HomeMy WebLinkAbout2948 ORA,MQ1 I
1 RESOLUTION NO. 2 9 4 8
2
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF AUBURN,
3 WASHINGTON, AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE AN
AGREEMENT WITH VALLEY CITIES COUNSELING AND CONSULTATION TO
4 PROVIDE MENTAL HEALTH SERVICES FOR AUBURN RESIDENTS DURING
1998
5
6 THE CITY COUNCIL OF THE CITY OF AUBURN, WASHINGTON, IN A
7 REGULAR MEETING DULY ASSEMBLED, HEREWITH RESOLVES THAT
8 SECTION 1 . AGREEMENT. The Mayor and City Clerk of the
9 City of Auburn are herewith authorized to execute an Agreement
10 for Services with VALLEY CITIES COUNSELING AND CONSULTATION to
11
provide mental health services to Auburn residents during
12
1998 A copy of said Agreement is attached hereto and
13
denominated Exhibit "A" and incorporated herein
14
SECTION 2 . AUTHORIZATION. The Mayor is hereby
15
authorized to implement such administrative procedures as may
16
be necessary to carry out the directives of this legislation
17
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Resolution No 2948
April 16, 1998
Page 1
Th
1 DATED and SIGNED this 4th day of May, 1998
2
3
CITY OF AUBURN
4
5
6 I ' '-
CHARLES A BOOTH
8 MAYOR
9
10 ATTEST
11
12 )10aalka.,4-410_,ArLY
13 Danielle E Daskam,
14 City Clerk
15
16 APPROVED AS TO FORM
17 I 18 nr
19 ►tat a
Michael Reynolds,
20 City Attorney
21
22
23
24
25
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Resolution No 2948
April 16, 1998
Page 2
P , Oa?*
AGREEMENT FOR SERVICES
2
3 0 11
THIS AGREEMENT made and entered into this 6 day of
4 , 1998, by and between the CITY OF AUBURN,
5 a municipal corporation of the State of Washington, hereafter
6 referred to as "CITY" and VALLEY CITIES COUNSELING AND
7 CONSULTATION, a non-profit corporation organized under the
8 laws of the State of Washington, hereinafter referred to as
9 "VALLEY CITIES COUNSELING AND CONSULTATION", whose address is
10 2704 "I" Street Northeast, Auburn, Washington 98002 ,
11 previously known as VALLEY CITIES MENTAL HEALTH CENTER in the
12 1994 Agreement for Services authorized by City of Auburn
13 Resolution No 2472
14 WHEREAS, VALLEY CITIES COUNSELING AND CONSULTATION
15 provides a valuable service to the CITY and its residents
16 through the dispensation of special mental health services;
17 and
18 WHEREAS, the CITY is interested in continuing support of
19 the dispensation of special mental health services
20 NOW, THEREFORE, In consideration of the covenants and
21 conditions of this Agreement, the parties agree as follows
22 I PURPOSE.
23 The purpose of this Agreement is to provide for an
24 appropriation to VALLEY CITIES COUNSELING AND CONSULTATION for
25
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 la\agree\vccc981
Page 1
9
1
providing mental health services to Auburn residents
2
participating in the Survivor' s Support and Therapy Program
3
during the 1998 term This continued support is in
4
recognition of the fact that the demand for the services
5
delivered by the VALLEY CITIES COUNSELING AND CONSULTATION
6
continues to rise
7
22 SCOPE OF SERVICES.
8
The parties agree and understand that VALLEY CITIES
9
COUNSELING AND CONSULTATION agrees to provide comprehensive
10
mental health services to Auburn residents through VALLEY
11
CITIES COUNSELING AND CONSULTATION Survivor ' s Support and
12
Therapy Program Comprehensive mental health services shall
13
include but are not limited to those services described as
14
follows
15
A Mental health services enabling the client to
16
overcome the devastating consequences of trauma
17
resulting from domestic violence, sexual abuse,
18
physical abuse or emotional abuse experienced in
19
childhood or as an adult
20
Ongoing and in-depth mental health services
21
assisting the client to (1) gain a self
22
understanding of the effects of victimization; (2)
23
resolve feelings of anger and lack of personal
24
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit "A Resolution No 2948
April 20, 1998 {a\agree\vccc98}
Page 2
1
worth; and (3) learn and practice skills that
2
enhance self esteem and communication
3
In addition, VALLEY CITIES COUNSELING AND CONSULTATION
4
agrees to work closely with the CITY OF AUBURN in developing
5
and improving other ways to address the needs of Auburn
6
residents served through the VALLEY CITIES COUNSELING AND
7
CONSULTATION
8
III STATUS REPORT
9
VALLEY CITIES COUNSELING AND CONSULTATION shall develop
10
and provide to the City within 60 days after the completion of
11
the 1998 calendar year a status report containing a program
12
evaluation component commonly referred to as the "Logic Model"
13
which will show the intended linkages between the activities
14
conducted and the changes the activities will produce
15
A The components of the evaluation will
16
1) Identify both process and outcome portions of the
17
services provided through the Survivors Support and
18
Therapy Program;
19
2) Show the relationship of program resources and
20
activities to the expected results or outcomes
21
3) Help identify those questions the evaluation is to
22
answer
23
4) Provide a graphic summary of how program parts
24
relate to the whole
25
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 (a\agree\vccc98)
Page 3
1
5) Make explicit the underlying theory of the program
2
and
3
6) Identify measurable categories in the program
4
evaluation
5
B VALLEY CITIES COUNSELING AND CONSULTATION shall
6
develop the following status report components within the
7
time frames established below
8
1) 2nd Quarter 1998 Year
9
a) The outcome based results VALLEY CITIES
10
COUNSELING AND CONSULTATION expects to achieve;
11
b) An indicator to inform VALLEY CITIES COUNSELING
12
AND CONSULTATION that the anticipated change has
13
or has not occurred;
14
c) The method for gathering information needed to
15
indicate the outcomes that have occurred;
16
2) 3rd Quarter 1998 Year
17
a) Initial Collection and assessment of the
18
information acquired to include
19
alterations in the anticipated outcomes or
20
alteration in the methodology of information
21
gathering
22
3) 4`h Quarter 1998
23
a) Information collected;
24
25
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20 1998 {a\agree\vccc98}
Page 4
1
b) Conclusions developed as a result of the
2
information
3
IV TERM.
4
The term of this Agreement shall commence on January 1,
5
1998 and shall expire on December 31, 1998
6
V COMPENSATION.
7
As full and total payment for the services provided under
8
this Agreement, the CITY agrees to pay VALLEY CITIES
9
COUNSELING AND CONSULTATION for a minimum of 462 hours of
10
mental health services provided to Auburn residents in an
11
amount not to exceed TWELVE THOUSAND DOLLARS ($12 , 000)
12
VALLEY CITIES COUNSELING AND CONSULTATION will submit a
13
statement to the CITY quarterly describing services that it
14
has rendered under the terms of this Agreement and the CITY
15
will pay an amount equal to one-quarter of the total amount by
16
the twenty-eighth (28th) day of the month following the end of
17
the quarter However, the final statement of services
18
rendered will be submitted on or before December 15, 1998
19
VI. INDEMNIFICATION.
20
VALLEY CITIES COUNSELING AND CONSULTATION agrees to
21
defend, indemnify, and hold harmless the CITY, its elected and
22
appointed officials, employees and agents from and against any
23
and all claims, demands and/or causes of action of any kind or
24
character whatsoever arising out of or relating to services
25
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20 1998 la\agree\vccc98}
Page 5
1
provided by VALLEY CITIES COUNSELING AND CONSULTATION, its
2
employees, volunteers or agents concerning any and all claims
3
by any persons for alleged injury or damage to persons or
4
property to the extent caused by the negligent acts, errors or
5
omissions of VALLEY CITIES COUNSELING AND CONSULTATION, its
6
employees, volunteers or agents or representatives In the
7
event that any suit or claim for damages based upon such
8
claim, action, loss or damage is brought against the CITY,
9
VALLEY CITIES COUNSELING AND CONSULTATION shall defend the
10
same as its sole costs and expense; provided that the CITY
11
retains the right to participate in said suit if any principle
12
of governmental or public law is involved; and if final
13
judgment be rendered against the CITY and/or its officers,
14
elected officials, agents and employees or any of them or
15
jointly against the CITY and VALLEY CITIES COUNSELING AND
16
CONSULTATION and their respective officers , agents,
17
volunteers, employees or any of them, VALLEY CITIES COUNSELING
18
AND CONSULTATION shall fully satisfy the same and shall
19
reimburse the CITY any costs and expense which the CITY has
20
incurred as a result of such claim or suit The provisions of
21
this section shall survive the expiration or termination of
22
this Agreement
23
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Agreement - Valley Cities Counseling 6 Consultation 1998
Exhibit 'A" Resolution No 2948
April 20 1998 la\agree\vccc981
Page 6
1
VII INDEPENDENT AGREEMENT OR/ASSIGNMENT.
2
The parties agree and understand that VALLEY CITIES
3
COUNSELING AND CONSULTATION is an independent contractor and
4
not the agent or employee of the CITY and that no liability
5
shall attach to the CITY by reason of entering into this
6
Agreement except as provided herein The services required
7
under this Agreement may not be assigned or subcontracted by
8
VALLEY CITIES COUNSELING AND CONSULTATION without the prior
9
written consent of the CITY
10
VIII INSURANCE.
11
VALLEY CITIES COUNSELING AND CONSULTATION shall procure
12
and maintain for the duration of this Agreement insurance
13
against claims for injuries to persons or property which may
14
arise from or in connection with services provided by VALLEY
15
CITIES COUNSELING AND CONSULTATION, it agents, employees or
16
volunteers under this Agreement VALLEY CITIES COUNSELING AND
17
CONSULTATION agrees to provide comprehensive general liability
18
insurance and shall maintain liability limits of not less than
19
ONE MILLION DOLLARS ($1, 000 , 000) combined single limit
20
coverage per occurrence for bodily injury, personal injury and
21
property damage VALLEY CITIES COUNSELING AND CONSULTATION
22
shall also provide and maintain professional liability
23
coverage including errors and omissions coverage in the
24
minimum liability amount of ONE MILLION DOLLARS ($1, 000 , 000)
25
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 {a\agree\vccc98}
Page 7
1
combined single limit per occurrence for bodily injury,
2
personal injury and property damage Any deductibles or self
3
insured retentions in either policies must be declared to and
4
approved by the CITY At the option of the CITY either The
5
insurer shall reduce or eliminate such deductibles or self
6
insured retentions as respects the CITY, its officials and
7
employees; or VALLEY CITIES COUNSELING AND CONSULTATION shall
8
procure a bond guaranteeing payment of losses and related
9
investigations, claim administration and defense expenses
10
The policies are to contain or be endorsed to contain the
11
following provisions
12
A GENERAL LIABILITY COVERAGE.
13
1) The CITY, its elected and appointed officials,
14
employees and agents are to be covered as insureds
15
as respects Liability arising out of services and
16
activities performed by or on behalf of VALLEY
17
CITIES COUNSELING AND CONSULTATION, its employees,
18
agents and volunteers The coverage shall contain
19
no special limitations on the scope of protection
20
afforded to the CITY, its elected and appointed
21
officials, employees or agents
22
23
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 la\agree\vccc98}
Page 8
1 B GENERAL LIABILITY AND PROFESSIONAL LIABILITY
2 COVERAGES:
3 1) VALLEY CITIES COUNSELING AND CONSULTATION' S
4 insurance coverage shall be primary insurance
5 as respects the CITY, its officials, employees
6 and agents Any insurance or self insurance
7 maintained by the CITY, its officials,
8 employees or agents shall be in excess of
9 VALLEY CITIES COUNSELING AND CONSULTATION' S
10 insurance and shall not contribute with it
11 2) Any failure to comply with reporting provisions
12 of the policy shall not affect coverage
13 provided to the CITY, its officials, employees
14 or agents
15 3) Coverage shall state that VALLEY CITIES
16 COUNSELING AND CONSULTATION' S insurance shall
17 apply separately to each insured against whom
18 claim is bought or suit is brought except with
19 respect to the limits to the insurer' s
20 liability
21 4) Each insurance policy required by this clause
22 shall be endorsed to state that coverage shall
23 not be suspended, voided, cancelled, reduced in
24 coverage, or in limits except after thirty (30)
25
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 la\agree\vccc9B}
Page 9
1
days prior written notice by certified mail
2
return receipt requested has been given to the
3
CITY VALLEY CITIES COUNSELING AND
4
CONSULTATION agrees to provide copies of the
5
Certificates of Insurance to the CITY at the
6
time that this Agreement takes effect
7
5) VALLEY CITIES COUNSELING AND CONSULTATION shall
8
furnish the CITY with Certificates of Insurance
9
and with original endorsements affecting
10
coverage required by this clause The
11
certificate and endorsements for each insurance
12
policy are to be signed by a person authorized
13
by that insurer to bind coverage on its behalf
14
The CITY reserves the right to require
15
complete, certified copies of all required
16
insurance policies at any time
17
6) VALLEY CITIES COUNSELING AND CONSULTATION shall
18
include all volunteers, employees and agents
19
under its policies or shall furnish separate
20
certificates and endorsements for each All
21
coverages for volunteers shall be subject to
22
all the requirements stated herein
23
24
25
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 fa\agree\vccc98}
Page 10
1
IX. NONDISCRIMINATION
2
VALLEY CITIES COUNSELING AND CONSULTATION shall not
3
discriminate under any services or programs to which this
4
Agreement may apply directly or through contractual or other
5
arrangements on the grounds of race, color, creed, religion,
6
national origin, sex, age, or the presence of any sensory,
7
mental or physical handicap
8
X BOOKS AND RECORDS .
9
VALLEY CITIES COUNSELING AND CONSULTATION agrees to
10
maintain separate accounts and records in accordance with
11
State Auditor' s procedures, including personnel, property,
12
financial and programmatic records which sufficiently reflect
13
direct and indirect costs and services performed under this
14
Agreement VALLEY CITIES COUNSELING AND CONSULTATION agrees
15
to maintain all books and records relating to this Agreement
16
for a period of three (3) years following the date that this
17
Agreement is expired or otherwise terminated The parties
18
agree that the CITY OF AUBURN may inspect such documents upon
19
good cause at any reasonable time within the three (3 ) year
20
period
21
XI. TERMINATION OF AGREEMENT.
22
This Agreement may be terminated by either party upon ten
23
(10) days written notice should the other party fail
24
25
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Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20, 1998 (a\agree\vcoc98}
Page 11
1
substantially to perform in accordance with its terms through
2
no fault of the other
3
XII GENERAL PROVISIONS .
4
A VALLEY CITIES COUNSELING AND CONSULTATION
5
agrees to submit a report to the CITY no later
6
than December 15, 1998 , describing the progress
7
and activities performed for the year 1998
8
under its scope of services
9
B This Agreement shall be governed by the laws,
10
regulations and ordinances of the City of
11
Auburn, the State of Washington, and County of
12
King and where applicable, Federal laws
13
C The CITY and VALLEY CITIES COUNSELING AND
14
CONSULTATION respectively bind themselves,
15
their successors, volunteers, assigns and legal
16
representatives to the other party to this
17
Agreement and with respect to all covenants to
18
this Agreement
19
D This Agreement represents the entire and
20
integrated Agreement between the CITY and
21
VALLEY CITIES COUNSELING AND CONSULTATION and
22
supersedes all prior negotiations This
23
Agreement may be amended only by written
24
25
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20 1998 {a\agree\vccc98}
Page 12
1
instrument signed by both the CITY and VALLEY
2
CITIES COUNSELING AND CONSULTATION
3
E Should it become necessary to enforce any term
4
or obligation of this Agreement, then all costs
5
of enforcement including attorneys fees and
6 n
expenses and court costs shall be paid to the
7
substantially prevailing party
8
F VALLEY CITIES COUNSELING AND CONSULTATION
9
agrees to comply with all local, state and
10
federal laws applicable to its performance
11
under this Agreement
12
13
CITY OF AUBURN
14
15 emi
atko.
v- !mss I
16 CHARLES A BOOTH
MAYOR
17 ATTEST
18
19 4I/,„ A
20 Danielle E Daskam,
21 City Clerk
22 ' •PROVED AS TO FORM
23 Pill / ,
24
Michael J Reynolds,
25 City Attorney
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit 'A Resolution No 2948
April 20 1998 [a\agree\vccc981
Page 13
1
VALLEY CITIES COUNSELING
2 AND CONSULTATION
3
4 BY ,��/ L���
5
TITLE C�C2
6
7
8 STATE OF WASHINGTON )
) ss
9 COUNTY OF KING
10 On this I'7 day of fun, , 1998, before
me, the undersigned, a Notary Public in and for the State of
11 Washington, personally appeared IIlr.ri/yi CaCe1/t
to me known to be the Executive Director of VALLEY CITIES
12 COUNSELING AND CONSULTATION, the non-profit corporation that
executed the within and foregoing instrument, and acknowledged
13 said instrument to be the free and voluntary act and deed of
said non-profit corporation for the uses and purposes therein
14 mentioned, and on oath stated that he/she is authorized to
execute said instrument on behalf of said non-profit
15 corporation
16 IN WITNESS WHEREOF, I have hereunto set my hand and
affixed my official seal the date hereinabove set forth
17
18
19 ```�gtlll1N//�P
♦♦� 4, NOTARY PUBLIC in and for the State of
�t " of Washington, residing in �ubu�n (�
20
21 `■ • C "��' • • ± MY COMMISSION expires -2'?-6
•
��■
i PUBLIC
22 � `�
j2ii
23 ��Q//111111���`,`♦
24
25
26
Agreement - Valley Cities Counseling & Consultation 1998
Exhibit "A Resolution No 2948
April 20 1998 {a\agree\✓ccc98]
Page 14
DATE IMM/DDIYY)
ACORD CERTIFICATE OF INSURANCE 4/02/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
• CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
ACORDIA NORTHWEST, INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
520 Pike Street, 20th Floor POLICIES BELOW.
Seattle, WA 98101-4095 COMPANIES AFFORDING COVERAGE
COMPANY A
206-447-0500 LETTER Washington Casualty Company
INSURED COMPANY B
Valley Cities Counseling LETTER
and Consultation COMPANY C
2704 I St N E. LETTER
Auburn, WA 98002 COMPANY D
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TC ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER DATEvenionmi DATE INIWDDIYYDIR LIMITS
LTR
GENERAL LIABILITY GENERAL AGGREGATE 1 UNLIMITED
A X COMMERCIAL GENERAL UABIUTY WA MAO/1418 7/15/97 7/15/98 PRODUCTS-COMPIOP AGO 1 UNLIMITED
—XJ CLAIMS MADE❑OCCUR PERSONAL&ADV INJURY I INCLUDED
OWNER'S&CONTRACTOR'S PROT EACH OCCURENCE 2000000
A X Professional WA MAO/1418 7/15/97 7/15/98 FIRE DAMAGE(Any one foe) - 100000
Liability MED EXPENSE IAny one person) 5000
AUTOMOBILE LIABILITY COMBINED SINGLE
MIT
—ANY AUTO LI
ALL OWNED AUTOS BODILY IN JURY
(Per person)
_ SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per xnCeJO
NON-OWNED AUTOS C C: /
I
`/ I—� PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY EA ACCIDENT
OTHER THAN AUTO ONLY
ANY AUTO EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURENCE
7 UMBRELLA FORM AGGREGATE —
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND STATUTORY LIMIT
EMPLOYER'S LIABILITY EACH ACCIDENT
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT
PARTNERS/EXECUTIVE DISEASE-EACH EMPLOYEE
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
City of Auburn is an Additional Insured but only as respects operations of the
Named Insured for the Certificate Holder
SC
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF AUBURN MAIL 45DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Dept of Planning & Comm. Dev LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Attn Al Hicks LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
25 Main Street AUTHORIZED RE E¢�E NTATd EArp •I��i:---�^
722562000
Auburn, WA 98002 L / Leg J
I
101 ACORD CORPORATION 19.3
ACORD 25-5 f3L431
VALLEY CITIES
counseling & consultation
• JuN
C C��Y e?1998
�YCit 06)
Administration
2704 '1' Street NE ryN
WIS
Auburn,WA 98002 June 17, 1998 F�C�e
253.833.7444
fax 253.833.0480
Mr Al Hicks
Access/Combined Services City of Auburn
2705 'I' Street NE Planning Department
Auburn,WA 93002 25 West Main
253 939 4055 Auburn, WA 98001
fax 253.939.2302
Dear Mr Hicks,
Combined Services
33301 Ist Way South Enclosed is a fully executed original contract between the City of Auburn
Suite C-115 and Valley Cities Counseling and Consultation. We have retained an original
Federal Way,WA 98003 for our files as well
251 661.6634
fax 253.661.6652
I have also attached a current insurance certificate for your records as noted
under Article VIII of the Agreement.
Combined Services
400 West Gowe Street Sincerely,
Suite 316
Kent,WA 98032
253.520 9350
fax 253.520 1799
an Bennett
Chief Development Officer
Intensive Outpatient/
Partial Hospitalization
34709 9th 4ve S
Suite 4-200
Federal Way,WA 98003
253.874 1475
fax 253 661.9338
TTY
253.735.3354
Marilyn LaCelle
Chief Executive Officer
A United Way
Agency since 1967
DATE IMM/DONYI
AC(ma ; CERTIFICATE OF INSURANCE 6/12/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
ACORDIA NORTHWEST, INC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
520 Pike Street, 20th Floor DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
Seattle, WA 98101-4095 COMPANIES AFFORDING COVERAGE
206-447-0500 COMPANY A
Uly 7 1tlr6ESTER Washington Casualty Company
INSURED
COMPANY
Valley Cities Counseling CITY City c Q E ANY C
and Consultation CITY (�
2704 I St N.E.
Auburn, WA 98002 COMPANY D
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXDPATION LIMITS
LTR DATE IMM/DD/YYI DATE IMM/DDWYI
GENERAL LIABILITY GENERAL AGGREGATE UNLIMITED
A X COMMERCIAL GENERAL LIABILITY WA MAO/1418 7/15/97 7/15/98 PRODUCTS-COMP/OP AGG. UNLIMITED
X I CLAIMS MADE El OCCUR PERSONAL&ADV INJURY INCLUDED
OWNER'S&CONTRACTOR'S PROF EACH OCCURENCE 2000000
A X Professional WA MAO/1418 7/15/97 7/15/96 FIRE DAMAGE(Any one eeel 100000
Liability MED.EXPENSE(Any one Person) 5000
AUTOMOBILE LIABILITY COMBINED SINGLE
— ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
—SCHEDULED AUTOS IPe/person)
HIRED AUTOS BODILY INJURY
—
NON-OWNED AUTOS Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY AVTO ONLY EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURENCE
UMBRELLA FORM AGGREGATE
—
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND I STATUTORY LIMIT I
EMPLOYER'S LIABILITY_ EACH ACCIDENT -'
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT
PARTNERS/EXECUTIVE —
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
City of Auburn is an Additional Insured but only as respects operations of the
Named Insured for the Certificate Holder
jms
CERTIFICATE HOLDER - CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF AUBURN MAIL 45DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn. Auburn City Clerk LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
25 Main Street LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.oin Auburn, WA 98002 AUTHORIZED RE‘ SENTA 722562000
ACORD 25-5 4X!931 ' frl ACORD CORPORATION 199 I
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CHARLES a BOOTH,MANOR / r�ry��� �a AUBURN CITY CLERK
Danielle Cra kam.ity Clerk 3"�rm `1r RT�G 25 West Main, Auburn,WA 98001
Cathy Richardson, Deputy City Clerk "I *"7;: City Clerk:(253)931-3039
Tame Bothell,Records/License Clerki)4 ° Business Registration:(253)9313007 Fax.(253)288-3132
May 8, 1998
Ms. Jan Bennett
Chief Development Officer
Valley Cities Counseling and Consultation
2704 "I" Street NE
Auburn, WA 98002
Dear Ms. Bennett:
On May 4, 1998, the Auburn City Council adopted Resolution No 2948 authorizing an
Agreement for Services with Valley Cities Counseling and Consultation to provide
mental health services for Auburn residents during 1998.
Enclosed is a copy of Resolution No 2948 and duplicate originals of the Agreement.
The Agreements have been executed by the City and now require the notarized
signature of a Valley Cities Counseling and Consultation official. Please return one fully
executed original Agreement to the Auburn City Clerk, 25 West Main Street, Auburn,
WA, 98001
Please also note the insurance requirements under Article VIII of the Agreement and
transmit the appropriate certificate of insurance to the Auburn City Clerk as soon as
possible.
If you have any questions, please contact Senior Planner Al Hicks at (253)931-3002.
Sincerely,
Charles A. Booth
Mayor
CAB:dd
Enclosures
Cc: Al Hicks, Senior Planner
c 'rir
CHARLES A.BOOTH, MAYOR Li"� AUBURN CITY CLERK
Danielle Daskam,City Clerk 25 West Main, Auburn,WA 98001
Cathy Richardson, Deputy City Clerk City Clerk(253)931-3039
Tamie Bothell,Records/License Clerk \ !!� Business Registration:(253)931-37 Fax:C53)188-31.31
Shin0,l
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
I, Danielle Daskam, the duly appointed, qualified City Clerk of the City of
Auburn, a Municipal Corporation and Code City, situate in the County of King,
State of Washington, do hereby certify that the foregoing is a full, true and correct
copy of Resolution No 2948 of the resolutions of the City of Auburn, entitled
"RESOLUTION NO 2948 "
I certify that said Resolution No 2948 was duly passed by the Council and
approved by the Mayor of the said City of Auburn on the 4th day of May, 1998
Witness my hand and the seal of the City of Auburn this 18th day of November,
1998
Danielle Daskam, City Clerk
City of Auburn