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HomeMy WebLinkAboutSenior Services Volunteer Transportationf CITY OF C Ao'' ~ ~ WASHINGTON Department of Administration Michael Hursh, Human Services Manager 25 West Main Street, Auburn, WA 98001 phone: 253.804.5029 email: mhursh@auburnwa.gov Agreement for Human Service Activities Costing $5, 000 per year or less This Agreement is made effective as of January 1, 2010, by and between SENIOR SERVICES: VOLLJNTEER TRANSPORTATION and CITY OF AUBURN. In this Agreement, the party who is contracting to receive services shall be referred to as "CITY", and the party who will be providing the services shall be referred to as "CIS". The parties agree as follows: 1. DESCRIPTION OF SERVICES. Beginning on January 1, 2010, SENIOR SERVICES agrees to provide transportation for senior citizens living in the City of Auburn. Services will be delivered as per the attached Scope of Work. 2. PAYMENT. The CITY will pay a fee to the SENIOR SERVICES far services provided in the amount of $5,000 per year, paid in quarterly installments of equal amounts, for services delivered as described in the attached Scope of Work. This fee shall be payable in a lump sum upon receipt of an invoice from the SENIOR SERVICES with appropriate supporting documentation. 3. EXPENSE REIMBURSEMENT. SENIOR SERVICES shall pay all "out-of-pocket" expenses, and shall not be entitled to reimbursement from the CITY except for specific services, items or activities listed in the Scope of Services as reimbursable goods or services. 4. TERM/TERMINATION. This Agreement is effective January 0 1, 2010, and expires December 31, 2010, unless either party terminates the Agreement by notifying the other party in writing within seven (7) days of the intent to terminate. The Agreement may be renewed for one year upon the mutual consent of both parties. 5. RELATIONSHIP OF PARTIES. It is understood by the parties that the SENIOR SERVICES is an independent contractor with respect to the City of Auburn, and not an employee of the CITY. The CITY will not provide fringe benefits, including health insurance benefits, paid vacation, or any other employee benefit, for the benefit of SENIOR SERVICES. 6. EMPLOYEES. The provisions ofthis Agreement shall also bind SENIOR SERVICES employees who perform services for the CITY under this Agreement. 7. INDEMNIFICATION / HOLD HARMLESS. SENIOR SERVICES shall defend, indemnify and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses ar suits including attorney fees, arising out of or resulting from the acts, errors or omissions of the SENIOR SERVICES in performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. The City of Auburn shall defend, indemnify and hold SENIOR SERVICES, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or Page 1 of 5 AUBURN * MORE THAN YOU IMAGINED omissions of the City in performance of this Agreement, except for injuries and damages caused by the sole negligence of the SENIOR SERVICES. 8. INSURANCE. The SENIOR SERVICES shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the SENIOR SERVICES, its agents, representatives, ar employees. A. Minimum Scope of Insurance, SENIOR SERVICES shall obtain insurance of the types described below: 1. Automobile Liabilitv insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 O] or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liabilitv insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors and personal injury and advertising injury. The City shall be named as an insured under the SENIOR SERVICES Commercial General Liability insurance policy with respect to the work performed for the City. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liabilitv insurance appropriate to the SENIOR SERVICES profession. B. Minimum Amounts of Insurance: SENIOR SERVICES shall maintain the following insurance limits: 1. Automobile Liabilitv insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liabilitv insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. 3. Professional Liabilitv insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions: The insurance policies are to contain, or be endorsed to contain, the following provisions far Automobile Liability, Professional Liability and Commercial General Liability insurance: 1. The SENiOR SERVICES insurance coverage shall be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the SENIOR SERVICES insurance and shall not contribute with it. 2. The SENIOR SERVICES insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. Page 2 of 5 The undersigned have read the above statements, unden Signed: XMUL, Signed: Date: ~691; e) Date: Address: I), p S ?,n d Ne, Se.utt (e . vY ti ~ ~ IZI Phone: '2Dv'.-7Z'-7_ cz2- p i ag ide by their terms. --d ~)1~~V : C-, -Z-2- , 7 , c, Address: ~ ~ ~ ~ Phone: 4~~ Page 4 of 5 D. Acceptability of Insurers: Insurance is to be placed with insurers with a current A.M. Best rating of not less than A: VII. E. Verification of Coverage: SENIOR SERVICES shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the SENIOR SERVICES befare commencement of the work. 9. ASSIGNMENT. SENIOR SERVICES obligations under this Agreement may not be assigned or transferred to any other person, firm, or corporation without the prior written consent of the CITY. 10. NOTICES. All notices required or permitted under this Agreement shall be in writing and shall be deemed delivered when delivered in person or deposited in the United States mail, postage prepaid, addressed as follows: IF for SENIOR SERVICES: IF for the CITY: Farlis Lewis Michael Hursh Evaluation/Accountability Manager Human Sprvices Manager 2208 2°d Avenue 25 West Main Street Seattle, WA 98121 Auburn, WA 98001 Such address may be changed from time to time by either party by providing written notice to the other in the manner set forth above. 11. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties and there are no other promises ar conditions in any other agreement whether oral or written. This Agreement supersedes any prior written or oral agreements between the parties. 12. AMENDMENT. This Agreement may be modified or amended if the amendment is made in writing and is signed by both parties. 13. SEVERABILITY. If any provision of this Agreement shall be held to be invalid or unenfarceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Agreement is invalid or unenfarceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited. 14. WAIVER OF CONTRACTUAL RIGHT. The failure of either party to enfarce any provision of this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Agreement. 15. APPLICABLE LAW. This Agreement shall be governed by the laws of the State of Washington. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK Page 3 of 5 HUMAN SERVICES AGREEMENT BETWEEN THE CITY OF AUBURN & SENIOR SERVICES: VOLUNTEER TRANSPORTATION Scope of Work Services to include: ■ Volunteer drivers use their own vehicles to provide personalized, escorted, free transportation services to seniors throughout King County who need a higher level of assistance than offered by public transportation. ■ The program serves seniors 60 years of age and older who reside in King County and are able to transfer in and out of a private vehicle with minimal assistance. ■ The program focuses on clients who cannot use other transportation options and specifically those who need an escort to their appointments. What distinguishes Volunteer Transportation from other services is that our volunteer drivers escort seniors to and wait with them at their appointments, offering not only a ride but a helping hand and moral support. ■ Volunteer Transportation is not constrained by boundary limitations and, depending on driver availability, will transport Auburn seniors anywhere they need to go for appointments, including Seattle, the Eastside or even in Pierce County. ■ Recruit volunteers, train them and acknowledge their contribution to the community. ■ Comply with applicable codes, rules and regulations. ■ Maintain records of residents. ■ Retain the above records for three years and make them available for review upon request by the City and/or its agents or representatives. Reporting Requirements: With each quarterly request for reimbursement, SENIOR SERVICES provides a summary of the number of people served along with the number of clients who are Auburn residents. ■ At the end of each year, a brief report describing the past program, number of clients served along with noteworthy accomplishments and/or challenges. Additional Billable Services, Goods and/or Activities: ■ None Page 5 of 5 To: CITY OF AUBURN, ATTN: MICHAEL HURSH, HUMAN SERVICES 25 WEST MAIN STREET, AUBURN WA 98001 Agency: Senior Services 2208 Second Avenue Seattle, WA 98121 Program: Volunteer Transportation , Amount Requested: $ 1,250.00 Contact, Title: Farlis Lewis, E/A Manager Phone: 206-268-6705 Email: farlisl@seniorservices.org Invoice for: ❑ 15t Quarter, January to March - Due April 15, 2010 ❑ 2"d Quarter, April to June - Due July 15, 2010 ❑ 3rd Quarter, July to September - Due October 15, 2010 ❑ 4th Quarter (Final) October to December - Due January 31, 2011 Attachments: ❑ Quarterly Service Report ❑ Quarterly Financial Report ❑ Demographic Report (2"d and 4th Quarters only) ❑ Logic Model (15' Quarter only) ❑ Outcomes Report (4th Quarter only) ❑ Proof of Insurance (15t 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 Authorized 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: $5,000.00 Payments Year to Date: Payment this invoice: Authorized to Pay: Signature CITY OF AUBURN Contract Balance: 7 ? . ?-G 1t~ Date 49~ COVER PAGE - MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST HUMAN SERVICE AGREEMENT 2010 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT Agency Information Senior Services 2208 Second Avenue Seattle, WA 98121 Contact, Title: Farlis Lewis, E/A Manager Phone: 206-268-6705 Email: farlisl@seniorservices.org Are professional services (e.g., counseling, case management) provided as part of this Agreement? Contract Information Contract Amount: $5,000 Program Name: Volunteer Transportation Description of Service to be provided: Reporting Information Report for _ 15' Qtr/Jan-Mar 2010 Service Units _ 2"d Qtr/Apr-Jun _ 3rd Qtr/Jul-Sep _ 4'h Qtr/Oct-Dec City Funding Onl All Funding Sources Actual Service U it D t t Service Unit Description: Auburn Residents Only Total Projected Annual Units Actual Units by Quarter n s o a e, all Fund Sources Service UnitlPerformance Measure 60 1St 2"a 3ra 4m Unduplicated Number of Auburn 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. CITY OF AUBURN 2010 Quarterly Financial Report Agency: Senior Services Date: Program: Volunteer Transportation Report for _ 1St Qtr/Jan-Mar _ 2"d Qtr/Apr-Jun _ 3rd Qtr/Jul-Sep 4th Qtr/Oct-Dec Cost Categories Budget Award This Request Cumulative to date Award Balance 1 Personal/Agency Services 2 Office/Operating Supplies 3 Cor Purchased Services 4 Direct Client Assistance 5 Communications 6 Travel & Training 7 Intra-Agency Support 8 Other per Detail Grand Total $5,000.00 Requested Reimbursement: Detail as Applicable: CITY OF AUBURN 2010 Demographic Report Agency: Senior Services Date: Program: Volunteer Transportation Cate o -I-sT 2" 3` 4 Total YTD Client AI ona Residence'* Auburn Black Diamond *"List all clients Burien served in this cat o Covin ton eg ry. ln al! other Des Moines categories list Enumclaw - Auburn clienfs Federal Wa only. Kent Ma le Valle Normandy Park Pacific Renton SeaTac Seattle Tukwila Unincorporated. Kin Count Other: Unknown TOTAL Client 30% of inedian or below Income 50% of inedian or below Level 80% of inedian or below Above 80% of inedian Unknown TOTAL Client Female Gender Male Client 0-4 Age 5-12 13-17 18-34 35-54 55-74 75+ Unknown TOTAL Ethnicity/ AsianlPacific Islander Cultural Black/African American Background HispaniGLatino Native American/ Alaskan Native White/Caucasian Other Unknown TOTAL Condition Disablin Condition ESC Limited En lish S eakin Household Female-Headed Household CITY OF AUBURN 2010 Outcomes Evaluation Format Agency: Senior Services Date: Program: Volunteer Transportation 1. 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. Contents. A. The components of the evaluation will: 1) Identify both process and outcome portions of the services that SS proposes to provide the City of Auburn. 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. SS shall develop the following status report components within the time frames established below: 1) 1 St Quarter a) The outcome based results SS expects to achieve; b) An indicator to inform the City of Auburn 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 alterations in the methodology of information gathering. 2) 4th Quarter a) Information collected; b) Conclusions developed as a result of the information.