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AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this 15th day of April, 2011, 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 9725 3`d Avenue NE, Suite 300 Seattle,
WA 98115-2030, anon-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 residents;
WHEREAS, the CITY entered into a Joint Funding Memorandum of Understanding with
the cities of Burien, Covington, Des Moines, 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:
1. PURPOSE
The purpose of this Agreement is to provide for an appropriation to the AGENCY for
providing services as set forth in this Agreement to Auburn residents during the 2011 - 2012
term.
II. SCOPE OF SERVICES
The AGENCY agrees to provide (services, as described in the Exhibits incorporated
herein by this reference as if fully set forth.
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1 Line, 24 Hr. and Teen Link Programs
January 1, 2011
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Ill. TERM
The term of this Agreement shall commence on January 1; 2011 and shall expire on
December 31, 2012.
IV. COMPENSATION
As. full and total,payment for the services provided under this Agreement, the. CITY
agrees to pay the AGENCY up to $55,227.00 per Vear as set-forth in the Exhibits. 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.
V. PERFORMANCE REPORTS
A. The AGENCY shall provide to the City within 15 days of the close of each calendar
quarter a, status reportcontaining 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. Format and contents of these reports are set forth in the Exhibits.
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, and shall be submitted to
the City at the end of the first and last quarters.
C. 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.
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1, 24Hr. and Teen Link Programs
January 1, 2011
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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.
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
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1 Line, 24 Hr. and Teen Link Programs
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 nospecial- 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.
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1, 24Hr. and Teen Link Programs
January 1, 2011
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M
(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 coverage 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
any protected class status as defined by any national, state or local laws or ordinances
including but not limited to race, color, creed, religion, national origin, sex, sexual orientation,
age, or the presence of any sensory, mental or physical handicap.
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January 1, 2011
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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 alf'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.
XI. TERMINATION OF AGREEMENT
A. 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.
B. The CITY may terminate this Agreement for the convenience of the CITY upon 30 days
written notice.
C. If this Agreement is terminated for any reason before the end of the Term of the
Agreement, the CITY shall pay the AGENCY, for all, work. performed up to the termination date.
XII. GENERAL PROVISIONS
A. This Agreement shall be governed by the laws, regulations and ordinances of the City of
Auburn, the State of Washington and where applicable, Federal laws.
B. The 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.
C. The CITY and the AGENCY respectively bind themselves, their successors,
volunteers, assigns and legal representatives to the other party to this Agreement and
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1, 24Hr. and Teen Link Programs
January 1, 2011
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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 attorney's fees and expenses and court costs shall
be paid to the substantially prevailing party.
F. The AGENCY agrees to comply with all local, state andfederal laws applicable to
its performance under this Agreement.
REMAINDER OF PAGE INTENTIONALLY BLANK
'Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1 Line, 24 Hr. and Teen Link Programs
January, 1, 2011
Page 7 of 8
CITY RN
-GS
PETER B. LEWIS
MAYOR
ATTEST:
Dan a E. Daskam,
City Clerk
APPR D TO FO
B. He ,
City Attorney
CRISIS CLINIC ; D
BY: IG
Kathleen Southwick
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this 15th day of April, 2011, 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 the
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.
NOTARY PUBLIC in and for the State of
Washington, residing in Shoreline, Washington
M~~R~Y ~M 5 MY COMMISSION expires: 11/20/14
Agreement - GF - 1117, Crisis Clinic Crisis Lines - 2-1-1, 24Hr. and Teen Link Programs
January 1, 2011
Page 8 of 8
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CITY OF AUBURN -.MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is an addendum to the agreement for services
between the City of Auburn and Crisis Clinic, the original'of which was executed on the 18th day
of April; 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 - 1117, CRISIS CLINIC
January 1, 2011
Page 1 of 2
CI'
PETE B. LEWIS
MAYOR
ATTEST:
Danielle E. Daskam,
City Clerk
A79E- TO F
B. He`,
City Attorney
CRISIS CLINIC
BY: !G
Kathleen Southwick
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this 15th day of April, 2011, 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.
NOTARY PUBLIC in and for the State of
r : r r ~Y~ ~y r
r ; u ....r. L Washington, residing in Shoreline, Washington
t% MY COMMISSION EXPIRES: 11/20/2014
' . a F 4r A' ~
Agreement GF - 1117, CRISIS CLINIC
January 1, 2011
Page 2 of 2
h
CITY OFK* ~
T T EXHIBIT COVER PAGE
h1t/~RN GF -1117
WASHINGTON
HUMAN SERVICE AGREEMENT
2011 INVOICE FOR CONTRACTED SERVICES
To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES
25 WEST MAIN STREET, AUBURN WA 98001
Agency: Crisis Clinic
9725 3`d Ave NE, Suite 300
Seattle WA 98115-2030
Program: Crisis Lines: 2-1-1, 24 Hr. & Teen Link Contact, Title: Coral Letnes, Program Mgr.
Phone: 206-436-2981 x 613
Email: cletnes@crisisclinic.org
Amount Requested: $ 13,806.75
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 ofAuthorized 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: $55,227.00
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
2011 Exhibit 2
CITY OF AUBURN
2011 Quarterfly Financial Report
Agency: Crisis Clinic Date:
Program: Crisis Lines: 2-1-1, 24 Hr. & Teen Link
Report for _ 1st Qtr/Jan-Mar _ 2"d Qtr/Apr-Jun _ 3`d Qtr/Jul-Sep _ 4tn Qtr/Oct-Dec
Cost Categories Budget This _ Cumulative Award
Award Request to date Balance
Personnel/Agency~Services,
1a Crisis Line and 2=1-1- $48,056.00
1 b Personnel/Agency 'Services, $7,171.00
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 $55,227.00
Requested
Reimbursement:
2,011 Annual Budget Summary for joint Agreement
.24 Hour Line. 2-1-1 Line. Teen Link
City of Auburn $1,000 $1,000 $1,000 `
City of Burien NA $8,000 $1,000
City of Covington $2,400 $2,000 $2,671
City, of Des Moines $1,700 $2,100 $1,000
City of Renton $5,000 $14,746 NA
City of SeaTac $2,000. $4,000 NA
City ofTukwila' $2,610 $1,500 $1;500
Total(s): $141710 $33,346, $7,171
Total: $55,227
2011 Exhibit 3
CITY OF AUBURN
2011 Demographic Report
Agency: Crisis Clinic Date:
Program: Crisis Lines: 2-1-1, 24 Hr. & Teen Link
Category 15 2" 3` 4 Total YTD
Client Auburn
Residence- Burien
Covington
"List all clients Des Moines
served in this Renton
category. SeaTac
In all other
categories list Tukwila
participating Unincorporated. King Count
cities' clients Other:
only. 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
White/Caucasian
Other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited English Speaking
Household Female-Headed Household
Male-Headed Household
2011 Exhibit 1
CITY OF AUBURN - JOINT HUMAN SERVICE AGREEMENT
2011 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information:
Crisis Clinic (206) 436-2981
9725-3 Id Ave. NE, Ste. 300 (206) 461-8368 fax
Seattle, WA 98115 - 2030
Contact: Coral Letnes Title: Business Manager E-mail: cletnes@crisisclinic.org
Are professional services (e.g., counseling, case management) provided as part of this Agreement? No
Contract Information:
Contract Amount: $55,227.00
Program Name: Telephone Services: 24-hour Crisis Line, 2-1-1 Community Information Line, and Teen Link
Description of Services: Telephone services, referral and advocacy calls will be reported as a courteously, these services
will not be required for contract compliance.
2011 Crisis Line
Service Unit Total Projected All Funding Sources
Description: Clients 5t nd rd th
{minimum clients served 1 Qtr. 2 Qtr. 3 Qtr. 4 Qtr.
by city}
Service Unit Incoming Calls Incoming Calls Incoming Calls Incoming Incoming
/Performance Measure Calls Calls
Auburn 103
Covington 206
Des Moines 154
Renton 440
SeaTac 206
Tukwila [EE 154
Totals 1,263
2011 2-1-1 Line
Service Unit Total Projected All Funding Sources
Description: Clients St nd rd to
(minimum clients served 1 Qtr. 2 Qtr. 3 Qtr. 4 Qtr.
by city)
Service Unit Incoming Calls Incoming Calls Incoming Calls Incoming Incoming
/Performance Measure Calls Calls
Auburn 74
Burien 631
Covington 132
Des Moines 111
Renton 1162
SeaTac 294
Tukwila 111
Totals 2,105
2011 Teen Link
Service Unit Total Projected All Funding Sources
Description: Clients
{minimum clients served 1 st Qtr. 2"d Qtr. 3rd Qtr. 4" Qtr.
by city}
Service Unit Incoming Calls Incoming Calls Incoming Calls Incoming Incoming
/Performance Measure Calls Calls
Auburn 5
Burien 5
Covington 5
Des Moines 5
Tukwila 5
Totals 25
CITY OF AUBURN OUTCOMES REPORT- EXHIBIT4
Funder Reporting to: City of Auburn Reporting Period: to Date Form Completed:
Agency: Crisis Clinic Program:
Contact Person: E-mail: Phone:
I" Qtr Due: Outcome identified, indicators given, data collection method(s) explained
411' 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.
USE ADDITIONAL PAGES AS NEEDED
CITY OF AUBURN LOGIC MODEL. REPOR 1 -SuggestedTemplate
Funder Reporting to: City of Auburn Re ortin Period: to Date Form Com leted:
Agency: Program:
E-mail: Phone:
Contact Person:
Program Evaluation Logic Model
PROCESS OUTCOME
RESOURCES ACTIVITIES OUTPUTS OUTCOMES GOAL
INDICATORS