HomeMy WebLinkAboutContract 50695 CITY xVROAR
RECEIVED CONTRACT NO.
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OR
12 2018 PROFESSIONAL SERVICES AGREEMENT
CI[(0F FORT WORTH
CITY SECRETARY
This PROFESSIONAL SERVICES AGREEMENT ("Agreement") is made and entered into
by and between the CITY OF FORT WORTH (the "City"), a home rule municipal corporation,
acting by and through Jesus J. Chapa, its duly authorized Assistant City Manager, and TEXAS
MUNICIPAL POLICE ASSOCIATION, INC. ("Contractor"), a Texas corporation, acting by and
through Jennifer Greene, its duly authorized representative. For purposes of this Agreement, the term
Contractor shall include Contractor, its authorized representatives, officers, employees, and instructors
who provide services on Contractor's behalf. The term City shall include its authorized representatives,
officers, employees, and directors.
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following:
1. This Professional Services Agreement;
2. Exhibit A—Scope of Services;
3. Exhibit B—Verification of Signature Authority Form.
Exhibits A, and B, which are attached hereto and incorporated herein, are made a part of this Agreement
for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, or B and the
terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement
shall control.
1.0 SCOPE OF SERVICES
Contractor agrees to conduct "Sexual Assault Family Violence Investigator's Course" ("SAFVIC")
training for law enforcement personnel beginning on April 2,2018, and ending on April 4, 2018("Services"),
as more fully described in Exhibit"A."Each day,Contractor shall provide training from 8:00 am to 5:00 pm,
Central Standard Time. Services shall be performed at the Bob Bolen Public Safety Training Complex
located at 511 W. Felix Street, Fort Worth,Texas 76115 ("Premises").
2.0 TERM
This Agreement shall become effective upon execution by both parties and shall expire on April 4,
2018 at 11:59pm, unless terminated earlier in accordance with the terms of this Agreement.
3.0 COMPENSATION
Services shall be at no cost to the City.
4.0 CONSIDERATION
City and Contractor expressly agree and stipulate that this Agreement is based on valuable
consideration and an exchange of promises that will be independently beneficial to both parties.
citically, Contractor agrees that the City will provide a benefit to Contractor by providing the use of
qM P 0*lities at no charge to Contractor for the Services and by furthering Contractor's mission by
edAca ther law enforcement departments and personnel on the type of threats handled by Contractor.
RSCCTntract as accepted this as valuable consideration for its pFFTWORTHY
f the Services of this
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Agreement. Additionally, City agrees that the Contactor's Services will provide a benefit to City and that
the City has accepted the Services as valuable consideration. Both parties agree as a condition precedent
to executing this agreement that the consideration is valuable and sufficient and that neither party shall be
able to assert otherwise in the event of litigation.
5.0 TERMINATION
5.1. Written Notice. City or Contractor may terminate this Agreement at any time and for any
reason by providing the other party with 10 days'written notice of termination.
6.0 ADDITIONAL DUTIES AND OBLIGATIONS OF THE PARTIES
The City shall be responsible for providing the classroom facilities and audio/visual equipment
needed by Contractor.The City shall not be required to purchase any new audio/visual equipment.Contractor
agrees to provide the City a list of necessary audio/visual equipment needed at least two(2)weeks prior to the
start of Services. The City agrees to notify contractor of any equipment that is not available within two days
of receiving the Contractor's list of necessary equipment. Contractor also agrees to provide the City with
information regarding the classroom size necessary to conduct the training at least two(2)weeks prior to the
start of Services.
The minimum enrollment for Services is 10 (ten) participants. If, the enrollment minimum is not
met,the parties agree to confer in good faith regarding whether to reschedule or cancel the Services.
The City requires a two (2) week notification prior to the scheduled training if changes are made
to the contractor's course schedule or materials.
Contractor will provide at least one (1) qualified instructor ("Instructor") for the training program
who will facilitate the Services.
