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HomeMy WebLinkAboutAG 23-068 - CRISIS CONNECTIONSRETURN TO: Victoria Banks EXT: 2604
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
. ORIGINATING DEPT./DIV. CD/Cs
ORIGINATING STAFF PERSON: Patti Spaulding-Klewin EXT: 2651 3. DATE REQ. BY:
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT
❑ REAL ESTATE DOCUMENT
❑ ORDINANCE
❑ CONTRACT AMENDMENT (AG#):
❑ OTHER
PROJECT NAME: Teen Link
❑ MAINTENANCE AGREEMENT
A. HUMAN SERVICES / CDBG
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
NAME OF CONTRACTOR: Crisis Connections
ADDRESS: 2901 3rd Avenue, Suite 100 TELEPHONE 206-333-8701
E-MAIL-mmcdaniel@crisisconnections.org FAX:
SIGNATURENAME: Michelle McDaniel TITLE
EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES It COMPENSATION II INSURANCE REQUIREMENTS/CERTIFICATE © ALL
OTHER REFERENCED EXHIBITS ® PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: 01/01/2023
COMPLETION DATE: 12/31/2024
TOTAL COMPENSATION $10,400.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES F NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED i0YES ADNO IF YES, $_ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAMAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDE
❑ PURCHASING: PLEASE CHARGE TO: 001-7300-063-562-10-410
0. DOCUMENT/CONTRACT REVIEW
© PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
u LAW
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SJB 01/02/2023
KVA 1/6/2023
1. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/15/2022
2. CONTRACT SIGNATURE ROUTING
X SENT TO VENDOR/CONTRACTOR DATE SENT: 1/13/23 DATE REC'D: 3/22/23
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
DEPARTMENT
PrSIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG#
,OMMENTS:
\pproved Council budget 11115/2022
I/)n 1'7
CITY 4F CITY HALL
Fe d e ra I Way 33325 Avenue South
Federal
Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
HUMAN SERVICES AGREEMENT
FOR
TEEN LINK
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Crisis Connections, a Washington nonprofit corporation ("Agency"). The City and Agency
(together "Parties") are located and do business at the below addresses which shall be valid for any notice required
under this Agreement:
CRISIS CONNECTIONS
Michelle McDaniel
2901 3rd Ave. Suite 100
Seattle, WA 98121
206-333-8701 (telephone)
mmcdaniel@crisisconnections
The Parties agree as follows:
CITY OF FEDERAL WAY:
Patti Spaulding-Klewin
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2651 (telephone)
Patti. Spaulding-Klewin@cityo
com
1. TERM. The term of this Agreement shall be for a period commencing on January 1, 2023 and terminating on
December 31, 2024 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement
performance during the first year of the Agreement term and upon funding availability. This Agreement may be extended for
additional periods of time upon the mutual written agreement of the City and the Agency.
2. SERVICES. The Agency shall perform the services more specifically described in Exhibit A, attached hereto and
incorporated by this reference ("Services"), in a manner consistent with the accepted professional practices for other similar
services within the Puget Sound region in effect at the time those services are performed to the City's satisfaction, within the
time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. The Agency warrants that it
has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by
all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business
registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times,
to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not
relieve the Agency of responsibility for performance of the Services in accordance with this Agreement, notwithstanding the
City's knowledge of defective or non -complying performance, its substantiality or the ease of its discovery.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party
thirty (30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if the Agency
fails to maintain required insurance, breaches confidentiality, or materially violates Section 12, and such may result in
ineligibility for further City agreements.
4. COMPENSATION.
4.1 Amount. In return for the Services, the City shall pay the Agency an amount not to exceed a maximum amount
and according to a rate or method as delineated in Exhibit B, attached hereto and incorporated by this reference. The City shall
reimburse the Agency only for the approved activities and in accordance with the procedures as specified in Exhibit B. The
Agency shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction resulting from this
Agreement.
4.2 Method of Payment. On a quarterly basis, the Agency shall submit to the City an invoice for payment on a form
provided by the City and all reports as required by this Agreement. Payment shall be made on a quarterly basis by the City only
HUMAN SERVICES AGREEMENT - 1 - 10/2022
CITY OF CITY HALL
Fe d e ra 11Nay 8th Avenue South
Feder
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
after the Services have been performed and within forty-five (45) days after the City's receipt and approval of a complete and
correct invoice and reports. The City will use the quantity of Services actually delivered, as reported on the Agency's reports, as
a measure of satisfactory performance under this Agreement. The City shall review the Agency's reports to monitor compliance
with the performance measures set forth in Exhibit A. Should the Agency fail to meet the performance measures for each
quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement.
Exceptions may be made at the discretion of the City's Human Services Manager in cases where circumstances beyond the
Agency's control impact its ability to meet its service unit goals and the Agency has shown reasonable efforts to overcome these
circumstances to meet its goals. If the City objects to all or any portion of the invoice, it shall notify the Agency and reserves the
option to pay only that portion of the invoice not in dispute. In that event, the Parties will immediately make every effort to settle
the disputed portion.
4.3 Final Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit B. If the Agency's
final invoice and reports are not submitted by the last date specified in Exhibit B, the City shall be relieved of all liability for
payment to the Agency of the amounts set forth in said invoice or any subsequent invoice; provided, however, that the City may
elect to pay any invoice that is not submitted in a timely manner.
4.4 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this
Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred after
the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which
funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies.
INDEMNIFICATION.
5.1 Amy Indemnification. The Agency agrees to release, indemnify, defend, and hold the City, its elected
officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities,
taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or
entities, including, without limitation, their respective agents, licensees, or representatives arising from, resulting from, or in
connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's
sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in
the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Agency and the City, the Agency's liability hereunder shall be only to the extent of the Agency's
negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials,
officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and
conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when
completed shall not be grounds to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any
immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes
of this indemnification. Agency's indemnification shall not be limited in any way by any limitation on 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. The Parties further acknowledge that they have mutually negotiated this waiver.
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its officers, directors,
shareholders, partners, employees, agents, representatives, and subcontractors harmless from any and all claims, demands,
actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses,
fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses 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 this
Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with
respect to any event occurring prior to such expiration or termination.
HUMAN SERVICES AGREEMENT - 2 - 10/2022
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway.. com
6. INSURANCE. The Agency agrees to carry insurance for liability which may arise from or in connection with the
performance of the services or work by the Agency, their agents, representatives, employees or subcontractors for the duration of
the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows:
6.1. Minimum Limits. The Agency agrees to carry as a minimum, the following insurance, in such forms and with
such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations, independent
contractors, products -completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products
liability, advertising injury, and liability assumed under an insured contract with limits no less than $2,000,000 for each
occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of
the State of Washington;
C. Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with
minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily
injury, including personal injury or death, and property damage.
6.2. No Limit of Liability. Agency's maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Agency to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. 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.
6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Agency shall provide certificates of insurance
for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At the City's
request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or
fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to maintain tail coverage
for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and
acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Agency in performance of this Agreement shall
be considered confidential subject to applicable laws. Breach of confidentiality by the Agency may be grounds for immediate
termination. All records submitted by the City to the Agency will be safeguarded by the Agency. The Agency will fully
cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency while
performing the Services shall belong to the City upon delivery. The Agency shall make such data, documents, and files available
to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination
of this Agreement all originals and copies of any such work product remaining in the possession of Agency shall be delivered to
the City.
9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting procedures
and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement.
These records shall be maintained for a period of six (6) years after the termination of this Agreement and may be subject, at all
reasonable times, to inspection, review or audit by the City, its authorized representative, the State Auditor, or other
governmental officials authorized by law to monitor this Agreement.
10. INDEPENDENT CONTRACTOR. The Parties intend that the Agency shall be an independent contractor and that the
Agency has the ability to control and direct the performance and details of its work, the City being interested only in the results
HUMAN SERVICES AGREEMENT - 3 - 10/2022
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
obtained under this Agreement. The City shall be neither liable nor obligated to pay Agency sick leave, vacation pay or any
other benefit of employment, nor to pay any social security or other tax which may arise as an incident of employment. Agency
shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the Services and work and shall utilize all protection necessary for that purpose. All work shall be done at
Agency's own risk, and Agency shall be responsible for any loss of or damage to materials, tools, or other articles used or held
for use in connection with the work. The Agency shall pay all income and other taxes due except as specifically provided in
Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide
a secondary or incidental benefit to the Agency, shall not be deemed to convert this Agreement to an employment contract.
11. CONFLICT OF INTEREST. It is recognized that Agency may or will be performing services during the Term for
other parties; however, such performance of other services shall not conflict with or interfere with Agency's ability to perform
the Services. Agency agrees to resolve any such conflicts of interest in favor of the City. Agency confirms that Agency does not
have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the
Agency's selection, negotiation, drafting, signing, administration, or evaluating the Agency's performance.
12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible
by or resulting from this Agreement or any subcontract, there shall -be no discrimination by Agency or its subcontractors of any
level, or any of those entities' employees, agents, sub -agencies, or representatives against any person because of sex, age (except
minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, or the presence of any
disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in
relationship to hiring and employment. This requirement shall apply to, but not be limited to, the following: employment,
advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including
apprenticeship. Agency shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil
Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21, 21.5
and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination.
13. GENERAL PROVISIONS.
13.1 Inte retation and Modification. This Agreement, together with any attached Exhibits, contains all of the
agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or
agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this Agreement
conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections
of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of
the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal
shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect.
Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement
and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision
of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly
authorized representatives of the Parties.
13.2 Assignment and Beneficiaries. Neither the Agency nor the City shall have the right to transfer or assign, in
whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non -
assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the
Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This
Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have
any right of action or interest in this Agreement based on any provision set forth herein.
HUMAN SERVICES AGREEMENT - 4 - 10/2022
CITY OF CITY HALL
Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
13.3 Compliance with Laws. The Agency shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations,
rules, standards and policies, as now existing or hereafter -amended, adopted, or made effective. If a violation of the City's Ethics
Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may
be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which performance
is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Agency's performance of
this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of
this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States
mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed received
three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be
exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the
City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any
option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to
declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure of the City to declare
one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be
made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle
any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim,
shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington,
unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over
such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the
personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are
an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal
costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition
to any other recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to
limit the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Agency represents and warrants
that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number
of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same
document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof it
shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may
be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature
and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement
shall be the "date of mutual execution" hereof.
[Signature page follows]
HUMAN SERVICES AGREEMENT - 5 - 10/2022
Federal Way
CITY OF
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
errel , ayor
DATE: 3
CRISIS CONNECTIONS:
By:M-Z��j
Printed Name: M-1;6j UC M,GA At rr L
Title: CZO DATE: �/ l
o/2
STATE OF WASHINGTON )
) ss.
COUNTY OF 1 rl
ATTEST:
Mg�- bA4r� -
S41idnie Courtney, CM "ty Clerk
APPROVED AS TO FORM:
@J.yan Call, City ttorney
On this day personally appeared before me Nt'CktUZ M1/k► t eA 1, to me known to be the
ct�z of CA%SiS that executed the foregoing
instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for
the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument
and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN my hand and official seal this 23 day of . 2013
lnllrfpry��y Notary's signature Ltl
o, Ct��.,,�' Notary's printed name �ti ��� C • G1t.�n+�rtnn5
G�p�t�a�•02' Notary Public in and for the State of Washington.
2 NOTARYoV, My commission expires 414 b-02,16
D sea
ausuC bba �a
HUMAN SERVICES AGREEMENT - 6 - 10/2022
4S CITY OF
Federal
Proleet Services Summary
CITY HALL
Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
EXHIBIT A
SERVICES
The Agency shall provide a confidential teen peer -to -peer help line and chat/text service that focuses on
providing emotional support and resources as well as a line designed to support teens and parents regarding
substance use issues. The Agency shall ensure that services provided with funding under this Agreement are
made available to Federal Way residents.
Performance Measures
A. Number Served
The Agency agrees to serve, at minimum., the following unduplicated number of Federal Way residents with
Human Services funds:
1st
2nd
3rd
4tn
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
No. of unduplicated Federal Way
persons assisted in 2023
11
10
10
10
41
No. of unduplicated Federal Way
persons assisted in 2024
11
10
10
10
41
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st
2nd
3rd
4tn
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
2023
1. Crisis Line
11
10
10
10
41
2. Information & Referral
164
163
163
163
653
2024
1. Crisis Line
11
10
10
10
41
2. Information & Referral
164
163
163
163
653
HUMAN SERVICES AGREEMENT - 7 - 10/2022
CITY of CITY HALL
A** Feder F� d e ra I Y �y 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
1. Crisis Line units of service are measured by the number of calls/chats/texts received.
2. Information and Referral units of service are measured by the number of community contacts made and
"Where to Turn" pamphlets distributed.
C. Outcome Measure(s)
Outcome: Teen link consumers report relieved distress following their use of service
Indicator: Survey results indicating improved state through the Crisis Call Outcome Rating
Scale, developed by Bonneson and Hartsough
Target: 72%
Records
A. Project Files
The Agency shall maintain files for this project containing the following items:
1.
2.
3.
4.
01
Notice of Grant Award.
Motions, resolutions, or minutes documenting Board or Council actions.
A copy of this Agreement with the Scope of Services.
Correspondence regarding budget revision requests.
Copies of all invoices and reports submitted to the City for this project.
Bills for payment with supporting documentation.
Copies of approved invoices and warrants.
Documentation of client address; residency verified via King County Parcel Viewer.
Documentation of client income. The Agency agrees to use the HUD Income Guidelines to report
income of clients served under this Agreement. Income guidelines may be adjusted periodically by
HUD.
King County FY 2022 Income Limits Summary
Median
FY 2022
Income
Income
1
2
3
4
5
6
7
8
King
Limit
Person
Persons
Persons
Persons
Persons
Persons
Persons
Persons
County
Category
Extremely
Low
(30%)
$27,200
$31,050
$34,950
$38,800
$41,950
$45,050
$48,150
$51,250
Income
Limits
Very Low
$134,600
(50%)
$45,300
$51,800
$58,250
$64,700
$69,900
$75,100
$80,250
$85,450
Income
Limits
Low
(80%)
$66,750
$76,250
$85,800
$95,300
$102,950
$110,550
$118,200
$125,800
Income
Limits
The Agency agrees to use updated Income Guidelines which will be provided by the City.
HUMAN SERVICES AGREEMENT - 8 - 10/2022
CITY OF CITY HALL
Fe d e ra �� Feder l Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
Reports and Reporting Schedule
The Agency shall collect and report client information to the City quarterly and annually on a Service Unit
Report to be provided by the City in the format requested by the City.
The Agency shall submit an Annual Demographic Data Report. The agency shall collect and retain the data
requested on this form from the persons served through this contract. Data should be tracked in an ongoing
manner and submitted annually no later than January 15 in the format requested by the City.
The Agency shall implement and track at least one measurable outcome for the program as presented in the
application. Changes to the outcome presented in the application must be approved by the City prior to
implementation. The Agency shall report the results of its outcome measure(s) annually on the Annual Outcome
Data Report to be submitted by January 15 in the format requested by the City.
Public Information
In all news releases and other public notices related to projects funded under this Agreement, the Agency will
include information identifying the source of funds as the City of Federal Way Human Services General Fund
Program.
HUMAN SERVICES AGREEMENT - 9 - 10/2022
CITY OF
Federal
Proiect Budeet
CITY HALL
Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
EXHIBIT B
COMPENSATION
The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this
Agreement shall not exceed Ten Thousand Four Hundred and 00/100 Dollars ($10,400.00).
City of Federal Way Funds
2023
2024
City of Federal Way General Fund:
$5,200.00
$5,200.06
Total City of Federal Way Funds:
$5,200.00
$5,200.00
Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly
and are due on the following dates:
1 st Quarter: April 15 or within 10 days of notice to proceed, whichever is later;
2nd Quarter: July 15;
3rd Quarter: October 15; and
4th Quarter: Final Reimbursement Request and Service Unit Report forms due January 8; Demographic Data
Report and Annual Outcome Data Report due January 15.
The Agency shall submit payment requests in the format requested by the City. Payment requests shall include a
copy of the Service Unit Report.
Estimated Quarterly Payments:
2023
1 st Qtr
$1,300.00
2nd Qtr
$1,300.00
3rd Qtr
$1,300.00
4th Qtr
$1,300.00
2024
1st Qtr
$1,300.00
2nd Qtr
$1,300.00
3rd Qtr
$1,300.00
4th Qtr
$1,300.00
Quarterly payment 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 on the Service Unit Report.
HUMAN SERVICES AGREEMENT - 10 - 10/2022
AMENDED ARTICLES OF INCORPORATION
OF
CRISIS CONNECTIONS
UBI 600 578 099
PREAMBLE
Crisis Connections is amending the Articles of Incorporation in it's entirety.
ARTICLE I: NAME
The name of the corporation shall be Crisis Connections.
ARTICLE II: MEMBERSHIP
The corporation shall have no voting members.
ARTICLE III: DURATION
The duration shall be perpetual.
ARTICLE IV: PURPOSE
The purposes for which the corporation is formed are: to aid, assist, advise and provide support to
persons who are in a crisis; to respond to the needs of persons in crisis and to promote access to
community resources that meet individual needs; to solicit receive and maintain funds to ensure the
continuation of these services for the promotion of mental health and community resources of the
Seattle -King County community and, where needed, Washington State; and to establish, organize and
QUr4CeS- fir- c! cane to ensure -that -these Services-ar
purposes. It shall be within the purposes of said corporation to use, as means to that end, research,
publication, the establishment and maintenance of charitable and benevolent and medical -psychological
research activities and agencies and institutions already established, and any other means, persons, or
agencies which, from time to time, shall seem expedient to its trustees and which shall further the
purposes above -named.
In general, and subject to the limitations and conditions as are or may be prescribed by law, or in the
corporation's Articles of Incorporation or By -Laws, the corporation shall have all the powers which now
or hereafter are conferred by law upon a corporation organized for the purposes set forth above, are
necessary and incidental to the powers so conferred, or are conducive to the attainment of the
corporation's purposes.
ARTICLE V: LIMITATIONS
All of the purposes and powers of the corporation shall be exercised exclusively for charitable, scientific,
and educational purposes in such a manner that the corporation shall qualify as an exempt organization
under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code") or any
successor provision, and that contributions to the corporation shall be deductible under Section
170(c)(2) of the Code or any successor provision.
No substantial part of the activities of the corporation shall be the carrying on of propaganda, or
otherwise attempting to influence legislation, except as otherwise permitted to an organization
described in Section 501(c)(3) of the Code or any successor provision. The corporation shall not
participate in any political campaign on behalf of (or in opposition to) any candidate for public office.
Notwithstanding any other provisions of these Articles, the corporation shall not carry on any activities
not permitted to be carried out in (a) by a corporation exempt from federal and state income taxes
under Section 501(c)(3) of the Code or any successor provision, or (b) by a corporation, contributions to
which are deductible under Section 170(c)(2) of the Code or any successor provision.
The corporation shall issue no capital stock and no part of the net earnings of the corporation shall inure
to the benefit of, or be distributable, to its trustees, officers, or other private persons, except that the
corporation is authorized or empowered to pay reasonable compensation for services rendered and to
make payments and distributions in furtherance of its purposes.
ARTICLE VI: REGISTERED AGENT AND ADDRESS
The registered office of the corporation is 29013rd Ave., Suite 100; Seattle, WA 98121 and the
registered agent of such is the Chief Executive Officer. The Registered Agent may provide the Secretary,
of State of a change of the address of the registered office, upon following the procedures set forth in
RCW 24.03.055, as now or hereafter amended.
ARTICLE VII: TRUSTEES
The management of the corporation will be vested in a Board of Trustees, the number of Trustees shall
not be less than seven; and the number, qualifications, terms of office, manner of election, time and
place of meetings, and powers and duties of Trustees shall be such as are prescribed by the By -Laws of
the corporation.
ARTICLE VIII: BY-LAWS
The authority to make, alter, amend or repeal By -Laws for the corporation is hereby vested in the Board
of Trustees and may be exercised at any regular meeting or any special meeting called for that purpose,
so long as they are not inconsistent with the provision of these articles.
ARTICLE IX: AMENDMENT TO ARTICLES
The corporation reserves the right to amend, alter, change, or repeal any provision contained in these
Articles of Incorporation in the manner now or hereafter prescribed by statute.
ARTICLE X: LIMITATIONS OF LIABILITY OF TRUSTEES
No Trustee of the corporation shall be personally liable to the corporation for monetary damages for his
or her conduct as a trustee, except for (i) acts or omissions that involve intentional misconduct or
knowing violation of law by the trustee or (ii) any transaction from which the trustee will personally
receive a benefit in money, property, or services which the trustee is not legally entitled. If the
Washington Nonprofit Corporation Act is hereafter amended to authorize corporate action further
eliminating or limiting the personal liability of trustees, then the liability of a trustee of the corporation
shall be eliminated or limited to the fullest extent permitted by the Washington Nonprofit Act, as so
amended. Any amendment to or repeal of this Article shall not adversely affect any right or protection
of a trustee of the corporation for or with respect to any acts or omissions of such trustee occurring
prior to such amendment or repeal.
ARTICLE XI: INDEMNIFICATION
(1) Definitions: as used in this Article:
(a) "Action" means any actual or threatened claim, suit of proceeding, whether civil,
criminal, administrative or investigative.
(b) "Another Enterprise" means a corporation (other than the Corporation),
partnership, joint venture, trust, association, committee, employee benefit plan or
other group of entity.
(c) "Corporation" means CRISIS CONNECTIONS and any predecessor to it and any
constituent corporation (including any constituent of the constituent) absorbed by
the Corporation in a consolidation or merger.
(d) "Trustee" or "Officer" means each person who is serving or who has served as a
trustee or officer of the Corporation, employee, partner or agent of Another
Enterprise.
(e) "Indemnitee" means each person who was, is or is threatened to be made a party to
or is involved (including without limitation, as a witness) in an Action because the
person is or was a Trustee or Officer of the Corporation.
(f) "Loss" means loss, liability, expenses (including attorney's fees), judgements, fines,
BRISA excise taxes or penalties and amounts to be paid in settlement, actually and
reasonably incurred or suffered by an Indemnitee in connection with an Action.
3
(2) Right to Indemnification: The Corporation shall indemnify and hold each Indemnitee harmless
against any and all Loss except for Losses arising out of: (a) the Indemnitee's acts or omissions
finally adjudged to be intentional misconduct or a knowing violation of the law or (b) any
transaction in which it is finally adjudged that the Indemnitee personally received a benefit in
money, property or services to which the Indemnitee was not legally entitled. Except as
provided in Section (4) of this Article, the Corporation shall not indemnify an Indemnitee in
connection with an Action (or part thereof) initiated by the Indemnitee in connection with an
Action (or part thereof) was authorized by the board of trustees of the Corporation. If, after the
effective date of this Article, the Washington Nonprofit Corporation Act is amended to authorize
further indemnification of trustees or officers, then the Trustees and Officers of the Corporation
shall be indemnified to the fullest extent permitted by the Washington Nonprofit Corporation
Act, as so amended.
(3) Burden of Proof Procedure for Pa ment and Notice to Board:
(a) The Indemnitee shall be presumed to be entitled to indemnification under this Article
upon submission of a written claim (including claim for expenses incurred in defending
any Action in advance of its final disposition, where the undertaking in (b) below has
been tendered to the Corporation and thereafter the Corporation shall have the burden
of proof to overcome presumption that the Indemnitee is so entitled.
(b) The right to indemnification conferred in this Article shall include the right to be paid by
the Corporation all expenses (including attorney's fees) incurred in defending any Action
in advance of its final disposition: provided, however, that the payment of such
expenses in advance of its final disposition of an Action shall be made upon delivery to
the Corporation of an undertaking, by or on behalf of such Trustee or Officer, to repay
all amounts so advanced if it shall ultimately be determined that such Trustee or Officer
is not entitled to be indemnified by this Article or otherwise.
(c) Any indemnification in accordance with this Article, including any payment or
reimbursement of expenses, shall be reported to the Board with the notice of the next
Board of Trustee's meeting or prior to thereto in a written report containing a brief
description of the proceedings involving the Trustee or Officer being indemnified and
the nature and extent of such indemnification.
(4) Right of Indemnitee to Bring Suit: If a claim under this Article is riot paid in full by the
Corporation within 60 days after a written claim has been received by the Corporation, except in
the case of a claim for expenses incurred in defending a proceeding in advance of its final
disposition, in which case the applicable period shall be 20 days, the claimant may at any time
thereafter bring suit against the Corporation to recover the unpaid amount of the claim and, to
the extent successful in whole or in part, the Indemnitee shall be entitled to failure of the
Corporation (including its board of trustees or independent legal counsel) to have made a
determination prior to the commencement of such action that indemnification of or
reimbursement or advancement of expenses to the claimant is proper in the circumstances, nor
4
an actual determination by the Corporation (including its board of trustees or independent legal
counsel) that the Indemnitee is not entitled to indemnification or to the reimbursement or
advancement of expenses, shall be a defense to the action or create a presumption that the
Indemnitee is not so entitled.
(5) No exclusivity of Rights: The right to indemnification and the payment of expenses incurred in
defending an Action in advance of its final disposition conferred in this Article shall not be
exclusive of any other right which any person may have or hereafter acquire under any statute,
provision if the Articles of Incorporation, By -Laws, agreement, or disinterested trustees or
otherwise.
(6) Insurance Contracts and Funding- The Corporation may maintain insurance at its expenses, to
protect itself and any Trustee, Officer, employee or agent of the Corporation or Another
enterprise against any expense, liability, or loss, whether or not the Corporation would have the
power to indemnify such person against such expense, liability or loss under the Washington
Nonprofit Corporation Act. The Corporation may, without further corporate action, enter into
contracts with any Trustee or Officer of the Corporation in furtherance of the provisions of this
Article an may create a trust fund, grant a security interest or use other means (including,
without limitation, a letter of credit) to ensure the payments of such amounts as may be
necessary to effect indemnification as provided in this Article.
(7) Indemnification of Employees and Agents of the Corporation: The Corporation may, by action of
its board of trustees from time to time, provide indemnification and pay expenses in advance of
the final disposition of an Action to employees and agents of the Corporation with the same
scope and effect as the provisions in this Article with respect to the indemnification and
advancement of expenses of the Trustees and Officers of the corporation or pursuant to rights
grants pursuant to, or provided by, the Washington Business Corporation Act or otherwise.
(8) Contract Right Rights of indemnification under this Article shall continue as to an Indemnitee
with has ceased to be a Trustee or Officer and shall inure to the benefit of his or her heirs,
executors, and administrators. The right to indemnification conferred in this Article shall be a
contract right upon which each Trustee or Officer shall be presumed to have relied in
determining to serve or to continue to serve as such. Any amendment to or repeal of this
Article shall not adversely affect any right or protection of a Trustee or Officer of the
Corporation for or with respect to any acts or omissions of such Trustee or Officer occurring
prior to such amendment or repeal.
(9) 5everabilit : If any provision of this Article or any application thereof shall be invalid,
unenforceable or contrary to applicable law, the remainder of this Article, or the application of
such provisions to persons or circumstances other than those as to which it is held invalid,
unenforceable or contrary to applicable law, shall not be affected thereby and shall continue in
full force and effect.
ARTCILE XII- DISTRIBUTION OF ASSETS
Upon dissolution or winding up, all the corporation's remaining assets shall be distributed by the Board
of Trustees for similar or identical uses and purposes, to any other organization that would then qualify
for exemption under the provisions of Section 501(c)(3) of the Code, or any successor provision.
CERTIFICATION
Executed under penalty of perjury under'the laws of the State of Washington, as of this date of
September 16, 2020.
CRISIS CONNECTIONS
Michelle McDaniel, Chief Executive Officer
Registered Agent
6
CITY OF
ow%:V411
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www otyjffMera�way com
City of Federal Way
Human Services Contract for 2022-2023General Fund
Authorized Signatures for Invoices
I authorize the following individuals to sign invoices and quarterly reports on behalf of:
&VA'5-0 W rJ (Contracting Agency), for
the following -
Authorizing
Signature:
(must be signed by
person who signs
the contract,
generally,
Executive Director)
Additional
Authorized
Signature:
Additional
Authorized
Signature:
(Program Title).
(Printed Name) (Title)
tune)
(Printed Name)
(Signature)
(Printed Name)
(Signature)
(Date)
(Title)
(Date)
(Title)
(Date)
Note: It is the responsibility of the contractor to inform the City of Federal Way if they wish to add a
name to or delete names from this list.
AC 0 02/15/2023
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER WA#877030 1-206-343-2323 CONTACT Kareena Beckner
NAME:
ABsuredPartners of Washington, LLC PHONE
E 425-952-2681 FAX a;206-508-5910
AssuredPartners of Wash. Ins. Agency, LLC CA Lic OK61066 E-MAIL
1325 Fourth Avenue, Suite 2100 ADDRESS: kareena.beckner�assured artners.com
Seattle, WA 98101
INSURED
Crisis Connections
2901 3rd Avenue, Suite 100
INSURERS AFFORDING COVERAGE INAIC #
GREAT AMER INS CO 116691
Seattle, WA 98121 1 INSURERF!
w�ewi+�c /`CGTICtrnTC ki"IMCICD• 67RSRR70 RFVIRICiN NIiMRFR:
vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR R POLICY EFF POLICY FJ(P LIMITS
LT. TYPE OF INSURANCE POLICY NUMBER I MMIDWYYYY MMIDn1YYYY
A
X
COMMERCIAL GENERAL LIABILITY
X
PAC4296835
07/01/22
07/01/23
EACHOCCURRENCE
$ 1,000,000
CLAIMS -MADE �� OCCUR
GET
P ES Ea occurrence)$
1,000,000
MED EXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS - COMP/OPAGG
$ 3,000,000
X POLICY ❑ JECT LOC
$
OTHER:
A
AUTOMOBILE LIABILITY
PAC4296835
07/01/22
07/01/23
COMBlNEDSINGLELIMIT
acadant
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
(par aD iTYPAMAGE
(pararxident
$
X AUTOS ONLY X AUTOS ONLY
A
X
UMBRELLA LIAB X OCCUR
UMB4296836
07/01/22
07/01/23
EACH OCCURRENCE
$ 4,000,000
AGGREGATE
$ 4,000,000
EXCESS LIAB CLAIMS -MADE
DED I X I RETENTION$ 10,000
$
A
WORKERS COMPENSATION
PAC4296835
07/01/22
07/01/23
STATUTE X RH
E.L. EACH ACCIDENT
$ 1,000,000
AND EMPLOYERS' LIABILITY Y I N
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory In NH)
N/A
E.L DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS beIDW
A Professional Liab cont
PAC4296835
07/01/22
07/01/23
Each Act/Error Omm
1,000,000
Each Act, Error/OMlftl,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Certificate Holder is an additional insured per form #CG8970 11 14 but only with respects to operations of the named
insured. Excess Policy follows General Liability ***10 days notice for non payment of premium ***
City of Auburn, City of Burien, City of Covington, City of Des Moines, City of Federal Way, City of Renton and the City
of Tukwila are all additional insureds.
rFRTIFIr'ATF Hnl DF-P CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Auburn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
25 W Main Street AUTHORIZED REPRESENTATIVE
Auburn, WA 98001
USA v
U 1 UBB-2U15 AGUKD GUKNUKA I IUN. All rignis reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Kareenabeckner
67858870
3/22/23, 7:29 AM
Corporations and Charities System
iy essWj&R AfirWnd Charities Filing System
BUSINESS INFORMADON
CRISIS CONNECTIONS
600 578 099
WA NONPROFIT CORPORATION
ACTIVE
2901 3RD AVE ST€100, SEATTLE, WA, 98121-1037, UNITED STATES
2901 3RD AVE STE 100, SEATTLE, WA, 98121-1037, UNITED STATES
02/28/2024
UNITED STATES, WASHINGTON
02/27/1964
https: //c;ds. sgs.wa. govNNBusin essSearch`Busi nessi nformation
Business Name:
UBI Number:
Business Type:
Business Status:
Principal Office Street Address:
Principal Office Mailing Address:
Expiratlon Date:
Jurisdiction:
Formation/ Registration Date:
1/3
3122/23, 7:29 AM
PERPETUAL
CHARITABLE
R
91-0773187
REGISTERED AGENT INFORMATION
CHIEF EXECUTIVE OFFICER
Corporations and Charities System
Period of Duration:
Inactive Date:
Nature of Business:
Charitable Corporation:
Nonprofit EIN:
Most Recent Gross Revenue is less than $500,000:
Has Members:
Public Benefit Designation:
Host Home:
Registered Agent Name:
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Corporations and Charities System
Street Address:
2901 3RD AVE STE 100, SEATTLE, WA, 98121-1037, UNITED STATES
Mailing Address:
2901 3RD AVE STE 100, SEATTLE, WA, 98121-1037, UNITED STATES
GOVERNORS
Title Governors Type Entity Name First Name Last Name
GOVERNOR INDIVIDUAL MICHELLE MCDANIEL
GOVERNOR INDIVIDUAL AUNDREA JACKSON
Back
Filing History Name History Print Return to Business Search
https://ccfs.sos.wa.gov/k/BusinessSearch/Businesslnformabon 3/3
3/22123, 7:30 AM Washington State Department of Revenue
Washington State Department of Revenue
< Business Lookup
License Information:
Entity name: CRISIS CONNECTIONS
Business name: CRISIS CONNECTIONS
Entity type: Nonprofit Corporation
UBI #: 600-578-099
Business ID:
001
Location ID:
0001
Location:
Active
Location address:
2901 3RD AVE
STE 100
SEATTLE WA 98121-1037
Mailing address:
2901 3RD AVE
STE 100
SEATTLE WA 98121-1037
New search Back to results
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Excise tax and reseller permit status:
Secretary of -State -status:
Endorsements
Endorsements held at this to License # Count
Bothell General Business -
Non -Resident
Burien General Business -
Non -Resident
Covington General
Business - Non -Resident
Federal Way General
Business - Non -Resident
Issaquah General Business
- Non -Resident
Kirkland General Business
- Non -Resident
Redmond General
Business - Non -Resident
Washington State Department of Revenue
Click here
Click here
Details Status
Expiration da First issuance
Active
Mar-31-2024 Mar-09-2023
Active
Mar-31-2024 Mar-10-2023
Pending
Mar-31-2024
Active
Feb-29-2024 Mar-19-2021
Active
Feb-29-2024. Mar-21-2021
Active
Mar-31-2024 Mar-14-2023
Active
Mar-31-2024 Mar-10-2023
https://secure.dor.wa.gov/gteunauth/—N3 214
3/22/23, 7:30 AM
Endorsements held at this to License # Count
SeaTac General Business -
Non -Resident
Tukwila General Business -
Non -Resident
Washington State Department of Revenue
Details Status
Governing People May include governing people not registered with Secretary of State
Governing people Title
JACKSON, AUNDREA
MCDANIEL, MICHELLE
Registered Trade Names
Registered trade names
CRISIS CLINIC Active
CRISIS CONNECTIONS Active
WA WARM LINE Active
Actwe
Active
View Additional Locations
Expiration da• First issuance
Feb-29-2024 Jun-12-2019-
Mar-31-2024 Mar-09-2023
First issued
Sep-05-1997
Jul-02-2018
Apr-22-2014
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