Loading...
HomeMy WebLinkAboutValley Cities Counseling & ConsultationCITY OF AUBURN.- AGREEMENT FOR SERVICES THIS AGREEMENT made and entered into this day of 2012, by and between the CITY OF AUBURN, a municipal corporation of the State of Washington, hereafter referred to as "CITY ", and VALLEY CITIES COUNSELING AND CONSULTATION, which is located at 2704 I Street NE, 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 mental health counseling and therapy for victims of domestic violence; and WHEREAS, the CITY is interested in continuing support of VALLEY CITIES COUNSELING AND CONSULTATION (VCCC), 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: I. 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 2012 . 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. City of Auburn Agreement: GF -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients January` 1, 2012 Page 1 of 8 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, 2012. 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. Citytwo 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 Ipay 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 content of quarterly, invoices is set forth in the Exhibits to this Agreement, and is incorporated herein by this reference. City of Auburn Agreement: GF -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients 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 -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients 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 -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients 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 supended, 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. City of Auburn Agreement: GF -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients 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 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. 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. - City of Auburn Agreement: GF -1237, Valley Cities Counseling &Consultation.- COD Treatment'forNon Medicaid Clients January 1, 2012 Page 6 of 8 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. F. Should it become necessary to enforce any term or obligation of this Agreement, then all costs of enforcement including attorneys 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 -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients January 1, 2012 Page 7 of 8 EST: Danielle E. Daskam, City Clerk AP M. Erg •')T• F 0 RM: D iel B. H City Attorney -. STATE OF WASHINGTON COUNTY OF KING PETERB. LEWIS MAYOR VALLEY CITIES COUNSELING. AND CONSULTATION 1 BY: TITLE: CEO )ss CA On this /S day of ,; 2012, before me, the _undersigned, a Nota Public in and for the- State of Washington, personally • appeared PuA4n1- 7/11A1/1 , to- meTknown to be the CF° of Valley Cities Counseling and Consultation "(VCCC), 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 instru ment'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. KANDIS :S A..TORZA NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES JUNE 20. 2012 N9TARY:PUBLIC in and for the State of ashington, residing. in L4- F. Toff/ 444 MY COMMISSION expires: G /Zd Brix_ City of Auburn Agreement: GF. -1237, Valley Cities Counseling & Consultation -.COD Treatment for Nori Medicaid Clients January 1, 2012 Page 8 of 8 CTTY OF WASHINGTON HUMAN SERVICE AGREEMENT 2012 INVOICE FOR CONTRACTED SERVICES To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES 25 WEST MAIN STREET, AUBURN WA 98001 Agency: Valley Cities Counseling & Consultation Site location: Mailing address: 2704 I Street NE 325 West Gowe Street Auburn, WA 98002 Kent, WA 98032 Program: COD Treatment for Non - Medicaid Clients Amount Requested: $ 2,500.00 Invoice for: Attachments: EXHIBIT COVER PAGE GF•1237 Contact, Title: Beth Hammond, Program Mgr. Phone: 253 - 661 -6634 x147 Email: ehammonds @valleycities.org ❑ 151 Quarter, January to March — Due: April 15, 2012 ❑ 2nd Quarter April to June — Due: July 15, 2012 ❑ 3rd Quarter, July to September — Due: October 12, 2012 ❑ 4th Quarter, October to December — Due: January 31, 2013 ❑ Quarterly Service Report - Exhibit 1 ❑ Quarterly Financial Report — Exhibit 2 ❑ Demographic Report (2nd and 41h Quarters only) — Exhibit 3 ❑ 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 OF AUBURN USE ONLY: Contract Amount: $10,000.00 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 2012 Exhibit 1 HUMAN SERVICE AGREEMENT 2012 SCOPE OF SERVICES, AND QUARTERLY SERVICE UNIT.REPORT Agency Information Valley Cities Counseling & Consultation Site location: Mailing address: 2704 I Street NE 325 West Gowe Street Auburn, WA 98002 Kent, WA 98032 Contact, Title: Beth Hammond, Program Mgr. Phone: 253 =661 -6634 x1.47 Email: ehammonds @valleycities.org Are professional services (e.g., counseling, case management) provided as part of this Agreement? Contract Information Contract Amount: Program Name: $10,000.00 COD Treatment for Non - Medicaid Clients Description of Service to be provided: Reporting Information Report for _ 1st Qtr /Jan -Mar 2012 Service Units 2nd Qtr /Apr -Jun _ 3`d Qtr /Jul -Sep _ 4th Qtr /Oct -Dec Narrative:' Please attach other relevant information, including current trends, program developments, special events, publicity, community education, etc. If,ac tual service units•are °lower than anticipated, please explain. 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 2nd . Unduplicated Number of Auburn Clients Served ' 7 ■■ • Narrative:' Please attach other relevant information, including current trends, program developments, special events, publicity, community education, etc. If,ac tual service units•are °lower than anticipated, please explain. 2012 Exhibit 2 CITY OF AUBURN 2012 Quarterly Financial Report Agency: Valley Cities Counseling & Consultation Date: Program: COD Treatment for Non - Medicaid Clients Report for _ 1st Qtr /Jan -Mar _ 2nd Qtr /Apr -Jun _ 3rd Qtr /Jul -Sep _ 4th Qtr /Oct -Dec 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 $10,000.00 Requested Reimbursement: Detail as Applicable: CITY OF AUBURN 2012: Demographic Report Agency: Valley Cities Counseling & Consultation Program: COD Treatment for Non-Medicaid Clients Date: 2012 Exhibit 3 Cate • o 1 2"' 3 ' 4 Total YTD Client Residence" "List all clients served in this category. In all other categories list Auburn clients only. AI•onai Auburn' _ Black Diamond Burien. - -- ' •...Covin.ton DesMoines - 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 medianor.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.anicl His:anidLatino == Native American / Alaskan Native - White /Caucasian 'Other ' -- Unknown -- - - .TOTAL Condition Disablin• Condition - ESL Limited. En. lish S•eakin. _ _ Household Female- Headed Household - • r Re i ortin ' to: Cit of Auburn Re s ortin . Period: to Agency: Program: Contact Person: E -mail: Phone: CITY OF AUBURN OUTCOMES REPORT - EXHIBIT 4 Date Form Com s leted: Qtr Due: Outcome identified, indicators given, data collection method(s) explained 141h Qtr. Due: Outcome results ` OUTCOME: (What change do you expect tb 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. Funder Re ortin • to: Cit of Auburn Re s ortin ' Period: to I I II I • •I • Agency: Program: Contact.Person: - • E -mail: Phone: CITY OF AUBURN LOGIC MODEL REPORT - Suggested Template Program Evaluation Logic Model PROCESS RESOURCES ACTIVITIES OUTPUTS GOAL r OUTCOME OUTCOMES INDICATORS GOAL r CITY OF AUBURN - MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding is an addendum to the agreement for services between the City of Auburn and VALLEY CITIES COUNSELING & CONSULTATION, the original of which was, executed on the day of AJVXf(',ti , 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. 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. Ill. 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 Auburn Agreement: GF -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients January 1, 2012 Page 1 of 2 Danielle E. Daskam, City Clerk APP DeI B. City Attorney STATE OF WASHINGTON COUNTY OF KING PETER B. LEWIS MAYOR VALLEY CITIES COUNSELING AND CONSULTATION BY: TITLE: )ss On this / day of Mtial , 2012, before me, the undersigned, a Notary Public in and for the State of Washington, personally appeared FNNE Of TA11 Lo/c , to me known to be the Ge.z. of Valley Cities Counseling & Consultation (VCCC), 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. KANDISS A. TORZA NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES JUNE 20, 2012 NOT Y PUBLIC in and for the State of W hington, residing in Jh /'4 T4' WA- MY COMMISSION expires: he/201 Z City of Auburn Agreement: GF -1237, Valley Cities Counseling & Consultation - COD Treatment for Non Medicaid Clients January 1, 2012 Page 2 of 2