HomeMy WebLinkAboutCrisis Clinic GF0920AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this 6th day of April, 2009, by and
between the CITY OF AUBURN, a municipal corporation of the State of Washington,
hereafter referred to as "CITY", and "CRISIS CLINIC" which is located at 1515 Dexter
Avenue North, Suite 300, Seattle, Washington 98109, 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 telephone referral services through the Crisis Line; and
WHEREAS, the CITY is interested in continuing support of Crisis Clinic, including
development of additional resources and service sites, for low income Auburn residents;
WHEREAS, on January 7, 2003, the CITY entered into a Joint Funding
Memorandum of Understanding with the cities of Burien, Des Moines, Federal Way, Kent,
Renton, SeaTac and Tukwila ("Cities") to jointly fund and monitor a single contract with
Crisis Clinic for Telephone Services; and
WHEREAS, it is the City's responsibility to enter into an agreement with Crisis
Clinic on behalf of the Cities which are party to said Memorandum of Understanding;
NOW, THEREFORE, In consideration of the covenants and conditions of this
Agreement, the parties agree as follows:
1. PURPOSE.
The purpose of this Agreement is to provide for an appropriation to the AGENCY
for providing services as set forth in Exhibit 1 through 3 and the MOU labeled Exhibit A,
and incorporated herein by this reference as if fully set forth, to the Cities' residents
GF 0920: Crisis Clinic
January 1, 2009
Page 1 of 9
during the 2009 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 Exhibits 1 through 3 and the MOU labeled Exhibit A, which may include
development of new resources, to callers and clients from the Cities. Services to be
provided are set forth in Exhibits 1 through 3 to this agreement and the MOU labeled
Exhibit A, and incorporated herein by this reference as if fully set forth.
B. The Agency agrees to provide at a minimum the services outlined in the Exhibits.
Said services are to be completed no later than December 31, 2009.
III. TERM.
The term of this Agreement shall commence on January 1, 2009 and shall expire
on December 31, 2009.
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 Cities, as well as financial information pertaining to the
contract agreement and expenditures. The City of Auburn will then forward that
information to the other participating Cities. The final report, which may include estimated
service levels, shall be submitted no later than December 12, 2009. 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. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of $53,600 as set forth in Exhibit 1. The
GF0920: Crisis Clinic
January 1, 2009
Page 2 of 9
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 the Exhibits 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 officers,
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.
GF 0920: Crisis Clinic
January 1, 2009
Page 3 of 9
VII. INDEPENDENT CONTRACTOR/ASSIGNMENT.
The parties agree and understand that the AGENCY is an independent contractor
and not the agent or employee of the CITY and that no liability shall attach to the CITY by
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 losses and
related investigations, claim administration and defense expenses. The policies are to
contain or be endorsed to contain the following provisions:
GF0920: Crisis Clinic
January 1, 2009
Page 4 of 9
1) GENERAL LIABILITY COVERAGE:
The CITY, its elected and appointed officials, employees and agents are to be
covered as additional insured 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 COVERAGES:
(a) The AGENCY's insurance coverage shall be primary insurance as respects 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 shall 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.
GF 0920: Crisis Clinic
January l, 2009
Page 5 of 9
(e) The AGENCY shall furnish the CITY with Certificates of Insurance and with
original endorsements affecting coverage required by this clause. The
certificate and endorsements for each insurance policy are to be signed by a
person authorized by that insurer to bind coverage on its behalf. The CITY
reserves the right to require complete, certified copies of all required 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
coverage for volunteers shall be subject to all the requirements stated herein.
IX. NONDISCRIMINATION.
The AGENCY shall not discriminate under any services or programs to which this
Agreement may apply directly or through contractual or other arrangements 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.
GF0920: Crisis Clinic
January 1, 2009
Page 6 of 9
XI. TERMINATION OF AGREEMENT.
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 12, 2009, describing the progress and activities performed for
the Program Year 2009 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 of King and
where applicable, Federal laws.
C. As respects the City of Auburn, the Agency agrees to conduct its activity in
such a manner as to coincide with the goals identified in the attached
Memorandum of Understanding. The Agency understands that the
performance indicators established in the Memorandum will be used by the
City as a measurement tool in determining if the goals have been
achieved.
D. 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.
E. This Agreement represents the entire and integrated Agreement between
the CITY and the AGENCY and supersedes all prior negotiations. This
GF 0920: Crisis Clinic
January 1, 2009
Page 7 of 9
Agreement may be amended only by written instrument signed by both the
CITY and the AGENCY.
F. Should it become necessary to enforce any term or obligation of this
Agreement, then all costs of enforcement including attorney's fees and
expenses and court costs shall be paid to the substantially prevailing party.
G. The AGENCY agrees to comply with all local, state and federal laws
applicable to its performance under this Agreement.
REMAINDER OF PAGE INTENTIONALLY BLANK
GF0920: Crisis Clinic
January 1, 2009
Page 8 of 9
PETER B. LEWIS
MAYOR
ATT ST:
Danielle E. Daskam,
City Clerk
1 APP 54 TO FORM:
~ Daniel B. Heid,
City Attorney
CRISIS CLINIC
BY: GZzw'~
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this 7*' day of A2i;L , 2009, before me, the undersigned, a
Notary Public in and for the State of W shington, personally appeared Kathleen Southwick, to me
known to be the Executive Director of the Crisis Clinic, 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.
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Coral Letnes
NOTARY PUBLIC in and for the State of
Washington, residing in King County.
MY COMMISSION expires: 11/20/2010
GF 0920: Crisis Clinic
January 1, 2009
Page 9 of 9
CITYOF
y~
COVER PAGE
* WASHINGTON
HUMAN SERVICE AGREEMENT
2009 INVOICE FOR CONTRACTED SERVICES
To: CITY OF AUBURN, ATTN: MICHAEL HURSH, HUMAN SERVICES
25 WEST MAIN STREET, AUBURN WA 98001
Agency: Crisis Clinic
1515 Dexter Ave N Ste 300
Seattle, WA 98109
Program: Crisis Lines Contact, Title: Coral Letnes, Business Mgr.
Phone: 206-461-3210 x613
Email: cletnes@crisisclinic.org
Amount Requested: $ 13,400.00 .
Invoice for: ❑ 1 St Quarter, January to March - Due April 15, 2009
❑ 2"a Quarter, April to June - Due July 15, 2009
❑ 3`d Quarter, July to September - Due October 15, 2009
❑ 4th Quarter (Final) October to December - Due January 31, 2010
Attachments: ❑ Quarterly Service Report
❑ Quarterly Financial Report
❑ Demographic Report (2"d and 4th Quarters only)
❑ Logic Model (1st Quarter only)
❑ Outcomes Report (4th Quarter only)
❑ Proof of Insurance (1 St Quarter and/or if expired since last reimbursement
request)
I certify to the best of my knowledge that this invoice and attachments reflect actual service provided to
Auburn residents.
Signature of Authori2ed Representative Date
The City of Auburn will issue payment upon this invoice within forty-five (45) 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 ONLY:
Contract Amount: $53,600.00
Payments Year to Date:
Payment this invoice: Contract Balance:
Authorized to Pay:
Signature
CITY OF AUBURN
Date
COVER PAGE - MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST
EXHIBIT 2, GF-0810
Agency: Crisis Clinic
Program: Crisis Line
Report for _ 1" Qtr/Jan-Mar
CITY OF AUBURN
2009 Quarterly Financial Report
Date:
2"d Qtr/Apr-Jun _ 3`d Qtr/Jul-Sep _ 4Ih Qtr/Oct-Dec
Cost Categories
Budget
Award
This
Request
Cumulative
to date
Award
Balance
1a
Personnel/Agency Services,
Crisis Line and 2-1-1
$39,300.00
1b
Personnel/Agency Services,
Teen Link
$14,300.00
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
$53,600.00
Requested
Reimbursement:
Detail as Applicable:
CITY OF AUBURN
2009 Demographic Report
EXHIBIT 3, GF-0920
Agency: Crisis Clinic Date:
Program: Crisis Line
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MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is an addendum to the agreement for
services between the City of Auburn and Crisis Clinic, the original of which was executed
on the 6th day of April, 2009. All other terms and conditions of the agreement for
services shall remain in full force and effect except as specifically amended by this
Memorandum of Understanding.
It is the goal of the City of Auburn to reduce the number of people within the
City of Auburn, who are victims of on-going and repeated abuse at the hands
of a spouse, partner or friend and make the transition to a safe environment
and self determining lifestyle by 15% between January, 2007 and January,
2010.
II. The grant funds provided to the Agency during the 2009 year are provided
with the objective of achieving the result of reducing repeated abuse and
violence typically referred to as domestic violence and perpetrated by a
spouse, partner or friend and;
III. The grant funds provided to the Agency during the 2009 year are provided
with the objective of achieving the result of increasing the availability of
healthcare to low income residents.
IV. The creation of a collaborative and comprehensive intervention strategy that
established written procedures and protocols for interaction, support and
assistance with the City's Domestic Violence advocate to include the
implementation of such procedures and protocols.
Agreement GF - 0920, CRISIS CLINIC
January 1, 2009
Page 1 of 3
V. Agencies receiving funding from the City of Auburn agree to participate in the
conceptual development of the One Stop Center and to collaborate with other
agencies concerning the delivery of services to clients when the Center is
operational. The nature and extent of the collaboration to be determined
when the One Stop Center is operational.
VI. The City of Auburn will utilize the following performance measures in
evaluating the effectiveness of reaching this goal.
a. Performance Indicators
• Reduction in the number of cases reviewed by the City of Auburn
Legal Department for offenses involving domestic violence.
• Reduction in the number of people who are victims of domestic
violence more than once.
• Reductions in the number of violations of protection and no-
contact orders.
• Reductions in the number of repeat offenders prosecuted through
the City of Auburn Court system
• Domestic Violence protocols that establish procedures of
cooperation, support and assistance between domestic violence
agencies, and the City's Domestic Violence Advocate
• Extent to which agencies implement and adhere to those
procedures
Agreement GF - 0920, CRISIS CLINIC
January 1, 2009
Page2of3
I FA
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-
i
PETER B. LEWIS
MAYOR
AT ST:
Danielle E. Daskam,
City Clerk
APPR S TO FORM:
Daniel B. eid,
City Attorney
CRISIS CLINIC
BY: K t A~.
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this day of > , 2009, before me, the
undersigned, a Notary Public in and for th State of Washington, personally appeared
Kathleen Southwick, to me known to be the Executive Director of CRISIS CLINIC, 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'N~.S+~~~i
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6mi 2&k~_
Coral Letnes
NOTARY PUBLIC in and for the State of
Washington, residing in King County.
MY COMMISSION EXPIRES: 11/20/10
Agreement CiT,',-'0920, CRISIS CLINIC
January 1, 2009
Page 3 of 3