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HomeMy WebLinkAboutContract 45496CITY SECRR1AM! CONTRACTNO.gij5I PROFESSIONAL SERVICES AGREEMENT THIS PROFESSIONAL SERVICES AGREEMENT ("Agreement") is made and entered into between THE CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas ("City"), acting by and through Charles W. Daniels, its duly authorized Assistant City Manager, and P.S. Roos and Associates, Inc., acting by and through Philip Roos, Ph.D., its duly authorized representative ("Consultant"), each individually referred to herein as a "party" and collectively referred to as the "parties." RECITALS WHEREAS, Consultant provides professional pre -employment psychological services; and WHEREAS, City is in need of professional pre -employment psychological services to assist City in complying with state law by providing psychological evaluations to applicants desiring to become telecommunicators, as required by the Texas Commission on Law Enforcement ("TCOLE")* and WHEREAS, City and Consultant desire to enter into an agreement to have such services provided which benefit City. NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT 1. Services. Consultant covenants and agrees that Dr. Philip Roos ("Dr. Roos"), solely and individually, will fully perform, with good faith and due diligence, all services and objectives described in Exhibit A, Scope of Work, which is attached hereto and incorporated herein as if copied in full ("Services"). The City also agrees to perform the duties and responsibilities described in Exhibit A. 2. Term. a) Services shall be provided by Dr. Roos for an initial term beginning April 1, 2014, and ending March 31, 2015 ("Initial Term"). b) In addition to the Initial Term of this Agreement, there shall be three options to renew for terms of one year each (each a "Renewal Term"), at the City's option, unless this Agreement is earlier terminated as provided herein. Renewal shall occur upon City including in its budget for the option years sufficient funds for its obligations hereunder and Consultant providing proof of continued certifications and insurance. The Initial Term and Renewal Terms are collectively referred to herein as the "Term." Professional Services Agreement P.S. Roos and Associates, Inc. Page 1 of 7 RECEIVED APR 15 20t4 Execution Coppv I;;sue Date 04/1/2014 OFFICIAL RECORD CITY SECRETARY F�'. WORTH, TX 3. Fee. City agrees to pay Consultant $1,50.010 per applicant for administering the written I e inations, conducting the in-person assessment and comps leting and providing to the City the xam forms req,L,11.red by TCOLE. The total cost for,the 1nitial Term of`this Agreement shall. not exceed $49,999.00. The City is only responsible for paying for services actually received, and does not guarantee a certain amount of business by entering into this Agreement. The Fee shall be compensation for all Services, actually received. Payment shall be made monthly and shall be based upon the number of applicant evaluations processed during the previ.otts month, as reflected by notification to the City of assessment results. No payment shall be due for any applicant until cornpletion by Consultant of all oJOCUMentation necessary for the City to process payments. Payment from City to Consultant shall be made on an 'Invoice basis following receipt by City, from Consultant of a signed invoice., The invoice shall be Submitted to City, addressed to: City of Fort Worth Police Department Attention.- Aya Eaiy 3501 West Belknap Fort Worth, Texas, 76102 Invoices should be received no later than the 15"' day of the month following provision of any Set-vices under this Agreement. City agrees to pay invoices within thirty (30) clays, of receipt. 4. Ten-nination. Either party may cancel this Agreement at any time and for any reason by providing the other party witli thirty (3 ays written notice of termination. In the event, this Agreement is terminated prior to expiration of the Term, City shall pay Consultant only for Services,actually rendered as of the effective date of termination. 5. Independent Contractor. Consultant shall operate hereunder as an independent contractor agent, servant, or employee of City. Consultant shall have exclusive and not as an officer, control of and have the exclusive right to control the details of the Services perfor-med hereunder, and shall be solely resp�o�nsib�le for the acts and missl'ons of its officers, agents, servants and employees. The doctrine of respon,deat superior shall not apply as between the City and Consultant its officers, agents, servants and employees, and nothing herein shall be construed as creating a partnership or joint enterprise between City and. Consultant. It is expressly understood and agreed,that no officer, agent or employee of Consultant is in the paid service of City. 6. 1.,j.ab,j1it)/ and Indemnification. CONSULTANT SIJALL BE LIABI-....E AND, RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INKJRY, INCLUDING' D ,AT 1.4, 4`01 ANY AND ALL, PERSONS, OF ANY KIND OR CHARACTER, WHETHER R_EAL OR. ASSERTED, TO THE EXTEN"I" CAUSED BY THE NEGLIGENT ACT(S) OR OMISS]'ON(S), MALFEASANCE OR [N"T'ENT ION AL MISCONDUCT OF CONSULTAN-l', ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES. Professional Set-vices Agreement Exect,ition Copy F,s..Roos and Associates,Inc. Issue Date 04/1/20t4 Page 2 of 7 CONSULTANT COVENANTS AND AGREES TO,, AND DOES HEREBY, INDEMNIf4Y, 1_101 D RARMLESS AND DEFENDTHE CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINS'T" ANY AND ALL CLAIMS OR LAWSUITS FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO CONSULTANT'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL fNJURY, INCLUDING DEATH, TO ANY AND, ALL PERSONS, O F ANY KIND OR C14ARACTER., WHETHER, REAI OR ASSERTED, ARISING OUT OF OR FNCONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS, MALFEASANCE, OR INTENTIONAL MISCONDUCT OF CONS ULTAN"I", ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES. IN ADDITION, CONSULTANT COVENANTS AND AGREES TO AND DOES HER-EBY INDEMNIFY AND .HOLD HARMLESS, CITY FROM AND AG'AINS"FANY AND ALL CLAIMS FOR DISCRIMINATION OR VIOLATION OF CIVIL RIGH'T'SARISING OUT OF OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF CO SL IFTANT, ITS OFFICERS, 'AGENTS', -SERVANTS OR EMPLOYEES IN CONNECTION WITH THE PROVISION OF '_1`HE SERVtCES OUTLINED FN EXHIB"fT A AND THE CONSULTANT'S FINAL DETER.-MINATION ON APPLICANTS' FITNESS TO BE EMPLOYED AS FORT WORTH TELECOMMUNICATORS. This Section 6 shall survive the expiration or termination of this Agreement. 7. Insurance. 7.1 During the Term of this Agreement, Consultant all carry the fiollowing insurance coverage with a company that is licensed to do business in. Texas or' otherwise approved by the city.. (a) Professional Liability, (Errors & Omissions) in the amount of$1,010�0,,000 per claim and I I - $2,000,000 aggregate I*m't, and (b) Any other insurance as required by City. 7.2 General Insurance ReqUirernel"AS'. (a) All applicable policies shall name the City as an additional insure d thereon, as its interests, may appear. The term City shall include its employees, officers, oft'icials, agents,, and volunteers in respect to the contracted services. (b) Notice of Cancellation shall be provided in accordance with policy provisi0ons. Notice shall be sent to the Risk Manager, City offort Worth, 1000 Throckmorton, 'Fort Worth, Texas 76102, with copies to the City Attorney at the same address. (c) The 'insurers for, all policies must be licensed and/or approved to do business in the State oF Texas. All insurers must have a minimum rating of A-VII in the current A.M. Best Prot'essional Services Agreement Execution Copy P.S.Roos and Associates,1110. Issue Date 04/1/2014 Page 3 off`'7 Key Rating Guide, or have reasonably equivalent financial., strength and solvency to the satin`action of Risk Management. If the rating Is below that required, written approval of Risk Management is required. (d) Any t�llure on the part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirement. (e) Certificates of Insurance evidencing that the Consultant has obtained all required insurance shall, be delivered to the City prior to Consultant proceeding with any work pursuant to this Agreement. 8. Assii4nment. Consultant shall not assign or subcontract all or any part of its rights, privileges or duties under this Agreement, and any attempted assignment or subcontract of same shall be void and constitute a breach of this Agreement. 9. Comyliance with Law. COnSUItant, its officers, agents and employees, shall abide by and cornply with all laws, federal, state and local, including all ordinances, rules and regulations of City. It is agreed and understood that, if City calls to the afte,tition, of ConSUltant any such violation on the part of Constiltant or any of its officers, agents or employees, then, Consultant shall immediately desist from and correct such violation. 10. Non-Discrii-ninatlon. Consultant, in the execution, performance or attempted perforl-nance of-this contract and Agreement, will not discrinninate agaih.ist any person or persons because of disability, age, familial status, sex, race, religion, color, national origin., sexual orientation, trans ender status, gender identity or gender expression, nor will Consultant permit its officers, agents or employees to engage in such discrimination. This Agreement is made and entered into with reference specifically to Chapter 17, Article 111, Division 31, of the City Code of the City of Fort Worth ("Discriml nation in Employment Practices"), and Consultant hereby covenants and agrees that Consu1tant, its agents, employees have ffilly complied with all provisions of same and that no employee or employee- applicant has been discrinlinated against by either Consultant its agents or employees. 11. Right to Audit. Consultant agrees that the City shall, until the expiration of three (3) years after renal payment under this Agreement, have access to and the right to examine any directly pertinent books, documents, papers and records of the Consultant involving transacti.ons, relating to this Agreement at no additional cost to the City. The City agrees to pay for the able cost of any necessary copies *in rdance with the applicable provisions of the reason acco Texas Administrative Code. Consultant agrees that the City shall have access during normal working hours to all necessary Consultant facilities and shall be prodded ded adequate and appropriate workspace in order, to conduct audits in compliance with the provisions of this section. The City shall give Consultant reasonable advance notice of Intended audits., This Section I I shall Survive the expiration or termination of this, Agreement. Professional Services Agreement Execution Copy P.S.Roos wd AssoiciaLes',111C. Issue Date 04/1/2014 Page 4 of 7 12. Fiscal Funding. In the event no funds or 111SUfficient funds are appropriated by the City in any fiscal period for any payments hereunder, (.."lity will notify Consultant of such Occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind whatsoever, except as to 'the portions of the payments herein agreed upon ,for which funds shall have been appropriated. 1,3. Entire Agreement. T'his, written instrument constitutes the entire agreement by the parties hereto concerning the work and Services to be performed hereunder, and any prior or contemporaneous, oral or written agreement, which purports to vary -from, the terms hereof shall be void. 14. Not an Exclusi've Agreement. This Agreement in no way is intended to be an exclusive agreement for rendering such Services described in Exhibit A. City reserves the right to use alternate consultants, and such use of alternate consultants shall not be consIdered a breach of this Agreement. 15. Goveming Law and Venue. This Agreement shall. be governed by and construed in accordance with the laws of the state of Texas. Should any action, whether real or asserted, at law or in equity,, arise out of the execution,, performance, attempted performance of this Agreement, venue for said action shall fie in Tarrant County, Texas, 16. Notices. Notices regarding the contractual relationship entered into by this Agreement shall be sufficient if forwarded to the other party by hand-delivery or via U.S. Postal Service certified mail, postage prepaid, to the addres,s,of the other party shown below: 1. CITY.- Charles W. Daniels,Assistant City Manager City Manager's Office City of Fort Worth 1000 Throckrnorton Street Fort Worth,TX 76102 Copies to Aya Ealy, Contract Compliance Fort Worth Police Department 350 W. Belknap Fort Werth,i TX 76102 Police Legal Advisor Law Department 1000 Tbrockmorton Street Fort Worth.,TX 7'6102 'Professional Services,AgTeement Execution Copy P.S.Roos and Associates,Inc. Issue Date 0411/2014 Page 5 of 7 CONSULTANT.- Philip Roos, Ph.D. P.S. Roos and Associates, Inc. 6100 Tiffany Park Court Arlington, TX 76016 17. N r on-Waiver. The failure of City or Consultant to insist upon the perfonnance of any term or provision of this Agreement or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any extent of City's or Consultant's right to assert or rely upon any such to or right on any future occasion. 18. Disclosure of Conflicts.•, Pro,p.rj etary,and Confidential Information. a) Consultant hereby warrants to the City that Consultant has made full disclosure in writing of any existing or potential conflicts of interest related to Consultant's Services and proposed Services with respect to this Agreement. hi the event that any conflicts of 'Interest arise after this Agr,eem,ent becomes effective, Consultant hereby agrees immediately to make full disclosure to the City in writing. b) The City acknowledges that Consultant may use products, materials or methodologies, proprietary to Consultant. The City agrees that Consultant's provision of Services under this Agreement shall not be grounds for the City to have or obtain any rights in such proprietary products, materials or methodologies unless the parties have executed a separate written agreement,with respect thereto. c) Consultant understands and agrees that the City IS Sub IOUS P�U Ic I ject to var' bt* information laws and regulations, including, but not limited to, the Texas Public Information Act; therefore, records held b�y the City may be subJect to disclosure. Notwith stand i ng the foregoing, Consultant, f*(.)Ir itself aM its officers, agents and employees, further agrees that it shall treat all information provided to it by the City or otherwise received by it from the applicant, as confidential, and Shall not disclose any such Information to any third party Wit Out the prior written approval ot'the City. 19. Severa ff 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. 201. Force Maiguie. The City and Consultant shall exercise their, best efforts to meet their respective duties and obligations as set forth in this Agreement, but shall not be held, liabile for any delay or omission in performance due to force rr ijeUre or other causes beyond their reasonable control,, including, but -not limited to, comptiance with any government law, ordinance or regulation, acts of God, acts of ornission, fires, strikes, lockouts, national disasters, wars, riots, material or labor restrictions by any governmental authority,, transportation problems and/or any other similar causes,. Prof6ssiomfl Services Agreement Execution Copy P.S.Roos and Associates,111 . Issue Date 04/1/20 1 4 Page 61 of 7 21. Headings not Controlling. Headings and titles used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this agreement in multiples originals in Fort Worth, Tarrant County, Texas, to be effective as of the date set forth in Section 1 herein. CITY OF FORT WORTH Charles W. Daniels Thrssistant City Manager APPROVAL RECOMMENDED: W r7Q;Lo Jeffrey W. Halstead Chief of Police ATTEST: ary Kay6 Secretary APPROVFiD'AS TO FORM AND LEGALITY: Jessica S . • : svang Assistan City Attorney Professional Services Agreement P.S. Roos and Associates, Inc. Page 7 of 7 CONSULTANT By: v Philip Rijos, Ph.D. P.S. Roos and Associates, Inc. tract Authorization: M&C: Not Required Date Approved: N/A Exec io Copy • Isse�:. 9 tW1ECORD SECRETARYWV WORTH, TX EXHIBIT A Scope of Work 'The City desires to engage the services, of a psychologist or a psychiatrist as an independent consultant to perform pre-einployment psychological evaluations to applicants desiring to become telecommunic,ators,, as required by state law and the Texas Commission on Law Enforcement ("TCOLE") and in. accordance to the Professional Services Agreement to which this Exhibit A is attached (the"Agreement"). Consultant affin-ris that he or, she is licensed to practice in Texas by the State Board of Examiners of Psychologists or, the Texas Medical Board, and desires to render professional services fior City on the terms and conditions provided in the Agreement; is familiar with the duties of telecommunicators, employed by the City of Fort Worth; has specialized knowledge in the use of psycho diagnostic and personality tests for employment selection decisions; has a working knowledge of and will abide by the laws related to the erg iployment screening process in Texas, including the one attached to this Exhibit as Appendix A; and will abide by the Americans with Disabilities Act, as, amended, and all other laws relevant to the Agreement and the scope of work to! be performed. THEREFORE,,, by this Exhibit A and the Agreement, and based upon, Consultant's affirmations,, City retains, the services of Consultant, and in consideration o�f'the mutual promises contained herein and in the Agreement,, the parties agree as follows. SERVICES TO BE PROVIDED BY AND RESPONS11311,1T]'ES OF CONSULTANT A. Consultant shall administer pre-employment psychological examinations to applicants seeking to becorne telecommunicators in the City of Fort Worth (hereinafter referred to as "Applicants") as may be required from time to time on a scheduled basis., B. All examination processes must be conducted pursuant, to professionally recognized standards and methods. C. The examination process for each Applicant must consist of a review off"the current job: description for telecon-ii-nunicators eniployeld by the City of Fort Worth an example of which is attached hereto as Appendix B); review of the Applicant's pers,onal history statements if any, background documents, or a summary of such documents, which will be provided by police department staff to the Consultant at or near the ti me! of the Consultant's interview of the Applicant; scoring and review of at least two Instruments, one which measures personality traits (and one which measures psychopathology; and a face-to-face interview conducted after the instruments have been scored. D. The Consultant shall determine which two instrunients to utilize in order to nleasure the Applicants' personality traits and psychopathology, although all Applicants should be given the same 'two tests. The parties to the Agreement will determine Exhibit A Scope of Work Page I of'3 whether the tests should be administered at the police training academy or in some other City-owned fiacIlIty. The tests will be adi-ninistered by the Consultant and/or his or her staff. E. Consultant will conduct the individual Interviews of` the Applicants at the police training academy or other city-owned facility. The Fort Worth Police Department ("FWPD") will schedule the interviews after conferring with the Consultant regarding availability. The face-to-face interview of each Applicant should, entail a meaningful discussion that, along with the review of the relevant test scores,, personal history statements, if any, and background information, would enable the Consultant to determine whether the Applicant is in satisfactory psychological and emotional health to serve as a telecommunicator. F'. J'he Consultant shall complete and submit to the City his or her determination as to whether an Applicant can fulfill the essential Job functions of a City of Fort Worth telecornmunicator on a form provided by F and promulgated by "T"COLE for that purpose. J`he most current version of that form as of the effective date of this Agreement can be found at www.tcole.teLca.j.-Y,ov, an example of which is attached hereto as Appendix C. G. The Consultant shall also draft a written report, regarding each Applicant. The written reports shall include an assessment of each Applicant, including a clear and definitive determination as to whether the 'A' p plicant can perform the essential job functions of a Fort Worth telecomMUnicator. Narrative reports shall be confined to job-related reasons that the Applicant should or should not be hired, and should avoid clinical diagnostic labels or terms that would not be understood by laymen. Any recommendation of disqUal i fi cation shall be based on an applicant's inability to perform the essential psychologIcal functions of a telecommunicator's duties,. Such reports should be maintained by Consultant for no less than three (3) years from, the date of the relevant evaluation. R. Consultant shall prepare and submit to the FW_PD his or her final determination on the appropriate TOOL E-proinulgated form within 7 calendar days of the face-to-face evaluation. L All questions regarding the testing procedures, scheduling or other issues or concerns related to the Scope ol I Work of this Agreement should. be directed tote Human Resources Coordinator for, -the Police Department, or his or her designee. All completed TCOLE fornis regarding applicants should also be provided to the Human Resources Coordinator, or his or her designee. As of the effective date of the A. I greement, that Co Coord*nator's, contact information is as follows-, penny Torres 3150, W. Belknap Street Fort Worth, TX 76 107 (817) 392-42561 Fxbibit A—Scope of'Work Page 2 of 3 3'. Consultant may be required to provide testimony regarding the validity of the psychological screening process and the tests conducted. Consultant shall maintain at his or her place of business complete and accurate records, of all examinations of Applicants and employees to support his or her testimony. K. Consultant shall provide written proof that he or she is licensed to practice in the state of r Irexas by the State Board of Examiners of Psychologists or the Texas Medical Board, and shall notify City if his or her licens,ure is suspended or terminated while the Agreement is in effect. L. Consultant shall provide written proof that he or she holds the insurance required by the terms of the Agreement. 