HomeMy WebLinkAboutDAWN #GF0216
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AGREEMENT FOR SERVICES
THIS
AGREEMENT
made
and
entered
into
;¿. v--J
this ~ _ day
of
---
~ ~ -- ,2002, by and between the CITY OF AUBURN, ,a municipal
..
corporation of the State of Washington, hereafter referred to as "CITY", and DOMESTIC
ABUSE WOMEN'S NETWORK, which is located at P.O. Box 88007 Tukwila, WA 98138,
a non-profit corporation organized under the laws of the State of Washington, hereafter
referred to as "AGENCY."
WHEREAS, The AGENCY provides a valuable service to the CITY and its
residents through the provision of confidential shelter and support services for victims of
domestic violence; and
WHEREAS, the CITY is interested in continuing support of Shelter Services,
including development of additional resources and service sites, for low income Auburn
residents;
NOW, THEREFORE, In consideration of the covenants and conditions of this
Agreement, the parties agree as follows:
I. PURPOSE.
The purpose of this Agreement is to f~; frJr. appror~iation to the AGENCY
for providing services as set forth in Exhibit ~ ~ed llfe~e~~ this reference
as if fully set forth, to Auburn residents during the 2002 term. This support is in recognition
of the fact that the demand for the services delivered by the AGENCY continues to rise.
II. SCOPE OF SERVICES.
A. The parties agree and understand that the AGENCY agrees to provide services,
as described in Exhibit "1", which may include development of new resources, to low
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Agreement - GF-0216. Domestic Abuse Women's Network
January 15, 2002
Page I of9
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income Auburn residents. Services to be provided are set forth in Exhibit "1" to this
agreement, and incorporated herein by this reference as if fully set forth.
B. The Agency agrees to provide at a minimum the services outlined on Exhibit 1.
Said services are to be completed no later than December 31, 2002.
III. TERM.
The term of this Agreement shall commence on January 1, 2002 and shall expire
on December 31, 2002.
IV. PERFORMANCE REPORTS AND COMPENSATION
A. The AGENCY shall provide to the City within 15 days of the close of each calendar
quarter a status report containing program statistics regarding the type and level of
services provided to the City of Auburn, as well as financial information pertaining to the
contract agreement and expenditures. The final report, which may include, estimated
service levels, shall be submitted no later than December 15, 2002. Format and contents
of these reports are set forth in Exhibits 1 to 3 to this Agreement, which are incorporated
herein by this reference.
B. The Agency shall prepare and submit to the City two program evaluation reports in
the format commonly referred to as the "Logic Model" which will show th,~ intended
linkages between the activities conducted and the changes the activities will produce.
These reports shall contain information as set forth in Exhibit 4 to this Agreement, which is
incorporated herein by this reference, and shall be submitted to the City at the end of the
first quarter and within sixty days following the close of the calendar year.
C. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of$12,000.00 as set forth in Exhibit 1. The
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15, 2002
Page 2 of9
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CITY will pay an amount equal to one-quarter of the total amount within thirty (30) days
following the CITY's receipt of quarterly invoices. The required format and content of
quarterly invoices is set forth in Exhibit 4 to this Agreement, and is incorporated herein by
this reference.
VI. INDEMNIFICATION.
The AGENCY agrees to defend, indemnify, and hold harmless the CITY, its
elected and appointed officials, employees and agents from and against any and all
claims, demands and/or causes of action of any kind or character whatsoever arising out
of or relating to services provided by the AGENCY, its employees, volunteers or agents
concerning any and all claims by any persons for alleged injury or damage to persons or
property to the extent caused by the negligent acts, errors or omissions of the AGENCY,
its employees, volunteers or agents or representatives. In the event that any suit or claim
for damages based upon such claim, action, loss or damage is brought against the CITY,
the AGENCY shall defend the same as its sole costs and expense; provided that the CITY
retains the right to participate in said suit if any principle of governmental or pUblic law is
involved; and if final judgment be rendered against the CITY and/or its officE,rs, elected
officials, agents and employees or any of them or jointly against the CITY and the
AGENCY and their respective officers, agents, volunteers, employees or any of them, the
AGENCY shall fully satisfy the same and shall reimburse the CITY any costs and expense
which the CITY has incurred as a result of such claim or suit. The provisions of this section
shall survive the expiration or termination of this Agreement.
VII. INDEPENDENT CONTRACTOR/ASSIGNMENT.
The parties agree and understand that the AGENCY is an independenf ,contractor
and not the agent or employee of the CITY and that no liability shall attach to the CITY by
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15,2002
Page 3 of9
reason of entering into this Agreement except as provided herein. The services required
under this Agreement may not be assigned or subcontracted by the AGENCY without the
prior written consent of the CITY.
VIII. INSURANCE.
The AGENCY shall procure and maintain for the duration of this Agreement
insurance against claims for injuries to persons or property which may arisE¡ from or in
connection with services provided by the AGENCY, it agents, employees or volunteers
under this Agreement. The AGENCY agrees to provide comprehensive general liability
insurance and shall maintain liability limits of not less than ONE MILLION DOLLARS
($1,000,000) combined single limit coverage per occurrence for bodily injury, personal
injury and property damage. Where professional services are provided as part of the
services rendered pursuant to this Agreement, as shown in Exhibit 1, the AGENCY shall
also provide and maintain professional liability coverage including errors and omissions
coverage in the minimum liability amount of ONE MILLION DOLLARS (~;1 ,000,000)
combined single limit per occurrence for bodily injury, personal injury and property
damage. Any deductibles or self insured retentions in either policy must be declared to
and approved by the CITY. At the option of the CITY either: The insurer shall reduce or
eliminate such deductibles or self insured retentions as respects the CITY, its officials and
employees; or, The AGENCY shall procure a bond guaranteeing payment of I'~sses and
related investigations, claim administration and defense expenses. The pOlicies are to
contain or be endorsed to contain the following provisions:
1) GENERAL LIABILITY COVERAGE:
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15,2002
Page 4 of9
,
The CITY, its elected and appointed officials, employees and agents are to be
covered as additional insureds as respects: Liability arising out of services and
activities performed by or on behalf of AGENCY, its employees, agents and
volunteers. The coverage shall contain no special limitations on the scope of
protection afforded to the CITY, its elected and appointed officials, employees or
agents.
2) GENERAL LIABILITY AND PROFESSIONAL LIABILITY COVERAGE~
(a) The AGENCY's insurance coverage shall be primary insurance as nespects the
CITY, its officials, employees and agents. Any insurance or self insurance
maintained by the CITY, its officials, employees or agents shall be in excess of
the AGENCY's insurance and shall not contribute with it.
(b) Any failure to comply with reporting provisions of the policy sha/ll not affect
coverage provided to the CITY, its officials, employees or agents.
(c) Coverage shall state that the AGENCY's insurance shall apply separately to
each insured against whom claim is bought or suit is brought except with
respect to the limits to the insurer's liability.
(d) Each insurance policy required by this clause shall be endorsed to state that
coverage shall not be suspended, voided, canceled, reduced in coverage, or in
limits except after thirty (30) days prior written notice by certified mail return
receipt requested has been given to the CITY. The AGENCY agrees to provide
copies of the Certificates of Insurance to the CITY at the time that this
Agreement takes effect.
(e) The AGENCY shall furnish the CITY with Certificates of Insurance and with
original endorsements affecting coverage required by this clause. The
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15,2002
Page 5 of9
certificate and endorsements for each insurance policy are to be signed by a
person authorized by that insurer to bind coverage on its behallf. The CITY
reserves the right to require complete, certified copies of all requin~d insurance
policies at any time.
(f) The AGENCY shall include all volunteers, employees and agents under its
policies or shall furnish separate certificates and endorsements for each. All
coverages for volunteers shall be subject to all the requirements stêlted herein.
IX. NONDISCRIMINATION.
The AGENCY shall not discriminate under any services or programs t,~ which this
Agreement may' apply directly or through contractual or other arrangememts on the
grounds of race, color, creed, religion, national origin, sex, age, or the presence of any
sensory, mental or physical handicap.
X. BOOKS AND RECORDS.
The AGENCY agrees to maintain separate accounts and records in accordance
with State Auditor's procedures, including personnel, property, financial and programmatic
records which sufficiently reflect direct and indirect costs and services performed under
this Agreement. The AGENCY agrees to maintain all books and records relating to this
Agreement for a period of three (3) years following the date that this Agreement is expired
or otherwise terminated. The parties agree that the CITY OF AUBURN may inspect such
documents upon good cause at any reasonable time within the three (3) year period.
XI. TERMINATION OF AGREEMENT.
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15, 2002
Page 6 of9
This Agreement may be terminated by either party upon ten (10) days written
notice should the other party fail substantially to perform in accordance with its terms
through no fault of the other.
XII. GENERAL PROVISIONS.
A. The AGENCY agrees to submit a report to the CITY no later than
December 15, 2002, describing the progress and activities performed for
the year 2002 under its scope of services.
B. . This Agreement shall be governed by the laws, regulations and ordinances
of the City of Auburn, the State of Washington, and County e,f King and
where applicable, Federal laws.
C. The CITY and the AGENCY respectively bind themselves, their
successors, volunteers, assigns and legal representatives to the other party
to this Agreement and with respect to all covenants to this Agreement.
D. This Agreement represents the entire and integrated Agreement between
the CITY and the AGENCY and supersedes all prior negotiations. This
Agreement may be amended only by written instrument signed by both the
CITY and the AGENCY.
E. Should it become necessary to enforce any term or obligatic)n of this
Agreement, then all costs of enforcement including attorneys fees and
expenses and court costs shall be paid to the substantially prevailing party.
F. The AGENCY agrees to comply with all local, state and federal laws
applicable to its performance under this Agreement.
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Agreement - GF-0216, Domestic Abuse Women's Network
January 15,2002
Page 70f9
'1[ ¿ fJ~
~ -
6anielle E. Daskam,
City Clerk
CI~URN /"
?-::=~
PETER LEWIS
MAYOR
BY:
ABUSE WOMEN'S NE,TWORK
,~
j)Ì\1-<-J~
TITLE:
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
-
On this..:2.3 ""'.day of .J1h,'UA'({i ,2002, before me, the unde'rsigned, a
~ry Public. in and for the Stat . of Washington, personally appeared
¡ -I'. f' ,,: ¡.¿ 1m h a (,L~ , to me known to be the Executive Director of Domestic Abuse
Women's Network, the non-profit corporation that executed the within and foregoing instrument,
and acknowledged said instrument to be the free and voluntary act and deed of said non-profit
corporation for the uses and purposes therein mentioned, and on oath stated that he/she is
authorized to execute said instrument on behalf of said non-profit corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the date
hereinabove set forth.
T ARY PUBLIC in and Zf. the State of
'~hington, residing in /,...1f77;.,~ 15/ "1 C,ç.,¿.dfV
COMMISSION expires: ..:¡ -/£-0 :? . /
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Agreement-GF-0216, Domestic Abuse Women's Network
January 15, 2002
Page 8 of9
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2002 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
¡;XHIBIT 1, GF-0216
Agency Information
Domestic Abuse Women's Network
P.O. Box 88007
Tukwila, WA 98138
425-656-4305x251
425-656-4309
terrikdawn@aol.com
Contact:
Terri Kimball
Title: Executive Director
Are professional services (e.g., counseling, case management) provided as part of this
Agreement? yes
Contract Information
Contract Amount:
$12,000.00
Program Name:
Shelter Services
Description of Service to be provided: confidential shelter and support services for victims of
domestic violence
Reporting Information
Report for
1" Qtr/Jan-Mar
_ 2" Qtr/Apr-Jun
_ 3'd Qtr/Jul-Sep
4th Qtr/Oct-Dec
2002 Service Units
City Funding All Funding Sources Actual Service
Onlv Units to Date,
Service Unit Description: Total all Fund
Auburn Residents Only Projected Actual Units by Quarter Sources
Annual Units
Service Unit/Performance Measure 1" 2nd 3'd 4th
Unduplicated Number of Auburn 12
Clients Served
bednights 232
Narrative: Please attach other relevant information, including current trends, program developments,
special events, publicity, community education, etc. If actual service units are lower than anticipated,
please explain.
CITY OF AUBURN
2002 Quarterly Financial Report
EXHIBIT 2, GF-0216
Agency: Domestic Abuse Women's Network
Program: Shelter Services
Date:
Report for
1" Qtr/Jan-Mar
_ 2nd Qtr/Apr-Jun
_ 3" Qtr/Jul-Sep
4'h Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
1 Personnel/Agency Services 12,000
2 Office/Operating Supplies
3 Consultant or Purchased
Services
4 Direct Client Assistance -
5 Communications
6 Travel & Training
7 Intra-Agency Support
8 Other per Detail
Grand Total $12,000.00
Requested
Reimbursement:
Detail as Applicable:
EXHIBIT 3, GF-0216
CITY OF AUBURN
2002 Demographic Report
Agency:
Program:
Domestic Abuse Women's Network
Sbelter Services
Date:
Category ,~ 2 3 '1 Total YTO
Client Algona
Residence- Auburn
Black Diamond
·"'Llst all clients Burieo
served in this Covington
categO/y. Des Moines
In all other
categories list Enumclaw
Auburn clients Federal Way
only. Kent
Maple Valley
Normandy Park
Pacific
Renton
SeaTae
Seattle
Tukwila
Unincorporated. King County
Other:
Unknown
TOTAL
Client 30% of median or below
Income 50% of median or below
Level 80% of median or below
Above 80% of median
Unknown
TOTAL
Client Female
Gender Male
Client 0-4
Age 5-12
13-17
t8-34
35-54
55-74
75+
Unknown
TOTAL
Ethnicityl AsianlPacific Islander
Cultural Black/African American
Background HispanicILatino
Native AmericanJ Alaskan Native
White/Caucasian
other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited English Speaking
Household Female-Headed Household
.
EXHIBIT 4, GF-0216
CITY OF AUBURN
Logic Model Evaluation Format
Agency: Domestic Abuse Women's Network
Program: Shelter Services
Date:
I. Submission Dates.
This report shall be submitted with the first quarter invoice and again within sMy (60) days of
the end of the calendar year.
II. Contents.
A. The components of the evaluation will:
1) Identify both process and outcome portions of confidential shelter and support
services for victims of domestic violence;
2) Show the relationship of program resources and activities to the expected results or
outcomes;
3) Help identify those questions the evaluation is to answer;
4) Provide a graphic summary of how program parts relate to the whole;
5) Make explicit the underlying theory of the program; and
6) Identify measurable categories in the program evaluation.
B. Domestic Abuse Women's Network shall develop the following status report components
within the time frames established below:
1) 15t Quarter 2002
a) The outcome based results Domestic Abuse Women's Network exp,ects to
achieve;
b) An indicator to inforni the Domestic Abuse Women's Network that the anticipated
change has or has not occurred; and
c) The method for gathering information needed to indicate the outcomes that have
occurred.
d) Initial Collection and assessment of the information acquired to include:
alterations in the anticipated outcomes or alteration in the methodolClgy of
information gathering.
2) 4th Quarter 2002
a) Information collected;
b) Conclusions developed as a result of the information.
· ,
COVER PAGE, GF-0216
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2002 INVOICE FOR CONTRACTED SERVICES
To: City of Auburn, Attn: Shirley Aird, Planning Department
25 West Main, Aubum, WA 98001
Agency:
Domestic Abuse Women's Network
Date:
P.O. Box 88007
Tukwila, WA 98138
425-656-4305x251
425-656-4309
terrikdawn@aol.com
Contact: Terri Kimball
Invoice for: D 1st Quarter, January to March - Due April 15, 2002
D 2nd Quarter, April to June - Due July 15, 2002
D 3'd Quarter, July to September - Due October 15, 2002
D 4th Quarter (Preliminary, Cover sheet and Ex. B ónly) October to December _ Due
December 13, 2002
D 4th Quarter (Final) October to December - Due January 31, 2003
Amount Requested:
Required Attachment Checklist: _ Exhibit A - Quarterly Service Report
_ Exhibit B - Quarterly Financial Report
- Exhibit C - Demographic Report (2nd and 4th Quarters only)
_logic Model/Outcomes Report (1't and 4th Quarters only)
- Proof of Insurance (1st quarter and/or if expired since iast
reimbursement request)
I certify to the best of my knowledge that this invoice and attachments reflect actual service provided to
Auburn residents.
Signature of Authorized Representative
Date
The City of Auburn will issue payment upon this invoice within thirty (30) business days of receipt. To
ensure prompt payment, please submit this form and all required attachments by the date listed above.
FOR CITY OF AUBURN USE ONL Y:
Contract Amount: $12.000.00
Payments Year to Date:
Date:
Date:
Date:
Date:
Contract Balance:
Payment this invoice:
Authorized to Pay:
Signature
Date
COVER PAGE - MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST