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AG 23-037 - BRIDGING A GAP WEEKEND FEEDING PROGRAMRETURN 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:_ T 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: Weekend Feeding Program 6. NAME OF CONTRACTOR: Bridging a Gap Weekend Feeding Program ADDRESS: 33313 1st Way South, Federal Way, WA 98003 TELEPHONE 206-276-5745 Fi �MA][L, vdanforth@cbdanforth.com FAX: SIGNATURENAME: Valerie Danforth TITLE 7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES O COMPENSATION It INSURANCE REQUIREMENTS/CERTIFICATE It ALL OTHER REFERENCED EXHIBITS 9 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 $ 21,718.00 (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 ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: 001-7300-063-562-10-410 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED 0 PROJECT MANAGER SdB01/0212023 ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) 0 LAW KVA 1/6/2023 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/15/2022 12. CONTRACT SIGNATURE ROUTING 14 SENT TO VENDOR/CONTRACTOR DATE SENT: 1/13/23 DATE REC'D:2/15/23 ❑ 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 / DATE SIGNED p LAW DEPARTMENT TA LOGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG# AG# `S)32 COMMENTS: Approved Council budget 11/15/2022 2/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway.. com HUMAN SERVICES AGREEMENT FOR WEEKEND FEEDING PROGRAM This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Bridging A Gap Weekend Feeding Program, 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: BRIDGING A GAP WEEKEND FEEDING PROGRAM: Valerie Danforth 33313 1 st Way South Federal Way, WA 98003 206-276-5745 (telephone) com 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. HUMAN SERVICES AGREEMENT - 1 - 10/2022 CITY of CITY HALL 4 33325 Fe d e ra i Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway 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 obj ects to all or any portion of the invoice, it shall notify the Agency and reserves the option to pay only that portion of the invoice not in dispute. In that event, the Parties will immediately make every effort to settle the disputed portion. 4.3 Final Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit B. If the Agency's final invoice and reports are not submitted by the last date specified in Exhibit B, the City shall be relieved of all liability for payment to the Agency of the amounts set forth in said invoice or any subsequent invoice; provided, however, that the City may elect to pay any invoice that is not submitted in a timely manner. 4.4 Non -A ra nation 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 A enc . 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. HUMAN SERVICES AGREEMENT - 2 - 10/2022 C]TY OF CITY HALL AN Fe d e ra 1 Way33325 8th Avenue South 4S Federal Way, WA 98003-6325 (253) 835-7000 www. cltyoffederalway. com 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or termination. 6. INSURANCE. The Agency agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Agency, their agents, representatives, employees or subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6.1. Minimum Limits. The Agency agrees to carry as a minimum, the following insurance, in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products -completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $2,000,000 for each occurrence and $2,000,000 general aggregate. b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of the State of Washington; C. Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily injury, including personal injury or death, and property damage. 6.2. No Limit of 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. HUMAN SERVICES AGREEMENT - 3 - 10/2022 CITY OF CITY HALL ANi�Fe d e ra I Inlay Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway. com 10. INDEPENDENT CONTRACTOR. The Parties intend that the Agency shall be an independent contractor and that the Agency has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Agency sick leave, vacation pay or any other benefit of employment, nor to pay any social security or other tax which may arise as an incident of employment. Agency shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the Services and work and shall utilize all protection necessary for that purpose. All work shall be done at Agency's own risk, and Agency shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. The Agency shall pay all income and other taxes due except as specifically provided in Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such mayprovide 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 CITY of 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 AN CITY Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederal way. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: Jim F ell, MoKyor ATTEST: §t�phlnie Courtney, CMC, �ty lerk APPROVED AS TO FORM: DATE: // � , yan Call, City A% BRIDGING A GAP WEEKEND FEEDING PROGRAM: By: Vaimto [)a*yyA Printed Name: Vm ey I e h Title: 1 re S i ,('1-emf DATE: I I -611 a\5 STATE OF WASHINGTON ) ) ss. COUNTY OFI On this day personally appeared before me VO-r C- NIVI to me known to be the of ,Bri�t� i rq 5x- k-rnMl executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVFtI� gny4ppd and official seal this 15ISy- day of _Jo-OLAO -t-' _1 , 2V-� SY EGG' ,� • Notary's signature _ Notary's printed name l::f� ► 19CY1r.1 - �(', z= Notary Public in and for the State of Washington. My commission expires 0 4" 01-a LP �'J•;� of ►N P�' `� '►►rirtrti�' HUMAN SERVICES AGREEMENT - 6 - 10/2022 A4SCITY OF ,Federal Pro'ect Services Summary CITY HALL Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityofederalway. com EXHIBIT A SERVICES The Agency shall provide backpacks to food -insecure students in the City of Federal Way. Each week the backpacks will be filled with kid -friendly, nutritious, easy to prepare meals and snacks. 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 Q Quarter Q Quarter Total JAN. - APRIL - JULY = OCT. - MARCH JUNE SEPT. DEC. No. of unduplicated Federal Way persons assisted in 2023 6 6 6 6 24 No. of unduplicated Federal Way persons assisted in 2024 6 6 6 6 24 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter Total JAN. - APRIL - JULY - OCT. - MARCH JUNE SEPT. DEC. 2023 1. Meals 440 440 440 440 1,760 2024 1. Meals 4401 440,1 4401 440 1,760 Units of service are measured by the number of meals distributed. HUMAN SERVICES AGREEMENT - 7 - 10/2022 CITY OF Federal C. Performance Measure(s) CITY HALL Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway.. com Outcome: Improved or maintained school attendance Indicator: Attendance data collected through the Federal Way School District Target: 60% 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. 9. Documentation of client income. The Agency agrees to use the HUD Income Guidelines to report income of clients served under this Agreement. Income guidelines may be adjusted periodically by HUD. King County FY 2022 Income Limits Summary Median FY 2022 Income Income 1 2 3 4 5 6 7 8 King Limit Person Persons Persons Persons Persons Persons Persons Persons County Cate ory 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 Reportinp_ 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. HUMAN SERVICES AGREEMENT -8- . 10/2022 CITY Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cayoSederalway. com 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 Project Budget CITY HALL Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www atyoffederalway. com EXHIBIT B COMPENSATION The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this Agreement shall not exceed Twenty -One Thousand Seven Hundred Eighteen and 00/100 Dollars ($21,718.00). City of Federal Way Funds 2023 2024 City of Federal Way General Fund: $10,859.00 $10,859.00 Total City of Federal Way Funds: $10,859.00 $10,859.00 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 $2,714.75 2nd Qtr $2,714.75 3rd Qtr $2,714.75 4th Qtr $2,714.75 2024 1 st Qtr $2,714.75 2nd Qtr $2,714.75 3rd Qtr $2,714.75 4th Qtr $2,714.75 Quarterly payment requests shall not exceed the estimated payment without prior written approval from the City. Estimated quarterly payments are contingent upon meeting or exceeding the above performance measure(s) for the corresponding quarter. This requirement may be waived at the sole discretion of the City with satisfactory explanation of how the performance measure will be met by year-end on the Service Unit Report. HUMAN SERVICES AGREEMENT - 10 - 10/2022 CITY OF Federal Flay CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www 0yoffedernfway. 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: (Contracting Agency), for the following: 13 A 6- P rD� rQ m (Program Title). Authorizing Signature: (must be signed by person who signs the contract, generally, Executive Director) Additional Authorized Signature: Additional Authorized Signature: LL4V,e (Printed Name) Va,a4W DA,, (Signature) cl�ssl'cA Ux Trlears U rer (Title) i 13b) a3 (Date) Vice- rreso-emf (Printed Name) (Title) Vajmw [)Avod i i wl 3 (Signature) (Printed Name) (Signature) (Date) (Title) (Date) Note: It is the responsibility of the contractor to inform the City of Federal Way if they wish to add a name to or delete names from this list. Form W-9 (Rev. October 2018) 110partmertt of the Treasury Inteinal Revenue Service Request for Taxpayer Give Form to the Identification Number and Certification requester. Do not send to the IRS. ► Go to www.irs.gov/FormW9 for instructions and the latest information. (as shown on your income tax return). Name is on this line: do not leave this. line blank. BRIDGING A GAP WEEKEND FEEDING PROGRAM 2 Business name/disregarded entity name, different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see instructions on page 3): ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate single -member LLC Exempt payee code (if any) ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box In the line abdve for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting LLC if the LLC is classified as a single-mernber LLC that is disregarded from the owner unless the owner of the LLC Is code (if any) another LLC that Is not disregarded from the owner for IJ.S. federal tax purposes, Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of Its owner. ✓❑ Other (see instructions) ► NON-PROFIT 5 Address (number, street, and apt. or suite no.) See instructions. 33313 FIRST WAY SOUTH 6 City, state, and ZIP code FEDERAL WAY, WA 98003 7 List account numbers) here (optional) Number (Applies to accounts maintained outside the U.S.) Requester's name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SHowever, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. 8 1 — 5 4 6 1 3 9 3 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of e. failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on yourtax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of � 1�r /. ; � p � `��J �J �� !) 3w% c J Here 11U.S.personill, V [� (�{� 1✓L "VLA Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments relaters to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoptlon taxpayer identification number (AT]N), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an Information return. Examples of inform atlon retums include, but are not limited to. the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return For)n W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) CITY OF 33325 8' Avenue South, Federal Way, WA 98003 Federal Way X. Vendor ❑ Update Form To add your business to our vendor file, or update infowmation, please complete this form and mail to 33325 8' Ave South Federal %N'av, WA 98003 or fax #253-835-2509 or email accountspayable[a cityoffederalway.com Business Information (as shown on your federal tax return) (For office use only) VN#: 1, Business Name: Br l id ) h A 6 2. Contact Name: V 4 If Cie bA h f 3. Business Address: 11 5. 6. 7 33313 1"irs+ WAS SoL4ik HA-efaI v\,JnI i WA g0ob3 Remit To Address (if different): Phone #!: - Fax #' Will you provide suppplies or service to the City of Federal Way? , City of Federal Way Staff/Department Contact Name: VA 1 t 1 City State City/State E-Mail: Vol Ol i kf fl ❑ Supplies 9 Services S IAIG9I! M- KIeW1yl Zip Code Business Tune (_Please Check appropriate bos for federal tar classification ofpersanlentih, entered on line I) ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Government Agency ❑ Trust/Estate Non -Profit (if exempt Exempt payee code) (— 5z+(p 13-13 Federal ID/EIN # (9 digits) ❑ Sole Proprietor Federal ID # (9 digits) or Social Security Number If you are not a corporation, is your Business subject to 1099 reporting? ❑ Yes ❑ No State of Washington U. B. I. # ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for US federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions)> Exemptions (codes apply only to certain entitles, not individuals; see instruction) Exempt payee code (if any) Exemption from FATCA reporting code (if any) Certification: Under penalties of perjury, I certify that: -Ii I am 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. lam not subject to backup witholding because: (a, I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report atI interest or dividends, or (c) the IRS has notified me that I am no Ionger subject to backup witholding; and 3. 1 am a US citizen or other U.S. person (defined below; gird 4. The FATCA code(s) entered on this form (if arty) indicating that I am exempt from FATCA reporting is correct. The Internal Revenue Service does not reatare your consent to any provhdon of this document other than the certification required to avoid backup wilhholdin HVtl'llat') t 1 �v la3 Sii�ature of U.S. nerson > Date > For information call: 253.835.2525 or Fax: 253.835.2509 or e-mail: accountsoavable(a-?citvoffederalway. com Rev 12021 What is FATCA Reporting? The Foreign Account Tax Compliance Act (FACTA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information https:Jlwww.iTs.gov/oub/irs-pd`f/iw9.pd.f IF the entity/person on line 1 is a n .... THEN check the box for.... a Corporation Corporation a Individual Individual/sole proprietor or single member LLC ■ Sole proprietorship, or a Single -member limited liability company (LLC) owner by and individual and disregarded for U.S. federal tax purposes. a LLC treated as a partnership for U.S. federal tax Limited liability company and enter the appropriate tax purposes. classification. (P = Partnership; C = C corporation; or S = S a LLC that has filed FORM 8832 or 2553 to be taxed as a corporation) corporation, or a LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes. a Partnership Partnership a Trust/estate Trust/estate For information call: 253.835.2525 or Fax: 253.835.2509 or e-mail: accounWaable(eicityofl'ederalwav,com Rev 12021 Bridging a GAP Weekend Feeding Program Foundation Bylaws EIN: 81-5461393 UBI: 604-088-164 ARTICLE I Members The organization shall have no members. ARTICLE II Purposes 2.1 Charitable Purposes. Bridging a GAP Weekend Feeding Program Foundation is organized exclusively for charitable, and educational purposes within the meaning of Section 501(C)(3) of the Internal Revenue Code of 1986 (as amended, or any successor provision or code). 2.2 Goals of the Foundation. We are a body reaching out to all needy students within the Federal Way Public School District. Our goal is to have a weekend backpack of food program for needy students at all public schools within the Federal Way Public School District as soon as funding, volunteer support and non-profit support are available for each school. 2.3 Primary Purposes. Meet with the principal of each school within the Federal Public School District to organize a plan of action to solicit non-profit support, funding and volunteers to provide weekend backpacks to needy students for eventually all schools within the Federal Way Public School District. ARTICLE III Gifts 3.1 Designated Gifts. In the event that the donor of a gift or bequest to the Bridging A Gap Weekend Feeding Foundation designated in writing special terms, conditions, limitations or directions as to the investment or application of the substance of the gift, or the use or accumulation of the income thereon, the Board shall review said designated gift under the terms set forth below: In the event that the Board of Directors determines that such a designated gift is appropriate to the purpose, administration and use of the Foundation Funds, then such gift or bequest shall be accepted and received into the Fund. Sale or transfer of a gift, timing and procedures shall be reviewed with the donor or donor's representative. b. In the event that the Board of Directors determines that such a designated gift is not appropriate to the purpose, administration and use of the Foundation Funds, Page 1 of 13 the Board of Directors shall so notify the donor in writing. If, within 30 days after such notification (Notification Period) the donor does not provide the Board of Directors, in writing, with a new designated gift or with a Non Designated Gift statement that the gift or the bequest is not subject to any specific terms, conditions, limitations or directions such gift or bequest shall not be received or accepted into the Foundation Funds, and shall be returned promptly to the donor. If the donor provides a New Designated Gift Statement in writing, within the Notification Period, the same procedure shall be followed with respect to the Designated Gift. If the donor provides a Non -Designated Gift Statement within the notification Period, such gift or bequest shall be accepted and received into the Foundation Funds as a Non -Designated Gift as that term is defined in ARTICLE III, 3.2. c. Each Designated Gift shall be administered and applied by the Board of Directors consistent with the Designated Gift terms. 3.2 Non -Designated Gifts — All gifts accepted and received into the Foundation Funds that are not Designated Gifts shall be considered Non -Designated Gifts. a. Both the principal and the income from Non -Designated Gifts are to be administered as determined by the Board of Directors and shall be applied to the uses, projects and programs recommended by the Board of Directors and approved by the Board of Directors. The list of approved uses, projects and programs shall be appended to these bylaws and shall be distributed to each principal of a school involved with the Bridging A Gap Weekend Feeding Program. b. Non -Designated Gifts are to be used for the purpose of financially supporting the Bridging the Gap Weekend Program as determined by the Board of Directors. c. Annual Recommendations for Distributions — Subject to the other terms of these bylaws, the Board of Directors shall make, at least annually, recommendations for distribution of the income and /or principal of the Foundation Funds. ARTICLE IV The Foundation Funds 4.1 Management of the Foundation Funds. The Board of Directors shall promote and manage the Foundation Funds. Any agreement entered into for the professional management of the Foundation Funds, or any portion thereof, shall be valid only if approved by the Board of Directors. a. The Board of Directors shall establish such written rules and regulations as may be necessary for the conduct of its business as are consistent with the terms of these Bylaws. It shall adopt standards and goals, which are consistent with the terms of Page 2 of 13 these Bylaws to guide in the expenditure of the income from the Foundation Funds. These rules and regulations are contained in Article XIII. The Board of Directors shall maintain an account with such financial institutions as authorized by resolution and approved by the Board of Directors and as determined to be consistent with terms of the Bylaws. All checks and other documents transferring or expanding any funds or assets in the Foundation Funds shall be executed under the Foundation's normal financial system. c. The Board of Directors may employ, at the expense of the Foundation Funds income, such professional counseling on the investments and legal matters as deemed to be in the best interest of the Foundation Funds which are consistent with the terms of the Bylaws. d. No members of the Board of Directors shall engage in any self -dealing of transactions with the Foundation Funds in which the member of the Board of Directors has direct or indirect financial interest. Board of Directors members shall at all times refrain from any conduct in which their personal interests would conflict with the interest of the Foundation Funds. Further explained in Article XII. e. The Board of Directors shall review any Designated Gift from a donor placing restrictions, conditions, limitations or directions to the investment or allocation of the substance of a gift or bequest or on the use of accumulation of the income thereon as presented in Article III. After said review, the Board of Directors shall make a determination as to whether the Designated Gift is, or is not, appropriate to the purpose, administration and use of the Foundation Funds. f. No funds shall be disbursed from the Foundation Funds without the approval of the Board of Directors. ARTICLE V Board of Directors 5.1 Powers. The management of all the affairs, property and interests of the Foundation shall be vested in a Board of Directors. In addition to the powers and authorities expressly conferred upon it by these Bylaws, the Board of Directors may exercise all such powers of the Foundation and do all such lawful acts as are not prohibited by the Bylaws of the Bridging a Gap Weekend Feeding Program Foundation. 5.2 General Standards for Directors. A Director shall discharge the duties of a Director, including duties as a member of a committee: a. in good faith; b. with the care an ordinary prudent person in a like position would exercise under similar circumstances; and Page 3 of 13 c. In a manner the Directors reasonably believes to be in the best interests of the Foundation. 5.3 Number and Term. The Board of Directors shall consist of a minimum of seven (7) Directors and not more than nine (9) Directors. A Director's term shall be limited to a three (3) year minimum term. The formation of the Board of Directors will consist of Directors serving three (3), four (4) and five (5) year terms to consistently stagger the three (3) year minimum term. Initially, the Board of Directors shall be appointed by the President and approved by the current Board Members. As terms of Directors expire the Directors in the following years will elected by the Board Members. 5.4 Change of Number. The number of Directors may at any time be increased or decreased by amendment to these Bylaws by resolution of the Board of Directors at any annual or special meeting. 5.5 Vacancies. All vacancies in the Board of Directors, whether caused by resignation, death or otherwise, shall be filled by election of the remaining Directors at any regular meeting or special meeting. 5.6 Resignation. A Director may resign at any time by delivering written notice to the Board of Directors, the President, Secretary, or Treasurer. A resignation is effective when the notice is delivered unless the notice specifies a later effective date. 5.7 Officers of the Board of Directors. Shall be elected by the Boards Members at the Annual Meeting. 5.8 Annual Meeting. The annual meeting of the Board of Directors for the purpose of electing Directors and Officers and transacting such other business as may properly come before the meeting shall be held each year on such date and at such hour as may be determined by resolution of the Board of Directors from time to time. In the absence of such determination, the annual meeting shall be held on a date and time on the third (3rd) Tuesday in the month of October if not a legal holiday, and if a legal holiday, then on the next business day following, at the same hour or as determined by the Board of Directors by resolution. 5.9 Regular Meetings. Regular meetings of the Board of Directors or any committee may be held without notice at the Danforth Real Estate Company or at such other place or places, either within or without the State of Washington, as the Board of Directors or such committee, as the case may be, may from time to time designate. 5.10 Special Meetings. Special meetings of the Board of Directors may be called at any time by the President or by any Directors to be held at Danforth Real Estate Company or such other place or places as the Board of Directors or the person or persons calling such meeting may from time to time designate. Notice of all special meetings of the Board of Directors, stating the date, time and place thereof, shall be given at least two (2) days prior to the date of the meeting, in accordance with the provisions set forth in the Bylaws. Such notice need not specify the business to be transacted at, or the purpose of, the meeting. Page 4 of 13 b. Special meetings of any committee of the Board of Directors may be called at any time by such person or persons and with such notice as shall be specified for such committee by the Board of Directors, or in the absence of such specification, in the manner and with the notice required for special meetings of the Board of Directors. 5.11 Quorum. A majority of the full Board of Directors shall be necessary at all meetings to constitute a quorum for the transaction of business. If a quorum is present when a vote is taken, the affirmative vote of a majority of directors present is the act of the Board of Directors, except as otherwise provided in these Bylaws. 5.12 Action by Directors without a Meeting. Any action required or permitted to be taken at a meeting of the Board of Directors, or of a committee thereof, may be taken without a meeting if all members of the Board of Directors take the action. The action must be evidenced by one or more written consents setting for the action taken, signed by each of the Directors, or by each of the members of the committee, as the case may be, either before or after the action, taken, and delivered to the Foundation for inclusion in the minutes or filing with the Foundation's records. Subject to appropriate safeguards, consents transmitted by facsimile or by e-mail shall be considered valid written consents. b. Action taken under this Section is effective when the last Director signs the consent unless the consent specifies a later effective date. 5.13 Participation by Means of Communications Equipment. Any or all Directors may participate in a regular or special meeting of the Board of Directors (or of a committee thereof) by, or may conduct the meeting through the use of any means of communication by which all Directors participating can hear each other during the meeting. 5.14 Remuneration. No stated salary shall be paid Directors as such for their service, but by resolution of the Board of Directors, a fixed sum and expenses of attendance, if any, may be allowed for attendance at each regular or special meeting of the Board of Directors or of a committee thereof; provided that nothing herein contained shall be construed to preclude any Director from serving the Bridging a Gap Weekend Feeding Program Foundation in any other capacity and receiving compensation therefore. ARTICLE VI Position Descriptions 6.1 Designations. The officers of the Board of Directors shall be President, Vice President, Secretary, Treasurer and such other officers and assistant officers as may be deemed necessary by the Board of Directors. 6.2 Powers and Duties. The officers shall have the power and duties set forth below: Page 5 of 13 a. President. The President of the Board of Directors shall have general control and management of the business affairs and policies of the Board. The President shall act as liaison from and as spokesperson for the Board of Directors. The President shall participate in long-range planning for the Foundation and shall be available to the other officers of the Foundation for consultation. The President shall possess power to sign all certificates, contracts and other instruments of the Foundation, as approved by the Board of Directors. The President shall preside at all meetings of the Board of Directors. The President shall perform all such other duties as are incident to the office of President or are properly required by the Board of Directors. b. Vice President. The Vice President of the Foundation shall serve as President in the absence or disability of the President. The Vice President shall perform all such other duties as are incident to the office of Vice -President or are properly required by the Board of Directors. c. Secretary. The Secretary shall issue notices for all meetings, except for notices for special meetings of the Directors which are called by the requisite number of Directors, shall keep minutes of all meetings and shall make such reports and perform such other duties as are incident to the office Secretary or are properly required of him or her by the Board of Directors. Treasurer. The Treasurer shall have charge of the seal and the Foundation books, and shall make such reports and perform such other duties as are incident to the office of Treasurer or are properly required of him or her by the Board of Directors. The Treasurer further shall have the custody of all moneys and disburse the funds of the Foundation in payment of the just demands against the Foundation or as may be ordered by the Board of Directors, taking proper vouchers or receipts for such disbursements, and shall render to the Board of Directors from time to time as may be required an account of all transactions as the Treasurer and of the financial condition of the Bridging a Gap Weekend Feeding Program Foundation. 6.2.3 Removal. Any officer elected or appointed may be removed at any time, with or without cause, by the affirmative vote of a majority of the whole Board of Directors, but such removal shall be without prejudice to the contract rights, if any, of the person so removed. ARTICLE VII Notices 7.1 Notices. Except as may otherwise be required by law, any notice to any Director or officer must be in writing and may be transmitted by : mail, private carrier or personal delivery, telegraph or teletype, or telephone, wire or wireless equipment which transmits a facsimile of the notice. Written notice by the Foundation to its Board of Directors shall be deemed effective when mailed, if mailed with first-class postage prepaid and correctly addressed to the Board of Director's address shown in the Page 6 of 13 Bridging a Gap Weekend Feeding Program Foundation's current record of Directors. Except as set forth in the previous sentence, written notice shall be deemed effective at the earliest of the following: (i) when received; (ii) five (5) days after its deposit in the United States mail, as evidenced by the postmark, if mailed with first-class postage, prepaid and correctly addressed; or on the date shown on the return receipt, if sent by registered or certified mail, return receipt requested, and receipt is signed by or on behalf of the addressee. ARTICLE VIII Contracts, Checks, Deposits and Funds 8.1 Contracts. The Board of Directors may authorize the President of the Foundation to enter into any contract or execute and deliver any instrument in the name of and on behalf of the Foundation, and such authority may be general or confined to specific instances. 8.2 Checks, Drafts, etc. All checks, drafts or orders for the payment of money, notes or other evidence of indebtedness issued in the name of the Foundations greater than $1,000. shall be signed by two officers or agents of the Foundation and in such manner as shall from time to time be determined by resolution of the Board of Directors. In the absence of such determination by the Board of Directors, the Treasurer and the President shall sign such instruments. 8.3 Deposits. All funds of the Foundation shall be deposited from time to time to the credit of the Foundation in such banks, trust companies or other depositaries as the Board of Directors may select. 8.4 Gifts. The Board of Directors may accept on behalf of the Foundation any contribution, gift, bequest or devise for the general purposes or for any special purpose of the Foundation as defined in Article III. ARTICLE IX Books and Records 9.1 Foundation shall keep a copy of the following records at its registered or principal Office: a. The Articles or Restated Articles of Incorporation and all amendments thereto currently in effect; b. The Bylaws or Restated Bylaws and all amendments thereto currently in effect; c. A record of Directors, including names and addresses; d. Correct and adequate records of accounts and finances; e. Minutes of the proceedings of the Board of Directors, and the committees of the Board of Directors, if any, and copies of all actions taken by the Board of Directors and committees without a meeting. Page 7 of 13 ARTICLE X Fiscal Year 10.1 The fiscal year of the Foundation shall begin on the first day of January and end on the last day of December in each year. ARTICLE XI Liability and Indemnification The following provisions shall govern the liability, indemnification and other matters involving the Directors, Officers and Agents of the Foundation: 11.1 Liability of Directors. A Director of the Foundation shall not be personally liable to the Foundation for monetary damages for conduct as a Director, except for liability of the Director (i) for acts of omissions which involved intentional misconduct by the Director or a knowing violation of law by the Director or (ii) for any transaction from which the Director will personally receive a benefit in money, property or service to which the Director is not legally entitled. If the Washington Nonprofit Corporation Act is amended to authorize corporate action further eliminating or limiting the personal liability of Directors, then the liability of a Director of the Foundation shall be eliminated or limited to the fullest extent permitted by the Washington Nonprofit Corporation Act, as so amended. b. Any repeal or modification of the foregoing Section by the members of the Foundation shall not adversely affect any right or protection of a Director existing at the time of such repeal or modification. 11.21ndemnification. The Foundation shall indemnify the Directors, Officers, Agents, Employees, and other persons against all liability, damage, and expenses arising from or in connection with service for, employment by, or other affiliation with the Foundation or other firms or entities to the maximum extent and under all circumstances permitted by law as more fully set forth in these Bylaws; provided that no indemnification shall be provided under this Section to any such person if the Foundation is prohibited by the nonexclusive provision of the Washington Nonprofit Corporation Act or other applicable law as then in effect from paying such indemnification or, if in the opinion of counsel, payment of such indemnification would subject the Foundation to impositions of excise taxes under the Internal Revenue Code or would cause the Foundation to lose its exempt status from federal income taxation. ARTICLE XII Conflict of Interest Policy 12.1 Purpose. The purpose of the conflict of interest policy is to protect the tax-exempt Foundation's interest when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director of the Foundation or might result in a possible Page 8 of 13 excess benefit transaction. This policy is intended to supplement but not replace any applicable state and federal laws governing conflict of interest applicable to nonprofit and charitable organizations. 12.2 Definitions. a. Interested Person —Any Director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, as defined below, is an interested person. b. Financial Interest — A person has a financial interest if the person has, directly or indirectly, through business, investment, or family: i. An ownership or investment interest in any entity with which the Foundation has a transaction or arrangement. ii. A compensation arrangement with the Foundation or with any entity or individual with which the Foundation has a transaction or arrangement, or iii. A potential ownership or investment interest in, or compensation arrangement with, any entity or individual with which the Foundation is negotiating a transaction or arrangement. Compensation includes direct and indirect remuneration as well gifts or favors that are not insubstantial. A financial interest is not necessarily a conflict of interest. Under 12.3 Procedures, Section b, a person who has financial interest may have a conflict of interest only if the Board of Directors or committee decides that a conflict of interest exists. 12.3 Procedures a. Duty to Disclose. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the Board of Directors and members of committees with delegated powers considering the proposed transaction or arrangement. b. Determining Whether a Conflict of Interest Exists. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board of Directors or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board of Directors or committee members shall decide if a conflict of interest exists. Procedures for Addressing the Conflict of interest i. An interested person may make a presentation at the Board of Directors or committee meeting, but after the presentation, he/she leaves the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. ii. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. Page 9 of 13 iii. After exercising due diligence, the Board of Directors or committee shall determine whether the Foundation can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. iv. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in Foundation's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. d. Violations of the Conflicts of Interest Policy i. If the Board of Directors or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the Board of Directors or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. 12.4 Records of Proceedings. The minutes of the Board of Directors and all committees with Board of Directors delegated powers shall contain: a. The names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the Board of Directors or committee's decision as to whether a conflict of interest in fact existed. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with the proceedings. 12.5 Compensation. a. A voting member of the Board of Directors who receives compensation, directly or indirectly, from the Foundation for services is precluded from voting on matters pertaining to that member's compensation. b. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from the Foundation Page 10 of 13 for services is precluded from voting on matters pertaining to that member's compensation. c. No voting member of the Board of Directors or any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from the organization, either individually or collectively, is prohibited from providing information to any committee regarding compensation. 12.6 Annual Statements. Each Director, principal officer and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person: a. Has received a copy of the conflicts of interest policy. b. Has read and understands the policy. c. Has agreed to comply with the policy, and d. Understands the Foundation is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. 12.7 Periodic Reviews. To ensure the Foundation operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: Whether compensation arrangements and benefits are reasonable, based on competent survey information, and the result of arms' length bargaining. b. Whether partnerships, joint ventures, and arrangements with management organizations conform to the St. Luke's Foundations written policies, are properly recorded, reflect reasonable investment or payments for goods and services, further charitable purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction. 12.8 Use of Outside Experts. When conducting the periodic reviews as provided for in 12.7 Periodic Reviews, the Foundation may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the Board of Directors of its responsibility for ensuring periodic reviews are conducted. ARTICLE XIII Investment Policy Statement 13.1 Endowment. Should the Bridging a GAP Weekend Feeding Program Foundation receive a donation that is designated by the donor to be invested in an Endowment Fund for the purposes of using a percentage of the annual growth of the fund for ongoing financial support of the program, the investment objectives and guidelines are found in 13.2 Objectives and Guidelines. Page 11 of 13 13.2 Objectives and Guidelines. The investment objectives of the Investment Policy Statement are as follows: a. Time Horizon: The investment guidelines for the Endowment Fund are based upon an investment horizon of greater than ten years, or at least one complete market cycle. Therefore, cyclical fluctuations are to be expected and to be viewed with appropriate perspective. b. Performance Expectations: To achieve a rate of return overtime commensurate with the risk tolerance and time horizons expressed in this policy. Over a complete market cycle, the Account's overall annualized total return, net of all fees and expenses strive to be equal or above the relevant benchmarks. c. Risk Tolerances: In establishing the Foundation's risk tolerance, the Board acknowledges that investment risk must be assumed in order to achieve the long- term return objectives. As such, the ability to withstand short and intermediate term variability was considered. 13.3 A summary of both the absolute and relative return and risk objectives are listed below: a. Absolute Objectives: i. Achieve a target annual rate of return of 7-9% over a full market cycle (approximately 7 to 10 years) for the Endowment Fund. ii. Diversification will be employed to reduce risk. iii. Adequate liquidity will be maintained to meet the projected needs of the Endowment Fund. iv. Seek out a competitive rate of return for the Endowment Fund while maintaining adequate liquidity. 13.4 Asset Allocation Constraints and Rebalancing: The Board of Directors recognizes that the portfolios risk, return and liquidity are in a large measure determined by asset allocation. Changes in objectives can result in changing appropriate allocation models and investment vehicles. The percentage allocation to each asset class may vary over time due to market conditions and performance, as well as changes in investment objectives as determined by the Board of Directors. Given the volatility of the capital markets, strategic adjustments in various asset classes may be required to rebalance asset allocations back to their targets. All such actions shall be reported to the Board of Directors and are subject to its approval. 13.5 Federal Income Tax Considerations: The Foundation is a 501(c)(3) not -for -profit entity; therefore Federal income tax considerations will play no role in investment decisions, though other expenses and transaction costs will be considered. 13.6Administration and Management: All costs of administering and managing portfolios will be separately detailed and reported. Page 12 of 13 13.7 Reporting: Investment Manager is expected to provide accurate, timely and relevant reporting and communication to the Board of Directors and Committee. 13.8 Modifications of this policy: The Board of Directors and the Committee recognize that no assurances can be made or implied as to the level of return achievable or the amount of risk realized with these or any portfolio strategies. ARTICLE IV Amendments The Board of Directors shall have power to amend or repeal the Bylaws of, or adopt new Bylaws for the Foundation by majority vote of the Directors at any regular or special meeting provided however, that written notice of any proposed amendment shall be provided to each Director at least ten (10) days prior to such meeting. ARTICLE XV Dissolution of Organization Upon dissolution of the Foundation, the remaining funds shall be transferred to an account owned by the Federal Way Public School District Number 210 located at 33330 8th Avenue South in Federal Way, WA. ADOPTED BY THE BOARD OF DIRECTORS OF THE BRIDGING A GAP WEEKEND FEEDING PROGRAM FOUNDATION ON APRIL 4TH, 2017. Page 13 of 13 ��V®l 0 DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F2/13/2023 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 Crystal Wells NAME: ry STANFORD INSURANCE INC PH Ra. 3t: 253-874-9200 PO Box 189 E-MAIL c tal stanfordinsurance.com AonR�sB: � � INSURER(S) AFFORDING COVERAGE NAIC # Gig Harbor WA 98335 INSURER A: Mount Vernon Fire Insurance Company INSURED INSURER B : Bridging A Gap Weekend Feeding Program 515 S 312th Street INSURER C : Federal Way WA 98003 INSURER D: INSURER E : INSURER F : CnVFRAnFS CFRTIFICATF MIIMRFR• 7093013014SA0R477 17 F�nclrtel A11111ARCD• 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. ILTR TYPE OF INSURANCE INSO VJVD S BR POLICY NUMBER MM POLICY EFF !�D Y EXP LIMITS X COMMERCIAL GENERAL LIABILITY RE EACH OCCURNCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y NPP2571932C 07/02/2022 07/02/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F JET LOC PRODUCTS - COMP/OP AGG $ Included $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _.(Ea accidenlf $ $ ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) J S HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE ccid nt $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE N XL1637019 02/10/2023 02/10/2024 DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPAMNER1EXECUTIVE OFFfCERIMEMBER EXCLUDED? N/A S TATUTE ER E,L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S (Mandatary In NH) IF yes doscribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Federal Way Public Schools is named as additional insured. May 10, 2023 Fundraising event held at Federal Way High School 30611 16th Ave S Federal Way, WA 98003 CERTIFICATE HOLDER CANCELLATION Federal Way Public Schools 33330 8th Ave S Federal Way, WA 98003 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 ENDORSEMENT #1 This endorsement, issued by Mount Vernon Fire Insurance Company to BRIDGING A GAP WEEKEND FEEDING PROGRAM forms a part of Policy Number NPP2571932C effective on 1/25/2023 (MO. DAY YR.) at 12:01 A.M. Add/Remove/Amend Coverage In consideration of no change in premium" it is hereby agreed and understood that the policy is amended with the following changes: **A Minimum Premium was applied in the calculation of the Premium. LOCATIONS: Loc. # Address 1 Amend 33313 First Way South, Federal Way, WA, 98003 Covered Causes of Loss: Special Construction: Joisted Masonry Description: Social Service Special Deductible: None Special Deductible Type: COMMERCIAL GENERAL LIABILITY COVERAGE PART Loc# Classification Code No. Premium Basis 1 Add Additional Insured - Designated Person 49950 1 Per Additional Insured Territory 002 Fire Code: 0756 Prot. Class: 2 Square Footage: 500 Rate Premium Change Pr/Co* All Other Pr/Co* All Other Charged Included 100.000 Included $100 $43 It is hereby agreed that the following form(s) is(are) added to the Policy: CG2026 04/13 - Additional Insured -Designated Person or Organization and the following has(have) been amended: L-232s 04/15 - Classification Limitation Endorsement All other terms and conditions of this Policy remain unchanged. This contract is registered and delivered as a surplus line coverage under the insurance code of the state of Washington, Title 48 RCW. It is not protected by any Washington state guaranty association law. Joel D. Cavaness — Risk Placement Services Inc. * Products/Co POLICY NUMBER: NPP2571932C COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Effective Date: 01/25/2023 12:01 AM FEDERAL WAY PUBLIC SCHOOLS 33330 8TH AVE S FEDERAL WAY, WA 98003 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 1 Of 1 This Endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Classification Limitation Endorsement Coverage under this contract is strictly limited to the classification(s) and code(s) listed on the policy Declarations page. No coverage is provided for any classification(s) and code(s) not specifically listed on the Declarations page of this policy. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. L-232s (04-15) Page 1 of 1 10/14/22, 12:34 PM Corporations and Charities System errrssCrRtY and Charities Filing System BUSINESS INFORMATION BRIDGING A GAP WEEKEND FEEDING PROGRAM 604088164 WA NONPROFIT CORPORATION ACTIVE 333131 ST WAY S, FEDERAL WAY, WA, 98003-6247, UNITED STATES 03/31/2023 UNITED STATES, WASHINGTON 03/12/2017 PERPETUAL Business Name: UBI Number: Business Type: Business Status: Principal Office Street Address: Principal Office Mailing Address: Expiration Date: Jurisdiction: Formation/ Registration Date: Period of Duration: FOOD & NUTRITIONAL SUPPORT FOR FEDERAL WAY SCHOOL DISTRCT STUDENTS https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation Inactive Date: Nature of Business: Charitable Corporation: FEIN Number: 1 /3 1 �f411 22. 92.34 PM 81-5461393 n REGISTERED AGENT INFORMATION VALERIE DANFORTH Corporations and Charities System 333131 ST WAY S, FEDERAL WAY, WA, 98003-6247, UNITED STATES 333131ST WAY S, FEDERAL WAY, WA, 98003-6247, UNITED STATES GOVERNORS Title Governors Type GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL Back hftps://ccfs.sos-wa.gov/#/BusinessSearch/Businessinf6rmation Gross Revenue exceed $500,000: Has Members: Public Benefit Designation: 1=50i1IiT1T.� Registered Agent Narne: Street Address: Mailing Address: Entity Name First Name Last Name JOYCE HULSE VALERIE DANFORTH LUKE OLDHAM JULIE MILLER 213 10114/22, 12:34 PM Corporations and Charities System Filing History Name History Print Return to Business Search https://cefs.sos.wa.gov/#/BusinessSearch/Business Information 3/3 2/16/23, 8:31 AM Washington State Department of Revenue Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: BRIDGING A GAP WEEKEND FEEDING PROGRAM Business BRIDGING A GAP WEEKEND FEEDING PROGRAM name: Entity type: Nonprofit Corporation UBI #: 604-088-164 Business I D: 001 Location ID: 0002 Location: Active Location address: 33313 1 ST WAY S FEDERAL WAY WA 98003-6247 Mailing address: 33313 1 ST WAY S FEDERAL WAY WA 98003-6247 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held a License # Count Details Status Expiration da First issuance https://secure.dor.wa.gov/gteunauth/_/#9 1 /2 2/16/23, 8:31 AM Washington State Department of Revenue Endorsements held i License # Count Details Status Expiration da First issuance Federal Way General Business Active Mar-31-2023 Mar-09-2020 Governing People May include governing people not registered with Secretary of State Governing people DANFORTH, VALERIE HULSE, JOYCE MILLER, JULIE OLDHAM, LUKE Title View Additional Locations The Business Lookup information is updated nightly. Search date and time: 2/16/2023 8:31:40 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported https://secure.dor.wa.gov/gteunauth/_/#9 2/2 PIliGAEll1!IE STANFORD INS INC PO BOX 189 COMMERCIAL GIG HARBOR, WA 98335 Policy number: 01206303-7 Underwritten by: United Financial Casualty Company Insured: CITY OF FEDERAL WAY BRIDGING A GAP WEEKEND 33325 8TH AVE S March 29, 2023 FEDERAL WAY, WA 98003 Policy Period: Apr 8, 2023 - Oct 8, 2023 Mailing Address United Financial Casualty Company PO Box 94739 Additional insured endorsement Cleveland, OH44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF FEDERAL WAY 7 days a week 33325 8TH AVE S FEDERAL WAY, WA 98003 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 01206303-7 Issued to (Name of Insured): BRIDGING A GAP WEEKEND FEEDING PROGRAM Effective date of endorsement: 04/08/2023 Policy expiration date: 10/08/2023 Form 1198 (01/04)