HomeMy WebLinkAboutGriefworks GF0619
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AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this _8_ day of
February , 2006, by and between the CITY OF AUBURN, a
municipal corporation of the State of Washington, hereafter referred to as "CITY", and
GRIEFWORKS which is located at P.O. Box 912, Auburn. WashinClton 980"71-0912, 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 counseling and support groups to people who grieve
a death or other traumatic loss; and
WHEREAS, the CITY is interested in continuing support of
GRIEFWORKS<<Agency>>, 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 2006 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 - GF0619, Griefworks
January 31, 2006
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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 resources,
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 31,2006.
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 thEI 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 13, 2006.
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 will produce.
These reports shall contain information as set forth in Exhibit 4 to this Agreement, which
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Agreement - GF0619, Griefworks
January 31, 2006
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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 Agreeiment, the
CITY aarees to Dav the AGENCY the total amount of $5.000.00 as set forth in Exhibit
t The 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
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Agreement - GF0619, Griefworks
January 31, 2006
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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 AgreE~ment.
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Agreement - GF0619, Griefworks
January 31, 2006
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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 genE~ral 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 shaU 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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January 31,2006
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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 selvices and
activities performed by or on behalf of AGENCY, its employees, a<gents 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 Elxcept 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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Agreement - GF0619, Griefworks
January 31, 2006
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(e) The AGENCY shall furnish the CITY with Certificates of InsuranCEI and with
original endorsements affecting coverage required by this c1aluse. 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 , finalncial 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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Agreement - GF0619, Griefworks
January 31, 2006
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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 13, 2006, describing the progress and activities performed for
the 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 sigm~d 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.
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January 31, 2006
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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 - GF0619, Griefworks
January 31, 2006
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PETER B. LEWIS
MAYOR
~~ST: ~
~ .
Dan Ie E. Daskam,
City Clerk
~AGENCY'
BY: ~
TITLE: bieCf,{,h~ J~rre~
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this / day of ~h , 2006, before me, the undersigned, a
Notary Public in and for the State of Washington, personally appeared
SlUtnn IJY1 JID L r , to me known to be the Executive Director of
Griefworks<<Agency>>, 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 offidal seal the
date hereinabove set forth.
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Agreement - GF0619, Griefworks
January 31, 2006
Page 10 of 10
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EXHIBIT 1, GF - 0619
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2006 SCOPE OF SERVICES AND QUARTERL Y SERVICE UNIT REPORT
Agency Information
Griefworks 253.333.9420
P.O. Box 912
Auburn, WA 98071-0912 griefworks@yahoo.com
Contact: Nanette Flynn Title: Executive Director
Are professional services (e.g., counseling, case management) provided as part of this
Agreement? Yes
Contract Information
Contract Amount: $5,000.00 Program Name: GriefTalk
Description of Service to be provided: Counseling and support groups to people who grieve a
death or other traumatic loss.
Reporting Information
Report for - 1st Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3rd Qtr/Jul-Sep - .ilfth Qtr/Oct-Dee
2006 Service Units
City Funding All Funding Sources Actual Service
Only Units to Date,
Service Unit Description: Total all Fund
Auburn Residents Only Projeeted Actual Units by Quarter Sources
Annual Units
Service UniUPerformance Measure 600 1st 2nd 3rd 4th
Unduplicated Number of Auburn 300
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.
*defined in terms of service units, as provided with annual funding application
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EXHIBIT 4, GF - 0619
CITY OF AUBURN
Outcomes Evaluation Format
Agency: Grietworks Date:
Program: GriefTalk
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 Grief and Bereavement Counseling
services - education, group work, one-on-one;
2) Show the relationship of program resources and activities to the expecjred 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. Grietworks shall develop the following status report components within the time frames
established below:
1) 151 Quarter 2006
a) The outcome based results Grietworks expects to achieve;
b) An indicator to inform the Grietworks 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) 41h Quarter 2006
a) Information collected;
b) Conclusions developed as a result of the information.
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EXHIBIT 3. GF - 0619
CITY OF AUBURN
2006 Demographic Report
Agency: GrietWorks Date:
Program: GriefTalk
~a~egClry . i- i'- 3~ 4UJ I TCltaf YTD I
Client A1gona
Residence.. Auburn
Black Diamond
..List all clients Burien
served .in this Covington
category.
In all other Des Moines
categorles/ist Enumclaw
Auburn clients Federal Way
only. Kent
Maple Valley
Normandy Park
Pacific
Renton
SeaTac
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
E thnicityl Asian/Pacific Islander
Cultural Black/African American
Background Hispanic/Latino
Native American/ Alaskan Native
White/Caucasian
Other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited EnQlish SpeakinQ
Household Female-Headed Household
EXHIBIT 2, GF - 0619
CITY OF AUBURN
2006 Quarterly Financial Report
Agency: GriefWorks Date:
Program: GriefTalk
Report for - 151 Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3rd Qtr/Jul-Sep -- 4th Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
1 Personnel/Agency Services 4000.00
2 Office/Operating Supplies 1000.00
3 Consultant or Purchased
Services
4 Direct Client Assistance
5 Comm unications
6 Travel & Training
7 Intra-Agency Support
8 Other per Detail
Grand T olal 5,000.00
Requested
Reimbursement:
Detail as Applicable:
Office/Operating supplies includes printing/advertising, publications, etc.
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COVER PAGE, GF - 0619
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: Griefworks 253.333.B420
P.O. Box 912
Auburn, WA 98071-0912 griefwork:s@yahoo.com
Contact: Nanette Flynn Title: Executive Director
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 13, 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 4th Quarters only)
_ Logic Model/Outcomes Report (1st and 4th Quarters only)
_ Proof of Insurance (1st quarter and/or if expired sincH 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 thirty (30) business days of re!ceipt. 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: 5.000.00
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 REC~UEST
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