Loading...
AG 13-109RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: CED/HS 2. ORIGINATING STAFF PERSON: DEE DEE CATa.r_.ANo EXT: 2651_ 3. DATE REQ. BY: 4. TYPE OF DOCLTMENT (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 xEEi,n�n nocuMErrrs� ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER S. PROJECT NAME: REFUGEE & IMMIGRANT SERVICE CENTER 6. NAME OF CONTRACTOR: ADDRESS: E-MAIL: SIGNATURE NAME: JEWISH FAMILY SERVICE _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: COMMENCEMENT DATE: O1/O1/2013 COMPLETION DATE: 12/31/2014 9. TOTAL COMPENSATION -$�;669� �� 3, O O � (INCLUDE EXPENSES AND SALES TAX, g' „�NNY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: 001-7300-089-562-10-410 10. DOCUMENT/CONTRACT REVIEW I1�TITI /DATE VI WED I1�TITIAL/DATEAPPROVED O PROJECT MANAGER ❑ DIRECTOR 2 C ❑ RISK MANAGEMENT (� aPrr.iC,4sr.E) ❑ LAW AC 11. COUNCIL APPROVAL �IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: � DATE REC'D: � ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFI ATE, ICENSES, EXHIBITS ❑ LAW DEPARTMENT � SIGNATORY (Nta.YOR o IRECTOR� � CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED COMMENTS: AG# �� DATE SENT: 11/9 � CITY OF CITY HALL '�...., Federa I Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. utyoffederalway. com HUMAN SERVICES AGREEMENT FOR REFUGEE & IMMIGRANT SERVICE CENTERS This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Jewish Family Service, 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: JEWISH FAMILY SERVICE Mazgaret Hinson 1601 16th Ave Seattle, WA 98122 253-850-4065 (telephone) The Parties agree as follows: CITY OF FEDERAL WAY: Denise Catalano 33325 8th 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 l, 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 shall perform the services more specifically described in Exhibit "A", attached hereto and incorporated by this reference ("Services"), in a manner consistent with the accepted professional practices for other similar services within the Puget Sound region in effect at the time those services are performed, 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 wanants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not relieve 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. TERMIINATION. Either party may terminate this Agreement, with or without cause, upon pmviding the other party thirty (30) days written notice at its address set forth above. The City may terminate this Agreement ixnxnediately if the Agency fails to maintain required insurance, breaches confidentiality, or materially violates Section 12, and such may result in ineligibility for further City agreements. 4. COMPENSATION. 4.1 Amount. In return for the Services, the City shall pay the Agency an amount not to exceed a maxixnum 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 pmcedures 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 GITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffede�alway. 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 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 sha11 review the Agency's reports to monitor compliance with the performance measures set forth in Exhibit "A." Should the Agency fail to meet the performance measures for each quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement. Exceptions may be made at the discretion of the City's Human Services Manager in cases where circumstances beyond the Agency's control impact its ability to meet its service unit goals and the Agency has shown reasonable efforts to overcome these circumstances to meet its goals. If the City 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 E�ibit "B". If the Agency's final invoice, supporting documentation, and reports are not submitted by the last date specified in Exhibit "B", the City sha11 be relieved of a11 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 sha11 apply the funds received from the City under this Agreement in accordance with the line item budget set forth in Eachibit "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 exc,eed 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 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 a11 remaining Services for which funds are allocated. No penalty or expense sha11 accrue to the City in the event this provision applies. 5. INDEIVINIFICATION. 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 sha11 be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when completed shall not be grounds to avoid any of these covenants of indemnification. 5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes of this indemnification. Agency's indemnification shall not be limited in any way by any limitation on the amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver. HUMAN SERVICES AGREEMENT - 2- 4/2011 ` CITY OF � Federal CITY HALL W�� 3332� 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 harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City. 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or terniination. 6. INSURANCE. The Agency agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Agency, their agents, representatives, employees or subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6.1. Minimum Limits. The Agency agrees to carry as a minunum, the following insurance, in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products-completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occurrence and $1,000,000 general aggregate. b. Workers' compensation and employer's liability insurance in amounts sui�icient 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 agreement shall not be construed to limit the liability of the Agency to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. The Agency's insurance coverage shall be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City sha11 be excess of the Agency's insurance and sha11 not contribute with it. 6.3. Additional Insured, Verification. The City shall be named as additional insured on all commeroial general liability insurance policies. Concurrent with the execution of this Agreement, Agency shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference. At City's request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All infornzation 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 sha11 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 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 ,� Federal CITY HALL way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. cityoffederahvay. 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 maintaixi 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 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 taxes due except as specifically provided in Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the Agency, shall not be deemed to convert this Agreement to an employment contract. 11. CONFLICT OF INTEREST. It is recognized that Agency may or will be performing services during the Term for other parties; however, such performance of other services shall not conflict with or interfere with Agency's ability to perform the Services. Agency agrees to resolve any such conflicts of interest in favor of the City. Agency confirms that Agency dces not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Agency's selection, negotiation, drafting, signing, administration, or evaluating the Agency's performance. 12. EQUAL OPPORTUNITY EMPLOYER In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency or its subcontractors of any level, or any of those entities' employees, agents, sub-agencies, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply to, but not be lixnited to, the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Agency sha11 comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination. 13. GENERAL PROVISIONS. 13.1 Interpretation and Modification. This Agreement, together with any attached E�ibits, 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, sha11 be effective for any purpose. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other provisions sha11 remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly authorized representatives of the Parties. 13.2 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 OF �,,., Fe d e ra l Vliay CITY HALL 33325 8th Avenue South Federal Way. WA 98003-6325 (253) 835-7000 www. afyoffederalway. 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 ofthe Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have any right of action or interest in this Agreement based on any provision set forth herein. 13.3 Compliance with Laws. The Agency shall comply with and perform the Services in accordance with all applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may be rendered null and void, at the City's option. 13.4 Enforcement. Time is of the essence 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 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 sha11 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 cuxnulative 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 sha11 not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claixn, shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including a11 appeals, in addition to any other recovery or award provided by law; provided, however, however nothing in this paragraph sl�all 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 xnay be executed in any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof it sha11 only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled together to form a single instiument co�nprised of all pages of this Agreement and a complete set of a11 signature and acknowledgment pages. The date upon which the last of all 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 - � _ �. _ ,� f - � ,� - � � , _ -_ '� `r� , �� 4/2011 ` CITY OF � Federal CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoifederalway. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below CITY OF FEDERAL WAY Patric oherty, Director Community & Economic Development Services DATE: ���/ ` 3 JEWISH FAMILY SERVICE By: Printed Name: �`P /�i j 'P !�J L' /Z �'- Title: ��V DATE: �/� 3 STATE OF WASHINGTON ) ) ss. COUNTY OF ATTEST: , City Clerk, Carol McNeil , CMC APPROVED AS TO FORM: .����.1 City Attorney, Patricia A Richardson On this day personally appeared before me C12 ✓� UU e� v� (O�e.,ro� , to me known to be the L° [^_ � of �` 5rn ��ti � ���� �Se�r'� <<,.� that executed the foregoing instrument, and acknowledged the said instniment to be th� tree 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. GIVEN my hand and official seal this �day of , 20! Notary's signature � X� �;` -�� . ��`�� �>_ Notary's printed name �.1�o�-r�r.�.. -- ��►o v�. � Notary Public in and for the State of Washington. �- `a ��� - My commission expires o'� 30 , Z p �� } - ,� . >. , : , '-, _ - _ �� ''.. _. . _ � ° s� .1 � .� . ,, �; � , - � � ;;.