Loading...
HomeMy WebLinkAboutChildren's Home Society of Washington GF1113 A:3 AGREEMENT FOR SERVICES THIS AGREEMENT made and entered into this l 1 day of 2011, by and between the CITY OF AUBURN, a municipal corporation of the State o shington, hereafter referred to as "CITY", and CHS- f Washington CHILDREN'S HOME SOCI which is located at 4338 Auburn Way North, Auburn, Washington 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 supportive services to at-risk families with young children; and WHEREAS, the CITY is interested in continuing support of CHS-Children's Home Society, 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: 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 4, and incorporated herein by this reference as if fully set forth, to Auburn residents during the 2011 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 pales agree and understand that the AGENCY agrees to provide services, as described in Exhibits 1 through 4, which may include development of new resources, Agreement - GF-1113 CHS-Children's Home Society,: Strengthening Families January 1, 2011 Page 1 of 9 to low income Auburn residents. Services to be provided are set forth in Exhibits 1 9 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, 2011. 1 III. TERM The term of this Agreement shall commence on January 1, 2011 and shall expire on December 31, 2011. 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 City of Auburn, as well as financial information pertaining to the contract agreement and expenditures. 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 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 Agreement, the CITY agrees to pay 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 (30) days following the CITY's receipt of quarterly invoices. The required format and Agreement - GF-1113 CHS-Children's Home Society: Stregthening Families January 1, 2011 Page 2 of 9 content of quarterly invoices is set forth in the Exhibits to this Agreement, and is incorporated herein by this reference. V. 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 at its own expense 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. Notwithstanding anything to the contrary in this paragraph, the CITY will not settle any claims, demands or causes of action to which this paragraph is related without the prior written consent of the AGENCY. Agreement - GF-1113 CHS-Children's Home Society,: Strengthening Families January 1, 2011 Page 3 of 9 VI. 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. VII. 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: Agreement - GF-1113 CHS-Children's Home Society: Stregthening Families January 1, 2011 Page 4 of 9 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. Agreement - GF-1113 CHS-Children's Home Society,: Strengthening Families January 1, 2011 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 coverages for volunteers shall be subject to all the requirements stated herein. VIII. 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. IX. 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. Agreement - GF-1113 CHS-Children's Home Society: Stregthening Families January 1, 2011 Page 6 of 9 X. TERMINATION OF AGREEMENT. This Agreement may be terminated by either party upon thirty (30) days written notice should the other party fail substantially to perform in accordance with its terms through no fault of the other. XI. GENERAL PROVISIONS. A. The AGENCY agrees to submit a report to the CITY no later than the last quarterly invoice date, describing the progress and activities performed for the previous year's 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. 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 Agreement may be amended only by written instrument signed by both the CITY and the AGENCY. Agreement - GF-1113 CHS-Children's Home Society,: Strengthening Families January 1, 2011 Page 7 of 9 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 LEFT BLANK Agreement - GF-1113 CHS-Children's Home Society: Stregthening Families January 1, 2011 Page 8 of 9 CITY AU ETER B. LEWIS MAYOR A EST: 0a Danielle E. Daskam, City Clerk APP OV A FORM D nie . H ' CI ttorney HS-CHILDRE HOME SOCIETY OF WA BY' :~L~ c~ : G Presid t/CEO TITLE: STATE OF WASHINGTON ) )ss COUNTY OF KING ) On this - day of )n lkVt L \ 2011, before me, the undersigned, a ~j Notary Public in and for the State of Washington, personally appeared President/ S Pp~.; ,n . ~ . Skaton N56or'oe., to me known to be the Executive of CHS-Children s Home S , the non-profit corporation that executed the within and foregoing instrument, and CEO of WA nowledged 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. g Z NOTARY PUBLIC in and for the State of Washington, residing in Sen->Ftl e . wA I MY COMMISSION expires: ~I-9-13 4f ~N Agreement - GF-1113 CHS-Children's Home Society,: Strengthening Families January 1, 2011 Page 9 of 9 C~TTYTOF._ * _ * EXHIBIT COVER PAGE µY GF•1113 WASHINGTON HUMAN SERVICE AGREEMENT 2011 INVOICE FOR CONTRACTED SERVICES To: CITY.OF AUBURN; ATTN: COMMUNITY SERVICES 25 WEST MAIN STREET,.AUBURN WA 98001 Agency: CHS - Children's Home Society 4338 Auburn Way.N Auburn, WA 98002 Program: Strengthening Families Contact, Title: John Naegle, Program Mgr. Phone: 253-850-2584 Email: johnn@chs-wa.org Amount Requested: $ 2,250:00 Invoice for: ❑ 1 at Quarter, January to March- Due: April 15, 2011 ❑ "d 2 . Quarter, April to June - Due: July 15, 2011 ❑ 3rd Quarter, July to September - Due: October 17, 2011 ❑ 4th Quarter, October to December - Due: January 31, 2012 Attachments: ❑ Quarterly Service Report Exhibit 1 ❑ Quarterly Financial Report - Exhibit 2 ❑ Demographic Report (2"d and 4th Quarters only) - Exhibit 3 Ell Outcomes Report (4th Quarter only)- Exhibit 4 ❑ Proof 'of Insurance (1St Quarter or if expired) ❑ Logic Model (1St Quarter only) --.Suggested Template 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 OFAUBURN USE ONLY. Contract Amount::. $10,000.00 Payments Year to Date: Payment this invoice: Contract Balance: Authorized to Pay: Signature Date :CITY- OF AUBURN COVER PAGE- MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST ,i 2011 Exhibit 1 HUMAN SERVICE AGREEMENT .2011 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT Agency Information CHS - Children's_ Home Society 4338`AuburniWay N Auburn, WA 98002 Contact, Title: John Naegele, Program Mgr. Phone: 2537850-2584 Email: johnn@chs-wa.org Are professional services (e.g., counseling, case management) provided. as part of this Agreement? Contract Information Contract Amount: $10,000 Program Name: Strengthening Families' Description of Service to be provided: -Reporting Information Report for. .1St Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3`d Qtr/Jul-Sep _ 4th Qtr/Oct-Dec -2011 Service Units City Funding All Funding Sources Only, Actual Service Total Units to Date Service Unit Description: Projected Actual Units by Quarter Aubuin'Residents Only Annual Units Service Unit/Performance Measure 1St 2nd 3rd 4th Unduplicated Number of Auburn 78 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. i 2011 Exhibit 2 CITY OF AUBURN 2011 Quarterly Financial Report Agency: CHS-Children's Home Society Date: Program: Strengthening Families Report for -1St Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3rd Qtr/Jul-Sep -4 th Qtr/Oct-Dec Cost Categories Budget This Cumulative Award Award Request to date Balance 1 Personal/Agency Services 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 $10,000.00 Requested Reimbursement: Detail as Applicable: 2011 Exhibit 3 CITY OF AUBURN 2011 Demographic Report Agency: CHS-Children's Home Society Date: Program: Strengthening Families i category,. 1g 2 3`- 4'. Total YTD Client Algona Residence** Auburn Black Diamond **List all clients Burien served in this Covington category. Des Moines In all other categories list Enumclaw . . -Auburn clients. Federal Way only. Kent Maple Valle 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 Ethnicity/ Asian/Pacific Islander Cultural Black/African American Background Hispanic/Latino - Native American/ Alaskan Native r White/Caucasian Other Unknown TOTAL Condition Disabling Condition ESL: Limited En lish S eaking Household Female-Headed Household ,I a CITY OF AUBURN OUTCOMES REPORT- EXHIBIT4 Funder Reporting to: City of Auburn Reporting Period: to Date Form Completed: Agency: Program: E-mail: Phone: Contact Person: 1't Qtr Due: Outcome identified, indicators given, data collection method(s) explained 4th Qtr. Due: Outcome results OUTCOME: (What change do you expect to see?) MEASURABLE INDICATORS: (How will you know change has occurred?) DATA COLLECTION METHOD(S): OUTCOME RESULTS: (Narrative) highlight your data, include your interpretation of the data and attach any graphics if available. I CITY OF AUEURN LOGIC MODEL REPORT -suggestedTemp[ate F'under Reporting to: City of Auburn Reporting Period: to Date Form Completed: Agency: Program: E-mail: Phone: Contact Person: Program Evaluation Logic Model PROCESS OUTCOME RESOURCES ACTIVITIES OUTPUTS INOUTCOMES TORS GOAL CITY OF AUBURN - MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding is an addendum to the agreement for services be een the City of Auburn and Children's Home, the originals of which were executed on the day of r , 2011. 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. 1. It is the goal of the City of Auburn to improve the living conditions of all Auburn residents. II. The grant funds provided to the Agency during the 2011 year are provided with the objective of achieving the results established by the City Council in the areas of Abused and Neglected Children, Victims of Domestic and Sexual Assault, Poverty Reduction, Substance Abuse and Health Fitness. III. 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. IV. The City of Auburn will utilize the following performance measures in evaluating the effectiveness of reaching this goal. Abused and Neglected Children: The City of Auburn will fund human service providers that increase supportive services to children who are neglected and abused, specifically the number of children who are victims of on-going and repeated neglect and abuse, within the city of Auburn by 15% over the next three (3) years. Victims of Domestic and Sexual Assault: The City of Auburn will fund human service providers that increase the number of Auburn residents, who are victims of domestic violence, that make the transition to a safe environment and self-determining lifestyle by 15% within the next three (3) years. Poverty Reduction: The City of Auburn will fund human service providers who increase the number of Auburn residents no longer living in poverty by 15% within the next three (3) years. Substance Abuse: The City of Auburn will fund human service providers to develop strategies that increase the successful completion of treatment programs by Auburn residents who have serious behavioral and health problems due to substance abuse and chemical dependency by 15% within a three (3) year period. Physically and Mentally Fit: The City of Auburn will fund human service providers that increase the availability, accessibility and use of health care to its low income residents by 15% within a three (3) year period. Agreement GF - 1113, Children's Home Society - Strengthening Families January 1, 2011 Page 1 of 2 OF AUBURN PETER B. LEWIS MAYOR ATT ST: Danielle E. Daskam, City Cler APP O S O FORM: Da I B. He d, City Attorney CHS - HILDRE HOME SOCIETY OF WA BY: TITLE: President/ CEO STATE OF WASHINGTON ) )ss COUNTY OF KING On this day of l y 1~(~✓~ , 2011, before me, the undersigned, a Notary Public in and for the Stat of Washington, personally appeare presider S. VP.6A Gr 1, S~ aton OsbornG , to me known to be the Exeetituve o ildren's /CEO Home So ' , the non-profit corporation that executed the within and foregoing instrument, and of WA -ercbwledged 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 her Wirth. NOTARY PUBLIC in an for the State of g Washington, residing in Se4ttle WA My Commission Expires: -~Q-! OFW Agreement GF - 1113, Children's Home Society - Strengthening Families January 1, 2011 Page 2 of 2