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AG 13-083RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: CED/HS 2. ORIGINATING STAFF PERSON: DEE DEE CnTAL.aNO EXT: 2651_ 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT X HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.c. sorm xEi,a�n nocun�rrrs� ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ OTHER S. PROJECT NAME: EMERGENCY FEEDING PROGRAM ❑ INTERLOCAL 6. NAME OF CONTRACTOR: MULTI-SERVICE CErrrER ADDRESS: TELEPHONE E-MAIL: FAX: SIGNATURE NAME: TITLE 7. EXHIBITS AND ATTACHMENTS: X SCOPE, WORK OR SERVICES X COMPENSATION X INSURANCE REQUIItEMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBTTS X PROOF OF AUTHORTTY TO SIGN ❑ REQUIItED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENTDATE: O1/O1/2013 COMPLETION DATE: 12/31/2014 9. TOTAL COMPENSATION $33,000 (INCLUDE EXPENSES AND SALES TAX, g' �) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑�s ❑ xo iF' �s, MAXIMUM DOLLAR AMOUNT: $ __ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR O CITY ❑ PURCHASING: PLEASE CHARGE TO: _001-7300-083-562-10-410: $20,000 001-7300-089-562-10-410: $13.000 10. DOCUMENT/CONTRACT REVIEW IriITI / DATE REVIEWED I1�TITIAL / DATE APPROVED ❑ PROJECT MANAGER ❑ DIltECTOR ��� ` � D RISKMANAGEMENT (�,4rrLtca�sLE) ❑LAW P 3-�q•13 11. COUNCILAPPROVAL(IFAPPLICABLE� COMMiTTEEAPPROVALDATE: COUNCILAPPROVALDATE: 12. CONTRACT SIGNATURE ROUTING ., ,/ ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: !� I DATE REC'D:�%� � ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERT ICATE, ICENSES, EXHIBITS ❑ LAW DEPARTMENT ❑ SIGNATORY (1�tAYO1t o IRECTOR ❑ CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED COMMENTS: I1�iI IAL / DATE SIGNED 1�• 2_2� 13 .� AG# DATE SENT: • Z�j • I �_ 11/9 RECEIVED MAR 2 61013 � CITY OF CIiY HALL ,;, � Federal Way �3325 8th Avenue South Federa[ Way, WA 98003-6325 (253) 835-7Q00 www. atyotTederahHay. com HUMAN SERVICES AGREEMENT FOR EMERGENCY FEEDING PROGRAM 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") aze located and do business at the below addresses which shall be valid for any notice required under this Agreement: MiTLTI-SERVICE CENTER: Terri Turner P.O. Box 23699 Federal Way, WA 98093 253-838-6810 (telephone) -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. TE . The teim 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 similaz 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 apprapriately accredited and licensed by a11 applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective da.te of this Agreement. Services shall 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. TERMII�TATION. Either party may terminate this Agreement, with or without cause, upon providing the other pariy thirty (30) days written notice at its address set forth above. The City may terminate this Agreement immediately if the Agency fails to maintai.n required insurance, breaches confidentiality, or materially violates Section 12, and such ma.y result in ineligibility for further City agre�ments. 4. COMPENSATION. 4.1 Amount. In return for the Services, the City shall pay the Agency an amount not to exceed a maximum amount and according to a rate or method as delineated in Exhibit "B", attached hereto and incorporated by this reference. The City shall reimburse the Agency only for the approved activities and in accordance with the procedures as specified in Exhibit "B". The Agency shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction resulting from this Agreement. HUMAN SERVICES AGREEMENT - 1- 4/2011 ` CITY OF ,',�,�,,�.. Federal CITY HALL W�� 33325 8th Avenue South Federal Way, WA 980Q3-6325 (253) 835-7000 www. ciryoflederah�y. com 4.2 Method of Pavment. On a quarterly basis, the Agency sha11 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 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 monitar compliance with the performance measures set forth in Exhibit "A." Should the Agency fail to meet the performance measures for each quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement. Exceptions may be made at the discretion of the City's Human Services Manager in cases where circumstances beyond the Agency's control impact its ability to meet its service unit goals and the Agency has shown reasonable efforts to overcome these circumstances to mcet 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, supporting documenta.tion, 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 Bud�et. 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 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-Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agrcement 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. . i�l� _ �! � � � � 5.1 A�ency Indemnification. The Agency agrees to release, indemnify, defend, and hold the City, its elected officials, of�icers, employees, agents, representatives, insurers, attomeys, and voluntcers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives arising from, resulting from, or in connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Agency and the City, the Agency's liability hereunder shall be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when completed shall not be grounds to avoid any of ttiese covenants of indemnifica.tion. 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' compensa.tion 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 HALI W�� 33325 8th Avenue South Federal Way, WA 980U3-6325 (253)835-700Q www. crtyoffederahNay. com 5.3 Citv Indemnification. The City agrees to release, indemnify, defend and hold the Agency, its oflicers, directors, shareholders, partners, employees, agents, representatives, and sub-contractors 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 expira.tion or termina.tion of this Agrezment 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 subcontYactors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expira.tion 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, independ�ent contractors, products-completed operations, stop gap liability, personal injury, bodily injury, death, property dama8e, Products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occuirence 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 all owned, non-owned, hired and leased vehicles with a 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 Liabilitv. Agency's maintenance of insurance as required by the ag�nnent shall not be construed to limit the liability of the Agency to the covera.ge provided by such inc�ra„ce, or otherwise limit the City's rec:ourse to any remedy available at law or in equity. The Agency's insurance coverage sha11 be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage mai.ntained by the City shall be excess of the Agency's insurance and shall not contribute with it. 63. Additional Insured, Verification. The City shall be named as additional insured on a11 commercial general liability insurance policies. Concuirent 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 City's request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agx�aement. 7. CONFIDENTTALITY. All infomiation regarding the City obtained by Agency in perforinance of this Agreement shall be considered confidential subj ect 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 ar 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 ar 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. HUMAN SERVICES AGREEMENT - 3- 4/2011 ` CITY OF CITY HALL � Federa I Way �3325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-700Q www. ciryoffederalwey. 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 mai.ntain such accounting procedures and pracrices as ma.y 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 representa.tive, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT AGENCY. The Parties intend that the Agency shall 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 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 ta.xes 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 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. EQUA.L O�PORTUNTI'Y FM�LOYER In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subconh�.ct, there shall be no discrimination by Agency or its subcontra.ctors 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 locallaw or regulation regarding non-discrimination. 13. GENE�AL PkOVISiONS. 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 d�lared 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 Agree�nent, 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�nment 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 ofthe other Pariy. ffthe non- HUMAN SERVICES AGREEMENT - 4- 4/2011 � CITY OF ;. � Federal Way GN HALL 33325 8th Avenue South Federai Way, WA 98003-6325 (253) 835-7000 www atyoffederahvey.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 sha11 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. 133 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 perforniance 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 all of its provisions in which performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Agency's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive such breach or defa.ult. 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 Sta.te of Washington. If the Parties aze unable to settle any dispute, difference or claim arising from this Agrezment, 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 ar lawsuit arising from this Agreement, each Pariy sha11 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 pazagraph 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 executsd 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 insttvment comprised of all pages of this Agreement and a complete se�t of all signature and acknowledgnent pages. The date upon which the lasf of all of the Parties have executed a counterpart of this Agreement shall be the "date of mutual execution" hereof. [Signature page follows] HUMAN SERVICES AGREEMENT - 5- 4/2011 � CITY OF ,� Federal Way CITY HALI 33325 8th Avenue 5outh Federai Way, WA 98003-6325 (253) 835-7000 www. cityoffeders/way. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CTTY OF FEDERAL WAY P ck Doherly, Directqi Community & Economic Development Services .�. . �2�. �� DA E. MULTI-SERVICE CENTER . - ���' 1 - ---.�1 ��, -•.�. �1 � t . ,- - -, .��-/�� � _.t�I ���ae: C� DATE: 3I �t � � STATE OF WASHINGTON ) ATTEST: J City Clerk, Carol McN ly, CMC APPROVED AS TO FORM: ���� � City Atto e, Patricia A Richardson ) ss. COUNTY OF On this day personally appeared before e�p�1 Y� ,npAt,.� , to me known to be the C.�; ('� of �,�t�- 1 C_Q r�,� 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. GNEN my hand and official seal this ��!� day of �iiG�l, , 20 f�. i . � I > � � CITY OF ,;, •.., Federal Way EXHIBIT KA" �•� � .�%��•y CITY HALL 33325 8th Avenue South Federaf Way, WA 98003-6325 (253) 835-7000 �anvw cityoffederahvey com Project Summary The Agency shall provide food that addresses the special dietary needs of adults, infants and children in emergency hunger situations and make diapers available to clients in the City of F�era1 Way. The Agency shall ensure that services provided with funding under this Agreement are made available to Federal Way residents. Performauce 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`� Quarter 4� Quarter JAN. — MARCH APRIL - JUNE JULY — SEPT. OCI'. — DEG TOtRI No. of unduplicated Federal Wa ersons assisted in 2013 41 41 41 42 165 No. of unduplica.ted Federal Wa ersons assisted in 2014 41 41 41 42 165 B. Units of Service The Agency agrees to provide, at minunum, the following units of service by quarter: 2013 1. Pounds of Food & Diapers 2. 2014 1. Pounds of Food & Diapers 2. 1"� Quarter 2°d Qu�rter 3`� QuArter 4`� Quarter JAN. - MARCH APRIIr NNE JULY — SEPT. OCT. —DEC. TOt7t1 2,750 2,750 2,750 2,750 11,OOi 750 HUMAN SERVICES AGREEMENT 750 -7- 750 �..;::��, ��+: °.��� � . ,o '�;:. . � H �,: .. �. 7�(i''��-'' 11,000', �:¢. ,�., � . � � �; .�- ,•. �;- ,,�. `����:. �'s -4� .i � �.. . . 4/2011 ` �ITY QF CITY HALL ��;� �� � � ��' ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253)835-700Q www. citynflederahaay com C. Definition of Services 1. A family of 3 takes home an average of 40 pounds of food when they visit the Food Bank. That translates into approximately 30 meals. Divided by 9(3 meals/day for 3 people) = 3+ days worth of ineals. Families with babies from birth to 1 receive diapers, formula, baby cereal and jarred baby food. Families with babies between 1 and 2 years old receive diapers. We also have no-cook and emergency bags. D. Outcome(s) Outcome(s) to be reported: 1. Individuals and/or families will have increased access to food and clothing. Records A. Project Files The Agency sha11 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 city+�t%derahvay com Documentation of client income. T'he Agency agrees to use the HUD Income Guidelines to report income of clients served under this Agreement. Income guidelines may be adjusted periodically by HUD. King County FY 2033 intome Limits Summary Effective 12/1i/2012 Median �ncome 1 2 3 4 5 6 7 8 Income �t�iory 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 $�,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 Annaal Demograpluc D�ta Report. The agency sha11 collect and retain the data requested on this form from the persons served through this contract. Data should be tracked in an ongoing manner and submitted annually no later than January 15 in the format requested by the City. The Agency shall implement and track at least one measurable outcome for the program as presented in the application. Changes to the outcome presented in the application must be approved by the City prior to implementation. The Agency sha11 report the results of its outcome measure(s) annually on the AH�ual Outcome D�ta Report to be submitted by January 15 in the format requested by the City. Public Iaformatioa In a11 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 ,�.. Federai CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederahvey.com EXI3IBIT "B" COMPENSATION Project Budget The Agency sha11 apply the following funds to the project in accordance with the Line Item Budget Summary. The total amount of reimbursemerrt pursuant to this Agreement shall not exceed $33,000. A. City of Federal Way Funds 2013 2014 Ci of Federal Wa General Fund: $16,500 $16,500 Tota1 Ci of Federal Wa Funds: $16,500 $16,500 C. Personnel Detail Position Title Position Ftill AHnasl Salary HS Funds Ti�re E uivaleat xnd Benefits n/a Total: S S Reiinbursement Requests and Service Uait Report forms shall be submitted no less frequently than quarterly and aze due on the following dates: 1 st Quarter: April 15 or within 10 da.ys of notice to proceed, wluchever is later; 2nd Quarter: July 15; 3rd Quarter: October 15; and 4th Quarter: Final Reie�burr$ement Requeat and Service Unit Report forms due January 8; Demographic Data Report and A�eal Outcome Data Report with supporting documentation due January 15. The Agency shall submit Reimbersement Reqaest� in the format r�uested by the City. Reimbursement Requests Invoices shall include a copy of the Service Unit Report and any supporting documents for the billing period. HUMAN SERVICES AGREEMENT - 10 - 4/2011 � ` CITY OF ,'�.., Federal Estimated Quarterly Payments: 2013 1 st Qtr 2nd Qtr 3rd Qtx 4th Qtr 2014 1 � Qtr 2� Q�' 3"d Qtr 4�' Qtr $4,125 $4,125 $4,125 $4,125 $4,125 $4,125 $4,125 $4,125 CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. citynilede�aM�ey com Expenses must be incurred prior to submission of quarterly reimbursement requests. Proof of expenditures must be attached to the reimbursement request for invoice to be approved. Quarterly reimbursement requests shall not exceed the estimated payment without prior written approval from the City. Estimated quarterly payments aze 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. Coedit�c►�s of Fuuding The Agency agrees that it will meet the specific funding conditions identified far the Agency and aclrnowledges that payment to the Agency will not be made unless the funding conditions are met. The Agency is responsible for meeting the applicable portions of the funding conditions adopted as part of the 2013-14 Human Services General Fund Allocation Process including: No Conditions. HUMAN SERVICES AGREEMENT - 11 - 4/2011 � CITY OF �.-, Federal Way GTY HALL 33325 8th Avenue South F'ederal Way, WA 9$003-6325 (253) 835-7000 www atyoflederalway. 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�- �r�l'IC�. �h,� (Contracting Agency), for the following: Authorizing Signature: (must be signed by person who signs the contract, generally, Executive Director) (Program Title). (Printed Name) (Title) .................................................................................................................................................................................................................................................................,.........................._.._...._.._........_�....._....�...w..._.. Additional Authorized Signature: Additional Authorized Signature: Name) (Signature) (Title) , a !3 (Date) T, 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 Helping people. Cl+a++ging Irvts. Since 1971. September 27, 2012 1200 S. 33b1h St., P.O. Box 23699, FcderaE Way, WA 98093-0699 253/838-G810 • Fax: 253/874-7831 • �v�v�v.muiti-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-Servicc 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 & Lo�v-Income Rental Housing • Federal Wny Food BAnk • South King County Clothing Bank � �,, °A r�`D w e1 Literac • Em lo ment Services • H�me Ei�e Assistance Pro ram • Lon Terni Care Ombudsman Pro ram �, .� •�!!!!'! ;/ �i�� Y A Y �Y K €- S n ntr , �r-� OP ID: SR ACORO � DATE (MM/DD/VYYY) `,.,_� 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(sl. _ PRODUCER Sprague Israel Giles 1501 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 John M. Policar INSURED Multi-Service Center PO Box 23699 Federal Way, WA 98093-0699 Phone: 206-623-7 Fax: 206-682-4 MULTI-2 n:General Ins. Co. ofAmerica B:American Economy Insurance Co c: E: 24732 79690 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 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 UBR pOLICY NUMBER MM DID/YYYY MM/ D/YYYY IIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 'I,OOO,OO i� X COMMERCIAL GENERAL LIABILITY X 24CC279573-4 03/01113 03/01N4 pREMISES Ea occurrence $ �,��0,�0 CLAIMS-MADE � OCCUR MED EXP (Any one person) $ 2�,�0 PERSONAL 8 ADV INJURY $ �,OOO,OO GENERALAGGREGATE $ 3,000�00 GEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS - COMP/OP AGG $ 3�000,00 POLICY PR� LOC $ AUTOMOBI�E LIABILITY COMBINED SINGLE LIMIT $ �,OOO�OO B X ANYAUTO OY-CE-ZZOS9O-3 03/O1N3 03/01/14 �Eaaccident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE X HIREDAUTOS (Peraccident) $ X NON-OWNEDAUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETEfJTION S $ WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS' LIABILITY � /4 ANY PROPRIETOR/PARTNER/EXECUTIVE V� 24CC279573-4 03/01/13 03/01/14 E.L. EACH ACCIDENT $ �,0����� OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) WA STOP GAP E.L. DISEASE - EA EMPLOYEE S 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,00 q Professional LP7745056E 03/01/13 03/01/14 Per Claim 1,000,00 Liability Aggregate 3,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more space Is required) The City,,its officers officials, employees and agents are additional insured with respects �iability arising out of operations by or on behalf of the named insured for General Liability for the Federal Way Emergency. Feeding Proqram per CG2026 attached, subject to a written contract being in force. Pro7ect: Emergency Feeding Program 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: Human Services/CDBG PO Box 9718 AUTHORIZED REPRESENTATIVE Federal Way, WA 98063-9718 d'�-� O 1988-2009 ACORD CORPORATION. All righta reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD n ^" REPRINTED FROM THE ARGHIVE. THE ORIGINAL TRANSAGTIDN MAY INCWDE ADDITIONAL FORMS '^" � d .�ti.'Yt�' Agexs�}� Cirnier�vriEterr!�., ��t,.k:r, arurmn,.�n,ur.�.::�.,n POLICY NUMBER: 24-CC-279573-4 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additlonal Insured Person(s) Or Organization{s) ANY AND ALL FUNDING SOURCES AS RESPECTS THE INSURED'S OPERATIONS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 � ISO Properties, Inc., 2004 n EP AFP-META2•28•PRINT001 •2156•D169•N