� ��'' � "` , ' �'�„ HUMAN SERVICES AGREEMENT - 6- 4/2011 � CITY OF � Federal Project Summary CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederahvay com EXHIBIT "A" SERVICES The Agency shall provide employment placement and case management 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: l8t Quarter 2°d Quarter 3`d Quarter 4t" Quarter JAN. — MARCH APRIL - NNE JULY — SEPT. OCT. — DEG TOt81 No. of unduplicated Federal Wa ersons assisted in 2013 3 2 2 2 9 No. of unduplicated Federal Wa ersons assisted in 2014 3 2 2 2 9 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: ls` Quarter 2°d Quarter 3`d Quarter 4`h Quarter JAN. - MARCH APRIIr JUNE NLY — SEPT. OCT. —DEC. TOt81 2013 1. Employment Services 12 12 11 11 46 2. Placement 2 2 1 1 6 2014 1. Employment Services 12 12 11 11 46 2. Placement 2 2 1 1 6 HUMAN SERVICES AGREEMENT - 7- 4/2011 � CITY OF ,'�.._ Federal CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityofiederahvay com C. Definition of Services 1. Referral or assistance in obtaining social service benefits or employment. Measurement is by number and type of client contacts with social service providers or employers. 2. Placement in unsubsidized employment. Measurement is number of clients. D. Outcome(s) Outcome(s) to be reported: 1. Individuals and/or families will have access to services that increase self-sufficiency. 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 regazding budget revision requests. 5. Copies of a11 invoices and reports submitted to the City for this project. 6. Bills for payrnent 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 W�� 33325 8th Avenue South Federal Way. WA 9$003-6325 (253) 835-7000 www cityoffederalway. 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. : King �Coufity �'Y 2013 Mcome Eimits SumrNary EfFective 12�T1/�012 ;� 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 $86,700 (5096) Income $30,350 $34,700 $39,050 $43,350 $46,850 $50,300 $53,800 $57,250 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 sha11 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 shall submit an Annual Demographic Data 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 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 ` GTY OF � Federai CITY HALL W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. crtyoffederalway. com EXHIBIT �B" 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 $13,000 A. City of Federal Way Funds 2013 2014 Ci of Federal Wa General Fund: $6,500 $6,500 Total Ci of Federal Wa Funds: $6,500 $6,500 B. Line Item Bud et 2013 2014 Personnel Services detail below $6 500 $6,500 Office or O eratin Su lies $ $ Rent & Utilities $ $ Communications $ $ Travel and Trainin $ $ Other s eci $ $ Client Travel $ $ Administration Overhead $ $ Total Cit of Federal Wa Funds: $6,500 $6 500 C. Personnel Detail Position Title Position Full Annual Salary HS Funds Time E uivalent and Benefits Em lo ent S ecialist 1.0 $41,730 $3,250 Em lo ent S ecialist 0.8 $31,100 $3,250 Total: $72,830 $6,500 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 5ervice Unit Report forms due January 8; Demographic Data Report and Annual Outcome Data Report with supporting documentation due January 15. The Agency sha11 submit Reimbursement Requests in the format requested 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 � GTY OF �,. Federal Way Estimated Quarterly Payments: 2013 1 st Qtr 2nd Qtr 3rd Qtr 4th Qtr 2014 1 � Qtr 2na Qtr 3rd QtI' 4�' Qtr $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 CITY HALL 33325 8th Avenue South Federai Way, WA 9$003-6325 (253) 835-70t)0 www cityoffederalway. 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 are contingent upon meeting or exceeding the above performance measure(s) for the corresponding quarter. This requirement may be waived at the sole discretion of the City with satisfactory explanation of how the performance measure will be met by year-end on the Service Unit Report. Conditions of Funding The Agency agrees that it will meet the specific funding conditions identified for the Agency and acknowledges that payment to the Agency will not be made unless the funding conditions aze met. T'he 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 BYLAWS OF JEWISH FAMILY SERVICE OF SEATTLE Effective May 25, 2011 DWT 17448576v1 0050062-081210 TABLE OF CONTENTS ARTICLEI Memberslup ...................................................................................................................1 ARTICLEII Board of Directors ........................................................................................................1 � Section 1. Powers and Qualifications .......................................................................................1 Section2. Number ..................................................................................................................... l Section3. Term .........................................................................................................................1 Section 4. Limit on Terms of Service .......................................................................................1 Section 5. Nominations and Elections to the Board .................................................................1 Section6. Vacancies .................................................................................................................1 Section 7. Removal of Directors ...............................................................................................2 ARTICLEIII Meetings of Board of Directors .................................................................................2 Section1. Annual Meeting ........................................................................................................2 Section2. Regular Meetings .....................................................................................................2 