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HomeMy WebLinkAboutAG 21-092 - CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTONRETURN TO: Brittany Julius EXT: 253-326-1227
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: CD/CS
2. ORIGINATING STAFF PERSON: Brittany Julius
EXT: 253-326-1227 3. DATE REQ. BY _
4. 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
5. PROJECT NAME: Federal Way Day Center
3
NAME OF CONTRACTOR: Catholic Community Services of Western Washington
ADDRESS:
E-MAIL:
SIGNATURE NAME:
TELEPHONE
FAX:
TITLE
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK OR SERVICES A COMPENSATION A INSURANCE REQUIREMENTS/CERTIFICATE © ALL
OTHER REFERENCED EXHIBITS O PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: January 1, 2021
C
COMPLETION DATE: December 31, 2022
TOTAL COMPENSATION $ 62,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDEI
❑ PURCHASING: PLEASE CHARGE TO: 001-7300-063-562-10410
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED
❑ PROJECT MANAGER SJB 01/20/2021
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
A LAW DK 12-27-2021
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: 11/10/2020
12. CONTRACT SIGNATURE ROUTING
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE: 11/17/2020
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ 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.)
IMTIAL / DATE SIGNED
❑ LAW DEPARTMENT
VSTGNATORY (MAYOR OR DIRECTOR) 1
❑ CITY CLERK
❑ ASSIGNED AG# AG# 1
COMMENTS:
CITY OF CITY HALL
Federal Wa 38thAvenue South
� Federal Way, WA 98003-6325
(253) 835-700D
www.ctlyoffederal way.com
HUMAN SERVICES AGREEMENT
FOR
FEDERAL WAY DAY CENTER
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington
municipal corporation ("City"), and Catholic Community Services of Western Washington, a Washington public
benefit 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:
CATHOLIC COMMUNITY SERVICES OF
WESTERN WASHINGTON:
Bill Hallerman
100 23rd Ave S
Seattle, WA 98144
(206) 328-5908 (telephone)
W"
The Parties agree as follows:
CITY OF FEDERAL WAY:
Brittany Julius
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2651 (telephone)
.com
1. 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 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 - 12/2020
CITY OF CITY HALL
Federal WayFeder 8th Avenue South
Federal Way, WA 98003-6325
(253) $35-7000
Vvw"u cdynffederef way. 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 Nan -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 Cit ry Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its officers,
directors, shareholders, partners, employees, agents, representatives, and subcontractors harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages,
liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons
or entities, including without limitation, their respective agents, licensees, or representatives, arising from, resulting from
or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City.
HUMAN SERVICES AGREEMENT - 2 - 12/2020
CITY OF CITY HALL
Federal Way Feder l Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. wyoffedwal way. 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
$1,000,000 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 a
minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for
bodily injury, including personal injury or death, and property damage.
6.2. No Limit of Liability. Agency's maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Agency to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. The Agency's insurance coverage shall be primary insurance as
respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the
Agency's insurance and shall not contribute with it.
6.3. Additional Insured. Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Agency shall provide certificates of
insurance for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At
the City's request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of
premiums or fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to
maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or
upon project completion and acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Agency in performance of this Agreement
shall be considered confidential subject to applicable laws. Breach of confidentiality by the Agency may be grounds for
immediate termination. All records submitted by the City to the Agency will be safeguarded by the Agency. The Agency
will fully cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure
request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency
while performing the Services shall belong to the City upon delivery. The Agency shall make such data, documents, and
files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the
expiration or termination of this Agreement all originals and copies of any such work product remaining in the possession
of Agency shall be delivered to the City.
HUMAN SERVICES AGREEMENT - 3 - 12/2020
CITY OF CITY HALL
Federal WayFeder l Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. rilyo ffederaf way. com
9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting
procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to
this Agreement. These records shall be maintained for a period of six (6) years after the termination of this Agreement and
may be subject, at all reasonable times, to inspection, review or audit by the City, its authorized representative, the State
Auditor, or other governmental officials authorized by law to monitor this Agreement.
10. INDEPENDENT CONTRACTOR. The Parties intend that the Agency shall be an independent contractor and
that the Agency has the ability to control and direct the performance and details of its work, the City being interested only
in the results 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. EOUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made
possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency or its
subcontractors of any level, or any of those entities' employees, agents, sub -agencies, or representatives against any person
because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital
status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide
occupational qualification in relationship to hiring and employment. This requirement shall apply to, but not be limited to,
the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection
for training, including apprenticeship. Agency shall comply with and shall not violate any of the terms of Chapter 49.60
RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act
of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination.
13. GENERAL PROVISIONS.
13.1 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 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.
HUMAN SERVICES AGREEMENT -. 4 - 12/2020
CITY OF CITY HALL
Federal Way 33325 Avenue South
Federal
Way, WA 98003-6325
(253) 835-7000
wwwC11yof edem1way. com
13.2 Assignment and Betieficiaries. 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.
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 : 12/2020
CITY OF CITY HALL
Federal WayFeder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.c tyofiederalwaycom
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
Jinn
DATE:
ATTEST:
11, Mayor S e liaj ie Courtney, C.MC.., ity Clerk
l��T'�1
` APPROVED AS TO FORM:
CATHOLIC COMMUNITY SERVICES OF
WESTERN WASHINGTON:
By: /� l
Printed Name: '9111 9Q l lev+ o/L)
Title: -,aer�d-t-
DATE: y/ c%12'l
STATE OF WASHINGTON )
_ -4Z"jj
J. Ryan Call, City Attorney
) ss.
COUNTY OF
On this day ersonall}• appeared before me , to me known to be the
`j �; ��, of + that executed the foregoing
inst]-Ll neat, and acknowledged the said instrument to be t4 free and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said
instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN rnmm jj"n'c'JlAtjjl seal this �day of t ` l 20A.
) .
�;. ExP. tary's signature
0.�
.� Near 's printed name d sL
• • NOTARY
y w� Notary P is i nd for the State of Washington.
; PUBLIC
2 My commission expires tC
. J� : �Cj g�� • ,ram
HUMAN SERVICES AGREEMENT - 6 -
12/2020
CITY OF
.- Federal 'Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7{}0D
www..cityal(isdsral wuy. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
Jim Ferrell, Mayor
DATE: y1a1
CATHOLIC COMMUNITY SERVICES OF
WESTERN WASHINGTON:
By: le
Printed Namc: '9111 UQ pi-tvalt-1
Title: Vlur —,aer"" '
DATE:��•b/��
STATE OF WASHINGTON )
ATTEST:
Stephanie Courtney, CMC, City Clerk
APPROVED AS TO FORM:
J. Ryan Call, City Attorney
ss.
COUNTY OF
On this day E erscinally appeared before me t , to me known to be the
of + - that executed the foregoing
in�� ment, and acknowledged the said instrument to be thi free and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said
instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN in.O.NS ',Hc LfIfti?I seal this _aCNay of , 20A,
``�ti?CP'
Q a3ir0•0(�.]�yitary's signature
• •p
N(jary's printed name _
NOTARY Na
W: Notary P. is ' i nd for file State of Washing -to �
PUBLIC i 2 Z My commission expires, 03P z,..
'�;A tc rya• Z
lb ZZ,
s��*l0 i if i i,5 l��►%%
HUMAN SERVICES AGREEMENT - 6 - 12/2020
CITY of
Federal Way
EXHIBIT A
SERVICES
Proiect Summary
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 83&7000 wwvcityolYederalway. com
The Agency shall provide space for people who are struggling with homelessness and connect residents to
resources that may help them recover from their homeless situation 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
4tn
Quarter
Quarter
Quarter
Quarter
Total
JAN. -
APRIL -
JULY -
OCT. -
MARCH
JUNE
SEPT.
DEC.
No. of unduplicated Federal
Way persons assisted in 2021
68
68
68
68
272
No. of unduplicated Federal:::Way
persons assisted in 2022
68
68
68
68
272
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st
2nd
3rd
4tn
Quarter
Quarter
Quarter
Quarter
Total
JAN. -
APRIL -
JULY -
OCT. -
MARCH
JUNE
SEPT.
DEC.
2021
1. Basic Needs
68
68
68
68
272
2. Case Management
10
10
10
11
41
2022
1. Basic Needs
68
68
68
68
272
2. Case Management
101
10
1 101
11
41
HUMAN SERVICES AGREEMENT - 7 - 12/2020
CITY Or
.;§h� Federal Way
C. Definition of Services
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253)835-7000
wmv cityoffederal way. com
1. Basic Needs - Providing access to basic needs including hygiene services, food preparation areas, and
day time shelter to residents of Federal Way.
2. Case Management — Federal Way clients engage with Case Manager to identify and remove barriers to
housing.
D. Performance Measure(s)
1. Individuals will have access to overnight shelter.
Records
A. Project Files
The Agency shall maintain files for this project containing the following items:
0
4.
5.
6.
7.
8.
9.
Notice of Grant Award.
Motions, resolutions, or minutes documenting Board or Council actions.
A copy of this Agreement with the Scope of Services.
Correspondence regarding budget revision requests.
Copies of all invoices and reports submitted to the City for this project.
Bills for payment with supporting documentation.
Copies of approved invoices and warrants.
Documentation of client address; residency verified via King County Parcel Viewer.
Documentation of client income. The Agency agrees to use the HUD Income Guidelines to report
income of clients served under this Agreement. Income guidelines may be adjusted periodically by
HUD.
King
County FY 2020 Income Limits Summary
Median
TY 2020
Income
Income
1
2
3
4
5
6
7
8
King
Limit
Person
Persons
Persons
Persons
Persons
Persons
Persons
Persons
County
Category
Extremel
y Low
(30°/0)
$25,100
$28,650
$32,250
$35,800
$38,700
$41,550
$44,400
$47,300
Income
Limits
Very
$113,300
Low
(50%)
$41,800
$47,800
$53,750
$59,700
$64,500
$69,300
$74,050
$78,850
Income
Limits
Low
(800/0)
$66,700
$76,200
$85,750
$95,250
$102,900
$110,500
$118,150
$125,750
Income
Limits
The Agency agrees to use updated Income Guidelines which will be provided by the City_
HUMAN SERVICES AGREEMENT - 8 -
12/2020
CITY OF CITY HALL
Federal Feder l Avenue South
Federal Way, WA 98003-6325
_s (253) 535-7000
www.cilyoffedomlway.com
Reports and Re ortin 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 - 12/2020
CITY OF
. Federal
Proiect Budget
CITY HALL
Way Feder l Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cityOffederelfway.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 Sixty -Two Thousand and 00/100 Dollars ($62,000.00).
City of Federal Way Funds
2021
2022
City of Federal Wa General Fund:
$31,000.00
$31,000.00
Total City of Federal Way Funds:
$31,000.00
$31,000.00
Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly
and are due on the following dates:
1st 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 6; 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:
2021
1st Qtr
$7,750.00
2nd Qtr
$7,750.00
3rd Qtr
$7,750.00
4th Qtr
$7,750.00
2022
IA Qtr $7,750.00
2nd Qtr $7,750.00
3rd Qtr $7,750.00
4d' Qtr $7,750.00
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 - 12/2020
4/29/2021 Corporations and Charities System
BUSINESS INFORMATION
Business Name:
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
UBI Number:
601 098 379
Business Type:
WA PUBLIC BENEFIT CORPORATION
Business Status:
ACTIVE
Principal Office Street Address:
100 23RD AVE S, SEATTLE, WA, 98144, UNITED STATES
Principal Office Mailing Address:
100 23RD AVE S, SEATTLE, WA, 98144, UNITED STATES
Expiration Date:
07/31/2021
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
07/25/1988
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
CHARITABLE, TO MINISTER TO THE NEEDS OF INDIVIDUALS AND FAMILIES IN WESTERN
WASHINGTON WHO ARE POOR, TROUBLED OR IN NEED OF SOCIAL SERVICES.
REGISTERED AGENT INFORMATION
Registered Agent Name:
TIMOTHY MAY
Street Address:
100 23RD AVE S, SEATTLE, WA, 98144-2302, UNITED STATES
Mailing Address:
100 23RD AVE S, SEATTLE, WA, 98144-2302, UNITED STATES
GOVERNORS
Title Governors Type
GOVERNOR INDIVIDUAL
GOVERNOR INDIVIDUAL
GOVERNOR INDIVIDUAL
GOVERNOR INDIVIDUAL
GOVERNOR INDIVIDUAL
Entity Name First Name
Last Name
MICHAEL REICHERT
VERY REV. BRADLEY R HAGELIN
JOE SCHICK
SHARON HENDERSON CALLAHAN
NED DELMORE
https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 1/2
4/29/2021
Corporations and Charities System
Title
Governors Type
Entity Name First Name
GOVERNOR
INDIVIDUAL
EDGARDO G
GOVERNOR
INDIVIDUAL
DONNA
GOVERNOR
INDIVIDUAL
DIANE
GOVERNOR
INDIVIDUAL
SR CHARLOTTE
GOVERNOR
INDIVIDUAL
SR. SHARON
GOVERNOR
INDIVIDUAL
REV. JOSE
GOVERNOR
INDIVIDUAL
JOEL
GOVERNOR
INDIVIDUAL
TIM
Last Name
JOSE
LAFRANCE
MCWITHEY
VAN DYKE, SP
PARK, OP
ALVAREZ
GILBERTSON
HUNT
https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation 2/2
Most Rev. Paul D. Etienne, DD, STL
Archbishop of Seattle
�wA v1 '
Very Rev. Bradley R. Hagelin
Vicar for Catholic Charities,
CATHOLIC COMMUNITY SERVICES
Chair of the Board of Trustees
of WESTERN WASHINGTON
Michael L. Reichert
August 1, 2020
President
100 - 23rd Avenue South
Seattle, WA98144-2302
800-499-5979 I
gill Hallerman
Fax:206-328-5699 '
100 23" Avenue South
Seattle, WA 98144
www.ccsww.org
RE: CCSWW Management Protocol
Notice of Delegation for Vice President
Dear Bill,
In accordance with the policies and procedures outlined in the CCSWW Management
Protocol, I am writing this letter to outline the authority and responsibilities granted to you
in the Management Protocol to complete the following business transactions on behalf of
CCSWW:
1. The contracts listed below must be reviewed through the CCSWW contract review
process before being signed. You will ensure that all issues raised by the CFO and/or
the Gallagher Insurance Reviewer are addressed prior to the contract being signed.
This applies to the following:
a, New contracts with new funders for CCS (new contracts with current CCS
funders do not need to be reviewed by CCSWW);
b. Contracts for new services not currently done elsewhere in the organization —
this applies even if the funder is not new;
c. All contracts, MOUs, or addendums with a healthcare entity (including
Telemedicine entities) or insurance provider (even if they are renewals or we
already have a contract with the entity elsewhere in the organization);
d, Contracts with CCS vendors in excess of $10,000.00;
e. All leases, including new leases and renewals;
f. All construction contracts in excess of $10,000.00;
g. Agreements on behalf of LLC's;
h. Agreements that require Corporate Resolution;
i. Agreements that require a Certificate of Action of the President;
j. Any amendments to the above.
2. Review and approve the following contracts:
a. All renewal contracts;
b. Any new contract with a current funder (e.g., State of Washington, Pierce
County, etc.), except if they are for a service not currently done elsewhere in the
Strengthening children and organization;
families, sheltering the most c. Contracts with CCS vendors which are less than $10,000.00;
vulnerable, preventing d. All construction contracts which are less than $10,000.00;
homelessness, providing
permanent supportive e. All event related contracts with vendors (this includes new vendors and/or new
housing and ensuring dignity
and security for our seniors. events);
f. Any amendments to the above.
3. Sign contracts, agreements or work orders which have been approved through the
CATHOLIC COMMUNITY SERVICES appropriate approval process.
.1 Wrifl- W11MIN -.
4. Oversee and ensure that any contract for the procurement of contractors and
construction related professional services assigned to the Community Development
Center (CDC) on behalf of CCS complies with the CCS Procurement Policy,
5. This section applies to new leases only. Request approval from the President
(through the CFO) to lease real estate either from or to another entity. When
requesting approval, you will communicate the terms of the agreement to the CFO.
In addition, when you are requesting that CCSWW lease property to another
individual/entity, you will also provide any information you have on the lessee
about their compatibility and conformity with Catholic Social Teaching.
6. Communicate the termination of any lease agreement to the CFO.
7. Submit any request for the purchase and sale of CCSWW real estate to the CFO and
President for approval.
S. Approve requests for credit with vendors in amounts less than $5,000.00. Requests
for credit with vendors in amounts greater than $5,000.00 must be submitted to
the CFO.
9. Recommend the issuance of corporate credit cards for individual staff to the CFO.
Recommend the credit card limit for each employee to the CFO.
10. Submit all requests for the Corporation to join or create an affiliated entity or
partnership or joint venture to the CFO and Executive Vice President.
11. Submit names of primary and secondary check signers to the CFO or Executive Vice
President for approval.
12. Ensure that any purchase over $50,000.00 is approved by you and the Director of
Finance. If the Director of Finance is unavailable, ensure the CFO or the Director of
Accounting Operations approves the purchase.
13. Develop annual financial plan/budget and present to the CFO and Executive Vice
President for discussion and review. The President will approve the budget.
14. Present any actual or projected departures from the approved financial
plan/budget in excess of 1% to the CFO and Executive Vice President.
15. Financial Plan/Budget Modifications:
Ensure adequate funding when filling new positions not included in
financial plans/budgets and/or vacancies for which there is no longer
adequate funding by confirming need for position and working with the
CFO or designee to identify funds. If funds are not identified, present issue
to CFO and Executive Vice President for co -approval.
CATHOLIC COMMUNLTY SERVICES
.1. WI. Ifd♦ \Y I1.I... 1 UN
• Approve all staff reorganizations or upgrades prior to their initiation by
confirming the need for the change(s) and by working with the Regional
Director of Finance to ensure adequate funds are available,
16. Review all proposed staff terminations. If recommending termination, consult with
the Vice President of Human Resources. If there is mutual agreement to terminate
staff, the Vice President of Human Resources will consult with the Executive Vice
President for the final decision.
17. Review annual agency financial audits and in conjunction with the CFO, develop
mediation plans on all compliance findings.
18. Report any demand, claim, (excluding Worker's Compensation and Unemployment
Compensation) legal pleading or letter threatening same, or upon being informed
of injuries and/or accidents or danger from or to any person to the CCS Executive
Vice President. Consult with the Executive Vice President prior to taking any action.
19. Ensure that any and all outside legal counsel representing the agency in any way,
has been authorized to do so by the Executive Vice President. In preparation for the
review by the Executive Vice President, obtain all the documents related to counsel
as outlined in the Management Protocol.
20. Ensure that all private consultants are approved by the CFO and Vice President of
Human Resources prior to their retention by CCS.
21. Consult with CCS Retained Counsel prior to the release of any client or corporate
records to any person or entity in connection with any court order, subpoena, or
demand letter. No corporate or client records should be released in response to a
court order, subpoena, or demand letter without authorization from CCS Retained
Counsel.
22. Consult with the Vice President of Human Resources prior to any release of
personnel files and associated records.
23. Approve the purchase of computer equipment according to the price points
established by the organization. On an as needed basis, approve the purchase of
specific equipment falling outside the parameters of the price points.
24. Recommend to the CFO the establishment of emergency checking accounts and the
amount of the account for specific sites for the purpose of providing funds for
clients in crisis situations.
`+ ► This authorization is valid until July 31, 2021 unless you are otherwise notified.
CATHOLIC COMMUNITY SERVICES
or wrarrxw wn un —rary sff4 S. I o I V
(P lesid s Signat (Date)
I have read and understand this delegation of authority to me as outlined in the CCSWW
Management Protocol.
(Vice President's Signature) (Date)
Washington State Department of Revenue 0
License Information:
Naysear& Backtoresults
Entity name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Business name
CATHOLIC COMMUNITY SERVICES
Entity type
Nonprofit Corporation
UBI #:
601-098-379
Business II)
001
Location ID:
0320
Location:
Active
Location address:
33515 13TH PL S
STE C
FEDERAL WAY WA 98003-6358
Mailing address:
1001 NJ ST
TACOMA WA 98403-2125
Excise tax and reseller permit status: Clack here
Secretary of State status:
C[ck here
Endorsements
Ttdenasp.eMs I'M at It- tyaN
License 0 Count Details Status Eayintian data F40 4r . dale
Federa' Way Nonprofit Business
16-100166-00-6L Ac:ive Jul-31-2021 Jul-26-2016
CITY OF
Federal Way
CITY HALL
$3325 8th Avenue South
Federal Way, WA 98003-6325
(253i 235-7000
MVW I ,l,,IN, !f-17 rrrUyC»n
City of Federal Way
Human Services Contractfor 2021-2022 General Fund
Authorized Signatures for Invoices
I authorize the following individuals to sign invoices and quarterly reports on behalf of:
ti ` -
�rviL�S (Contracting Agency), for
the following: PeJe r- 1►-rl, Len- - (Program Title),
Authorizing
Signature:
(must be signed by
person who signs
the contract,
generally,
Executive Director)
Additional
Authorized
Signature:
Additional
Authorized
Signature:
3'11 Q
(Printed Name)
Mir Uwe
(Title)
(Signature) (Date)
(Printed Name) (Title)
(Signature) (Date)
(Printed Name)
(Signature)
Av
(Title)
0 4-11 }c 1;�
(Date)
Note: It is the responsibility of the contractor to inform the City of Federal Way if they wish to add a
name to Apr delete names from this list.
DATE (MMIDD/YYYY)
A�oRQ� CERTIFICATE OF LIABILITY INSURANCE
77/2/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME, Stephen Erni
Arthur J. Gallagher Risk Management Services, Inc. PHONE FAx
777 108th Ave NE, #200 AIC.No.E:tl: 425-454-3386 IAJC No.425-451-3716
Bellevue WA 98004 ADDRESS: Stephen_Emi[,3a ajg.com
INSURERn AFFORDING COVERAGE
NAIC #
INSURER A:
Underwriters at Lloyd's London
15792
INSURED CORPOFT-01
INSURER B:
Old Republic Union Insurance Company
31143
Corporation of the Catholic Archbishop of Seattle
Catholic Community Services of Western Washington
INSURER C :
Star Insurance Company
18023
100 23rd Ave. S
INSURER D :
Seattle WA 98144
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1460954338
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE
ADDL
JNSD
SUBR
WVDI
POLICY EFF
POLICY NUMBER D YY
POLICY EXP
ID
LIMITS
A
X
I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 7 OCCUR
Y
BP1023020
7/1/2020
7/1/2021
EACH OCCURRENCE
$1,000,000
PREMISESEa RENT
$ 1,000,000
MED EXP (Any one person)
$ Nil
PERSONAL & ADV INJURY
$ 1,000,000
I
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 1,000,000
%t POLICY PROJECfi LOC
PRODUCTS - COMP/OP AGG
$ 1,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
BP1023020
7/1/2020
7/1/2021
COMBINEDSINGLELIMIT
Ea accident
$1,000.000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
_
PROPERTY DAMAGE
JEer acciden
$
X
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
B
UMBRELLA LIAB
X
OCCUR
822000 0785428
7/1/2020
7/1/2021
1 EACH OCCURRENCE
$ 5,000,000
X
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DIED RETENTION $
$
O
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
WCE-0937531-20
7/1/2020
7/1/2021
X I PER OTH
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑
N/A
E.L. DISEASE - EA EMPLOYEE
$ 1 ,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
Errors & Omissions / Prof. Liab.
BP1023020
7/1/2020
7/1/2021
Each Claim/Aggregate
$2,000,000
B
822000 0785428
7/1/2020
7/1/2021
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Limits shown are inclusive of defense and insured retention. i:avr•.•rage for Additional Insureds is restricted to the amount of insurance required by contract or
permit. Retention under paticy #13P102302 (A XV, Non-Admi(ted I is $250,000 for Liability. The applicable location maintenance deductible that applies to this
Certificate is $0 for Liability
Coverage extends for claims arising out of the Professional Services Agreement for Severe Weather Shelter between the City of Federal Way and Catholic
Community Services of Western Washington.
CERTIFICATE HOLDER CANCELLATION
City of Federal Way
33325 8th Avenue South
Federal Way WA 98003-6325
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NAMED ASSURED: Corporation of Catholic Archbishop of Seattle
Policy Number: BP1023020
Effective Date: July 01, 2020
Authority Ref No: B0356JA281 N 19
Endorsement No. 14
CERTIFICATES OF INSURANCE ENDORSEMENT
CERTIFICATES OF INSURANCE:
It is hereby understood and agreed that holders of Certificates of Insurance issued against this Policy that
are shown as Additional ASSUREDS are added to this Policy pursuant to the terms of this Policy as
described in GENERAL POLICY DEFINITION 1.
Where Certificates of Insurance are requested for Additional ASSUREDS who do not fall within
GENERAL POLICY DEFINITION 1, prior agreement of Underwriters and subsequent endorsement of this
Policy is required
GENERAL POLICY DEFINITION 1. ASSURED is stated as follows -
1. ASSURED means not only the NAMED ASSURED as stated on the Declaration Page, but
also includes any past, present or future: agencies, subsidiaries, affiliates, institutions and
societies owned by or operated by the NAMED ASSURED, officials, members of boards or
commissions, trustees, directors, officers, partners, volunteers, student teachers, or
employees of the NAMED ASSURED while acting within the scope of their duties as such,
and any person, organization, trustee or estate to whom the NAMED ASSURED is
obligated by virtue of a written contract or agreement to provide insurance such as is
offered by this policy, but only in respect of operations by or on behalf of the NAMED
ASSURED.
GENERAL POLICY CONDITION 20. WAIVER OF SUBROGATION is stated as follows —
20. WAIVER OF SUBROGATION: This policy shall not be invalidated if the ASSURED, by
written agreement, has waived or shall waive its right of recovery from any party for loss
or damage covered hereunder; provided that any such waiver is made prior to the
occurrence of said loss or damage.
MORTGAGORS, LOSS PAYEES & LENDER LOSS PAYEES:
It is understood and agreed that GENERAL POLICY CONDITION 12. of this policy is deleted and
replaced with the following:
12. MORTGAGORS, CREDITORS & LOSS PAYEES: Where required by written contract,
the interest of any mortgagor, creditor or loss payee on property covered by this policy is
included as if a separate endorsement were attached hereto to the extent of the amount
Except as amended in this Endorsement, this insurance is subject to all coverage terms, clauses and
conditions in the policy to which this Endorsement is attached.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NAMED ASSURED: Corporation of Catholic Archbishop of Seattle
Policy Number: BP1023020
Effective Date: July 01, 2020
Authority Ref No: B0356JA281 N 19
of mortgage, loan or interest in property held by the ASSURED as of the date of loss
subject to the limits of liability set forth in this policy.
PRIMARY NON-CONTRIBUTORY:
It is also agreed that, only where required by written contract between the NAMED ASSURED and the
Certificate holder, this insurance shall be considered primary to any insurance held by the Certificate
holder and theirs shall be excess.
MUNICIPALITY PERMITS:
Further, where required by written contract or evidenced in the insurance requirements of a permit issued
by a municipality at the request of the NAMED ASSURED, that municipality shall be added to this policy
as an Additional ASSURED but only as respects liabilities arising out of the subject matter of the written
contract or issued permit and then only for liabilities arising from actions by or on behalf of the NAMED
ASSURED.
Except as amended in this Endorsement, this insurance is subject to all coverage terms, clauses and
conditions in the policy to which this Endorsement is attached.