180220-CONTRACT.DOC

SERIAL 180220 RFP FORENSIC PSYCHOLOGICAL SERVICES
DATE OF LAST REVISION: August 29, 2018 CONTRACT END DATE: August 31, 2019
CONTRACT PERIOD THROUGH AUGUST 31, 2019
TO: All Departments
FROM: Office of Procurement Services
SUBJECT: Contract for FORENSIC PSYCHOLOGICAL SERVICES
Attached to this letter is published an effective purchasing contract for products and/or services to be supplied to
Maricopa County activities as awarded by Maricopa County on August 29, 2018 (Eff. 09/01/18).
All purchases of products and/or services listed on the attached pages of this letter are to be obtained from the
vendor holding the contract. Individuals are responsible to the vendor for purchases made outside of contracts.
The contract period is indicated above.
AS/mm
Attach
Copy to: Office of Procurement Services
Robert Bearnson, Correctional Health
II

SERIAL 180220-ROQ
ALAN DANA LEWIS, 44012 N 44TH LN, PHOENIX, AZ 85087
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Alan Dana Lewis
COUNTY VENDOR NUMBER :
ADDRESS: 44012 N 44th Ln, Phoenix, AZ 85087
New River, AZ 85087
P.O. ADDRESS: N/A
TELEPHONE NUMBER: N/A
FACSIMILE NUMBER: N/A
WEB SITE: N/A
CONTACT (REPRESENTATIVE): Alan Dana Lewis
REPRESENTATIVE'S E-MAIL ADDRESS: alandana@mindspring.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
ALAN DANA LEWIS
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
ALAN DANA LEWIS
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
ALAN DANA LEWIS
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
ALAN DANA LEWIS
ATTACHMENT A-1
SERVICES PROVIDED

SERIAL 180220-ROQ

SERIAL 180220-ROQ

SERIAL 180220-ROQ
ALAN DANA LEWIS, 44012 N 44TH LN, PHOENIX, AZ 85087
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000004643
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT, 14705 W COLUMBUS AVENUE,
GOODYEAR, AZ 85395
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Rick Webster
COUNTY VENDOR NUMBER : VC0000004647
ADDRESS: 14705 W COLUMBUS AVENUE, GOODYEAR, AZ 85395
P.O. ADDRESS:
TELEPHONE NUMBER: 602/730-4828
FACSIMILE NUMBER:
WEB SITE:
CONTACT (REPRESENTATIVE): Rick Webster
REPRESENTATIVE'S E-MAIL ADDRESS: azpsychservices@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT

SERIAL 180220-ROQ
ARIZONA PSYCHOLOGICAL ASSESSMENT AND TREATMENT
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000004647
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
BENNETTE DAWSON, PO BOX 0041, 1112 S 24TH ST, CHANDLER, AZ 85249
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Bennette Dawson, Ed. D
COUNTY VENDOR NUMBER :
ADDRESS: PO BOX 0041, 1112 S 24TH ST, CHANDLER, AZ 85249
P.O. ADDRESS:
TELEPHONE NUMBER: 602/363-2669
FACSIMILE NUMBER: 480/718-8760
WEB SITE:
CONTACT (REPRESENTATIVE): Bennette Dawson, Ed. D
REPRESENTATIVE'S E-MAIL ADDRESS: bennettedawson@aol.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 20 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total
BENNETTE DAWSON

SERIAL 180220-ROQ
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
BENNETTE DAWSON
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
BENNETTE DAWSON
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
BENNETTE DAWSON

SERIAL 180220-ROQ
BENNETTE DAWSON
PRICING SHEET: NIGP CODE 94876
Terms: NET 20
Vendor Number: VC0000005126
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
BUWALDA PSYCHOLOGICAL SERVICES, 1405 E GUADALUPE RD, TEMPE, AZ 85283
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: BUWALDA PSYCHOLOGICAL SERVICES/Katrina Buwalda
COUNTY VENDOR NUMBER :
ADDRESS: 1405 E GUADALUPE RD, TEMPE, AZ 85283
P.O. ADDRESS:
TELEPHONE NUMBER: 480/921-3314
FACSIMILE NUMBER: 480/967-0174
WEB SITE:
CONTACT (REPRESENTATIVE): Katrina Buwalda
REPRESENTATIVE'S E-MAIL ADDRESS: drbuwald@gwestoffice.net
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
BUWALDA PSYCHOLOGICAL SERVICES
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
BUWALDA PSYCHOLOGICAL SERVICES
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
BUWALDA PSYCHOLOGICAL SERVICES
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
BUWALDA PSYCHOLOGICAL SERVICES
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000001291
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
CAMILLE HERNANDEZ, PO BOX 93235, PHOENIX, AZ 85070
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Camile Hernandez
COUNTY VENDOR NUMBER :
ADDRESS: PO BOX 93235, PHOENIX, AZ 85070
P.O. ADDRESS:
TELEPHONE NUMBER: 480/706-9499
FACSIMILE NUMBER: 480/706-9449
WEB SITE:
CONTACT (REPRESENTATIVE): Camille Hernandez
REPRESENTATIVE'S E-MAIL ADDRESS: Dr.hernandez@lawpsy.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
CAMILLE HERNANDEZ
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
CAMILLE HERNANDEZ
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
CAMILLE HERNANDEZ
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
CAMILLE HERNANDEZ
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000002729
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
DANIEL B JULIANO, 6625 S RURAL RD STE 111, TEMPE, AZ 85283
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Daniel Juliano
COUNTY VENDOR NUMBER :
ADDRESS: 6625 S Rural Rd. Suite 111
Tempe, AZ 85283
P.O. ADDRESS: N/A
TELEPHONE NUMBER: 480/345-9888
FACSIMILE NUMBER: 480/245-2126
WEB SITE: N/A
CONTACT (REPRESENTATIVE): Daniel Juliano
REPRESENTATIVE'S E-MAIL ADDRESS: dbjuaano@cox.net
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
DANIEL B JULIANO
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
DANIEL B JULIANO
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
DANIEL B JULIANO
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
DANIEL B JULIANO
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000001362
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
DR. HEATHER DE SOLER PLLC DBA: NEURO PSYCH CONNECTIONS, 2600 E SOUTHERN AE STE
C3, TEMPE, AZ 85282
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Dr. Heather de Soler
COUNTY VENDOR NUMBER :
ADDRESS: 2600 E. Southern C-3 Tempe, AZ 85282
P.O. ADDRESS:
TELEPHONE NUMBER: 480.208.4770
FACSIMILE NUMBER: 866.601.5490
WEB SITE:
CONTACT (REPRESENTATIVE): Dr. Heather de Soler
REPRESENTATIVE'S E-MAIL ADDRESS: neuropsychconnections@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
DR. HEATHER DE SOLER PLLC DBA: NEURO PSYCH CONNECTIONS
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
DR. HEATHER DE SOLER PLLC DBA: NEURO PSYCH CONNECTIONS
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
DR. HEATHER DE SOLER PLLC DBA: NEURO PSYCH CONNECTIONS
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
DR. HEATHER DE SOLER PLLC DBA: NEURO PSYCH CONNECTIONS
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000003257
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
FBH PSYCHOLOGICAL SERVICES DBA: FARRAH HAUKE, 2360 N. HAYDEN RD SUITE 210,
SCOTTSDALE. AZ 85251
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Dr. Farrah Hauke
COUNTY VENDOR NUMBER :
ADDRESS: 3260 N. Hayden Road, Suite 210, Scottsdale, AZ 85251
P.O. ADDRESS:
TELEPHONE NUMBER: 602-803-2396
FACSIMILE NUMBER: 480-809-4646
WEB SITE: www.ArizonaPysch.com
CONTACT (REPRESENTATIVE): Dr. Farrah Hauke
REPRESENTATIVE'S E-MAIL ADDRESS: DrFarrahHauke@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 15 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
FBH PSYCHOLOGICAL SERVICES DBA: FARRAH HAUKE,
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
FBH PSYCHOLOGICAL SERVICES DBA: FARRAH HAUKE,
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
c. Testimony of four (4) hours or less per day $340.00 total
d. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
FBH PSYCHOLOGICAL SERVICES DBA: FARRAH HAUKE,
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
FBH PSYCHOLOGICAL SERVICES DBA: FARRAH HAUKE,
PRICING SHEET: NIGP CODE 94876
Terms: NET 15
Vendor Number: VS0000002704
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS, 8350 E RAINTREE DR STE 120, SCOTTSDALE, AZ 85260
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Forensic Counseling Evaluations
COUNTY VENDOR NUMBER :
ADDRESS: 8350 E Raintree Dr. Ste. 120, Scottsdale, AZ 85260
P.O. ADDRESS:
TELEPHONE NUMBER: 480/840-0400
FACSIMILE NUMBER: 480/840-0499
WEB SITE:
CONTACT (REPRESENTATIVE): David Weinstock
REPRESENTATIVE'S E-MAIL ADDRESS: dw@fceinfo.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS
ATTACHMENT A-1
SERVICES PROVIDED
Initial next to the services you are willing to provide to the Court. A more detailed description of each item is in
the Section 4.1 Service Descriptions. See Pre-Determined Price Schedule, Attachment A: Vendor Information and
Pricing for rates CHS will pay for these services. Awarded areas will be determined based on response.
4.1.1 ADULT COMPETENCY EVALUATION & RESTORATION
DW 4.1.1.1 Psychological Pre-Evaluations (Prescreens)
DW 4.1.1.2 In-custody Rule 11 Competency Evaluation
DW 4.1.1.2 Not in Custody (NIC) Rule 11 Competency Evaluation
4.1.1.3 In-Custody Restoration
4.1.1.4 Not in Custody (NIC) Restoration (a, c, d, e, & f – MHE only)
4.1.1.4 Weekly Not in Custody (NIC) Restoration Sessions (b only - FRS or MHE)
4.1.1.5 Supplementary CIMD Evaluations (Psychiatrists only)
4.1.1.6 Sexually Violent Persons Evaluations
4.1.1.7 Appointment of Clinical Liaison
4.1.2 INSANITY
DW 4.1.2.1 Evaluation for purposes of Insanity Defense
DW 4.1.2.2 Guilty Except Insane Examination
4.1.3 DEATH PENALTY
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases
4.1.3.3 Examination in Death Penalty Cases to Determine the Presence of Intellectual
Disabilities
4.1.3.4 Examination to Determine Competency Prior to an Execution
4.1.4 PRE-SENTENCE
DW 4.1.4.1 Pre-sentence Examination
4.1.5 JUVENILE COMPETENCY
DW 4.1.5.1 Juvenile Competency Evaluation
4.1.6 OTHER
DW 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing
DW 4.1.6.2 Other Forensic Psychological Services as approved by CHS Contract Administrator

SERIAL 180220-ROQ
FORENSIC COUNSELING EVALUATIONS
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000001285
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
GREGORY HUPP DBA: GREG HUPP PHD, 510 E. MOELLER, PRESCOTT, AZ 86301
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: GREGORY HUPP, Ph. D.
COUNTY VENDOR NUMBER :
ADDRESS: 67 S. Higley Rd., Ste. 104-494
Gilbert, AZ 85296
P.O. ADDRESS:
TELEPHONE NUMBER: 928/421-4646
FACSIMILE NUMBER: 866/541-9162
WEB SITE: www.drghupp.com
CONTACT (REPRESENTATIVE): Greg Hupp
REPRESENTATIVE'S E-MAIL ADDRESS: drghupp@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
GREGORY HUPP DBA: GREG HUPP PHD
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
GREGORY HUPP DBA: GREG HUPP PHD
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
GREGORY HUPP DBA: GREG HUPP PHD
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
GREGORY HUPP DBA: GREG HUPP PHD
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000002728
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC, 8350 E RAINTREE DR STE 120, SCOTTSDALE, AZ
85260
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Tasha Haggar, Psy.D.
COUNTY VENDOR NUMBER :
ADDRESS: 8350 East Raintree Drive., Suite 120
Scottsdale, AZ 85260
P.O. ADDRESS:
TELEPHONE NUMBER: 480-840-0400
FACSIMILE NUMBER: 480-840-0499
WEB SITE: www.fceinfo.com
CONTACT (REPRESENTATIVE): Tasha Haggar, Psy.D.
REPRESENTATIVE'S E-MAIL ADDRESS: thaggar@fceinfo.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC
ATTACHMENT A-1
SERVICES PROVIDED
Initial next to the services you are willing to provide to the Court. A more detailed description of each item is in
the Section 4.1 Service Descriptions. See Pre-Determined Price Schedule, Attachment A: Vendor Information and
Pricing for rates CHS will pay for these services. Awarded areas will be determined based on response.
4.1.1 ADULT COMPETENCY EVALUATION & RESTORATION
TH 4.1.1.1 Psychological Pre-Evaluations (Prescreens)
TH 4.1.1.2 In-custody Rule 11 Competency Evaluation
TH 4.1.1.2 Not in Custody (NIC) Rule 11 Competency Evaluation
4.1.1.3 In-Custody Restoration
4.1.1.4 Not in Custody (NIC) Restoration (a, c, d, e, & f – MHE only)
4.1.1.4 Weekly Not in Custody (NIC) Restoration Sessions (b only - FRS or MHE)
4.1.1.5 Supplementary CIMD Evaluations (Psychiatrists only)
4.1.1.6 Sexually Violent Persons Evaluations
4.1.1.7 Appointment of Clinical Liaison
4.1.2 INSANITY
TH 4.1.2.1 Evaluation for purposes of Insanity Defense
TH 4.1.2.2 Guilty Except Insane Examination
4.1.3 DEATH PENALTY
TH 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases
TH 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases
TH 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence of Intellectual
Disabilities
TH 4.1.3.4 Examination to Determine Competency Prior to an Execution
4.1.4 PRE-SENTENCE
TH 4.1.4.1 Pre-sentence Examination
4.1.5 JUVENILE COMPETENCY
4.1.5.1 Juvenile Competency Evaluation
4.1.6 OTHER
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing
4.1.6.2 Other Forensic Psychological Services as approved by CHS Contract Administrator

SERIAL 180220-ROQ
HAGGAR PSYCHOLOGICAL SERVICES PLLC
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000010582
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
HURLEY PSYCHOLOGICAL SERVICES – KEVIN HURLEY, 5511 N 128TH DR, LITCHFIELD PARK,
AZ 85340
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Hurley Psychological Services
COUNTY VENDOR NUMBER :
ADDRESS: 5511 N 128th Drive
Litchfield Park, AZ 85340
P.O. ADDRESS:
TELEPHONE NUMBER: 623-850-1864
FACSIMILE NUMBER: 623-321-8934
WEB SITE:
CONTACT (REPRESENTATIVE): Kevin Hurley
REPRESENTATIVE'S E-MAIL ADDRESS: hurleypsych@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 10 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
HURLEY PSYCHOLOGICAL SERVICES – KEVIN HURLEY,
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
HURLEY PSYCHOLOGICAL SERVICES – KEVIN HURLEY,
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
HURLEY PSYCHOLOGICAL SERVICES – KEVIN HURLEY,
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
HURLEY PSYCHOLOGICAL SERVICES – KEVIN HURLEY,
PRICING SHEET: NIGP CODE 94876
Terms: NET 10
Vendor Number: VC0000002968
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
INNERSPECTIVE PSYCHOLOGICAL SERVICES – KATHERINE SPECTOR, 10720 W. INDIAN
SCHOOL RD #19-147, PHOENIX, AZ 85037
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Innerspective Psychological Services, LLC
COUNTY VENDOR NUMBER : VS0000001926
ADDRESS: 10720 W. Indian School Rd. #19-147
Phoenix, AZ 85037
P.O. ADDRESS:
TELEPHONE NUMBER: 623-213-4452
FACSIMILE NUMBER:
WEB SITE:
CONTACT (REPRESENTATIVE): Katherine Spector
REPRESENTATIVE'S E-MAIL ADDRESS: innerspectivepsych@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
INNERSPECTIVE PSYCHOLOGICAL SERVICES – KATHERINE SPECTOR
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
INNERSPECTIVE PSYCHOLOGICAL SERVICES – KATHERINE SPECTOR
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
INNERSPECTIVE PSYCHOLOGICAL SERVICES – KATHERINE SPECTOR
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
INNERSPECTIVE PSYCHOLOGICAL SERVICES – KATHERINE SPECTOR
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000001926
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JACQUELINE WORSLEY, 3633 E. PICCADILLY RD, PHOENIX, AZ 85018
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Jacqueline Worsley
COUNTY VENDOR NUMBER :
ADDRESS: 3633 W. Piccandilly Rd.
Phoenix, AZ 85018
P.O. ADDRESS:
TELEPHONE NUMBER: 602-758-7692
FACSIMILE NUMBER:
WEB SITE:
CONTACT (REPRESENTATIVE): Jacqueline Worsley
REPRESENTATIVE'S E-MAIL ADDRESS: worsleyj@mai.maricopa.gov
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 15 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JACQUELINE WORSLEY
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JACQUELINE WORSLEY
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JACQUELINE WORSLEY
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JACQUELINE WORSLEY
PRICING SHEET: NIGP CODE 94876
Terms: NET 15
Vendor Number: VS0000002811
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JAMES E HUDDLESTON, 465 E BROADWAY RD STE B, MESA, AZ 85204
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: James E. Huddleston, PhD
COUNTY VENDOR NUMBER : W000065069
ADDRESS: 465 E. Broadway Rd., Ste. B.
Mesa, Arizona, 85204
P.O. ADDRESS:
TELEPHONE NUMBER: 480.844.0163
FACSIMILE NUMBER: 480.844.0163
WEB SITE:
CONTACT (REPRESENTATIVE):
REPRESENTATIVE'S E-MAIL ADDRESS:
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JAMES E HUDDLESTON
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JAMES E HUDDLESTON
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JAMES E HUDDLESTON
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JAMES E HUDDLESTON
ATTACHMENT A-1
SERVICES PROVIDED
Initial next to the services you are willing to provide to the Court. A more detailed description of each item is
in the Section 4.1 Service Descriptions. See Pre-Determined Price Schedule, Attachment A: Vendor Information
and Pricing for rates CHS will pay for these services. Awarded areas will be determined based on response.
4.1.1 ADULT COMPETENCY EVALUATION & RESTORATION
X 4.1.1.1 Psychological Pre-Evaluations (Prescreens)
X 4.1.1.2 In-custody Rule 11 Competency Evaluation
X 4.1.1.2 Not in Custody (NIC) Rule 11 Competency Evaluation
4.1.1.3 In-Custody Restoration
4.1.1.4 Not in Custody (NIC) Restoration (a, c, d, e, & f – MHE only)
4.1.1.4 Weekly Not in Custody (NIC) Restoration Sessions (b only - FRS or MHE)
4.1.1.5 Supplementary CIMD Evaluations (Psychiatrists only)
4.1.1.6 Sexually Violent Persons Evaluations
4.1.1.7 Appointment of Clinical Liaison
4.1.2 INSANITY
4.1.2.1 Evaluation for purposes of Insanity Defense
4.1.2.2 Guilty Except Insane Examination
4.1.3 DEATH PENALTY
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases
4.1.3.3 Examination in Death Penalty Cases to Determine the Presence of Intellectual
Disabilities
4.1.3.4 Examination to Determine Competency Prior to an Execution
4.1.4 PRE-SENTENCE
X 4.1.4.1 Pre-sentence Examination
4.1.5 JUVENILE COMPETENCY
X 4.1.5.1 Juvenile Competency Evaluation
4.1.6 OTHER
X 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing
X 4.1.6.2 Other Forensic Psychological Services as approved by CHS Contract Administrator

SERIAL 180220-ROQ
JAMES E HUDDLESTON
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000003238
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JASON FRIZZELL, 2500 S. POWER ROAD #107, MESA, AZ 85209
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Jason Frizzell, Ph.D.
COUNTY VENDOR NUMBER :
ADDRESS: 2500 S. Power Road, #107
Mesa, AZ 85209
P.O. ADDRESS:
TELEPHONE NUMBER: 480-334-5112
FACSIMILE NUMBER: 480-758-4986
WEB SITE: www.frizzellpsych.com
CONTACT (REPRESENTATIVE): Jason Frizzell
REPRESENTATIVE'S E-MAIL ADDRESS: jason@frizzellpsych.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 10 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JASON FRIZZELL
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JASON FRIZZELL
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JASON FRIZZELL
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JASON FRIZZELL

SERIAL 180220-ROQ

SERIAL 180220-ROQ
PRICING SHEET: NIGP CODE 94876
Terms: NET 10
Vendor Number: VS0000002583
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JOHN C. HOLLEBEEK, 1801 S LAKESHORE DR STE 206, TEMPE, AZ 85282
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: John C. Hollebeek Ed.D. Psychologist
COUNTY VENDOR NUMBER : VC0000003095
ADDRESS: 4801 S Lakeshore Dr. #206
P.O. ADDRESS:
TELEPHONE NUMBER: 480-345-7755
FACSIMILE NUMBER: 480-345-8833
WEB SITE:
CONTACT (REPRESENTATIVE): Bobbi Dykstra Office Manager
REPRESENTATIVE'S E-MAIL ADDRESS: affilpsyche@yahoo.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JOHN C. HOLLEBEEK
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JOHN C. HOLLEBEEK
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JOHN C. HOLLEBEEK
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JOHN C. HOLLEBEEK
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000003095
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JOHN R. WALKER DBA: DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC, 3550 N
CENTRAL AVE STE 1407, PHOENIX, AZ 85012
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: John R. Walker III, Psy. D., ABPP-CN
COUNTY VENDOR NUMBER : VC0000004760
ADDRESS: 3550 North Central Ave., Suite 1407
Phoenix, AZ 85012
P.O. ADDRESS:
TELEPHONE NUMBER: 602-216-6900
FACSIMILE NUMBER: 602-371-9889
WEB SITE: www.dvnps.com
CONTACT (REPRESENTATIVE): John R. Walker III, Psy. D., ABPP-CN
REPRESENTATIVE'S E-MAIL ADDRESS: jwalker@dvnps.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JOHN R. WALKER DBA: DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JOHN R. WALKER DBA: DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JOHN R. WALKER DBA: DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JOHN R. WALKER DBA: DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000004760
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
JON VAN DOREN, 9832 N HAYDEN RD STE 106, SCOTTSDALE, AZ 85258
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Jon J. Van Doren
COUNTY VENDOR NUMBER :
ADDRESS: 9832 N. Hayden Rd., Suite 106
Scottsdale, AZ 85258-1298
P.O. ADDRESS:
TELEPHONE NUMBER: 480/945-3475
FACSIMILE NUMBER: 480/922-5569
WEB SITE:
CONTACT (REPRESENTATIVE): Susan Hoefke
REPRESENTATIVE'S E-MAIL ADDRESS: hoefke@azn.us
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
JON VAN DOREN
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
JON VAN DOREN
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
JON VAN DOREN
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
JON VAN DOREN
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000002501
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
LAMONTE PSYCHOLOGICAL SERVICES, 11011 SOUTH 48TH STREET, PHOENIX, AZ 85044
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Lamonte Psychological Services PLLC
COUNTY VENDOR NUMBER :
ADDRESS: 11011 S. 48th Street
Phoenix, AZ 85044
P.O. ADDRESS:
TELEPHONE NUMBER: 480/648-5248
FACSIMILE NUMBER:
WEB SITE:
CONTACT (REPRESENTATIVE): Amber Lamonte
REPRESENTATIVE'S E-MAIL ADDRESS: Drlamonte@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
LAMONTE PSYCHOLOGICAL SERVICES
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
LAMONTE PSYCHOLOGICAL SERVICES
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
LAMONTE PSYCHOLOGICAL SERVICES
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
LAMONTE PSYCHOLOGICAL SERVICES
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000003007
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
LAWERENCE J ALLEN, 7484 E WINDROSE DR, SCOTTSDALE, AZ 85260
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Lwrence J. Allen
COUNTY VENDOR NUMBER :
ADDRESS: 2601 N. Third Street, Suite 303
Phoenix, AZ 85004
P.O. ADDRESS:
TELEPHONE NUMBER: 602-859-1305
FACSIMILE NUMBER: 480-607-7128
WEB SITE:
CONTACT (REPRESENTATIVE):
REPRESENTATIVE'S E-MAIL ADDRESS: ljallenphd@msn.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
LAWERENCE J ALLEN
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
LAWERENCE J ALLEN
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
LAWERENCE J ALLEN
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
LAWERENCE J ALLEN
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000003394
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
LESLIE DANA KIRBY DBA: KIRBY PSYCHOLOGICAL SERV, 14717 W ORANGE DR, LITCHFIELD
PARK, AZ 85310
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Leslie Dana Kirby, Ph. D/: Kirby Psychological Services
COUNTY VENDOR NUMBER : VC0000005513
ADDRESS: 14717 W Orange Drive
Litchfield Park, AZ 85340
P.O. ADDRESS:
TELEPHONE NUMBER: 623-606-7243
FACSIMILE NUMBER: n/a
WEB SITE: n/a
CONTACT (REPRESENTATIVE): Leslie Dana Kirby
REPRESENTATIVE'S E-MAIL ADDRESS: lesliedanakirby@hotmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 10 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
LESLIE DANA KIRBY DBA: KIRBY PSYCHOLOGICAL SERV
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
LESLIE DANA KIRBY DBA: KIRBY PSYCHOLOGICAL SERV
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
LESLIE DANA KIRBY DBA: KIRBY PSYCHOLOGICAL SERV
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
LESLIE DANA KIRBY DBA: KIRBY PSYCHOLOGICAL SERV
PRICING SHEET: NIGP CODE 94876
Terms: NET 10
Vendor Number: VC0000005513
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
MARK TREEGOOB PHD, 19420 N 59TH AVE C269, GLEDALE, AZ 85308
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Mark Treegoob
COUNTY VENDOR NUMBER : VC0000007645
ADDRESS: 19420 N. 59th Ave C269
Glendale, AZ 85308
P.O. ADDRESS:
TELEPHONE NUMBER: 602/843-5484
FACSIMILE NUMBER: 602/843-5498
WEB SITE: www.marktreegoob.com
CONTACT (REPRESENTATIVE): Mark Treegoob
REPRESENTATIVE'S E-MAIL ADDRESS: mtreegoob@wvbh.phxcoxmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 20 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
MARK TREEGOOB PHD
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
MARK TREEGOOB PHD
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
MARK TREEGOOB PHD
ALAN DANA LEWIS
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
MARK TREEGOOB PHD
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000007645
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
MCGADY AND ASSOCIATES PSYCHOLOGICAL SERVICES, 1125 W. OLIVE AVE SUITE 151,
GLENDALE, AZ 85302
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: McGady and Associates Psychological Services
COUNTY VENDOR NUMBER :
ADDRESS: 4425 W. Olive Ave, Suite 151
Glendale, AZ 85302
P.O. ADDRESS:
TELEPHONE NUMBER: 602-456-4817
FACSIMILE NUMBER: 480-247-4318
WEB SITE: www.McGadypsych.com
CONTACT (REPRESENTATIVE): M. David McGady, Psy. D.
REPRESENTATIVE'S E-MAIL ADDRESS: David@McGadypsych.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
MCGADY AND ASSOCIATES PSYCHOLOGICAL SERVICES
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
MCGADY AND ASSOCIATES PSYCHOLOGICAL SERVICES
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
MCGADY AND ASSOCIATES PSYCHOLOGICAL SERVICES
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
MCGADY AND ASSOCIATES PSYCHOLOGICAL SERVICES
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000002696
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
NEAL H OLSHAN, 11333 N SCOTTSDALE RD STE 285, SCOTTSDALE, AZ 85254
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Neal H. Osshan, PhD
COUNTY VENDOR NUMBER :
ADDRESS: 472 E. Cholla Street, Phoenix, AZ 85028
P.O. ADDRESS:
TELEPHONE NUMBER: 602-705-1144
FACSIMILE NUMBER: 480-553-8678
WEB SITE:
CONTACT (REPRESENTATIVE): Neal Olshan
REPRESENTATIVE'S E-MAIL ADDRESS: drolshan@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
NEAL H OLSHAN
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
NEAL H OLSHAN
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
NEAL H OLSHAN
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
NEAL H OLSHAN
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000007245
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
NEXUS PSYCHOLOGICAL SERVICES PLLC, 14050 N 83RD AVE STE 290, PEORIA, AZ 85381
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: NEXUS PSYCHOLOGICAL SERVICES PLLC
COUNTY VENDOR NUMBER :
ADDRESS: 14050 N 83RD AVE STE 290, PEORIA, AZ 85381
P.O. ADDRESS: N/A
TELEPHONE NUMBER: 623/335-4504
FACSIMILE NUMBER: 855/811-0596
WEB SITE: None
CONTACT (REPRESENTATIVE): Kaysha Richards, Psy. D
REPRESENTATIVE'S E-MAIL ADDRESS: Kaysha.richards.psyd@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ ]
[ X ] NET 15 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
NEXUS PSYCHOLOGICAL SERVICES PLLC
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
NEXUS PSYCHOLOGICAL SERVICES PLLC
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
NEXUS PSYCHOLOGICAL SERVICES PLLC
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
NEXUS PSYCHOLOGICAL SERVICES PLLC
PRICING SHEET: NIGP CODE 94876
Terms: NET 15
Vendor Number: VS0000002743
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
PETTY PSYCHOLOGICAL SERVICES – SARAH GALLIMORE, 11201 N TATUM BLVD STE 300,
PHOENIX. AZ 85028
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Sarah Gallimore
COUNTY VENDOR NUMBER :
ADDRESS: 11201 N. Tatum Blvd., Ste 300
Phoenix, AZ 85028
P.O. ADDRESS:
TELEPHONE NUMBER: 480-878-0898
FACSIMILE NUMBER:
WEB SITE: www.drgallimore.com
CONTACT (REPRESENTATIVE): Sarah Gallimore
REPRESENTATIVE'S E-MAIL ADDRESS: Dr.gallimore@outbok.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
PETTY PSYCHOLOGICAL SERVICES – SARAH GALLIMORE
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
PETTY PSYCHOLOGICAL SERVICES – SARAH GALLIMORE
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
PETTY PSYCHOLOGICAL SERVICES – SARAH GALLIMORE
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
PETTY PSYCHOLOGICAL SERVICES – SARAH GALLIMORE
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000001240
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
PSG CONSULTING – MICHAEL COFIELD, D7 417 34 128, 34522 N SCOTTSDALE RD
SCOTTSDALE, AZ 85266
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: PSG Consulting, Inc.
COUNTY VENDOR NUMBER : VC0000007403
ADDRESS: 34522 N. Scottsdale Road, Ste 120-417
Scottsdale AZ, 85266
P.O. ADDRESS:
TELEPHONE NUMBER: 602-721-8942
FACSIMILE NUMBER: 602-636-2552
WEB SITE:
CONTACT (REPRESENTATIVE): Michael Cofield, PhD, ABPP
REPRESENTATIVE'S E-MAIL ADDRESS: maryazimmerman@cox.net
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
PSG CONSULTING – MICHAEL COFIELD
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
PSG CONSULTING – MICHAEL COFIELD
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
PSG CONSULTING – MICHAEL COFIELD
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
PSG CONSULTING – MICHAEL COFIELD

SERIAL 180220-ROQ

SERIAL 180220-ROQ
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000007403
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
ROGER MARTIG, 7217 N 23RD ST, PHOENIX, AZ 85020
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Roger M. Martig PhD., LLC
COUNTY VENDOR NUMBER : VC0000001874
ADDRESS: 7217 N. 23rd Street, Phoenix, AZ 85020
P.O. ADDRESS:
TELEPHONE NUMBER: 602-867-2699
FACSIMILE NUMBER:
WEB SITE:
CONTACT (REPRESENTATIVE): Ellen Matig
REPRESENTATIVE'S E-MAIL ADDRESS: Ellen.Martig@cox.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
ROGER MARTIG
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
ROGER MARTIG
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
ROGER MARTIG
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
ROGER MARTIG
ATTACHMENT A
SERVICES PROVIDED
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000001874
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
SATURDAY CONSULTING DBA: NICOLE PONDELL, 967 E. MORNINGSTAR LN, TEMPE, AZ 85283
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Nicole Pondell
COUNTY VENDOR NUMBER : VS0000002346
ADDRESS: 967 E. Morningstar Ln, Tempe, AZ 85283
P.O. ADDRESS:
TELEPHONE NUMBER: 602-321-6963
FACSIMILE NUMBER:
WEB SITE: www.nicolepondell.com
CONTACT (REPRESENTATIVE): Nicole Pondell
REPRESENTATIVE'S E-MAIL ADDRESS: Pondell.nicole@gmail.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
SATURDAY CONSULTING DBA: NICOLE PONDELL
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
SATURDAY CONSULTING DBA: NICOLE PONDELL
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
SATURDAY CONSULTING DBA: NICOLE PONDELL
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
SATURDAY CONSULTING DBA: NICOLE PONDELL
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VS0000002346
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
SCOTTSDALE CENTER FOR THE ADVANCMENT OF NEUROSCIENCE (MATTHEW KEENE), 585 E
CERCADO LANE, LITCHFIELD PARK, AZ 85340
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Matthew S. Keene, MD
COUNTY VENDOR NUMBER :
ADDRESS: 585 E Cercado Lane, Lichfield Park, AZ 8534
P.O. ADDRESS:
TELEPHONE NUMBER: 623/777-9970
FACSIMILE NUMBER: 888/420-4978
WEB SITE:
CONTACT (REPRESENTATIVE): Matthew Keene
REPRESENTATIVE'S E-MAIL ADDRESS: mattkeene@aol.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ ] [ X ]
[ X ] NET 10 DAYS
1.0 Pricing
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
SCOTTSDALE CENTER FOR THE ADVANCMENT OF NEUROSCIENCE (MATTHEW KEENE)
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation (vendor opted out) $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
SCOTTSDALE CENTER FOR THE ADVANCMENT OF NEUROSCIENCE (MATTHEW KEENE)
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
**THIS CONTRACTOR ONLY**
Court Testimony fee will be $225.00 per hour with a minimum of 2-hours from
the time scheduled to appear to the time permitted to leave. The fee will be
capped at $1,000.00 per day. Court Testimony has a $7,000.00 annual cap, after
the $7,000.00 annual cap has been reached, the rate will return to the contracted
rates stated above.
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
SCOTTSDALE CENTER FOR THE ADVANCMENT OF NEUROSCIENCE (MATTHEW KEENE)
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
SCOTTSDALE CENTER FOR THE ADVANCMENT OF NEUROSCIENCE (MATTHEW KEENE)
PRICING SHEET: NIGP CODE 94876
Terms: NET 10
Vendor Number: VS0000002691
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
STEVEN C. HIRDES EDD, 4801 W LAKESHORE DR STE 206, TEMPE, AZ 85282
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: STEVEN C. HIRDES Ed. D.
COUNTY VENDOR NUMBER :
ADDRESS: 4801 W LAKESHORE DR STE 206, TEMPE, AZ
P.O. ADDRESS:
TELEPHONE NUMBER: 480/345-7755
FACSIMILE NUMBER: 480/345-8833
WEB SITE:
CONTACT (REPRESENTATIVE): Goggi Dykstra, Office Manager
REPRESENTATIVE'S E-MAIL ADDRESS: affilpsyche@yahoo.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 30 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
STEVEN C. HIRDES EDD
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
STEVEN C. HIRDES EDD
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
a. Testimony of four (4) hours or less per day $340.00 total
b. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
STEVEN C. HIRDES EDD
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
STEVEN C. HIRDES EDD
PRICING SHEET: NIGP CODE 94876
Terms: NET 30
Vendor Number: VC0000007889
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
WAYNE R. GENERAL PHD LLC, 761 E UNIVERSITY DR STE C, MESA, AZ 85203
ATTACHMENT A
VENDOR INFORMATION AND PRICING
SERIAL 180220-ROQ
NIGP CODE: 94876
RESPONDENT'S NAME: Wayne R. General, Ph.D. L.L.C.
COUNTY VENDOR NUMBER : VC0000004285
ADDRESS: 761 E. University Dr. Suite C Mesa, Arizona 85203
P.O. ADDRESS:
TELEPHONE NUMBER: 480/245-6776
FACSIMILE NUMBER: 480/444-1475
WEB SITE:
CONTACT (REPRESENTATIVE): Wayne R. General, Ph.D.
REPRESENTATIVE'S E-MAIL ADDRESS: dgadmin@waynegeneral.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT [ X ] [ ]
[ X ] NET 15 DAYS
1.0 Pricing
**Contractor approved for juvenile services.**
Pre-determined Fee Schedule for Forensic Psychological Services
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1, unless
otherwise indicated as per hour.
Service
Forensic Psychological Service Description Description Fixed
Rate
4.1 Adult Competency Evaluation and Restoration
4.1.1.1 Psychological Pre-Evaluation (Prescreen) $140.00 total
A.R.S. §13-4503 (C) and Rule 11.2 (c) of the ARCrP
4.1.1.2 Rule 11 Competency Evaluation $330.00 total
A.R.S. § 13-4507 and 13-4509 and Rule 11 of the ARCrP
4.1.1.3 In-Custody Restoration (All-inclusive for MHE) 4.1.1.3 (a, c, d, e and f) $1,025.00 total
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
4.1.1.4 Not in Custody (NIC) Restoration
A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-4512
a. (All-inclusive for MHE) 4.1.1.4 (a, c, d, e, and f) $1,000.00 total
b. Weekly Restoration Education Sessions - Average of five sessions at
$70.00/session
All-inclusive for FRS or MHE) 4.1.1.4 (b) only $350.00 total

SERIAL 180220-ROQ
WAYNE R. GENERAL PHD LLC
c. Outpatient Treatment Plan (OPTP) Only 4.1.1.4 (a) only $345.00 total
4.1.1.5 Supplementary CIMD Evaluation - Rule 11 and Restoration
A.R.S. § 13-4509 (C) and Rule 11.3 of the ARCrP
a. Record Review only $400.00 total
b. Record Review and In-person Evaluation $700.00 total
4.1.1.6 Sexually Violent Person (SVP) Examination $1050.00 total
A.R.S. § 13-4518 and to HB 2239
4.1.1.7 Appointment of Clinical Liaison $70.00 per hour
A.R.S. § 13-4513. Maximum of two (2) hours per defendant without prior authorization. Any work for
this service description that exceeds two (2) hours requires prior e-mail authorization from the CHS
Contract Administrator, including an approved estimate of the number of hours required to complete
this service in accordance with the hourly rate.
4.1.2 Insanity
4.1.2.1 Evaluation for purposes of Insanity Defense $360.00 total
A.R.S. § 13-4506 (B)
4.1.2.2 Guilty Except Insane Evaluation $670.00 total
A.R.S. § 13-502 (B)
4.1.3 Death Penalty
4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death Penalty Cases $220.00 total
A.R.S. § 13-754
4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550.00 total
A.R.S. § 13-753 (A)(B)(C)
Examination in Death Penalty Cases to Determine the Presence of Intellectual
4.1.3.3 $660.00 total
Disabilities A.R.S. §13-753(D)(E)
4.1.3.4 Examination to Determine Competency Prior to an Execution $370.00 total
A.R.S. §13-4022
4.1.4 Pre-sentence
4.1.4.1 Pre-sentence Examination $355.00 total
Rule 26.5 of the ARCrP

SERIAL 180220-ROQ
WAYNE R. GENERAL PHD LLC
4.1.5 Juvenile Competency
4.1.5.1 Juvenile Competency Evaluations $335.00 total
A.R.S. § 8-291.04 and 8-291.07
4.1.6 Other
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing $90.00 per hour
R.S. § 13-4505 (B) and Rule 11.3 (g) of the ARCrP. Maximum of two (2) hours per defendant without
prior authorization. Any testing that exceeds two (2) hours requires prior e-mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of hours required to
complete this service in accordance with the hourly rate.
4.1.6.2 Supplemental Report (Adult and Juvenile) $110.00 total
4.1.6.3 Court Testimony (Adult and Juvenile)
c. Testimony of four (4) hours or less per day $340.00 total
d. Testimony greater than four (4) hours per day $525.00 total
4.1.6.4 Other Forensic Psychological Services $85.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator, including an approved
estimate of the number of hours required to complete this service in accordance with the hourly rate.
4.1.6.5 Excess Record Review – Over 350 pages $75.00 per hour
Must have prior e-mail authorization from the CHS Contract Administrator,
including an approved estimate of the number of hours required to complete this
service in accordance with the hourly rate.
In-custody fee (Adults only)
4.1.6.6 $80.00 total
Only one (1) in-custody fee per defendant is allowed per MHE.
4.1.6.7 No-Show Fee for NIC Competency Evaluations (Adult and Juvenile) $150.00 total
4.1.6.8 No-Show Fee for NIC Psychological Pre-Evaluations (Prescreens) $60.00 total

SERIAL 180220-ROQ
WAYNE R. GENERAL PHD LLC
Pre-determined Fee Schedule for Forensic Psychological Services *listed by required Qualifications
MHE = Psychologist or Psychiatrist
“Service Description Fixed Rate” refers to the total rate for the service rendered as defined in Section 4.1,
unless otherwise indicated as per hour.
Required Service Description Rate
Qualifications
MHE 4.1.1.1 Psychological Pre-Evaluations (Prescreens) $140 total
MHE 4.1.1.2 Rule 11 Competency Evaluation $330 total
MHE 4.1.1.3 (a, c, d, e, & f) In-Custody Restoration $1,025 total
(all-inclusive for MHE)
MHE 4.1.1.4 (a, c, d, e, & f) Not in Custody (NIC) Restoration (all- $1,000 total
inclusive for MHE)
MHE 4.1.1.4 (c only) Not in Custody (NIC) Restoration Outpatient $345 total
Treatment Plan Only
MHE 4.1.1.6 Sexually Violent Persons Evaluations $1,050 total
MHE 4.1.1.7 Appointment of Clinical Liaison – prior e-mail authorization $70 per hour
and supporting documentation required if exceeding two (2) hours
MHE 4.1.2.1 Evaluation for purposes of Insanity Defense $360 total
MHE 4.1.2.2 Guilty Except Insane Examination $670 total
MHE 4.1.3.1 Prescreening Evaluations for Competency and Sanity in Death $220 total
Penalty Cases
MHE 4.1.3.2 IQ Examination for Defendants in Death Penalty Cases $550 total
MHE 4.1.3.3 Examination in Death Penalty Cases to Determine the Presence $660 total
of Intellectual Disabilities
MHE 4.1.3.4 Examination to Determine Competency Prior to an Execution $370 total
MHE 4.1.4.1 Pre-sentence Examination $355 total
MHE 4.1.5.1 Juvenile Competency Evaluation $335 total
MHE 4.1.6.2 Supplemental Report $110 total
MHE 4.1.6.5 Excess Record Review – prior e-mail authorization and $75 per hour
supporting documentation required
MHE 4.1.6.6 In-custody Fee $80 total
MHE 4.1.6.7 No-Show Fee for NIC Competency Evaluations – supporting $150 total
documentation required
MHE 4.1.6.8 No-Show Fee for NIC Pre-Evaluations (Prescreens) – $60 total
supporting documentation required
MHE or FRS 4.1.1.4 (b only) Weekly Not in Custody (NIC) Restoration Sessions $350 total
(FRS or MHE)
MHE or Psychometrist 4.1.6.1 Additional MHE/Psychometrist Assistance/Testing –– prior e- $90 per hour
mail authorization and supporting documentation required if exceeding
two (2) hours
MHE or FRS or 4.1.6.3 a. Court Testimony (0-4 hours) – subpoena required $340 total
Psychometrist
MHE or FRS or 4.1.6.3 b. Court Testimony (greater than 4 hours) – subpoena required $525 total
Psychometrist
MHE or FRS or 4.1.6.4 Other Forensic Psychological Services – prior e-mail $85 per hour
Psychometrist authorization and supporting documentation required
Psychiatrist Only 4.1.1.5 (a) Supplementary CIMD Evaluation – Record Review Only $400 total
Psychiatrist Only 4.1.1.5 (b) Supplementary CIMD Evaluation – Record Review and In- $700 total
person Evaluation

SERIAL 180220-ROQ
WAYNE R. GENERAL PHD LLC
PRICING SHEET: NIGP CODE 94876
Terms: NET 15
Vendor Number: VC0000004285
Certificates of Insurance Required
Contract Period: To cover the period ending August 31, 2019.

SERIAL 180220-ROQ
FORENSIC PSYCHOLOGICAL SERVICES
1.0 INTENT:
It is the intent of Maricopa County to identify qualified professional Mental Health Experts (MHEs) who
will provide Forensic Psychological Services for the Superior Court of Arizona for adult and juvenile
populations within Maricopa County, with the exception of juvenile restoration. Forensic Psychological
Services are assigned by CHS and officially ordered by the Superior Court on an “as needed” and case by
case basis; therefore, there is no guarantee for a specific amount of work/cases assigned implied by this
contractual agreement. MHEs will perform the duties included within the requirements defined within the
scope of work and set forth by statute, while utilizing the best practices in Forensic Psychology
(http://www.apa.org/practice/guidelines/forensic-psychology.aspx).
The department of Correctional Health Services (CHS) will administer the awarded contract.
Other governmental entities under agreement with the County may have access to services provided
hereunder (see also Sections 5.10 and 5.11, below)
The County reserves the right to add additional contractors, at the County’s sole discretion, in cases where
the currently listed contractors are of an insufficient number or skill-set to satisfy the County’s needs.
2.0 DEFINITIONS:
2.1 “Arizona Revised Statutes” (A.R.S.) = Arizona’s current governing laws.
2.2 “Arizona Rules of Criminal Procedure” (ARCrP) = Arizona’s current rules for criminal
procedure.
2.3 “Competency is Medication Dependent” (CIMD) = a competency status where the defendant is
currently competent by virtue of ongoing treatment with psychotropic medication.
2.4 “Contract” = this entire document, which is the collection of the Solicitation, Intent, Definitions,
Qualifications and Credentialing, Scope of Work: Service Descriptions and Requirements,
Procurement Requirements, Contractual and Special Terms and Conditions, Attachments, the
Offer and any Final Offers; and any Solicitation Amendments or Contract Amendments.
2.5 “Contract Administrator” = the Correctional Health Services designated representative who is
responsible for making written determinations with respect to this Contract.
2.6 “Contract Amendment” = a written document issued for the purpose of making changes to the
Contract, which must be signed by both the Contractor and the Contract Administrator, and
approved by the Maricopa County Office of Procurement Services.
2.7 “Contractor” = any individual who has a contractual agreement with Correctional Health Services
in order to provide forensic psychological services for the Superior Court of Arizona in Maricopa
County.
2.8 “Correctional Health Services” (CHS) = the department duly authorized by the Superior Court of
Arizona in Maricopa County to administer and manage this Contract.
2.9 “Court” = Superior Court of Arizona in Maricopa County and the identified client for the work
product (reports) resulting from the services detailed in descriptions.
2.10 “Days” = calendar days unless otherwise specified.
2.11 “Defendant” = the person charged with a crime in the Superior Court of Maricopa County.

SERIAL 180220-ROQ
2.12 “Fee” = the deposit of monetary funds or payment, distributed by CHS to the Contractor for
services rendered, as detailed in 4.1, commensurate with rates established in the Predetermined
Fee Schedule (see Attachment A: Vendor Information and Pricing).
2.13 “Forensic Restoration Specialist” (FRS) = a mental health or education professional who
works under the supervision of a licensed MHE and provides legal education and ongoing
assessment of defendants in Restoration programs a licensed mental health professional, who
provides legal education and ongoing assessment of defendants in Restoration programs.
2.14 “Mental Health Expert” (MHE) = a licensed Psychologist or Psychiatrist that meets the required
qualifications to be recognized as an expert by the Court.
2.15 “Not in Custody” (NIC) = out of custody cases, where the defendant is not currently
incarcerated/in-custody at the Maricopa County jails.
2.16 “Notice of Appointment” (NOA) = the official notice from the Court assigning the MHE to the
service description.
2.17 “Outpatient Treatment Plan” (OPTP) = the treatment plan submitted to the Court for approval for
Out of Custody (or Not in Custody/NIC) Restoration.
2.18 “Prison Rape Elimination Act” (PREA) = a set of Federal standards enacted to institute a zero
tolerance standard for incidents of sexual abuse and sexual harassment in correctional facilities
and establishes national standards for the prevention, detection, and response to sexual abuse and
sexual harassment (see Exhibit 6).
2.19 “Psychometrist” = a mental health or education professional who works under the
supervision of a licensed MHE and administers psychological testing with defendants a
mental health professional who administers psychological testing with defendants under the
supervision of a licensed MHE.
2.20 “Restoration to Competency” (RTC) = programmatic elements to restore a defendant’s
competency for the expressed goal of allowing criminal proceedings to resume.
2.21 “Records Repository” CHS, = the department duly authorized by the Court to securely manage,
store, maintain, and disclose the collateral records associated with the service descriptions to
facilitate equivalent record review for each appointed MHE.
2.22 “Report” = the designated work product resulting from the service descriptions produced for the
Court (the client), and compensated by CHS.
2.23 “Services” = the furnishing of labor, time or effort performed by a Contractor or Subcontractor,
for the purpose of creating a work product (report) for the Court, but does not include employment
agreements or collective bargaining agreements.
2.24 “Service Description” = the description of each service rendered for the purpose of creating a
corresponding work product (report) for the Court, which is compensated by CHS consistent with
the rates established in the Predetermined Fee Schedule, (see Attachment A: Vendor Information
and Pricing).
2.25 “Sexually Violent Person” (SVP) = individuals who meet the criteria for Sexually Violent Person
status.
2.26 “Sources of Information” = a listing of collateral records/sources reviewed by the MHE, which are
clearly delineated in the report.
2.27 “Subcontract” = a contract, express or implied, between the Contractor and another party, for the
purpose of delegating or assigning, in whole or in part, performance of the service required as part
of this contract, for the creation of the corresponding work product (report) for the Court.

