge (the “Badge”). Under the License granted herein, you may use this Badge in your print
and broadcast advertisements, on your invoices and business cards, in brochures and on your website to provide a favorable first impression to consumers. Please note, however, in
no way does IBCCES guarantee or promise any increase in consumer behavior as a result of such actions. If you apply and are approved as a certified location, you will receive an official
Badge with CNW number and be awarded the CNW designation for your location (which may not be transferred). Additionally, your location will be linked to the CNW page in the
IBCCES monthly Newsletter that goes out to all our credentialed professionals.
Professional Competence and Integrity
You will not engage in any activity outside of the scope of limitations set forth by your professional license and you will not engage in a treatment, therapy, or activity outside of your
professional training or comfort. Any such activity may result in immediate revocation of certification. You acknowledge that IBCCES is not liable for your actions or results of your actions
at any level and you accept full responsibility for acquiring and maintaining the necessary training to successfully complete your job. You will not make guarantees on any specific treatment
or approach but may provide reasonably expected outcomes. You will actively be engaged in increasing your level of knowledge and training in applicable treatment, care, and applicable
strategies at a minimum of a biennial period. You will represent yourself in an honest and straightforward manner with clients, guardians, supervisors, colleagues, and IBCCES personnel.
Fraudulent, deceit, misrepresentation, and illegal behavior are not tolerated by IBCCES and may constitute grounds for revocation of certification. Possessing an IBCCES credential does
not insinuate in any way that you are an employee of IBCCES or have special clearance or authority beyond what is granted to you by your license, employer, or the institution in which
you are working. Notwithstanding anything herein to the contrary, an IBCCES credential in no way imparts on you any license or credential to practice any type of profession beyond what
you are licensed to practice by the appropriate governing board applicable to your profession. You represent and warrant to IBCCES that you possess a valid and up-to-date license issued
by the appropriate governing board applicable to your profession and will maintain such license during your certification.
Certification Renewal, Expiration, or Revocation
You acknowledge that your IBCCES credentials are valid for the length of the License, which shall not have an initial term of more than 24 months. On your renewal date, your
certification will need to be renewed with your preferred form of payment. Upon expiration or revocation of a credential, the usage of any Content will be immediately terminated.
Revocation of an IBCCES credential will be made by a final decision from the IBCCES Standards and Ethics Committee. There will be no refund provided in whole or part when a
revocation is made by the Standards and Ethics Committee.
Ownership of Intellectual Property
For purposes of these Terms and Conditions, “Content” is defined as any information, communications, software, published works, photos, video, graphics, music, sounds, or other
material that is provided to you by IBCCES, including, but not limited to, the Badge (and any intellectual property rights related thereto). All Content is owned by IBCCES, its affiliates or
licensors. By accepting these Terms and Conditions, you agree that all Content is protected by any and all intellectual property and/or other proprietary rights available, and is the sole
property of IBCCES, its affiliates or licensors. Title to the Content remains with IBCCES, its licensors or affiliates, and all rights not expressly granted herein are reserved to IBCCES, its
licensors or affiliates. Content and features are subject to change or termination without notice by IBCCES in its sole discretion.
License Grant and Restrictions
IBCCES hereby grants you, for so long as your certification remains valid, the non-exclusive, non-transferable, worldwide right to use the Content, solely to promote and advertise your
certification (and for no other purpose), subject to the provisions of these Terms and Conditions (the "License"). The License permits you to post the Badge on any of your marketing
materials (electronic or print) or website to showcase your designation as a Certified Autism Center, as well as engage in the other activities authorized by these Terms and Conditions.
IBCCES reserves the right to approve or disapprove, in its sole discretion, any use of the Content.
Limited Right to Use Content
Except for exhibiting Content in connection with your profession and in compliance with these Terms and Conditions, you may not copy, reproduce, modify, republish, upload, post,
transmit, or distribute any Content in any form or by any means whatsoever without prior written permission from IBCCES, which may be withheld in its reasonable discretion. Any
unauthorized use of Content violates IBCCES’ intellectual property interests and could result in criminal or civil penalties. Under no circumstances may you sell or license any of the
Content.
Violation of Terms and Conditions
If you violate any of these Terms and Conditions, your permission to use the Content automatically terminates and you must immediately destroy any copies you have made of any
portion of the Content. You agree that IBCCES may, at its reasonable discretion, terminate or suspend your access to all or part of the Content upon reasonable notice for breach of
these Terms and Conditions. Any suspected fraudulent, abusive or illegal activity may be grounds for barring your access to this Content, and reporting you to the proper authorities,
if necessary.
Liability of IBCCES
THE CONTENT IS PROVIDED “AS IS” AND THE USE OF THE CONTENT IS AT YOUR OWN RISK. IBCCES, ITS LICENSORS, ITS AFFILIATES AND ITS SUPPLIERS, TO THE FULLEST EXTENT
PERMITTED BY LAW, EXPRESSLY DISCLAIM ALL WARRANTIES, EITHER EXPRESS OR IMPLIED, STATUTORY OR OTHERWISE RELATED TO THE CONTENT, INCLUDING, BUT NOT LIMITED
TO, THE IMPLIED WARRANTIES OF FITNESS FOR PARTICULAR PURPOSE. WITHOUT LIMITING THE FOREGOING, IBCCES, ITS AFFILIATES, ITS LICENSORS, AND ITS SUPPLIERS MAKE
NO REPRESENTATIONS OR WARRANTIES ABOUT THE ACCURACY, RELIABILITY OR COMPLETENESS OF THE CONTENT. IN NO EVENT SHALL IBCCES, ITS LICENSORS OR ITS SUPPLIERS
BE LIABLE FOR ANY DAMAGES (INCLUDING, WITHOUT LIMITATION, INCIDENTAL AND CONSEQUENTIAL DAMAGES, PERSONAL INJURY/WRONGFUL DEATH, LOST PROFITS, OR
DAMAGES RESULTING FROM LOST DATA OR BUSINESS INTERRUPTION) RESULTING FROM THE USE OF OR INABILITY TO USE THE CONTENT OR THESE TERMS AND CONDITIONS,
WHETHER BASED ON WARRANTY, CONTRACT, TORT, OR ANY OTHER LEGAL THEORY, AND REGARDLESS OF WHETHER IBCCES, ITS LICENSORS, ITS AFFILIATES OR ITS SUPPLIERS ARE
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. THE TOTAL CUMULATIVE LIABILITY OF IBCCES TOGETHER WITH ITS OFFICERS, MANAGERS, MEMBERS, EMPLOYEES, LICENSORS,
PARTNERS AND AFFILIATES TO YOU OR ANY THIRD PARTIES IN ANY CIRCUMSTANCE ARISING OUT OF OR RELATING TO THESE TERMS AND CONDITIONS IS LIMITED TO THE AMOUNT
OF FEES YOU PAID TO IBCCES IN THE TWELVE (12) MONTHS PRIOR TO THE ACTION GIVING RISE TO LIABILITY.
Indemnity
You agree to defend, indemnify, and hold IBCCES, its members, managers, officers, employees, contractors, agents, licensors, affiliates and suppliers, harmless from and against all claims,
actions or demands, liabilities and settlements, including without limitation, reasonable legal fees, resulting from your sole negligence or intentional misconduct related to your
performance pursuant to these Terms and Conditions. Notwithstanding the foregoing, this indemnification obligation shall not extend to the negligence or intentional misconduct of
IBCCES, its members, managers, officers, employees, contractors, agents, licensors, affiliates, or suppliers.
Governing Law and Venue
These Terms and Conditions are governed by the internal substantive laws of the State of California, without respect to its conflict of laws principles. If any provision of these Terms
and Conditions is found to be invalid by any court having competent jurisdiction, the invalidity of such provision shall not affect the validity of the remaining provisio ns of these
Terms and Conditions, which shall remain in full force and effect. No waiver of any of these Terms and Conditions shall be deemed a further or continuing waiver of such term or
condition or any other term or condition. You expressly agree that exclusive venue for any dispute under these Terms and Conditions or in any way relating to your use of the
Content will be in the state or federal courts of the State of California and you further agree and expressly consent to the exercise of personal jurisdiction in the courts of the State
of California in connection with any such dispute.
To accept, please sign and return and/or submit a purchase order to meredith@ibcces.org.
Signature / Title Date
[SIGNATURES ON NEXT PAGE]
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
SIGNATURE PAGE TO AGREEMENT BY AND BETWEEN THE CITY OF PALM
SPRINGS AND INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING
EDUCATION STANDARDS
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the dates stated
below.
VENDOR:
By: _______________________________________ By: _________________________________________
Signature Signature
(2nd signature required for Corporations)
Date:Date:
CITY OF PALM SPRINGS:
APPROVED BY CITY COUNCIL:
Date: N/A Item No. N/A Agreement No. 24I090
APPROVED AS TO FORM: ATTEST:
By: ___________________________ By: _______________________________
City Attorney City Clerk
APPROVED:
By: _______________________________ Date:
City Manager – over $50,000
Deputy/Assistant City Manager – up to $50,000
Director – up to $25,000
Manager – up to $5,000
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
4/30/2024
5/1/2024
CITY OF PALM SPRINGS
3200 E TAHQUITZ CANYON WAY, PALM
SPRINGS, CA 92262
(760) 322-8328
BUSINESS LICENSE CERTIFICATE
Fees Paid:$306.00
ISSUANCE OF THIS LICENSE DOES NOT ENTITLE THE
LICENSEE TO OPERATE OR MAINTAIN A BUSINESS
IN VIOLATION OF ANY OTHER LAW OR ORDINANCE.
THIS IS NOT AN ENDORSEMENT OF THE ACTIVITY
NOR OF THE APPLICANT'S QUALIFICATIONS.
Business Name:INTERNATIONAL BOARD OF
CREDENTIALING AND
CONTINUING EDUCATION
STANDARDS, LLC
DBA:
Owner:INTERNATIONAL BOARD OF
CREDENTIALING AND
CONTINUING EDUCATION
STANDARDS, LLC
Mailing Address:4651 SALISBURY RD 340
JACKSONVILLE, FL 32256
License Number:OC-006247-2024
Expiration Date:04/30/2025
PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY TO
RENEW AND UPDATE THIS LICENSE ANNUALLY.
Business Location:4651 SALISBURY RD 340,
JACKSONVILLE, FL 32256
Business Description:TRAINING AND
CERTIFICATION
TO BE POSTED IN A CONSPICUOUS PLACE
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
Page 1 of 2
(Revised 09 13 18)
PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
1. Name of Entity
2. Address of Entity (Principle Place of Business)
3. Local or California Address (if different than #2)
4. State where Entity is Registered with Secretary of State
If other than California, is the Entity also registered in California? Yes No
5. Type of Entity
Corporation Limited Liability Company Partnership Trust Other (please specify)
6. Officers, Directors, Members, Managers, Trustees, Other Fiduciaries (please specify)
Note: If any response is not a natural person, please identify all officers, directors,
members, managers and other fiduciaries for the member, manager, trust or other entity
_________________________________________________ Officer Director Member Manager
[name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager
[name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager
[name]
General Partner Limited Partner
Other ____________________________________
International Board of Credentialing and Continuing Education Standards
4651 Salisbury Rd, Ste 340, Jacksonville, FL 32256
N/A
Florida
Myron Pincomb
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E
CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
Page 2 of 2
(Revised 09 13 18)
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity
EXAMPLE
JANE DOE
[name of owner/investor]
50%, ABC COMPANY, Inc.
[percentage of beneficial interest in entity
and name of entity]
A.
[name of owner/investor] [percentage of beneficial interest in
entity
and name of entity]
B.
[name of owner/investor] [percentage of beneficial interest in
entity
and name of entity]
C.
[name of owner/investor] [percentage of beneficial interest in
entity
and name of entity]
D.
[name of owner/investor] [percentage of beneficial interest in
entity
and name of entity]
E.
[name of owner/investor] [percentage of beneficial interest in entity
and name of entity]
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Disclosing Party, Printed Name, Title
Date
Myron Pincomb 100%
Meredith TekinPresident - IBCCES
April 24 2024
DocuSign Envelope ID: 9479F4C5-5627-4C71-B926-914BAB0B9B9E