Contractor agrees to provide each registered course participant with course materials and supplies
pertinent to the subject areas to be covered.
Contractor is required to report training hours to the Texas Commission on Law Enforcement
(TCOLE)for all participants who have a valid TCOLE PID number.
The Contractor is required to provide the following information to the City before the Services
commence:
• Instructor Biography(ies)
• Course Syllabus/Schedule
7.0 DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION
7.1 Disclosure of Conflicts. Contractor hereby warrants to City that Contractor has made full
disclosure in writing of any existing or potential conflicts of interest related to Contractor's services under
this Agreement. In the event that any conflicts of interest arise after the Effective Date of this Agreement,
Contractor hereby agrees immediately to make full disclosure to City in writing.
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7.2 Confidential Information. Contractor, for itself and its officers, agents and employees,
agrees that it shall treat all information provided to it by City ("City Information') as confidential and
shall not disclose any such information to a third party without the prior written approval of City.
7.3 Unauthorized Access. Contractor shall store and maintain City Information in a secure
manner and shall not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Contractor shall notify City immediately if the security or integrity of any City
Information has been compromised or is believed to have been compromised, in which event, Contractor
shall, in good faith, use all commercially reasonable efforts to cooperate with City in identifying what
information has been accessed by unauthorized means and shall fully cooperate with City to protect such
City Information from further unauthorized disclosure.
8.0 ACCESS
The access granted to Contractor pursuant to this Agreement shall be limited to the property
defined as Premises in Section I of this Agreement. Contractor shall be escorted by a City employee at all
times while on Premises. The City employee escorting Contractor must be authorized to access Criminal
Justice Information Services ("CJIS") protected data. The parties acknowledge and understand that the
Premises contains one or more areas where CJIS protected data is viewed, modified, and used.
Furthermore, the parties acknowledge that Federal and State law set forth the access requirements for
CJIS protected data. The parties agree to comply with all Federal and State law requirements regarding
access to CJIS protected data.
Contractor shall sign in and out at the front desk of Premises upon entry. Contractor shall carry a
valid photo ID while on Premises.
9.0 RIGHT TO AUDIT
Contractor agrees that City shall, until the expiration of three (3) years after final payment under
this contract, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents, papers and records,
including, but not limited to, all electronic records, of Contractor involving transactions relating to this
Agreement at no additional cost to City. Contractor agrees that City shall have access during normal
working hours to all necessary Contractor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give
Contractor reasonable advance notice of intended audits.
10.0 INDEPENDENT CONTRACTOR
It is expressly understood and agreed that Contractor shall operate as an independent Contractor
as to all rights and privileges and work performed under this Agreement, and not as agent, representative
or employee of City. Subject to and in accordance with the conditions and provisions of this Agreement,
Contractor shall have the exclusive right to control the details of its operations and activities and be solely
responsible for the acts and omissions of its officers, agents, servants, employees, consultants and
subContractors. Contractor acknowledges that the doctrine of respondeat superior shall not apply as
between City, its officers, agents, servants and employees, and Contractor, its officers, agents, employees,
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servants, Contractors and subContractors. Contractor further agrees that nothing herein shall be construed
as the creation of a partnership or joint enterprise between City and Contractor. It is further understood
that City shall in no way be considered a Co-employer or a Joint employer of Contractor or any officers,
agents, servants, employees or subContractor of Contractor. Neither Contractor,nor any officers, agents,
servants, employees or subContractor of Contractor shall be entitled to any employment benefits from
City. Contractor shall be responsible and liable for any and all payment and reporting of taxes on behalf
of itself, and any of its officers, agents, servants, employees or subContractor.
11. LIABILITY AND INDEMNIFICATION
11.1 LIABILITY- CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING
DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR
ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S),
MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS,
AGENTS, SER VANTS OR EMPLOYEES.
11.2 GENERAL INDEMNIFICATION - CONTRACTOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS,AGENTS,
SERVANTS AND EMPLOYEES, FROMAND AGAINST ANYAND ALL CLAIMS OR LAWSUITS
OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR EITHER PROPERTY
DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO CONTRACTOR'S
BUSINESS AND ANY RESULTING LOST PROFITS)AND/OR PERSONAL INJURY, INCLUDING
DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN CONNECTION WITH THIS
AGREEMENT, TO THE EXTENT CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS OR
MALFEASANCE OF CONTRACTOR,ITS OFFICERS,AGENTS,SERVANTS OR EMPLOYEES.
11.3 INTELLECTUAL PROPERTY INDEMNIFICATION— Contractor agrees to defend,
settle, or pay, at its own cost and expense, any claim or action against City for infringement of any
patent, copyright, trade mark, trade secret, or similar property right arising from City's use of the
software and/or documentation in accordance with this Agreement, it being understood that this
agreement to defend, settle or pay shall not apply if City modifies or misuses the software and/or
documentation. So long as Contractor bears the cost and expense of payment for claims or actions
against City pursuant to this section, Contractor shall have the right to conduct the defense of any
such claim or action and all negotiations for its settlement or compromise and to settle or
compromise any such claim; however, City shall have the right to fully participate in any and all
such settlement, negotiations, or lawsuit as necessary to protect City's interest, and City agrees to
cooperate with Contractor in doing so. In the event City, for whatever reason, assumes the
responsibility for payment of costs and expenses for any claim or action brought against City for
infringement arising under this Agreement, City shall have the sole right to conduct the defense of
any such claim or action and all negotiations for its settlement or compromise and to settle or
compromise any such claim; however, Contractor shall fully participate and cooperate with City in
defense of such claim or action. City agrees to give Contractor timely written notice of any such
claim or action, with copies of all papers City may receive relating thereto. Notwithstanding the
foregoing, City's assumption of payment of costs or expenses shall not eliminate Contractor's duty
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to indemnify City under this Agreement. If the software and/or documentation or any part
thereof is held to infringe and the use thereof is enjoined or restrained or, if as a result of a
settlement or compromise, such use is materially adversely restricted, Contractor shall, at its own
expense and as City's sole remedy, either: (a) procure for City the right to continue to use the
software and/or documentation; or (b) modify the software and/or documentation to make it non-
infringing, provided that such modification does not materially adversely affect City's authorized
use of the software and/or documentation; or (c) replace the software and/or documentation
with equally suitable, compatible, and functionally equivalent non-infringing software and/or
documentation at no additional charge to City; or (d) if none of the foregoing alternatives is
reasonably available to Contractor terminate this Agreement, and refund all amounts paid to
Contractor by City, subsequent to which termination City may seek any and all remedies available
to City under law.
12.0 ASSIGNMENT AND SUBCONTRACTING
11.1 Assignment. Contractor shall not assign or subcontract any of its duties, obligations or
rights under this Agreement without the prior written consent of City. If City grants consent to an
assignment, the assignee shall execute a written agreement with City and Contractor under which the
assignee agrees to be bound by the duties and obligations of Contractor under this Agreement. Contractor
and Assignee shall be jointly liable for all obligations of Contractor under this Agreement prior to the
effective date of the assignment.
11.2 Subcontract. If City grants consent to a subcontract, sub Contractor shall execute a
written agreement with Contractor referencing this Agreement under which sub Contractor shall agree to
be bound by the duties and obligations of Contractor under this Agreement as such duties and obligations
may apply. Contractor shall provide City with a fully executed copy of any such subcontract.
13.0 INSURANCE
Contractor's requirement for insurance has been waived.
14.0 COMPLIANCE WITH LAWS, ORDINANCES,RULES AND REGULATIONS
Contractor agrees that in the performance of its obligations hereunder, it shall comply with all
applicable federal, state and local laws, ordinances, rules and regulations and that any work it produces in
connection with this Agreement will also comply with all applicable federal, state and local laws,
ordinances, rules and regulations. If City notifies Contractor of any violation of such laws, ordinances,
rules or regulations, Contractor shall immediately desist from and correct the violation.
