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AG 13-079RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: CED/HS 2. ORIGINATING STAFF PERSON: DEE DEE CATAr.ANo EXT: 2651_ 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCiJMENT (E.G, RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT X HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. sorm �i.,e,TEn noctn�NTS� ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER S. PROJECT NAME: RENT 8L EMERGENCYASSISTANCE 6. NAME OF CONTRACTOR: ADDRESS: SIGNATURE NAME: MULTI-SERVICE CENTER TELEPHONE FAX: TITLE EXHIBITS AND ATTACHMENTS: X scoPE, WORK OR SERVICES X COMPENSATION X INSURANCE REQUIItEMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBTTS X PROOF OF AUTHORITY TO SIGN ❑ REQUIltED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENTDATE: O1/O1/2013 COMPLETION DATE: 12/31/2014 9. TOTAL COMPENSATION $40,000 (INCLUDE EXPENSES AND SALES TAX,1F' Ax�t) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TTTLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ ❑ PURCHASING: PLEASE CHARGE TO: 001-7300-083-562-10-410: $30,000 001-7300-089-562-10-410: $10,000 10. DOCUMENT/CONTRACT REVIEW ❑ PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (� a�rrLic�BLE) ❑ LAW i l. COiJNCILAPPROVAL (tF nrPLIC,4sLE) PAID BY: ❑ CONTRACTOR ❑ CITY I1�TI AL / DA E VIEWED I1�TITIAL / DATE APPROVED � � 3 P 3• �9•i3 COMMTTTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: � l� DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIF CATE, L CENSES, EXHIBITS ❑ LAW DEPART���]� ❑ SIGNATORY �vtAYOR o DIRECTOR� ❑ CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED COMMENTS: I1�iITIAL / DATE SIGNED ,�P N• 22 t 3 c .� AG# I DATE SENT: • Z5•I�3 11/9 � ` [ITY OF ,"�..., Federal CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. cityoffederalway. cam HUMAN SERVICES AGREEMENT FOR RENT ASSISTANCE RECEfVED MAR 2 6 2013 This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Multi-Service Center, a non-profit organization ("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: MULTI-SERVICE CENTER: Manuela Ginnett P.O. Box 23699 Federal Way, WA 98093 253-838-6810 (telephone) manuelas(�multi-servicecenter.com The Parties agree as follows: CITY OF FEDERAL WAY: Denise Catalano 33325 8�' Ave. S. Federal Way, WA 98003-6325 (253) 835-2651 (telephone) (253) 835-2401 (facsimile) .com 1. TERM. The term of this Agreement shall be for a period of two (2) years commencing on January 1, 2013 and terminating on December 31, 2014 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement performance during the first year of the Agreement term and upon funding availability. This Agreement may be extended for additional periods of time upon the mutual written agreement of the City and the Agency. 2. SERVICES. The Agency sha11 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, performed to the City's satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. The Agency warrants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services sha11 begin immediately upon the effective date of this Agreement. Services sha11 be subject, at a11 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 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. TERNIINATION. 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 imxnediately 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 excced a maximum amount and according to a rate or method as delineated in Exhibit "B", attached hereto and incorporated by this reference. The City sha11 reimburse the Agency only for the approved activities and in accordance with the procedures as specified in Exhibit "B". The Agency shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction resulting from this Agreement. HUMAN SERVICES AGREEMENT - 1- 4/2011 CITY OF CITY HALL � ' ` 33325 8th Avenue South ,,:�.- Federal Way Federal Way, WA 98003-6325 (253) 835-7000 www dtyoffederahvay. com 4.2 Method of Pavment. On a 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 on a quarterly basis by the City only after the Services have been performed and within forty-five (45) days after the City's xeceipt and approval of a complete and correct invoice, supporting documentation and reports. T'he City will use the quantity of Services actually delivered, as reported on the Agency's reports, as a measure of satisfactory performance under this Agreement. The City shall review the Agency's reports to monitor compliance with the performance measures set forth in Exhibit "A" Should the Agency fail to meet the performance measures for each quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement. Exceptions may be made at the discretion of the City's Human Services Manager in cases where circuxnstances beyond the Agency's control impact its ability to meet its service unit goals and the Agency has shown reasonable efforts to overcome these circuxnstances to meet its goals. If the City objects to a11 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 imxnediately make every effort to settle the disputed portion. 4.3 Fina1 Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit "B". If the Agency's fmal invoice, supporting documentation, and reports are not submitted by the last date specified in Exhibit "B", the City sha11 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 Budeet. The Agency shall apply the funds received from the City under this Agreexnent in accordance with the line item budget set forth in Exhibit "B". The Agency shall request in writing prior approval from the City to revise the line item budget when the cumulative amount of transfers from a line item in any Project/Program Exhibit is expected to exceed ten percent (10%) of that line item. Supporting documents are necessary to fully explain the nature and purpose of the revision, and must accompany 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-Appronriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Agency Indemnification. The Agency agrees to release, indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives arising from, resulting from, or in connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Agency and the City, the Agency's liability hereunder shall be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the saxne terms and conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when completed sha11 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. HUMAN SERVICES AGREEMENT - 2- 4/2011 ` CITY OF '�,,,'�..-, Federal CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. aryoffederahvay. com 5 3 Citv Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its officers, directors, shareholders, partners, employees, agents, representatives, and sub-contractors hannless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgxnents, 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 sha11 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 &om 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 fonns and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products-completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occurrence and $1,000,000 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 a11 owned, non-owned, hired and leased vehicles with a minixnum combined single limits in the minixnum 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 Liabilitv. Agency's maintenance of insurance as required by the agreement sha11 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 coxnmercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference. At City's request, Agency sha11 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 minixnum period of three (3) years from the date this Agreement is actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All information regarding the City obtained by Agency in performance of this Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by the Agency may be grounds for immediate termination. All records submitted by the City to the Agency will be safeguarded by the Agency. The Agency will fully cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure request. 8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency while performing the Services shall belong to the City upon delivery. The Agency 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 terinination of this Agreement a11 originals and copies of any such work product remaining in the possession of Agency sha11 be delivered to the City. HUMAN SERVICES AGREEMENT - 3- 4/2011 ` CITY OF , '�...., Federal CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98�03-6325 (253) 835-7000 www. crtyoffederahvay. com 9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be maintained for a period of six (6) years after the termination of this Agreement and may be subject, at all reasonable times, to inspection, review or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT AGENCY. The Parties intend that the Agency sha11 be an independent Agency 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 sha11 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 a11 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 sha11 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 confums that Agency does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Agency's selection, negotiation, drafting, signing, administration, or evaluating the Agency's performance. 12. EOUAL OPPORTUNITY EMPLOYER In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency or its subcontractors of any level, or any of those entities' employees, agents, sub-agencies, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement sha11 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 terxns 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. T'he respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deexned 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 Agreexnent 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 Assi�ment 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- HUMAN SERVICES AGREEMENT - 4- 4/2011 � CITY pF ;�,�, Federal CITY HALL ��� 33325 8th Avenue South Federal Way, WA 980Q3-6325 (253) 835-7Q00 www. aryoffederalway. com 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 Comnliance 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 of this Agreement and each and a11 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 Agreexnent. 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 exeroise 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 declaze 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 sha11 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 ofthe 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 sha11 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 Agreexnent. 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 a11 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 a11 of the Parties have executed a counterpart of this Agreement sha11 be the "date of mutual execution" hereof. [Signature page follows] HUMAN SERVICES AGREEMENT - 5- 4/2011 ` CITY OF ,� Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www atyof%derahvay. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY Skip Priest, ayor DATE: ' ' I � MULTI-SERVICE CENTER . � �� � . . ► �1 �_.a���� _�1., ��.- . . . � . " �► i� i Title: Cr� DATE: 3�'1 II � � ATTEST: City Clerk, Carol McNei ly, C APPROVED AS TO FORM: � a� a.QO ,�. City Atto e Patricia A Richardson STATE OF WASHINGTON ) ) ss. COUNTY OF ►1 On this day personally appeared efore me IYI�. to me known to be the � � of � that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. G1VEN my hand and official seal this ���day of �►''Gk, , 20� Notary's signature � Notary's printed name Notary Public in and for th ate of Washington. My commission expires Q HUMAN SERVICES AGREEMENT - 6- 4/2011 � CITY OF ,�.- Federal Project Summary CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www atyoffederalwsy. cam EXHIBIT �A" SERVICES The Agency shall provide rent assistance services in the City of Federal Way. The Agency shall ensure that services provided with funding under this Agreement are made available to Federal Way residents. Performance Measures A. Number Served The Agency agrees to serve, at minimum, the following unduplicated number of Federal Way residents with Human Services funds: 1�` Quarter 2°d Quarter 3'd Quarter 4�h Quarter JAN. - MARCH APRIL - J[JNE NLY - SEPT. OCT. - DEC. TOt81 No. of unduplicated Federal Wa ersons assisted in 2013 10 10 10 10 40 No. of unduplicated Federal Wa ersons assisted in 2014 10 10 10 10 40 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: 18t Quarter 2°d Quarter 3`" Quarter 4te Quarter JAN. - MARCH APRIIr NNE NLY - SEPT. OCT. -DEC. TOtBI 2013 1. Rent Assistance 4 4 4 3 15 2. 2014 � �� � � 1. Rent Assistance � �� ' x� ti �,. 4 4 4 ��, i,S . r '� '� 2. t � � * �_ �s. � �: .; r° �., '� . �,, ,;,. �4.. I r J!. . HUMAN SERVICES AGREEMENT - 7- 4/2011 :: ` CITY OF , � Federal CITY HALL W�� 33325 8th Avenue South Federaf Way, WA 9$003-6325 (253) 835-7000 www aryoffederalway. com C. Definition of Services 1. Rent Assistance: Payment on behalf of an individual toward their rent. D. Outcome(s) Outcome(s) to be reported: 1. Individuals and/or families will have secure housing. 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. HUMAN SERVICES AGREEMENT - 8- 4/2011 � CITY OF '�,'�...., Federal � CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoff�deralwsy. com 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. x King.Coemiy'FY 2l?13'In+�cfrne Eimits Surr►itiary 8ifc�tive !�1/'�Oi.2 , �� , Income Median ��m�t 1 2 3 4 5 6 7 8 Income Category Person Persons Persons Persons Persons Persons Persons Persons Extremely Low (30%) $18,200 $20,800 $23,400 $26,000 $28,100 $30,200 $32,250 $34,350 Income Limits Very Low $$6,7� (50%) $30,350 $34,700 $39,050 $43,350 $46,850 $50,300 $53,800 $57,250 Income Limits Low (80%) $45,100 $51,550 $58,000 $64,400 $69,600 $74,750 $79,900 $85,050 Income Limits The Agency agrees to use updated Income Guidelines which will be provided by the City. Reports and Reporting Schedule The Agency shall collect and report client information to the City quarterly and annually on a Service Unit Report to be provided by the City in the format requested by the City. The Agency sha11 submit an Annual Demographic Data Report. The agency shall collect and retain the data requested on this form from the persons served through this contract. Data should be tracked in an ongoing manner and submitted annually no later than January 15 in the format requested by the City. The Agency sha11 implement and track at least one measurable outcome for the program as presented in the application. Changes to the outcome presented in the application must be approved by the City prior to implementation. The Agency shall report the results of its outcome measure(s) annually on the Annual Outcome Data Report to be submitted by January 15 in the format requested by the City. Public Information In all news releases and other public notices related to projects funded under this Agreement, the Agency will include information identifying the source of funds as the City of Federal Way Human Services General Fund Program. HUMAN SERVICES AGREEMENT - 9- 4/2011 CITY OF CITY HALL ' ` � 33325 8th Avenue South ..,�,,,, Fe d e ra I �y Federal Way, WA 9$003-6325 (253) 835-70fl0 www cityoffederahvay. com EXHIBIT "g" COMPENSATION Project Budget The Agency shall apply the following funds to the project in accordance with the Line Item Budget Summary. The total amount of reimbursement pursuant to this Agreement shall not exceed $40,000. C. Personnel Detail Position Title Position Full Annual Salary HS Funds Time E uivalent and Benefits Housing Support Services .02 $33,696 $673 Assistant Total: .02 $33 696 $673 Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly and are due on the following dates: 1 st Quarter: April 15 or within 10 days of notice to proceed, whichever is later; 2nd Quarter: July 15; 3rd Quarter: October 15; and 4th Quarter: Final Reimbursement Request and Service Unit Report forms due January 8; Demographic Data Report and Annual Outcome Data Report with supporting documentation due January 15. The Agency shall submit Reimbursement Requests in the format requested by the City. Reimbursement Requests Invoices sha11 include a copy of the Service Unit Report and any supporting documents for the billing period. HUMAN SERVICES AGREEMENT - 10 - 4/2011 GTY OF CITY HALL � 33325 8th Avenue South �,._,,,. Federai Way Federal Way, WA 98003-6325 (253) 835-7000 www atyoffederahvay. com Estimated Quarterly Payments: 2013 1 st Qtr 2nd Qtr 3rd Qtr 4th Qtr 2014 1 St Qtr 2na Qtr 3'� Qtr 4�' Qtr $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 Expenses must be incurred prior to submission of quarterly be attached to the reimbursement request for invoice to be a requests. Proof of expenditures must Quarterly reimbursement requests shall not exceed the esti ated payment without prior written approval from the City. Estimated quarterly payments are contingent upo meeting or exceeding the above performance measure(s) for the corresponding quarter. This requiremen may be waived at the sole discretion of the City with satisfactory explanation of how the performance meas re will be met by year-end on the Service Unit Report. Conditions of Funding The Agency agrees that it will meet the specific funding cc payment to the Agency will not be made unless the func meeting the applicable portions of the funding conditions Fund Allocation Process including: No Conditions. HUMAN SERVICES AGREEMENT - 11 - ions identified for the Agency and acknowledges that conditions are met. The Agency is responsible for �ted as part of the 2013-14 Human Services General 4/2011 ` CITY OF CITY HALL � Federa I Way 2�3 8� ��oue South Federal Way, WA 98003-63�5 www. atyaSederahvay com City of Federal Way Human Services Contract for 2013-2014 General Fund Authorized Signatures for Invoices I authorize the following individuals to sign invoices and quarterly reports on behalf of: �U,1�'►�- �f U j C� ��,YL. (Contracting Agency), for the following: Authorizing Signature: (must be signed by person who signs the contract, generally, Executive Director) (Program Title). (f�rinted Name) (Title) ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,......................,...................._.�...._.�...._.._..�......._ Additional Authorized Signature: Additional Authorized Signature; Note: It is the responsibility of the contractor to inform the City of Federal Way if they wish to add a name to or delete names from this list. ulti- � ervice 'enter Helpi�tg peopk. Clmnging livtt. Stnce 1971. September 27, 2012 1200 S. 336�h St., P.O. Box 23699, Fcderal Way, WA 98093-0699 253/838-G810 • Fax: 253/874-7831 • �vww.multi-servicecenter.com MSC BOARD OF DIRECTORS RESOLUTTON Resolved, that this Board of Directors does hereby authorize and direct Robin R. Corak, Chief Executive Officer to have signature authority on behalf of the Multi-Service Center, the Multi-Service Center Foundation and all properties the Multi-Service Center owns. ,: :� L...- n Carnahan, President MSC Board of Directors �Emergency Shelter, Transitionnl & Low-lncome Rentel Housing • Federa] Way Food Bank • South King County Clothing Benk � �r V 6 Tli D tl('A\' �i�ctlan ;� �k�r� Literacy • Employment Services • Home Ei�ergy Assistance Program • Long-Terni Care OmbudsmAn Prognm .. . n n+ ��•� OP ID: SR ACV RL7 � DATE �MMIDD/YYYY) �,., CERTIFICATE OF LIABILITY INSURANCE 03/15/13 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). PROOUCeR Phone: 206-623-7035 NAME: CT Sprague Israel Giles Fax: 206-682-4993 PHONE F� 1501 Fourth Avenue, Suite 730 ac No Ext : A/C No : Seattle, WA 98101-3225 E•^^Ai� ADDRESS: John M. Policar PROOUCER MULTI-2 C ST MER ID #: INSl1RERISI AFFORDING COVERAGE � NAIC # INSURED Multi-Service Center PO Box 23699 Federal Way, WA 98093-0699 INSURER A: G@Il@I'8I I17S. CO. of America 24732 iNSUReR e: American Econom Insurance Co 19690 �r,suReR c: American States Insurance Co. 19704 INSURER E : C�VERAGES CERiiFICATE 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR � TYPE OF INSURANCE ADDL UB pOLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS LTR GENERAL LIABIUTY EACH OCCURRENCE $ 'I �OOO,OO i� X COMMERCIAL GENERAL LIABILITY X 24CC279573-4 03/O1N 3 03/01/14 pREMISES Ea occur ence $ �,���,�� CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 2�,�� PERSONAL & ADV INJURY $ 'I �OOO,OO GENERALAGGREGATE $ 3�000�00 GEN'L AGGREGATE LIMIT APPLIES PER: . PRODUCTS - COMP/OP AGG $ 3�000,00 POUCY PR� LOC $ AUTOMOBILE LIABII.ITY . COMBINED SINGLE LIMIT $ .� ��OOO�OO B X ANYAUTO OZ-CE-ZZOB9O-3 03/01/13 03/01/14 �Eaaccident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTV DAMAGE X HIREDAUTOS (PeraccidenQ $ X NON-OWNEDAUTOS $ $ X UMBRELLA LIAB X OCCUR � EACH OCCURRENCE $ 'I �OOO�OO EXCESSLIAB CLAIMS-MADE AGGREGATE $ 'I�OOO�OO C 01SU40235-60 03/01/13 03/01/14 DEDUCTIBLE $ X� R EWTI N $ ��,0�� $ WORKERS COMPENSATION � WC STATU- X i OTH- AND EMPLOYERS' LIABILITY T R A ANY PROPRIETOR/PARTNERlEXECUTIVE Y� N 24CC2%9S%3-4 03/01/13 03/01h4 E.L. EACH ACCIDENT $ �,��0��0 OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory In NH) WA STOP GAP E.L. DISEASE - EA EMPLOYEE $ �,OOO,OO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY IIMIT $ 3�000,00 A CRIME 24CC279573-4 03/01/13 03/01/14 Limit 100,00 Employee Dishonest Ded 5,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addlttonal Remarks Schedu�e, if more space is required) It is agreed the City of Federal Way and King County, its officers, officials, employees and agents are additional insured with respects liabilitp arising out.of activities performed by or on behalf o£ the Named Insured for General Liability per form CG7635 attached, subject to a written eontract being in force. City of Federal Way Attn: Denise Catalano 33325 8th Avenue South PO Box 9718 ACORD 25 (2009109) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOIV DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 8 O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD "^ REPRINTED FROibi 'iHE FORMS I..IBRARV ^" I-��" A�� � �j •yy�.'rE � �';:� r" , •.r� � p ��`' '�y`' i i j w:y ; 6 1 f f t�.r Yu..' �. COMMERCIAL GENERAL LIABILfTY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsernent modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organizatian: Any person or organization in which you are required by written contract, agreement or permit ADDITIONAL IM1tSURED — BY WRITTEN GONiRACT, AGREEMENT OR PERMIT, OR SCHEDULE The following paragraph is added to WHO IS AN WSURED (Section il): 4. Any person or organization shown in the Sched- ule or for whom you are required by written con- tract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the Dec�aratians, and must have been exe- cuted prior to the "bodily injury", "property damage", or "personal and advertising injury„ b. The person or organization added as an in- sured by #his endorsement is an insured only to the extent you are held liable due to: (1) The ownership, maintenance or uss of that part of premises yau own, rent, lease or occupy, subject to the following additional provisions: (a) This insurance does not apply to any °occurrence" which takes place after you cease to be a tenant in any premises leasecE to or rented to Yo�; {b} This insurance does not apply to any structural alterations, new con- struction or demolition operations performed by or on behalf o# the person or organization added as an insured; (2) Your ongoing operati�ns for that in- sured, whether the work is performed by you or for you; (3) The maintenance, operation or use by you of equipment ieased to you by s�ch person or organization, subject to the following additional provisions: (a) This insurance daes not apply to any "occurrence" which takes place after the equipment lease expires; Includes Copyrighted Material of insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 Saleco a�e the Sateco logo ara regis�ered iraaemarks oi Safew Corpo:afion CG 76 35 02 �7 Page 1 0! 4 Ep '^'".REPRINTEDf4��M THr. FOfttv�S LtBRFiRY•`^ a�y other persan, organizatEarr or entity, tor WHO !S AN lhiSUFtED — li�{ANAGERS repair, rep4acement, enhancement, restora- tion or rnainter�ance of sueh property for anY T�e foiiowing is adcied to Paragcaph 2.a. af 1NH0 !S rea�on, inciuding prevenfian of injurY f� a AN ttJSURED '(Sectian 11): person or damage #o another's property; �2) f�remises yQU seSl, give away ar abaRdvn; if Paragraph �1} does nc�t apply to sxecutive officecs. or ths "prc�perty dama�e" arises auf of any part 3o managers at the supervisory level or above. of those prernises; 'SUPPL:EMENTARY P/�YNIEl►1iS - CQVERAGES i4 (3) Prc�pet�tyy ioanetl tt� you.; ' AND :S — BAIL BC}C�DS — TiNlE DFF FRt1M (4} PersonaE prqperty in fhe care, custady ar Wt?I�K can#roi a# the �nsurec#; Paragraph �1.t�. af SURPLEM�NTARY P�IYMERITS — (5} That particu[ar p�rt afi rea( propecty an which CQVERAGES A A�ID 'B is rsplaced by the falkowing: you or any cantractQrs ar sul�contractors vuorking directiy t�r irrdirectly z�n }�o�r behalf b. - Up tc� ;$3,0t}Q !frsr cost of bail bonds required are p�rformint� Qperaiic�rts; if the, '`"�rqperty because af accict�ents or trafific taw violaiic�ns damage" arises out of those operatians, ar arisiRg;out af'the use of any<vehicle to whieh the Bodil�r Injury Liabiiity Couerage appiies. (6) Thai -particu[ar part af any properiy'that must ' We da r�o# have to furnish thess bands. be restored, repaired or replac�tl because "your work"-was inccrrre�tty per#c�rmed on it. Paragraph �l.c�.;of SUPRLEMEiVTARY PAYME�ITS '— Pairagraphs ('f�, (�} ar►d (4} crf ':this exclusion da COVERACES A A�ID B is repfaceci by the foEfowing: . not apply ta "prflper#y dam�g�" (other ihan d. Afl reasor�able expenses incurred by the in- damage by isr�} .!ta premises, including the cc�n- suretl at our request ta assist us 'rn #he in- tenis caf such pr�mises, rented tca you. A separate vesti�ation or defense of the claim or "suit", lirnit of insurarrce app(ieS to Darnage To Prern- : ir�cluding actual loss of eacnings �p to $50fl ises Fi�n�ed To You as tieseribetl in Section if1 a day because of tirne �#f from wcark. - Limits C1t In�urance: , _ Paragraph (2j of this exckusian tloes rtot apply if ENtPL�YEES AS t�iS43REl]S —:HEAlTH GARE the premises are "yaur work" ane! were never SERitIC�S occupied:-r�nted or held for rer�ta! by you. Pravision 2.a.{9)(d} af<WHC3 15 AN iNSURED (Sectian Paragraphs (31> (4}, (5) and {6) of ihis exclusion 41) is �ielete�i, uniess excluded by se�ara#�;endar.se- d� not apply tc� :�iabrkity `assumed urtder a s'rde- ment. track agreernent: Paragraph (6} af #his exciusian :Cioes not appiy to `�XT�N'f3ED �t�UERA�E FC}R N�WLY AGLlUfRED "praperty ; darnage" inciuded in the `prcrducts- OR�ANIZATf�N� campfeted e�perationa hazard". Pravision 3.a, of WH0 ' IS AN 'INSURED (Section ii) is Paragraph 6. af LlMITS OF lNSURA�ICE (�ecfion 'lllj replacec! by the fokl�uving. is re�{acecf by th�e followir�g: a, ' Cove�age under this pravisicsn is afforded 6. Subject to 5. above, th� Damage To : Prernises only unti! the end of #he policy Reriod. Rerrted To You [arraii is tMe mQSt w� uvili pay un- EXTEtUDED °'PROP�RTY DA,ANAGE" der Coverag� A for-, darr�a.ges because of �property damage" ta any one premise&, while rented to you,, or in ihe case cif darnage by firs, Exclus�r�n a, af; ��VERAGE A(Sec#ion I} is replaced w�ile cent�d to yau ar: t�rnpararily occupied 'iby by the f.o!(owing: you with;perrnission of the cawner. a. "BociAy injury„ or "property darnage" expected or ir►tended frQm the standpoint of ti�e insured. The Damage To Pr�;rnises Rented Ta Yau iimit is the This exclusion daes nat. apply #o "`bc�dily injury„ t�igher ,of the Each �ccurrence Limit shown in th�e � „ or pr.operty darnage resulfing frorn the usa of E7ectaratic�rts or the amount shawn in the Uealarati�ns - reasonab#e force ,t� protect pecsons or;;property. : . as Damage T� Prernises Rented �a Yau Lirnit. GG 7& 35 42; 07 Aage 3 ot 4 EP ""'" RcPKINTEL3�.Fh'.C7M TNE�F�.'"i. RMS LIBRARI""' E; �'ENii�Li �3EF1hi[T!t?�f C3F'Bt3€�IiY INJt�RY intercupted oniy by a street, roadw�y, waterway, ar right-ofi-way of a xailcaad. Paragra�h 3. of bEFIfVITI0N5 (Section U) is repkaced by ihe #olJawing: lNCR�ASEC1 ME171C�4L EXRE'1�5E LIM(T 3. "Bodily injury„ rneans bocfily injury, �tckness ar The Meciical Expense �imit is amencied ta $1�,d�0: disea�e susiained: by a_ person, inc{uding rrrental anguish c�r deafih resuitsng from :any t�f these at K�10W1�'�DGE UF {�CCURRE[VCE any'time; The #ollowing �s added to Pafagraph 2. Quties In The `fR�ll�S�EF� OF RtGHTS CiF RECQVE�Y Event �fi Occurrenc�, Offense, Claim ar Suit af GOMMERCif�L GENERi4L LIABILITY CC}�iC1iT10�15 T'he foilawing is added ta Paragraph 8. Transfer C}f (Section IV}: Rights Of Recovery Against O#hers 'f�r E1s of �C�1�- MEF�CIAC GENE�iAL L{ABlE�iTY Ct�lUi�iT(aN5 (See- Knvwledge of an "occurrence'", cfaim or'<"suit'" by tion lUj: your agent, servant or ernployee shall naf in itself constitute knowledge of fhe named insured untess ,an Nle waive any rights of cecouery we may ha�e against �i�{icer of'the narned insured has received .such rrotice any person or orgarrizatian be�au�e o# payments v�re from the agent; seruant ar employee: make for injury -ar dam�ge arising out of your c�nc��ng operatiQns or "your uvork" dane undec a cc�ntract w+�th t1NlNTENTIt3NAL �'AILLtRE Tt) [lLSCLt3SE ALL that person c�r c�rganization < and ir��lutl�d in the HAZARi�S ' "praducts-completed o�eratians hazartl". This r�raiver � apP{iss only to a person or organization for wham you The foliowing is added to Paragr�ph 6. Representa- : are required by written: cantraet, agreement or p�rrnit tinns �# �{�MMERCIA� GENERAL LIA81LIiY CO�aa- • : tt� waive #hese rights of> recouery. TIC7NS (5ectic�n iU): AGGREGATE LIMtTS £iF ''It�SURANCE — PER 1f you unintentionally faii ta disclose any hazards ,ex- LOCATfi�N is#ing �t ihe inception date of your pa(i�y, we will not derry co�rerage under this Caverage �orm ttecause 4f For all sums vvhich the insured becomes ke�afly obii- soch failure. However, this provision does not affect gated: to pay as damages caused by "oceurrences" �ur right to coli$ct additic�nal premium or exer�ise ou� under CQV�RAGE A:(Section I), and for all medical right of cancefla#ican or non-renewal. expenses caused by accidents unc�er CDUERAGE `C (Section l}, which can be attributed only to Qperations LIF3�RA:L,lZATlE)N �L�►USE a2 a sin�le "lc�cation": ' The failowing par�graph is as�ded to CQMtVfEFtCtAL Paragraphs 2.a. and 2:b. af Lirntts of insurance {Sec- G:E�1EFiAL LIABfL1TY GONCilT1D�lS {SectiQn tVj: #':an 111} :apply s�parateiy to �ach of yous "I�cations" owned b� or rentetl to you. 1't►. If a:revisian to this Goverage Part, which waulii provide mare couerage wi#h no additianal ;pre- :°Lacati�n'° means pr�mises invo#ving fihe sarrte or mium, becomes effective during the poficy periad connecting fots; or premises wh�se cannectic�n is is� th� s#ate shc��n+n in the Deckarations, ,your p€a�- : icy wil! autorr�afrcal#y �arovide this addi#ir�nal:�crw erage on ihe effective date oi the revision. Pag� 4 tst 4