AG 23-250 - FRIENDS UNITED TO SHELTER THE INDIGENT OPPRESSED AND NEEDY/ FUSIONRETURN TO: Kim Bachrach EXT: 2654
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: CD/Community Services
2. ORIGINATING STAFF PERSON: Kim Bachrach EXT: 2654 3. DATE REQ. BY: 11/15/2024
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 ® HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#)t ❑ INTERLOCAL
❑ OTHER
5. PROJECT NAME: ARPA Human Services Grant - FINALLY HOME AGAIN
6. NAME OF CONTRACTOR: Friends United to Shelter the Indigent Oppressed and Needy 9
ADDRESS: 1505 S. 328th Street Federal Way, WA 98003 TELEPHONE (206) 930-5988
E-MAIL: david.harrison@fusionhousing.org FAX:
SIGNATURE NAME: DaVid HarriSon TITLE CEO
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK OR SERVICES N COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE It ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: July 1, 2023 COMPLETION DATE: December 31, 2026
9. TOTAL COMPENSATION $ 175,000 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: p YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ 175.000
IS SALES TAX OWED ®YES IDNO IF YES, $ PAID BY. ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
9 PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-410
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
It PROJECT MANAGER SJB 10/25/2023
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
9 LAB/ JE 11/14/23
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
N. SENT TO VENDOR/CONTRACTOR DATE SENT: 12/4/23 DATE REC'D: 12/5/23
❑ 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.)
INIT] ALI DATE SIGNED
LAW DEPARTMENT
Pf9rCN'ATORY (MAYOR OR DIRECTOR)
C1 TY CLERK
❑ ASSIGNED AG# A #
COMMENTS:
I have comments in the document and would like to see additional details included on the work and the outcomes. Maybe attaching the application may solve some of the questions? - JE 11/14/23
2i2oi /
CITY OF CITY HALL
Av*S* Federal WayFeder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederaiway. com
HUMAN SERVICES AGREEMENT
FOR
FINALLY HOME AGAIN
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and FUSION/Friends United to Shelter the Indigent, Oppressed and Needy, 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:
FUSION/FRIENDS UNITED TO SHELTER THE CITY OF FEDERAL WAY:
INDIGENT, OPPRESSED AND NEEDY:
Kim Bachrach
David Harrison 33325 8th Ave. S.
1505 S. 328th Street Federal Way, WA 98003-6325
Federal Way, WA 98003 (253) 835-2654 (telephone)
(206) 930-5988 (telephone) Kim.Bachracli@,cityoffederalway.com
cityoffederalway.com
d avi d .li arri son (c-�,fu sionho u si n g. o rl
The Parties agree as follows:
1. TERM. The term of this Agreement shall be for a period commencing on July 1, 2023, and terminating on
December 31, 2026 ("Term"). Funding for the second, third, and fourth years 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 morespecifically 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 and a Unique Business Identifier
(UBI) and a Unique Entity Identifier (UEI). 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.
ARPA HUMAN SERVICES AGREEMENT - 1 - 8/2023
CITY OF CITY HALL
A.. Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cifyoffederalway com
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 not less than quarterly basis, the Agency shall submit to the City an invoice
for payment on a form provided by the City along with supporting documentation for costs claimed in the invoice
and all reports as required by this Agreement. Payment shall be made 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,
supporting documentation, 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
Community 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 Budget. The Agency shall apply the funds received from the City under this Agreement in accordance
with the line item budget set forth in Exhibit B. The Agency shall request prior approval in writing from the City to
revise the line item budget when the cumulative amount of transfers from or to a line item is expected to exceed ten
percent (10%) of that line item. The Agency must provide supporting documents to fully explain the nature and
purpose of the revision with each request for prior approval. All budget revision requests in excess of 10% of a line
item amount shall be reviewed and approved or denied by the City in writing.
4.5 Non-ApproLhation 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 Ageney 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
ARPA HUMAN SERVICES AGREEMENT - 2 - 8/2023
c[7v OF CITY HALL
Fe d e ra I Way
8th Avenue South
Feder
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederalway. com
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 Tndenmification. 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.
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
ARPA HUMAN SERVICES AGREEMENT - 3 - 8/2023
CITY OF CITY HALL
.A Feder Fed�r�� Wayth Avenue South
Federall Way, WA 98003-6325
(253) 835-7000
www cilyoffed era/ way. com
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 maybe 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 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.
ARPA HUMAN SERVICES AGREEMENT - 4 - 8/2023
"4!CITY OF CITY HALL
Fe d ra WayFeder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cltyoffederalway. com
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. E UAL 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 Int retation 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.
ARPA HUMAN SERVICES AGREEMENT - 5 - 8/2023
CITY OF
,AN
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 maybe
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]
ARPA HUMAN SERVICES AGREEMENT - 6 - 8/2023
CITY OF
A%%
` Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ciryofiedera/way. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY: ATTEST:
�A"
Ji ell, Mayor Ste h e vurtne , C C, City Clerk
RO AS TO FORM:
DATE: '2761P-,—
EJ. yan Call, City Attorney
FUSION/FRIENDS UNITED TO SHELTER THE INDIGENT, OPPRESSED AND NEEDY:
By:
Printed Name:���s
Title:
DATE: -?- ¢5
STATE OF WASHINGTON )
ss.
COUNTY OF
On this day personally appeared before me DfN 1V "V-CCAO to me known to be the
C Vi�;- Okof FUSION/Friends United to Shelter the Indigent, Oppressed and Needy that executed
the within and 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 or she was authorized to
execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN under my hand and official seal this day of
178070
Notary's signature
Notary's printed name
in and for the State 9f Washington.
�n expires
ARPA HUMAN SERVICES AGREEMENT - 7 - 8/2023
4S ciTr or
Federal Way
EXHIBIT A
SERVICES
Pro6ect Services Summary
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
The Agency shall provide homelessness prevention case management and financial assistance for move -in costs
through the Finally Home Program in the City of Federal Way. The Finally Home Program helps ensure that
Federal Way Families staying in FUSION'S Family Center have the financial resources to move into a home of
their own. With the support of a case manager, families will create a Family Stability Plan to assist them in
searching for and obtaining permanent housing. The Agency shall ensure that services provided with funding
under this Agreement are made available and delivered 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
ARPA funds:
111 Quarter
2°d Quarter
3rd Quarter
4te Quarter
JAN. — MARCH
APRIL — JUNE
JULY — SEPT.
OCT. — DEC.
Total
No. of unduplicated Federal
Way ersons assisted in 2023
N/A
N/A
6
6
12
No. of unduplicated Federal
Way persons assisted in 2024
7
6
6
6
25
No. of unduplicated Federal
Way persons assisted in 2025
7
6
6
6
25
No. of unduplicated Federal
Way persons assisted in 2026
7
6
6
6
25
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
111 Quarter
JAN. — MARCH
2°d Quarter
APRIL — JUNE
311 Quarter
JULY — SEPT.
411 Quarter
OCT.—DEC.
Total
2023
1. Case management
N/A
N/A
6
6
12
2024
1. Case management
7
6
6
6
25
2025
ARPA HUMAN SERVICES AGREEMENT - 8 - 8/2023
CITY OF
Federal
CITY HALL
Way 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederahvay. com
1. Case management
7
6
6
6
25
2026
1. Case management
7
6
6
6
25
Units of service are measured by number of families enrolled in case management and receiving one-
time financial assistance to obtain permanent housing.
C. Outcome Measure(s)
Outcome 1: Obtain permanent housing
Outcome 1 Indicator: Lease agreement
Target: 95% of clients
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. Records documenting that costs reimbursed with funding provided under this Scope are allowable.
Such records include, but are not limited to:
■ for personnel costs, payroll for actual salary and fringe benefit costs.
■ for staff travel, documentation of mileage charges for private auto use must include: a)
destination and starting location, and b) purpose of trip; and
■ for copy machine use, postage, telephone use, and office supplies when these costs are shared
with other programs and no invoice is available, log sheets or annotated invoices.
9. Documentation of client address; residency verified via King County Parcel Viewer.
10. 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.
ARPA HUMAN SERVICES AGREEMENT - 9 - 8/2023
'4S CITY OF
,�� Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
King County FY 2023 Income Limits Summary
(Effective June 15, 2023)
Median
FY 2023
Income
Income
Limit
1 Person
2 Persons
3 Persons
4 Persons
5 Persons
6 Persons
7 Persons
8 Persons
King
County
Category
Extremely
Low
-30%
$28,800
$32,900
$37,000
$41,100
$44,400
$47,700
$51,000
$54,300
Income
Limits
Very Low
$146,500
-50%
$47,950
$54,800
$61,650
$68,500
$74,000
$79,500
$84,950
$90,450
Income
Limits
Low
-80%
$70,650
$80,750
$90,850
$100,900
$109,000
$117,050
$125,150
$133,200
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 not less than quarterly. Required reports shall
be submitted together on a form and format to be provided by the City. Required reports are the reimbursement
request, service unit report with narrative, demographic data report, and outcomes reports.
The Agency shall submit a Demographic Data Report not less than quarterly. The agency shall collect and retain
the data requested on the City provided form from the persons served through this contract. Data should be
tracked in an ongoing manner and submitted not less than quarterly 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 and detailed above in this Exhibit A. Changes to the outcome(s) presented in the application must be
approved by the City prior to implementation. The Agency shall report the results of its outcome measure(s) not
less than quarterly on the Outcome Data Report 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 ARPA Funds.
ARPA HVMAN SERVICES AGREEMENT - 10 - 8/2023
CITY OF
Federal Way
EXHIBIT B
COMPENSATION
Proiect Budget
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 in accordance with the Line Item Budget Summary,
detailed below. The total amount of compensation pursuant to this Agreement shall not exceed One Hundred
Seventy -Five Thousand and 00/100 Dollars ($175,00.00).
A. City of Federal Way Funds
2023
2024
2025
2026
Cityof Federal WayARPA Fund:
$19,600.00
$51,800.00
$51,800.00
$51,800.00
Total Cityof Federal Way Funds:
$19,600.00
$51,800.00
$51,800.00
$51,800.00
B. Line Item Budget
2023
2024
2025
2026
Personnel Services detail below)
$4,750.00
$12,500.00
$12,500.00
$12,500.00
Other Direct Aid to Clients
$14,850.00
$39,300.00
$39,300.00
$39,300.00
Total City of Federal Way Funds:
$19,600.00
$51,800.00
$51,800.00
$51800.00
C. Personnel Detail (per year)
Position Title
Position Full Time
Equivalent
Annual Salary and
Benefits
Annual ARPA
Funds
Case Manager
FTE 0.5
$28,650.00
$12,500.00
Total:
$28 650.00
$12,500.00
Reimbursement Requests with supporting documentation for the billing period, Service Unit Report,
Demographics Data Report, and Outcomes Data Report shall be submitted no less frequently than quarterly and
are due on the 15ffi of the month after the reporting period ends, but not less than the following dates:
1 st Quarter: April 15;
2nd Quarter: July 15;
3rd Quarter: October 15; and
4th Quarter: Reimbursement Request, Service Unit Report, Demographic Data Report, and Outcomes
Data Report forms are due January 6.
The first quarter of reporting is the 3rd quarter of 2023. The first Reimbursement Requests, Service Unit Report
forms, Demographics Data Report shall be submitted on October 15, or within ten (10) days of notice to
proceed, whichever is later.
Services are to be delivered throughout each contract year. If the Agency anticipates expenditures will exceed
the estimated quarterly or monthly payments for the corresponding billing period, the Agency shall request prior
approval in writing from the City. Estimated Quarterly Payments are $12,501.00. If the Agency submits
monthly reports, Estimated Monthly Payments are $4,167.00
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
ARPA HUMAN SERVICES AGREEMENT - 11 - 8/2023
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ciryoffederalway com
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.
Conditions of Funding
The Agency agrees it will meet the specific funding conditions identified for the Agency and acknowledges payment
to the Agency will not be made unless the funding conditions are met. If the Agency's performance is behind the
agreed upon numbers stated above by June 2024, the City reserves the right to deny additional award of funds
beyond 2024 and re -distribute any remaining funding that otherwise would have been available to the Agency to
other agencies, programs, or projects as the City sees fit.
ARPA HUMAN SERVICES AGREEMENT - 12 - 8/2023
CITY OF CITY HALL
Federal Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www.cr[y01Cederafway. cam
EXHIBIT C
CERTIFICATE OF INSURANCE
ARPA HUMAN SERVICES AGREEMENT - 13 - 8/2023
Issue Date 12f4/2023 Cert #.0000044879
Non Profit Insurance Program
Certificate of Coverage
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVEYS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF COVERAGE 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 be endorsed- If SUBROGRATION IS WAIVED, subject to the terms and conditions of
the policy, certain coverage may require an endorsemenL 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.
PROPERTY
American Alternative Insurance Corporation, et al.
INSURED
Fusion
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
PO Box 23934
Federal Way, WA 98093
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP
DESCRIPTION
LIMITS
DATE DATE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-14 6/1/2023 6/1/2024
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 $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-14 6/1/2023 6/1/2024
COMBINED SINGLE LIMIT
$5,000,000
(LIABILITY IS SUBJECT TO A 350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
PROPERTY
N1-A2-RL-0000013-14 6/1/2023 6/1/2024
ALL RISK PER OCC EXCL EQ & FL
$75,000,000
EARTHQUAKE PER OCC
$1,000,000
FLOOD PER OCC
Excluded
(PROPERTY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-14 6/1/2023 6/1/2024
PER CLAIM
$5,000.000
(LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$40,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
Regarding Finally Home Again Agreement. The City of Federal Way, its officers, directors, shareholders, partners, employees, agents, representatives and subcontractors
are named as Additional Insured regarding this agreement only and are subject to policy terms, conditions, and exclusions. Additional Insured endorsement is attached.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE Pnl Ir.Y PRrI\/I.SIL} q.
CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
Kim Bachrach
City of Federal Way
33325 8th Ave S
Federal Way, WA 98003
Last updated by Cynthia Pienneu on Oct 22, 2022 at 07.49 PM FRIENDS UNITED TO SHELTER
SAM*oor
FRIENDS UNITED TO SHELTER
Unique Entity ID
CAGE / NCAGE Purpose of Registration
MQJAMY4CPVG5
6Z6H8 Federal Assistance Awards Only
Registration Status
Expiration Date
Active Registration
Oct 22, 2023
Physical Address
Mailing Address
1108 S 322ND PL
PO Box 23934
Federal Way, Washington 98003-8483
Federal Way, Washington 98093
United States
United States
Business Information
Doing Business as Division Name Division Number
(blank) (blank) (blank)
Congressional District State / Country of Incorporation URL
Washington 09 Washington / United States (blank)
Registration Dates
Activation Date Submission Date Initial Registration Date
Oct 25, 2022 Oct 22, 2022 Aug 23, 2013
Entity Dates
Entity Start Date Fiscal Year End Close Date
Nov 4, 2004 Dec 31
Immediate Owner
CAGE Legal Business Name
(blank) (blank)
Highest Level Owner
CAGE Legal Business Name
(blank) (blank)
Executive Compensation
Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of
P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is
sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant
responded to the questions.
Proceedings Questions
Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9,
or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active
registration in SAM.gov demonstrates the registrant responded to the proceedings questions.
Exclusion Summary
Active Exclusions Records?
No
SAM Search Authortzatlon
I authorize my entity's non -sensitive information to be displayed in SAM public search results:
Yes
Entity Types
Business Types
Entity Structure
Corporate Entity (Tax Exempt)
Profit Structure
Non -Profit Organization
Entity Type
Business or Organization
Organization Factors
(blank)
Aug 23, 2023 04:55: 00 PM GMT
htips:Osam, gov/ent ity/MQJAMY4CPVG51coreDala?status=Aclive
Page I of 2
Last updated by Cynthia Piennett on Oct 22, 2022 at 07: 49 PM FRIENDS UNITED TO SHELTER
Socio-Economic Types
Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA -certified HUBZone small
business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the
SBA supplemental pages during registration.
Other Entity Qualifiers
Domestic Shelter
Financial Information
Accepts Credit Card Payments
No
EFT Indicator
0000
Points of Contact
Electronic Business
Debt Subject To Offset
No
CAGE Code
6Z6H8
9.
Cynthia Piennett, Treasurer
PO Box 23934
Federal Way, Washington 98093
United States
Government Business
PO Box 23934
Cynthia Piennett, Treasurer
Federal Way, Washington 98093
United States
Service Classifications
NAICS Codes
Primary NAICS Codes
NAICS Title
tit)"ter Respo.
This entity does not appear in the disaster response registry.
Aug 23, 2023 04:55: 00 PM GMT
hltps://sam.gov/entity/MQJAMY4CPVG51coreData?stales=Active Page 2 oJ2
Washington State Depar rent Of Revenue s �'
< Business Lookup
License Information: New search Back to results
Entity name: FUSION/FRIENDS UNITED TO SHELTER THE INDIGENT, OPPRESSED
ANDNEEDY
Business FUSION/FRIEN.DS UNITED TO SHELTER THE INDIGENT, OPRESSED AND
name:
Entity type:
Nonprofit Corporation
UBI #:
602-388-063
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 1505 S 356TH ST STE 104
FEDERAL WAY WA 98003-3513
Mailing address: PO BOX 23934
FEDERAL WAY WA 98093-0934
Excise tax and reseller permit status: Click here
Secretary of State status: Click here
Governing People May include governing people not registered with Secretary of State
Governing people Title
CAMERON, THOMAS `--Vice President
Governing people
GENDRON, KATHLEEN
HUGGINS, SANDRA
PIENNETT, CYNTHIA
SIEGLER, JULIE
Registered Trade Names
Registered trade names Status
FUSION DECOR BOUTIQUE Active
POVERTY BAY CAFE Active
Title
Secretary
Chairman of the Board
Treasurer
Director
First issued
Feb-18-2014
Apr-22-2021
View Additional Locations
The Business Lookup information is updated nightly.
Search date and time: 5/31/2023 7:51:12 PM
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BUSINESS INFORMATION
Business Name:
FUSION/FRIENDS UNITED TO SHELTER THE INDIGENT, OPPRESSED ANDNEEDY
UBI Number:
602 388 063
Business Type:
WA NONPROFIT CORPORATION
Business Status:
ACTIVE
Principal Office Street Address:
1108 S 322ND PL, FEDERAL WAY, WA, 98003-8483, UNITED STATES
Principal Office Mailing Address:
PO BOX 23934, FEDERAL WAY, WA, 98093-0934, UNITED STATES
Expiration Date:
04/30/2024
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
04/20/2004
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
CHARITABLE
Charitable Corporation:
Nonprofit EIN:
01-0814641
Most Recent Gross Revenue is less than $500,000:
Has Members:
Public Benefit Designation:
Host Home:
REGISTERED AGENT INFORMATION
Registered Agent Name:
DAVID HARRISON, EXECUTIVE DIRECTOR
Street Address:
1108 S 322ND PL, FEDERAL WAY, WA, 98003-8483, UNITED STATES
Mailing Address:
PO BOX 23934, FEDERAL WAY, WA, 98093-0934, UNITED STATES
GOVERNORS
Title
Governors Type
Entity Name First Name
Last Name
GOVERNOR
INDIVIDUAL
JULIE
SIEGLER
GOVERNOR
INDIVIDUAL
CYNTHIA
PIENNETT
GOVERNOR
INDIVIDUAL
KATHLEEN
GENDRON
GOVERNOR
INDIVIDUAL
THOMAS
CAMERON
GOVERNOR
INDIVIDUAL
SANDRA
HUGGINS
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