HomeMy WebLinkAboutSeatle King County: Moblie Medical ProgramC1V6,%1 S
CITY OF AUBURN - AGREEMENT FOR SERVICES
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�I This two year AGREEMENT made and entered into this 3 day of
2015, by and between the CITY OF AUBURN, a municipal corporation
of the State of Washington, hereafter referred to as "CITY ", and Seattle King County: Mobile
Medical Program which is located at 401 Fifth Ave, Suite 1000, Seattle WA 98104 -1823, an
agency of a charter county government under the constitution 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 healthcare for patients who are homeless; and
WHEREAS, the CITY is interested in continuing support of the AGENCY 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:
PURPOSE
The purpose of this Agreement is to provide for an appropriation to the AGENCY for
providing services as set forth in Exhibits and incorporated herein by this reference as if fully set
forth, to Auburn residents during the 2015 -2016 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 which may include development of new resources, to low income Auburn
residents. Services to be provided are set forth in Exhibits of this Agreement, and incorporated
herein by this reference as if fully set forth.
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, of said contract year.
III. TERM
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.
City of Auburn Agreement: GF- 15/1624, Seattle King County —Mobile Medical Program
January 1, 2015
Page 1 of 5
IV. PERFORMANCE REPORTS AND COMPENSATION
A. The AGENCY shall provide reports to the City within 15 days of the close of each
calendar quarter. Reporting requirements are outlined in the Exhibits, the format and contents
are set forth in the Exhibits to this Agreement, which are incorporated herein by this reference.
B. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of $10,000 per contracted year, as set forth
in the Exhibits. 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.
V. INDEMNIFICATION
The AGENCY represents to the CITY that the AGENCY has competent, trained staff
and where necessary, professional staff to render the services to be performed under this
Agreement. The AGENCY agrees to indemnify, hold harmless and defend the CITY, its elected
officials, officers, employees, agents, and volunteers from any and all claims, demands, losses,
actions and liabilities (including costs, expenses and all reasonable attorneys' fees) to or by any
and all persons or entities, including without limitation, their respective agents, licensees, or
representatives, arising from, resulting from, or connected with the Agreement to the extent
caused by the negligent acts, errors or omissions of the AGENCY, its partners, shareholders,
agents, employees, or by the AGENCY's breach of this Agreement. The AGENCY waives any
immunity that may be granted to it under the Washington State Industrial Insurance Act, Title
51 RCW. The AGENCY's indemnification shall not be limited in any way by any limitation of the
amount of damages, compensation or benefits payable to or by any third party under workers'
compensation acts, disability benefit acts or any other benefits acts or programs.
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- 15/1624, Seattle King County — Mobile Medical Program
January 1, 2015
Page 2 of 5
F
VII. INSURANCE
King County, a charter county government under the constitution of the State of
Washington, hereinafter referred to as "AGENCY ", maintains a fully funded Self- Insurance
program as defined in King County Code 4.12 for the protection and handling of the
AGENCY's liabilities including injuries to persons and damage to property. The CITY
acknowledges, agrees and understands that the AGENCY is self- funded for all of its liability
exposures. The AGENCY agrees, at its own expense, to maintain, through its self- funded
program, coverage for all of its liability exposures for this Agreement. The AGENCY agrees to
provide the CITY with at least 30 days prior written notice of any material change in the
AGENCY's self- funded program and will provide the CITY with a certificate of self- insurance as
adequate proof of coverage. The CITY further acknowledges, agrees and understands that the
AGENCY does not purchase Commercial General Liability insurance and is a self- insured
governmental entity; therefore the AGENCY does not have the ability to add the CITY as an
additional insured.
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
any protected class status as defined by any national, state or local laws or ordinances
including but not limited to race, color, creed, religion, national origin, sex, sexual orientation,
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.
City of Auburn Agreement: GF- 15/1624, Seattle King County —Mobile Medical Program
January 1, 2015
Page 3 of 5
I
X. TERMINATION OF AGREEMENT
This Agreement may be terminated by either party without cause, in whole or in part,
prior to the date specified in Section III above, by providing the other party thirty (30) days
advance written notice of the termination.
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.
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 attorney's 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.
XII. NO THIRD PARTY BENEFICIARIES
Except for the parties to whom this Agreement is assigned in compliance with the terms
of this Agreement, there are no third party beneficiaries to this Agreement, and this Agreement
shall not impart any rights enforceable by any person or entity that is not a party hereto.
City of Auburn Agreement: GF- 15/1624, Seattle King County — Mobile Medical Program
January 1, 2015
Page 4 of 5
CITY OF AUBURN
ATTEST:
Danielle E. Daskam,
City Clerk
TO
Qarfiel B. Hei
City Attorney
&
IC BACKUS
MAYOR
SEATTLE KING COUNTY — MOBILE MEDICAL PROGRAM
BY:
TJ Cosgrove
PRINT: onteAffn DdleWPir tltff
Community Health Services
Public Health - Seattle & King County
City of Auburn Agreement: GF- 15/1624, Seattle King County — Mobile Medical Program
January 1, 2015
Page 5 of 5
EXHIBIT A
CITY OF AUBURN
2015 -2016 HUMAN SERVICES AGREEMENT
SCOPE OF SERVICES
Agency / Program:
Seattle -King County
Dept. of Public Health
South King County Mobile
Medical
Location / Mailing:
Site Address:
mobile — various locations
Mailing Address:
401 Fifth Ave., Ste. 1000
Seattle, WA 98104 -1823
Annual Funding:
2015: $10,000
2016: $10,000
Agency Contact / Title:
John Gilvar
Program Manager
assisted in 2015
64
16
Phone / Email:
206) 369 -3489
john.gilvar@kingcounty.gov
Fax:
51
City Contact / Title:
Emily 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 West Main Street
Auburn, WA 98001
Mailing Address:
Auburn City Hall
25 West Main Street
Auburn, WA 98001
1) Project Summary:
Agency shall utilize City of Auburn funds to provide South King County Mobile Medical program services
that include dental. medical. mental health services and a wide -ranoe of outreach and case management
services for people experiencing homelessness. 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
Ist Qtr.
JAN -MARCH
2nd Qtr.
APRIL -JUNE
3rd Qtr.
JULY -SEPT
4th Qtr.
OCT -DEC
Number of unduplicated Auburn residents
51
13
13
13
12
assisted in 2015
64
16
16
16
16
Number of unduplicated Auburn residents
51
13
13
13
12
assisted in 2016
b. Service Units - the Agency agrees to provide, at minimum, the following service units by quarter.
Service Units
Annual
1r Qtr.
2nd Qtr.
3rd Qtr.
4th Qtr.
Goal
JAN -MARCH
APRIL -JUNE
JULY -SEPT
OCT -DEC
1. Dental Care offered in 2015
64
16
16
16
16
1. Dental Care offered in 2016
64
16
16
16
16
Definition of Service Units:
Dental Care = unduplicated clients receiving at least one dental visit.
SCOPE OF SERVICES
CONTINUED
3) Outcome(s):
Individuals and /or families improve health (physical /dental /mental).
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/Iogin. Required forms shall be
submitted annually and quarterly; quarterly reports are due no later than the 15" of the month following the
end of each quarter (i.e. April 15'h, July 15th, October 15th, January 15").
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 15'h).
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 15th).
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
$10,000
2016
$10,000
1s' Qtr
$2,500
1" Qtr
$2,500
2 nd Qtr
$2,500
2 nd Qtr
$2,500
3` Qtr
$2,500
3d
$2,500
41 Qtr
$2,500
4' Qtr
$2,500