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HomeMy WebLinkAboutAG 21-066 - CRISIS CONNECTIONSRETURN TO-. Brittany Julius EXT: 253-326-1227 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. /DIV: CD/CS 2. ORIGINAT]NG STAFF PERSON: Brittany �u�ius EXT4,: 253-326-12271 3. DATE REQ. BY: 4., TYPE OF DOCUMENT (CHECK ONE): O CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFPI, RFQ) D PUBLIC WORKS CONTRACT E SMALL OR LIMITED PUBLIC WORKS CONTRACT It PROFESSIONAL SERVICE AGREEMENT 1:1 MAINTENANCE AGREEMENT D GOODS AND SERVICE AGREEMENT El REAL ESTATE DOCUMENT 1:1 ORDINANCE A HUMAN SERVICES / CDBG 1:1 SECURITY DOCUMENT E.G. BOND RELATED DOCUMENTS) El RESOLUTION ❑ CONTRACT AMENDMENT (AG4): L INTERLOCAL ❑ OTHER 5. PROJECT NAME: Crisis Line 6. NAME OF CONTRACTOR: Crisis Connections ADDRESS: 2901 sad Ave., suite goo, Seattle, wn 98121 TELEPHONE (206) 333-e702 E-MAIL: FAX: SIGNATURENAME: Lauren RL*cjert TITLE 7. EXHIBITS AND ATTACHMENTS: IR SCOPE, WORK OR SERVICES IR COMPENSATION 19 INSURANCE REQUIREMENTS/CERTIFICATE it ALL OTHER REFERENCED EXHIBITS 1W PROOF OF AUTHORITY TO SIGN El REQUfRED LICENSES 1:1 PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: January 1, 2021 COMPLETION DATE: December 31, 2022 9. TOTAL COMPENSATION $ 109000-00 (INCLUDE EXPENSES AND SALES IAX, 1F ANY (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: [I YES EINO fF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED AYES ONO IF YES,, $ RETAINAGE: RETAINAGE AMOUNT: PAID BY.El CONTRACTOR ❑ CITY Ll RETAINAGE AGREEMENT (SEE CONTRACT) OR 1:1 RETAINAGE BOND PROVfDEI 1:1 PURCHASING: PLEASE CHARGE TO: 001-7300-083-562-10-410 10. DOCUMENT/CONTRACT REVIEW ❑ PROJECT MANAGER El DIRECTOR El RISKMANAGEMENT (IFAPPLICABLE) 0 LAW I I . COUNCIL APPROVAL (IF APPLICABLE) 12. CONTRACT SIGNATURE ROUTING INITTAL / DATE REVIEWED SJB 03/04/2021 DK 03-12-2021 COMMITTEE APPROVAL DATE : 11/10/2020 INITIAL / DATE APPROVED COUNCIL APPROVAL DATE: 11 /17/2020 ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D. E 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.) INITIAL / DATE SIGNED El LAW DEPARTMENT ?iQ LWRGO"PIIIIIIIATORY (MAYOR OR DIRECTOR 1:1 CITY CLERK El ASSIGNED AG# AG# `" COMMENTS: CITY OF 4WA4..� Feidera Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 mvw dryoffederahvny com HUMAN SERVICES AGREEMENT FOR CRISIS LINE This Human Services Agreement ("Agreement") municipal corporation ("City"), and Crisis Cormec .9 is made between the City of Federal Way,, a Washington tions, a Wastington public feneft corporation ("A�encv"). The City and Agency (together "Parties") are located and do business a for any notice required under this Agreement: t the below addresses which shall be valid CRISIS CONNECTIONS: CITY OF FEDERAL WAY: Lauren Rigert Brittany Julius 29013rd Ave., Suite 100 33325 8th Ave. S. Seattle, WA 98121 Federal Way, WA 98003-6325 206) 333-8702 telephone) (253/ 835-2651 (telephone) Lrigert(a),iirssconnections.or brittany.-luilus@cit offiederalway.com The Parties agree as follows: in TERM. The term of this Agreement shall be for a period commencing on January 1, 2021 and terminating on December 31, 2022 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement performance during the Iffst year of the Agreement term and upon funding availability. This Agreement Mn 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 tie'me 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 1"t 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. 4.61 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 res-non,ible for the payment of any taxes imposed by any lawful jurisdiction resulting from this Agreement. HUMAN SERVICES AGREEMENT - 1 - 12/2020 4.2 CITY OF Fe dera Method of Pa form provided by the City and a Way ent. On a quarterly basis, t li r y an invoice for payment on a is by the City only alter the Services have been Jerformed and within forty-five t,,+:)) days after the uityIIs receipt and approval ot a complete and correct invoice and reports. The City will use the quantity of Services actually delivered, as r Agency's reports, as a measuremeasure of satisfactory performance under this "�' "" CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wwwcityoffederelwaycom 'w he Agency shall submit to the Ci'*t eports as required by this Agreement. Payment shall be made on a quarterly bas reports to monitor compliance with the performance measures set forth in Exhibit A. eported on the i tie city shall review the Agency's Should the Agency fail to meet the V%;4 I 111alAe C; iiecaauiob i GaGll IiUQI1Gi'III uic airy reseryes the ri 2ni to acti ust payments on a tiro rats basis at anv time dil ri n pr ervice unit goals and the Agency has shown .6 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 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 s 0 Parties wilt i0 mmediately 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 i*n a timely manner. 4,14 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 111 for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Agencv Indemnification. The Agency agrees to release, indemnify, defend, and hold the City, its elected officials, officers, employ ees agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, 40 demands, actions, suits, causes of action, arbitrations, mediations, proceedings,, judgments, awards, injuries, damages, liabilities, takes, losses, fines, flees, penalties expenses, attomey1)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 b,ly the C I*tIlly 'S sole negligence. Should a court of competent jurisdiction determine that this Agreement 1:1111111 subject to RCW 4.24.,115!, then, in the event of liabilit, for damalles arising out of bodily injury to persons or damages to propert y 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 t defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attomeys, and volunteers to the extent and on the same terms and conditions as the Agency pursuant to this paragraph. The Ci*ty's inspection or acceptance of any of Agency's work when completed shall not be grounds to avoid any of these covenants of indemnification., 5.02 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any immunity that may be granted to i*t 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 411 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, HUMAN SERVICES AGREEMENT - 2 - 12/2020 CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-w7000 www crryoffederahvay com liabilities, losses, fines, fees, penalties expenses, attorneys fees, costs, and/or Iitigation expenses to or by any and all per1P sons or entities, including without limitation,ineir respective agents, licensees, or representatives, arising from, resulting from or connected wrth this Agrm eeent to the extents t solely caused by the negligent ac, errors , or omissions of the City. 504 Survival. The provisions of this Section shall survive respect to any event occurring prior to such expiration or termination. 6. INSURANCE. The Agency agrees to carry insurance fo performance of the services or work by the Agency duration of t follows: 6-a the expiration or termination of this Agreement with r liability which may arise from or i*n connection with the their agents, representatives, employees or subcontractors for the he Agreement and thereafter with respect to any event occurring prior to suchexpiration or termination as 1 MinimumLimits.TheAgencyagreestocarryasa minimum,thefollowing insurance, in such forms and A. with such carriers who have a rating tha a. CITY OF Federal Way covering liability arl'si'lE independent contractors, products -completed operations, stop gap liability, personal injury damage, products liability, advertising injury, and liability assumed under an $1,000,000 for each occurrence and $2,000,000 general aggregate. Commercial 0 t is satisfactory to the City: �neral liability insurance from premises, operations, bodily injury, death, property insured contract with limits no less than b . Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of the State of Washington; C's Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with a minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily injury, includniiipersonal injury or death, and property damage. 6*2. No Limit of Liability. Agency's mantenanceiof 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 Ci`ty'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 11*abiyitpolicies attached hereto as Exhibit C and iniiCriorated 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 i's actually terminated or upon project completion and acceptance by the City. 694 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 performanc0 e of this Agreement shall be considered confidentialal subject to apPilcable laws. Breach of confidentiality b��ll 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. 8.8 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 Cil upon delivery,, The Agency shall make such data, diiIIIIIIIcuments, and files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the HUMAN SERVICES AGREEMENT 12/2020 CITY OF Federal Way CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253) 835-o7000 www aryof(ederahray coin 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. 9.0 BOOKS A Vn 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 his Agreement. These records shall be maintained for a period of six (6) years after the termination of this Agreement and 11 funds paid pursuant to may be subject, at all reasonable times, to inspection, review or audit bv the City, its authorized representative, the. State 0 Auditor, or other governmental officials authorized by law to monitor this Agreement. ion 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 bc 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 All" ency'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 1*n 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. lie CONFLICT OF INTEREST. It ius 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 I*n 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 46 will be involved 1*n 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 b,Y 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 taim nation, 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-a GENERAL PROVISIONS. 13-01 Interpretation 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 I*n this Agrecment 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 HUMAN SERVICES AGREEMENT - 4 - 12/2020 been performed under the Agreement.. No provision of this Agreement, including this provision, may be amended waived. or modified except b y written agreement signed by duly authorized representatives of the Parties. 13.2 Assi* CITY OF Federal Way tshall remain in full force and effect. Any act CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wwwcrryoffederelway coin done byeither Party prior to the effective date of the Agreement that is consistent with the authority of the Agreemen and compliant with the tern -is of the Agreemen t, is hereby rati" feed as having Went and Beneficiaries. Neither the Agency nor the City shall have the right to transfer or as in -D whole or 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 cnntirnie ; 7 sign, 0 1T1 n full force and effect and no further assignment shall b 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 .0 or entity shall have any right oi action or interest in this Agreement based on any provision set forth herein. sole protection and benefit of the Parties hereto. No other person 13-93 Compliance with Laws. The Agency shall comply with and perform the Seryices 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 1*s a factor. Adherence to completion dates set forth in the description of the Se-rvices 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 i4n 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 Ageement are not intended to be exclusive, but shall be cumulative with all the 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 1*n 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 foil 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, Washi*ngton, 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 maybe filed i*n any other appropriate court in King County, Washi'ngton. 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 attorneys 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, Iowever, however nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section S of this Agreement. 13.5 Execution., Each individual executing this Agreement on behalf 0,11 the City and Agency represents and warrants that such individual 1*s duly authorized to execute and deliver this A cement. This Agreement maybe executed i*n 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 HUMAN SERVICES AGREEMENT - 5 - 12/2020 CITY OF Federal Way and a complete set of all signature and acktiowledligment CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www ciryoflederalway, corn pages. The date upon which the last executed a counterpart of this Agreement shall be the "date of mutual execution"' hereof. [Signature page follows] HUMAN SERVICES AGREEMENT - 6 - 12/2020 f all of th e Parties have CITY OF Fe d e ra IN WITNESS, the Parties execute this Agreement below, effec CITY OF FEDERAL WAY: Jim F ell, DATE: ayor J CRISIS CONNECTIONS: CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wwswv ciryoffederaJway. com tive the last date written below,, ATTEST: - - - --- ­­01 7 '=I � V _�. 'EI APPROVED AS TO FORM: J. Ryan Call, City Attorney ity B y TR ••' op 0Sq %Printed Name:1-,��,��Gi+'-� ': C = a) .Z 2- PV ' Title: .�f . � ' l�� �,�a �,��" � s� 6� ..: gaaommo N DATE: �U. 40 �'.9!:N%oa�M. =Elm,,�� OFfill, III%%% STATE OF WASHINGTONWimp sse COUNTY OF ) On this day personally -.000I St appeared of to that 0 before �,me 00 0 4 I k me known to executed the foregoing be the gec 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, lof any, is the corporate seal of said corporation. ent, d ac GIVEN my hand and official seal this ? ,, day of Notary's signature Notary's printed name HUMAN SERVICES AGREEMENT w 7 m ota b 11" Zo C in and for the Stag of Washington. My commission expires 12/2020 CITY OF Federal Way EXHIBITA SERVICES Proi*ect Summa CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cdyoKederahvay. com The Agency shall provide support and resources to callers who are having a onetime crisis or those who are living wit Way. The Agency sha Federal Way residents h a chronic mental illness and support them in their relO.113,1111Very in the City of Federal ensure that services provided with funding under this Agreement are made available to Performance Measures A. Number Served The Allency agrees t,11.1 serve, at minimum, the following unduplicated number of Federal Way residents with Human Services funds: 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter Total Jam. _ APRIL — JULY — OCT. — MARCH JUNE SEPT. DEC. RIM No. of unduplic.atedF era I Wa ersons assisted in 202 1 140 140 140 140 560 No. o unduplicatedF eraI Way persons assisted M 2022 140 140 140 140 560 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: I St 2nd 3rd 4th Quarter Quarter Quarter Quarter Total JAN* — APRIL — JULY — OCT. — MARCH JUNE SEPT. DEC. 2021 1. Phone Calls 140 140 140 140 560 20. 2 1. Phone Calls 140, 1401 140 140 560 C. Definition of Se rvices 1. Phone Calls — Calls to the 24-hour Crisis Line which is answered by, a Crisis Supervisor. HUMAN SERVICES AGREEMENT - 8 - 12/2020 CITY OF Federal Way D. Performance Measure(s) Outcome(s) to be measured: 1. 65% of callers report a reduction in stress. Records A. Project F Iles The Agency shall maintain files for this project containing the following items: CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoflederahvay con) Notice of Grant Award. Moti0 ons, 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 Cit Bills for payment with supporting documentation. Copies of approved invoices and warrants. y for this project. Documentation of client address; residency verified via King County Parcel Viewer Documentation o'r client income,, The Agency agrees to use the HUD Income Guide Is 4 income of cli HUD. to report ents served under this Agreement. Income guidelines may be adjusted periodically by, King County FY'2020'1nconie Limits Summary $1 13JO0 A I I I lines Median FY 2020 Income Income l 2 3 4 5 b 7 8 King Limit Person Persons Persons Persons Persons Persons Persons Persons County Category Extremely Low (30%) S25II9100 $28fi50 $32,250 $359800 $38,,700 $41,550 $44,400 $471300 Income Limits Ver(SW%) y Low Income $41 800 $47800 $53750 S 1700 $645500 $69'IP300 $74,050 $785850 Limits Low (80%) $661700 6�200 $85,750 $95,250 $102,900 $1105500 $1181150 $1259750 Income Limits The Agency agrees to use updated Income Guidelines which will be provided by the City. HUMAN. SERVICES AGREEMENT - 9 - 12/2020 CITY OF Federal Way Reports and ReDoirtin Schedule CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www 01yoffederalway, corn TheAgencyshallcollectadreport client information to the City quarterlyand annuallyona ServiceUnit Report to beprovided by theCity in theformatrequested bytheCity. TheAgencyshallsubmitanAnnualDemographicDataReport.The agencysha requested on this form from the persons served through th.6 is contract. Data should be tracked in an ongoing mannerandsubmitted annuall 11 collect and retain the data yno later than January15 m theformat requested bytheCity. TheAgencyshallimplementandtrackatleastonemeasuableoutcomeforteprogramasresentedthe application. Changes to the outcome presented in the application must be approved by the Citror to pementation. The Agency sha its outcome measures) annuallon the Annual Outcome 15 in the format requested by the City. 11 revort the results of the results of Data Report to be submitted b'11111111VJanuary Public Information In all news releases and other publi c notices related to Projects funded under this Agreement, the Agency will ude int-ormation identifyinginci theso-urce of funds as the cify of Federal 111ay Human Services General Fund Program. HUMAN SERVICES AGREEMENT - 10M 12/2020 CITY OF IMF, L Federa Prol'ect Budget Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www dryoflederatway. com EXHIBIT B COMPENSATION The Agency shall apply the following funds to the project. The total amount of compensa Agreement shall not exceed Ten Thousand and 00/100 Dollars ($10,000.00). C I* t Cit y of Federal Way Funds Tota of Federal Way General Fund: 1 City of Federal )Arav Funds: 2021 $5,000000 $59OOOaOO 2022 $55000000 $59000e00 ion pursuant to this Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly aandare due on the following dates: 1dp st Quarter: April 15 or within 10 days of notice to proceed, whichever is later; 2nd Quarter: 3rd Quarter: 4th Quarter: July 15,0 October 15; and Final Reimbursement Request and Service Unit Report and Annual Outcome Data Report due January 15, The Agency shall submit paymen copy of the Service Unit Report. Estimated Quarterly Payments: 2021 1st Qtr $1,250.00 2nd Qtr $11250000 3rd Qtr $1,250.00 4th Qtr $1,250.00 2022 1 s` Qtr $1250000 2nd Qtr $11250.00 3rd Qtr $1,250.00 4th Qtr $1,250.00 Report forms due January 6; Demographic Data t requests in the format requested by the City. Payment requests shall include a 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 - I I - 12/2020 R)rm WWM!) (Rev. Octo ber.2 01 $) aepartNit of the Treasury Internal Revenue $avirs . .. I eque.st for Taxpayer Identification Number and Certalfication Go to �u�r�:ira.gowlFarrr�Ul� fir ins-tionis and tho liotest inforrna#inn, - __ . V I I I v r 1 ­ .. .— — �_ �M : Mhl_� M hM b d 1 Name (as shown an your lflrome tax rName is required an this line; do not leave, line Nanka Crisis Conriec;tiaon5 EMPI 2 Business narneldisreg,erded enti-ty namq, If clIfferent frorn abowo 3 Cher-k appropriate box for federal tee 01.5,5$ifir':ition of th 1011OWihg �WOft boxe!sb lnd�vi&�;RVSQle proprleVr or r....rorporation sin9fe-member L�G e person WhOS19 namo is entered on I-Ine 1 . Chaok only one of the Q 6 Corporation [:] Rartnfil-P 11 Trust/eslate ❑ Limi ted I labil ity com p.9 ny. Fnter t h o� tax classafication (0=0 corpora tion, �� ���poration, P=Pstrtnership) W Note -me Check the appropriate box ire the litleabove for the tax rIassification of the $ingle-rrienriber OWner, Dorlotcli�e�ck LLB if the LLB is classified as a Bir�gle-met�-tk�g�' LLC that is disregBrd�Bd from the owner �njtheowner ���� of the LLC �:5 another LLB that is not diarsgar1e� ,Or US, tax purposes. Otherwise, a single-mernber LLC tnat Is disregardea frorri the owner should check The appropriate b0X fOr th@ tax ciesaificatian of its owner. El Other (see instructions) Poi. MV 5 Adclms Ournbor,'street, and apt. or suite no.) $%ee inS#rvo#ions. 2901 Th I rd Ave, STE 100 .. 1 6 city� 5tat�y a nd SIP Gpde Seattlet WA 99121 7 List account number(s) here (optional) glilUl.... Taxpayer Identification Number 1,N) Give farm to the requester. Do not send to the IRS. 4 Exemp.tic)n:$ (QOdR3i9pply only to 0 eartsin entities, not `1nC1Iv1dLja1,I ree instructiam 8n page 9): Exernpt PayBG code (if enY) Examption from code (iany FAA reporting (App#W to QCI)ts #ieM Coined vuftrVe the, U. Sj Reque%w"s name iana aoorets (optiorllq Enter your TIN in the appropriate box. The TIN provided must match the name given an line 'I #4 avoid backup withholding_ For Individusig, this ie generally your social security number (SSN). However, far a resident alien, sole proprietor, or disMgarded entity, see the instructions for Part I, 1Wqr, For other ientities, It Is your empEoyar identifica#ivrnumber (EIN). If you da not have a number, see Now to aet a 771V, later. Note: If the account is in more than one name, gee the instructions for line 1. Number To Give the Reiil���quester for guidelines on whose number to enter. Certtf Micat'l'on Under penaltlt'05 of perjury, I certify that: Also see What Name and Social securttj► rJurryber OF, M7F K Emriloy VI M M et ichmdificetion number � -Thy riumbershown on this form is rny correct T2,xpayor Identlificriation number (or I am waiting for a number -to be issued to me and 2. I am not subject to backup withholdin� barause* (a) I am exempt from backup withholding, or (b) I I V1 bl�� r�10tlfi��i bY the I riternal Revenue Service (IRS) that I iam subjecl to biAukup withholding as a result of a fiailure to report all interest 0 ivieOds, or c) the IRS has notified me that I am no Ion er .3ubjt to backup withholding- and �3. ! am a U.S, citizen or other U.S, poison (dafinod 1?e1qW); an�# 4. The FATCA code(s) entered on thIs forrm ('I f any) indicating that I am exempt from FATCA reportin9 i:s oarrea, CertMuation inatruction% ��� must cross out item 2 b vif you havo beerl na#ified by the IRS that you are currently subject to backup withholding because yov have faited to report all interest and dividends on your t rotrn, F r$ai eg-tate transaction!3, �em 2 does not apply. For mortgage interest paid} ouquiaition or abaridonment of secured property, cancellation Of 010W, Qontributions to an individual retirement arrangement ��A��r and g�n�ral�Yt Pa]�$nts other than interest and dividends. ou are r�a�t require�l to sig ri the certification, but �ou must �rovide your correct T'��I. �ee the instructions; for pert 11, I'ator.sign SIgnature of q in I IME General Instructions Section references are W tho I rrtgmal RevenUe. CADde unless otharwlsia notod. Future developments, For the latest information about developm nt� related to Farm W-9 and its instrucbons, such as I g1i:1:1 I 1 1111111� after they�r� pu�aiished �w g� �� ww,werers.govJForW9. Purpose of Farm An individual or entity (Farm W*-9 requestell,11111) who is requIred to file an information return with the IRS must obtain your correck t�!Ixpayer identification number (TIN) which may 1>a your social security number (SSN), indivIdual taxpayer Idiantifleation number (ITIN), adoption taxpayer identif,ration number (ATIN), or employer identification number (EIN)J. to report on an inforrnation return the amount paid to you, or other amount mp��ble qn an informatian return. Examples of Information re#�rn� Fn��ud�, but are, not fimitpd to, the following. + Form 1009-1 NT (interest gamed or paid) ip Form 1099A-DIV (dividands, including moso from stocks or Mutual funds 11 POrrn 10$9-NiS$G (var*IOU5 types of incorne, prizes, awards, or gross proceeds) • Form 10991111111111111113 (stock or mutual fund sales and certain other transactions by brokers) • Farm 1099-S (proceeds from real estate transacUons) • Form 1099laK (merchant card arid third party network tramToqtion:5) • Form 10 intgrest�, 1 �98-� (student I an inferest), i 098-T tuition) . Form 1499-C (canceled debt) • Farm 1099--PA (acquisition or ahandonmant of secured property) Use Form Ww9 only if you arA a U.S. parson (including s resident align), to provide your cornet 11N. if yotr dO »pt Mfurn Firm W-9 tO the Mquwtee with a TIN# you might be s0bjOO tO borghug w;thha/ding. Sea What i$ backup withholding, later. i iLYI■ ■I i ■ � ■ Cat. No, 10231X Forrn Wm9 (R10-2018) t Business Lookup License Information: Entity name: Business namt.. Entity type: U61 #a0 Business ID: Location ID. Location: Location address: Mailing address: CRISIS CONNECTIONS CRISIS CONNOECTIONS t po.., r a t c r 600-578-099 001 0001 Excise tax and reseiler Permit status: 4 Secretary of State. status: Endorsements Endorsements held at this Joication License # ?907 3RD AVE STE 100 S.EATTLE WA 98121-1037 2971 IN AVE STD 100 S EATTL"t WA 98121-103? k s� Detaits CITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-w7OOO www ciryoflederahvay. com City of Federal Way Human Services Conractt for 2021 m2022 General Fund Authorized Signatures for Invonces I authorize the following individuals to sign invoices and quarterly reports on behalf of: S1S C � F �S *L the following: (2L.C,)qnl 2,pw-) Q nS P mpub� ff IL -v ..L L�r� AuthorIF .0 izing Signature: (must be signed by person who signs the contract, generally, Executive Director) ✓P I (Printed Name '6 ignature) W (Contracting Agency)', for (Program Title). OF (Title) (Date) P * 1 9 0 r■f 1 i I i I I I I I 1 0 5 V1 14464 1 1 1 M I I I I I I I F4 0 0 1 i I 1 0 0 0 0 r■ 0 i r ■.��■���iiiiii..*..*� 1 Fffff��+++....■*�**■i�r�r+++ff�*�it�����ir+f*� � � i s■ � s■ � � s■ � f� ii��rffrf�aiia r �� � � � � � � � � � � � �� i ■ ■ � � � � � rrr■ fffi 4f � � ■������i ■�i Mi � r■ � � srrEra�� � � � � � Y�r�ri ■�����f��i�i�rrr f*off*�����ii■ rffff*��i���rr��i■ r Additional Authorized Signature: Additional Authorized Si'wgnature: (Printed Name) (Title) (Signature) (Date) (Pnnted 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. ICI I I 11 ITV llkl0l I A Llf%= COVE ES CERTIFICATE NU BERm 61700831 RFVI.qlnN NII THIS IS TO CERTIFY CHAT 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 ANDNTf;bAIi[;T D ETHER 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. +NSR TYPE �F INSURANCE AQDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD MMIQD LIMITS A X COMMERCIAL GENERAL LIABILITY x PAC4296835 07/01/20 07/01/21 -EACH OCCURRENCE $ 1,0001000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED 000 000 PREMISES Ea occurrence s 1 or NEED EXP (Any one person) s 5rOOO PERSONAL & ADV INJURY $ if000r000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 x POLICY � ECT LflC PRODUCTS - COMP/OP AGG s 3. 000 r 000 OTHER: $ A AUTOMOBILE LIABILITY PAC4296835 a'�I�112o ��/oi/2i COMBINED a �ntSINGLE-LIMIT s 1, Quo , ono ANY AUTO BODILY INJURY (Pei person) $ OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) HIRED NON -OWNED PROPERTY DAMAGE x AUTOS ONLY x AUTOS ONLY Per accident $ A UMBRELLALIAB x ����� UM4296836 07/01/20 07/01/23. EACH OCCURRENCE $ 4rOOOrOOO EXCESS LiAB CLAIMS -MADE AGGREGATE 4FOOOF000 DED x RETENTION $ 10 , 0 0 0 $ A AND EMPLOYERS' LIABILITY WORKERS COMPENSATION Y'N PAC4296835 07/01/20 07/01/21 STATUTE PER X HRH ANYPRQPRIETQRlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ 11000,000 OFF iCERIMEf1ABEREXGLIJDED? ❑ N 1 A (Mandatory in NHS E.L. DISEASE - EA EMPLOYEE $ 110001000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1�0001000 A Professional Liability PAC4296835 07/01/20 07/01/21 Agg Limit 31000,000 A Professional Liao cont PAC4296835 07/01/20 07/01/21 Each Act/Error Cftm I 1 0 0 0 r 0 0 0 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101 r Additlonal Remarks Schedule, may be attached If more space is required Certificate holder is an additional insured per insured form #GC8970 11 14 but only with respects to operations of the named insured. Excess Policy follows General Liability ***14 days notice of cancellation for non payment of premium*** CERTIFICATE HOLDER City of Federal Way F4 Sox 9718 Federal Way, WA 98063 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. UT"OWED REPRESENTATIVE 's (.' 4 , W.M. 7 ACORD 25 (2016/03) Kareen eckner c, vnnoo, 0 1988-4015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY of ecleral Way If you are not a corporation, is your Business 33325 8th Avenue South, Federal Way, WA 98003 [K Update Form To add your business to our vender file, or update information. Please complete this form and mail or fax 1*t to the address/fax number below. i MW Business Name: ContactName. Mailing Address (i Phone #: 4MME. Jo. Corporation (2f fooks\s A l EINew Vendor Su f (For office use only) VN#, CITYISTATE fc1ifferent), CHY/STATE Fax #: &Mail,.0 Federal ID # (9 digits) ip PaTinersh aw Federal ID # (9 digits) Government Agency ❑ _ _ _ _ _ _ _ _ Non -Profit Proprietor Federal ID # (9 d igits) Federal ID # (9 digits) Federal ID # (9 dsk igits) or Social Security Number V&atiws the official name registered with the I.RS. for the above number? � subject to 1099 reporting?, '� Yes State of Washington U.B.I. # �ppp_ 0: :;wo9 -mo WRIvou provide supplies or services to the City of Federal Way? City of Fede'l Way ff(Dep zftent Contact Name: i F Signature (US- Person including a US resident alien) Federal Way Business License #: ❑ Supplies Date: 41 ❑ No Apr Zip Code Zia Code For information call:. 253-835.2525 or Fax: 251,9351509 or E-mail: Accountspayable@cityoffederalway.com • Crisis Connec • IT, interpreter • Landlord Crisis Connections Board of Trustees Meeting Minutes Wednesday, July 15, 2020 60*00 PM Mission, Our passion is caring and listening, helping people to make positive life changes. Wa do this through connections between people and critical resources. Present: Angela Cronin, Cl*f Curry, David Dickinson, John Engber, Katie Simmons, Mike Nielsen, Ursula Whiteside, Pam Mandel, Kim Gunning Staff and Guests: A111*e Franklin, Robbi Kay Norman, Russ Davies I. Call to Order and Welcome: Mike Nielsen, President (6lop 00) qp Welcome and introduction of members. II. Motion 1: To Approve the Minutes of May 2020 Meeting Approve (6601) Motion carried and accepted. III. Finance Committee Report Approve (6:02) • KC CAP has no update. Request from Provisional to CAP was rejected. Provisional extended to 30 days. • Audit i*s on hold., • Year to date revenue 1*s ahead of budget over 1 million. • 119,000 private contracts ahead due to COVID-19 funding. ti'lons ,P is currently understaffed. ,, and telephone costs are over budget. 16 is delayed in reimbursing us. • Accounts Payable has gone down. IV. Motion 29. Remove past ELT members and two new ELT members Motion carried and accepted. Approve V. Motion 3: Delegate Lauren Rigert t o CEO Administrative duties until Interim CEO ies named (signed checks, contracts, etc.) Approve Motion carried and accepted. (64*13) VII. Philanthropy Chair Report Inform (6.0 14) • A virtual event i's likely to happen., • List of potential sponsors will be sent in the next few weeks. • Possible food delivery or packages could be implemented. • Most of the event can be pre-recorded and there might be some live events. This would 4b include an auction. • Angela Cronin requests the board help fill virtual tables. VIII. CEO Report • Update, FEMA rollout on July 16th at I l ti Inform (66*24) 9& &ia& Aai.L A i • Crisis Connections has a project management resource who will help with Washington Listens. • FEMA SAMSA entered into a phase 2 30w-day extension. • LNI complaint about COVID-19 and social distancing. • CIE Community Information Exchange) is a plan for a system to connect all resources. There are currently over 72 different'systems and it is not sustainable. • Guest Robbi Kay Norman discusses her collaboration with the CEO., She emphasized a need for a "close -loop system" in which a person in need will be connected to a single resource system that is specified to their needs. IX. Farewell Alli*e and David Appreciate (7--*600) X. Executive Session Inform (7*030) XI. Adjournment Approve (8930) a Crisis Connections Board of Trustees Meeting Minutes Wednesday, July 15,2020 6:00 PM Mission: Ourpassion is caring and listening, helping PeoTle to make positive life changes. We do this through connections between people and critical r11?sources. Present: Angela Cronin, Clif Curry, David Dickinson, John Engber, Katie Simmons Ursula Whiteside, Pam Mandel, Kim Gunning Staff and Guests,* A111"e Franklin, Robbi Kay Norman , Russ Davies Mike Nielsen, I. Call to Order and Welcome: Mike Nielsen, President (6*600) Welcome and introduction of members. II. Motion 1: To Approve the Minutes of May 2020 Meeting Approve 6:01) Motion carried and accepted. III. Finance Committee Report Approve (6:02) • or KC CAP has no update. Request from Provisional to CAP was rejected. Provisional extended to 30 days., Audit is on hold.. Year to date revenue is ahead of budget over 1 million. 119,000 private contracts ahead due to COVID- 19 funding. Crisis Connections is currently understaffed. IT, interpreter and telephone costs are over budget. Landlord is delayed in reimbursing us. Accounts Payable has gone dow..n. IV. Motion 2:6 Remove past ELT members and two new ELT members Motion carried and accepted. Approve V. Motion 3.0 Delegate Lauren Rigert to fulfill CEO Administrative duties until Interim CEO i*s named (signed checks,, contracts, etc.) Approve Motion carried and accepted. Philanthropy Chair Report Inform (690 13) (6o14) A virtual event is likely to happen. List of potential sponsors will be sent in the next few weeks. Possible food delivery or packages could be implemented. Most of the event can be pre-recorded and there might be some live events. This would include an auction. Angela Cronin requests the board help fill virtual tables. CEO Report Update, FEMA rollout on July, 16 th at I l am. Jnform (6-:24) • Crisis Connections has a project managemen Listens. t resource who will help with Washington • FEMA SAMSA entered into a phase 2 30-day extension. • LNI complaint about C C)" i ID- 19 and social distancing. 0 CIE (Community Information Exchange) is a plan for a system to connect all resources. There are currently over 72 different systems and it is not sustainable. • Guest tcobbi Kay Norman discusses her collabora need fora "close -loon system " in which q person resource system that i&s specified to their needs. tt)n with the CEO. She emphasized a in need will be connected to a single IX. Farewell AIIi*e and David Appreciate (7*00) X. Executive Session Inform (70030) XI. Adjournment AlpFove (8:30) t