HomeMy WebLinkAboutCatholic CommunityServices GF1109
AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this day of 2011,
by and between the CITY OF AUBURN, a municipal corporation of the State of Washington,
hereafter referred to as "CITY", and CATHOLIC COMMUNITY SERVICES which is located at PO
BOX 398, Kent, WA 98032, 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 homeless shelter for single, adult men; and
WHEREAS, the CITY is interested in continuing support of CATHOLIC COMMUNITY
SERVICES-H.O.M.E./A.R.I.S.E. 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 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.
Agreement - GF-1109: Catholic Community Services, H.O.M.E./A.R.I.S.E.
January 1, 2011
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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.
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 $15,000.00 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 content of quarterly invoices is set forth in the
Exhibits to this Agreement, and is incorporated herein by this reference.
Agreement- GF-1109: Catholic Community Services - H.O.M.E./A.R.I.S.E.
January 1, 2011
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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 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.
VI. INDEPENDENT CONTRACTORIASSIGNMENT
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
Agreement - GF-1109: Catholic Community Services, H.O.M.E./A.R.I.S.E.
January 1, 2011
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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:
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 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
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January 1, 2011
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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.
(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,
Agreement - GF-1109: Catholic Community Services, H.O.M.E./A.R.I.S.E.
January 1, 2011
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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.
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, 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.
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
Agreement- GF-1109: Catholic Community Services - H.O.M.E./A.R.I.S.E.
January 1, 2011
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CITY F A URN
PETER B. LEWIS
MAYOR
AT EST:
Danielle E. Daskam,
City Clerk
APP ED FO
a el B. Heid,
City Attorney
CCS-CATHOLIC COMMUNITY SERVICES
BY: Gc.c1.r~✓l
TITLE: R~io,,,A\ CHief o ~ Qp x,'h'ons
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this /54' day of /9-Onl 2011, before me, the undersigned, a
Nota Public in and for the State of Washington, pe s 1 ppeared
~~4j , to me known to be the Catholic
Community Service 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.
.f
*OTA
: _E NOTARY PUBLIC in and for the Stat of
A4J
0 C ,
co'• ~ ►.1 Washington, residing in
9VY*,UMY COMMISSION expires: 5
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January 1, 2011
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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.
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 THIS PAGE INTENTIONALLY LEFT BLANK
Agreement - GF-1109: Catholic Community Services, H.O.M.E./A.R.I.S.E.
January 1, 2011
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CITY OF -...I
EXHIBIT COVER PAGE
WASHINGTON
GF-1109
HUMAN SERVICE AGREEMENT
2011 INVOICE FOR CONTRACTED SERVICES
To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES
25 WEST MAIN STREET, AUBURN WA 98001
Agency: CCS-Catholic Community Services
Site location: Mailing address:
1229 W Smith PO Box 398
Kent, WA 98032 Kent WA 98035
Program: H.O.M.E./A.R.I.S.E. Contact, Title: Dwight Jackson, Program Mgr.
Phone: (253) 520-4365
Email: dwightj@ccsww.org
Amount Requested: $ 3,750.00
Invoice for: ❑ 1St Quarter, January to March - Due: April 15, 2011
❑ 2nd 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 (2nd and 4th Quarters only) - Exhibit 3
❑ Outcomes Report (1St Qtr. identified and 4th Qtr. data due) - 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 OF AUBURN USE ONLY.
Contract Amount: $15,000.00
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
HUMAN SERVICE AGREEMENT 2011 Exhibit 1
2011 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
CCS-Catholic Community Services
Site location: Mailing address:
1229 W Smith PO Box 398
Kent, WA 98032 Kent WA 98035
Contact, Title: Dwight Jackson, Program Mgr.
Phone: (253) 520-4365
Email: dwightj@ccsww.org
Are professional services (e.g., counseling, case management) provided as part of this
Agreement?
Contract Information
Contract Amount: $15,000
Program Name: H.O.M.E./A.R.I.S.E.
Description of Service to be provided:
Reporting Information
Report for - 1St Qtr/Jan-Mar _ 2nd Qtr/Apr-Jun _ 3`d Qtr/Jul-Sep -4 th Qtr/Oct-Dec
2011 Service Units
ity Funding Only
Service Unit Description: Total Actual Service
Auburn Residents Only Projected Actual Units by Quarter Units to Date
Annual Units
Service Unit/Performance Measure 1St 2nd 3rd 4th
Unduplicated Number of Auburn 26
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.
2011 Exhibit 2
CITY OF AUBURN
2011 Quarterly Financial Report
Agency: CCS-Catholic Community Services Date:
Program: H.O.M.E./A.R.I.S.E.
Report for _ 1St Qtr/Jan-Mar -2 nd Qtr/Apr-Jun _ 3`d Qtr/Jul-Sep -4 1h 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 $15,000.00
Requested
Reimbursement:
Detail as Applicable:
2011 Exhibit 3
CITY OF AUBURN
2011 Demographic Report
Agency: CCS-Catholic Community Services Date:
Program: H.O.M.E./A.R.I.S.E.
Category iSt 2" 3rcl 4 Total YTD
Client Algona
Residence** Auburn
Black Diamond
**List all clients Burien
served in this Covington
category.
In all other Des Moines
categories list Enumclaw
Auburn clients Federal Way
only. Kent
Maple Valle
Normand Park
Pacific
Renton
SeaTac
Seattle
Tukwila
Unincorporated. Kin Count
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 His anic/Latino
Native American/ Alaskan Native
White/Caucasian
Other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited English Speaking
Household Female-Headed Household
CITY OF AUBURN OUTCOMES REPORT- EXHIBIT4
Funder Reporting to: City of Auburn Reporting Period: to Date Form Completed:
Agency: Program:
Contact Person: E-mail: Phone:
I" Qtr Due: Outcome identified, indicators given, data collection method(s) explained
4'" 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):
if OUTCOME RESULTS: (Narrative) highlight your data, include your interpretation of the data and attach any graphics i available.
i
i
i
CITY OF AUBURN LOGIC MODEL REPORT- Suggested Template
Funder Reporting to: City of Auburn Reporting Period: to Date Form Completed:
Agency: Program:
Contact Person: E-mail: Phone:
Program Evaluation Logic Model
PROCESS OUTCOME
RESOURCES ACTIVITIES OUTPUTS OUTCOMES GOAL
INDICATORS
CITY OF AUBURN - MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is an addendum to the agreement for services
between the City of Auburn and CCS - Catholic Community Services for the delivery of services
through the H.O.M.E. / A.R.I.S.E. Programs the original of which was executed on the 19
day of A12 Y,i \ , 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 kwill 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 - 1109, Catholic Community Services - H.O.M.E. / A.R.I.S.E.
January 1, 2011
Page 1 of 2
OFAUBURN
P TER B. LEWIS
MAYOR
ATT ST:
Danielle E. Daskam,
City Clerk
AP O ED O FO
D ie B. eicl
City Attorney
CATHOLIC COMMUNITY SERVICES
BY:
TITLE: ton a~ an+e-~- Opuwti or S
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this ~d day of / 2011, before me, the undersigned, a
Notar i Public in and for the State of Washi ton er q ioal ppeared
, to me known to be the o THOLIC
COMMUNITY SERVICES, 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.
~~e`ttas~ratrs~ ,r
~~`vPJ ~~ssi ~,q:~A~•
~01i~igy9N9 _ NOT UBLIC in and for the S to of
Washington, residing in
'01J80G h : z MY COMMISSION expires:
~~~»Ni861gi~1!
Agreement GF - 1109, Catholic Community Services - H.O.M.E. / A.R.I.S.E.
January 1, 2011
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