HomeMy WebLinkAboutCrisis Clinic GF0710Q',I!~~
A ~ ' sus ~
MAY 2420
AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this ,~~~ day of
2007, by and between the CITY OF AUBURN, a municipal
c rporation of the State of Washington, hereafter referred to as "CITY", and "CRISIS
CLINIC" which is located at 1515 Dexter Avenue North, Suite 300, Seattle, Washington
98109, anon-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 telephone referral services through the Crisis Line; and
WHEREAS, the CITY is interested in continuing support of Crisis Clinic, including
development of additional resources and service sites, for low income Auburn residents;
WHEREAS, on January 7, 2003, the CITY entered into a Joint Funding
Memorandum of Understanding with the cities of Burien, Des Moines, Federal Way, Kent,
Renton, SeaTac and Tukwila ("Cities") to jointly fund and monitor a single contract with
Crisis Clinic for Telephone Services; and
WHEREAS, it is the City's responsibility to enter into an agreement with Crisis
Clinic on behalf of the Cities which are party to said Memorandum of Understanding;
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 services as set forth in Exhibit 1 through 3 and the MOU labeled Exhibit A,
and incorporated herein by this reference as if fully set forth, to the Cities' residents
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GF0710: Crisis Clinic
March 2, 2007
Page 1 of 9
during the 2007 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 1 through 3 and the MOU labeled Exhibit A, which may include
development of new resources, to callers and clients from the Cities. Services to be
provided are set forth in Exhibits 1 through 3 to this agreement and the MOU labeled
Exhibit A, 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, 2007.
III. TERM.
The term of this Agreement shall commence on January 1, 2007 and shall expire
on December 31, 2007.
IV. PERFORMANCE REPORTS AND COMPENSATION
A. The AGENCY shall provide to the 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 Cities, as well as financial information pertaining to the
contract agreement and expenditures. The City of Auburn will then forward that
information to the other participating Cities. The final report, which may include estimated
service levels, shall be submitted no later than December 12, 2007. 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. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of $48,152 as set forth in Exhibit 1. The
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GF0710: Crisis Clinic
March 2, 2007
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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.
VI. INDEMNIFICATION.
The AGENCY agrees to defend, indemnify, and hold harmless the 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 services provided by the AGENCY, its employees, volunteers or agents
concerning 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 brought against the CITY,
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 the
AGENCY and their respective officers, agents, volunteers, employees or any of 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 survive the expiration or termination of this Agreement.
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GF0710: Crisis Clinic
March 2, 2007
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VII. 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.
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 liability limits of not 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:
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GF0710: Crisis Clinic
March 2, 2007
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1) GENERAL LIABILITY COVERAGE:
The CITY, its elected and appointed officials, employees and agents are to be
covered as additional insured as respects: Liability arising out of services and
activities performed by or on behalf of AGENCY, 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 AGENCY's insurance coverage shall be primary insurance as respects 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
limits except after thirty (30) days prior written notice by certified mail return
receipt requested has been given to the CITY. The AGENCY agrees to
provide copies of the Certificates of Insurance to the CITY at the time that this
Agreement takes effect.
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GF0710: Crisis Clinic
March 2, 2007
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(e) The AGENCY shall furnish 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 CITY
reserves the right to require complete, certified copies of all required insurance
policies at any time.
(f) The AGENCY shall include all volunteers, employees and agents under its
policies or shall furnish separate certificates and endorsements for each. All
coverage 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 CITY OF AUBURN may inspect such
documents upon good cause at any reasonable time within the three (3) year period.
GF0710: Crisis Clinic
March 2, 2007
Page 6 of 9
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 12, 2007, describing the progress and activities performed for
the Program Year 2007 under its 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. As respects the City of Auburn, the 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
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March 2, 2007
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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 attorneys 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.
REMAINDER OF PAGE INTENTIONALLY BLANK
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GF0710: Crisis Clinic
March 2, 2007
Page 8 of 9
URN
~---~
---_..
PETER B. LEWIS
MAYOR
CRISIS CLINIC
BY: K~V~-~~ -~ r ~,~ f
TITLE: ~I~ i~(>~7~ ILL ~! ~Z°GfU r'
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this o~ ~ day of ~~ 2007, before me, the undersigned, a
No~~.l't~ bJ~U~~ for the State of Washington, personally appeared
K~/ , to me known to be the Executive Director of the Crisis Clinic,
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.
````~~~ ~~ ~ ~ ~ ~ 1111 ~ ~' ,
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NOTARY PUBLIC in and for the S to of
Washington, residing in K/,~
MY COMMISSION expires: ~/• oT0 •/0
GF0710: Crisis Clinic
March 2, 2007
Page 9 of 9
A ST:
anielle E. Daskam,
City (lark
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2007 SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
EXHIBIT 1, GF-0710
Agency Information
Crisis Clinic 206.461.3210 ext. 613
1515 Dexter Ave. N Ste 300 206.461.8368 fax
Seattle, WA 98109
Contact: Coral Letnes Title: Business Manager
Are professional services (e.g., counseling, case management) provided as part of this Agreement? No
Contract Information
Contract Amount: $48,152 Program Name: Teen Link, 24-hour Crisis Line & 2-1-1/Community Information Line
Description of Service to be provided: Telephone services, referral and advocacy (Teen Link: Youth Suicide Prevention presentations)
Reporting Information
Report for: ^ 1 S` Qtr/Jan-Mar ^ 2"d Qtr/Apr-Jun ^ 3~d Qtr/Jul-Sep ^ 4`h Qtr/Oct-Dec
2007 Service Units. Crisis Line
Service Unit Total Projected Annual All Fundin Sources
Description: Units 1S Quarter 2" Quarter 3~ Quarter 4 Quart er
Service
Unit/Performance
Measure Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided
Auburn 130 150 750
Covington 259 47 116
Des Moines 130 81 400
Kent 323 169 610
Federal Way 710 281 1,176
Renton 323 170 1,055
SeaTac 259 86 503
Tukwila 168 55 154
Totals 2,302 1,039 4,764
EXHIBIT 1, GF-0710
>.007 Service Units
Service Unit
Description: : 2-1-1/Communit I
Total Projected Annual
Units nforma tion Line
1S Quarter 2" Quarter 3` Quarter 4 Quarter
SerVICe
Unit/Performance
Measure Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
cacy
Calls # of
Referrals
Provided Incom-
ing
Calls Advo-
racy
Calls # of
Referrals
Provided
Auburn 85 62 4,297
Covington 127 22 1,116
Kent 212 50 6,039
Federal Way 467 96 9,220
Renton 216 61 5,591
SeaTac 340 93 3,200
Tukwila 128 57 2,732
2007 Service Units: Teen Link *All grant funds go toward the salary of the Youth Services Manager, Daemond Arrindell. Annual Salary + Benefits = $46,029
ervice Unit
Description: Tatal Projected
Annual Units
All
Cllent
Contacts
ll Funding Sources -
1St Quarter 2"d Quarter 3`d Quarter 4"' Quarter
Service
Unit/Performance
Measure Cans Training Inco
ming
Calls Students
Trained Incoming
Calls Students
Trained Incoming
Calls Students
Trained Incoming
Calls Students
Trained
Auburn 10` 21
Covington 4 52
Des Moines g, 23
Federal Way 2p ' 103
Renton 10 49
SeaTac q. 27
Tukwila 4 27
Totals 60 302
CITY OF AUBURN
2007 Quarterly Financial Report
Agency: Crisis Clinic Date:
Program: Teen Link, 24-hour Crisis Line & 2-1-1/Community Information Line
Report for ^ 1St Qtr/Jan-Mar ^ 2"d Qtr/Apr-Jun ^ 3~d Qtr/Jul-Sep ^ 4th Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
1 a Personnel/Agency Services, $ 16
050
Crisis Line ,
1 b Personnel/Agency Services, $ 15
302
2-1-1 CIL ,
1 c Personnel/Agency Services, $ 11
800
Teen Link ,
Personnel/Agency Services,
1 d ~~ Telephone Services $ 5,000
Crisis/CIL
2 Office/O eratin Sup lies
3 Consultant or Purchased
Services
4 Direct Client Assistance
5 Communications
6 Travel & Training
7 Intra-Agency Support
Grand Total $ 48,152
Requested
Reimbursement:
24-Hour
Crisis Services 2007
Award
Amount 2-~ -~
CIL 2007
Award
Amount
TEEN LINK 2007
Award
Amaunt
Auburn $ 1,000 Auburn $ 1,000 Auburn $ 1,000
Burien 0 Burien 0 Covin ton 1,800
Covington 2,000 Covington 1,500 Des Moines 1,000
Des Moines 1,000 Des Moines 0 Federal Wa 4,000
Federal Way 5,500 Federal Way 5,500 Renton 2,000
Kent 2,500 Kent 2,500 SeaTac 1,000
Renton 2,500 Renton 2,550 Tukwila 1,000
SeaTac 2,000 SeaTac 4,000 TOTAL $11,800
Tukwila 1,302 Tukwila 1,500
TOTAL $17,802 TOTAL $18,550
EXHIBIT 2, GF-0710
CITY OF AUBURN
2007 Demographic Report
Agency:
Program:
Crisis Clinic
Date:
EXHIBIT 3, GF-0710
Cate o 1` 2° 3 4 Total YTD
Client AI ono
Residence** Auburn
Black Diamond
'*List all clients gurien
served in this
catego Covington
ry.
In all other
Des Moines
categories list Enumclaw
participating Federal Way
titles' clients Kent
only. Maple Valley
Normandy Park
Pacific
Renton
SeaTac
Seattle
Tukwila
Other: King County
Other: Outside King County
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/Pacific Islander
Cultural Black/African American
Background Hispanic/Latino
Native American/ Alaskan Native
White/Caucasian
Other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited En lish Speakin
Household Female-Headed Household
COVER PAGE, Reso No. GF-0710
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2007 INVOICE FOR CONTRACTED SERVICES
To
Agency:
City of Auburn, Attn: Bill Mandeville, Planning Department
25 West Main, Auburn, WA 98001
Crisis Clinic
1515 Dexter Ave. N Ste 300
Seattle, WA 98109
Contact: Coral Letnes
Date:
206.461.3210 ext. 613
206.461.8368 fax
Invoice for: ^ 1S` Quarter, January to March -Due April 15, 2007
^ 2nd Quarter, April to June -Due July 15, 2007
^ 3rd Quarter, July to September -Due October 15, 2007
^ 4"' Quarter (Preliminary, Cover sheet and Ex. B only) October to December -Due
December 12, 2007
^ 4"' Quarter (Final) October to December -Due January 31, 2008
Amount Requested: $
Required Attachment Checklist: ^ Exhibit A -Quarterly Service Report
^ Exhibit B -Quarterly Financial Report
^ Exhibit C -Demographic Report (2"d and 4"' Quarters only)
^ Logic Model/Outcomes Report (1S` and 4"' Quarters only)
^ Proof of Insurance (1S` 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
the stated clients.
Signature of Authorized Representative
Date
The City of Auburn 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 CITY OF AUBURN USE ONLY:
Contract Amount: $ 48,152.00
Payments Year to Date:
Payment this invoice:
Authorized to Pay:
Signature
Date:
Date:
Date:
Date:
Contract Balance:
Date
COVER PAGE -MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST
MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding is an addendum to the agreement for
services between the City of Auburn and Crisis Clinic, the original of which was executed
on the ~ day of ~~J 2007. All other terms and conditions of the
agreement for services all remain in full force and effect except as specifically
amended by this Memor dum of Understanding.
L It is the goal of the City of Auburn to reduce the number of people within the City of
Auburn who are victims of on-going and repeated abuse at the hands of a spouse,
partner or friend and make the transition to a safe environment and self determining
lifestyle by 15% between January, 2007 and January, 2010.
II. It is the goal of the City of Auburn to increase the availability of healthcare to
its low income residents by 15% between January, 2007 and January, 2010.
III. The grant funds provided to the Agency during the 2007 year are provided
with the objective of achieving the result of reducing repeated abuse and
violence typically referred to as domestic violence and perpetrated by a
spouse, partner or friend and;
IV. The grant funds provided to the Agency during the 2007 year are provided
with the objective of achieving the result of increasing the availability of
healthcare to low income residents and;
V. 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 concerning 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.
VI. The City of Auburn will utilize the following performance measures in
evaluating the effectiveness of reaching this goal.
Agreement GF - 0710, CRISIS CLINIC
May 18, 2007
Page 1 of 3
a. Performance Indicators -Domestic Violence
^ Reduction in the number of cases reviewed by the City of Auburn Legal
Department for offenses involving domestic violence.
^ Reduction in the number of people who are victims of domestic violence
more than once.
^ Reductions in the number of violations of protection and no-contact orders.
^ Reductions in the number of repeat offenders prosecuted through the City of
Auburn Court system
^ Domestic Violence protocols that establish procedures of cooperation,
support and assistance between domestic violence agencies, and the City's
Domestic Violence Advocate
^ Extent to which agencies implement and adhere to those procedures
b) Performance Indicators -Healthcare
^ Auburn's children under the age of 19 will have access to healthcare.
^ Auburn babies and children are healthy and have adequate nutrition and
prenatal care.
^ The number of sites within Auburn where low income residents can access
healthcare will continue to increase.
^ Reduction in the number of emergency room visits
^ Better dissemination of information about the availability of health care to
low-income residents throughout the community.
IT A
~- /~
PETER B. LEWIS.
MAYOR
ATT T:
~z~ ,~-
Danie E. Daskam,
City Clerk
APP.F~~ED !~/~QRM,'l/
D~pfel B. Heid`-~'
City Attorney
CRISIS CLINIC ^~
BY: ~L~~ri~eL%c~~.cv~~J
Agreement GF - 0710, CRISIS CLINIC
May 18, 2007
Page 2 of 3
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this -l...~ day of /~'~ 2007, before me, the
undersigned, a Nota ublic in and for th State of Washington, personally
appeared /~tJ ~ sS0 IGG[~o me known to be the Executive
Director of CRISIS CLINIC, 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.
``~~~~~~~~\111111 S
~~~ ~~~~j~ NOTARY PUBLIC in and for the State of
~ i~ Washington, residing in S,PG~~i~~ GU/4
`Vz s~t~-i-y ~ ~ MY COMMISSION expires: //• ~D• /O
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Agreement GF - 0710, CRISIS CLINIC
May 18, 2007
Page 3 of 3