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HomeMy WebLinkAboutNew Connections GF-1225Department 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 New Connections — Stop the Cycle of Re- Offending and the 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 services to helping low income individuals and families with emergency rental and utility assistance, eviction prevention and service referrals located in the City of Auburn Services will be delivered as per the attached Scope of Work 2. PAYMENT. T e C a fee to the AGENCY for services provided in the amount of $5,000 per year, paid in inssallments 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 REIMBURSEMENT. 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. 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'3 .3 '8 Molaq paquosap sad(; ay; 4o aoue.Jnsul uie;go Heys AON3Oy ay; `aouemsul ;o adooS wnwlulw 'y saaAoldwa Jo 'sani;e;uasaJdai `s;ua6e s ;l `.LON3OV ay; Aq iapunaiay IoM ay ; ;o aouewJopad an y ;inn uoi;oauuoo 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 the New Connections May Miller, Executive Director New Connections 412 West Titus Kent, WA 98032 IF for the CITY Michael Hursh Community Services Manager City of Auburn 25 West Main Street Auburn, WA 98001 Such address may be changed from time to time by either party by providing written notice to the other in the manner set forth above 11. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties and there are no other promises or conditions in any other agreement whether oral or written This Agreement supersedes any prior wntten 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 7\ Printed' Title' A encv City of Auburn Date. 3 ` ` _ ke `), Address Phone co.3 �s - 9 op Signed Printed Title: Date. u.ct- Ul‘-F.tit 14-144-sGx t'io�tti tn^ . $ ✓c, s Address 25 West Main Street Auburn, WA 98001 Phone' (253) 876 -1964 (Community Services Line) City of Aubum Agreement GF -1225, New Connections — Stop the Cycle of Re- Offending January 1, 2012 Page 3 of 4 HUMAN SERVICES AGREEMENT BETWEEN THE CITY OF AUBURN & NEW CONNECTIONS — STOP THE CYCLE OF RE- OFFENDING Scope of Work Services to include: ■ Serving clients involved in the Criminal Justice System or recently released from Jail or Prison to receive services ■ A one -stop of services include, but are not limited to, access to new voice mail, housing referrals, hygiene pac's, maps, bus passes and lists of resources. ■ Clients are given assistance to obtain identification cards through the DOL • Provide resume and job assistance so clients will be able to return to work, including clothing, eye glasses, bus passes and work tools. Reporting Requirements: • With each semi - annual request for reimbursement, New Connections — Stop the Cycle of Re- Offending services will provide a summary of the number of people served along with the number of unduplicated 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 Aubum Agreement GF -1225, New Connections — Stop the Cycle of Re- Offending January 1, 2012 Page 4 of 4 CITY OF AUBURN - MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding is an addendum to the agreement for services betsfien the City of Auburn and New Connections, the original of which was executed on the - day of MAYt; , 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 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 a`re 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 Aubum residents, who are victims - of , domestic violence, that make the transition to a 'safe environment and self - determining lifestyles 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 comAgiNniofaitreatmentliprograms by Auburn residents who have,'se ?ion`s behavioral and health pcobibitivcctuehlesubsrance abuse and chemical dependency by 15% within a three (3)jreamp jamb i W 1.31 9J 3 ZW3HTAM J3AHOIM Physically and Mentally Fit: The City of Au -durnlivr�riti an service providers that increase the availability, accessibility and use tulip►nettailtsilpviNtricoifie residents by 15% within a three (3) year period City of Aubum Agreement GF -1225, New Connections — Stop the Cycle of Re- Offending January 1, 2012 Page 1 of 2 ATTEST CITY OF AUBURN PETE: :. LEWIS AYOR Danielle E. Daskam, City Clerk APPROVED AS TO FO Daniel B Held City Attorne STATE OF WASHINGTON COUNTY OF KING BY 'Ilk 1. New Connections 1_ TITLE Qt i (1. elk) )ss ) On this //"?I'' day of `1%,.fi -„ Notary Public in, and for the State / 0( a// .),,., , i , 2012, before me, the undersigned, a of Washington, personally appeared to me known to be the p-- ,c4.4-,,--/ of New Connections, 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. ommimmmlllllllnummuuuunlg • Notary Public State of Washington =_ • MICHAEL MATHEWS I • MY COMMISSION EXPIRES = Juno 12,2013 = IulummffinlHlmilmllllnlmm a N •TARY PUBLIC in and for the State of Washington, residing in /6ct, i' MY COMMISSION expires s i,2 zy ? City of Aubum Agreement GF -1225, New Connections — Stop the Cycle of Re- Offending January 1, 2012 Page 2 of 2 CITY OF_-j giVIN3 WASHINGTON HUMAN SERVICE AGREEMENT 2012 INVOICE FOR CONTRACTED SERVICES To: CITY OF AUBURN, ATTN COMMUNITY SERVICES 25 WEST MAIN STREET, AUBURN WA 98001 Agency New Connections 412 West Titus Kent, WA 98032 Program Stop the Cycle of Re- Offending Amount Requested: $ 1,250.00 Invoice for: Attachments: EXHIBIT COVER PAGE GF•1225 Contact, Title: May Miller, Program Mgr Phone: (253) 631 -0351 or (360) 866 -2560 Email: mmiller @ci blackdiamond wa us ❑ 15' 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 4th Quarters only) — Exhibit 3 ❑ Outcomes Report (4th Quarter only) — Exhibit 4 ❑ Proof of Insurance (15t 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 Authonzed 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 $5,000.00 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 New Connections 412 W Titus Kent, WA 98032 Contact, Title: May Miller, Program Mgr Phone: (253) 631 -0351 or (360) 866 -2560 Email: mmiller @ci blackdiamond wa us Are professional services (e g , counseling, case management) provided as part of this Agreement? y Contract Information Contract Amount 15S____= Program Name Stop the Cycle of Re- Offending Description of Service to be provided Reporting Information Report for _ 1st Qtr /Jan -Mar 2012 Service Units 2 "d Qtr /Apr -Jun 3rd 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 actual service units are lower than anticipated, please explain. Cit Fundin• Onl 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 180 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. CITY_OF AUBURN 2012 Quarterly Financial Report Agency New Connections Program. Stop the Cycle of Re- Offending Report for _ 1st Qtr /Jan -Mar 2nd Qtr /Apr -Jun 2012 Exhibit 2 Date 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 $5,000.00 Requested Reimbursement Detail as Applicable Agency New Connections 2012 Exhibit 3 CITY OF,AUBURN 2012 Demographic Report Date Program. Stop the Cycle of Re- Offending Cate • o is 2 "' 3 4 Total YTD Client Residence ** **List all clients served in this category In all other categories list Auburn clients only. Al.ona -- f Auburn ` - - - - -- Black Diamond - -- - Bunen - -- Covin.ton - - -- Des Moines - -- - Enumclaw - -- Federal Wa , - - - -- Kent - -- • le lie - -= Normand Normand nd 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 TOTAL Ethnicity/ Cultural Background Asian - - - -- Asian / White ' - - - -- American Indian / Alaskan Native - - - -- American Indian / Alaskan Native & White - - - -- American Indian / Alaskan Native & Black / African American ' Black /African American - - - -- Black / African American & White. -- His • anic / Latino - - - -- Native Hawaiian / Other Pacific Islander -- -- White/Caucasian - -- Unknown / No Res•onse = - TOTAL - -- Condition Disablin• Condition - - ESL 'Limited Fimited Headed n• Household Female- Headed Household Household - CITY OF AUBURN Funder Reporting to: City of Auburn Agency: Reporting Period: Program: OUTCOMES REPORT - EXHIBIT4 to Date Form Completed: Contact Person: E -mail: Phone: 4St Qtr Due: Outcome identified, indicators given, data collection method(s) explained 4t1, Otr. 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 Funder Re ortin ' to: Cit of Auburn Re I ortin . Period: to Date Form Com leted: Agency: Program: Contact Person: E -mail: Phone: CITY OF AUBURN LOGIC MODEL REPORT - suggested Template Program Evaluation Logic Model PROCESS RESOURCES ACTIVITIES OUTPUTS OUTCOME OUTCOMES INDICATORS GOAL