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Public Psychological Services 10/29/2019
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Public Psychological Services 10/29/2019
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Last modified
10/17/2024 2:37:20 PM
Creation date
11/12/2019 10:33:51 AM
Metadata
Fields
Template:
Contracts
Contractor's Name
Public Psychological Services
Approval Date
10/29/2019
Department
Fire
Department Project Manager
Dave DeMarco
Subject / Project Title
Pre Employment Psychological Evaluation
Tracking Number
0002045
Total Compensation
$65,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
Document Relationships
LEPS/PSS PLLC dba Public Psychological Services 10/14/2024 Amendment 4
(Contract)
Path:
\Records\City Clerk\Contracts\6 Years Then Destroy\2025
Public Psychological Services 10/8/2021 Amendment 1
(Contract)
Path:
\Records\City Clerk\Contracts\6 Years Then Destroy\2022
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E2. Do you currently have a driver's license issued by another state or country? <br /> a. No <br /> b. Yes <br /> E3. Have you ever had a driver's license issued by another state or country? <br /> a. No <br /> b. Yes <br /> E4. Have you ever been refused a driver's license by any state? <br /> a. No <br /> b. Yes <br /> E5. Has your driver's license ever been suspended, revoked, or placed on court probation? <br /> a. No <br /> b. Yes <br /> E6. How many traffic citations (other than parking) have you had since you started driving? <br /> (INCLUDE CITATIONS THAT HAVE BEEN CLEARED BY ATTENDING TRAFFIC SCHOOL.ALSO INCLUDE <br /> CITATIONS RECEIVED IN OTHER STATES OR ON A MILITARY BASE.) <br /> a. None <br /> b. 1 <br /> c. 2 • <br /> d. 3-4 <br /> e. 5-7 <br /> f. 8-10 <br /> g. 11 or more <br /> E7. How many traffic citations (other than parking) have you had in the last 3 years? (INCLUDE <br /> CITATIONS THAT HAVE BEEN CLEARED BY ATTENDING TRAFFIC SCHOOL.ALSO INCLUDE CITATIONS <br /> RECEIVED IN OTHER STATES OR ON A MILITARY BASE.) <br /> a. None <br /> b. 1 <br /> c. 2 <br /> d. 3 <br /> e. 4 <br /> f. 5 or more <br /> E8. Since you started driving, how many traffic accidents have you been involved in where you <br /> were the driver? (INCLUDE ALL ACCIDENTS OCCURRING SINCE YOU STARTED DRIVING, <br /> REGARDLESS OF WHO WAS AT FAULT,AND WHETHER OR NOT THE ACCIDENT WAS REPORTED TO A <br /> LAW ENFORCEMENT AGENCY. INCLUDE ACCIDENTS OCCURRING IN THE COURSE OF EMPLOYMENT.) <br /> a. None <br /> b. 1 <br /> c. 2 <br /> d. 3 <br /> e. 4 <br /> f. 5 or more <br /> PSS/LEPS PLLC 70 <br />
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