SERIAL 180220-ROQ
2.28 “Subcontractor” = another party who has any Contract, express or implied, with a Contractor
approved by Correctional Health Services and the court, in order to be delegated or assigned, in
whole or in part, performance of the service required as part of this contract, for the creation of the
corresponding work product (report) for the Court.
2.29 “Supervision” = refers to staffing meetings with the MHE and the FRS or Psychometrist for the
purpose of case conceptualization. This activity is included in the all-inclusive fee for Restoration.
2.30 “Treatment Supervisor” = refers the MHE who directs restoration and is the sole person
responsible to the Court.
3.0 QUALIFICATIONS AND CREDENTIALLING:
3.1 Minimum Qualifications per the Court:
3.1.1 MHEs: Psychologists and Physicians (Psychiatrists):
3.1.1.1 Pursuant to the Arizona Rules of Criminal Procedure Rule 11.3, All MHEs must
be:
3.1.1.1.1Familiar with this state's competency standards and statutes and
criminal and involuntary commitment statutes; and
3.1.1.1.2Familiar with the treatment, training and restoration programs that are
available in this state: and
3.1.1.1.3Approved by the court as meeting court developed guidelines using
recognized programs or standards: and
3.1.1.1.4Able to provide proof of attendance and successful completion of 16
hours court-approved training program as determined necessary by the
Court at the MHE’s expense, and annual review criteria.
3.1.1.2 Psychologists:
3.1.1.2.1 Be currently licensed by the State of Arizona pursuant to Title 32,
Chapter 19.1.
3.1.1.2.2Have completed training and/or gained experience in one (1) of the
following ways:
3.1.1.2.2.1 Diplomat status by the American Board of Forensic
Psychology, American Board of Professional Psychology;
or
3.1.1.2.2.2 Three (3) years of post-doctoral (although not necessarily
post-licensure) experience in the practice of psychology
including either one (1) year (=1500 hours) of pre-
doctoral forensic training with appropriate supervision as
defined in A.R.S. § 32-2071(D) or one (1) year (=1500
hours) of post-doctoral forensic training, fellowship, or
verifiable work experience in a forensic setting. If this
training or experience is undertaken prior to licensure, it
shall be appropriately supervised as defined in A.R.S.
§32-2071(E); or
3.1.1.2.2.3 Five (5) years of post-licensure practice of psychology as
defined in A.R.S. § 32-2061(10). In addition, five

SERIAL 180220-ROQ
hundred (500) hours of documented experience in
forensic psychology, plus thirty (30) hours of continuing
education in forensic psychology; or
3.1.1.2.2.4 Five (5) years of post-licensure practice of psychology as
defined in A.R.S. § 32-2601 (10) and completion of the
court approved clinical preceptorship.
3.1.1.3 Physicians (Psychiatrists):
3.1.1.3.1Be a Medical Doctor or Osteopathic Physician currently licensed by the
State of Arizona under Title 32, Chapters 13 or 17; and
3.1.1.3.2Be a Graduate of a residency program in psychiatry accredited by the
American College of Graduate Medical Education or foreign
equivalent; and
3.1.1.3.3Forensic experience and/or training in forensic psychiatry to
Correctional Health Services,, as evidenced by either (3.1.1.3.3.1),
(3.1.1.3.3.2), (3.1.1.3.3.3), and (3.1.1.3.3.4) below;
3.1.1.3.3.1 Completion of one (1) or more years of a Forensic
Psychiatry fellowship; or
3.1.1.3.3.2 Certification by the American Board of Forensic
Psychiatry or added qualifications in forensic psychiatry
by the American Board of Psychiatry and Neurology; or
3.1.1.3.3.3 Three (3) years of post-residency experience, including
500 hours in forensic psychiatry; and
3.1.1.3.3.4 Two (2) years of post-residency experience, with
documentation of at least; thirty (30) cumulative hours of
forensic CME, or residency training in forensic psychiatry
within the previous three (3) years and completion of the
court approved clinical preceptorship.
3.1.2 Forensic Restoration Specialists: Mental health or education professionals who
work under the supervision of a licensed MHE and provide legal education
sessions and ongoing assessment of defendants in restoration (Bachelor’s degree
= minimum requirement) Licensed mental health professionals who work under the
supervision of a qualified MHE to provide legal education sessions and ongoing
assessment of defendants in restoration.
3.1.3 Psychometrists: Mental health or education professionals who work under the
supervision of a licensed MHE and administer psychological testing with
defendants (Bachelor’s degree = minimum requirement) Mental health
professionals who work under the licensure and supervision of a qualified MHE to
administer psychological testing with defendants.
3.2 CHS Human Resources – Credentialing Requirements (After Award):
3.2.1 Contractor must complete the following and provide the following documentation:
3.2.1.1 Basic Life Saving Course, via the American Heart Association or Red Cross
Copy of Current Basic Life Saving Certificate (front and back)
3.2.1.2 MCSO Background Application for MCSO Background Check

SERIAL 180220-ROQ
3.2.1.3 MCSO Fingerprint form for MCSO Background Check
3.2.1.4 New Protective Services form for Maricopa County Background Check
3.2.1.5 National Provider Database Collection form
3.2.1.6 Signed Attestation regarding drug-free workplace
3.2.1.7 Parking Agreement
3.2.1.8 Tuberculosis Skin Test (via family physician) - Proof of current Tuberculosis
Skin Test
3.2.1.9 PREA Acknowledgement, Exhibit 6
3.2.1.10 CHS Orientation, as coordinated by CHS Human Resources and Education
3.2.1.11 Maricopa County Badge (must be renewed every six months by CHS)
3.2.1.12 CHS Contractor Badge (must be renewed/exchanged every six months by the
Contractor)
3.2.2 Other Training, Attendance and Credentialing Requirements:
3.2.2.1 The MHE shall participate in all required forensic psychological education
training sessions provided by CHS and/or the Court relevant to this scope of
work or programs pursuant to Rule 11.3(b) including the court-approved
training program as deemed necessary by the Court. The MHE is responsible for
any special fees: such as conference charges, etc.
3.2.2.2 If required by the Court, the MHE shall attend Court sponsored administrative
meetings, workshops, and/or future trainings. The MHE shall not be paid a fee
for attendance at these meetings. If unable to attend, the MHE is still responsible
for obtaining any information presented, and must review the subsequent
materials provided or complete the online training as directed.
3.2.2.3 If the MHE intends to perform Juvenile Competency evaluations, the MHE must
Complete a four (4) hour training course in Juvenile Competency mandated by
the Arizona Supreme Court Administrative Office of the Courts (AOC) and
pursuant to A.R.S. § 8-291 et. seq.
3.2.2.4 The Contractor must maintain an active and secured county email address;
phone line; and mailing address. The Contractor must utilize their secured
county email address to conduct all business with CHS and the Court
as detailed in this contract. The Contractor must immediately notify the CHS
Contract Administrator of any changes regarding their contact information.
3.2.2.5 Background Check:
Contractors need to be aware that there may be multiple background checks
(Sheriff’s Office, County Attorney's Office, Courts as well as Maricopa County
general government) to determine if the respondents employees are acceptable
for the contractor to conduct business with the County. This applies to (but is
not limited to) the Contractor and subcontractors. Employees or others who fail
to pass these checks shall not be allowed to work on County projects. Failure to
meet these requirements may lead to termination of the Contract.

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4.0 SCOPE OF WORK: SERVICE DESCRIPTIONS AND REQUIREMENTS
4.1 Service Descriptions for Forensic Psychological Services:
4.1.1 Adult Competency Evaluation & Restoration:
4.1.1.1 Psychological Pre-Evaluation (Prescreen) A.R.S. § 13-4503(C) and Rule 11.2(c)
of the ARCrP:
The MHE will meet with the defendant, conduct a competency pre-evaluation,
review all available records determine if reasonable grounds exist to evaluate the
defendant to determine legal competency status, produce a screening report that
meets the statutory requirements, and submit the screening report to the Court
and CHS via secure county email within ten (10) days of appointment for in-
custody and fourteen (14) days of appointment for out-of-custody unless
otherwise ordered by the Court. If the defendant is in-custody and refuses to
participate in the evaluation, a screening report must be completed based on the
available records.
4.1.1.2 Rule 11 Competency Evaluation A.R.S. § 13-4507 and 13-4509 and Rule 11 of
the ARCrP:
The MHE will meet with the defendant, conduct a competency evaluation,
review all available records and opine whether, as a result of a mental illness,
defect or disability, the defendant is unable to understand the proceedings
against him or her, to assist in his or her own defense, or to enter a plea. The
MHE will produce a Rule 11 Competency Evaluation report that meets the
statutory requirements, and submit the report to the Court and CHS via secure
county email on or before the due date listed on the Notice of Appointment or
minute entry. If the defendant is in-custody and refuses to participate in the
evaluation, a report must be completed based on the available records.
4.1.1.3 In-Custody Restoration A.R.S. § 13-4501 et seq., 13-4509, 13-4510 (C) and 13-
4512:
a. A Restoration to Competency Plan will be developed by the FRS and
approved/signed off by the MHE utilizing the Rule 11 Competency
Evaluation Report(s) and any other relevant documentation to assess the
defendant. To avoid conflicts of interest, the MHE assigned to conduct
restoration shall not be the same MHE who conducted the Rule 11
Competency Evaluations (as performed for 4.1.1.2). The MHE is the
Treatment Supervisor of restoration, and the sole person responsible to the
Court.
b. The FRS will conduct no more than one (1) restoration session per week.
Weekly restoration sessions must last for a duration of thirty (30) minutes to
one (1) hour. The FRS provides legal education to the defendant by
explaining the criminal justice process and the roles of courtroom
personnel. The FRS is responsible for implementing educational aspects
within the Restoration to Competency Plan. The legal education sessions
provide the context of ongoing assessment of the defendant’s competency
status. All encounters must be formally documented and become part of the
discoverable RTC case file.
c. The MHE responsible for ongoing supervision of the FRS for the purpose
of case conceptualization via staffing meetings. The MHE will attend either
in person or via telephone a minimum of at least two (2) staffing meetings
with the FRS prior to completing the Final Competency Report. This
supervision must be documented by the MHE and include at least one (1)

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staffing occurrence at the midpoint and one staffing occurrence at the
conclusion of restoration. For invoicing purposes, the MHE is required to
document a minimum of two (2) different staffing dates upon which the
supervision/staffing meetings occurred. Supervision is included in the all-
inclusive fee for Restoration.
d. The MHE will review all available records prior to completing the Final
Competency Report.
e. The MHE will meet with the defendant, conduct a competency evaluation,
and produce any interim status report(s) as required by the Court. The MHE
will produce a Competency Status Report that meets the statutory
requirements, and submit the status report to the Court and CHS via secure
county email on or before the due date listed on the minute entry. If the
defendant refuses to participate in the evaluation, a status report must be
completed based on the available records.
f. The MHE will meet with the defendant, conduct a competency evaluation,
produce a Final Competency Report that meets the statutory requirements,
and submit the report to the Court and CHS via secure county email on or
before the due date listed on the minute entry. If the defendant refuses to
participate in the evaluation, a report must be completed based on the
available records.
4.1.1.4 Not in Custody (NIC) Restoration A.R.S. § 13-4501 et seq.,13-4509,13-4510
(C) and 13-4512:
a. The MHE will meet with the defendant, conduct a competency evaluation,
develop a restoration plan, and produce an Outpatient Treatment Plan
(OPTP) that meets the statutory requirements, and submit the OPTP to the
Court and CHS via secure county email on or before the due date listed on
the minute entry. The OPTP must be developed utilizing the Rule 11
Competency Evaluation Report(s) and any other relevant documentation to
assess the defendant. To avoid conflicts of interest, the MHE chosen to
prepare the treatment plan will not be the same MHE who conducted the
Rule 11 Competency Evaluations (as performed for 4.1.1.2). The MHE is
the Treatment Supervisor of restoration, and the sole person responsible to
the Court.
b. The MHE may opt to use the services of a qualified FRS. The MHE or FRS
will conduct no more than one (1) restoration session per week. Weekly
restoration sessions must last for a duration of thirty (30) minutes to one (1)
hour. The MHE or FRS provides legal education to the defendant by
explaining the criminal justice process and the roles of courtroom
personnel. The MHE or FRS is responsible for implementing educational
aspects within the OPTP. The legal education sessions provide the context
of ongoing assessment of the defendant’s competency status. All encounters
must be formally documented and become part of the discoverable RTC
case file.
c. The MHE is responsible for ongoing supervision of the FRS for the purpose
of case conceptualization via staffing meetings. The MHE will attend either
in person or via telephone a minimum of at least two (2) staffing meetings
with the FRS prior to completing the Final Competency Report. This
supervision must be documented by the MHE and include at least one (1)
staffing occurrence at the midpoint and one staffing occurrence at the
conclusion of restoration. For invoicing purposes, the MHE is required to
document a minimum of two (2) different staffing dates upon which the

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supervision/staffing meetings occurred. Supervision is included in the all-
inclusive fee for Restoration.
d. The MHE will review all available records prior to completing the Final
Competency Report.
e. The MHE will meet with the defendant, conduct a competency evaluation,
and produce any interim status report(s) as required by the Court. The MHE
will produce a Competency Status Report that meets the statutory
requirements, and submit the status report to the Court and CHS via secure
county email on or before the due date listed on the minute entry. If the
defendant refuses to participate in the evaluation, a status report must be
completed based on the available records.
f. The MHE will meet with the defendant, conduct a competency evaluation,
produce a Final Competency Report that meets the statutory requirements,
and submit the report to the Court and CHS via secure county email on or
before the due date listed on the minute entry. If the defendant refuses to
participate in the evaluation, a report must be completed based on the
available records.
4.1.1.5 Supplementary CIMD Evaluation A.R.S. § 13-4509 (C) and Rule 11.3 of the
ARCrP:
4.1.1.5.1If a previously appointed Forensic Psychologist has opined that the
defendant’s competency is medication dependent (CIMD), a Forensic
Psychiatrist may be appointed to conduct an evaluation and produce a
Supplementary CIMD Report to support or oppose the previously
rendered CIMD opinion from a medical standpoint. The Supplementary
CIMD Evaluation report must be submitted to the Court and CHS via
secure county email on or before the due date listed on the minute
entry.
As determined by the Forensic Psychiatrist, the work product for this
service description will be accomplished in one of the two following
ways:
a. The Forensic Psychiatrist will review the recently submitted MHE
reports and the medication administration/medical records. The
appointed Forensic Psychiatrist will consult with the previously
assigned MHEs, provide an endorsement from a medical
standpoint, and produce a Supplementary CIMD Evaluation report.
b. The Forensic Psychiatrist will review the recently submitted MHE
reports and the medication administration/medical records. The
appointed Forensic Psychiatrist will meet with the defendant,
conduct a competency evaluation, and produce a Supplementary
CIMD Evaluation report. If the defendant refuses to participate in
the evaluation, a report must be completed based on the available
records and default to 4.1.1.5(a).
4.1.1.6 Sexually Violent Person (SVP) Examination A.R.S. § 13-4518 and to HB 2239:
The MHE will be appointed as an expert in dangerousness and risk assessment
to determine the defendant’s SVP status. The MHE will meet with the
defendant, conduct a SVP examination that includes formal psychological
assessment methods, review all available records and opine whether the
defendant meets the criteria for SVP status. The MHE will produce a SVP
Examination report that meets the statutory requirements, and submit the report