Section3. Special Meetings ......................................................................................................2 Section 4. Notice of Special Meetings ......................................................................................2 Section5. Quorum ...:.................................................................................................................2 Section 6. Meetings Held by Telephone or Similar Communications Equipment ..................3 ARTICLEIV Actions by Written Consent ......................................................................................3 ARTICI,E V Waiver of Notice ...........................................................................................................3 ARTICLEVI Officers and Board Committees ................................................................................3 Section1. Officers .....................................................................................................................3 Section 2. Standing Corrunittees ...............................................................................................4 Section 3. Executive Comxnittee ...............................................................................................5 Section4. Other Comxnittees ....................................................................................................5 ARTICLE VII Administrative and Financial Provisions ...............................................................5 Section 1. Chief Executive Officer ...........................................................................................5 Section2. Fiscal Year ................................................................................................................5 ' Section 3. Loans Prohibited ......................................................................................................5 Section4. Corporate Sea1 ..........................................................................................................5 Section5. Books and Records ...................................................................................................5 Section 6. Amendment of Articles of Incorporation and Bylaws ............................................6 Secrion 7. Rules of Procedure ...................................................................................................6 ARTICLE VIII Dietary Laws and Religious Holidays ...................................................................6 DWT 17448576v1 0050062-081210 BYLAWS OF JEWISH FAMILY SERVICE OF SEATTLE ARTICLE I MEMBERSHIP The corporation shall have no members. ARTICLE II BOARD OF DIRECTORS Section 1. Powers and Qualifications. The affairs of the corporation shall be managed by a Board of Directors. Section 2. Number. The corporation shall have 32 directors. The Board of Directors, by amendment of these Bylaws, may increase or decrease the number of directors, provided that no decrease in number shall have the effect of shortening the term of any incumbent. Section 3. Term. The Term of office for each director shall be three (3) years. All directors shall hold office until their respective successors are elected or appointed in accordance with these Bylaws. 5ection 4. Limit on Terms of Service. Directors shall serve a maximum of three (3) consecutive Terms, including time served as an officer. This limitation shall not apply to any director currently serving as President, President Elect, or Immediate Past President, so long as he or she holds such office. Section 5. Nominations and Elections to the Board. New directors shall be elected by existing directors. Elections for new directors will be held once each year at the Board of Directors' annual meeting, or when otherwise deemed necessary by the Board of Directors. The President shall appoint a Nominating Committee and select its chair. Each year, prior to the � annual meeting, the Nominating Committee shall nominate and obtain the consent of one candidate for every position of the Board of Directors with a term expiring on or before the date of the next annual meeting. The Board of Directors nominees so chosen shall be presented to the Boaxd of Directors for approval. A director shall be elected by the affirmative vote of a majority of the Board of Directors present at the meeting at which the election occurs and at which there is a quorum. Section 6. Vacancies. The Board of Directors shall have the power to fill any vacancy occurring in the Board of Directors arising from any cause, and to fill any directorship available by reason of an increase in the nuxnber of directors by amendment to these Bylaws. Any such directors shall be appointed by the affirmative vote of a majority of the Board of Directors present at the meeting at which the appoinhnent occurs and at which there is a quorum. The DWT 17448576v1 0050062-081210 period of any such appointment shall last until the next annual meeting of the Board of Directors, at which time the appointee shall be eligible for nomination and election to an initial full Term in accordance with these Bylaws. The period from such director's initial appointment to the next annual meeting of the Board of Directors shall not count as a"Term" for purposes of the limitation on service set out in Article II, Section 4. Section 7. Removal of Directors. The Board of Directors may, upon approval of two- thirds of the total membership of the Board of Directors, remove any director. The Board of Directors may, upon approval of a majority of the total membership of the Board of Directors, remove any director who is absent from more than three (3) consecutive regular Board of Directors meetings without an excuse deemed valid by the Board of Directors. ARTICLE III MEETINGS OF BOARD OF DIRECTORS Section 1. Annual Meeting. The annual meeting of the Board of Directors shall be held in June of each year on a date agreed to by the Board, or at such other date as the Board may determine. The annual meeting may be held in conjunction with a regular monthly meeting of the Board of Directors. At the annual meeting, there sha11 be an election by directors of directors and officers, and the transaction of such other business as may properly come before the meeting. Section 2. Regular Meetings. Regular meetings of the Board of Directors shall be held monthly, at such place, day, and time as the Board shall determine. The Board of Directors may in its discretion suspend a monthly meeting. The Chief Executive Officer and President may, in their discretion, suspend a monthly meeting; provided that they shall not so suspend more than four (4) monthly meetings per calendar year. Section 3. Special Meetings. Special meetings of the Board of Directors may be held at any place and time, whenever called by the President, Secretary, or any ten (10) directors. Section 4. Notice of Special Meetings. Notice of the time, place and purpose of any special meeting of the Board of Directors shall be given by the Secretary, or by the person or persons calling the meeting, in writing, personally or by telephone, at least three (3) business days prior to the date on which the meeting is to be held. Attendance of a director at any meeting shall constitute a waiver of notice of such meeting, except where the director attends a meeting for the purpose of objecting to the transaction of any business because the meeting is not lawfully called or convened. The business to be transacted at any special meeting of the Board of Directors sha11 be limited to that specified in the notice of such meeting. Section 5. Quorum. Thirteen (13) directors shall constitute a quorum for the transaction of business. The act of the majority of directors present at a meeting at which a quorum is present shall be the act of the Board of Directors. At any meeting of the Board of Directors at which a quorum is present, any business may be transacted, and the Board of Directors may exercise all of its powers. A director who is present at such a meeting shall be presumed to have assented to the action taken at that meeting unless the director's dissent or abstention is entered in the minutes of the meeting or the director files his or her written dissent or abstention to such 2 DWT 17448576v1 0050062-081210 action with either the person acting as Secretary of the meeting before the adjournment of the meeting or by registered mail to the Secretary of the corporation immediately after the adjournment of the meeting. Section 6. Meetings Held by Telephone or Similar Communications Equipment. Members of the Board of Directors or its committees may participate in a meeting of the Board of Directors or such committees by means of a conference telephone or similar communications equipment in which all persons participating in the meeting can speak and hear each other at the same time. Participation by such means shall constitute presence in person at a meeting. ARTICLE IV ACTIONS BY WRITTEN CONSENT Any corporate action required or permitted by the Articles of Incorporation or Bylaws, or by the laws of the State of Washington, to be taken at a meeting of the Board of Directors (or its committees) of the corporation, may be taken without a meeting if a consent in writing, setting forth the action so taken, shall be signed by all of the directors entitled to vote with respect to the subject matter thereof. Such consent shall have the same force and effect as a unanimous vote, and may be described as such. ARTICLE V WAIVER OF NOTICE Whenever any notice is required to be given to any director of the corporation by the Articles of Incorporation or Bylaws, or by the laws of the State of Washington, a waiver thereof in writing signed by the person or persons entitled to such notice, whether before or after the time stated therein, shall be equivalent to the giving of such notice. ARTICLE VI OFFICERS AND BOARD COMMITTEES Section 1. Officers. Each year, prior to the annual meeting, the Board of Directors shall instruct the Nominating Committee to nominate from among the directors the following officers: a President, a First Vice President, up to two Second Vice Presidents, a Treasurer, a Secretary, an Immediate Past President (who shall be the most recent President available to serve and approved by the Board of Directors), a President Elect, and such officers and assistant officers as may be deemed necessary by the Board of Directors. Any two or more offices may be held by the same person, except the offices of President, Secretary and Immediate Past President. Each officer nominee so chosen shall be presented to the Board of Directors for approval at the annual meeting. An officer shall be elected by the affirmative vote of a majority of the Board of Directors present at the meeting at which the election occurs and at which there is a quorum. Officers shall serve a term of one year, and may be reappointed by the Board of Directors. A person shall not serve more than two (2) consecutive one-year terms as President. All officers shall hold office until their respective successors axe elected. Any officer may be removed by the Board of Directors whenever in its judgment the best interests of the corporation will be served thereby. The Board of Directors shall have the power to fill any vacancy occurring in any � DWT 17448576v1 0050062-081210 officer's position for any cause. In addition to the powers and duties as the Board of Directors may prescribe, officers shall have the following powers and duties: The President. The President shall preside at meetings of the Board of Directors , and perform the duties usually performed by the President and as may be directed by the Board of Director, the Bylaws, or the Articles of the corporation, or as otherwise required by law. The President Elect and Vice Presidents. In the absence or disability of the President, the President Elect shall perform the duties of the President. If the President Elect is absent or disabled, then said duties shall be performed by the First Vice President or, if he or she is absent or disabled, by the Second Vice Presidents. The Treasurer. The Treasurer shall assure that funds and investments of the corporation are in responsible care and custody, and shall cause to be kept regular books of account. The Treasurer sha11 cause to be deposited all funds and other valuable effects in the name of the corporation in such depositories as may be designated by the Board of Directors, and in general, shall perform all of the duties incident to the office of Treasurer. The Secretary. The Secretary sha11 cause to be kept the records of the proceedings of the Board of Directors; sha11 assure the same are delivered to his or her successor; shall sign or countersign and execute with the President all deeds, bonds, contracts, and other obligations or instruments, in the name of the corporation; shall cause to be kept the corporate seal, if any, and to affix the same to proper documents. Immediate Past President. A former President (generally the most recent President, if available) sha11 become an officer so that his or her knowledge and experience may be available to the Board of Directors. Section 2. Standing Committees. The President shall appoint the chair of each Standing Committee. The Standing Committees will include the following: Budget/Financing Committee. Responsibilities include developing, monitoring and revising the budget and related financial statements, and assuring the entire Board of Directors is aware of corporation's financial status. Board Development Committee. Responsibilities include enhancing the effectiveness of the Board of Directors and recruiting and training lay leadership. 4 DWT 17448576v1 0050062-081210 Audit Committee. Responsibilities include engaging an audit firm to review agency financial materials and following up to ensure the agency's healthy financial status. Section 3. Executive Committee. The Executive Committee shall consist of the officers and such additional at-large directors as determined by the President, and shall consist of no more than 11 directors. The Executive Committee shall have and exercise such authority of the Board of Directors in the management of the corporation as the Board of Directors may approve by resolution. However, the Executive Committee shall not have the authority of the Boaxd of Directors to amend, alter or repeal the Bylaws; elect, appoint or remove any officer or any director of the corporation; amend the Articles of Incorporation; adopt a plan of inerger or plan of consolidation with another corporation; authorize the voluntary dissolution of the corporation or revoke proceedings therefor; adopt a plan for the distribution of the assets of the corporation not in the ordinary course of business; or amend, alter or repeal any resolution of the Board of Directors which by its terms provides that it shall not be amended, altered or repealed by the Executive Committee. The delegation of authority to the Executive Committee shall not operate to relieve the Board of Directors or any individual director of any responsibility imposed upon it, him or her by law. Section 4. Other Committees. The President may establish such other committees or task forces to perform the corporation's business as the President deems necessary. ARTICLE VII ADMINISTRATIVE AND FINANCIAL PROVISIONS Section 1. Chief Executive Officer. The Board of Directors shall employ a Chief Executive Officer, who shall perform such duties as are assigned to him by the Board of Directors. Subject to the control and direction of the Board of Directors and its appropriate committees, the Chief Executive Officer shall have general charge and direction of the affairs and business of the corporation and shall be its responsible managing head. The Chief Executive Officer shall have authority for direction of the staff, including the hiring and dismissal of all personnel. Section 2. Fiscal Year. The Fiscal Year of the corporation upon which its accounts and records shall be kept shall be from July 1 to and including June 30 of each year. Section 3. Loans Prohibited. No loans shall be made by the corporation to any officer or to any director. Section 4. Corporate Seal. The Board of Directors may provide for a corporate seal which shall have inscribed thereon the name of the corporation, the year and state of incorporation and the words "corporate seal." Section 5. Books and Records. The corporation shall keep at its principal office or at its Secretary's office if in this state, the following: current articles and bylaws; correct and adequate records of accounts and finances; a record of officers' and directors' names and addresses; and minutes, if any, of the meetings of the Board of Directors and its committees. 5 DWT 17448576v1 0050062-081210 Records may be written or electronic if capable of being converted to writing. All books and records of the Corporation may be inspected by any director, or his or her agent or attorney, for any proper purpose at any reasonable time. Section 6. Amendment of Articles of Incorporation and Bylaws. The Articles of Incorporation and these Bylaws may be altered, amended or repealed by the affirmative vote of a majority of the total membership of the Board of Directors. Section 7. Rules of Procedure. T'he rules of procedure at meetings of the Board of Directors of the corporation shall be the nxles contained in Roberts' Rules of Order on Parliamentary Procedure, newly revised, so far as applicable and when not inconsistent with these Bylaws, the Articles of Incorporation or with any resolution of the Board of Directors. ARTICLE VIII DIETARY LAWS AND RELIGIOUS HOLIDAYS The corporation recognizes Jewish holidays, traditions and dietary laws, and shall encourage their recognition in the corporation's activities, events and operations. C� DWT 17448576v1 0050062-081210 �rs� � ��' s ��;�:;f l JEWISHIF 1 Y'SERVICE Capital Hill Campus 1601 16th Avenue Seattle, WA 98122-4000 (206)461-3240 FAX:(206)461-3696 TfY:(206)861-3197 E3S#Sfi�B C�KiCB Refugee & Immigrant Service Center 15821 NE 8th St., Ste. 210 Bellevue, WA 98008-3957 (425)643-2221 5a�3t1� King Gounty Office Refugee d� Immigrant Servlce Center 1209 Cent►al Ave. S., Ste.134 Kent, WA 98032-7439 (253)850-4065 ✓ Kenneth S�Isinberg, M19SYd Chlet Executive Officer Bnard af llirectars Emily Alhadeff President Eric LeVine President-flect/Treasurer Michele Rosen 1st Vice President Gerry Goidman 2nd Vice President Gail Mautner Secretary Dianne Loeb Immediate Past President Stephanie Axelrod Etan Basseri Eric Candell Barney Cohen Will Daniels Susan Eastem JoAnn Forman Amy Fulton Gordon Godfred Dawn 6old Richard Gumpert Delia Jampel Margot Kravette Ed Malakoff Laurie Minsk Lee Rockoff Jon Rosen Julia Schechter Judy Soferman Carol Sidell Alisa Weise founded1892 wwtu.j#sseattle.org � � CITY OF '�..., Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-g325 (253)$35-7000 www. utyoffederalway. 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: �tS�n ��fYl�ll�► C�rUI(�2. (Contracting Agency), for the following: Authorizing Signature: (must be signed by person who signs the contract, generally, Executive Director) l�- 5P i✓ Uv � i vl PJ� R. G— (Printed Name) ture (Program Title). �v (Title) �13 !Date) ._._ ..................................................................................................................................................................................................................................................................._..............................._...............__�..._................ Addifional Authorized Signature: ��vfqC�-� ���S�f1 � Addifional Authorized Signature: (Printed l�me) � �'Col � ����'YL (Pr►nted Name) ( (Signature) (Title) �-f��•1 (Date) �a�iY1_ l�otni►Ae/' (Title) �f • :�.Po, I �j' (Date) Note: It is the responsibility of the contractor to inform the City of Federal Way if they wish to add a name to or delete names from this list. ���-� OP ID: SR '�`'c_._°,R°� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMlYY) 04/08/13 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 certlficate 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 certifcate holder in lieu of such endorsement(s1. PRODUCER Sprague Israel Giles 1507 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 Robert Ka�l INSURED Jewish Family Service Seattle Association for Jews with Disabilities Home Care Associates 1601 76th Ave Seattle, WA 88122-4000 Phone: Fax: INSURER E JEYVIS-1 Indemnitv Ins. wacx 8058 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 7ypE OF INSURANCE �DL SU ppUCY NUMBER MM CIDD/l YYY MM ��YD/YYYY ��TS GENERAL LIABILITY EACH OCCURRENCE a 1�OOO�OO A X COMMERCIAL GENERAL LIABILITY X PHPK982034 02/18/73 02/18/14 pREM�SES Ea oxurtence S 'IOO,OO CLAIMSMADE � OCCUR MED EXP (My one person) S S,OO PERSONAL 8 ADV INJURY S �,0��� GENERAL AGGREGATE S 2r��� GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2rOOO�O POLICY PRa LOC S AUTOMO&LE LIABILITY ( O eBcI�N �SINGLE LIMIT S 'I �OOO�O A � X ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS BODILY INJURY (Per acddeM) i SCHEDULED AUTOS PROPERTY DAMAGE i� HIREDAUTOS PHPK982034 02H8/73 �2N8/�4 (Peracddent) i X NON-OWNEDAUTOS Comp Ded a 5 Coll Ded s 1,00 UMBRELLALIAB p�CUR EACH OCCURRENCE S EXCESSLIAB CWMSMADE AGGREGATE 5 DEDUCTIBLE f RETENTION Z WORKERS COMPENSAiION WC STATU- X OTH- AND EMPLOYERS' LIABNJTY � A ANY PROPRIETORIPARTNER/EXECUTIVE Y� N PHPK982034 02/18/13 02/18/74 E.L. EACH ACCIDENT S � i��r0 OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory In NH) WA STOP GAP E.L. DISEASE - EA EMPLOYEE S �,��,�� If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POUCY �IMIT $ ��OOO�OO DESCRIPTION OF OPERATIONS I LOCAiIONS I VEHICLES (Attach ACORD 701, Additlonal Remarks Schedule, H more spaee is rsquind) The City of Federal Way is additional insured with respects liability arisinq out of operations b or on behalf of the named insured for General Liability, subject to a wri�ten contract being in force. City of Federal Way Community � Economic Development Department 3325 8th Avenue South SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIIL BE DELN£RED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE � ?' � � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD