HomeMy WebLinkAbout3413 RESOLUTION NO. 3 4 1 3
A RESOLUTION OF THE CITY COUNGIL OF THE CiTY OF AUBURN,
WASHINGTON, AUTHORIZING THE MAYOR AND CITY CLERK TO ENTER
INTO AN AGREEMENT BETWEEN THE CITY OF AUBURN AND
_ _
COMMUNITY HEALTH CENTERS OF KING COUNTY DURING THE YEAR
2002.
THE CITY COUNCIL OF THE CITY OF AUBURN, WASHINGTON, IN A
REGULAR MEETING DULY ASSEMBLED, HEREWITH RESOLVES THAT:
Section 1. The Mayor and City Clerk of the City of Auburn are herewith
authorized to enter into an Agreement between the City of Auburn and
Community Health Centers of King County, a local non-profit charitable
organization, to provide human services to Auburn residents as described in
% said Agreement for the year 2002. A copy of said Agreement is attached
hereto and denominated Exhibit "A".
Section 2. The Mayor is hereby authorized to implement such
administrative procedures as may be necessary to carry out the directives of
this legislation.
DATED and SIGNED this 19th day of February, 2002.
CITY OF AUBURN
_ �
� � `---'
PETER B. LEWIS
MAYOR
----------------------
Resolution No. 3413
� January 28, 2002
Page i
ATTEST:
�
Danielle E. Daskam,
City Clerk
APPROVED AS TO FORM:
_ niel B. Heid,
City Attorney
----------------------
Resolution No. 3413
January 25, 2002
Page 2
AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this �q� day of
�� , 2002, by and between the CITY OF AUBURN, a municipal
corporation of th State of Washington, hereafter referred to as "CITY", and
COMMUNITY HEALTH CENTERS OF KING COUNTY, whieh is located at 403 E.
Meeker St. Ste 300 Kent, WA 98031, a non-profit corporation organized under the laws
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 health and preventive dental care for un/under insured
clients; and
WHEREAS; the CITY is interested in continuing support of Auburn Primary
Health Care, including development of additional resources and service sites, for low
income Aubum residents;
NOW, THEREFORE, In consideration of the covenants and conditions of this
Agreement, the parties agree as follows:
I. PURPOSE.
The purpose of this Agreement is to provide for an appropriation to the AGENCY
for providing serviees as set forfh in Exhibit 1, and incorporated herein by this reference
as if fully set forth, to Aubum residents during the 2002 term. This support is in
recognition of the fact that the demand for the serviees delivered by the AGENCY
continues to rise.
II. SCOPE OF SERVICES.
-------------------------------------- -
Agreement 3413
Community Health Centers of King County
. January 28,2002
Pa�e 1 of 9
A. The parties agree and understand that the AGENCY agrees to provide services,
as described in Exhibit ''1", which may include development of new resources, to low
income Auburn residents. Services to be provided are set forth in Exhibit "1" to this
agreement, and incorporated herein by this reference as if fully set fo�h.
B. The Agency agrees to provide at a minimum the services outlined on Exhibit 1.
Said services are to be completed no later than December 31, 2002.
III. TERM.
The term of this Agreement shall commence on January 1,2002 and shall expire
on Deeember 31, 2002. �
IV. PERFORMANCE REPORTS AND COMPENSATION
A. The AGENCY shall provide to fhe City within 15 days of the close of each
calendar quarter a status report containing program statistics regarding the type and
level of services provided to the Gity of Awbum, as well as financial information
. pertaining to the contract agreement and expenditures. The final report, which may
include estimated service levels, shall be submitted no later than December 15, 2002.
Format and contents of these reports are set forth in Exhibits 1 to 3 to this Agreement,
which are incorporated herein by this reference.
B. The Agency shall prepare and submit to the City two program evaluation reports
in the format commonly referred to as the ``Logic Model" which will show the intended
linkages between the activities conducted and the changes the activities will produce.
These reports shall contain information as set forth in Exhibit 4 to this Agreement, which
is incorporated herein by this reference, and shall be submitted to the City at the end of
the first quarter and within sixty days following the close of the calendar year.
Agreement 3413
Community Health Centers of King County
January 28,2002
Page 2 of 9
C. As fuil and total payment for the services provided under this Agreement, fhe
' CITY agrees to pay the AGENCY the total amount of$28,375.00 as set forth in Exhibit 1.
The CITY will pay an amount equal to one-quarter of the tota.l 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 Exhibit 4 to this Agreement, and is incorporated herein
by this reference.
VI. INDEMNIFICATION.
The AGENCY agrees to defend, indemnify, and hold harmless fhe CITY, its
elected and appointed officials, employees and agents from and against any and all ,
claims, demands and/or causes of action of any kind or character whatsoever arising out
of or relating to seniices provided by the AGENCY, its employees, volunteers or agents
conceming any and all claims by any persons for alleged injury or damage to persons or
property to the extent caused by the negligent acts, errors or omissions of the AGENCY,
its employees, volunteers or agents or representatives. In the event that any suit or claim ,
for damages based upon such claim, action, loss or damage is broughf against the CITY, I
the AGENCY shall defend the same as its sole costs and expense; provided that the
CITY retains the right to participate in said suit if any principle of governmental or public
law is involved; and if final judgment be rendered against the CITY and/or its officers, ��
elected officials, agents and employees or any of them or jointly against the CITY and II
the AGENCY and their respective officers, agents, volunteers, employees or any of I
them, the AGENCY shall fully satisfy the same and shall reimburse the CITY any costs
and expense which the CITY has incurred as a result of such claim or suit. The
provisions of this section shall su►vive the expiration or termination of this Agreement.
VII. INDEPENDENT CONTRACTOR/ASSIGNMENT.
--------------------------------------
Agreement 3413
Community Health Centers of King County
January 28,2002
Page 3 of9
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 GITY.
VIII. INSURANCE.
The AGENCY shall procure and maintain for the duration of this Agreement
insurance against claims for injuries to persons or property which may arise from or in.
connection with services provided by the AGENCY, it agents, employees or volunteers
under this Agreement. The AGENCY agrees to provide comprehensive general liability
insurance and shall maintain liabilify limits of nof less than ONE MILLION DOLLARS
($1,000,000) combined single limit coverage per occurrence for bodily injury, personal
injury and property damage. Where professional services are provided as part of the
services rendered pursuant to this Agreement, as shown in Exhibit 1, the AGENCY shall
also provide and maintain professional liability coverage including errors and omissions
coverage in the minimum liability amount of ONE MILLION DOLLARS ($1,000,000)
combined single limit per occurrence for bodily injury, personal injury and property
damage. Any deductibles or self insured retentions in either policy must be declared to
and approved by the CITY. At the option of the CITY either: The insurer shall reduce or
. eliminate such deductibles or self insured retentions as respects the CITY, its officials
and employees; or, The AGENCY shall procure a bond guaranteeing payment of losses
and related investigations, claim administration and defense expenses. The policies are
to contain or be endorsed to contain the following provisions:
Agreement 3413
Community Health Centers of King County
January 28,2002
Page 4 of 9
�
1) GENERAL LIABILITY COVERAGE:
The CITY, its elected and appointed officials, employees and agents are to be
covered as additional insureds as respects: Liability arising out of services and
activities performed by or on behalf of AGENGY, its employees, agents and
volunteers. The coverage shall contain no special limitations on the scope of
protection afforded to the CITY, its elected and appointed officials, employees or
agents.
2) GENERAL LIABILITY AND PROFESSIONAL LIABILITY COVERAGES:
(a) The AGENGY's insurance coverage shall be primary insurance as respecCs
the CITY, its officials, employees and agents. Any insurance or self insurance
maintained by the CITY, its officials, employees or agents shall be in excess
of the AGENCY's insurance and shall not contribute with it.
(b) Any failure to comply with reporting provisions of the policy shall not affect
coverage provided to the CITY, its officials, employees or agents.
(c) Coverage shall state that the AGENCY's insurance shall apply separately to
each insured against whom claim is bought or suit is brought except with
respect to the limits to the insurer's liability.
(d) Each insurance policy required by this clause shall be endorsed to state that
coverage shall not be suspended, voided, canceled, reduced in coverage, or
in Iimits except after thirty (30) days prior written notice by certified mail retum
receipt requested has been given to the GITY. The AGENCY agrees to
provide copies of the Certificates of Insurance to the CITY at the time that tfiis
Agreement takes effect.
Agreement 3413
Community Health Centers of King County
� January 28,2002
Page 5 of 9
(e) The AGENCY shall fumish the CITY with Certificates of Insurance and with
original endorsements affecting coverage required by this clause. The
certificate and endorsements for each insurance policy are to be signed by a
person authorized by that insurer to bind coverage on its behalf: The CIIY
reserves the right to require complete, certified copies of all required
insurance policies at any time.
(fl The AGENCY shall include all volunteers, employees and agents under its
policies or shall fumish separate certificates and endorsements for each. All
coverages for volunteers shall be subject to all the requirements stated
herein.
IX. 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 race, color, creed, religion, national origin, sex, age, or the presence of any
sensory, mental or physical handicap.
X. 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 GITY OF
Agreement 3413
Community Health Centers of King County
January 2$,2002
Page 6 of 9
AUBURN may inspect such documents upon good cause at any reasonabie time within
the three (3) year period.
XI. TERMINATION OF AGREEMENT.
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.
XII. GENERAL PROVISIONS.
A. The AGENCY agrees to submit a report to the CITY no later than
December 15, 2002, describing fhe progress and activities performed for
the year 2002 under its scope of services.
B. This Agreement shall be governed by the laws, regulations and
ordinances of the City of Aubum, the State of Washington, and County of
King and where applicable, Federal laws.
C. 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.
D. 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.
E. Should it become necessary to enforce any term or obligation of this
Agreement, then all costs of enforcement including attomeys fees and
--------------------------------------
Agreement 3413
Community Health Centers of King County
. . January 28,2002
Page 7 of 9
expenses and court costs shall be paid to the substantialiy prevailing
party.
F. The AGENCY agrees to comply with all local, state and federai laws
appiicable to its performance under this Agreement.
Agreement 3413
Community Health Centers of King County
January 28,2002
Page 8 of 9
CI AU Rt�
_ J'� ,�'
. �
PETER LEWIS
MAYOR
AT ST:
� � �' ��
,
Danielie E. Daskam,
City Clerk
APP D A O '
D ' eid,
Citq Attomey �,,,,.✓
COMMUNITY H - _ TH CE � OF �I�{~T�'
TITLE: Ex.erut�ve Di.rector
STATE OF WASHINGTON )
jss
COUNTY OF KING
�
On this �_ day of 3AnvA� , 2002, before me, the undersigned, a
Notary Public in nd for the S te of Washington, personaliy appeared
T�'lo r�c Tro m 0 P��.r�' , to me known to be the Executiye Director of Community
Health Centers of King County, 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 corporatiort.
IN WITNESS WHE-REOF, I have hereunto set my hand and affixed my official seal the
date hereinabove set forth.
NOTA Y PUBLIC in and for the State of
Washington, residing in A�(��P.�YI
. MY COMMISSION expires: ta.,-a5-o y
Agreement—Res. 3413, Community Health Centers of King County
January 28,2002
Page 9 of$�
�
EXHIBIT 1,GF-0223
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2002 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
Community Health Centers of King County 2�3-372-3610
403 E. Meeker St.Ste 300 425-277-1566
Kent,WA 98031 perocker@ehckc.org
Contact: Trish Crocker Title: Planner/Analyst
Are professional services (e.g., counseling, case management) provided as part of this
Agreemenfl yes
Contract Information
Contract Amount: $28,375.00 Program Name: Aubum Primary Health Care
Description of Service to be provided: health and preventive dental care for un/under insured clients
Reporting Information
Report for _1�QtdJan-Mar _2"d Qtr/Apr-Jun _3rd Qtr/Jul-Sep _4�'Qtr/Oct-Dec
2002 Service Units
City Funding All Funding Sources Actual Service
Only _ Units to Date,
Service Unit Description: Total all Fund
Auburn Residents Only Projecteci Actual Units by Quaiter Sources
_
Annual Units
Serviee UniUFerforrnance Measure 15t 2"d 3rd 4tn
.;;:.;:;.>::.;:.::.;�.>;:::�::::::::::;;::.;:::.;:.:.::....::..:..:::.:.:...�:::::::::;:;;:;:::::::..:::.:.�... ......
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......:................::::::.:�.�:.;:.;:.:;.::.::.;:.:;:.:..::::::::::::::::.;:::::::::.::.:::..........:::::.:.:..:�:::.:............................
.... ;.>:.;;:.;:.:.;:.::<.;:::::;<.;�::.::::.:�....................................................................... ....................................
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.................. ............................::.:.:::::.�.
Unduplicated Number of Aubum 73
Clients Served-Dental
Medical Vsits to Aubum Clients 195
Dental�sits to Aubum Clients 150
Narrative: Please attach other relevant information, including current trends, program developments,
special events, publieity, community education, etc. If actual senrice units are lower fhan anticipated,
please explain.
EXHIBIT 2,GF-0223
CITY OF AUBURN
2002 Quarterly Financial Report
Agency: Community Health Centers of King County Date:
Program: Auburn Primary Health Care
Report for _ 1�Qtr/Jan-Mar _2"d Qtr/Apr-Jun _3`d Qtr/Jul-Sep _4�h Qtr/Oct-Dec
__
Cost Categories Budget This Cumulative Award
Award Request to date 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 Detaii
-
Grand Total $28,375.00
Requested
Reimbursement:
Detail as Applicable:
EXHIBIT3,GF-0223
CITY OF AUBURN
2002 Demographic Report
Agency; Community Health Centers of King County Date:
Program: Auburn Primary Health Care
--
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:..:::.:..:....:,...................::::,;.:::::::.::::::::::::::::::::::::::::::<.:,<.;�::;::;<.;;;;.:a�:::::::.:.�::�::::.�:. .:::::::::::::..:::::;::::.: ;::::::::::::::::::::::.: .::;::,;:;.:::..::::.. .: :..�.;:.
� ....:..:.,...,........,.........�'...............::.........::::::::::.�::::::::::::.4.:::::.>,;:::::.:::.;�c�a�::�E3::::.
�s�f�tt�':>::�:`•:>`:;;>:>'•::::.:::'s:> AI ona _ . _ -
::. _ -
:. _ .. _ .
::�,�t�BEiG��`::`:,:.<;;:;::;;:::; Auburn
��:r�:.'..
< Black Diamond - -
;:>.:::�sE�ti��ilE;s�le�its`';;; Burien -
;<:.;.,..:;�:::.::.................
:;���::;�i�.:ltii�';:'<:�:' Covin on
.:....
>G:at�g:�c�i;:::'s:;:::;;;.:{.;:<{': _Des Moines
<l�i:al�;io�rer:;:':::::���';;: _ _
�e����� : Enumclaw _
,�f16!:tte3!x.�'jg,�lxs;.; Federal Wa
>:�4��?.<:;>::...r:.;�:<:::`>::s:::;` K@nt
:; Ma le Valle
Normand Park_
Pacific
Renton
_ SeaTac
;;;.;>:::>::>::>::>::;:�:<:::»»::»::>::» . .
:: Seattle
�: Tukwila
;:.�:::�;•:;•;:•>:•.:,::;:::<:•;>:•::•;:;.:
Unincor orated.Kin Count
:.:>;:::.;:•.;•::::::::::.::.�::::::.
.::::::..:.:.::...::::.:::..�::.�::. Other:
��'>:`:�:`;:::::;::::�<:>:�::>::::; Unknown
.::::.;:::.>:.;;;:::;:;:.::.>::;.:;:.;:.;:.:.
::::>:::>::>:z:>:>:s�::::::<:�»s::>::>:>:»> TOTAL _
::!�[E�i1�:;:;;:";;;::;>;;;;:;;;:'�;:;;; 30°,6 of inedian or below
?It'E4!�R#4:;:::':'�'::;':;;;;:;;;:<;::;:; 50%of inedian or below
.. :.:;.:-.;;;;;:•:.:•;.;•;<.:4>-_.. __
::i:idYet:::::;::::;::::::;::::>:�:':':.:;:?>::: 80%of_.median or beiow
•'•.:#:: Above 80'�of inedian
+?':' Unknown -
>::>s>:::�::>::>:<�:�>:<:::::::>::»::>:::::
.�::::::::::.�•:::::.:::::.�:::::: -
:::::::: TOTAL
::�([eTt�:>:;:;::>:�<::°:<>::»::s::::> Female =
�Bttii`e[:'•.r:>;:::::::>::::::::�:>?:: Male
;C�ei�:::�>:::::::::::€<#::;>s'<:::>;: 0'4
::�458f`:?::::`:;:':::?:::::<;':`>'•.:::::::�?:?: 5-12
:#>:###z:::::>;:':>:z:>:::;:.`:;::;:>:::%;>:::; 13-17
1&34 - -
' 35=54
':•;:::: 55-74
................... -
.:�::.>�:.;•:::.;:::.;•::.:�::.;:.;::::. _
::::.::•.:,•.:.::.:::•::.:.:.::::. -- -- -_
75+
:::>.`� Unknown
<�::>: TOTAL -
::E€�1€fi�R`,f::;�:;;';;':;:;;;;:`.;: Asian%Pacific Islander
•::.:�::::::::::::::::.
;.;;:;>:<:.•.:.............. _.
, .. __ - - -
:<�!���?.�:::''s;�;;:;:::;:;:;':;:;::::;° Black/African American
- _._.
CCtIl�;:;:#:s;;;::�:: His anic/Latino
':'��;.•:.•......:.:::::::::::.:
<:>:'• Native American/Alaskan Native
':�::: White/Caucasian
.........:........:..;.�:•;:.::.:.::::
:::::.;:..:::.:,:::................ _ __
::::;,�•:.�,:.:�:::::::::.;•:::•::. - _.
::i::: Other
:::..::::.�::.�:::::::::•.:::•:;.::. _--- __
: Unknown
: TOTAL
`C�ct�tti#i�:�::::::;:::;:::::':::`::`:; Disablin Gondition
:����::::::�:".?::>><:>`:><:':::€i::'::: Limited En lish S eakin
................:......;•......... _ _
;;},iqii�tt'tilt€�::��:'::::::::::::::::::: Female-Headed Household
EXHIBIT 4,GF-0223
CITY OF AUBURN
Logic Model Evaluation Format
Agency; Community Health Centers of King County Date:
Program: Aubur.n Primary Health Care
I. Submission Dates.
This report shall be submitted with the first quarter invoice and again within sixty (60)'days of
the end of the calendar year.
II. Contents.
A. The components of the evaluation will:
1) Identify both process and outcome portions of health and preventive dental care for
un/under insured clients;
2) Show the relationship of program resources and activities to the expeeted results or
outcomes;
3) Help identify those questions the evaluafion is to answer;
4) Provide a graphic summary of how program parts relate to the whole;
5) Make explicit the underlying theory of the program; and
6) Identify measurable eategories in the program evaluation;
B. Community Health Centers of King County shall develop the following status report
components within the time frames established below:
1) 1 St Quarter 2002
a) The outcome based results Community Health Centers of King County expects
to achieve;
b) An indicator to inform the Community Health Centers of King County that the
anticipated change has or has not occurred; and
c) The method for gathering information needed to indicate the outc6mes fhat have
occurred.
d) Initial Collection and assessment of the information acquired to include:
alterations in the anticipated outcomes or alteration in the methodology of
information gathering.
2) 4th Quarter 2002
a) Information collected;
b) Conclusions developed as a result of the information.
COVER PAGE,GF-0223
CITY OF AUBURN
F-iUMAN SERVICE AGREEMENT
_ _ __
2002 INVOICE FOR CONTRACTED SERVICE�
To: City of Auburn, Attn: Shirley Aird,Planning Deparfinent
25 West Main, Auburn,WA 98001
Agency: Community Health Centers of King County Date:
403 E. Meeker St. Ste 300 253-372-3610
Kent,WA 98031 42�-277-1566
perocker@chckc.org
Contaet: Trish Crocker
Invoice for. ❑ 1S�Quarter,January to March—Due April 15,2002
� 2nd Quarter,April to June—Due July 15,2002
❑ 3`� Quarter,July to September—Due October 15,2002
❑ 4th Quarter(Preliminary, Cover sheet and Ex::B only) October to December—Due
December 13, 2002
❑ 4th Quarter(Final) October to December—Due January 31, 2003
Amount Requested: ..... ,... . ....
Required Attachment Checklist; _ _ Exhibit A-Quarterly Service Report
Exhibit B=Quarterly Financial Report
=Exhibit C—Demographic Report(2"tl and 4th Quarters only)
_Logic Model/Outcomes Report(1St and 4th Quarters only)
_Proof of Insurance (1St quarter and/or if expired since last
reimbursement request)
I certify to the best of my knowledge that this invoice and attachments reflect actual service provided to
Aubum residents.
sl narure of u.,
A thorized ..�
Re res..:,,:.�:.:::.
g p enta e .: .Date ..
The City of Aubum will issue payment upon this invoice within thirty(30) business days of receiPt.To
ensure prompt payment, please submit this form and all required attachments by the date listed above.
FOR C/TY OFAUBURIU USE ONLY:
Cbntract Amount: $28_375.00.
Payments Year to Date: Date:
Date:
Date:
Date:
Payment this invoice: Contract Balance:
Authorized to Pay:
Signature Date
COVER PAGE-MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST