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2025-26 Brainworks Behavioral Health - Volunteer Resource InfoMEMORANDUM CALIFORNIA - DATE: June 26, 2025------------ TO: Christina Calderon, Community Services Deputy Director FROM: Caroline Doran, Senior Community Services Specialist RE: Brain Works Behavioral Health / San Diego BrainWorks Psychology and Neuropsychology to provide FREE information Please list the Contracting Party/ Vendor Name, any change orders or amendments, and the type of services to be provided. Make sure to list any related Project No. and Project Name. Authority to execute this agreement is based upon: ❑ Approved by City Council on ❑ City Manager's signing authority provided under the City's Purchasing & Contracting Policy [Resolution No. 2023-008] for budget expenditures of $50,000 or less. ❑ City Manager's signing authority provided under the City's Personnel Policy Section 3.2 for temporary employment positions. ❑✓ Department Director's or Manager's signing authority provided under the City's Purchasing Policy [Resolution No. 2023-008] for budget expenditures of $15,000 and $5,000, respectively, or less. Procurement Method (one must a ❑ Bid ❑ RFP ❑ RFQ ❑ 3 written informal bids 7 Sole Source ❑ Select Source ❑ Cooperative Procurement Requesting department shall check and attach the items below as appropriate. ❑ Agreement payment will be charged to Account No.: ❑✓ Agreement term: Start Date June 26, 2025 End Date ❑✓ Amount of Agreement, Amendment, Change Order, etc.: $ -0- June 26, 2026 REMINDER: Signing authorities listed above are applicable on the apprepate Agreement amount, not individual Amendments or Change Orders! ❑✓ Insurance certificates as required by the Agreement for Risk Manager approval Approved by: Oscar Mojica Date: 6/30/2025 .❑ NOTE. .❑ L Bonds (originals) as required by the Agreement (Performance, Payment, etc.) Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) Review the "Form 700 Disclosure for Consultants" guidance to determine if a Form 700 is required pursuant FPPC regulation 18701(2) Business License No. Expires: Requisition for a Purchase Order has been prepared (Agreements over $5,000) ta Q�dgra CALII ORMA - VOLUNTEER ORGANIZATION SERVICE AGREEMENT Our organization, Brainworks Behavioral Health / San Diego BrainWorks Psychology and Neuropsychology, will provide volunteers to perform only the services as outlined in the attached scope of work for the City of La Quinta ("City"). We understand that we will not be compensated for our work and we will complete our organization volunteer duties in a responsible manner. If we decide to discontinue our organization volunteer services, our contact person Lyndsey King/Joanna Savarese, will notify Caroline Doran, City designee. We understand and agree that: • No one in the group is to appear for volunteer service under the influence of any drugs or alcohol. Our organization will provide the City with a roster of individual participants including the names and hours worked. • Our organization will report any injuries sustained by participants during their volunteer activities to Caroline Doran, City designee, immediately upon occurrence. • Our organization is responsible for directly supervising the activities of all the individuals in our group who will be doing volunteer work, and therefore, in consideration of our organization and members being permitted to perform services on City property, our organization agrees to defend, indemnify, and hold harmless the City and its officials, employees, and agents from any damage claim or lawsuit for injury, illness, (including exposure to communicable diseases, illnesses, or viruses), damage or other loss of any kind to anyone including members of our organization that might arise out of our activities or the actions of any individuals of our group, except for injuries or damages caused by the sole negligence of the City. • Our organization has commercial general liability insurance of at least $1 M per occurrence / $2M general aggregate to cover our activities. A copy of the certificate of insurance, the additional insured endorsement, naming the City as an "additional insured," and a Primary and Non -Contributory endorsement is attached. • The City may terminate this agreement at any time without cause, and we agree that we are volunteering our services at will and may be asked to discontinue such without prior notice or reason. This agreement will be in effect for the duration of our volunteer services or one year, whichever is less, beginning on this date. Page 1 of 2 Dated this 26 day of June 20 25. CITY OF LA QUINTA, a California Municipal Corporation P//1' , ", /- " / CHRISTINA CALDERON, Community Services Deputy Director City of La Quinta, California Dated: 7-1-2025 ATTEST: i MONIKA RADEVA, ity Clerk Clerk La Quinta, California APPROVED AS TO FORM: Brainworks Behavioral Health/San Diego RrainWorks PsTCholoqv na d NPijrppqV rhology Name of Organization 41 M4� G) (i; 7 - 0, v- Authorized Signature on behalf of Organization Lyndsey King Printed Name Director of Outreach Title 6190 Cornerstone Ct E Ste 216 San Diego, Ca 92121 Address lyndseyking@sdbrainworks.com WILLIAM IHRKE, City Attorney mail Address City of La Quinta, California 8587742037 Phone Number Page 2 of 2 SCOPE OF WORK Brainworks Behavioral Health Services Offered: Brainworks Behavioral Health will be offering free presentations on mental health topics and will offer free information in the lobby during a Look Who's in the Lobby event. Date/Times: Dates and times to be determined by the representative of Brainworks Behavioral Health and the staff at the Wellness Center. Location Wellness Center's Art and Leisure Room, computer lab, or the lobby. Chairs and tables are available for use in each room.