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HomeMy WebLinkAboutCrisis Clinic Crisis Lines - GF-1217 - 1217 - 2-1-1 Line, 24 hr and teen link• CITY OF AUBURN - AGREEMENT FOR SERVICES THIS AGREEMENT made and entered into this 2 day of i V 2012, by and between the CITY OF AUBURN, a municipal corporation of the Late of Washington, hereafter referred to as "CITY ", and "CRISIS CLINIC" which is located:at 9725 3'd Avenue NE, Suite 300. Seattle, WA 9'8115 -2030; 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 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'Iow.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: I. 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 2012 — 2013 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. City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1 Line, 24 Hr. and Teen Link - January 1, 2012 Page 1 of 8 III. TERM The term of this Agreement shall commence on January 1, 2012 and shall expire on December 31, 2012. 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, and shall be submitted to the City at the end of the first and last quarters. C. 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 a year 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. City of Auburn Agreement: GP-1217, Crisis Clinic Crisis Lines - 2 -1 -1, 24Hr. and Teen Link January 1, 2012 Page 2 of 8 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 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. City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1 Line, 24 Hr. and Teen Link January 1, 2012 Page 3 of 8 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: 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. City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1, 24Hr. and Teen Link January 1, 2012 Page 4 of 8 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. (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. City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1 Line, 24 Hr. and Teen Link January 1, 2012 Page 5 of 8 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 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. 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 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 where applicable, Federal laws. City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1, 24Hr. -and Teen Link January 1, 2012 Page 6 of 8 C. 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. 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 PAGE INTENTIONALLY BLANK City of Auburn Agreement: GF -1217, Crisis Clinic Crisis Lines - 2 -1 -1 Line, 24 Hr. and Teen Link January 1, 2012 Page 7of8 ATTEST: Danielle E. Daskam, City Clerk Daniel B. Heid, City Attorney STATE OF WASHINGTON PETER B. LEWIS MAYOR CRISIS -CLINI A / BY: iv TITLE: E ecati've Direciv✓' )ss COUNTY OF KING ) On this 22 day of _ e-b. .,..2012,.before,me,. the undersigned, a Notary Public in and for the State of Washington,. ersonally' appeared k2zthle67'G,u4wi , to me known to be the .Xee-u.4ive D v —. - 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.forthe 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. Gore( i Letrl 6'5 NOTARY ,PUBLIC in,and for the State of Washington, residing in Shor%irte_ Wiq MY COMMISSION expires: /./.2/./.2.04 .2•Ilf City of Auburn Agreement: GF =1217, Crisis Clinic Crisis Lines - 2 -1 -1, 24Hr. and Teen Link January 1, 2012 Page 8 of 8 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 22 day of FeAoyv av , 2012. All other terms and conditions of the agreement for services shall remain in full foe and effect except as specifically amended by this Memorandum of Understanding. I. 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. �t`�•`'' ;ate.. Physically and Mentally Fit: The City of Auburn will fund human service; p Q s • - �- v c�er'sotClat increase the availability, accessibility and use of health care to its low income pes�cien .e Icy` 15% within a three (3) year period. ,yA °• �� " City of Auburn Agreement: GF -1217, CRISIS CLINIC — 2 -1 -1 Line, 24 Hr. and Teen Link January 1, 2012 Page 1 of 2 ATTEST: Danielle'E. •Daskam, City Clerk APPR¢b D O M: Da i i,et B. Heid, City Attorney STATE OF WASHINGTON COUNTY OF KING CI PETER B. LEWIS MAYOR CRISIS CLINI BY: /1 SCE: Executive Director )` )ss On this ot7 ` day of r , 2012, before me, ;the 'undersigned, a Notary Public in and for ^ thee.; of Washington, personally :. appeared )elPirl - 56U tit 1NiGI< , to ..me' known to be the. Executive Director of CRISIS CLINI , the no /- profit corporation that executed the within and foregoing instrument, and acknowledged aid 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 ,5/0r9,1; h8 ri4 'MY COMMISSION EXPIRES:' / /•'2. /f City of Auburn Agreement: GF -1217, CRISIS CLINIC — 2 -1 -1 Line, 24 Hr. and Teen Link January 1, 2012 Page 2 of 2 HUMAN SERVICE AGREEMENT 2012 INVOICE FOR CONTRACTED SERVICES To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES 25 WEST MAIN STREET, AUBURN WA 98001 Agency: Crisis Clinic 9725 3nd Ave NE, Suite 300 Seattle WA 98115 -2030 Program: Crisis Lines: 2 -1 -1, 24 Hr. & Teen Link Amount Requested: $ Invoice for: Attachments: 13,806.75 EXHIBIT COVER PAGE GF • 1217 Contact, Title: Coral Letnes, Program Mgr. Phone: 206 -436 -2981 x 613 Email: cletnes @crisisclinic.org ❑ 1st Quarter, January to March — Due: April 15, 2012 ❑ 2nd Quarter, April to June — Due: July 15, 2012 ❑ 3'd Quarter, July to September — Due: October 17, 2012 ❑ 4th Quarter, October to December — Due: January 31, 2012 ❑ 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: $55,227.00 Payments Year to Date: Payment this invoice: Authorized to Pay: Signature CITY OF AUBURN Contract Balance: Date COVER PAGE — MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST CITY OF AUBURN 2012 Quarterly Financial Report Agency: Crisis Clinic Program: Crisis Lines: 2 -1 -1, 24 Hr. & Teen Link Report for _ 1st Qtr /Jan -Mar _ 2nd Qtr /Apr -Jun 2012 Exhibit 2 - Date: 3rd Qtr /Jul -Sep 4th Qtr /Oct -Dec Requested Reimburement: 2012 Annual Budget Summary for joint Agreement Cost Categories Budget Award This - Request Cumulative to date Award Balance 1a Personnel /Agency Services, Crisis Line and 2 -1 -1 $48,056.00 City of Burien NA . $8,000 1b Personnel /Agency Services, Teen Link $7,171.00 $2,000 $2,671 City of Des Moines - 2 Office /Operating Supplies $1,000 City of Renton $5,000 $14;746 3 Consultant or Purchased Services $2,000 .$4,000 NA City of Tukwila 4 Direct Client Assistance $1,500 Pro. ram Totals: $14,710 ,$33;346 - 5 Communications $55,227 6 Travel & Training 7 Intra- Agency Support 8 Other per Detail- ' . Grand Total $55,227.00 Requested Reimburement: 2012 Annual Budget Summary for joint Agreement 24 Hour Line; 2 71 -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 of Tukwila $2,610 - . $1,500 $1,500 Pro. ram Totals: $14,710 ,$33;346 - $7,171 Grand Total of Fundin .: - $55,227 CITY OF AUBURN 2012 Demographic Report Agency: Crisis Clinic Program: Crisis Lines: 2 -1 -1, 24 Hr. & Teen Link 2012 Exhibit 3 Date: Cate • o 1 s 2"' 3" 4 Total YTD Client Residence" "List all clients served in this category. In all other categories list participating cities' clients only. Auburn - -- Burien Covin • ton - - - -- Des Moines - - - -- Renton - - - -- SeaTac - - - -- Tukwila - - - -- Uninco •orated. Kin. Coun - - - -- 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 - - - - - - -- -- Male- Headed Household will not be re uired for contract corn • liance. • 2012 Crisis Line Service Unit Description: Total;Projected:'=' - F {minimum clients served . All Fundin• Sources 1 Qtr. 2 Qtr 3 Qtr. ' 4 h _ Qtr Service Unit /Performance Measure = 'Incor`iing`Calls ' '- ' Incoming Calls �:Incoming, Calls' i Incoming Calls ': Incoming Calls Auburn Covington 206 �t. . '' -' F Des Moines ' 154 Renton . •:.;:;: `r,..:,' < :° :440 r • SeaTac 206 ` rtf Tukwila :15 Totals .' 1,263 r ... 2012 Exhibit 1 CITY OF AUBURN — JOINT HUMAN SERVICE AGREEMENT 2012 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT Agency Information: Crisis Clinic 9725 — 3rd 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 (206) 436 -2981 Contract Information: Contract Amount: $55,227.00 Program Name: Description of Services: Telephone Services: 24 -hour Crisis Line, 2 -1 -1 Community Information Line, and Teen Link Telephone services, referral and advocacy calls will be reported as a courteously, these services co L c eqi co M. Funder Re i ortin • to: Ci of Auburn Re s ortin Period: to Date Form Com i leted: Agency: Crisis Clinic Program: Contact Person: E -mail: _ Phone: CITY OF AUBURN OUTCOMES REPORT - EXHIBIT4 i1St Qtr Due: Outcome identified, indicators given, data collection, method(s).explained • 14th 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 Pro ram Evaluation Lo • is Model PROCESS RESOURCES ACTIVITIES OUTPUTS Phone: OUTCOME OUTCOMES INDICATORS GOAL E -mail: Phone: CITY OF AUBURN i of Auburn e • ortin • Period• to LOGIC MODEL REPORT - Suggested Template Date Form Corn s leted: Agency: Program: Contact Person: E -mail: Phone: