HomeMy WebLinkAboutAuburn Respite Program GF0514
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AGREEMENT FOR SERVICES
THIS
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AGREEMENT made and entered into this cd.:4- dlay of
, 2005, by and between the CITY OF AUBURN, a municipal
corporation of the State of Washington, hereafter referred to as "CITY", and AUBURN
RESPITE PROGRAM which is located at 808 9th Street SE Auburn, WA 98002, 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 Weekly respite carS program for those with debilitating
illness.; and
WHEREAS, the CITY is interested in continuing support of Auburn Respite
Program, 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 provide for an appropriation to the AGENCY
for providing services as set forth in Exhibit 1 through 4, and incorporated herein by this
reference as if fully set forth, to Auburn residents during the 2005 term. This support is in
recognition of the fact that the demand for the services delivered by the AGENCY
continues to rise.
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Agreement - GF0514, Auburn Respite Program
March 1,2005
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II. SCOPE OF SERVICES.
A. The parties agree and understand that the AGENCY agrees to provide services,
as described in Exhibits 1 through 4, which may include development of new re'sources,
to low income Auburn residents. Services to be provided are set forth in Exhibits 1
through 4 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 in the Exhibits.
Said services are to be completed no later than December 31, 2005.
III. TERM.
The term of this Agreement shall commence on January 1, 2005 and sh¡¡1I expire
on December 31, 2005.
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 sind 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 12, 2005. Format and contents
of these reports are set forth in Exhibits 1 to 4 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 "outcomes reports' which will show the intended
linkages between the activities conducted and the changes the activities wi/lproduce.
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.
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Agreement - GF0514, Auburn Respite Program
March 1. 2005
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C. As full and total payment for the services provided under this Agreement, the
CITY aqrees to Day the AGENCY the total amount of $10,000.00 as set forth in
Exhibit 1. The CITY will pay an amount equal to one-quarter of the total amount within
thirty (30Y 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 ()r claim
for damages based upon such claim, action, loss or damage is brought against thl3 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 clfficers,
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 thE!m, 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.
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Agreement ~ GF0514, Auburn Respite Program
March I, 2005
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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 ahd 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 fn)m or in
connection with services provided by the AGENCY, it agents, employees or vCllunteers
under this Agreement. The AGENCY agrees to provide comprehensive genera.! 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 pal1 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 los:~es and
related investigations, claim administration and defense expenses. The policies are to
contain or be endorsed to contain the following provisions:
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Agreement - GF0514, Auburn Respite Program
March I, 2005
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1) GENERAL LIABILITY COVERAGE:
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 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 E!XCeSS 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'sinsurance 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 sl:ate that
coverage shall not be suspended, voided, canceled, reduced in covera!ge, 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 Ithat this
Agreement takes effect.
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Agreement - GF0514, Auburn Respite Program
March I, 2005
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(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 sigl1ed 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 fumish separate certificates and endorsements for E!ach. All
coverages for volunteers shall be subject ~o 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 presenc'~ 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 relatin~1 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 inspe,ct such
documents upon good cause at any reasonable time within the three (3) year period.
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Agreement - GF0514, Auburn Respite Program
March 1,2005
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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, 2005, describing the progress and activities performed for
the year 2005 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. 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 obligation of this
Agreement, then all costs of enforcement including attorneys .fe,es and
expenses and court costs shall be paid to the substantially prevailin!~ 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 - GF0514, Auburn Respite Program
March 1, 2005
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~~
Daniel/e E. Daskam,
City Cler
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PETER B. LEWIS
MAYOR
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~U~N RE~ PROGRAM
BY: h~) ~
TITLE: ])AN~ '/h2.P
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STATE OF WASHINGTON
COUNTY OF KING
On this day of , 2005, before me, the undersigned, a
Notary Public in and for the State of Washington, personally appeared
, to me known to be the Executive Director of Auburn Respite
Program, 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.
NOTARY PUBLIC in and for the State of
Washington, residing in
MY COMMISSION expires:
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Agreement - GF0514, Auburn Respite Program
March 1, 2005
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EXHIBIT 1, GF -0514
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2005 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
Auburn Respite Program
808 9th Street SE
Auburn, WA 98002
253.931.3016
sheilastuff@msn.com
Contact:
Sheila Pankratz
Title: Director
Are professional services (e.g., counseling, case management) provided as part of this
Agreement? No
Contract Information
Contract Amount:
$10,000.00
Program Name:
Respite Care
Description of Service to be provided: Weekly respite care program for those with debilitating iliness.
Reporting Information
Report for
1st Qtr/Jan-Mar
_ 2nd Qtr/Apr-Jun
_ 3'" Qtr/Jul-Sep
4th Qtr/Oct-Dec
2005 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 1st 2nd 3'd 4th
Undupiicated Number of Auburn 13
Clients Served
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.
EXHIBIT 2, GF -0514
Agency:
Program:
CITY OF AUBURN
2005 Quarterly Financial Report
Auburn Respite Program Date:
Respite Care
Report for
1'IOtr/Jan-Mar
_ 2nd Otr/Apr-Jun
_ 3'" Otr/Jul-Sep
4'" Otr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date 13alance
1 Personnel/Agency Services 10,000
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
-- indirect admin
Grand Total 10,000
Requested
Reimbursement:
Detail as Applicable:
EXHIBIT 3, GF -0514
Agency:
Program:
CITY OF AUBURN
2005 Demographic Report
Auburn Respite Program
Respite Care
Date:
Cateaorv 1 2 3 4 Totel YTD
Client Alaona
Resldence- Auburn
Black Diamond
"'*List all clients Burian
served in this Covinaton
category. Des Moines
In all other
eategOries list Enumctaw
Auburn ellents Federal Way
only. Kent
Maele Vallev
Normandy Pari<
Pacific
Renton
SesTae
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
18-34
35-54
55-74
75+
Unknown
TOTAL
Ethnicityl Asian/Pacific Islander
Cultural Black/African American
Background Hispanic/Latino
Native American! Alaskan Native
White/Caucasian
Other
Unknown
TOTAL
Condition Disablina Condition
ESL Limited Enalish Seeakino
Household Female-Headed Household
EXHIBIT 4, GF -0514
CITY OF AUBURN
Outcomes Evaluation Format
Agency: Auburn Respite Program
Program: Respite Care
Date:
I. Submission Dates.
This report shall be submitted with the first quarter invoice and again within sixty (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 Weekly respite care progrslm for those
with debilitating illness.;
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. Auburn Respite Program shall develop the following status report components within the
time frames established below:
1) 1 st Quarter 2005
a) The outcome based results Auburn Respite Program expects to achie,ve;
b) An indicator to inform the Auburn Respite Program 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 methodologlY of
information gathering.
2) 4th Quarter 2005
a) Information collected;
b) Conclusions developed as a result of the information.