15.0 NON-DISCRIMINATION COVENANT
Contractor, for itself, its personal representatives, assigns, subContractors and successors in
interest, as part of the consideration herein, agrees that in the performance of Contractor's duties and
obligations hereunder, it shall not discriminate in the treatment or employment of any individual or group
of individuals on any basis prohibited by law. IF ANY CLAIM ARISES FROM AN ALLEGED
VIOLATION OF THIS NON-DISCRIMINATION COVENANT BY CONTRACTOR, ITS
PERSONAL REPRESENTATIVES, ASSIGNS, SUBCONTRACTORSS OR SUCCESSORS IN
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INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY
AND DEFEND CITY AND HOLD CITY HARMLESS FROM SUCH CLAIM.
16.0 NOTICES
Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have
been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
To The CITY:
City of Fort Worth
Attn: Jesus J. Chapa
Assistant City Manager
200 Texas Street
Fort Worth TX 76102-6311
Facsimile: (817) 392-8502
With a copy to the City Attorney's Office at the same address and to:
Contract Compliance Specialist
Bob Bolen Public Safety Complex
505 W. Felix St.
Fort Worth, TX 76115
To CONTRACTOR:
Texas Municipal Police Association, Inc.
6200 La Calma Dr., Suite 200
Austin, TX 78752
Phone: (800) 848-2088
17.0 SOLICITATION OF EMPLOYEES
Neither City nor Contractor shall, during the term of this Agreement and additionally for a period
of one year after its termination, solicit for employment or employ, whether as employee or independent
Contractor , any person who is or has been employed by the other during the term of this Agreement,
without the prior written consent of the person's employer. Notwithstanding the foregoing, this provision
shall not apply to an employee of either party who responds to a general solicitation of advertisement of
employment by either party.
18.0 GOVERNMENTAL POWERS
It is understood and agreed that by execution of this Agreement, City does not waive or surrender
any of its governmental powers or immunities.
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19.0 NO WAIVER
The failure of City or Contractor to insist upon the performance of any term or provision of this
Agreement or to exercise any right granted herein shall not constitute a waiver of City's or Contractor's
respective right to insist upon appropriate performance or to assert any such right on any future occasion.
20.0 GOVERNING LAW/VENUE
This Agreement shall be construed in accordance with the laws of the State of Texas. If any
action, whether real or asserted, at law or in equity, is brought pursuant to this Agreement, venue for such
action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the
Northern District of Texas, Fort Worth Division.
21.0 SEVERABILITY
If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity,
legality and enforceability of the remaining provisions shall not in any way be affected or impaired.
22.0 FORCE MAJEURE
City and Contractor shall exercise their best efforts to meet their respective duties and
obligations as set forth in this Agreement, but shall not be held liable for any delay or omission in
performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance or regulation, acts of God, acts of the public
enemy, fires, strikes, lockouts, natural disasters, wars, riots, material or labor restrictions by any
governmental authority, transportation problems and/or any other similar causes.
23.0 HEADINGS NOT CONTROLLING
Headings and titles used in this Agreement are for reference purposes only, shall not be deemed a
part of this Agreement, and are not intended to define or limit the scope of any provision of this
Agreement.
24.0 REVIEW OF COUNSEL
The parties acknowledge that each party and its counsel have had the opportunity to review and
revise this Agreement and that the normal rules of construction to the effect that any ambiguities are to be
resolved against the drafting party shall not be employed in the interpretation of this Agreement or
Exhibits"A"and "B."
25.0 AMENDMENTS/MODIFICATIONS/EXTENSIONS
No amendment, modification, or extension of this Agreement shall be binding upon a party hereto
unless set forth in a written instrument, which is executed by an authorized representative of each party.
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26.0 ENTIRETY OF AGREEMENT
This Agreement, including Exhibits A and B, contains the entire understanding and agreement
between City and Contractor, their assigns and successors in interest, as to the matters contained herein.
Any prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in
conflict with any provision of this Agreement.
27.0 COUNTERPARTS.
This Agreement may be executed in one or more counterparts and each counterpart shall, for all
purposes, be deemed an original, but all such counterparts shall together constitute one and the same
instrument.
28.0 WARRANTY OF SERVICES
Contractor warrants that its services will be of a professional quality and conform to generally
prevailing industry standards. City must give written notice of any breach of this warranty within thirty
(30) days from the date that the services are completed. In such event, at Contractor's option, Contractor
shall either (a) use commercially reasonable efforts to re-perform the services in a manner that conforms
with the warranty, or(b)refund the fees paid by City to Contractor for the nonconforming services.
29.0 IMMIGRATION NATIONALITY ACT
Contractor shall verify the identity and employment eligibility of its employees who perform
work under this Agreement, including completing the Employment Eligibility Verification Form (I-9).
Upon request by City, Contractor shall provide City with copies of all I-9 forms and supporting eligibility
documentation for each employee who performs work under this Agreement. Contractor shall adhere to
all Federal and State laws as well as establish appropriate procedures and controls so that no services will
be performed by any Contractor employee who is not legally eligible to perform such services.
CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY
PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY
CONTRACTOR, CONTRACTOR'S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR
LICENSEES. City, upon written notice to Contractor, shall have the right to immediately terminate this
Agreement for violations of this provision by Contractor.
30.0 SIGNATURE AUTHORITY
The person signing this Agreement hereby warrants that he/she has the legal authority to execute
this Agreement on behalf of the respective party, and that such binding authority has been granted by
proper order, resolution, ordinance or other authorization of the entity. This Agreement and any
amendment hereto, may be executed by any authorized representative of Contractor whose name,title and
signature is affixed on the Verification of Signature Authority Form, which is attached hereto as Exhibit
"B." Each party is fully entitled to rely on these warranties and representations in entering into this
Agreement or any amendment hereto.
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31.0 CHANGE IN COMPANY NAME OR OWNERSHIP
Contractor shall notify City's Purchasing Manager, in writing, of a company name, ownership, or
address change for the purpose of maintaining updated City records. The president of Contractor or
authorized official must sign the letter. A letter indicating changes in a company name or ownership must
be accompanied with supporting legal documentation such as an updated W-9, documents filed with the
state indicating such change, copy of the board of director's resolution approving the action, or an
executed merger or acquisition agreement. Failure to provide the specified documentation so may
adversely impact future invoice payments.
32.0 PROHIBITION ON CONTRACTING WITH COMPANIES THAT BOYCOTT ISRAEL
Contractor acknowledges that in accordance with Chapter 2270 of the Texas Government Code,
the City is prohibited from entering into a contract with a company for goods or services unless the
contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will
not boycott Israel during the term of the contract. The terms "boycott Israel" and "company" shall have
the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this
contract, Contractor certifies that Contractor's signature provides written verification to the City
that Contractor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the
contract.
(signature page follows)
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EXECUTED on this,thv4 —day of�'2018.
CITY OF FORT WORTH: TEXAS MUNICIPAL POLICE
ASSOCA- T140N,INC.
By: By. ...._._.....
Jesus J. Chapa Jennifer Teen
Assistant City Manager SAFVIC Program Manager
Date: �J /� 'l� Date: C' '1 —
APP O RECOMMENDED BY:
By:
Joe F.Fi zgerald
Chief of Police
Date: 04 oq_;-.bf 9
APPROVED AS TO
FORM AND LEGALITY:
By:� '� ^.
Thomas R.Hansen
Assistant City Attorney
FORT
ATTE
:3:
By:
MayJ. K
City Secreta � XAS
Form 1295 Certification No: NOT IRED
This agreement does not require City Council approval.
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ens ' all perf ce and reporting requirements.
0—, OFFICIAL RECORD
Office J mes Dunn CITY SECRET
Fort o h Police Officer SECRETARY
FT.. WORTH,TX
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EXHIBIT A-SCOPE OF SERVICES
Contractor agrees to conduct "Sexual Assault Family Violence Investigator's Course" ("SAFVIC") training
for law enforcement personnel beginning on April 2, 2018, and ending on April 4, 2018 as more fully
described by the 24 Hour Course Lesson Plan below:
S A F V I C
Sexual Assault Family Violence
INVESTIGATOR COURSE
24 HOUR COURSE LESSON PLAN
DAY ONE
Chapter One:Course Overview(ApprWmatey 45 minutes)
• Complete registration sheets
• PPT'12 Slides
• Pre-Test(Approximately 15-20 minutes)
Chapter Two:Family ViWenCa/SftAI Assault StatistiCs
• No PowerPoiM for referenCe only.The more sipiffCant statistics are included
in the Family VkAen WSexual Assault Dynamics Chapters_
Chapter Thee:History or Family%"enCe and Sexual Assault
■ No PowerPoint,for reference only.
Chapter Four:Dynamics or Farrdy Violence(Approximately 1.5 hours)
• PPT 63 Slides(t0 include instruCtot s preference of videWaudio Clime)
Chapter Fiver Family Violence Laws(Approximatey,15 hours)
• PPT.78 Slides
Chapter She Dynamics or Sexual Assault(Approximately 1.75 hours)
• PPT 70 Slides(to include instruCWs preference of video/audio dips)
Chapter Seven:Sexual Assault Laws(Approxirnatey 15 hours)
PPT_79 Slides
DAY TWO
Chapter Elgin Sexual Assault&Family VlolenCe Investigative Techniques
(Approximately 5 hours)
PPT:114 Slides(to include instruCtor's preferenCe of video/audio Clips)
Chapter Nine(A):Stolldnill;(Approximately 15 hour)
• PPT_-66 Slides(to include instructor's preferenCe ar video/audio dips)
Chapter Nine(8):ViolenCe In Immigrant and Tribal Communities(Approximately i
hour)
• PPT: 40 Slides(to include inst rCtor's preference of vk*Waudio Clips)
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EXHIBIT A-SCOPE OF SERVICES
DAY THREE
Chapter Nine(C)[Sexual Assault and Family VlolenCe in the Military(Approximately
45 minutes)
• PPT: 25 Slides(to include instructor's preference of video/audio dips)
Chapter Nine(D)_Sexual Assault&Farrdy Vi0lenoe and People with Disabilities
and/or Older Adults(Approximately 2 hours)
■ PPT.. 54 Slides(to include instructor's preference of video/audio dips)
Chapter Nine(E):Drug-Facllitated Sexual Assault(Approximately 1.5 hours)
■ PPT: 51 Slides(to include instructor's preference of video/audio dips)
Chapter Ten:Community Response&Victim Resounds
(Approximately 1 hour)
PPT_53 Slides(to include instruCtor's preference of video/audio dips)
—Review(as time alWws)—
Final Exam(Approximately 1 hour)
Course Evaluations(Approximately 20 Minutes)
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EXHIBIT B
VERIFICATION OF SIGNATURE AUTHORITY
Execution of this Signature Verification Form ("Form') hereby certifies that the following individuals
and/or positions have the authority to legally bind Vendor and to execute any agreement, amendment or
change order on behalf of Vendor. Such binding authority has been granted by proper order, resolution,
ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and
representation set forth in this Form in entering into any agreement or amendment with Vendor. Vendor
will submit an updated Form within ten (10) business days if there are any changes to the signatory
authority. City is entitled to rely on any current executed Form until it receives a revised.Form that has
been properly executed by Vendor.
Name: J fes' y-
�e yl t,
Position E y `J � Ur 5 M'K=Vi
Signature '✓J
Name:
Position:
Signature
Name:
Position:
Signature
Name:
Signature of President/CEO
Other Title:
Date:
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