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CITY OF AUBURN AGREEMENT FOR HUMAN SERVICE ACTIVITIES
COSTING $5,000 PER YEAR OR LESS
This two year Agreement is made effective as of January 1, 2015, by and between Ukrainian
Community Center of WA and 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, 2015, the AGENCY agrees to
provide crisis family intervention to the greater Slavic immigrant families. Services will be
delivered as per the attached Scope of Services.
2. PAYMENT. The CITY will pay a fee to the AGENCY for services provided in the amount of
$5,000 per year, paid in quarterly installments of equal amounts, for services delivered as
described in the attached Scope of Services. 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 'but -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. The term of this Agreement shall commence on January 1, 2015
and shall expire on December 31, 2016. Provided that if the Auburn City Council does not
appropriate sufficient funding for the 2016 calendar year this Agreement shall terminate on
December 31, 2015. This Agreement may be terminated by either party upon ten (10) days
written notice should the other party fail substantially to perform in accordance with its terms
through no fault of the other.
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.
City of Auburn Agreement: GF- 15/1632, Ukrainian Community Center of WA — Crisis Family Intervention
January 1, 2015
Page 1of4
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.
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 insurance 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 Liability 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:
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.
City of Auburn Agreement: GF- 15/1632, Ukrainian Community Center of WA — Crisis Family Intervention
January 1, 2015
Page 2 of 4
The undersigned have read the above statements, understand them, and agree to abide by
their terms.
City of Auburn
Signed:
Printed:
Title:
RAJ of
Date: Q to 1-15
Address: 25 West Main Street
Auburn, WA 98001
Phone: (253) 931 -3096
(Community Services)
City of Auburn Agreement: GF- 15/1632, Ukrainian Community Center of WA— Crisis Family Intervention
January 1, 2015
Page 4 of 4
enc
Signed:
Printed:
Title:
Date:
Address:
17701 108`h Ave. SE #336
WA 98055
Phone:
Renton,
/ /,ZS\ y_,U _ 822Q
City of Auburn
Signed:
Printed:
Title:
RAJ of
Date: Q to 1-15
Address: 25 West Main Street
Auburn, WA 98001
Phone: (253) 931 -3096
(Community Services)
City of Auburn Agreement: GF- 15/1632, Ukrainian Community Center of WA— Crisis Family Intervention
January 1, 2015
Page 4 of 4
4
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
certificates 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 deemed delivered when delivered in person or deposited in the United States mail,
postage prepaid, addressed as follows:
IF for Ukrainian Community Center
IF for the CITY:
Ukrainian Community Center of WA
City of Auburn
Oleg Pynda
Community Services
17701 108`h Ave. SE #336
25 West Main Street
Renton, WA 98055
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.
City of Au bum Agreement: GF- 15/1632, Ukrainian Community Center of WA— Crisis Family Intervention
January 1, 2015
Page 3 of 4
EXHIBIT A
r' CITY OF AUBURN
2015 -2016 HUMAN SERVICES AGREEMENT
SCOPE OF SERVICES
Agency / Program:
Ukrainian Community
Center of WA
Crisis Family Intervention Program
Location / Mailing:
Site Address:
17701 108"' Ave. SE #336
Renton, WA 98055
Same
Annual Funding:
2015: $5,000
2016: $5,000
Age c Contact / Title:
Irina Pili chuk
Pro ram Mana er
Phone / Email:
425 430 -8229
ipilipchuk@uccwa.org
Fax:
425 336 -2785
City Contact / Title:
Emil J. Pearson
community Services Assistant
Phone / Email:
253 931 -3096
epearson@auburnwa.gov
Fax:
253 288 -3132
Location / Mailing:
Site Address:
Auburn City Hall
25 Main Street
Auburn, WA 98002
Mailing Address:
Auburn City Hall
25 West Main Street
Auburn, WA 98001
1) Project Summary:
Agency shall utilize City of Auburn funds to provide Crisis Family Intervention Program services that
include parenting education classes to parents with children aged 0 -18 . Such services shall be provided
in a manner which fully complies with all applicable federal, state and local laws, statutes, rules and
regulation. Agency shall ensure that City of Auburn residents are being provided services using awarded
Human Services funds under this Agreement.
2) Performance Measures:
a. Number Served - the Agency agrees to serve, at minimum, the following unduplicated number of
Auburn residents with awarded Human Services funds.
Number Served
Annual
Goal
1n Qtr.
JAWMARCH
2nd Qtr.
APRIL -JUNE
3rd Qtr.
JULY -SEPT
4th Qtr.
OCT -DEC
Number of unduplicated Auburn residents
5
2
1
1
1
assisted in 2015
1
TBD
TBD
TBD
TBD
Number of unduplicated Auburn residents
5
2
1
1
1
assisted in 2016
1
TBD
TBD
TBD
TBD
b. Service Units - the Agency agrees to provide, at minimum, the following service units by quarter.
Service Units
Annual
1= Qtr.
2nd Qtr.
3rd Qtr.
4th Qtr.
Goal
JAN -MARCH
APRIL -JUNE
JULY -SEPT
OCT -DEC
1. Training/workshops /Classes offered in
2015
1
TBD
TBD
TBD
TBD
2. Counseling offered in 2015
5
2
1
1
1
1. TrainingMorkshops /Classes offered
in 2016
1
TBD
TBD
TBD
TBD
2. Counseling offered in 2016
5
2
1
1
1
Definition of Service Units:
TrainingMorkshops /Classes = two hours parenting education sessions. Dales to be determined (TBD).
Counseling = counseling sessions.
SCOPE OF SERVICES
CONTINUED
3) Outcome(s):
Training/Workshops /Classes = Individuals and /or families improve health (physical /dental /mental)
Counseling = Improved family relationships.
4) Reporting Requirements:
All data and required forms shall be submitted online through SharelApp (except special circumstances
preapproved by city staff) at http:// sharelapp .culturegrants.org /index/login. Required forms shall be
submitted annually and quarterly; quarterly reports are due no later than the 15`h of the month following the
end of each quarter (i.e. April 15`h, July 15'h, October 150, January 15h).
Service Unit Report (required quarterly): Submitted in SharelApp, data from this form will be used to track
each program's progress toward meeting the goals stipulated in the Scope of Services.
Reimbursement Request (required quarterly): Submitted in SharelApp, this form will serve as the invoicing
mechanism for payment to your agency /program. Reimbursement Requests need to be signed and
returned to the City of Auburn staff contact as listed in section five (5) of this Scope of Services.
Demographic Data Report (required annually): The agency shall collect and retain data requested on this
form from persons served through this Agreement. Data should be tracked in an ongoing manner and
submitted annually in SharelApp (by January 15h).
Annual Outcome Data Report (required annually): Data should demonstrate the program's progress toward
Outcomes specified in the Scope of Services. Outcome data shall be submitted in SharelApp annually (by
January 15'h).
5) Compensation:
The Agency agrees that it will meet the specific funding conditions identified and acknowledges that
payment to the Agency will not be made unless the funding conditions are met. Expenses must be
incurred prior to submission of quarterly reimbursement requests. Quarterly reimbursement requests shall
not exceed the estimated payment without prior written approval from the City. Estimated quarterly
payments are contingent upon meeting or exceeding the above performance measure(s) for the
corresponding quarter. This requirement may be waived at the sole discretion of the City with satisfactory
explanation of how the performance measure will be met by year -end in the Service Unit Report.
The Agency shall submit Reimbursement Requests in the format requested by the City. Reimbursement
Requests need to be signed and returned to City of Auburn via email at epearson(a)auburnwa.gov
or mail to:
City of Auburn
Attn: Emily J. Pearson
25 West Main Street
Auburn, WA 98001
Estimated Quarterly Reimbursements:
2015
$5,000
2016
$5,000
1" Qtr
$1,250
1s' Qtr
$1,250
2" Qtr
$1,250
_Z6Qtr
$1,250
3` Qtr
$1,250
3` Qtr
$1,250
415-- Qtr
$1,250
4 'Qt r
$1,250