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to the Court and CHS via secure county email within thirty (30) days of the
appointment.
4.1.1.7 Appointment of Clinical Liaison A.R.S. § 13-4513
The MHE will act as the clinical liaison charged with coordinating the
continuity of the defendant’s care following restoration. To avoid conflicts of
interest, the MHE may not be the Treatment Supervisor (the same MHE who
conducted restoration, as performed for 4.1.1.3 or 4.1.1.4). The clinical liaison
shall be familiar with aftercare facilities that are available in the defendant’s
locale and shall act as the liaison between the Court and any treating facilities or
correctional facilities. The clinical liaison shall review all available records and
submit a written report upon request to the Court and CHS via secure county
email on or before the due date listed on the minute entry. The clinical liaison, in
cooperation with the treatment facility shall advise the court on matters related
to the appropriateness of the form and location of treatment, including the level
of security. A treatment facility shall cooperate fully with the clinical liaison
with access to the defendant’s records. The clinical liaison shall not direct
treatment or render an opinion on the defendant’s competency. If the defendant
is in-custody and refuses to participate in the evaluation, a report must be
completed based on the available records. The clinical liaison may bill for a
maximum of two (2) hours without prior authorization. Any work related to this
service description that exceeds two (2) hours requires prior e-mail authorization
from the CHS Contract Administrator, including an approved estimate of the
number of hours required to complete this service in accordance with the hourly
rate on the Predetermined Fee Schedule (see Attachment A: Vendor Information
and Pricing). This supporting documentation must be provided with the invoice
for payment.
4.1.2 Insanity:
4.1.2.1 Evaluation for purposes of Insanity Defense A.R.S. § 13-4506 (B):
The MHE will meet with the defendant, conduct an evaluation, review all
available records determine if reasonable grounds exist to evaluate the
defendant’s mental status at the time of the offense, produce a screening report
that meets the statutory requirements, and submit the report to the Court and
CHS via secure county email within ten (10) days of appointment for in-custody
and fourteen (14) days of appointment for out-of-custody unless otherwise
ordered by the Court. If the defendant is in-custody and refuses to participate in
the evaluation, a report must be completed based on the available records.
4.1.2.2 Guilty Except Insane Evaluation A.R.S. § 13-502 (B):
The MHE will meet with the defendant, conduct an evaluation, review all
available records determine the defendant’s mental condition at the time of the
offense, produce a report that meets the statutory requirements, and submit the
report to the Court and CHS via secure county email on or before the due date
listed on the minute entry. If the defendant is in-custody and refuses to
participate in the evaluation, a report must be completed based on the available
records.
4.1.3 Death Penalty:
4.1.3.1 Prescreening Evaluations for Competency Sanity in Death Penalty Cases A.R.S.
§ 13-754:
The MHE will meet with the defendant, conduct an evaluation, review all
available records determine if reasonable grounds exist to evaluate (a) the

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defendant’s competency status, and (b) the defendant’s sanity/mental status at
the time of the offense, produce a screening report that meets the statutory
requirements, and submit the report to the Court and CHS via secure county
email within ten (10) days of appointment for in-custody and fourteen (14) days
of appointment for out-of-custody unless otherwise ordered by the Court. If the
defendant is in-custody and refuses to participate in the evaluation, a report must
be completed based on the available records.
4.1.3.2 IQ Examination for defendants in Death Penalty Cases A.R.S. § 13-753
(A)(B)(C):
The MHE will be appointed as a prescreening MHE to determine the defendant's
intelligence quotient in a case where the State intends to seek the death penalty.
The MHE will meet with the defendant, conduct an evaluation, and administer
intelligence testing using current community, nationally and culturally accepted
procedures, review all available records, produce a report that meets the
statutory requirements, and submit the report to the Court and CHS via secure
county email on or before the due date listed on the minute entry. Abbreviated
IQ instruments (e.g. Kaufman Brief Intelligence Test (KBIT), Wechsler
Abbreviated Scale of Intelligence (WASI), etc.) are not acceptable for these
examinations.
4.1.3.3 Examination in Death Penalty Cases to Determine the Presence of Intellectual
Disabilities A.R.S. § 13-753(D)(E):
The MHE will be appointed as an expert in intellectual disabilities to determine
the defendant's intelligence quotient in a case where the State intends to seek the
death penalty. The MHE will meet with the defendant, conduct an evaluation,
administer testing using current community, nationally and culturally accepted
physical, developmental, psychological, and intelligence testing procedures,
review all available records and determine whether the defendant has an
intellectual disability. The MHE will produce a report that meets the statutory
requirements, and submit the report to the Court and CHS via secure county
email within fifteen (15) days of examining the defendant.
4.1.3.4 Examination to Determine Competency Prior to an Execution A.R.S. § 13-4022:
The MHE will meet with the defendant, conduct a competency evaluation,
review all available records, produce a competency evaluation report that meets
the statutory requirements, and submit the report to the Court and CHS via
secure county email on or before the due date listed on the minute entry. If the
defendant refuses to participate in the evaluation, a report must be completed
based on the available records.
4.1.4 Pre-Sentence:
4.1.4.1 Pre-sentence Examination Rule 26.5 of the ARCrP:
The MHE will meet with the defendant and conduct a mental health or
diagnostic evaluation to assist the Court in considering the sentence of
defendants that have been convicted of an offense. The MHE will review all
available records, produce a report that meets the statutory requirements, and
submit the report to the Court and CHS via secure county email on or before the
due date listed on the minute entry. If the defendant is in-custody and refuses to
participate in the evaluation, a report must be completed based on the available
records.

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4.1.5 Juvenile Competency:
4.1.5.1 Juvenile Competency Evaluation A.R.S. § 8-291 et seq 04 and 8-291.07:
The MHE must use the statutory juvenile standard for competency. The MHE
will meet with the defendant, conduct a competency evaluation, review all
available records, and opine provide an opinion as to the competency of the
defendant. whether, as a result of a mental illness, defect or disability, the
defendant is unable to understand the proceedings against him or her, to assist in
his or her own defense, or to enter a plea. The MHE will produce a Competency
Evaluation report that meets the statutory requirements, and submit the report to
the Court and CHS via secure county email on or before the due date listed on
the Notice of Appointment or minute entry. If the defendant is in-custody and
refuses to participate in the evaluation, a report must be completed based on the
available records.
4.1.6 Other:
4.1.6.1 Additional MHE/Psychometrist Assistance/Testing A.R.S. § 13-4505 (B) and
Rule 11.3(g) of the ARCrP:
The MHE or designated Psychometrist will conduct physical, neurological,
psychological examinations beyond the scope of those required in the service
descriptions as detailed in Sections 4.1.1, 4.1.2, 4.1.3, 4.1.4 and 4.1.5. The Court
may order the MHE to conduct testing to advise and address specific issues,
concerns, or questions as they pertain to the defendant. The MHE/Psychometrist
may bill for a maximum of two (2) hours without prior authorization. Any
testing that exceeds two (2) hours requires prior e mail authorization from the
CHS Contract Administrator, including an approved estimate of the number of
hours required to complete this service in accordance with the hourly rate on the
predetermined Fee Schedule. This supporting documentation must be provided
with the invoice for payment.
4.1.6.2 Supplemental Report (Adult and Juvenile):
By definition, a Supplemental Report is ordered by the Court AFTER a previous
report was received. The MHE will meet with the defendant again if directed by
the Court to conduct an evaluation or review additional records as directed,
produce a Supplemental Report that meets the statutory requirements, and
submit the report to the Court and CHS via secure county email on or before the
due date listed on the minute entry. If the defendant is in-custody and refuses to
participate in the evaluation, a Supplemental Report must be completed based on
the available records. The minute entry ordering the supplementary report must
be provided with the invoice.
4.1.6.3 Court Testimony (Adult and Juvenile):
The appointed MHE will provide testimony in support of their opinion rendered
pursuant to this contract if served with a valid subpoena at least twenty-four (24)
hours in advance. The FRS or Psychometrist may also be called to testify. The
subpoena must be provided with the invoice for payment.
4.1.6.4 Other Forensic Psychological Services:
The MHE, FRS or Psychometrist may bill for Other Forensic Psychological
Services only with prior e mail authorization from the CHS Contract
Administrator, including an approved estimate of the number of hours required
to complete this service in accordance with the hourly rate on the predetermined

SERIAL 180220-ROQ
Fee Schedule (Pricing). This supporting documentation must be provided with
the invoice for payment.
4.1.6.5 Excess Record Review – Over 350 pages:
The MHE may bill for review of defendant records in excess of 350 pages only
with prior e mail authorization from CHS Contract Administrator, including an
approved estimate of the number of hours required to complete this service in
accordance with the hourly rate on the predetermined Fee Schedule (Pricing).
This supporting documentation must be provided with the invoice for payment.
4.1.6.6 In-Custody Fee (Adults Only):
CHS will pay a flat fee for Rule 11 evaluations conducted onsite at the Maricopa
County Jails or when the defendant is currently in-custody. Only one (1) in-
custody fee per defendant is allowed per MHE. The evaluation must be
completed in order for the MHE to bill for this fee.
4.1.6.7 No Show Fee for NIC Competency Evaluations (Adult and Juvenile):
CHS will pay a maximum of one (1) no show flat fee per defendant per twenty-
four (24) hour period for a missed appointment only in the following
circumstances:
a. The intended Forensic Psychological Service to be provided is a NIC Rule
11 Competency Evaluation; and
b. The MHE, Court, or defense counsel informed the defendant of the date of
the appointment in writing; (A copy of this written communication must be
provided with the invoice to receive the no-show payment); and
c. Written communication was sent via e mail to CHS, the Court and all
attorneys within the twenty-four (24) hours of the missed scheduled
appointment. (A copy of the written communication must be provided with
invoice to receive the no-show payment.); and either (4.1.6.7d) or (4.1.6.7e)
or 4.1.6.7f) occurred;
d. The defendant did not show up for the appointment; and as a result, the
evaluation was not completed that day.
e. The defendant was more than fifteen (15) minutes late for the appointment;
and as a result, the evaluation was not completed that day.
f. The appointment was cancelled within four (4) hours prior to the
appointment time for that day, and as a result, the evaluation was not
completed that day.
4.1.6.8 No Show Fee for NIC Psychological Pre-Evaluations (Prescreens):
CHS will pay a maximum of one (1) no-show flat fee per defendant per twenty-
four (24) hour period for a missed appointment only in the following
circumstances:
a. The intended Forensic Psychological Service to be provided is a NIC
Psychological Pre-Evaluation (Prescreen); and
b. The MHE, Court, or defense counsel informed the defendant of the date of
the appointment in writing; (A copy of this written communication must be
provided with the invoice to receive the no-show payment.); and

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c. Written communication was sent via e mail to CHS, the Court and all
attorneys within twenty-four (24) hours of the missed scheduled
appointment. (A copy of this written communication must be provided with
invoice to receive the no-show payment.); and either (4.1.6.8d) or (4.1.6.8e)
or (4.1.6.8f) occurred:
d. The defendant did not show up for the appointment; and as a result, the
evaluation was not completed that day.
e. The defendant was more than fifteen (15) minutes late for the appointment;
and as a result, the evaluation was not completed that day.
f. The appointment was cancelled within four (4) hours prior to the
appointment time for that day, and as a result, the evaluation was not
completed that day.
4.2 MHE Requirements:
4.2.1 Assignments/Appointments – The MHE shall accept case assignments:
4.2.1.1 unless a professional or personal conflict of interest exists. Recognition of a
conflict of interest AFTER the evaluation has occurred will not be compensated.
4.2.1.2 in which the use of a translator is required and the MHE is not proficient in the
defendant’s language.
4.2.1.3 for Forensic Psychological Services at all five (5) detention facilities within the
Maricopa County Jails, if the MHE is willing to conduct in-custody evaluations.
CHS will not consider individual preferences for particular jails or requests to
avoid certain jails.
4.2.2 Conducting Evaluations – The MHE shall:
4.2.2.1 Exhibit professional standards of behavior and treat defendants with respect.
4.2.2.2 Make the best effort to conduct all evaluations in a professional, office-like
setting, with sound privacy.
4.2.2.3 Inform the defendant of the following before each evaluation:
4.2.2.3.1The nature and purpose of the evaluation and the MHE’s role as court-
appointed, and not representative of either prosecution or defense.
4.2.2.3.2The limitations of confidentiality. The MHE shall treat information
gathered from court records and evaluations with those involved in
assigned cases as strictly confidential.
4.2.2.3.3Note taking over the course of the evaluation, and the MHE’s
responsibility to submit a report for the Court, which will be shared
with defense and prosecution.
4.2.3 Written Notifications – The MHE shall:
4.2.3.1 Notify CHS and the Court in writing via e-mail of any conflict of interests or
any other reason the MHE cannot perform the assignment within five (5) days of
the date of assignment. The MHE will not be compensated for the assignment if
the notification is after the five (5) days of the date of assignment.

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4.2.3.2 Notify Court Interpreting and Translation Service (CITS) via e-mail of a need
for a translator a minimum of five (5) business days in advance of the intended
evaluation unless an emergency situation exists.
4.2.3.3 Notify CHS and the Court simultaneously via e-mail in a timely manner of
problems associated with receiving information necessary to complete the
evaluation. The MHE will contact CHS, the Records Repository, who will
contact the Court or counsel as appropriate, to retrieve any missing information.
4.2.3.4 Notify the Court, CHS, and all attorneys in writing via e-mail within twenty four
(24) hours regarding any missed scheduled appointments by a defendant.
4.2.4 The MHE must recognize the Court as the client and follow the directions
and orders of the Court.
4.3 Collateral Records Requirements:
4.3.1 Content of Collateral Records:
4.3.1.1 The MHE must review all available collateral records, which may include:
4.3.1.1.1Mental health and medical records: CHS Electronic Healthcare
Records for all in-custody defendants, Regional Behavioral Health
Authority records, and Provider Network records, and other medical
records.
4.3.1.1.2Legal records, Court records, Arizona Department of Corrections
records, and Police reports.
4.3.1.1.3Educational records.
4.3.1.1.4Audio/video files.
4.3.1.1.5Previous MHE reports pertaining to the defendant, either located within
the defendant’s electronic file or as unsealed by the Court.
4.3.1.1.6Any other pertinent documentation.
4.3.2 Submission of Collateral Records:
4.3.2.1 Prosecution, Defense Counsel, and outside agencies will electronically submit
collateral records directly to CHS, the designated Records Repository, who is
duly authorized by the Superior Court of Maricopa County in Arizona as the
responsible party to securely manage, store, retain, and disclose the collateral
records in order to facilitate equivalent review for each appointed MHE.
4.3.2.2 The MHE is responsible for providing a copy of any and all collateral records
(including CDs) directly obtained from prosecution, defense or other outside
agencies to CHS, or redirecting any collateral records directly received to CHS,
rather than providing a copy, to facilitate secure records management, storage,
retention, and disclosure.
4.3.3 Management and Storage of Collateral Records and Access to Collateral Records:
4.3.3.1 CHS, as the Records Repository, is responsible for the management of collateral
records submitted by Prosecution, Defense Counsel, outside agencies, and
MHEs, together with any records redirected to CHS by MHEs, which includes:

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4.3.3.1.1Proper electronic filing of the collateral records within the defendant’s
electronic file to facilitate equivalent review for each appointed MHE.
4.3.3.1.2Securely storing the collateral records within the defendant’s electronic
file to facilitate equivalent review for each appointed MHE.
4.3.3.1.3Providing secure, password and permissions restricted access to
collateral records submitted and stored within the defendant’s
electronic file for each appointed MHE.
4.3.3.2 The MHE is responsible for requesting access to collateral records when unable
to directly access collateral records within the defendant’s electronic file via
VPN, registered licensed access portal, or on site.
4.3.4 Review and Documentation of Collateral Records. The MHE is responsible for:
4.3.4.1 Reviewing all collateral records for each case appointed.
4.3.4.2 Identifying and clearly documenting each of the collateral records reviewed by
name under the Sources of Information.
4.3.4.3 Determining the relevance/applicability of each record, given the purpose of the
current evaluation.
4.3.5 Retention of Collateral Records. CHS is responsible for:
4.3.5.1 Retaining all submitted MHE reports/work products created for the service
descriptions consistent with ARS § 32-2061 and Arizona Administrative Code
R4-26-106, as it applies to the ethical practice of Psychology, and
4.3.5.2 Retaining collateral records relating to the reports/work products created for the
service descriptions subject to the retention, confidentiality, and access
requirements.
4.3.6 Disclosure of Collateral Records:
4.3.6.1 CHS is responsible for disclosing the collateral records to defense counsel on the
MHE’s behalf when an evidentiary hearing is requested upon receipt of a court
order.
4.3.6.2 The MHE is responsible for:
4.3.6.2.1Forwarding any direct requests to disclose records CHS in order to
facilitate prompt disclosure.
4.3.6.2.2Providing a copy of any handwritten notes or any raw testing data
directly to defense counsel upon receipt of a court order.
4.3.6.2.3The MHE is prohibited from directly disclosing records to the Court,
defense counsel, or any other outside party without a court order.
4.4 Reporting Requirements:
4.4.1 General Reporting. The MHE shall:
4.4.1.1 Meet all statutory Court and CHS requirements for report format, content,
submission, and deadlines. CHS will designate reports that do not meet the
statutory requirements and defer to the Court for official ruling regarding the
approval of the work product. The Court may recommend CHS reduce

