HomeMy WebLinkAbout04936 - MAXIMUS STATE MANDATED COST CLAIMING SERVICES y;Ji JC,'�.ICd`rGC1� 6C'' CL`~il
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Maximus
State Mandated Cost Claiming
Services
AGREEMENT 94936
CM signed 8-5-04
CITY OF PALM SPRINGS
CONTRACT SERVICES AGREEMENT FOR
STATE MANDATED COST CLAIMING SERVICES
---------------------------------
THIS CONTRACT SERVICES AGREEMENT (herein Agreement) is made and entered into
this 12th day of April, 2004, by and between the CITY OF PALM SPRINGS, a municipal corporation
(herein City) and Maximus (herein Contractor).
NOW, THEREFORE, the parties hereto agree as follows.
1.0 SERVICES OF CONTRACTOR
1.1 Scope of Services. In compliance with all of the terms and conditions of this
Agreement, the Contractor shall perform the work or services set forth in the "Scope of Services"
attached hereto as Exhibit "A" and incorporated herein by reference. Contractor warrants that all
work and services set forth in the Scope of Services will be performed in a competent, professional
and satisfactory manner.
1.2 Compliance With Law. All work and services rendered hereunder shall be
provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City
and any Federal, State or local governmental agency of competent jurisdiction.
1.3 Licenses, Permits, Fees and Assessments. Contractor shall obtain at its sole
cost and expense such licenses, permits and approvals as may be required by law for the
performance of the services required by this Agreement.
2.0 COMPENSATION
2.1 Contract Sum For the services rendered pursuant to this Agreement,
Contractor shall be compensated in accordance with the "Schedule of Compensation" attached
hereto as Exhibit "B" and incorporated herein by this reference, but not exceeding the maximum
contract amount of$8400 Dollars ("Contract Sum").
2.2 Method of Payment. Provided that Contractor is not in default underthe terms
of this Agreement, Contractor shall be paid as outlined in Exhibit "B" Schedule of Compensation
3.0 COORDINATION OF WORK
3.1 Representative of Contractor. Terry Birgel is hereby designated as being the
principal and representative of Contractor authorized to act in its behalf with respect to the work and
services specified herein and make all decisions in connection therewith
3.2 Contract Officer. Thomas M. Kanarr is hereby designated as being the
representative the City authorized to act in its behalf with respect to the work and services specified
herein and make all decisions in connection therewith ("Contract Officer"). The City Manager of City
shall have the right to designate another Contract Officer by providing written notice to Contractor.
3.3 Prohibition Against Subcontracting or Assignment. Contractor shall not
contract with any entity to perform in whole or in part the work or services required hereunder without
the express written approval of the City. Neither this Agreement nor any interest herein may be
assigned or transferred, voluntarily or by operation of law, without the prior written approval of City
Any such prohibited assignment or transfer shall be void.
3.4 Independent Contractor. Neither the City nor any of its employees shall have
any control over the manner, mode or means by which Contractor, its agents or employees, perform
the services required herein, except as otherwise set forth. Contractor shall perform all services
required herein as an independent contractor of City and shall remain under only such obligations as
are consistent with that role. Contractor shall not at any time or in any manner represent that it or
any of its agents or employees are agents or employees of City.
4.0 INSURANCE, INDEMNIFICATION AND BONDS
4.1 Insurance. The Contractor shall procure and maintain, at its sole cost and
expense, in a form and content satisfactory to City, during the entire term of this Agreement including
any extension thereof, the following policies of insurance:
(a) Commercial General Liability Insurance. A policy of commercial general liability
insurance written on a per occurrence basis with a combined single limit of a least
$1,000,000 bodily injury and property damage including coverages for contractual liability,
personal injury, independent contractors, broadform property damage, products and
completed operations The General Liability Policy shall name the City of Palm Springs, its
officers, employees, and agents, as additional insured in accordance with standard ISO
additional insured endorsement form CG2010(1185) or equivalent language
(b) Worker's Compensation Insurance. A policy of worker's compensation insurance in
such amount as will fully comply with the laws of the State of California and which will include
$1,000,000 employer's liability.
(c) Business Automobile Insurance. A policy of business automobile liability insurance
written on a per occurrence basis with a single limit liability in the amount of $1,000,000
bodily injury and property damage, Said policy shall include coverage for owned, non-owned,
leased and hired cars.
(d) Additional Insurance. Policies of such other insurance, including professional liability
insurance in a minimal amount of$1,000,000 if contract has professional liability exposure,
as may be required in the Special Requirements.
All of the above policies of insurance shall be primary insurance. The insurer shall waive all
rights of subrogation and contribution it may have against the City, its officers, employees and
agents, and their respective insurers. In the event any of said policies of insurance are canceled, the
Contractor shall, prior to the cancellation date, submit new evidence of insurance in conformance
with this Section 4.1 to the Contract Officer. No work or services under this Agreement shall
commence until the Contractor has provided the City with Certificates of Insurance or appropriate
insurance binders evidencing the above insurance coverages and said Certificates of Insurance or
binders are approved by the City.
The contractor agrees that the provisions of this Section 4.1 shall not be construed as limiting
in any way the extent to which the Contractor may be held responsible for the payment of damages
to any persons or property resulting from the Contractor=s activities or the activities of any person or
person for which the Contractor is otherwise responsible.
In the event the Contractor subcontracts any portion of the work in compliance with Section
3.3 of this Agreement the contract between the Contractor and such subcontractor shall require the
subcontractor to maintain the same polices of insurance that the Contractor is required to maintain
pursuant to this Section.
4.2 Indemnification. Contractor agrees to indemnify the City, its officers, agents
and employees against, and will hold and save them and each of them harmless from, any and all
actions, suits, claims, damages to persons or property, losses, costs, penalties, obligations, errors,
omissions or liabilities, (herein"claims or liabilities")that may be asserted or claimed by any person,
firm or entity arising out of or in connection with the negligent performance of the work, operations or
activities of Contractor, its agents, employees, subcontractors, or invitees, provided for herein, or
arising from the negligent acts or omissions of Contractor hereunder, or arising from Contractor's
negligent performance of or failure to perform any term, provision, covenant or condition of this
Agreement, whether or not there is concurrent passive or active negligence on the part of the City,
its officers, agents or employees but excluding such claims or liabilities arising from the sole
negligence or willful misconduct of the City, its officers, agents or employees, who are directly
responsible to the City, and in connection therewith:
(a) Contractor will defend any action or actions filed in connection with any
of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys'
fees incurred in connection therewith;
(b) Contractor will promptly pay any judgment rendered against the City,
its officers, agents or employees for any such claims or liabilities arising out of or in connection with
the negligent performance of or failure to perform such work, operations or activities of Contractor
hereunder; and Contractor agrees to save and hold the City, its officers, agents, and employees
harmless therefrom;
(c) In the event the City, its officers, agents or employees is made a party
to any action or proceeding filed or prosecuted against Contractor for such damages or other claims
arising out of or in connection with the negligent performance of or failure to perform the work,
operation or activities of Contractor hereunder, Contractor agrees to pay to the City, its officers,
agents or employees, any and all costs and expenses incurred by the City, its officers, agents or
employees in such action or proceeding, including but not limited to, legal costs and attorneys' fees
5.0 TERM
5.1 Term. Unless earlier terminated in accordance with Section 5.2 below, this
Agreement shall continue in full force until June 30, 2005.
1.2 Termination Prior to Expiration of Term. Either party may terminate this
Agreement at anytime, with or without cause, upon thirty(30) days'written notice to the other party.
Upon receipt of the notice of termination, the Contractor shall immediately cease all work or
services hereunder except as maybe specifically approved by the Contract Officer. In the event of
termination by the City, Contractor shall be entitled to compensation for all services rendered prior
to the effectiveness of the notice of termination and for such additional services specifically
authorized by the Contract Officer and City shall be entitled to reimbursement for any compensation
paid in excess of the services rendered.
6.0 MISCELLANEOUS
6.1 Covenant Against Discrimination. Contractor covenants that, by and for itself,
its heirs, executors, assigns and all persons claiming under or through them, that there shall be no
discrimination against or segregation of, any person or group of persons on account of race, color,
creed, religion, sex, marital status, national origin, or ancestry in the performance of this Agreement
Contractor shall take affirmative action to ensure that applicants are employed and that employees
are treated during employment without regard to their race, color, creed, religion, sex, marital status,
national origin or ancestry.
6.2 Non-liability of City Officers and Employees. No officer or employee of the City
shall be personally liable to the Contractor, or any successor in interest, in the event of any default or
breach by the City or for any amount which may become due to the Contractor or to its successor, or
for breach of any obligation of the terms of this Agreement.
6.3 Conflict of Interest. No officer or employee of the City shall have any financial interest, direct
or indirect, in this Agreement nor shall any such officer or employee participate in any decision
relating to the Agreement which effects his financial interest or the financial interest of any
corporation, partnership or association in which he is, directly or indirectly, interested, in violation of
any State statute or regulation. The Contractor warrants that it has not paid or given and will not pay
or give any third party any money or other consideration for obtaining this Agreement.
6.4 Notice. Any notice, demand, request, document, consent, approval, or
communication either party desires or is required to give to the other party or any other person shall
be in writing and either served personally or sent by prepaid, first-class mail, in the case of the City,
to the City Manager and to the attention of the Contract Officer, CITY OF PALM SPRINGS, P O. Box
2743, Palm Springs, California 92263, and in the case of the Contractor, to the person at the address
designated on the execution page of this Agreement.
6.5 Interpretation. The terms of this Agreement shall be construed in accordance
with the meaning of the language used and shall not be construed for or against either party by
reason of the authorship of this Agreement or any other rule of construction which might otherwise
apply.
6.6 Integration: Amendment. It is understood that there are no oral agreements
between the parties hereto affecting this Agreement and this Agreement supersedes and cancels
any and all previous negotiations, arrangements, agreements and understandings, if any, between
the parties, and none shall be used to interpret this Agreement. This Agreement may be amended at
any time by the mutual consent of the parties by an instrument in writing.
6.7 Severability. In the event that part of this Agreement shall be declared invalid
or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or
unenforceability shall not affect any of the remaining portions of this Agreement which are hereby
declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless
the invalid provision is so material that its invalidity deprives either party of the basic benefit of their
bargain or renders this Agreement meaningless.
6.8 Waiver. No delay or omission in the exercise of any right or remedy by a
nondefaulting party on any default shall impair such right or remedy or be construed as a waiver A
party's consent to or approval of any act by the other party requiring the party's consent or approval
shall not be deemed to waive or render unnecessary the other party's consent to or approval of any
subsequent act. Any waiver by either party of any default must be in writing and shall not be a
waiver of any other default concerning the same or any other provision of this Agreement
6.9 Attorneys' Fees. If either party to this Agreement is required to initiate or
defend or made a party to any action or proceeding in any way connected with this Agreement, the
prevailing party in such action or proceeding, in addition to any other relief which may be granted,
whether legal or equitable, shall be entitled to reasonable attorney's fees, whether or not the matter
proceeds to judgment.
6.10 Corporate Authority. The persons executing this Agreement on behalf of the
parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized
to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement,
such party is formally bound to the provisions of this Agreement, and (iv) the entering into this
Agreement does not violate any provision of any other Agreement to which said party is bound
IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date
first written above.
ATTEST: By: City Attorney
CITY OF PALM SPRINGS,
a municipal corporation
By : City Clerk
By . City Manager'
Corporations require two notarized CONTRACTOR:
signatures: one from each of the
following: A. Chairman of Board,
President, or any Vice President; and B.
Secretary, Assistant Secretary, -- -- -=- _ �=
Treasurer, Assistant Treasurer, or Chief d Signature (Notarized)
Financial Officer
r'1)
Print Name & Title
i
Aww( 1/�4 By
✓ ens
l i I'Pfln/ Signature (Notarized)
/Cf1Cc�'G� 1,4e -1. 111L(! I L5l1���71�
Print Name & title
Mailing Address.
