7R9-a 24-0055 Dept/ Agency: Public Safety/Division of Police Action: (X) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract Purpose: To provide clinical and forensic psychological and consulting services. Entity Name: Nicole J. Rafanello, Ph.D.,CFPCS, LLC, d/b/a Clinical and Forensic Psychological and Consulting Services Entity Address: 91 Washington Street, Morristown, New Jersey 07960 Contract Amount: Not to exceed $100,000.00 Funding Source: 2024 Budget/Department of Public Safety, Division of Police/NW011-190-1902-71210-B2024 Contract Period: April 1, 2024 through March 31, 2025 Contract Basis: ( ) Bid ( ) State Vendor (X) Prof. Ser. ( ) EUS ( ) Fair & Open (X) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) N/A Additional Information: - Product Development

Meeting: Municipal Council on 2024-04-10 12:30 PM - REGULAR MEETING

Meeting Time: August 15, 2024 at 10:30am PDT

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Agenda Item

7R9-a 24-0055 Dept/ Agency: Public Safety/Division of Police Action: (X) Ratifying (X) Authorizing ( ) Amending Type of Service: Professional Service Contract Purpose: To provide clinical and forensic psychological and consulting services. Entity Name: Nicole J. Rafanello, Ph.D.,CFPCS, LLC, d/b/a Clinical and Forensic Psychological and Consulting Services Entity Address: 91 Washington Street, Morristown, New Jersey 07960 Contract Amount: Not to exceed $100,000.00 Funding Source: 2024 Budget/Department of Public Safety, Division of Police/NW011-190-1902-71210-B2024 Contract Period: April 1, 2024 through March 31, 2025 Contract Basis: ( ) Bid ( ) State Vendor (X) Prof. Ser. ( ) EUS ( ) Fair & Open (X) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) N/A Additional Information:

Legislation Text Dr. Nicole Rafanello 2024 contract Business Entity Disclosure Hold Harmless Non Collusion Cityof Newark stockholder stockholder Disclosure City of Newark Political Contribution C271 Political Contribution Statement of Ownership EEOL W9 Daniel's Law Business Registration License to practice Liability Insurance Employee Information report criminal conviction Questionnaire Investmentsin Iran Republic of Sudan Americans with disabilities Act Rafanello Det. of value 24-0055 Cert of Funds 24-0055 certified resolution Contracts Published 041924 picked up agreement letter