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compensation or deny payment altogether if the report was rejected due failure
to meet the statutory requirements.
4.4.1.2 Produce a report that is free from defects in work product. CHS may designate
reports that contain defects and defer to the Court for official ruling regarding
the approval of the work product. The Court may recommend CHS reduce
compensation or deny payment altogether if the report was rejected due to
defects in work product.
4.4.1.3 Submit a report to CHS and the Court as ordered, regardless of the defendant’s
participation, and based upon the available records, if at all possible.
4.4.1.4 Submit all reports electronically to the Court and CHS via secure county e mail
with an electronic signature in PDF format on or before the due date listed on
the Notice of Appointment or minute entry.
4.4.1.5 If the MHE fails to provide a report to the Court and CHS on or before the due
date listed on the Notice of Appointment or minute entry, it will be considered
late and CHS will not compensate the MHE for the assignment. If the MHE is
requesting an extension, a formal letter shall be submitted to CHS and the Court
at a minimum of seven (7) days before the status conference date. The formal
letter requesting an extension and the minute entry granting the extension must
be submitted with the invoice. If the Court has granted an extension of the
timeframe and the report is not submitted on or before the new due date listed on
the minute entry, the report will be considered late and the MHE will not be
compensated for the assignment.
4.4.1.6 Supply additional information as required from by the Court.
4.4.2 Competency Evaluation Report Required Format:
(Applies to Sections: 4.1.1.2, 4.1.1.3, 4.1.1.4, 4.1.3.4 and 4.1.6.2)
4.4.2.1 Pursuant to A.R.S. § 13-4507 and 13-4509 and Rule 11.3 of the ARCrP, the
MHE is ordered to produce a report pursuant to statutory requirements that
clearly states the following: A singular opinion (a)(b)(c) or (d) as to the
Competency status of the defendant clearly indicated on the front page of the
report and consistent with the opinion:
a. Competent to Stand Trial; or
b. Competency is Medication Dependent [Defendant is currently competent by
virtue of ongoing treatment with psychotropic medication]; or
c. Not Competent but Restorable within the statutory timeframe; or
d. Not Competent and Not Restorable within the statutory time frame; and
i. Defendant is/may be DTS, DTO, GD or PAD, A.R.S. § 36-501.
ii. Court Ordered Evaluation/Civil Commitment Recommended.
4.4.2.2 Required Statutory Language (and Recommended Information) A.R.S. § 13-
4509:
4.4.2.2.1An expert who is appointed pursuant to § 13-4505 shall submit a
written report of the examination to the court within ten working
days after the examination is completed. The report shall include at
least the following information:

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4.4.2.2.1.1 The name of each mental health expert who examines
the defendant.
4.4.2.2.1.2 A description of the nature, content, extent and results
of the examination and any test conducted (including
Sources of Information and criminal charges).
4.4.2.2.1.3 The facts on which the findings are based (including
mental status and legal understanding)
4.4.2.2.1.4 An opinion as to the competency of the defendant
(must match front of report).
4.4.2.2.2If the MHE opines the defendant is incompetent to stand trial, the
report shall also include the following information:
4.4.2.2.2.1 The nature of the mental disease, defect or disability
that is the cause of the incompetency (including a
clinical diagnosis).
4.4.2.2.2.2 The defendant's prognosis (including an opinion as to
whether the defendant is restorable within the statutory
timeframe).
4.4.2.2.2.3 The most appropriate form and place of treatment in
this state, based on the defendant's therapeutic needs
and potential threat to public safety. (Pursuant to
A.R.S. § 13-4513)
4.4.2.2.2.4 Whether the defendant is incompetent to refuse
treatment and should be subject to involuntary
treatment or guardianship hearings. (Pursuant to
A.R.S. § 13-4511 and Ariz. R. of Probate, Rule 30)
4.4.2.2.3If the MHE opines the defendant is currently competent by virtue
of ongoing treatment with psychotropic medication, the report
shall address the necessity of contenting treatment and shall
include any limitations that medication may have on competency.
(MHEs must review medication administration records within the CHS
Electronic Healthcare Record prior to opining CIMD for in-custody
defendants.)
4.4.3 Supplementary CIMD Evaluation Report – Required Format:
(Applies to Section 4.1.1.5 only)
4.4.3.1 A.R.S. § 13-4509 (C): If the mental health examiner determines that the
defendant is currently competent by virtue of ongoing treatment with
psychotropic medication, the report shall address (1) the necessity of
continuing that treatment and (2) shall include a description of any of the
limitations that medication may have on competency. The Supplementary
CIMD Evaluation report must specifically address the following six components
and indicate if any of the components are not applicable (N/A).
4.4.3.1.1The necessity of continuing psychotropic medication treatment.
4.4.3.1.2A description of any limitations the medication may have on
competency, including information regarding efficacy and any side
effects that might hinder competency.

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4.4.3.1.3List medication(s) being taken by the defendant and opine regarding
the adequacy of the current medication regimen.
4.4.3.1.4Indicate if you are unable to answer components (4.4.3.1.1) and
(4.4.3.1.2) to a psychiatric degree of certainty.
4.4.3.1.5Indicate if you are unable to predict how the defendant will react to
medication and cite examples of some of the side effects the defendant
might experience.
4.4.3.1.6Indicate if there is sufficient information to determine if the defendant’s
competency is dependent on medication. If there is insufficient
information to determine the defendant’s competency is dependent on
medication, then indicate the defendant is Competent without the
medication.
4.4.3.2 The Supplementary CIMD Evaluation report should not include a new opinion
regarding the defendant’s competency (i.e. Incompetent-Restorable or
Incompetent-Not Restorable).
4.4.4 Juvenile Competency Evaluation Report Required Format:
(Applies to Section 4.1.5.1 only)
4.4.4.1 Pursuant to A.R.S § 8-291.04 and A.R.S § 8-291.07 and Rule 11 of the ARCrP,
the MHE shall complete a report pursuant to statutory requirements that clearly
states the following: A singular opinion (a)(b)(c) or (d) as to the Competency
status of the juvenile defendant clearly indicated on the front page of the report
and consistent with the opinion:
a. Competent to Stand Trial; or
b. Competency is Medication Dependent [Defendant is currently
competent by virtue of ongoing treatment with psychotropic
medication]; or
c. Not Competent but Restorable within the statutory timeframe; or
d. Not Competent and Not Restorable within the statutory timeframe; and
i. Defendant is/may be DTS, DTO, GD or PAD, A.R.S. 36-501.
ii. Court Ordered Evaluation/Civil Commitment Recommended.
4.4.4.2 Required Statutory Language (and recommended information) A.R.S. § 8-
291.07:
4.4.4.2.1A mental health shall submit a written report of the examination to
the court within ten (10) working days after the examination. The
report shall include at least the following information:
4.4.4.2.1.1 The name of the mental health expert who examined
the juvenile.
4.4.4.2.1.2 A description of the nature, content, extent and results
of the examination and any test conducted (including
Sources of Information and Criminal charges).

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4.4.4.2.1.3 The facts on which the findings are based (including
the juvenile’s mental status and legal understanding, and
cognitive development).
4.4.4.2.1.4 An opinion as to the competency of the juvenile (must
match front of report).
4.4.4.2.2If the MHE opines the defendant is incompetent to stand trial, the
report shall also include the following information:
4.4.4.2.2.1 The nature of the mental disease, defect or disability
that is the cause of the juvenile’s incompetency
(including a clinical diagnosis).
4.4.4.2.2.2 The juvenile's prognosis.
4.4.4.2.2.3 If the mental health expert believes that the juvenile
may be restored to competency, what in the expert’s
opinion is needed to restore the juvenile to competency
and whether restoration can be accomplished in six (6)
months or less.
4.4.4.2.2.4 If the juvenile is currently receiving medication, how
the medication might affect the juvenile in the process.
4.4.4.2.2.5 If the MHE determines the juvenile is currently
competent because of ongoing treatment with
psychotropic medication, the report shall address the
necessity of continuing that treatment and shall
include a description of any limitations that
medication may have on competency. (MHEs must
review medication administration records prior to opining
CIMD for in-custody juvenile defendants.
4.4.4.2.3If contained in the Order, and ONLY if the juvenile consents, the
following shall be answered.
4.4.4.2.3.1 What was the probable mental condition of the juvenile at
the time of the offense(s)?
4.4.4.2.3.2 If you determined the Juvenile probably suffered from a
mental disease or defect at that time, what is the relation
of such disease or defect to the alleged offense(s)?
4.4.4.2.4The MHE must document any attempts to contact the defendant and
notify CHS and the Court via e mail within twenty-four (24) hours of
any difficulty locating the juvenile defendant or no-show.
5.0 PROCUREMENT REQUIREMENTS:
5.1 CONTRACTOR EMPLOYEE MANAGEMENT:
5.1.1 Contractor shall endeavor to maintain the personnel submitted in their proposal
throughout the performance of this contract. In the event that Contractor personnel’s
employment status changes, Contractor shall provide County a list of proposed
candidates with equivalent experience. Under no circumstances is it acceptable for the
implementation schedule to be impacted by a personnel change on the part of the
Contractor.

SERIAL 180220-ROQ
5.1.2 Contractor shall not reassign any key personnel without the express consent of the
County.
5.1.3 County reserves the right to immediately remove from its premises any Contractor
personnel it determines is a risk to County operations.
5.1.4 County reserves the right to request the replacement of Contractor personnel at any time,
for any reason. Said requested removal shall not be subject to part 5.1.1 of this section.
5.2 FACILITIES:
During the course of this Contract, the County will provide the Contractor with adequate
workspace or such other related facilities as may be required by Contractor to carry out its
obligations enumerated herein.
5.3 PERFORMANCE:
It shall be the Contractor’s responsibility to meet the proposed performance requirements.
Maricopa County reserves the right to obtain services on the open market in the event the
Contractor fails to perform and any price differential will be charged against the Contractor.
5.4 INVOICES AND PAYMENTS:
5.4.1 Invoice Requirements: The Contractor must submit a separate invoice for each defendant. At
a minimum, each invoice submitted must contain the following information:
5.4.1.1 General Information:
5.4.1.1.1Each invoice must contain a unique invoice number of not more than
twelve (12) digits. If an invoice is duplicated due to an error, omission, or
lost, the same invoice number as originally invoiced must be used on the
duplicate invoice.
5.4.1.1.2Payment Terms
5.4.1.1.3Contract Serial Numbers
5.4.1.1.4County Purchase Order Number
5.4.1.1.5Total Amount Due
5.4.1.2 Contractor Information:
5.4.1.2.1 Company name, address, contact information.
5.4.1.2.1.1 County bill to name and contact information including
county e-mail address.
5.4.1.2.2 County Vendor Number.
5.4.1.3 Defendant Information:
5.4.1.3.1 Defendant Name
5.4.1.3.2 Case Number(s)
5.4.1.4 Service Description information, specifically:

SERIAL 180220-ROQ
5.4.1.4.1 Date the report was submitted (or date of service, if no report was
generated)
5.4.1.4.2 Service Description rendered
5.4.1.4.3 Contract Item number(s)
5.4.1.4.4 Quantity and Distribution of each Service Description rendered
5.4.1.4.5 Price per unit of Service Description
5.4.1.4.6 Time spent engaged in the Service Description (if applicable, where the
rate is billable by the hour)
5.4.1.4.7 Arrival and Completion time. Partial hours may be rounded to the
nearest fifteen (15) minute increments.
5.4.2 Invoices must be submitted no later than thirty (30) days after the date of the report was
submitted (or date of service if no report was generated).
5.4.3 Invoices may be submitted at any time within thirty (30) days after the date the report
was submitted (or after the date of service if no report was generated).
5.4.4 Contractors are responsible for their own invoice tracking.
5.4.5 Year-end invoices: Year-end invoices shall be submitted within five (5) business days of
the end of the fiscal year (June 30th) for any remaining services not yet billed during that
fiscal year. Invoices submitted after that date will NOT be paid.
5.4.6 Late Invoices Penalty: Late invoices are subject to an administrative offset/payment
reduction. Any invoices received more than thirty (30) business days after the date the
report was submitted (or date of service if no report was generated) will be reduced
according to the following scale:
5.4.6.1 More than thirty (30) days late, but less than forty-five (45) days late = 10%
reduction.
5.4.6.2 Forty-five (45) days or more late, but less than sixty (60) days late = 25%
reduction.
5.4.6.3 Sixty (60) days or more late, but less than ninety (90) days late = 50% reduction.
5.4.6.4 Ninety (90) days or more late, but less than one hundred eighty (180) days late =
75% reduction.
5.4.6.5 One hundred eighty (180) days or more late = Payment denied, Pursuant to
A.R.S. § 11-622(C).
5.4.7 The Contractor’s repeated failure to submit timely invoices may be grounds for
terminating this Contract. Circumstances where invoices are late because of inaccurate or
untimely information supplied by the referring court/department will be reviewed on a
case-by-case basis before any determination whether an administrative offset/payment
reduction will be assessed.
5.4.8 Invoices found to be factually incorrect will be rejected in their entirety and must be
resubmitted within fifteen (15) business days of the date the invoice was rejected. If the
corrected invoices are not resubmitted within fifteen (15) business days of the date the
invoice was rejected, the resubmitted invoices are subject to the payment reduction
according to the scale above.

SERIAL 180220-ROQ
5.4.9 Invoices with supporting documentation for all Forensic Psychological Services
performed for CHS and the Superior Court of Maricopa County are required to be
submitted either electronically via e-mail to: RTC_Invoices@mail.maricopa.gov OR via
regular mail to:
Maricopa County Correctional Health Services
Attention: Finance
234 N. Central Avenue, Suite 5000
Phoenix, AZ 85004
5.4.10 The Contractor may not submit duplicate invoices electronically via e-mail and via
regular mail.
5.4.11 Payments for Services:
5.4.11.1 Rates for Forensic Psychological Services are pre-determined. For rates see the
Pre-Determined Fee Schedule (Attachment A: Vendor Information and Pricing).
5.4.11.2 Payments are made for the work product submitted to CHS and the Court. The
services descriptions designate the report as the main work product. No
additional payments will be made for report writing, as this activity is included
in the fixed rate as detailed in the Pre-Determined Fee Schedule (Attachment A:
Vendor Information and Pricing).
5.4.11.3 There shall be no additional payments made for reports that require
resubmission or amendment due to errors or omissions on the part of the MHE.
5.4.11.4 CHS reserves the right to withhold payment if unable to validate the report
submission or when insufficient supporting documentation supporting was
received with the invoice.
5.4.11.5 Examples of supporting documentation include:
5.4.11.5.1 Notice of Appointment from the Court
5.4.11.5.2 Minute Entry from the Court
5.4.11.5.3 Subpoenas issued by the Court
5.4.11.5.4 Formal Letter from the MHE to the Court Requesting an Extension
5.4.11.5.5 Prior e mail Authorization from the CHS Contract Administrator
5.4.11.5.6 Defendant’s Notification of Appointment date and time
5.4.11.5.7 Notification to CHS, the Court, and all attorneys for No-Shows
5.4.12 Payment Denial or Reduction: CHS may deny or reduce payment based upon:
5.4.12.1 The MHE’s failure to submit a report on or before the due date as set by the
Court; or
5.4.12.2 The MHE’s failure to submit sufficient supporting documentation with the
invoice; or
5.4.12.3 The MHE’s invoice was submitted one hundred eighty (180) days late; or
5.4.12.4 The Court’s recommendation if the MHE failed to address the statutory
requirements; or
5.4.12.5 The Court’s recommendation if defects in the work product are identified.

SERIAL 180220-ROQ
5.4.13 Appeals Process:
5.4.13.1 The Contractor may appeal the decision to deny or reduce payment. The
Contractor must write a formal letter outlining the reasons they believe the
decision to deny or reduce payment was made in error and justify any special
circumstances. The letter shall be sent via e-mail to:
RTC_Invoices@mail.maricopa.gov, and contain the word “Appeal” in the
subject line. The letter will be reviewed by the Appeals Committee, which is
composed of three designated representatives: Court Administration, CHS
Finance, and the CHS Contract Administrator. The Appeals Committee will vote
and come to a majority rules determination. The Contractor will be informed of
the Appeals Committee’s determination within fifteen (15) business days of the
date the letter was submitted. If the Contractor does not agree with the
Committee determination, the Contractor may refer the matter to the
Procurement Officer as provided by the Maricopa County Procurement Code.
5.4.13.2 Any other problems regarding billing or invoicing shall be directed to CHS
Finance, as listed on the Purchase Order.
5.4.14 Payment shall only be made to the Contractor by Accounts Payable through the Maricopa
County Vendor Express Payment Program. This is an Electronic Funds Transfer (EFT)
process. After Contract Award the Contractor shall complete the Vendor Registration
Form located on the County Department of Finance Vendor Registration Web Site
(http://www.maricopa.gov/922/Vendors) .
5.4.15 Discounts offered in the Contract shall be calculated based on the date a properly
completed invoice is received by the County.
5.4.16 EFT payments to the routing and account numbers designated by the Contractor will
include the details on the specific invoices that the payment covers. The Contractor is
required to discuss remittance delivery capabilities with their designated financial
institution for access to those details.
5.5 OWNERSHIP OF INTELLECTUAL PROPERTY:
Any and all intellectual property, including but not limited to copyright, invention, trademark
trade name, service mark, and/or trade secrets created or conceived pursuant to or as a result of
this Contract and any related subcontract (“Intellectual Property”), shall be work made for hire by
CHS for the Court. CHS shall be considered the creator of such Intellectual Property. CHS, by
requesting the issuance of this Contract, shall own (for and on behalf of the Court) the entire right,
title and interest to the Intellectual Property throughout the world. The Contractor shall notify the
CHS and the Court, within thirty (30) days, of the creation of any Intellectual Property by it or its
subcontractor(s). The Contractor, on behalf of itself and any Subcontractor(s), agrees to execute
any and all document(s) necessary to assure ownership of the Intellectual Property vests in CHS
and shall take no affirmative actions that might have the effect of vesting all or part of the
Intellectual Property in any entity other than CHS. The Intellectual Property shall not be disclosed
by Contractor or its Subcontractor(s) to any entity other than CHS and the Court of without the
express written authorization of CHS.
5.6 PROPERTY:
Any materials, including reports, computer programs and other deliverables, created under this
Contract are the shared property of CHS and the Court. The Contractor is not entitled to a patent
or copyright on those materials and may not transfer the patent or copyright to anyone else. The
Contractor shall not use or release these materials without the prior written consent of CHS and
the Court.

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5.7 APPLICABLE TAXES:
5.7.1 Payment of Taxes: The Contractor shall pay all applicable taxes. With respect to any
installation labor on items that are not attached to real property performed by Contractor
under the terms of this Contract, the installation labor cost and the gross receipts for
materials provided shall be listed separately on the Contractor’s invoices.
5.7.2 State and Local Transaction Privilege Taxes: To the extent any State and local transaction
privilege taxes apply to sales made under the terms of this Contract it is the responsibility
of the seller to collect and remit all applicable taxes to the proper taxing jurisdiction of
authority.
5.7.3 Tax Indemnification: Contractor and all Subcontractors shall pay all Federal, State, and
local taxes applicable to its operation and any persons employed by the Contractor.
Contractor shall, and require all subcontractors to hold Maricopa County harmless from
any responsibility for taxes, damages and interest, if applicable, contributions required
under Federal, and/or State and local laws and regulations, and any other costs including;
transaction privilege taxes, unemployment compensation insurance, Social Security, and
Worker’s Compensation.
5.8 TAX (SERVICES):
No tax shall be invoiced or paid against Contractor’s labor. It is the responsibility of the
Contractor to determine any and all applicable taxes and include the cost in the proposal price.
5.9 POST AWARD MEETING:
The Contractor may be required to attend a post-award meeting with the Department (CHS) to discuss
the terms and conditions of this Contract. This meeting will be coordinated by the Procurement
Officer of the Contract.
5.10 STRATEGIC ALLIANCE for VOLUME EXPENDITURES ($AVE):
The County is a member of the $AVE cooperative purchasing group. $AVE includes the State of
Arizona, many Phoenix metropolitan area municipalities, and many K-12 unified school districts.
Under the $AVE Cooperative Purchasing Agreement, and with the concurrence of the successful
Respondent under this solicitation, a member of $AVE may access a contract resulting from a
solicitation issued by the County. If you do not want to grant such access to a member of $AVE,
please so state in your proposal. In the absence of a statement to the contrary, the County will
assume that you do wish to grant access to any contract that may result from this Request for
Proposal.
5.11 INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENTS (ICPA’s):
County currently holds ICPA’s with numerous governmental entities. These agreements allow
those entities, with the approval of the Contractor, to purchase their requirements under the terms
and conditions of the County Contract. It is the responsibility of the non-County government
entity to perform its own due diligence on the acceptability of the Contract under its procurement
rules, processes and procedures.
5.12 ISRAEL BOYCOTT:
By submitting this proposal the Contractor certifies that they are in compliance with Article 9,
A.R.S. § 35-393 et seq.
5.13 CONFIDENTIALITY:
In the course of the solicitation process, the County may disclose information that is proprietary or
confidential. By submitting a proposal to the solicitation, the offeror agrees that, except as

SERIAL 180220-ROQ
necessary to prepare a response to this solicitation, neither it nor its agents or employees will
communicate, divulge or disseminate to any third party persons or entities, any information that is
disclosed to it by the County during the course of these discussions without the express written
authorization of the County. If the offeror does disclose County proprietary or confidential
information to a third party in preparing a response to this solicitation, it shall require the third
party to acknowledge and comply with this provision.
5.14 PUBLIC RECORDS:
Under Arizona law, all Offers submitted and opened are public records and must be retained by
the Records Manager at the Office of Procurement Services. Offers shall be open to public
inspection and copying after Contract award and execution, except for such Offers or sections
thereof determined to contain proprietary or confidential information by the Office of Procurement
Services. If an Offeror believes that information in its Offer or any resulting Contract should not
be released in response to a public record request under Arizona law, the Offeror shall indicate the
specific information deemed confidential or proprietary and submit a statement with its offer
detailing the reasons that the information should not be disclosed. Such reasons shall include the
specific harm or prejudice which may arise from disclosure. The Records Manager of the Office of
Procurement Services shall determine whether the identified information is confidential pursuant
to the Maricopa County Procurement Code.
6.0 CONTRACTUAL AND SPECIAL TERMS AND CONDITIONS:
6.1 CONTRACT TERM:
This Request for Qualification is for awarding a requirements contract to cover a one (1) year
period.
6.2 OPTION TO EXTEND:
The County may, at its option and with the approval of the Contractor, renew the period of this
Contract up to a maximum of four (4) additional years (or at the County’s sole discretion, extend
the contract on a month to month basis for a maximum of six (6) months after expiration). The
Contractor shall be notified in writing by the Office of Procurement Services of the County’s
intention to extend the Contract period at least thirty (30) calendar days prior to the expiration of
the original Contract period.
6.3 ORGANIZATION - EMPLOYMENT DISCLAIMER:
The Contract is not intended to constitute, create, give rise to or otherwise recognize a joint venture
contract or relationship, partnership or formal business organization of any kind, and the rights and
obligations of the parties shall be only those expressly set forth in the Contract.
The parties agree that no persons supplied by the Contractor(s) in the performance of obligations
under the contract are considered to be County employees, and that no rights of County civil
service, retirement or personnel rules accrue to such persons. The Contractor(s) shall have total
responsibility for all salaries, wages, bonuses, retirement withholdings, workers’ compensation,
unemployment insurance and other employee benefits and all taxes and premiums appurtenant
thereto concerning such persons, and shall indemnify and save and hold the County harmless with
respect thereto.
6.4 INDEMNIFICATION:
To the fullest extent permitted by law, and to the extent that claims, damages, losses or expenses
are not covered and paid by insurance purchased by the Contractor, the Contractor shall defend
indemnify and hold harmless the County (as Owner), its agents, representatives, agents, officers,
directors, officials, and employees from and against all claims, damages, losses, and expenses
(including, but not limited to attorneys' fees, court costs, expert witness fees, and the costs and

SERIAL 180220-ROQ
attorneys' fees for appellate proceedings) arising out of, or alleged to have resulted from the
negligent acts, errors, omissions, or mistakes relating to the performance of this Contract.
Contractor's duty to defend, indemnify, and hold harmless the County, its agents, representatives,
agents, officers, directors, officials, and employees shall arise in connection with any claim,
damage, loss, or expense that is attributable to bodily injury, sickness, disease, death or injury to,
impairment of, or destruction of tangible property, including loss of use resulting there from,
caused by negligent acts, errors, omissions, or mistakes in the performance of this Contract, but
only to the extent caused by the negligent acts or omissions of the Contractor, a subcontractor, any
one directly or indirectly employed by them, or anyone for whose acts they may be liable,
regardless of whether or not such claim, damage, loss, or expense is caused in part by a party
indemnified hereunder.
The amount and type of insurance coverage requirements set forth herein will in no way be
construed as limiting the scope of the indemnity in this paragraph.
The scope of this indemnification does not extend to the sole negligence of County.
6.5 INSURANCE:
6.5.1 Contractor, at Contractor’s own expense, shall purchase and maintain the herein
stipulated minimum insurance from a company or companies duly licensed by the State
of Arizona and possessing a current A.M. Best, Inc. rating of B++. In lieu of State of
Arizona licensing, the stipulated insurance may be purchased from a company or
companies, which are authorized to do business in the State of Arizona, provided that
said insurance companies meet the approval of County. The form of any insurance
policies and forms must be acceptable to County.
6.5.2 All insurance required herein shall be maintained in full force and effect until all work or
service required to be performed under the terms of the Contract is satisfactorily
completed and formally accepted. Failure to do so may, at the sole discretion of County,
constitute a material breach of this Contract.
6.5.3 Contractor’s insurance shall be primary insurance as respects County, and any insurance
or self-insurance maintained by County shall not contribute to it.
6.5.4 Any failure to comply with the claim reporting provisions of the insurance policies or any
breach of an insurance policy warranty shall not affect the County’s right to coverage
afforded under the insurance policies.
6.5.5 The insurance policies may provide coverage that contains deductibles or self-insured
retentions. Such deductible and/or self-insured retentions shall not be applicable with
respect to the coverage provided to County under such policies. Contractor shall be
solely responsible for the deductible and/or self-insured retention and County, at its
option, may require Contractor to secure payment of such deductibles or self-insured
retentions by a surety bond or an irrevocable and unconditional letter of credit.
6.5.6 The insurance policies required by this Contract, except Workers’ Compensation and
Errors and Omissions, shall name County, its agents, representatives, officers, directors,
officials and employees as Additional Insureds.
6.5.7 The policies required hereunder, except Workers’ Compensation and Errors and
Omissions, shall contain a waiver of transfer of rights of recovery (subrogation) against
County, its agents, representatives, officers, directors, officials and employees for any
claims arising out of Contractor’s work or service.

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6.5.8 Commercial General Liability:
Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $2,000,000
Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit.
The policy shall include coverage for bodily injury, broad form property damage,
personal injury, products and completed operations and blanket contractual coverage, and
shall not contain any provision which would serve to limit third party action over claims.
There shall be no endorsement or modification of the CGL limiting the scope of coverage
for liability arising from explosion, collapse, or underground property damage.
Sole Proprietor - Commercial General Liability insurance and, if necessary, Commercial
Umbrella insurance with a limit of not less than $1,000,000 for each occurrence,
$1,000,000 Products/Completed Operations Aggregate, and $3,000,000 General
Aggregate Limit. The policy shall include coverage for bodily injury, broad form
property damage, personal injury, products and completed operations and blanket
contractual coverage, and shall not contain any provision which would serve to limit third
party action over claims. There shall be no endorsement or modification of the CGL
limiting the scope of coverage for liability arising from explosion, collapse, or
underground property damage.
6.5.9 Automobile Liability:
Commercial/Business Automobile Liability insurance and, if necessary, Commercial
Umbrella insurance with a combined single limit for bodily injury and property damage
of not less than $2,000,000 each occurrence with respect to any of the Contractor’s
owned, hired, and non-owned vehicles assigned to or used in performance of the
Contractor’s work or services under this Contract.
Sole Proprietor – provide proof of limits with personal insurance.
6.5.10 Workers’ Compensation:
6.5.10.1 Workers’ Compensation insurance to cover obligations imposed by federal and
state statutes having jurisdiction of Contractor’s employees engaged in the
performance of the work or services under this Contract; and Employer’s
Liability insurance of not less than $1,000,000 for each accident, $1,000,000
disease for each employee, and $1,000,000 disease policy limit.
6.5.10.2 Contractor waives all rights against County and its agents, officers, directors and
employees for recovery of damages to the extent these damages are covered by
the Workers’ Compensation and Employer’s Liability or commercial umbrella
liability insurance obtained by Contractor pursuant to this Contract.
6.5.10.3 Sole proprietor can complete and provide Exhibit 3, Sole Proprietor waiver
form.
6.5.11 E&O (Professional):
If necessary, Commercial Umbrella insurance, which will insure and provide coverage
for errors or omissions of the CONTRACTOR, with limits of no less than $2,000,000
for each claim.
Contractor shall maintain Professional Liability insurance which will provide coverage
for any and all acts arising out of the work or services performed by the Contractor under
the terms of this Contract, with a limit of not less than $1,000,000 for each claim, and
$3,000,000 aggregate claims.

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6.5.12 Medical Malpractice:
Medical Malpractice insurance and, if necessary, Commercial Umbrella insurance, which
will insure and provide coverage for Medical Malpractice of the Contractor, with limits
of no less than $5,000,000 for each claim.
6.5.13 Sexual Molestation: **to work with juveniles or Adaptive adults Contractor must
carry Sexual Molestation coverage**
Commercial General Liability – Occurrence Form
Policy shall include bodily injury, property damage, personal and advertising injury and
broad form contractual liability coverage.
6.5.13.1 General Aggregate $4,000,000
6.5.13.2 Products – Completed Operations Aggregate $2,000,000
6.5.13.3 Personal and Advertising Injury $2,000,000
6.5.13.4 Damage to Rented Premises $ 100,000
6.5.13.5 Each Occurrence $2,000,000
6.5.13.6 The policy shall include coverage for sexual abuse and molestation. This
coverage may be sub-limited to no less than $500,000. The limits may be
included within the General Liability limit, or provided by separate
endorsement with its own limits, or provided as separate coverage included
with the professional liability.
6.5.13.7 Contractor must provide the following statement on their Certificate(s) of
Insurance as provided for in Part E: “Sexual Abuse/Molestation coverage is
included.” Policies/certificates stating that “Sexual Abuse/Molestation
coverage is not excluded” do not meet this requirement.
6.5.14 Certificates of Insurance:
6.5.14.1 Prior to Contract award, Contractor shall furnish the County with valid and
complete certificates of insurance, or formal endorsements as required by the
Contract in the form provided by the County, issued by Contractor’s insurer(s),
as evidence that policies providing the required coverage, conditions and limits
required by this Contract are in full force and effect. Such certificates shall
identify this contract number and title.
6.5.14.2 In the event any insurance policy(ies) required by this contract is(are) written on
a claims made basis, coverage shall extend for two years past completion and
acceptance of Contractor’s work or services and as evidenced by annual
Certificates of Insurance.
6.5.14.3 If a policy does expire during the life of the Contract, a renewal certificate must
be sent to County fifteen (15) calendar days prior to the expiration date.
6.5.15 Cancellation and Expiration Notice:
Applicable to all insurance policies required within the Insurance Requirements of this
Contract, Contractor’s insurance shall not be permitted to expire, be suspended, be
canceled, or be materially changed for any reason without thirty (30) days prior written
notice to Maricopa County. Contractor must provide to Maricopa County, within two (2)
business days of receipt, if they receive notice of a policy that has been or will be
suspended, canceled, materially changed for any reason, has expired, or will be expiring.
Such notice shall be sent directly to Maricopa County Office of Procurement Services
and shall be mailed or hand delivered to 320 West Lincoln Street, Phoenix, AZ 85003, or
emailed to the Procurement Officer noted in the solicitation.

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6.6 ORDERING AUTHORITY:
Any request for purchase shall be accompanied by a valid purchase order, issued by Office of
Procurement Services, a Purchase Order issued by the using Department or direction by a
Certified Agency Procurement Aid (CAPA) with a Purchase Card for payment.
6.7 NO MINIMUM OR MAXIMUM PURCHASE OBLIGATION:
6.7.1 This Contract does not guarantee any minimum or maximum purchases will be made.
Orders will only be placed under this Contract when the County identifies a need and
proper authorization and documentation have been approved.
6.7.2 Contractors agree to accept verbal notification of cancellation of Purchase Orders from
the County Procurement Officer with written notification to follow. Contractor
specifically acknowledges to be bound by this cancellation policy.
6.8 PURCHASE ORDERS:
County reserves the right to cancel Purchase Orders within a reasonable period of time after
issuance. Should a Purchase Order be canceled, the County agrees to reimburse the Contractor for
actual and documentable costs incurred by the Contractor in response to the Purchase Order. The
County will not reimburse the Contractor for any costs incurred after receipt of County notice of
cancellation, or for lost profits, shipment of product prior to issuance of Purchase Order, etc.
6.9 STOP WORK ORDER:
The Procurement Officer may, at any time, by written order to the Contractor, require the
Contractor to stop all, or any part, of the work called for by this contract for a period of ninety (90)
calendar days after the order is delivered to the Contractor, and for any further period to which the
parties may agree. The order shall be specifically identified as a stop work order issued under this
clause. Upon receipt of the order, the Contractor shall immediately comply with its terms and take
all reasonable steps to minimize the incurrence of costs allocable to the work covered by the order
during the period of work stoppage. Within a period of ninety (90) calendar days after a stop work
is delivered to the Contractor, or within any extension of that period to which the parties shall
have agreed, the Procurement Officer shall either:
6.9.1 Cancel the stop work order; or
6.9.2 Terminate the work covered by the order as provided in the Default, or the Termination
for Convenience clause of this Contract.
6.9.3 The Procurement Officer may make an equitable adjustment in the delivery schedule
and/or Contract price, or otherwise, and the Contract shall be modified, in writing,
accordingly, if the Contractor demonstrates that the stop work order resulted in an
increase in costs to the Contractor.
6.10 TERMINATION FOR CONVENIENCE:
Maricopa County may terminate the Contract for convenience by providing sixty (60) calendar
days advance notice to the Contractor.
6.11 TERMINATION FOR DEFAULT:
The County may, by written notice of default to the Contractor, terminate this Contract in whole
or in part if the Contractor fails to:
6.11.1 Deliver the supplies or to perform the services within the time specified in this Contract
or any extension;

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6.11.2 Make progress, so as to endanger performance of this Contract; or
6.11.3 Perform any of the other provisions of this Contract.
The County’s right to terminate this Contract under these subparagraphs may be exercised if the
Contractor does not cure such failure within ten (10) business days (or more if authorized in
writing by the County) after receipt of the notice from the Procurement Officer specifying the
failure.
6.12 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST:
Notice is given that pursuant to A.R.S. § 38-511 the County may cancel any Contract without
penalty or further obligation within three (3) years after execution of the Contract, if any person
significantly involved in initiating, negotiating, securing, drafting or creating the Contract on
behalf of the County is at any time while the Contract or any extension of the Contract is in effect,
an employee or agent of any other party to the Contract in any capacity or consultant to any other
party of the Contract with respect to the subject matter of the Contract. Additionally, pursuant to
A.R.S § 38-511 the County may recoup any fee or commission paid or due to any person
significantly involved in initiating, negotiating, securing, drafting or creating the Contract on
behalf of the County from any other party to the contract arising as the result of the Contract.
6.13 CONTRACTOR LICENSE REQUIREMENT:
6.13.1 The Contractor shall procure all permits, insurance, licenses and pay the charges and fees
necessary and incidental to the lawful conduct of his/her business, and as necessary
complete any required certification requirements, required by any and all governmental
or non-governmental entities as mandated to maintain compliance with and in good
standing for all permits and/or licenses. The Contractor shall keep fully informed of
existing and future trade or industry requirements, Federal, State and Local laws,
ordinances, and regulations which in any manner affect the fulfillment of a Contract and
shall comply with the same. Contractor shall immediately notify both Office of
Procurement Services and the Department of any and all changes concerning permits,
insurance or licenses.
6.14 SUBCONTRACTING:
6.14.1 The Contractor may not assign to another Contractor or Subcontract to another party for
performance of the terms and conditions hereof without the written consent of the
County. All correspondence authorizing subcontracting must reference the Bid Serial
Number and identify the job project.
6.15 AMENDMENTS:
All amendments to this Contract shall be in writing and approved/signed by both parties. Maricopa
County Office of Procurement Services shall be responsible for approving all amendments for
Maricopa County.
6.16 ADDITIONS/DELETIONS OF SERVICE:
The County reserves the right to add and/or delete services to a Contract. If a service requirement
is deleted, payment to the Contractor will be reduced proportionately, to the amount of service
reduced in accordance with the Contract price. If additional services are required from a Contract,
prices for such additions will be negotiated between the Contractor and the County.
6.17 STRICT COMPLIANCE:
Acceptance by County of a performance that is not in strict compliance with the terms of the
Contract shall not be deemed to be a waiver of strict compliance with respect to all other terms of
the Contract.

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6.18 VALIDITY:
The invalidity, in whole or in part, of any provision of this Contract shall not void or affect the
validity of any other provision of the Contract.
6.19 SEVERABILITY:
The removal, in whole or in part, of any provision of this Contract shall not void or affect the
validity of any other provision of this Contract.
6.20 RIGHTS IN DATA:
The County shall have the use of data and reports resulting from a Contract without additional cost
or other restriction except as may be established by law or applicable regulation. Each Party shall
supply to the other Party, upon request, any available information that is relevant to a Contract and
to the performance thereunder.
6.21 NON-DISCRIMINATION:
Contractor agrees to comply with all provisions and requirements of Arizona Executive Order
2009-09 including flow down of all provisions and requirements to any subcontractors. Executive
Order 2009-09 supersedes Executive order 99-4 and amends Executive order 75-5 and may be
viewed and downloaded at the Governor of the State of Arizona’s Research Library website
http://azmemory.azlibrary.gov/cdm/ref/collection/execorders/id/680 which is hereby incorporated
into this contract as if set forth in full herein. During the performance of this contract, Contractor
shall not discriminate against any employee, client or any or any other individual in any way
because of that person’s age, race, creed, color, religion, sex, disability or national origin.
6.22 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION:
6.22.1 The undersigned (authorized official signing on behalf of the Contractor) certifies to the
best of his or her knowledge and belief that the Contractor, it’s current officers and
directors;
6.22.1.1 are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from being awarded any contract or grant by
any United States Department or Agency or any state, or local jurisdiction;
6.22.1.2 have not within three (3) year period preceding this Contract;
6.22.1.2.1 been convicted of fraud or any criminal offense in connection with
obtaining, attempting to obtain, or as the result of performing a
government entity (Federal, State or local) transaction or contract;
and
6.22.1.2.2 been convicted of violation of any Federal or State antitrust statues
or conviction for embezzlement, theft, forgery, bribery, falsification
or destruction of records, making false statements, or receiving stolen
property regarding a government entity transaction or contract;
6.22.1.2.3 are not presently indicted or criminally charged by a government
entity (Federal, State or local) with commission of any criminal
offenses in connection with obtaining, attempting to obtain, or as the
result of performing a government entity public (Federal, State or
local) transaction or contract; and are not presently facing any civil
charges from any governmental entity regarding obtaining,
attempting to obtain, or from performing any governmental entity
contract or other transaction; and have not within a three (3) year

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period preceding this Contract had any public transaction (Federal,
State or local) terminated for cause or default.
6.22.1.3 If any of the above circumstances described in the paragraph are applicable to
the entity submitting a bid for this requirement, include with your bid an
explanation of the matter including any final resolution.
6.22.2 The Contractor shall include, without modification, this clause in all lower tier covered
transactions (i.e. transactions with subcontractors) and in all solicitations for lower tier
covered transactions related to this Contract.
6.23 VERIFICATION REGARDING COMPLIANCE WITH A.R.S. §41-4401 AND FEDERAL
IMMIGRATION LAWS AND REGULATIONS:
6.23.1 By entering into the Contract, the Contractor warrants compliance with the Immigration
and Nationality Act (INA using e-verify) and all other Federal immigration laws and
regulations related to the immigration status of its employees and A.R.S. §23-214(A). The
Contractor shall obtain statements from its subcontractors certifying compliance and shall
furnish the statements to the Procurement Officer upon request. These warranties shall
remain in effect through the term of the Contract. The Contractor and its subcontractors
shall also maintain Employment Eligibility Verification forms (I-9) as required by the
Immigration Reform and Control Act of 1986, as amended from time to time, for all
employees performing work under the Contract and verify employee compliance using the
E-verify system and shall keep a record of the verification for the duration of the
employee’s employment or at least three years, whichever is longer. I-9 forms are available
for download at USCIS.GOV.
6.23.2 The County retains the legal right to inspect Contractor and subcontractor employee
documents performing work under this Contract to verify compliance with paragraph 6.23.1
of this Section. Contractor and subcontractor shall be given reasonable notice of the
County’s intent to inspect and shall make the documents available at the time and date
specified. Should the County suspect or find that the Contractor or any of its subcontractors
are not in compliance, the County will consider this a material breach of the Contract and
may pursue any and all remedies allowed by law, including, but not limited to: suspension
of work, termination of the Contract for default, and suspension and/or debarment of the
Contractor. All costs necessary to verify compliance are the responsibility of the
Contractor.
6.24 INFLUENCE:
As prescribed in MC1-1203 of the Maricopa County Procurement Code, any effort to influence an
employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical conduct
may be grounds for Disbarment or Suspension under MC1-902.
An attempt to influence includes, but is not limited to:
6.24.1 A Person offering or providing a gratuity, gift, tip, present, donation, money,
entertainment or educational passes or tickets, or any type of valuable contribution or
subsidy,
6.24.2 That is offered or given with the intent to influence a decision, obtain a contract,
garner favorable treatment, or gain favorable consideration of any kind.
If a Person attempts to influence any employee or agent of Maricopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided
by this contract.

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ABSOLUTELY NO CONTACT BETWEEN THE RESPONDENT AND ANY COUNTY
PERSONNEL, OTHER THAN THE OFFICE OF PROCUREMENT SERVICES, IS ALLOWED
DURING THE SOLICITATION PROCESS UNLESS THE COMMUNICATION IS IN
REGARDS TO PRE-EXISTING BUSINESS WITH THE COUNTY. ANY
COMMUNICATIONS REGARDING THE SOLICITATION, ITS PARTICIPANTS OR ANY
DOCUMENTATION PRIOR TO THE CONTRACT AWARD MAY BE GROUNDS FOR
DISMISSAL OF THE RESPONDENT FROM THE EVALUATION PROCESS.
6.25 UNIFORM ADMINISTRATIVE REQUIREMENTS:
By entering into this Contract the Contractor agrees to comply with all applicable provisions of
Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE REQUIREMENTS,
COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in
Title 2 C.F.R. § 200 et seq.
6.26 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR
OTHER REVIEW:
6.26.1 In accordance with section MCI 371 of the Maricopa County Procurement Code the
Contractor agrees to retain (physical or digital copies of) all books, records, accounts,
statements, reports, files, and other records and back-up documentation relevant to this
Contract for six (6) years after final payment or until after the resolution of any audit
questions which could be more than six (6) years, whichever is latest. The County,
Federal or State auditors and any other persons duly authorized by the Department shall
have full access to, and the right to examine, copy and make use of, any and all said
materials.
6.26.2 If the Contractor’s books, records , accounts, statements, reports, files, and other records
and back-up documentation relevant to this Contract are not sufficient to support and
document that requested services were provided, the Contractor shall reimburse Maricopa
County for the services not so adequately supported and documented.
6.27 AUDIT DISALLOWANCES:
If at any time it is determined by the County that a cost for which payment has been made is a
disallowed cost, the County shall notify the Contractor in writing of the disallowance. The course
of action to address the disallowance shall be at sole discretion of the County, and may include
either an adjustment to future invoices, request for credit, request for a check or a deduction from
current invoices submitted by the Contractor equal to the amount of the disallowance, or to require
reimbursement forthwith of the disallowed amount by the Contractor by issuing a check payable
to Maricopa County.
6.28 OFFSET FOR DAMAGES:
In addition to all other remedies at Law or Equity, the County may offset from any money due to
the Contractor any amounts Contractor owes to the County for damages resulting from breach or
deficiencies in performance of the Contract.
6.29 CONFIDENTIAL INFORMATION:
Any information obtained in the course of performing this contract may include information that is
proprietary or confidential to the County. This provision establishes the Contractor’s obligation
regarding such information.
The Contractor shall establish and maintain procedures and controls that are adequate to assure
that no information contained in its records and/or obtained from the County or from others in
carrying out its functions (services) under the Contract shall be used by or disclosed by it, its
agents, officers, or employees, except as required to efficiently perform duties under the Contract.
The Contractor’s procedures and controls at a minimum must be the same procedures and controls

SERIAL 180220-ROQ
it uses to protect its own proprietary or confidential information. If, at any time during the
duration of the Contract, the County determines that the procedures and controls in place are not
adequate, the Contractor shall institute any new and/or additional measures requested by the
County within fifteen (15) business days of the written request to do so.
Any requests to the Contractor for County proprietary or confidential information shall be referred
to the County for review and approval, prior to any dissemination.
6.30 INTEGRATION:
This Contract represents the entire and integrated agreement between the parties and supersedes
all prior negotiations, proposals, communications, understandings, representations, or agreements,
whether oral or written, express or implied.
6.31 WAIVER OF CLAIMS:
6.31.1 Contractor accepts the compensation provided in the Contract in lieu of any other
claim(s), demand(s), request(s) or compensation for the services that Contractor provides
pursuant to the Contract.
6.31.2 Contractor’s obligations, including the duty of continuing representation, under this
section shall survive the termination or expiration of the Contract.
6.31.3 Any dispute concerning the reasonableness or adequacy of the compensation under the
Contract shall be resolved by reference to the value of the Contract as a whole and not by
reference to a single case or to a portion of the cases that Contractor has performed under
the Contract. The value of the Contract as a whole shall be determined by reference to
the following factors:
6.31.3.1 County’s average cost per case for all the services provided by Contractor under
the Contact, compared to the County’s average cost per case for the same
services performed by the Public Defender, Legal Defender, Legal Advocate,
and other Contract Attorneys; County’s average cost per hour of services
provided by Contractor under the Contract, compared to the County’s average
cost per hour for the same services performed by the Public Defender, Legal
Defender, Legal Advocate and, other Contract Attorneys; and
6.31.3.2 Contractor’s average hours per case, compared to the average hours per case for
the same services performed by the Public Defender, Legal Defender, Legal
Advocate and, other Contract Attorneys.
6.31.4 This section is not severable, in whole or in part, from any other provision of the
Contract. In the event any portion of the Contract is construed as invalid or
unenforceable, the Contract may be terminated in the sole discretion of the Contract
Administrator.
6.32 RELATIONSHIPS:
6.32.1 In the performance of the services described herein, the Contractor shall act solely as an
independent contractor, and nothing herein or implied herein shall at any time be
construed as to create the relationship of employer and employee, co-employee,
partnership, principal and agent, or joint venture between the County and the Contractor.
6.32.2 The County reserves the right of final approval on proposed staff. Also, upon request by
the County, the Contractor will be required to remove any employees working on County
projects and substitute personnel based on the discretion of the County within two
business days, unless previously approved by the County.

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6.33 FURTHER ASSURANCES AND CORRECTIVE INSTRUMENTS:
The Parties will, from time to time, execute, acknowledge and deliver, or cause to be executed,
acknowledged and delivered, any corrective instruments as may be reasonably necessary to carry
out the intent of the Contract.
6.34 GOVERNING LAW:
This Contract shall be governed by the laws of the State of Arizona. Venue for any actions or
lawsuits involving this Contract will be in Maricopa County Superior Court, Phoenix, Arizona.
6.35 ORDER OF PRECEDENCE:
In the event of a conflict in the provisions of this Contract and Contractor’s license agreement, if
applicable, the terms of this Contract shall prevail.