Agreement over/under $25,000
t,evIewed and approved by
proeurement & Conitu•acfln
lnP dYiaas Date d� �=.r!1✓
P.O. INTUmber _�
HELPING GOVERNMENT SERVE THE PEOPL Em
STATE OF VIRGINIA
COUNTY OF FAIRFAX
The attached instrument was aelmowledged before me this 22nd day of June
2004, by David R. Francis, Secretary of MAXIMUS, Inc., a Virginia corporation,
on behalf of the corporation.
. / __... '01 e )Cad l 2� _
Notary Piibhc
My commission expires:
11419 SUNSET HILLS ROAD I RESTON,VIRGINIA 20I90 703 251 8500 1 FAX 703 251 8240 I W W W MAXIMUS COM
NOTARIAL ACKNOWLEDGMENT OF EXECUTION
State of California
County of Sacramento } ss.
On May 5, 2004 before me, Cynthia T. Portillo, Notary Public, personally appeared Allan P.Burdick,
Vice President of MAXIMUS, INC. and Richard Pearl, Vice President of MAXIMUS, INC. personally
known to me to be the person(s) whose names are subscribed to the within instrument and
acknowledged to me that they executed the same in their authorized capacity, and that by their signature
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
Cynthia T. Portiil o; Notary Public
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MAXIMUS
SCOPE OF SERVICES
MAXIMUS proposes to prepare and file all of the City of Palm Springs's eligible fiscal year state
mandated cost reimbursement claims for which claiming instructions are issued in the 2004-2005
fiscal year. This includes all annual, new or first time claims, and any claims that require
amendment. A description of these services is contained in the remainder of this section.
Annual Claims: Annual state mandated cost reimbursement claims are those existing claims
i that are included in the State Controller's annual claiming instructions to be issued in the fall of
■ 2004, which will be due no later than January 15, 2005. These annual claims include those
claims listed in the current FY 2003-04 State Budget and any other first time claims that will be or
have been filed for the first time during this fiscal year. There will be at least 15 annual state
mandated cost claims for which the City may be eligible to claim reimbursement. At a minimum,
the annual claims eligible for filing next fiscal year include the following:
Annual Claims
ChapterlYear Mandated Program
77178 Absentee Ballots
391188 Brendan Maguire Act
246195 Domestic Violence Arrest Policies &Procedures
1120196 Health Benefits for Survivors of Peace Officers & Firefighters
465176 Police Officers Procedural Bill of Rights
i 999191 Rape Victim Counseling Center Notices
I�R 1249192 Threats Against Peace Officers
1668182 Firefighter's Cancer Presumption
1171189 Peace Officer's Cancer Presumption
1143180 Regional Housing Need Determination
644194 Airport Land Use CommissionslPlans
641186 Open Meeting Act I Brown Act Reform
486175 Test Claims and Mandate Reimbursement
1170196 Grand Jury Proceedings
oil 1460189 Administrative License Suspension
MAXIMUS
Claims At Issue: Due to some last minute amendments, a few state mandated cost programs were
suspended or made optional with the adoption of the current State Budget in August 2003. At least two
of those programs are currently being given consideration for either full or partial reinstatement in the
FY 2004-2005 budget. If that should happen, the City will need to make sure that it has adequate
support to claim the estimated and actual costs for those claims. Iv1AXIMUS will assist the City in
complying with those requirements and file either or both of these claims and any others that may be
added to the FY 2004-2005 State Budget. The two claims that are most likely to be reinstated are
described below.
' Claims At Issue
ChapterlYear Mandate Program
Animal Adoption—this program, often referred to as the Hayden Bill program
752198 for its author, Senator Hayden, requires cities to hold animals longer, provide
increased veterinary services and implement various other programs to
promote the adoption of animals.
Megan's Law or Sex Offender Disclosure By Law Enforcement Officers-
908196 due to the extremely sensitive nature of this program, similar to the Animal
Adoption claim, the Legislature may reinstate this program either before
adopting the FY 04.05 budget or before adjourning the current session.
New or First Time Claims: MAXIMUS will file claims for all new or first time programs for which
claiming instructions are issued in the 2004-2005 fiscal year. Every year there are a few new or first
time state mandated cost programs for which local agencies file reimbursement claims following the
approval of test claims by the Commission on State Mandates. The Commission on State Mandates
currently has more pending tests claims than any time in its history. It is currently considering test
claims that were filed in or before the 2001 calendar year, and plans to consider claims filed in the
2002 calendar year during the 2004-2005 fiscal year. The chart presented below on the following page
contains a list of the seventeen claims pending before the Commission that were filed from 1991
through 2002 which may be approved by the Commission on State Mandates during the 2004-2005
fiscal year. Once approved, the City will be eligible to file multiple fiscal year claims for each program.
The number of fiscal years eligible to be claimed will range from a minimum of four to over ten fiscal
years,depending on which claims are approved.
2
MAXIMUS
Chapter/Year Test Claim Mandated Programs
Unfounded Complaints Against Peace Officers I Discovery of Peace
Officer Personnel Files —this test claim includes partial reimbursement for
630178 the time of law enforcement staff to process unfounded complaints against
peace officers and also to determine if an outside party that has a legal
complaint against an officer is entitled to have access to that officer's
personnel file.
Public Records Act—this test claim seeks reimbursement for the actual
355101 costs of providing copies of public records to the public that exceed the
amount the local agency is limited to charge.
Hepatitis and Blood Borne Infection Presumption — would provide
490100 reimbursement for the costs associated with workers' compensation cases
that are approved due to the presumption that blood borne infections for peace
officers and firefighters are work related illnesses.
Cancer Presumption II — would provide reimbursement for the increased
595199 costs of peace officer and firefighter workers' compensation cases that result
from the expansion of this cancer presumption mandate.
Tuberculosis Presumption—would provide reimbursement to local agencies
683195 for the peace officer and firefighter workers'compensation cases approved
due to the presumption that tuberculosis has arisen from work.
Distracted Driver — would provide reimbursement of a peace officers time
710101 to gather and report information to the State when individuals involved in an
accident were distracted by various reasons.
7581Manual California Fire Information and Reporting System (CFIRS) — would
version 1.0 provide reimbursement to local fire agencies for complying with the
1990 mandates contained in the State's updated version of its CARS manual.
Racial Profiling: Law Enforcement Training — would provide
684100 reimbursement to local agencies for fulfilling the requirement to train law
enforcement in what constitutes racial profiling.
Local Recreation Areas: Background Screenings — would provide
777101 reimbursement to local agencies for the cost of the background screenings
required for prospective parks and recreation employees.
Local Government Employment Relations (PERB) — would provide
901100 reimbursement to local agencies for the additional costs incurred due to,
complying with the mandated PERB requirements.
3
i �
lot
MAXIMUS
Binding Arbitration (SB 402) — would provide reimbursement for costs
associated with the implementation and the ongoing arbitration activities
906►00 mandated by Peace Officers and Firefighters binding arbitration program prior
to it being ruled unconstitutional by the courts.
Meningitis Presumption — would provide reimbursement for the additional
883100 workers' compensation costs for peace officers who contract meningitis
arisen out of employment.
Fire Safety Inspection — would provide reimbursement for fire safety
993189 inspections of all community care facilities, residential care facilities for the
elderly, and child day care facilities.
Crime Statistics Reports for DOJ — would provide reimbursement for the
1340180 time spent by local law enforcement gathering and reporting various crime
statistics to the Department of Justice.
Mandatory OJT for Peace Officers Working Alone — would provide
POST Bulletin reimbursement for complying with the new POST requirement that prior to an
1991 officer being allowed to work alone, that he or she have a specified number of
hours of on the job training.
289100 False Reports of Police Misconduct— would provide reimbursement for the
process of a complainant to fill out a form acknowledging that it is a crime to
make a false report—which must be in multiple languages.
Lower Back Injury Presumption — would provide reimbursement of the
834101 additional employer costs from peace officer workers' compensation cases
that result from lower back injuries based on this presumption.
The Legislature is currently exploring ways to expedite the processing of these test claims in
order to reduce the backlog at the Commission and in order to limit the cost impact on the State.
The Commission should approve several of these claims for filing before the end of the 2004-
2005 fiscal year.
4
I
MAXIMUS
APPROACH & WORK PLAN
This section outlines MAIXMUS' general approach and work plan for the preparation of your
City's reimbursement claims and all other related work. Each of the key tasks is described below.
Comprehensive Mutual Planning Process: Our consultants will work with the City of
Palm Springs's designated staff to develop a customized project plan to complete the annual
claims, new or first-time claims and,where applicable, any late or amended claims. We will work
with the City to update our mutually agreed upon plan as new claiming opportunities arise. Our
planning process defines the schedules, methodology,time frames,and required information
needed to support the claims,as well as the assigned roles and responsibilities of all participants.
On-going Coordination and Communication: MAXIMUS will maintain on-going
communication with appropriate City staff. We encourage regular communications between all
parties to ensure there is a clear understanding of all future and current claiming opportunities
that need to be completed.
Direct and Indirect Program Data Collection: MAXIMUS consultants will meet with
the appropriate department representatives and gather all required program data for each state
mandated program. MAXIMUS will also identify the administrative and support personnel that
should be included in each department's indirect cost rate proposal.
Financial Data Collection: Your MAXIMUS Project Manager will work closely with your
City's financial staff to obtain the necessary financial data to support all claims. This supporting
documentation includes annual budgets,departmental expenditure reports,salary reports,cost
allocation plans(when available), and invoices.
Claims Preparation for City Review and Approval: MAXIMUS will prepare the
eligible reimbursement claims once the necessary data is obtained from the City. Each claim will
include:
➢ Completed State Controller's claim forms.
➢ Indirect cost rate proposal(ICRP).
➢ Documentation supporting the claim and the ICRP.
Completed claims will be submitted to the City's SB 90 Coordinator for review, approval and
signature.
J,
5
MAXIMUS
Claim Filing and Verification: Signed claims will be hand delivered to the State
Controller's Office by MAXIMUS along with a Declaration of Service. When received, a receipt,
signed by a representative of the State Controller's Office, will be forwarded to the City of Palm
Springs. MAXIMUS will provide the City copies of all filed claims, ICRP's and other attachments
required by the State.
On-Going Management Support: After the claims are filed,MAXIMUS will continue to:
➢ Communicate with the SB 90 Coordinator to recommend possible process
improvements or modifications that would benefit the City.
➢ Provide periodic status update on claims filed, State payments, new test claims and
other related information.
MAXIMUS will work with the City's SB 90 Coordinator and participating department staff to
improve the claiming process and the defensibility of the City's claims.
Desk Review and Audit Support:After the claims are filed, MAXIMUS staff will respond
to any State Controller desk review questions or field audits. Our staff has worked with the State
Controller for over twenty-five years in developing mutually agreeable solutions to issues that may
arise.
Provide Management and Cost Reports: Since the State has deferred the payment of
most claims for the last two years, it is more important than ever to maintain detailed claim
information. MAXIMUS has implemented a new database system to provide the City with
information on its claim amounts and State payments.
l 6
lot
MAXIMUS
PROFESSIONAL FEES
This brief section outlines our fee structure offered to the City of Palm Springs. Payment
arrangements are described in our attached Professional Services Agreement. Should the City of
Palm Springs prefer modification of this fee structure,we would be pleased to discuss changes to
accommodate the City's preference.
FIXED FEE
We propose to prepare and file all fiscal year 2004-2005 state mandate cost
reimbursement claims and new claims for which claiming instructions are issued in fiscal
year 2004-2005 for a fixed fee of eight thousand four hundred dollars ($8,400.00). This
fee will be billed in four equal installments: September 2004, December 2004, March
2005, and June 2005.
MAXIMUS is very flexible in negotiating its project costs and payment provisions. If for any
reason, the City should prefer to negotiate a different arrangement than what is included in this
section,we would be pleased to consider any reasonable alternative.
M ALMMUS
4320 Auburn Boulevard, Suite 2000
Sacramento, CA 95841
(916)485-8102
F: (916)485-0111
/1
NA A X A U S
HELPING GOVERNMENT SERVE THE PEOPLE
May 28, 2004
Mr. Tom Kanarr
Director Of Finance
City Of Palm Springs
P.O. Box 2743
Palm Springs, CA 92263
Dear Mr. Kanarr:
Per your request, enclosed are the executed copies of the Agreement to Provide
Mandated Cost Claiming Services. After you have obtained an appropriate signature,
please return one copy to myself in our Sacramento office.
Please call me at (916) 485-8102 if you have any other questions or comments. We value
you as a client and appreciate the opportunity of working with you and your staff.
Sincerely,
Nicole Koehler
Finance Manager
4320 AUBURN BLVD.,SUITE 2000 1 SACRAMENTO,CA 95841 1 916 485 81021 916,485.0111 FAX I W W W.MAXINIUS.COM
PAA
HELPING GOVERNMENT SERVE THE PEOPLEm
STATE OF VIRGINIA
COUNTY OF FAIRFAX
The attached instrument was acknowledged before me this 22nd day of June
2004, by David R. Francis, Secretary of MAXIMUS, Inc., a Virginia corporation,
on behalf of the corporation.
Notary Public
My commission expires: ?; J`
11419 SUNSET HILLS ROAD I RESTON,VIRGINIA 20190 I 703 Z51 8500 I FAX 703.251.8240 WWW.MA:IMUS COM
Marsh USA Inc 7/21/2004 5: 58 PAGE 2/3 RightFax
(MMIOONY)
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PRDDUGERMARSH USA INC. ONLY CERTIFICATE
RIGHTS UPONR tF THE I CERTFI+CATE
125523rd STREET,NW HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SUITE 400 ALTER YNB COVERAGE AFFORDED BY THE POLICIES BELOW,
WASHINGTON,DC 2OD37 COMPANIEa AFRORDINO COVERAGE
Attn:SHARON HENNING 2022637600
COMPANY
500S2S-OPROF•ONLY- A FEDERAL INSURANCE CO
INSURED COMPANY
MAXIM US,INC.,AND ALL SUBS IDIARI ES 0 TWIN CITY FIRE INSURANCE COMPANY
11419 SUNSET HILLS ROAD
RESTON,VA 201DO COMPANY
C AMERICAN INTERNATIONAL SPECIALTY LINES
: COIN>ANY
D HARTFORD INSURANCE CO.OF THE MIDWEST
THIS IS TO CERTIFY THAT THE P0.1GES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MANED ABOVE FOR THE POLICY PERTOD
INDICATED,NOTYLE7HSTANDINV ANY RECUIREAENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VLHTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY 7HE PdJCIES DESCR]BED HEREIN IS':SUB.ECT TO ALL THE TERMS,
EXCLUSIONS AND CC,NDI'PCNS OP SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO IYPE OF PNSURNICE POLICY NUMGER POLICYEFFECTIVE POLICY EXPIRATION OMITS
LT2 DATEIMMMDA7) DATE(MMDDA'Y)
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
A X OOMMEROALCENERALUARLITY 3537-02.G7 C5101/04 05/01/05 PRODUCTS-COMP/OPAOG $ 2,000,000
QAMSMADE f INCUR CERWNµ A,aoV INJURY S 1,000,0006
OME 2&CONTRAC CRSPRCT EA04 OCCURRENCE S 1,000,000
FIRE DAMA2(M me Nre) $ 1poa,000
MEDE)F AI me eram $ 10,000
AUTONOWLE LINNUM COMUNED 91,100 OMIT $ 110D0,000
A X ANY A rro 74978S92(ADS) 05/0VO4 06/01I05
A ALL OVMED AUTOS 74978M(TX) 05/01/04 05/01105 aODILYINJJRY $
A WMEOULED AUTOS 74978994(VA) 05/01/04 05/01105 (Plr proem)
HIRED AUTOS BODILYINJURY $
NON•DNNED AUTOS (PC WYIAmq
PROPERTYDAMAOE $
GARAGELIANUTY
AUTO ONLY•EAALCDENT A
ANYALTO OTHERTHAN ALTO ONLY:
EACH ACOOENT $
AOOREGATT $
EXCESS LNBSIIY EACH OCCURRENCE '$ 5,000,000
A X UMERELLAFORM 7977.0`-� 09/011C4 0510110E AMREGATE S S,000,000
DiHER TMAN UMBRELLA FORM $
WORSERS COMPENW19M AND WC Sr'AT -
EXPLQYERS'LIFBLITY X TORY OMITS ERA '
p 10WBRMFE5I (WI) 05/01104 OS/01/05 EACH A000ENT $ 1,000,000
D THE PROPRIETOR/ X INCL 10WNMF5SIO(AOS) 05/01/04 a5/01105 DISEASE-POLICYUMIT $ 1,000,000
PARrnERSIEYECUTItc 1,000,000
OFFICERS IRE EXC. DISEASE-EACH EMPLOYEE $
C PROFESSIONAL LIAR 001634BOS 05101/04 05101/05 1,000,000
OESISRW710N OF OPERATIONSA.00ATIONSrvEHIC1ESISPECIAL ITEMS
THE CITY OF PALM SPRINGS IS INCLUDED A$AN ADDITIONAL INSURED WITH REGARD TO GENERAL LIABILITY AS REQUIRED BY CONTRACT
WITH THE NAMED INSURED.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPRATMN UATE THEREOF,THE INSURANCE COMPANY WNL ENDEAVOR TO NAIL
CITY OF PSPRINS
AT TN: TOMLKANARRG TOIRECTOR OF FINANCE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O.BOX 2743 BUT FAIWRE TO MAL SUCH N0110E SMALL IMPOSE NO OBLIGATION OR ULAWLITY OF
PALM SPRINGS,CA S2263 ANY MIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES-
Timothy Saws® IMF MC
TimotBy M.$a>$Ef
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173W"D: MAXIMUS,J C AND AIL SCI73S,II1 ARTITS
POLICY NUMBER, 3537-42-47
C,OMMtCiAL UEN'URALT,'LkBUTY 80-02 931G:(4A)
((L:()VJIVALENi-TO—C-61..-rCaAM 4CG 20'10 03 27)
NI AAA ral"cO.MPANTY. FEDERAL sr SURANCT,COWANY
Itl.ukX[ART ADDITIONAL Itti'L4'CMED
Aa tioxial instted slim indlatde zuty.e-7 tgr•shovm op the t esei ica of laUT4.190 oOn.whotn the n:rrnad
laMecl i<,(iblipttrl by)A teg(laCttaet or, to proVidt itissiEttlp'oe.but;only w the extetkt Ym�tr1'ed
an the eautract or agree] atl.
All Other f0i.M and C0,00WOM,rernain trite twit•
E'd GtT'ON 'ONI snwixuw WIJES:L voo2'2 'gnu
CONTRACT ABSTRACT
Contract P
Company Name: MAXIMUS
'^ AUG e 5 201Q (ppp
RIECEEVED 11
Company Contact: Terry Birgel4/'
Summary of Services: Filing of Claims for State-Mandated Costs
Contract Price: $8400
Funding Source: 001-31101
Contract Term: June 30, 2004 - June 30, 2005
Contract Administration
Lead Department: Finance
Contract Administrator: Thomas M. Kanarr
Contract Approvals
Council/ Community Redevelopment N/A
Agency Approval Date:
Agreement No:
Minute Order/ Resolution Number: N/A
Contract Compliance
Exhibits: Attached
Signatures: Complete
Insurance: With Clerk
Bonds: Waived
Contract prepared by: Thomas M. Kanarr
Submitted on: 6/24104 By Mari Lynn Boswell: