HomeMy WebLinkAboutSouth King Council of Human Services GF-1233 * * Department of Administration
CIrYOF �_ ■ Michael Hursh, Community Services Manager
r. 25 West Main Street
—�
) WASHINGTON 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 South King Council of
Human Services 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 strengthen agencies and coalitions that make up South King County's human services
system located in the City of Auburn. Services will be delivered as per the attached Scope of Work.
2. PAYMENT The CITY will pay a fee to the AGENCY for services provided in the amount of$5,000
per year, paid in semi-annual installments of equal amounts, for services delivered as described in the
attached Scope of Work. This fee shall be payable in a lump sum upon receipt of an invoice from the
AGENCY with appropriate supporting documentation.
3. EXPENSE 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.
S. RELATIONSHIP OF PARTIES. It is understood by the parties that the AGENCY is an independent
contractor with respect to the City of Auburn, and not an employee of the CITY The CITY will not
provide fringe benefits, including health insurance benefits, paid vacation, or any other employee
benefit, for the benefit of the AGENCY
6. EMPLOYEES. The provisions of this Agreement shall also bind the AGENCY employees who
perform services for the CITY under this Agreement.
7 INDEMNIFICATION / HOLD HARMLESS. The AGENCY shall defend, indemnify and hold the City,
its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages,
losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of
the AGENCY in performance of this Agreement, except for injuries and damages caused by the sole
negligence of the City The City of Auburn shall defend, indemnify and hold the AGENCY, its officers,
officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits
including attorney fees, arising out of or resulting from the acts, errors or omissions of the City in
performance of this Agreement, except for injuries and damages caused by the sole negligence of the
AGENCY
8. INSURANCE. The AGENCY shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which may arise from or in
connection with the performance of the work hereunder by the AGENCY, its agents, representatives, or
employees.
City of Auburn Agreement: GF-1233, South King Council of Human Services —Capacity Building Project
January 1, 2012
Page 1 of 4
A. Minimum Scope of Insurance, the AGENCY shall obtain insurance of the types described
below:
1 Automobile Liability insurance covering all owned, non-owned, hired and leased
vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00
01 or a substitute form providing equivalent liability coverage. If necessary, the
policy shall be endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO occurrence form CG
00 01 and shall cover liability arising from premises, operations, independent
contractors and personal injury and advertising injury The City shall be named as
an insured under,the AGENCY's Commercial General Liability insurance policy with
respect to the work performed for the City
3. Workers' Compensation coverage as required by the Industrial Insurance laws of the
State of Washington.
4 Professional Liability insurance appropriate to the AGENCY profession.
B. Minimum Amounts of Insurance: The AGENCY shall maintain the following insurance
limits:
1 Automobile Liability in with a minimum combined single limit for bodily injury
and property damage of$1,000,000 per accident.
2. Commercial General Liability insurance shall be written with limits no less than
$1,000,000 each occurrence, $2,000,000 general aggregate.
3. Professional Liabilitv insurance shall be written with limits no less than $1,000,000
per claim and $1,000,000 policy aggregate limit.
C. Other Insurance Provisions: The insurance policies are to contain, or be endorsed to
contain, the following provisions for Automobile Liability, Professional Liability and
Commercial General Liability insurance:
1 The AGENCY's insurance coverage shall be primary insurance as respect the City
Any insurance, self-insurance, or insurance pool coverage maintained by the City
shall be excess of the AGENCY's insurance and shall not contribute with it.
2. The AGENCY's insurance shall be endorsed to state that coverage shall not be
cancelled by either party, except after thirty (30) days prior written notice by certified
mail, return receipt requested, has been given to the City
D. Acceptability of Insurers: Insurance is to be placed with insurers with a current A.M. Best
rating of not less than A. VII.
E. Verification of Coverage: The AGENCY shall furnish the City with original cert-ificates and
a copy of the amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of the AGENCY
before commencement of the work.
9. ASSIGNMENT The AGENCY obligations under this Agreement may not be assigned or transferred
to any other person, firm, or corporation without the prior written consent of the CITY
10. NOTICES. All notices required or permitted under this Agreement shall be in writing and shall be
City of Au bum Agreement:GF-1233, South King Council of Human Services —Capacity Building Project
January 1 2612
Page 2 of 4
deemed delivered when delivered in person or deposited in the United States mail, postage prepaid,
addressed as follows:
IF for the South King Council of Human IF for the CITY
Services Michael Hursh
Nathan Phillips, Executive Director Community Services Manager
SKCHS City of Auburn
4800 S 188"' St., Suite 232 25 West Main Street
SeaTac, WA 98188 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 written or oral agreements between the parties.
12. AMENDMENT This Agreement may be modified or amended if the amendment is made in writing
and is signed by both parties.
13. SEVERABILITY If any provision of this Agreement shall be held to be invalid or unenforceable for
any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that
any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would
become valid and enforceable, then such provision shall be deemed to be written, construed, and
enforced as so limited.
14. WAIVER OF CONTRACTUAL RIGHT The failure of either party to enforce any provision of this
Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce
and compel strict compliance with every provision of this Agreement.
15. APPLICABLE LAW This Agreement shall be governed by the laws of the State of Washington.
The undersigned have read the above statements, understand them, and agree to abide by their terms.
Agency City of Aubum
Signed: Signed: kY�
Printed: nn CJ cA--) e- u�uv� Printed: �
b
Title: 'II II Title: !, �
Date: S '- 'a Date: t o 1N4 I I y
Address: l b S 1��� Address: 25 West Main Street
-I 15�e Z37
S P l C ql� T F, Auburn, WA 98001
Phone: 1 Phone: (253) 876-1964 (Community Services Line)
City of Auburn Agreement: GF-1233, South King Council of Human Services —Capacity Building Project
January 1 2012
Page 3 of 4
HUMAN SERVICES AGREEMENT BETWEEN THE
CITY OF AUBURN & SOUTH KING COUNCIL OF HUMAN SERVICES —
CAPACITY BUILDING PROJECT
Scope of Work
Services to include:
• Provide 60 hours of technical assistance to agencies in Auburn.
• Technical assistance services include grant writing assistance, advice on focusing of program
areas, financial management, systems development, strategic initiatives, evaluation and reporting.
• Making resource connections and collaborations happen by sharing information on a regional level;
helping local service providers and policy-makers take advantage of regional resources.
Reporting Requirements:
• With each semi-annual request for reimbursement, South King Council of Human Services—
Capacity Building Project 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 Auburn Agreement:GF-1233, South King Council of Human Services —Capacity Building Project
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 between the City of
Auburn and South King Council of H man Se ice"s — Capacity Building Project, the original of which was
executed on the_ day of , 2012. All other terms and conditions of the agreement
for services shall rem in in full force ind 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.
ll. 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 conceming 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-1233, South King Council of Human Services —Capacity Building Project
January 1 2012
Page 1 of 2
CITY OF AUBURN
PETER B. LE
MAY
ATTEST
Danielle E. Daskam,
City Clerk
APPROVED AS TO FORM:
Daniel B. Heid,
City Attorney
South King Council of Human Services
BY- LQU`n e- &�\1N\
TITLE. dO':`� p�51�Ph�
STATE OF W INGTON )
)ss
COUNTY F KING )
On this .2/ day of .'r% 2012, before me, the undersigned, a Notary Public in
d for the State of Washington, personal appeared 4.z"-r,e �okt , to me known to be
the j3!2 d -s,c1e.-E of South King Council of Human Services, 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.
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B�N��iy��iy .Gc. (.G_ � �sti✓tt✓l
a0T�� „£'des �f TARY PUBLIC in and f the State of
Washington, residing in
aVg��G ; MY COMMISSION expires: 17--2f-/Y
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City of Auburn Agreement: GF-1233, South King Council of Human Services —Capacity Building Project
January 1,2012
Page 2 of 2
AMY F * '`"�� ■
EXHIBIT COVER PAGE
GF-1233
WASHINGTON
HUMAN SERVICE AGREEMENT
2012 INVOICE FOR CONTRACTED SERVICES
To: CITY OF AUBURN, ATTN: COMMUNITY SERVICES
25 WEST MAIN STREET, AUBURN WA 98001
Agency South King Council of Human Services
4800 188th STREET STE, 232
SEATAC, WA 98188
Program: Capacity Building Project Contact, Title: Nathan Phillips, Program Director
Phone: (206) 462-6643
Email: nathan@skchs.org
Amount Requested: $ 7;250.00
Invoice for- ❑ 1"Quarter, January to March—Due: April 15, 2012
❑ 2"" 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
Attachments: ❑ Quarterly Service Report- Exhibit 1
❑ Quarterly Financial Report— Exhibit 2
❑ Demographic Report(2n and 4th Quarters only)— Exhibit 3
❑ Outcomes Report(4th Quarter only)—Exhibit 4
❑ Proof of Insurance(1"Quarter or if expired)
❑ Logic Model (1 3t 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 or 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: $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
South Kin Council of Human Services
4800 188tf STREET STE, 232
SEATAC, WA 98188
Contact, Title: Nathan Phillips, Program Mgr
Phone: (206)462-6643— (206) 851-5084 cell
Email: nathan(6skchs.org
Are professional services (e.g., counseling, case management) provided as part of this
Agreement?
Contract Information
Contract Amount: $5,000
Program Name: Capacity Building Project
Description of Service to be provided:
Reporting Information
Report for _ 1"Qtr/Jan-Mar _2nd Qtr/Apr-Jun _3n' Qtr/Jul Sep _4'"Qtr/Oct-Dec
2012 Service Units
City Funding All Funding Sources
_
Only
Actual Service
Service Unit Description: Tott al Units to Date
Auburn Residents Only Projected Actual Units by Quarter
Annual Units
Service Unit/Performance Measure im 2n° 3n' 4"'
Unduplicated Number of Auburn 60
Clients Served
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.
2012 Exhibit 2
CITY OF AUBURN
2012 Quarterly Financial Report
Agency- South King Council of Human Services Date:
Program: Capacity Building Project
Report for _ 1�Qtr/Jan-Mar 2n° Qtr/Apr-Jun _3n'Qtr/Jul-Sep _4t'Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
1 Personal/Agency Services
2" Office"/Operatirig 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:
2012 Exhibit 3
CITY OF AUBURN
2012 Demographic Report
Agency- South King Council of Human Services Date:
Program: Capacity Building
category I I ..SOtaIY.TD.-
Client Algona
Residence— Auburn
Enumclaw
"List all clients Federal Way._
served in this Kent
category. Pack
In all other
categor/esllst unincorporated.King County
Aubum Wents Other. —
oety. Unknown.
TOTAL
Client 30%of median or below
Income 50%of median or below
Level 80%of median or below
Above 80%of median _
Unknown
TOTAL
Client Female
Gender Male
Client ------ 0:4_ -
Age 5-12
13.17
18.34
35.54
55.74
75+
Unknown
TOTAL
Ethnicity/ Asian- - - -
Cultural Asian/White
Background American Indian/Alaskan Native
American Indian/Alaskan Native&White
American Indian/Alaskan Native&Black
/African American
Bla'ok/African American
Black/African American&While
Hispanic/Latino
Native Hawaiian I Other Pacific Islander
Unknown/No Res onse- _
TOTAL _
Condition. Disablin Condition
ESL Limited English Speaking
Household Female-Headed Household _
Male-Headed Household
CITY OF AUBURN OUTCOMES REPORT- EXHIBIT
Funder Reporting to: City of Auburn Reporting Period: to Date Form Completed:
Agency Program:
Contact Person: E-mail: Phone:
I Otr Due: Outcome Identified,indicators given data collection methods) explained
4' 'Qtr. Due:10utcofiie results
OUTCOME. (What change do you expect to see?)
MEASURABLE INDICATORS: (How will you know change has occurred?)
DATA COLLECTION METHOD(S):
OUTCOME RESULTS: (Narrative) highlight your data, include your interpretation of the data and attach any graphics if available.
CITY OF AUBURN LOGIC MODEL REPORT Suggested Template
Funder Reporting to: City of Auburn Reporting,Period: to Date Form-Completed:
Agency Program:,
Contact Person: E-mail: Phone:
Program Evaluation Logic Modd
PROCESS OUTCOME
RESOURCES ACTIVITIES OUTPUTS OUTCOMES GOAL
INDICATORS
ii