Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
AG 24-058 - EL CENTRO DE LA RAZA
RETURN 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: 1/15/2024 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 O HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: ARPA Human Services Grant 6. NAME OF CONTRACTOR: El Centro de la Raza ADDRESS: 1607 S 341st Pl, Federal Way, WA 98003 TELEPHONE (206) 957-4613 E-MAIL: eortega@elcentrodelaraza.org FAX: SIGNATURE NAME: EStela Ortega TITLE CEO 7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES M COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ® ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: January 1, 2024 COMPLETION DATE: December31, 2026 9. TOTAL COMPENSATION $ 150,000 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: OYES ONO IF YES, MAXIMUM DOLLAR AMOUNT: $ 150,000 IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED A PURCHASING: PLEASE CHARGE TO: 001-1800-990-516-10410 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL/ DATE APPROVED ❑ PROJECT MANAGER SJB 10/25/2023 ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) 2 LAW JE 01/16/24 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: 7/11/2023 COUNCIL APPROVAL DATE: 7/1812023 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 1/20/2024 DATE REC'D: 3/27/2024 ❑ 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/ BATE SIGNED A EPARTMENT 1 GNATORY (MAYOR OR DIRECTOR) CITY CLERK ❑ ASSIGNED AG# A —p COMMENTS: 2/2017 .s ,? � 1 y _ ,r CITY OF CITY HALL Federal ay 33325 8th Avenue South Federal Way, WA 98003-6325 �•n (253) 835-7000 www. ciryoffederalway com HUMAN SERVICES AGREEMENT FOR ROBERTO MAESTAS AFTER SCHOOL PROGRAM This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and El Centro de la Raza, 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: EL CENTRO DE LA RAZA: Estela Ortega 1607 S 341 st Pl. Federal Way, WA 98003 (206) 957-4613 (telephone) The Parties agree as follows: CITY OF FEDERAL WAY: Kim Bachrach 33325 8th Ave. S. Federal Way, WA 98003-6325 (253) 835-2654 (telephone) .com 1. TERM. The term of this Agreement shall be for a period commencing on January 1, 2024 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 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 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. 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 ARPA HUMAN SERVICES AGREEMENT - 1 - 8/2023 CITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 wvw cityoffederahvay. com 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 -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Agency Indemnification. The Agency agrees to release, indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives arising from, resulting from, or in connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Agency and the City, the Agency's liability hereunder shall be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, ARPA HUMAN SERVICES AGREEMENT - 2 . 8/2023 ,4!crTv OF CITY HALL Federal ay Feder 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www ciryoffederalway com officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when completed shall not be grounds to avoid any of these covenants of indemnification. 5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes of this indemnification. Agency's indemnification shall not be limited in any way by any limitation on the amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver. 5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its officers, directors, shareholders, partners, employees, agents, representatives, and subcontractors harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City. 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or termination. 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 ARPA HUMAN SERVICES AGREEMENT - 3 - 8/2023 CITY OF CITY HALL 33325 .�% F� d e ra N Vll y Federal Way, WA 98003-6325 8th Avenue South Feder (253) 835-7000 www cityofiederalway.. com 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. WORD PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency while performing the Services shall belong to the City upon delivery. The Agency shall make such data, documents, and files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination of this Agreement all originals and copies of any such work product remaining in the possession of Agency shall be delivered to the City. 9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be maintained for a period of six (6) years after the termination of this Agreement and may be subject, at all reasonable times, to inspection, review or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT CONTRACTOR. The Parties intend that the Agency shall be an independent contractor and that the Agency has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Agency sick leave, vacation pay or any other benefit of employment, nor to pay any social security or other tax which may arise as an incident of employment. Agency shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the Services and work and shall utilize all protection necessary for that purpose. All work shall be done at Agency's own risk, and Agency shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. The Agency shall pay all income and other taxes due except as specifically provided in Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the Agency, shall not be deemed to convert this Agreement to an employment contract. 11. CONFLICT OF INTEREST. It is recognized that Agency may or will be performing services during the Term for other parties; however, such performance of other services shall not conflict with or interfere with Agency's ability to perform the Services. Agency agrees to resolve any such conflicts of interest in favor of the City. Agency confirms that Agency does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Agency's selection, negotiation, drafting, signing, administration, or evaluating the Agency's performance. 12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency ARPA HUMAN SERVICES AGREEMENT - 4 - 8/2023 4'S ciry of Alm Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway com 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. 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 ARPA HUMAN SERVICES AGREEMENT - 5 - 8/2023 "S CITY OF CITY HALL � 33325 8th Avenue South y Federal Way, WA 98003-6325 Federal (253) 835-7000 www ciryoffederalway com 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. 14. DEBARMENT AND SUSPENSION. 14.1 Debarment and Suspension. Contractor certifies that, except as noted below, the firm, association, or corporation or any person in a controlling capacity associated therewith or any position involving the administration of federal funds; is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past three (3) years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against said person, firm, association or corporation by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past three (3) years (Executive Orders 12549 and 12689, "Debarment and Suspension"). 14.2 Subcontract Approval Required. The Contractor shall not subcontract any portion of this Contract without City approval. Said approval must be sought in writing by the Contractor prior to executing a subcontract. The request for approval shall include Certification regarding Debarment and Suspension and verification of Labor and Industries eligibility. If the City approves in writing any subcontract, this Section shall nevertheless continue in full force and effect. Any subcontract without prior approval shall be void and not reimbursable under this contract. 14.3 _Verification of Subcontractor's Eligibility. — 24 C.F.R. § 5. The Contractor shall maintain records documenting that the Contractor, all subcontractors, and consultants have been determined not to be currently debarred, suspended, denied participation, or declared ineligible to participate in federal government funded programs. ARPA HUMAN SERVICES AGREEMENT - 6 - 8/2023 'ICITY OF S� Federal Way [Signature page follows] CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 WWW-cAnlfi-c pralw.ivCom ARPA HUMAN SERVICES AGREEMENT - 7 - 8/2023 CITY OF Fedora[ Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253)835-7000 www ci(yoffederalway. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. ATTEST: DATE: J. y n Call, City Ant rney EL CENTRO DE LA RAZA: By: 04!ilz — Printed Name: En'-Ux rOL Title: Ew-f y4:iyf- nj t r kor DATE: MArd is, Z02-L4 STATE OF WASHINGTON ) ss. COUNTY OF ) On this day personally appeared before me GC Ct 0'�C , to me known to be the t tV z ]) [+l2 cA-yy of El Centro De La Raza that executed the forejoing 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 they were authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this J 17 day of QtZ , 2024. ��+ +«+++++++«�,,�•� Notary's signatureVfA � j�A-- \CA GAL'•.,+ Notary's printed name k°">;�'�� _ Notary Public in and for the State of Washington. NO_TA_Ry My commission expires �j 7 ) AU800 r S oF+•.;�A1SH'� 10,yo+ ARPA HUMAN SERVICES AGREEMENT - 8 - 8/2023 CITY OF :;:='! Federal Proiect Services Summary CITY HALL Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cilyoffederalway. com EXHIBIT A SERVICES The Agency shall provide Roberto Maestas After School Program to young people -in the City of Federal Way. The program will include culturally relevant lesson plans, homework help, field trips, and parent workshops. 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: 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter Total JAN. — APRIL — JULY — OCT. — MARCH JUNE SEPT. DEC. No. of unduplicated Federal Way persons assisted in 2024 8 8 8 8 32 No. of unduplicated Federal Way persons assisted in 2025 8 8 8 8 32 No. of unduplicated Federal Way persons assisted in 2026 8 8 8 8 32 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. 2024 1. Field Trips 4 4 4 4 16 2. Lesson Plans 48 48 24 24 144 2025 1. Field Trips 4 4 4 4 16 2. Lesson Plans 48 48 24 24 144 ARPA HUMAN SERVICES AGREEMENT - 9 - 8/2023 41SCITY OF Federal CITY HALL Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityotiederahvay. com 2026 1. Field Trips 4 4 4 4 16 2. Lesson Plans 48 48 24 24 144 1. Units of service are measured by the number of field trips the Roberto Maestas program takes young people on. 2. Units of Service are measured by the number of culturally relevant lesson plans the Roberto Maestas program creates and teaches. C. Outcome Measure(s) Outcome 1: Achieve increased positive school community engagement among participating youth. Outcome 1 Indicator: Pre- and post -assessments measuring school engagment at the beginning and end of participation that comparatively indicate an improvement in positive school community engagement. Target: 80% of youth participating in the program. 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. Wing County FY 2023 Income Umits Summary ARPA HUMAN SERVICES AGREEMENT - 10 - 8/2023 CITY OF Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www ciryoffederalway com (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 HUMAN SERVICES AGREEMENT - 11 - 8/2023 CITY OF .�. Federal Way EXHIBIT B COMPENSATION Prviect Budget CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253)835-7000 www crtyoffederalway. 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 Fifty Thousand and 00/100 Dollars ($150,000.00). A. City of Federal Way Funds 2024 2025 2026 Cityof Federal WayARPA Fund: $50,000.00 $50,000.00 $50,000.00 Total Cityof Federal WayFunds: $50,000.00 $50 000.00 $50,000.00 B. Line Item Budget 2024 2025 2026 Personnel Services detail below $45,000.00 $45,000.00 $45,000.00 Administration Overhead $5,000.00 $5,000.00 $5,000.00 Total Cityof Federal WayFunds: $50,000.00 $50'000.00 $50,000.00 C. Personnel Detail Position Title Position Full Time Equivalent Annual Salary and Benefits Annual ARPA Funds Youth Services Co -Director 0.10 $114,747.36 $11,470.22 FW After School Program Coordinator 0.20 $87,105.39 $17,421.08 FW Family Resource Advocate 0.1971 $81,728.59 $16,108.71 Total: 0.3971 $283,581.34 $45,000.00 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 15th 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 1 st quarter of 2024. The first Reimbursement Requests, Service Unit Report forms, Demographics Data Report shall be submitted on April 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 $12,500.00. If the Agency submits monthly reports, Estimated Monthly Payments are $4,166.67. ARPA HUMAN SERVICES AGREEMENT - 12 - 8/2023 CITY OF CITY HALL Fe d e ra I Way 33325 Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www atyoffederahvW com 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. 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 - 13 - 8/2023 CITY OF CITY HALL 4! Feder Fe d e ra 11�Vay 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www_cityoffederaWay cam EXHIBIT C CERTIFICATE OF INSURANCE ARPA HUMAN SERVICES AGREEMENT - 14 - 8/2023 OP ID: SR CERTIFICATE OF LIABILITY INSURANCE D011ATE,04/2024Y) 01/04I2024 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 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 Sprague Israel Giles PHONE FAX 1501 Fourth Avenue, Suite 730 (AN; No. EKti, No: Seattle, WA 98101-3225 ADDRE CE; John M. Policar PRODU PRODUCER rucrnMFrx In e, ELCEN-1 INSURERS AFFORDING COVERAGE NAIC # INSURED El Centro de la Raza & ECR INSURER A: Massachusetts Bay Ins Co 22306 2624 16th Avenue South INSURERB:Allmerica Financial .41840 Seattle, WA 98144-5104 INSURER C : INSURER D : INSURER E : INSURER F f'.nVF;RGC;FS r;:RTIF1rATF NIHMRFW RFVI.SICIN NIIMRFR- 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. IR--- TYPE OF INSURANCE IS�1 POLICY NUMBER MM/DDPOLICY LTR /YYYY MM/DD/YYYY i LIMITS LT GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREAAnca ISES Eaoex=' $ 100,00 A X COMMERCIAL GENERAL LIABILITY X 'ZD2A513644.09 01/01/2024 01/01/2025 CLAIMS -MADE x r OCCUR MED EXP (Anyone person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICYLI 5PER LOC $ B AUTOMOBILE X LIABILITY ANY AUTO 4W2A513636-09 01/01/2024 01/01/2025 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ X ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ X NON-OWNEDAUTOS Comp Ded $ 1,00 X jCoII Ded $ 1,00 I Phys Damage I 1 1$75,000 1 1 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WCSTATU- X OTH- A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A ZD2A513644-09 01/01/2024 WA STOP GAP 01/01/2025 E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under nFRCPJPTI0N OF OPERATIONS below EL DJSEASE - PO' CY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101. Add ifIonal Remarks Schedule, if more space is required) The City of Federal Way is additional insured if required by written contras or agreement, subjectto the General Liability additional insured provision endorsement. Re: Human Services Agreement -After School & Summer Learning Program CERTIFICATE HOLDER CANCELLATION CITY-03 City of Federal Way Attn: Sarah Bridgeford 33325 8th Avenue South Federal Way, WA 98003-6325 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Washington State Department of Revenue < Business Lookup License Information: Entity name: EL CENTRO DE LA RAZA Business EL CENTRO DE LA RAZA name: Entity type: Nonprofit Corporation UBI #: 601-025-014 Business ID: 001 Location ID: 0002 Location: Active Location address: 1607 S 341 ST PL FEDERAL WAY WA 98003-6865 Mailing address: 2524 16TH AVE S SEATTLE WA 9814475104 Excise tax and reseller permit status: Click here New search Back to results Secretary of State status: Click here 1 Endorsements Endorsements held a License # Count Details Status Expiratior First issua 1 Federal Way Active Nov-30-21 Jan-03-20 Endorsements held a License # Count Details Status Expiratior First issua Nonprofit Business Governing People May include governing people not registered with Secretary of State Filter Governing people Title AMARAL, ROXANA CATAGUE, EMMA COTTO, JUAN DANIELS, SEAN GARCIA, ELIA BERENICE JEFFREY SR, REV DR ROBERT L KILL, VICTORIA MENDOZA, PABLO MONTALVO, ELENA NARVAEZ, ALEXANDRA OROZCO, JUAN SOLIZ, RAMON TAYLOR, NORMA Registered Trade Names Registered trade names Status First issued EL CENTRO DE LA RAZA Active Dec-26-2019 JOSE MARTI CHILD Active Jun-23-2022 DEVELOPMENT CENTER AT CEDAR CROSSING View Additional Locations The Business Lookup information is updated nightly. Search date and time: 5/31/2023 4:03:35 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported ;P.sSCfffW itAy nd Charities Filing System BUSINESS INFORMATION Business Name: EL CENTRO DE LA RAZA UBI Number: 601 025 014 Business Type: WA NONPROFIT CORPORATION Business Status: ACTIVE Principal Office Street Address: 252416TH AVE S, SEATTLE, WA, 98144-5104, UNITED STATES Principal Office Mailing Address: 252416TH AVE S, SEATTLE, WA, 98144-5104, UNITED STATES Expiration Date: 11 /30/2023 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 11 /08/1972 Period of Duration: PERPETUAL Inactive Date: Nature of Business: SOCIAL SERVICE ORGANIZATION PROVIDING SERVICES TO LATINOS AND OTHER LOW INCOME COMMUNITIES IN KING, SNOHOMISH, AND PIERCE COUNTY. Charitable Corporation: 0 Nonprofit EIN: 91-0899927 Most Recent Gross Revenue is less than $500,000: I] zi 1-1 REGISTERED AGENT INFORMATION 252416TH AVE S, SEATTLE, WA, 98144-5104, UNITED STATES GOVERNORS Title Governors Type GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL Has Members: Public Benefit Designation: Host Home: Registered Agent Name: Street Address: Mailing Address: Entity Name First Name Last Name ROXANA AMARAL EMMA CATAGUE VICTORIA KILL PABLO MENDOZA NORMA TAYLOR RAMON SOLIZ Title Governors Type GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL GOVERNOR INDIVIDUAL Back Entity Name First Name Last Name SEAN DANIELS ELENA MONTALVO REV DR ROBERT L JEFFREY SR JUAN OROZCO JUAN COTTO ALEXAN DRA NARVAEZ ELIA BERENICE GARCIA Filing History Name History Print Return to Business Search Last updated by Heidi Hammes on Mar 14, 2024 at 01:07 PM .! l SAM*GOV' EL CENTRO DE LA RAZA EL CENTRO ❑E LA RAZA Unique Entity ID KC28SFCYR3R3 Registration Status Active Registration Physical Address 2524 16TH AVE S Seattle, Washington 98144-5104 United States B us3 n es �i I �fort[t�ti o� Doing Business as (blank) Congressional District Washington 09 Registration Dates Activation Date Mar 19, 2024 Entity Dates Entity Start Date Oct 13, 1972 Immediate Owner CAGE (blank) Highest Level Owner CAGE (blank) CAGE/NCAGE 43GF5 Expiration Date Mar14,2025 Mailing Address 252416TH Avenue South Seattle, Washington 98144-5104 United States _ _. Division Name (blank) State / Country of Incorporation Washington / United States Submission Date Mar 14, 2024 Fiscal Year End Close Date Dec 31 Legal Business Name (blank) Legal Business Name (blank) Purpose of Registration All Awards Division Number (blank) U RL http://www.eicentrodelaraza.org Initial Registration Date Aug 18, 2005 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. Ezclus Active Exclusions Records? No I authorize my entity's non -sensitive information to be displayed in SAM public search results: Yes iEnt12.Tvt�es — 11 Business Types Entity Structure Corporate Entity (Tax Exempt) Profit Structure Non -Profit Organization Entity Type Business or Organization Organization Factors (blank) Mar 28, 2024 02:37:18 PM GMT hops:11sam gov/entity/KC28SFCYR3R31coreData?status=null Page I of 3 Last updated by Heidi Hammes on Mar 14, 2024 at 01: 07 PM EL CENTRO DE LA RAZA Socio-Economic Types Minority -Owned Business Hispanic American Owned 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. Financial Information Accepts Credit Card Payments Debt Subject To Offset Yes No EFT Indicator CAGE Code 0000 43GF5 Contact Electronic Business 0 Estella Ortega, Executive Director Sharon Hu Government Business 0 Estella Ortega, Grants Administrator Heidi Hammes Past Performance 0 Estella Ortega, Executive Director Heidi Hammes .Service Classifications NAICS Codes Primary Yes 2524 16TH Avenue South Seattle, Washington 98144 United States 2524 16TH Avenue South Seattle, Washington 98144 United States 2524 16TH Avenue South Seattle, Washington 98144 United States 2524 16TH Avenue South Seattle, Washington 98144 United States 2524 16TH Avenue South Seattle, Washington 98144 United States 2524 16TH Avenue South Seattle, Washington 98144 United States NAICS Codes NAICS Title 624190 Other Individual And Family Services 611630 Language Schools 611710 Educational Support Services 624110 Child And Youth Services 624120 Services For The Elderly And Persons With Disabilities 624210 Community Food Services 624221 Temporary Shelters 624229 Other Community Housing Services 624410 Child Care Services 813311 Human Rights Organizations 813319 Other Social Advocacy Organizations 813410 Civic And Social Organizations Mar 28, 2024 02:37:18 PM GMT htfps://sam4gov/entity/KC28SFCYR3R31coreData?status=null Page 2 oj3 Last updated by Heidi Hammes on Mar 14, 2024 at 01:07 PM EL CENTRO DE LA RAZA Product and Service Codes PSC PSC Name G099 Social- Other .13isaslaj F S1!ID This entity does not appear in the disaster response registry. Mar 28, 2024 02:37:18 PM GMT htlps://sam.gov/entity/KC28SFCYR3R31coreData?stalus=null Page 3 of3 ELCEN-1 '4� ow CERTIFICATE OF LIABILITY INSURANCE DATE 031291202 YY) D312912D24 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER Sprague Israel Giles 1601 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 John M. Policar _ INSURED El Centro de la Raza 2524 16th Avenue South Seattle, WA 98144-5104 PHONE FAX 1 AlC, No. Eadl: l (AIC. No}: aL INSURERS AFFORDING COVERAGE NAIC # INSURERA:Massachusetts Bay Ins Co 22306 INSUR600,The Hanover Insurance Company 22292 I INSURER C INSURER D : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 1SSUED 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 ran TYPE OF INSURANCE I 7Mzi71 -VW61 POLICY NUMBER IMMODWYM A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Xp2Afi136dA-09 01/01/2024 01/01/2025 L AGGREGATE LIMIT APPLIES PER: POLICY u PRO- ❑ LOC JECT A I AUTOMOBILE LIABILITY X ANY AUTO YYZA613636-09 01 /01 /2024 01 /01 /2025 OWNED SCHEDULED AUTOS ONLY AUTOSSV� X X p AUTOS ONLY X AEO1TO5 NLY B X UMBRELLA LIAR N OCCUR EXCESS LIAB CLAIMS -MADE UH2A52557109 01/01/2024 I 01/01/2025 DED I X I RETENTION$ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AANNYPROPRIETOR/PARTNER/EXECUTIVE D2Afi13644-09 01/01/2024 01/01/2025 ,;FI datory In NHR EXCLUDED? ❑ NIAJ A STOP GAP If ve& describe under DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Federal Way is additional insured if required by written contract or agreement, subject to the General Liability additional insured provision enorsement. Re: Human Services Agreement -After School & Summer Learning Program CITY-03 LIMITS 2,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Federal Way Attn: Sarah Bridgeford 33325 8th Avenue South AUTHORIZED REPRESENTATIVE Federal Way, WA 98003-6325 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD