HomeMy WebLinkAboutACAP Child & Family Svcs#GF0405AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this .2..~ day of
/~/¢~¢',~ , 2004, by and between the CITY OF AUBURN, a municipal
corporation of the State of Washington, hereafter referred to as "CITY", and ACAP
CHILD AND FAMILY SERVICES which is located at 1102 J Street SE Auburn, WA
98002, 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 Parenting Classes and Programs; and
WHEREAS, the CITY is interested in continuing support of ACAP, including
development of additional resources and service sites, for Iow income Auburn 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 services as set forth in Exhibit 1 through 4, and incorporated herein by this
reference as if fully set forth, to Auburn residents during the 2004 term. This support is in
recognition of the fact that the demand for the services delivered by the AGENCY
continues to rise.
I1. SCOPE OF SERVICES.
A. The parties agree and understand that the AGENCY agrees to provide services,
as described in Exhibits 1 through 4, which may include development of new resources,
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March 1, 2004
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to Iow income Auburn residents. Services to be provided are set forth in Exhibits 1
through 4 to 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, 2004.
III. TERM.
The term of this Agreement shall commence on January 1, 2004 and shall expire
on December 31, 2004.
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 City of Auburn, 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 13, 2004. Format and contents
of these reports are set forth in Exhibits I to 4 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 "outcomes reports" 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.
C. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of $5,000.00 as set forth in Exhibit 1. The
CITY will pay an amount equal to one-quarter of the total amount within thirty (30) days
Agreement GF - 0405, ACAP Child & Family Services
March 1, 2004
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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.
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
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March 1, 2004
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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:
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 AGENCY, its employees, agents and
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March 1, 2004
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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.
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
(e)
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March 1, 2004
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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
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 CITY OF AUBURN may inspect such
documents upon good cause at any reasonable 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.
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March 1, 2004
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XII.
GENERAL PROVISIONS.
A. The AGENCY agrees to submit a report to the CITY no later than
December 13, 2004, describing the progress and activities performed for
the year 2004 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. 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 attorneys fees and
expenses and court costs shall be paid to the substantially prevailing party.
The AGENCY agrees to comply with all local, state and federal laws
applicable to its performance under this Agreement.
Agreement GF - 0405, ACAP Child & Family Services
March 1, 2004
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ATTEST:
Danielle E. Daskam,
City Clerk
cD i~; i~lttBo rTnHe%'" ~
PETER B. LEWIS
MAYOR
BY:
TITLE: Executive Director
STATE OF WASHINGTON )
)ss
COUNTY OF KING )
On this c~,~f~lb day of ,/~/~-~
Nptary Public in and for the State
, 2004, before me, the undersigned, a
of Washington, personally appeared
~)t/~',e ~-o , to me known to be the Executive Director of ACAP, 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.
NOT,~RY PUBLIC in and for the Statenf~
W~hington, residing in ~/o /~
MY COMMISSION expires: ~
Agreement GF ~ 0405, ACAP Child & Family Services
March 1, 2004
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EXHIBIT 1, GF-0405
ClTY OFAUBURN
HUMAN SERVICE AGREEMENT
2004SCOPE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
ACAP
1102 J Street SE
Auburn, WA 98002
Contact: Cheryl Long
253.939.0870
253.351.0655
APPLE@acapchildservices.org
Title:APPLE Program Coordinator
Are professional services (e.g., counseling, case management) provided as part of this
Agreement? Yes
Contract Information
Contract Amount: 5,000.00 Program Name: APPLE Parenting
Description of Service to be provided: Parenting Classes and Programs
Reporting Information
Report for __ 1,t Qtr/Jan-Mar __ 2nd Qtr/Apr-Jun __ 3r= Qtr/JuI-Sep __ 4t~ Qtr/Oct-Dec
2004 Service Units
City Funding
Only All Funding Sources Actual Service
Service Unit Description: Total Units all to Fund Date,
Projected Actual Units by Quarter Sources
Auburn Residents Only Annual Units
Service Unit/Performance Measure 1st 2nd 3rd 4th
Unduplicated Number of Auburn 65
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.
Agency: ACAP
Program: APPLE Parenting
Report for _ 1st Qtr/Jan-Mar
CITY OF AUBURN
2004 Quarterly Financial Report
Date:
EXHIBIT 2, GF-0405
__ 2nd Qtr/Apr-Jun __ 3rd Qtr/JuI-Sep __ 4th Qtr/Oct-Dec
Cost Categories Budget This Cumulative Award
Award Request to date Balance
Personal/Agency Services 4,050
Office/Operating Supplies 950
Consultant or Purchased
Services
Direct Client Assistance
Communications
Travel & Training
Intra-Agency Support
Other per Detail
Grand TotalI 5,000.00
Requested
Reimbursement:
Detail as Applicable:
EXHIBIT 3, GF-0405
CITY OF AUBURN
2004 Demographic Report
Agency: ACAP Date:
Program: APPLE Parenting
C~.,~,.,iy I I 1~ I 2"" I 3" 4TM Total YTD
Client Al~ona
Residellce** Auburn
Black Diamond
**List all clients Burien
served in this
catego~. Covington
In all other Des Moines
catego~es list Enumclaw
Auburn clients Federal Way
; only. Kent
Maple Valley
Normandy Park
Pacific
Renton
SeaTac
Seattle
Tukwila
Unincorporated. King County
Other:
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 B~acldAfrican American
Background Hispanic/Latino
Native American/Alaskan Native
White/Caucasian
Other
Unknown
TOTAL
Condition Disabling Condition
ESL Limited English Speaking
Household Female-Headed HOUSehOld
EXHIBIT 4, GF-0405
CITY OF AUBURN
Outcomes Evaluation Format
Agency: ACAP Date:
Program: APPLE Parenting
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 Parenting Classes and Programs;
2) Show the relationship of program resources and activities to the expected results or
outcomes;
3) Help identify those questions the evaluation 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 categories in the program evaluation.
B. ACAP shall develop the following status report components within the time frames
established below:
1) 1stQuarter 2004
a) The outcome based results ACAP expects to achieve;
b) An indicator to inform the ACAP that the anticipated change has or has not
occurred; and
c) The method for gathering information needed to indicate the outcomes that 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 2004
a) Information collected;
b) Conclusions developed as a result of the information.
Agency:
COVER PAGE, GF-0405
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2004 INVOICE FOR CONTRACTED SERVICES
City of Auburn, Attn: Shirley Aird, Planning Department
25 West Main, Auburn, WA 98001
ACAP Date:
1102 J Street SE · 253.939.0870
Auburn, WA 98002 253.351.0655
laura@acapchildservices.org
Contact: Linda DiRienzo
Invoice for:
[] 1st Quarter, January to March - Due April 15, 2004
[] 2"~ Quarter, April to June - Due July 15, 2004
[] 3~ Quarter, July to September- Due October 15, 2004
[] 4th Quarter (Preliminary, Cover sheet and Ex. B only) October to December- Due
December 12, 2004
[] 4th Quarter (Final) October to December - Due January 31, 2004
Amount Requested:
Required Attachment Checklist:
__ Exhibit A - Quarterly Service Report
__ Exhibit B - Quarterly Financial Report
Exhibit C - Demographic Report (2"'~ and 4th Quarters on y)
Logic Model/Outcomes Report (1st and 4th Quarters only)
1st ·
__ Proof of Insurance ( quarter and/or f expired s~nce ast
reimbursement request)
I certify to the best of my knowledge that this invoice and attachments reflect actual service provided to
Auburn residents.
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: $,000.00
Payments Year to Date:
Payment this invoice:
Authorized to Pay:
Date:
Date:
Date:
Date:
Contract Balance:
Signature
Date
COVER PAGE - MUST BE SIGNED AND SUBMITTED WITH EACH PAYMENT REQUEST