HomeMy WebLinkAboutCrisis Clinic GF0601
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AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this /~~~ day of
'--JI1.?<.)~A -1 , 2006, 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:
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 3, and incorporated herein by this
reference as if fully set forth, to the Cities' residents during the 2006 term. This support is
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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, 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 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, 2006.
III. TERM.
The term of this Agreement shall commence on January 1, 2006 and shall expire
on December 31, 2006.
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, 2006. 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 $50,285 as set forth in Exhibit 1. The
CITY will pay an amount equal to one-quarter of the total amount within thirty (30) days
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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.
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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 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:
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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 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.
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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 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
coverages 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.
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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, 2006, describing the progress and activities performed for
the Program Year 2006 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' 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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~~R~~
PETER B. LEWIS
MAYOR
'1)ST:
VLJ;;jj ~
Danielle E. Daskam,
City Clerk
CRISIS CLINIC
BY: ~~~~
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this 6th day of March, 2006, before me, the undersigned, a Notary Public in and for the
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.
LffrU. ~
Coral Letnes, NOTARY PUBL C
in and for the State of Washington,
residing in Shoreline, Washington
MY COMMISSION expires: November 20, 200Ei
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EXHIBIT A
MOU for Joint Human Service Funding
for
Crisis Clinic
Crisis Clinic for
telephone referral line Auburn - Lead City Bill Mandeville $ 5,000
Burien Lori Flemining 4,500
Covington Victoria Throm 5,000
Des Moines Sue Padden 2,500
Kent Katherin Johnson 5,000
Federal Way Angelina Allen Mpyisi 11,000
Renton Dianne Utecht 3,300
SeaTac Kathy Black 4,985
Tukwila Evelyn Boykan 2,000
TOTAL $43,285.00
Crisis Clinic for
een Link Auburn - Lead City Bill Mandeville $ 0
Covington V ictoria Throm 1,500
Des Moines Sue Padden 1,500
Federal Way Angelina Allen Mpyisi 4,000
Renton Dianne Utecht 1,000
SeaTac Kathy Black 1,500
Tukwila Evelyn Boykan 1,000
TOTAL $ 10,500
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EXHIBIT 1, GF-0601
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2006 SCOPE OF SERVICES AND QUARTERL Y SERVICE UNIT REPORT
Agency Information
Crisis Clinic 206.461.3210 ext 613
1515 Dexter Avenue N Ste 300 206.461.8368 fax
Seattle, WA 98109
Contact: Coral Letnes Title: Business Manager
Are professional services (e.g., counseling, case management) provided as part of this Agreement? No
Contract Information
Contract Amount: $53,785 Program Name: Telephone Services: Teen Link, 24-hour Crisis Line & Community
Information Line
Description of Service to be provided: Telephone services, referral and advocacy<<ProLDesc>>
Reporting Information
Report for: o 1 st Qtr/Jan-Mar o 2nd Qtr/Apr-Jun o 3rd Qtr/Jul-Sep o 4th Qtr/Oct-Dec
2006 Service Units, Crisis Line
r All FundinQ Sources
Service Unit Total Projected Clients All Funding Sources
f minimum clients served bv city 1
Description: 1 Sl Quarter 2"u Quarter 3ra Quarter 4tn Quarter
Service Incom- Advo- #of Incom- Advo- #of Incom- Advo- #of Incom- Advo- #of Incom- Advo- #of
Unit/Performance ing cacy Referrals ing cacy Referrals ing cacy Referrals ing cacy Referrals ing cacy Referrals
Measure Calls Calls Provided Calls Calls Provided Calls Calls Provided Calls Calls Provided Calls Calls Provided
^..I-.._- 175 150 45;7
f"'IUUUll1
Burien 526 120 4854
Covington 585 40 1,155
DRAFT
EXHIBIT 1, GF-0601
2006 Service Units, Crisis Line {continued}
I All FundinQ Sources
Service Unit T otaf Projeqted Clients All Funding Sources
{minimum clients served bv city}
Description: 151 Quarter 2na Quarter 3'" Quarter 4'" Quarter
Service Incom- Advo- #of Incom- Advo- #of Incom- Advo- #of Incom- Advo- #of lncom- Advo- #of
Unit/Performance ing cacy Referrals ing cacy Referrals ing cacy Referrals ing cacy Referrals ing cacy Referrals
Measure Calls Calls Provided Calls Calls Provided Calls Calls Provided Calls Calls Provided Calls Calls Provided
Des Moines 292 80 3317
Kent 585 160 5764
Federal Way 1287 270 8050
Renton 386 160 6324
, SeaTac 583 80 3665
I
I
I Tukwila 234 55 2649
I
Totals 4653 1115 40295
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DRAFT
EXHIBIT 1, GF-0601
2006 PERFORMANCE MEASURES, TEEN LINK
2006 #of % of Salary
City Award Training Paid
Amount Hours b Cit *
Covin ton $ 1,500 60
Des Moines 1,500 60
Federal Wa 4,000 160
I Renton 1,000 40
:
SeaTac 1,500 60
Tukwila 1,000 40
Totals $ 10,500 420
* All grant funds go toward the salary of the Youth Services Manager, Daemond Arrindell. Annual Salary + Benefits = $34,736.
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.
DRAFT
EXHIBIT 2, GF-0601
CITY OF AUBURN
2006 Quarterly Financial Report
Agency: Crisis Clinic Date:
Program: Crisis Line
Report for - 15t Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3rt! Qtr/Jul-Sep -, 4th Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
1a Personnel! Agency Services, $43,285.00
Crisis Line
1b Personnel/ Agency Services, $ 10,500.00
Teen Link
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 $53,785.00
Requested
Reimbursement:
Detail as Applicable:
DRAFT
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EXHIBIT 3. GF-0601
CITY OF AUBURN
2006 Demographic Report
Agency: Crisis Clinic Date:
Program: Crisis Line
CateaOrv 1- 2"" 3'" 4'" I Total YTD I
Client Algona
Residence" Auburn
Black Diamond
"Listall clients Burien
served inlhis Covington
category. Des Moines
In all other
ca(egor1esHst Enumclaw
participating Federal Way
cities'clienfs Kent
only. Maple Vallev
Normandv Park
Pacific
Renton
SeaTac
Seattle
Tukwila
Unincorporated. KinQ 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
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 DisablinQ Condition
ESL Limited English Speaking
Household Female-Headed Household
DRAFT
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COVER PAGE, Reso No. GF-0601
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2006 INVOICE FOR CONTRACTED SERVICES
To: City of Auburn, Attn: Bill Mandeville, Planning Department
25 West Main, Auburn, WA 98001
Agency: Crisis Clinic Date:
1515 Dexter Avenue N. Ste 300 206.461.:3210 ext 613
Seattle, WA 98109 206.461.8368 fax
Contact: Coral Letnes
Invoice for: 1st Quarter, January to March - Due April 15, 2006
2nd Quarter, April to June - Due July 15, 2006
3rd Quarter, July to September - Due October 15, 2006
4th Quarter (Preliminary, Cover sheet and Ex. B only) October to December - Due
December 12, 2006
4th Quarter (Final) October to December - Due January 31, 2007
Amount Requested:
Required Attachment Checklist: _ Exhibit A - Quarterly Service Report
_ Exhibit B - Quarterly Financial Report
_ Exhibit C - Demographic Report (2nd and 41h Quarters only)
_ Logic Model/Outcomes Report (151 and 41h Quarters only)
_ Proof of Insurance (151 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
the stated clients.
Signature of Authorized Representative Date
The City of Auburn will issue payment upon this invoice within thirty (30) business days of n3Ceipt. 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:
Payments Year to Date: Date:
Date:
Date:
Date:
Payment this invoice: Contract Balance:
Authorized to Pay:
Signature Date
COVER PAGE - MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST
DRAFT DRAFT DRAFT
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