AG 23-029 - KENT YOUTH AND FAMILYRETURN TO: victoria Banks EXT: 2604
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1.
ORIGINATING DEPT./DIV: CD/CS
2.
ORIGINATING STAFF PERSON: Patti Spaulding-Klewin EXT: 2651 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: Behavioral Health Program
6.
NAME OF CONTRACTOR: Kent Youth and Family
ADDRESS: 2322nd Ave S, Suite 201, Kent, WA 98032 TELEPHONE 253-859-0300
E-MAIL: suet@Ws.org FAX:
SIGNATURENAME: Sue Camou Arrant LLI
7.
EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES IN COMPENSATION A INSURANCE REQUIREMENTS/CERTIFICATE A ALL
OTHER REFERENCED EXHIBITS A PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8.
TERM: COMMENCEMENT DATE: 01/01/2023 COMPLETION DATE: 12/31/2024
9.
TOTAL COMPENSATION $ 16,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ONO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES IDNO IF YES, $ PAID BY. ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: 001-7300-083-562-10-410
10.
DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
A PROJECT MANAGER SJB 12/14/2022
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
O LAW KVA 12121 /2022
11.
COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/15/2022
12.
CONTRACT SIGNATURE ROUTING
9 SENT TO VENDOR/CONTRACTOR DATE SENT: 1/13/23 DATE REC'D: 2/13/23
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE, CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL 1 DATE SIGNED
19 LgW DEPARTMENT V 2 13
GNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AG#
COMMENTS:
Approved Council budget 11115/2022
2/2017
clxr of CITY HALL
Federal Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
HUMAN SERVICES AGREEMENT
FOR
BEHAVIORAL HEALTH PROGRAM
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Kent Youth and Family Services, a Washington nonprofit corporation ("Agency"). The
City and Agency (together "Parties") are located and do business at the below addresses which shall be valid for any
notice required under this Agreement:
KENT YOUTH AND FAMILY SERVICES:
Sue Camou Arrant
232 2nd Ave S, Suite 201
Kent, WA 98032
253-859-0300 (telephone)
The Parties agree as follows:
CITY OF FEDERAL WAY:
Patti Spaulding-Klewin
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2651 (telephone)
Patti. Spaulding-Klewin@cityo
com
1. TERM. The term of this Agreement shall be for a period commencing on January 1, 2023 and terminating on
December 31, 2024 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement
performance during the first year of the Agreement term and upon funding availability. This Agreement may be extended for
additional periods of time upon the mutual written agreement of the City and the Agency.
2. SERVICES. The Agency shall perform the services more specifically described in Exhibit A, attached hereto and
incorporated by this reference ("Services"), in a manner consistent with the accepted professional practices for other similar
services within the Puget Sound region in effect at the time those services are performed to the City's satisfaction, within the
time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. The Agency warrants that it
has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by
all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business
registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times,
to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not
relieve the Agency of responsibility for performance of the Services in accordance with this Agreement, notwithstanding the
City's knowledge of defective or non -complying performance, its substantiality or the ease of its discovery.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party
thirty (30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if the Agency
fails to maintain required insurance, breaches confidentiality, or materially violates Section 12, and such may result in
ineligibility for further City agreements.
4. COMPENSATION.
4.1 Amount. In return for the Services, the City shall pay the Agency an amount not to exceed a maximum amount
and according to a rate or method as delineated in Exhibit B, attached hereto and incorporated by this reference. The City shall
reimburse the Agency only for the approved activities and in accordance with the procedures as specified in Exhibit B. The
Agency shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction resulting from this
Agreement.
4.2 Method of Payment. On a quarterly basis, the Agency shall submit to the City an invoice for payment on a form
provided by the City and all reports as required by this Agreement. Payment shall be made on a quarterly basis by the City only
HUMAN SERVICES AGREEMENT - 1 - 10/2022
CITY OF CITY HALL
�`� 33325
Federal
Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www crtyoffederalway. com
after the Services have been performed and within forty-five (45) days after the City's receipt and approval of a complete and
correct invoice and reports. The City will use the quantity of Services actually delivered, as reported on the Agency's reports, as
a measure of satisfactory performance under this Agreement. The City shall review the Agency's reports to monitor compliance
with the performance measures set forth in Exhibit A. Should the Agency fail to meet the performance measures for each
quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement.
Exceptions may be made at the discretion of the City's Human Services Manager in cases where circumstances beyond the
Agency's control impact its ability to meet its service unit goals and the Agency has shown reasonable efforts to overcome these
circumstances to meet its goals. If the City objects to all or any portion of the invoice, it shall notify the Agency and reserves the
option to pay only that portion of the invoice not in dispute. In that event, the Parties will immediately make every effort to settle
the disputed portion.
4.3 Final Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit B. If the Agency's
final invoice and reports are not submitted by the last date specified in Exhibit B, the City shall be relieved of all liability for
payment to the Agency of the amounts set forth in said invoice or any subsequent invoice; provided, however, that the City may
elect to pay any invoice that is not submitted in a timely manner.
4.4 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 City Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its officers, directors,
shareholders, partners, employees, agents, representatives, and subcontractors harmless from any and all claims, demands,
actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses,
fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including
without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with this
Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with
respect to any event occurring prior to such expiration or termination.
HUMAN SERVICES AGREEMENT - 2 - 10/2022
CITY OF CITY HALL
�.. Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
6. INSURANCE. The Agency agrees to carry insurance for liability which may arise from or in connection with the
performance of the services or work by the Agency, their agents, representatives, employees or subcontractors for the duration of
the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows:
6.1. Minimum Limits. The Agency agrees to carry as a minimum, the following insurance, in such forms and with
such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations, independent
contractors, products -completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products
liability, advertising injury, and liability assumed under an insured contract with limits no less than $2,000,000 for each
occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of
the State of Washington;
c. Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with
minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily
injury, including personal injury or death, and property damage.
6.2. No Limit of Liability. Agency's maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Agency to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. The Agency's insurance coverage shall be primary insurance as
respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the
Agency's insurance and shall not contribute with it.
6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Agency shall provide certificates of insurance
for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At the City's
request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or
fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to maintain tail coverage
for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and
acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Agency in performance of this Agreement shall
be considered confidential subject to applicable laws. Breach of confidentiality by the Agency may be grounds for immediate
termination. All records submitted by the City to the Agency will be safeguarded by the Agency. The Agency will fully
cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency while
performing the Services shall belong to the City upon delivery. The Agency shall make such data, documents, and files available
to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination
of this Agreement all originals and copies of any such work product remaining in the possession of Agency shall be delivered to
the City.
9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting procedures
and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement.
These records shall be maintained for a period of six (6) years after the termination of this Agreement and may be subject, at all
reasonable times, to inspection, review or audit by the City, its authorized representative, the State Auditor, or other
governmental officials authorized by law to monitor this Agreement.
10. INDEPENDENT CONTRACTOR. The Parties intend that the Agency shall be an independent contractor and that the
HUMAN SERVICES AGREEMENT - 3 - 10/2022
CIT
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
Agency has the ability to control and direct the performance and details of its work, the City being interested only in the results
obtained under this Agreement. The City shall be neither liable nor obligated to pay Agency sick leave, vacation pay or any
other benefit of employment, nor to pay any social security or other tax which may arise as an incident of employment. Agency
shall take all necessary precautions'and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the Services and work and shall utilize all protection necessary for that purpose. All work shall be done at
Agency's own risk, and Agency shall be responsible for any loss of or damage to materials, tools, or other articles used or held
for use in connection with the work. The Agency shall pay all income and other taxes due except as specifically provided in
Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide
a secondary or incidental benefit to the Agency, shall not be deemed to convert this Agreement to an employment contract.
11. CONFLICT OF INTEREST. It is recognized that Agency may or will be performing services during the Term for
other parties; however, such performance of other services shall not conflict with or interfere with Agency's ability to perform
the Services. Agency agrees to resolve any such conflicts of interest in favor of the City. Agency confirms that Agency does not
have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the
Agency's selection, negotiation, drafting, signing, administration, or evaluating the Agency's performance.
12. EQUAL 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.
13.2 Assignment and Beneficiaries. Neither the Agency nor the City shall have the right to transfer or assign, in
whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non -
assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the
Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This
Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have
any right of action or interest in this Agreement based on any provision set forth herein.
HUMAN SERVICES AGREEMENT - 4 - 10/2022
.:§S� Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
13.3 Compliance with Laws. The Agency shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations,
rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics
Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may
be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which performance
is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Agency's performance of
this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of
this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States
mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed received
three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be
exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the
City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any
option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to
declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure of the City to declare
one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be
made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle
any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim,
shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington,
unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over
such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the
personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are
an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal
costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition
to any other recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to
limit the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Agency represents and warrants
that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number
of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same
document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof it
shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may
be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature
and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement
shall be the "date of mutual execution" hereof.
[Signature page follows]
HUMAN SERVICES AGREEMENT - 5 - 10/2022
CITY OF CITY HALL
,4! Feder 8th Avenue South
Federal Way, WA 98003-6325
Federal ay
(253) 835-7000
www cityoffederaiway. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
( - "-� 1�
Jim Fe , May r
ATTEST:
S hanie Courtney, CMC, ctyI erk
APPROVED AS TO FORM:
DATE: /0f
p J Ryan Call, City Atto
KENT YOArH ANDYAIVTY SERVICES:
By:
Printed Name: — n
Title: l 6AM P rh I't U-12- A,.
DATE: Q — ! — (21 S
STATE OF WASHINGTON )
) ss.
COUNTY OF *K Wag
n this day ersonally appeared before mearn�j,�- to me known to be the
dt— of that executed the foregoing
instrument, and acknowledged the said instrument to be the ee and voluntary act and deed of said corporation, for
the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument
and that the seal affixed, if any,. is the corporate seal of said corporation.
GIVEN my hand and official seal this
ofjo PM
�'•kNU •• Notary's
q ,.•'' z 'PIN Notary's
%0TAar a
`- PUBLIC
•-�� ' : N ExP�....''' G ay
Notary Public in and for the State of Washington.
My commission expires � (0 • ��
HUMAN SERVICES AGREEMENT - 6 - 10/2022
CITY OF
�.. Federal
Project Services Summary
CITY HALL
Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederalway.. com
EXHIBIT A
SERVICES
The Agency shall provide outpatient individual and family mental health counseling, peer support groups,
substance use disorder treatment, infant mental health counseling, and parenting education classes for youth
ages 0-25 and their families. The Agency shall ensure that services provided with funding under this Agreement
are made available to Federal Way residents.
Performance Measures
A. Number Served
The Agency agrees to serve, at minimum, the following unduplicated number of Federal Way residents with
Human Services funds:
1st
2nd
3rd
4th
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
No. of unduplicated Federal Way
persons assisted in 2023
1
1
1
0
3
No. of unduplicated Federal Way
persons assisted in 2024
1
1
1
0
3
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st
2nd
3rd
4th
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
NNE
SEPT.
DEC.
2023
1. Counseling
8
8
8
9
33
2.Support Services
2
2
2
3
9
2024
1. Counseling
8
1 8
1 8
9
33
2.Support Services
2
2
21
3
1 9
HUMAN SERVICES AGREEMENT - 7 - 10/2022
cirY OF
A%o
,!P-&� Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalway com
Units of service for counseling are measured by the number of 60-minute sessions.
2. Units of support services are measured by services provided in 60-miunute increments as related to mental
health. substance abuse treatment, legal advocacy, and communication with other care providers.
C. Outcome Measure(s)
Outcome: Positive progress towards treatment goals
Indicator: Client surveys on relationships, goals and topics, benefits, and effectiveness as
tracked in electronic medical records
Target: 85%
Records
A. Project Files
The Agency shall maintain files for this project containing the following items:
1. Notice of Grant Award.
2. Motions, resolutions, or minutes documenting Board or Council actions.
3. A copy of this Agreement with the Scope of Services.
4. Correspondence regarding budget revision requests.
5. Copies of all invoices and reports submitted to the City for this project.
6. Bills for payment with supporting documentation.
7. Copies of approved invoices and warrants.
8. Documentation of client address; residency verified via King County Parcel Viewer.
HUMAN SERVICES AGREEMENT - 8 - 10/2022
Federal Way
CITY OF
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cltyoffederalway.. com
9. Documentation of client income. The Agency agrees to use the HUD Income Guidelines to report
income of clients served under this Agreement. Income guidelines may be adjusted periodically by
HUD.
King County FY 2022 Income Limits Summary
Median
FY 2022
Income
Income
1
2
3
4
5
6
7
8
King
Limit
Person
Persons
Persons
Persons
Persons
Persons
Persons
Persons
Coun!y
Cate or
Extremely
Low
(30%)
$27,200
$31,050
$34,950
$38,800
$41,950
$45,050
$48,150
$51,250
Income
Limits
Very Low
$134,600
(50%)
$45,300
$51,800
$58,250
$64,700
$69,900
$75,100
$80,250
$85,450
Income
Limits
Low
(80%)
$66,750
$76,250
$85,800
$95,300
$102,950
$110,550
$118,200
$125,800
Income
Limits
The Agency agrees to use updated Income Guidelines which will be provided by the City.
Reports and Reporting Schedule
The Agency shall collect and report client information to the City quarterly and annually on a Service Unit
Report to be provided by the City in the format requested by the City.
The Agency shall submit an Annual Demographic Data Report. The agency shall collect and retain the data
requested on this form from the persons served through this contract. Data should be tracked in an ongoing
manner and submitted annually no later than January 15 in the format requested by the City.
The Agency shall implement and track at least one measurable outcome for the program as presented in the
application. Changes to the outcome presented in the application must be approved by the City prior to
implementation. The Agency shall report the results of its outcome measure(s) annually on the Annual Outcome
Data Report to be submitted by January 15 in the format requested by the City.
Public Information
In all news releases and other public notices related to projects funded under this Agreement, the Agency will
include information identifying the source of funds as the City of Federal Way Human Services General Fund
Program.
HUMAN SERVICES AGREEMENT - 9 - 10/2022
CITY OF
�� Federal Way
EXHIBIT B
COMPENSATION
Proiect Budtet
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this
Agreement shall not exceed Sixteen Thousand and 00/100 Dollars ($16,000.00).
City of Federal Way Funds
2023
2024
City of Federal Way General Fund:
$8;000.00
$8,000.00
Total City of Federal Way Funds:
$8,000.00
$8,000.00
Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly
and are due on the following dates:
1 st Quarter: April 15 or within 10 days of notice to proceed, whichever is later;
2nd Quarter: July 15;
3rd Quarter: October 15; and
4th Quarter: Final Reimbursement Request and Service Unit Report forms due January 8; Demographic Data
Report and Annual Outcome Data Report due January 15.
The Agency shall submit payment requests in the format requested by the City. Payment requests shall include a
copy of the Service Unit Report.
Estimated Quarterly Payments:
2023
1 st Qtr
$2,000.00
2nd Qtr
$2,000.00
3rd Qtr
$2,000.00
4th Qtr
$2,000.00
2024
1 st Qtr
$2,000.00
2nd Qtr
$2,000.00
3rd Qtr
$2,000.00
4th Qtr
$2,000.00
Quarterly payment requests shall not exceed the estimated payment without prior written approval from the
City. Estimated quarterly payments are contingent upon meeting or exceeding the above performance
measure(s) for the corresponding quarter. This requirement may be waived at the sole discretion of the City with
satisfactory explanation of how the performance measure will be met by year-end on the Service Unit Report.
HUMAN SERVICES AGREEMENT - 10 - 10/2022
KENT YOUTH AND FAMILY SERVICES
Mission:
KYFS promotes healthy development of children, youth and families in South King County by providing
professional counseling, education, and support services.
Board of Directors Meeting Minutes
November 5, 2020 4:30 P.M. — 6:00 P.M.
LOCATION: Zoom Conference Video Remote
PRESENT: Lesley Hogan, Vicki Foege, Alisa Abraham, Jane Prestbye, Alyson Flores, Cynthia
Boyd, Hira Bhullar, Mike Mathews, Brandy Reed. Rona Popp, Raf Padilla, Sam Chalfant
Excused Absence: Shukri Olow, Israel Vela
Staff present: Lily Stellmon, Sue Camou, Mike Heinisch
Lesley Hogan called the meeting to order- with a quorum established at 4:29 p.m
Lesley moved to the first meeting agenda item:
Consent Agenda
® October 1, 2020 Meeting Minutes
2020 Independent Audit Engagement Memorandum
Hira Bhullar motioned and Vicki Foege seconders approval of the Consent Agenda. Motion
Passed Unanimous.
Lesley moved to agenda item
Interim Executive Director Introduction
Sue Camou Arrant
Lesley welcomed Sue and members introduced themselves. Sue then introduced herself,
spoke of how delighted she is to be asked to become the Interim ED at KYFS, and talked about
what she hopes to accomplish.
2020 Fund Development
Lily began by thanking board members who were able to attend the (virtual) KFYS All Staff
Annual meeting two weeks ago. Members expressed appreciation for how good an event Lily
organized over ZOOM and very much appreciated being able to chat with small group of staff in
each ZOOM breakout room they were in.
Lily reported a YTD total of $321,753 in funds raised with individual contributions equal to last
year, net profit from the One Thing Experience and 50t" Anniversary annual event better than
any other year. Also, with the COVID pandemic situation many, many unexpected RFPs for
1 of 4
grants have be submitted since spring, some months 10+ proposals going out. We have
secured a number of those moving the unanticipated grant funds award beyond budget for the
year. Upcoming events Lily pointed out include Giving Tuesday. She asked members to work
on identifying and "asking" friends and acquaintances support donating and has set a goal of
$5,050 for the Giving Tuesday (amount to honor our 50t" anniversary). Also, the holiday giving
campaign and adopt a family are in the works. Shop with a Cop is not finalized as Lily and Chief
Padilla still have to work out safety details. Seattle Times Fund For the Needy campaign
coming up, Lily reported she has two possible KYFS stories for the FFTN KYFS feature.
Members thanked Lily for her terrific work.
Moving onto the next item:
Interim Executive Director Authority
Lesley referenced the resolution assigns authority to Sue Camou Arrant for signing all contracts
and legal documents on behalf of the agency effective Monday. November 23, 2020. Alyson
Flores motioned, and Brandy Reed seconded the resolution as presented. Motion Passed
Unanimous.
Lesley-moved--to-the -next-item:
KYFS Check Signers
There are two resolutions:
1. Updates the check signers on the Banner Bank KYFS accounts, removing Mike Heinisch
and Tamara Sarroza and adding Sue Camou Arrant and Jane Prestbye as signers
effective December 10, 2020. All other current signers on the account remain on the list.
2. Update the signe11 rs on the KYFS PAY NW payroll account removing Mike Heinisch and
replacing with Sue Camou Arrant effective December 10, 2020. The payroll signers are
Hira Bhullar, KYFS Treasurer, and Sue Camou Arrant, Interim Executive Director, effect
that date.'
Cynthia Boyd motioned, and Brandy Reed seconded of the two resolutions as presented.
Motion Passed, 11 Yea, 1 Abstain of Mike Mathews.
Vicki Foege asked if KYFS has other bank accounts. Mike remembered that KYFS has
accounts at HomeStreet and BECU in addition to Banner. Vicki Foege than motioned and
Brandy Reed seconded that the KFYS authorized signers on those accounts, HomeStreet and
BECU be the same signers as on other accounts:
As approved by this resolution authorized check signers list is:
KYFS Staff:
Sue Camou Arrant
Paula Frederick
Paul Tan
Lily Stellmon
KYFS Board:
Lesley Hogan
Cynthia Boyd
Jane Prestbye
2 of 4
Hira Bhullar
Alyson Flores
Motion Passed Unanimous.
Lesley moved to the next item:
Additional KYFS Staff Holidays
Lesley reminded members the board typically provides KYFS staff with two additional holiday at
eh end of the year holiday season. This year the suggested extra holidays would be Thursday
December 24t" and Thursday December 31St.Mike Mathews_ motioned and Sam Chalfant
seconded designation of those two dates as additional staff.:holidays in 2020.
Motion Passed Unanimous.
Lesley continued onto:
Board of Director Holiday Party
Lesley asked for how and if to have the annual board holiday_party. After discussion it was
agreed the holiday part would be a virtual, ZOOM; event on,Thursday December 3rd at 5:30 p.m.
with a possible board meeting from 5,00-5:30. The event will include the annual holiday
exchange of names for gifts to non -profits of each members choice. Program Directors and
spouses will be invited. Details to come.
Lesley continued to:
Strategic Plan/Goal Ongoing Assessment, Evaluation and Initiatives/Direction
KYFS Equity and Social Justice
Lesley directed members to the Program Director reports Mike H sent out earlier. Recalled for
members the request from the board results from not having any updates since the KYFS
Strategy Plan was adopted in February 2017; the desire from Program Directors to have more
direct contact with the board; and the racial equity movement re -energized these past months.
Vicki Foege began by commenting it was difficult to consume because the program reports
seemed out or without context. Jane Prestbye that consuming the five reports was a lot and
called to mind the Board Program Effectiveness Committee efforts that have been lacking the
past few years. Rona Popp expressed that the reports, using Early Childhood Program report
as the example, would be move helpful if board members talked directly to the Program
Directors with questions. Alyson Flores followed up agreeing that maybe having at least one
board member spend time discussing with individual Program Directors. Jane continued it
would be more helpful if the board made it clear what was wanted from Program Directors and
what the board wants each to bring to any reports. Additionally, in the past in person reports
seemed to be less about program updates than requests from Program Directors for assistance
in giving programs what they want, essentially "asks" of the board. Vicki, the board has a
fiduciary need to know what's going on with programs more regularly. Rona, we need to guide
Program Directors on questions the board wants answers to. Brandy Reed suggested a
standard set of questions for the Program Directors presenting to the board of what exactly the
board wants from them. Alyson suggested, it's not only what they want from us as the board but
what we need/want from them. Jane suggested the board needs to affirm the Program
Directors efforts and lay out next steps for communication with the board. To that end it was
3 of 4
determined to look towards a board retreat with Program Director involvement along with Sue as
Interim early in 2021; invite Program Directors to the December 2020 board meeting to lay out
plans and get feedback; begin a regular schedule in 2021 for Program Directors presentations
to the board.
Lesley continued to:
Community Issues Roundtable
• Discussion around homeless issues in Kent.
• Raf announced for creations of a Kent PD Advisory Board on Race & Equity as part of
the 2021-22 City budget proposal.
• Raf also noted the inclusion of a Co Responders model. crisis mental health response
team that will be implemented in the 2021-22 brrdget plan.
At this point members shared various comments of appreciation for Mike H as this is his final
KYFS board meeting at KYFS Executive Director. Mike thanked the members and reminded
them of his previous comments of what a_priviege it has been over these East 2
with every KYFS board and lead KYFS on their oUlf:
There being no other business Lesley reminded members to complete the Survey Monkey
meeting evaluation form. Cynthia Boyd motioned, and Brandy Reed seconded adjourning the
meeting. Motion Passed Unanimous.
Next regular meeting of the KYFS board of directors will be on Thursday December 3, 2020,
along with the virtual, ZOOM, board holiday party and gift giving. Board meeting at 5:30,
4 of 4
CITY OF CITY HALL
A Feder Federal Way 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ct"ffedera&ay com
City of Federal Way
Human Services Contract for 2022-2023General Fund
Authorized Signatures for Invoices
I authorize the following individuals to sign invoices and quarterly reports on behalf of:
the following:
Authorizing
Signature:
(must be signed by
person who signs
the contract,
generally,
Executive Director)
Additional
Authorized
Signature:
Additional
Authorized
Signature:
LW S(2JA 42C (Contracting Agency), for
(Program Title).
I L 0Am
Name) (Title)
,e2 q-DS
(Date)
l�1 SIlrwn Q r
(Print Name) (Title)
Lure)
(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.
Kent Youth and
Family Services
W
RESOLUTION
The resolution of November 5, 2020 is amended as follows:
November 5g ;resoitttion-:
"Effective Monday November 23, 2020, Sue Camou Arrant, as interim Executive Director of Kent Yi
and Family Services, is fully authorized to sign all contracts on behalf of the Kent Youth and Family
Services Board of Directors. She is further empowered, on behalf of the corporation, to enter into
routine business transactions on behalf of the board of directors and the corporation."
Amended to:
"Effective Monday November 23, 2020, Sue Camou Arrant, as interim Executive Director of Kent Y
and Family Services, is fully authorized to sign all contracts on behalf of the Kent Youth and Family
Services Board of Directors. She is further empowered, on behalf of the corporation, to enter into
routine business transactions on behalf of the board of directors and the corporation."
For the purposes of signing contracts on behalf of Kent Youth and Family Services, Sue Camou Arr;
authorized to record the title of Executive Director.
Kr3-�-L
Vicki Foege
Kent Youth and Family Services Board Secretary
Lesley Hogan
Kent Youth and Family Services 1B and President
232 Second Avenue S., Suite 201, Kent WA 99032 1 p: 2S3.8S9.0300
0 facebook.Com/kentyoutttandfamlly 0 twitter.com/kentyouthfdmily
WWW.KYF5.4RG
Issue Date 512112022 Cart Ik0000024284
Non Profit Insurance Program
Certificate of Coverage
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE UEK I IFIUA I t HULULK. I His UtK I irI�AI t uvta
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUEA CONTRACT
BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRATION IS�WAIVED,susubject to the terms and conditions of
the oolicv, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
COMPANIES AFFORDING COVERAGE
Clear Risk Solutions
GENERAL LIABILITY
451 Diamond Drive
American Alternative Insurance Corporation, et al.
Ephrata, WA 98823
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, et al.
INSURED
PROPERTY
American Alternative Insurance Corporation, et al.
Kent Youth and Family Services
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
232 South Second Avenue #201
Kent, WA 98032
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FUK I HE UUVtKAUt F'tmuu
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP
DESCRIPTION
LIMITS
DATE DATE
GENERAL LIABILITY
COMMERCIAL.GENERALLIABILITY N1-A2-RL-0000013-13 611/2022 6/1/2023
PER OCCURRENCE
$5,000,000
OCCURRENCE FORM
PER MEMBER AGGREGATE
$10,000,000
INCLUDES STOP GAP
PRODUCT-COMP/OP
$5,000,000
PERSONAL & ADV. INJURY
$5,000,000
(LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-13 611/2022 6/1/2023
COMBINED SINGLE LIMIT
55000,000
(LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
PROPERTY
Nl-A2-RL-0000013-13 611/2022 6/1/2023
ALL RISK PER OCC EXCL EQ & 1-L
57500,000
EARTHQUAKE PER OCC
Excluded
FLOOD PER OCC
$1,000,000
(PROPERTY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0090060-13 6f1/2022 6/1/2023
PER CLAIM
$5,000,000
(LIABILITY IS SUBJECT TO A $250.000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$40,000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
Regarding the contract for mental health and substance abuse treatment for youth and Watson Manor
Transitional Housing.City of Federal Way
is named as Additional
Insured regarding this contract only and is subject to policy terms, conditions,and exclusions.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
Y•CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Federal Way
33325 8th Ave
.,✓� I !
Z
�'
Federal Way, WA 98063-9718
AMERICAN ALTERNATIVE
INSURANCE COMPANY
ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profit Insurance Program (NPIP)
Policy Number
Endorsement Effective
N 1-A2-RL-0000013-13
6/1 /2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILITY COVERAGE PART
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above.
Schedule
Person or Organization (Additional Insured): As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator
City of Federal Way
33325 8th Ave
Federal Way, WA 98063-9718
Regarding the contract for mental health and substance abuse treatment for youth and Watson Manor Transitional
Housing.City of Federal Way is named as Additional Insured regarding this contract only and is subject to policy
terms, conditions,and exclusions.
A. With respects to the General Liability Coverage Part only, the definition of Insured in the Liability Conditions, Definitions and Exclusions
section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or
Organization is an Insured only with respect to liability for Bod1ly Injury, Property Damage, or Personal and Advertising Injury
caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In performance of your ongoing operations; or
2. In connection with your premises owned or rented to you.
B. The Limits of Insurance applicable to the additional Insured are those specified in either the:
1. Written contract or written agreement; or
2. Declarations for this policy,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations.
All other terms and conditions remain unchanged.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission
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N
O
O
N
N
O
N
N
r-
I
N
zt
Fm
rw