HomeMy WebLinkAboutYWCA Emergency HousingCITY OF
UBURN
WASHINGTON
A3. k3..cl
Department of Administration
Michael Hursh, Community Services Manager
25 West Main Street
Auburn, WA 98001
CITY OF AUBURN AGREEMENT FOR HUMAN SERVICE ACTIVITIES
COSTING $5,000 PER YEAR OR LESS
This Agreement is made effective as of January 1, 2012, by and between YWCA: EMERGENCY HOUSING and CITY
OF AUBURN. In this Agreement, the party who is contracting to receive services shall be referred to as "CITY ", and the
party who will be providing the services shall be referred to as "AGENCY ". The parties agree as follows:
1. DESCRIPTION OF SERVICES. Beginning on January 1, 2012, the AGENCY agrees to provide housing services to
residents in need in the City of Auburn. Services will be delivered as per the attached Scope of Work.
2. PAYMENT. The CITY will pay a fee to the AGENCY for services provided in the amount of $4,000 per year, paid in
semi - annual installments of equal amounts, for services delivered as described in the attached Scope of Work. This fee
shall be payable in a lump sum upon receipt of an invoice from the AGENCY with appropriate supporting documentation.
3. EXPENSE RE1M 3URSEMENT. The AGENCY shall pay all "out-of-pocket" expenses, and shall not be entitled to
reimbursement from the CITY except for specific services, items or activities listed in the Scope of Services as
reimbursable goods or services.
4. TERM/TERMINATION. This Agreement is effective January 1, 2012, and expires December 31, 2012, unless
either party terminates the Agreement by notifying the other party in writing within seven (7) days of the intent to
terminate. The Agreement may be renewed for one year upon the mutual consent of both parties.
5. RELATIONSHIP OF PARTIES. It is understood by the parties that the AGENCY is an independent contractor with
respect to the City of Auburn, and not an employee of the CITY. The CITY will not provide fringe benefits, including
health insurance benefits, paid vacation, or any other employee benefit, for the benefit of the AGENCY.
6. EMPLOYEES. The provisions of this Agreement shall also bind the AGENCY employees who perform services for
the CITY under this Agreement.
7. INDEMNIFICATION / HOLD HARMLESS. The AGENCY shall defend, indemnify and hold the City, its
officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including
attorney fees, arising out of or resulting from the acts, errors or omissions of the AGENCY in performance of this
Agreement, except for injuries and damages caused by the sole negligence of the City. The City of Auburn shall defend,
indemnify and hold the AGENCY, its officers, officials, employees and volunteers harmless from any and all claims,
injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of
the City in performance of this Agreement, except for injuries and damages caused by the sole negligence of the
AGENCY.
8. INSURANCE. The AGENCY shall procure and maintain for the duration of the Agreement, insurance against claims
for injuries to persons or damage to property which may arise from or in connection with the performance of the work
hereunder by the AGENCY, its agents, representatives, or employees.
A. Minimum Scope of Insurance, the AGENCY shall obtain insurance of the types described below:
1. Automobile Liability insurance covering all owned, non - owned, hired and leased vehicles. Coverage
shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual
liability coverage.
City of Aubum Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 1 of 4
2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall
cover liability arising from premises, operations,, independent contractors and personal injury and
advertising injury. The City shall be named as an insured under the AGENCY's Commercial General
Liability insurance policy with respect to the work performed for the City.
3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of
Washington.
4. Professional Liability insurance appropriate to the AGENCY profession.
B. Minimum Amounts of Insurance: The AGENCY shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property
damage of $1,000,000 per accident.
2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each
occurrence, $2,000,000 general aggregate.
3. Professional Liability :insurance shall be written with limits no less than $1,000,000 per claim and
$1,000,000 policy aggregate limit.
C. Other Insurance Provisions: The insurance polidies.are to' contain, or be endorsed to contain, the following
provisions for Automobile Liability,''Professional Liability and Commercial General Liability insurance:
1. The AGENCY's insurance coverage shall be primary insurance as respect the City. Any insurance,
self - insurance, or insurance pool coverage maintained by the City shall be excess of the AGENCY's
insurance and shall not contribute with it.
2. The AGENCY's insurance 'shall be endorsed to state that coverage shall not be cancelled by either
party, except after thirty (30). days prior written notice, by certified mail, return receipt requested, has
been given to the City.
D. Acceptability of Insurers: Insurance is to be placed with' insurers with a current A.M. Best rating of not less
than A: VII.
E. Verification of Coverage: The AGENCY shall furnish. the City with original certificates and a copy of the
amendatory endorsements, including,: but.. not necessarily limited to the additional insured endorsement,
evidencing the insurance requirements Of the AGENCY before commencement of the work.
9. ASSIGNMENT. The AGENCY obligations, under this Agreement ma y not be assigned. or transferred to any other
person, firm, or corporation without the prior written consent of the CITY. . .
10. NOTICES. All notices required or permitted under this Agreement shall be in,writing and shall be deemed delivered
when delivered in person or deposited in the United States mail, postage,, prepaid, addressed as follows:
IF for YWCA: IF for the CITY:
June Wiley Michael Hursh -
Regional.Director City of Auburn
1010 South 2nd Street Community . Services. Manager
Renton, WA 98057 25 West Main Street
Auburn, WA 98001.
Such address may be changed from time to time by either party providing written notice to the other in the manner set
forth above.
City of Auburn Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 2 of 4
11. . ENTIRE AGREEMENT. , This Agreement contains the entire agreement of'theparties and there are no other
promises:or conditions in any other agreement whether oral or written. This Agreement supersedes any prior written or
oral agreements between the parties.
12. AMENDMENT. This Agreement may be modified or amended if the amendment is made in writing and is signed
by both parties.
13. ;'SEVERABILITY. If any provision of this Agreement shall be held to be invalid or unenforceable for any reason,
the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Agreement
is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such
provision shall be deemed to be written, construed, and enforced as so limited.
14.' ;WAIVER OF:CONTRACTUAL RIGHT. The failure of either party to enforce any provision of this Agreement
shall, not be construed .as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance
with every provision of this Agreement.
15. APPLICABLE LAW. This Agreement shall be governed by the laws of the State of Washington.
The undersigned have read the above statements, understand them, and agree to abide by their terms.
Signed:
Printed:
Title:
Date:
Address:
A• ncv / /
Signed:
SV p ' 11,\er \`(o P
330/
Printed:
1. Title:
c.o %(6' r
1 \04 5 A,Yf
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City of Auburn
Date:
Address: 25 West Main Street
Auburn, WA 98001
Phone: r406 1� 1 %� Phone: (253) 876 -1964 (Community Services dine)
City of Aubum Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 3 of 4
HUMAN SERVICES AGREEMENT BETWEEN THE
CITY OF AUBURN & YWCA EMERGENCY HOUSING
Scope of Work
Services to include:
■ The YWCA - EMERGENCY HOUSING provides emergency shelter and case management services to
families with children for up to 90 days. Two shelter units are located in Auburn.
• This program is designed to meet the basic survival needs of homeless and low income women, children and
families, and enable them to achieve housing stability and is intended to be the first step in the progress of the
family toward long term financial and housing stability.
• Recruit volunteers, train them and acknowledge their contribution to the community.
• Comply with applicable codes, rules and regulations.
■. Maintain records of residents served.
• Retain the above records for three years and make them available for review upon request by the City and/or
its agents or representatives.
Reporting Requirements:
■ With each semi - annual request for reimbursement, YWCA - EMERGENCY HOUSING provides a summary
of the number of people served along with the number of clients who are Auburn residents.
• At the end of each year, a brief report describing the past program, number of clients served along with
noteworthy accomplishments and/or challenges.
Additional Billable Services, Goods and /or Activities:
• None
City of Auburn Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 4 of 4
CITY OF AUBURN - MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is an addendum to those agreements for services between the City of
Auburn and YWCA - Seattle -King bounty- Snohomish County, Emergency Housing Program, the originals of
which were executed on the Cj day of MN& , 2012. 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.
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 2012 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.
City of Aubum Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 1 of 2
CITY OF ' BURN
PETER B. LEWIS
MAYOR
ATTEST:
Danielle E. Daskam,
City Clerk
APPROVED AS TO FOR
Daniel B. Heid,
City Attorney
TITLE: aVie x +cvA 1•N
STATE OF WASHINGTON
)ss
COUNTY OF KING )
ISH COUNTY
On this 5 day of YY)W)C.k , 2012, before me, the undersigned, a Notary Public in
and for the State of Washington, personally appeared - ....-6tirt. 17.. ,51144/0 reoKe.r , to me known to be
the Ch €4- &%t-c- VL (JM i-L6/ of YWCA - Seattle -King County- Snohomish County, 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.
City of Auburn Agreement: GF -1242, YWCA — Emergency Housing
January 1, 2012
Page 2 of 2
"eianptil0. YI. e
NOTARY PUBLIC in and for tI1e State of
Washington, residing in
MY COMMISSION expires: i . II 2614
CITY OF �*
UBURN
WASHINGTON
EXHIBIT COVER PAGE.
GF -1242
HUMAN SERVICE AGREEMENT
2012 INVOICE FOR CONTRACTED SERVICES
To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES
25 WEST MAIN STREET, AUBURN WA 98001
Agency: YWCA
Site location:
1010 SOUTH 2nd STREET
RENTON, WA 98057
Program: Emergency Housing
Amount Requested: $ 2,000.00
Invoice for:
Attachments:
Mailing address:
1118 5TH AVE
SEATTLE, WA 98101
Contact, Title: June Wiley, Program Mgr.
Phone: (425) 226 -1266 x1002
Email: jwiley @ywcaworks.org
❑ 1s' and 2nd Quarters, January to June — Due: July 15, 2012
❑ 3`d and 4th Quarters, July to December — Due: January 31, 2013
❑ Quarterly Service Report (due semi - annually) - Exhibit 1
❑ Quarterly Financial Report (due semi - annually) — Exhibit 2
❑ Demographic Report (due semi - annually) — Exhibit 3
❑ Outcomes Report (due semi - annually) — Exhibit 4
❑ Proof of Insurance (1s' Quarter or if expired)
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: $4,000.00
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
2012 Exhibit 1 •
HUMAN SERVICE AGREEMENT
2012 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
YWCA
Site location:
1010. SOUTH 2nd STREET
RENTON, WA 98057
Mailing address:
1118 5TH AVE
SEATTLE, WA 98101
Contact, Title: June Wiley, Program Mgr.
Phone: - (425) 226 -1266 x1002
Email: jwiley @ywcaworks.org
Are professional services (e.g., counseling, case management) provided as part of this
Agreement?
Contract Information
Contract Amount: $4,000
Program Name: • Emergency .Housing :. .
Description of Service to be provided:
Reporting Information
Report for _ 1st & 2nd Qtrs /Jan -Jun _ 3rd & 4th Qtrs /Jul -Dec
2012 Service Units
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.
City Funding :.
Onl
All Funding Sources
Actual Service
Units to Date
Service Unit Description:
Auburn Residents Only
Total
Projected
Annual Units
Actual Units by Quarter
Service Unit/Performance Measure
1st
2nd
3rd
4th
Unduplicated Number of Auburn
Clients. Served
6
■■
.
•
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.
Agency: YWCA
Program: Emergency Housing
Report for
CITY OF AUBURN
2012 Quarterly Financial Report
1st & 2nd Qtrs /Jan -Jun
3rd & 4th Qtrs /Jul -Dec
Date:
2012 Exhibit 2
Requested
Reimbursement:
Detail as Applicable:
Cost Categories
Budget
Award
This
Request
Cumulative =
to date
Award
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
$4,000.00
Requested
Reimbursement:
Detail as Applicable:
CITY OF AUBURN
2012 Demographic Report
Agency: YWCA
Program: Emergency Housing
2012 Exhibit 3
Date:
Cate • o
1
2 "'
3 ' 4 Total YTD
Client
Residence"
**List all clients
served in this
category.
!n all other
categories list
Auburn clients
only.
AI•ona
-
-
- --
Auburn
-
-
- --
Black Diamond
-
-
- --
Burien
-
-
- --
Covin.ton
-
-
- --
Des Moines
-
-
- --
Enumclaw
-
-
- --
Federal Wa
-
-
- --
Kent
-
-
- --
Ma•le Valle
-
-
- --
Normand Park
-
-
- --
Pacific
-
-
- --
Renton
-
-
- --
SeaTac
-
-
- --
Seattle
-
-
- --
Tukwila
-
-
- --
Uninco •orated. Kin• Count
-
-
- --
Other:
-
-
- --
Unknown
-
-
- --
TOTAL
-
-
- --
Client
Income
Level
30% of median or below
-
-
- --
50% of median or below
-
-
- --
80% of median or below
-
-
- --
Above 80% of median
-
-
- --
- --
- --
Unknown
-
-
TOTAL
-
-
Client
Gender
Female
-
-
- --
Male
-
-
- --
Client
Age
0-4
-
-
- --
5 -12
-
-
- --
13 -17
-
-
- --
18-34
-
-
- --
35-54
-
-
- --
55-74
-
-
- --
75+
-
-
- --
Unknown
-
-
- --
TOTAL
-
-
- --
Ethnicity/
Cultural
Background
Asian /Pacific Islander
-
-
- --
Black/African American
-
-
- --
His•anic/Latino
-
-
- --
Native American/ Alaskan Native
-
-
- --
White /Caucasian
-
-
- --
Other
-
-
- --
Unknown
-
-
- --
TOTAL
-
-
- --
Condition
Disablin• Condition
-
-
- --
ESL
Limited En.lish S•eakin.
-
-
- --
Household
Female- Headed Household
-
-
- --
CITY OF AUBURN
Funder Re ortin • to: Cit of Auburn
Re s ortin Period:
to
OUTCOMES REPORT - EXHIBIT 4
Date Form Com I leted:
Agency:
Program:
Contact Person:
E -mail:
Phone:
it Qtr Due: Outcome identified, indicators given, data collection method(s) explained
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.
CITY OF AUBURN
Funder Re ortin . to: Cit of Auburn
Re ortin . Period:
LOGIC MODEL REPORT - Suggested Template
to Date Form Com s leted:
Agency: _
Program:
Contact Person:'
E- mail:
Phone:
Prograrn Evaluation. Logic Model
PROCESS
RESOURCES
ACTIVITIES
OUTPUTS
OUTCOME
OUTCOMES
INDICATORS
GOAL
U 1