11. DUTIES AND RESPONSIBILITIES O�F CITY A. City shall provide access to facilities for the written examinations and face-to- face interviews of the Applicants. B. City, through the FWPD, shall coordinate with the Consultant to schedule the testing and face-to�-face interviews. C. City, through the FWPD, shall provide relevant documents, including the applicants' personal history statements, if any, background documents, or a summary of those documents, to the Consultant for review. D. City shall pay the Consultant for his or her services as outlined in the Agreement. Exhibit A—scrape of Work Page 3 of 3 AP13ENDIX A TEXAS ADMINISTRATIVE CODE 4111"'LE 37 PUBLIC SAFETY AND CORRECTIONS PAR-I` 7 TEXAS COMMISSION ON LAW ENFORCEMEN"11 CHAPTER 217 LICEN-SfNG REQUIREMENTS RULE §217.1 Minimum Standards for Initial, Licens,ure (a) The conim,ission shall issue a license to an applicant who meets, the following standards: (12) [has bee] examined by a. psychologist, selected by the appointing, employing agency, or the academy, who is licensed by the Texas State Board of Examiners of Psychologists. ']-'his" examination may also be conducted by a psychiatrist licensed by the Texas Medical Board, The Psychologist or psychiatrist must be familiar with the duties appropriate to the type of.license sought. The individual must be declared by that professional, on a form prescribed by the commission", to be in satisfactory psychological and emotional health to serve as the type of officer for which the license is sought. The examination must be conducted pursuant to professionally recognized standards and metliods. The examination process must consist of a review of ajob, description for the position sought- review of any personal history statements; review of any background documents; at least two instruments, one which measures, personality' traits and one which measures psychopathology; and a face to face interview conducted after the it nstruments have been scored. 1,,he appointee must be declared by that professional, on a form prescribed by the corn Fission, within 180 days before the date o1'the appointment by the agency, Appendix A-Relevant Laws Page I oil"I APPENDIX B PEOPLESOFT JOB CODE-.' 14821, KEY CODE: W12 CITY OF FORT WORTH PUBLIC SAFETY COMMUNICATOR I Class specifications are intended to present a descriptive list of the range of duties performed by employees in the class. Specifications are nit intended to reflect all duties performed within the,job. PEFINITION To receive and respond to emergency and non-emergency calls from the general public; to route calls to appropriate emergency services; and to perform a variety of technical tasks relative to assigned area of r,esponsibli�llity. DISTINGUISHING CHARACTERISTICS This is the entry leveli class in the IPublic Safety Communicator series. Th�ils class is distinguished from the Public Safety Communicator 11 by the performance of the more routine tasks and duties assigned to positions within the series including responding to em'ergenc and non-emergency calls and routing to appropriate servic,es. Since this class is typically used as a training class, employees may have only limited or no directly r llatedl work experience. SUPERVISION RECEIVED AND EXERCISED Receives immediate supervision from higher level communications staff. Exercises no supervision. ESSENTIAL, AND MARGINAL FUNCTION STATE MEN TS—Essential and other important responsibilities and duties may include, but are not limited to, the following- Essentiall Functions: 1 Receive and prioritize emergency and non-emergency call's and situations; locate area of emergency situation on a map,and route calls to the appropriate department. 2. Enter into computer all pertinent data relating to dispatch incidents, and other important infoirmatioln; retrieve in�formation, from Computer Aided: Dispatch (CAD) system and r,olute to dispatchers. 3. Monitor City alarm systems and monitor security of various, municipal buildings; ,identify needed emergency responses and route calls to dispatchers. 4. Respond to calls received from hearing impaired machines on various hotlines including crime stoppers and drug enforcement hotlines. Appendix B-Job Description Revised 03/16/00 Nige 1,of 3 CITY OF FORT WORTH Public Safety Co municator I (Continued) nal Fund mar-go,i nc ons 1. Train new employees as required. 2. Perform related duties and responsibilities as required. QUALIFIICATIONISi. Kn!owled f Am -ge ol. Modern office procedures, methods and computer equipment. Principles and procedures of record keeping. Pertinent federal, state andl local laws and ordinances. Ablili to-, i Learn methods and techniques of emergency dispatching. Learn to process information and make sound decisions in emergency situations. Learn the geography and surrounding area of the Gity. Learn to interpret City maps and goo raphical locations. Respond to emergency and non-emergency situations from the general plublliic. Type at a speed necessary for successful job performance. Colmmunicate clearly and concisely, both orally and in writin i. Establish and maintain effective working relationships,with those contacted in the Course of work. Maintain the abilities that permit" making observations communicating with others reading and writing operating assigned equipment. operating assigned equipment. Maintain mental capacity which permits- making sound decisions and using goodjudgment prioritizing work activities demonstrating intellectual capabilities. Maintain physical conditioln appropriate to the performance of assigned duties and responsibilities, which may include the following: walking, standing or sitting for extended periods of time lifting or carrying light to moderate objects operating assigned equipment. Appendix B to Professional Services Agreement Revised 031/16/00 P.S.Roos wid Associates,Inc. Page 2 of 3 CITY OF'FORT WORTH Public Safety Communicator I (Continued) Exper ence and Training GiLlidelines Any combination of elxplerience and' training thalt would likely provide the required knowledge and abilities is quallifying. A typical way to obtain the knowledge and abilities would'be: Experience: One year of'emergency or public safety dispatch experience is desirable. T'rainilng: HS dipillolma/GED WORKING CONDITIONS Environmental Conditions: Office environment; emergency peace control environment; exposure to computer screens; work under stressful conditions. Physical Conditions: Essential and marginal functions may require maintaining physical condition necessary for sifting for prolonged periods of'time. Appendix B to Professional Services Agreement Revised 03/16/00 P.S.Roos and Associates,fnc. Page 3 of 3 A.PPE N-DSIX C TEXAS COMMISSION ON LAW ENFORCEMENT 6330 E. Highway 290, STE 200 Austin, Texas 78723-1035 Rhone. (512,)91 6-7700 http://www.tcollel-texas-.gov LICENSEE PSYCHOLOGICAL AND EMOTIONAL HEALTH DECLARATION (L-3) Commission Rule §217.01(c)(2),217-1(a)(12), 217.7(e),, 221.35 INDIVIDUAL INFORMATION 1. TCOLE PID 2,Last Name 3, First Name 4 M.1 5. Suffix (Jr., etc.) 6.Home Mailing Address 7 City 8.State 9.Zip Code I's this exam for a student enrolling in an academy? E:1 Yes El No;. If yes,, check one Ej Peace Officer El County Corrections E Telecom m un icators School Marshall Attention Requesting Agency: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The Chief Administrator of the requesting agency must request prior approval in writing and must receive specific written approval before an examination under exceptional l circumstances is acceptable. APPOINTMENT(Do not check if student)__ 10. 0 Peace Officer El Reserve O...icer 0 County Jailer 0 Telecommunicator El School Marshal] 0 Juvenile Probation Officer [1: Public Security Off. ACADEMY I DEPARTMENT'INFORM ATION ll.TCOLE Number 12.Agency/Academy Name 13. Mailing Address 14.City 15.County 16.Zip Code 17, Phone Number Attention Examining Professional: State Law and Comm,issilon Rule require that this psychological examination be performed by a licensed pis,ychollogist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician, The agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable. STATEMENT OF EXAMINER: (Please check the appropriate box and provide the requested Information) lama [ ] Licensed l Psychologist, C ] Psychiatrist, and I certify that I have complleted a psychological examination of the above named individual pursuant to professionally recognized standards and methods. I have concluded that, on this date, the individual IS in satisfactory psychological and emotional health to perform the duties, accept the responsibilities and meet the qualifications established by the appointing agency. Examiner: Came (type or print) State License Number Mailing Address: Street city State Zip Phone Number: Date of Examination(s) Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED,AND IS VALID ONLY IIF SIGNED BY A LICENSED PSYCHOLOGIST OR PHYSICIAN. Appendix C Licensee Psychological and Emotional Health Declaration 1.01. 01 Page I of I