HomeMy WebLinkAboutAG 23-097 - CONSEJORETURN 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 ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT A HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT(AG#): ❑ INTERLOCAL
❑ OTHER.
. PROJECT NAME: Counseling and Referral Services
NAME OF CONTRACTOR: Consejo
ADDRESS: 723 SW 10th Street, Renton, WA 96057-5223
E-MAIL: grants@consejocounseling.org
SIGNATURE NAME:
TELEPHONE 206-461-4880
_ FAX:
TITLE
EXHIBITS AND ATTACHMENTS: it SCOPE, WORK OR SERVICES A COMPENSATION ff INSURANCE REQUIREMENTS/CERTIFICATE IF ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
TERM: COMMENCEMENT DATE: 01/01/2023
COMPLETION DATE: 12/31/2024
TOTAL COMPENSATION $ 20,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES R NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES
RETAINAGE: RETAINAGE AMOUNT:
0NO IF YES, $
PAID BY. ❑ CONTRACTOR ❑ CITY
RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDE
❑ PURCHASING: PLEASE CHARGE TO: 001-7300-083-562-10-410
0. DOCUMENT/CONTRACT REVIEW
® PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IFAPPLICABLE)
:A LAW
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SJB 01/09/2023
JE 1/20/23
1. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/15/2022
CONTRACT SIGNATURE ROUTING
10 SENT TO VENDOR/CONTRACTOR DATE SENT: 3/14/23 DATE REC'D: 3/30/23
Cl ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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.)
)CLAW DEPARTMENT
� SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG#
,OMMENTS:
\pproved Council budget 11/15/2022
iee comments in the King Co. Public Health Services template that I recently reviewed for recommendations on the same provisions in this agreement - JE 1/20/23
CITY OF CITY HALL
Federal Way 33325 Avenue South
Federal
Way, WA 98003-6325
(253) 835-7000
www cltyoffederalway.com
HUMAN SERVICES AGREEMENT
FOR
CONSEJO COUNSELING AND REFERRAL SERVICES
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Consejo Counseling and Referral Services, 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:
CONSEJO COUNSELING AND REFERRAL
SERVICES:
Mario Paredes
723 SW 10"' Street
Renton, WA 98057-5223
206-461-4880 (telephone)
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)
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.
HUMAN SERVICES AGREEMENT - 1 - 10/2022
clrr OF CITY HALL
�� Feder Fey! a ra 11Nay 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederafway com
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
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.
5. INDEMNIFICATION.
5.1 Agency 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 hdemnification. 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.
HUMAN SERVICES AGREEMENT - 2 - 10/2022
CITY OF CITY HALL
,4! Feder Sth Avenue South
Federal Way, WA 98003-6325
Federal Way
(253) 835-7000
www. cityoffederalway.. com
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.
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 Liabili . 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.
HUMAN SERVICES AGREEMENT - 3 - 10/2022
CITY of CITY HALL
`� Feder Avenue South
Federal
Way, WA 98003-6325
F� d ra Way
(253) 835-7000
www cityoffederalway.com
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
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 OPPORTUNfYY 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 In_t�pretation 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
C1 rr OF CITY HALL
Am:* Federal WayFeder 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
CRY OF
,qw* Federal Way
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:
DATE:
CONSEJO COUNSELING AND REFERRAL
SERVICES:
By: 0 a5
Printed Name: {1 [7
Title:
DATE: 3 l S :;L0
STATE OF WASHINGTON )
ss.
COUNTY OF I ��7
ATTEST:
h&a4wt� &;VUA
S pha ie Courtney, CMC, C t lerk
APPROVED AS TO FORM:
n Call, City torney
On this day personally appeared before me Mar o Erno5h Por,,A - j00to me known to be the
a W of MArch 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.
GIVENt} }y bpnd and official seal this d3 day of MAr-C 20?,9
��`�,�d Comrorss�on G�' Notary's signature
$` z�aforoi ber ��'s Notary's printed name PGAn/FPke- Yq A&I(OrA
�Joanne papyapan Ri �' Nota& Public in and forte State of Washington.
sera Y AppainrmeMy commission expires
s�►1nr Exprr�s D 2111242E +�.
••rp� I+VA 5 H�a\���,
1'+rriii11k10
HUMAN SERVICES AGREEMENT - 6 - 10/2022
CITY OF
,� Federal
Proiect 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 community -based domestic violence and mental health counseling services in the City
of Federal Way. 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
4th
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
No. of unduplicated Federal
Way persons assisted in 2023
3
3
3
3
12
No. of unduplicated Federal
Way persons assisted in 2024
3
3
3
3
12
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st
2nd
3rd
4th
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
2023
1. Advocacy
7
8
7
8
30
2. Counseling
8
9
9
9
35
3. Support Groups
3
4
4
4
15
2024
1. Advocacy
71
8
7
1 8
1 30
HUMAN SERVICES AGREEMENT -7- 10/2022
4! CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cltyoffederalway. com
2. Counseling
8
9
9
9
35
3. Support Groups
3
1 41
41
41
15
1. Advocacy units of service are measured by the number of individuals receiving one-on-one services provided
for safety planning, intake services, and legal assistance.
2. Counseling'units of service are measured by the number of individuals receiving one-on-one services for
domestic violence, mental health and substance use disorder needs.
3. Support Group units of service are measured by the number of group sessions offered for clients seeking to
improve skills to overcome trauma -related mental health issues, substance use disorders, and intimate partner
violence, as well as wellness coaching.
C. Outcome Measure(s)
Outcome 1: Clients report gaining knowledge of the dynamics of domestic violence through
accessing advocacy, counseling and support group sessions and services.
Indicators: 1. Data will be collected through Consejo's electronic client records;
2. Client data will be collected via the State InfoNet system; 3. Client annual satisfaction
survey; 4. Client suggestion box; 5. Client focus groups; 6. Client pre- and post-tests
Target: 95%
Records
A. Project Files
The Agency shall maintain files for this project containing the following items:
1. Notice of Grant Award.
2. Motions, resolutions, or minutes documenting Board or Council actions.
3. A copy of this Agreement with the Scope of Services.
4. Correspondence regarding budget revision requests.
5. Copies of all invoices and reports submitted to the City for this project.
6. Bills for payment with supporting documentation.
7. Copies of approved invoices and warrants.
8. Documentation of client address; residency verified via King County Parcel Viewer.
HUMAN SERVICES AGREEMENT -8- 10/2022
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cltyoffederalway com
9. 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
$125,800
Income
Limits
The Agency agrees to use updated Income Guidelines which will be provided by the City.
Reports and Reporting Schedule
The Agency shall collect and report client information to the City quarterly and annually on a Service Unit
Report to be provided by the City in the format requested by the City.
The Agency shall submit an Annual Demographic Data Report. The agency shall collect and retain the data
requested on this form from the persons served through this contract. Data should be tracked in an ongoing
manner and submitted annually no later than January 15 in the format requested by the City.
The Agency shall implement and track at least one measurable outcome for the program as presented in the
application. Changes to the outcome presented in the application must be approved by the City prior to
implementation. The Agency shall report the results of its outcome measure(s) annually on the Annual Outcome
Data Report to be submitted by January 15 in the format requested by the City.
Public Information
In all news releases and other public notices related to projects funded under this Agreement, the Agency will
include information identifying the source of funds as the City of Federal Way Human Services General Fund
Program.
HUMAN SERVICES AGREEMENT - 9 - 10/2022
,�SCITY OF
Federal
Project Bud et
CITY HALL
■ � ■�� 33325 8th Avenue South
!Y■� Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
EXHIBIT B
COMPENSATION
The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this
Agreement shall not exceed Twenty Thousand and 00/100 Dollars ($ 20,000.00).
City of Federal Way Funds
2023
2024
City of Federal Way General Fund:
$10 000.00
$10,000.00
Total City of Federal Way Funds:
$10 000.00
$10,000.00
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
$2,500.00
2nd Qtr
$2,500.00
3rd Qtr
$2,500.00
4th Qtr
$2,500.00
2024
1st Qtr
$2,500.00
2nd Qtr
$2,500.00
3rd Qtr
$2,500.00
4th Qtr
$2,500.00
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
CITY of CITY HALL
South
Federal Way Feder l Avenue 8003
Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalway.com
City of Federal Way
Human Services Contract for 2023-2024 General Fund
Authorized Signatures for Invoices
I authorize the following individuals to sign invoices and quarterly reports on behalf of:
U
(Contracting Agency), for
the following: Va-rr1E5-� C-yl o\ (-C,- Pc\*']c(-CL�4 Grogram Title).
Authorizing
Signature:
(must be signed by
person who signs the
contract, generally,
Executive Director)
Additional Authorized
Signature:
Additional Authorized
Signature:
Vq; 0 �.
(Printed Name)
Lk-j\ Cb
�—
(Signature)
(Title)
3 � v5 X(ja3
(Date)
(Printed Name)
(Title)
(Signature)
(Date)
(Printed Name)
(Title)
(Signature)
(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.
Issue Date 5/21/2022 Cart #-.000o037652
Non Profit Insurance Program
Certificate of Coverage
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUEA CONTRACT
BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: —If the certificate holder Is an ADD1T10NAL INSURED, -the pol ccy(ies) must be endorsed 'If SUBROGRATION IS WAIVED, subject to the terms and conditions of
the policy, certain coverage may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
COMPANIES AFFORDING COVERAGE
Clear Risk Solutions
GENERAL LIABILITY
451 Diamond Drive
American Alternative Insurance Corporation, at al.
Ephrata, WA 98823
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, at al,
PROPERTY
American Alternative Insurance Corporation, et al.
INSURED
Consejo Counseling and Referral Service
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
723 SW 10th Street
Renton, WA 98057
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP
DESCRIPTION
LIMITS
DATE
DATE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-13 6/1/2022
6/1/2023
PER OCCURRENCE
$5,000,000
OCCURRENCE FORM
PER MEMBER AGGREGATE
$10,000,000
INCLUDES STOP GAP
PRODUCT-COMP/OP
$5,000,000
PERSONAL & ADV. INJURY
$5,000,000
(LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-13 6/1/2022
6/1/2023
COMBINED SINGLE LIMIT
$5,000.000
(LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
PROPERTY.
N1-A2-RL-0000013-13 6/1/2022
6/1/2023
ALL RISK PER OCC EXCL EQ & FL
$75,000,000
EARTHQUAKE PER OCC
Excluded
FLOOD PER OCC
Excluded
(PROPERTY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-13 6/1/2022
6/1/2023
PER CLAIM
$5.000,000
(LIABILITY IS SUBJECT TO A $250.000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$40,000.000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I SPECIAL ITEMS
City of Federal Way is named as Additional Insured and is subject to policy terms, conditions, and exclusions. Additional Insured endorsement is attached.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POI ICY PROVISIaNS:
CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Federal Way
33325 Bth Ave S.
FederalWay, WA 98003
AMERICAN ALTERNATIVE
INSURANCE COMPANY
ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profit Insurance Program (NPIP)
Policy Number
Endorsement Effective
N 1-A2-RL-0000013-13
6/1 /2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILITY COVERAGE PART
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above.
Schedule
Person or Organization (Additional Insured): As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator
City of Federal Way
33325 8th Ave S.
FederalWay, WA 98003
City of Federal Way is named as Additional Insured and is subject to policy terms, conditions, and exclusions.
Additional Insured endorsement is attached.
A. With respects to the General Liability Coverage Part only, the definition of Insured in the Liability Conditions, Definitions and Exclusions
section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or
Organization is an Insured only with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury
caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In performance of your ongoing operations; or
2. In connection with your premises owned or rented to you.
B. The Limits of Insurance applicable to the additional Insured are those specified in either the:
1. Written contract or written agreement; or
2. Declarations for this policy,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations.
All other terms and conditions remain unchanged.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission
ti5jQNSE.10
EXECUTIVE DIRECTOR JOB DESCRIPTION
The Executive Director serves as the Chief Executive Officer for Consejo Counseling and
Referral Services and all subsidiaries. The Executive Director (ED) has overall responsibility for
overseeing and directing all operations. The ED is responsible for maintaining financial viability,
ensuring organizational integration, good quality of care and overall management of the
organization. The ED is the authorized person on behalf to sign all contracts, purchases and
sales, financial transactions, open and close bank accounts, engage in lease agreements and
purchase or sale of Consejo Properties.
• CONSEJO's administrator is responsible for the day-to-day operation of the CONSEJO's
licensed behavioral health treatment services, including:
(a) All administrative matters;
(b) Individual care services; and
(c) Meeting all applicable rules, policies, and ethical standards.
■ (2) CONSEJO's administrator must:
(a) Delegate to a staff person the duty and responsibility to act in the administrator's behalf
when the administrator is not on duty or on call.
(b) Ensure administrative, personnel, and clinical policies and procedures are adhered to and
kept current to be in compliance with the rules in this chapter, as applicable.
(c) Employ sufficient qualified personnel to provide adequate treatment services and facility
security.
(d) Ensure all persons providing clinical services are credentialed for their scope of practice as
required by the department of health.
(e) Identify at least one person to be responsible for clinical supervision duties.
(f) Ensure that there is an up-to-date personnel file for each employee, trainee, student,
volunteer, and for each contracted staff person who provides or supervises an individual's care.
(g) Ensure that personnel records document that Washington state patrol background checks
consistent with RCW 43.43.830 through 43.43.834 have been completed for each employee in
contact with individuals receiving services.
(3) The administrator must ensure the agency develops and maintains a written internal quality
management plan process that:
(a) Addresses the clinical supervision and training of clinical staff;
(b) Monitors compliance with the rules in this chapter, and other state and federal rules and
laws that govern agency licensing and certification requirements; and
(c) Continuously improves the quality of care in all of the following:
(i) Cultural competency;
(ii) Use of evidence based and promising practices; and
(iii) In response to:
(A) Critical incidents; (B) Complaints and (C ) Grievances
Cn.snballn�; sand Rugerral &ervfcu
® (3) The Executive Director must ensure the agency develops and
maintains a written internal quality management plan process that:
(a) Addresses the clinical supervision and training of clinical staff;
(b) Monitors compliance with the rules in this chapter, and other state and
federal rules and laws that govern agency licensing and certification
requirements; and
(c) Continuously improves the quality of care in all of the following:
(i) Cultural competency;
(ii) Use of evidence based and promising practices; and
(iii) In response to:
(A) Critical incidents;
(B) Complaints; and
(C) Grievances
• Responsible for all aspects of agency operations, including satellite sites.
• Defines, determines and oversees program objective within established
policies and contractual requirements.
• Establishes and maintains an organizational structure to implement
policies, procedures and program contractual requirements.
• Evaluates on -going services and makes recommendations in the areas
which need program development and/or corrective actions.
• Responsible for maintaining agency expenditures within approved budget.
• Reviews agency budget with Director of Finance and Human Resources
Manager which conforms to resources, contractual agreements and
funding source requirements.
• In conjunction with the Board, develops and coordinates a plan of action
for securing financial support for agency programs and activities through
fund raising, grant writing and contract development.
• Develops yearly sources, goals and objectives for federal, state and local
governments; as well as for non-profit and private foundation grants with
the Board of Directors.
Researches and develops new sources of funding, and develops
enhancements with established funding sources.
• Ensures personnel practice relating to working conditions, salary
schedules and job descriptions are administered per agency policy, union
contract and law.
Delegates as required the assignment of job duties, evaluation of work
performance, hiring and termination of employees.
Provides supervision and consultation to management staff
Acts on behalf of the agency regarding employee grievance procedures.
Insures the maintenance of adequate case records in compliance with
federal, state and local laws.
0 Submits required written reports in compliance with government
regulations and as required by funding sources.
Prepares monthly agenda and other supports for Board meetings and is
present at these meetings to report and advice on agency activities and
finances.
Supports agency's public Image, goals and objectives.
Maintains ilalson with other community -based agencies, city, county, state
and regional agencies.
Provides education and information in the community as needed.
Serve on committees, task forces and special assignments as needed
A Serve as the primary spokesperson for the agency. Communicate
Consejo's mission to community leaders, supporters, staff, legislators and
other constituents.
G Provides Leadership and facilitate effective communication among
Consejo staff.
Develolp leadership and promote skill development within the organization
o Engage relevant local, state and federally funding sources and secure
necessary funding from blended sources to ensure the sustainabliity of
Consejo's services.
o Develop annual budget of agency in partnership with the
accountinglfinance department.
Fulfill other duties as may be assigned to meet agency operational needs
Requirements
6 MA in management, social service or related field.
• At 5+ years of relevant management experience.
Bilingual in English and Spanish
o Bicultural experience, knowledge and awareness of Hispanic/Latino
issues.
O Demonstrated grant writing and fund raising experience
e Lifting requirements up to 10 lbs.
Executive Giref tur SignatUre Date t Signature
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