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AG 13-112RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: CED/HS 2. ORIGINATING STAFF PERSON: DEE DEE CATnr.nNo EXT: 2651_ 3. DATE REQ. BY: 4. TYPE OF DOCLJMENT (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.G. aorm xEtaTEn nocuMExTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER S. PROJECT NAME: EMERGENCYASSISTANCE PROGRAM f). NAME OF CONTRACTOR: CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON ADDRESS: TELEPHONE E-MAIL: FAX: SIGNATURE NAME: TITLE 7. EXHIBITS AND ATTACHMENTS: X SCOPE, WORK OR SERVICES X COMPENSATION X INSURANCE REQUIItEMENTS/CERTIFICATE ❑ ALL OTI-IER REFERENCED EXHIBITS X PROOF OF AUTHORITY TO SIGN ❑ REQUIItED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENTDATE: O1/O1/2013 COMPLETION DATE: 12/31/2014 9. TOTAL COMPENSATION $27,000 (INCLUDE EXPENSES AND SALES TAX, g' AxY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPIAYEES TTfLES 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: 001-7300-083-562-10-410 10. DO�UMENT/CONTRACT REVIEW I1�iITIAL/DATE VIEWED INITIAL/DATEAPPROVED p �6JECT MANAGER ,,�DIltECTOR ❑ RISK MANAGEMENT (g' aPPLiCASr.E) ❑ LAW ,� • '�I • 1 j 11. ' COUNCIL APPROVAL (IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: � DATE REC'D: I D � ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, ICENSES, EXHIBITS ❑ LAW DEPARTM ❑ SIGNATOR MAYOR R DIRECTOR� ❑ CITY CLE ❑ ASSIGNED AG# � SIGNED COPY RETURNED COMMENTS: I1�iI IAL / DATE SIGNED 5•►3•13 AG# 1� -1�2. DATE SENT: � • 1�' 1� 11/9 CITY U� � ������' CIT4' HALL ��� 33325 8th Avenue South Federal Way, WA 980Q3-6325 (253} 835-7i300 vw��v cityoff�deralway. com HUMAN SERVICES AGREEMENT FOR EMERGENCY ASSISTANCE This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Catholic Comxnunity Services of Western Washington, a non-profit organization ("Agency"). T'he 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: CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON: James Tolbert 1229 West Smith St. Kent, WA 98032 (253) 850-2505 (telephone) The Parties agee as follows: CITY OF FEDERAL WAY: Denise Catalano 33325 8`h Ave. S. Federal Way, WA 98003-6325 (253) 835-2651 (telephone) (253) 835-2401 (facsimile) denise.catalano@cityoffederalway.com 1. TERM. The term of this Agreement shall be for a period of two (2) years commencing on January 1, 2013 and terminating on December 31, 2014 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement performance during the first year of the Agreement term and upon funding availability. This Agreement may be extended for additional periods of time upon the mutual written agreement of the City and the Agency. 2. SERVICES. The Agency 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 warrants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date ofthis Ageement. 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. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth above. The City may terminate this Agreement immediately if the Agency fails to maintain required insurance, breaches confidentiality, or materially violates Section 12, and such may result in ine�igibility for further City agreements. 4. COMPENSATION. 4.1 Amount. In return for the Services, the City shall pay the Agency an amount not to exceed a maximum amount and according to a rate or method as delineated in Exhibit "B", attached hereto and incorporated by this reference. The City shall reimburse the Agency only for the approved activities and in accordance with the 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 �GITY C1F �.. Fe�l��r�l CITY HALL ��� 33325 8th Avenus South Federal Way, WA 880Q3-6325 {253) $35-700{1 w�vsN cityaflederalwsy carrr 42 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 foriy-five (45) days after the City's receipt and approval of a complete and correct invoice, supporting documentation and reports. The City will use the quantity of Services actually delivered, as reported on the Agency's reports, as a measure of satisfactory performance under this Agreement. The City shall review the Agency's reports to monitor compliance with the performance measures set forth in Exhibit "A." Should the Agency fail to meet the performance measures for each quarter, the City reserves the right to adjust payments on a pro rata basis at any time during the term of this Agreement. Exceptions may be made at the discretion of the City's 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 sha11 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 Fina1 Invoice. The Agency sha11 submit its final invoice by the date indicated on Exhibit "B". If the Agency's final invoice, supporting documentation, and reports are not submitted by the last date specified in E�chibit "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 Budset. The Agency sha11 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 Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred afier the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Agency Indemnification. The Agency agrees to release, indemnify, defend on tender to defense of Agency, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attomeys, 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 coxnpetent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Agency and the City, the Agency's liability hereunder shall be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Agency pursuant to this paragraph. The City's inspection or acceptance of any of Agency's work when completed shall not be grounds to avoid any of these covenants of indemnification. 5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes of this indemnification. Agency's indemnification shall not be limited in any way by any limitation on the amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver. HUMAN SERVICES AGREEMENT - 2- 4/2011 « � r r � �::�.�.�_ � � �. . CITY HALL ��� 33325 8th Avenue Sot� F�r�� w�r, wA saoo�-s32� ���> s�-�000 vswvw. citysofl�deralt�y co,n 5.3 City 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 a11 persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City. 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or termination. 6. INSURANCE. The Agency agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Agency, their agents, representatives, employees or subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6. L Minimum Limits. The Agency agrees to carry as a minimum, the following insurance, in such forms and with such camers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability azising from premises, opera6ons, independent contractors, products-completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occurrence and $1,000,000 general aggregate. b. , Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of the State of Washington; c. Automobile liability insurance covering 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 shall be excess of the Agency's insurance and shall not contribute with it. 6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general liability insurance policies. Concurrent with the execution of this Agreement, Agency shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference. At City's request, Agency shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Agency's insurance policies are "claims made," Agency shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All information regarding the City obtained by Agency in performance of this Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by the Agency may be grounds for immediate termination. All records submitted by the City to the Agency will be safeguarded by the Agency. The Agency will fully cooperate with the City in identifying, assembling, and providing records in case of any public records disclosure request. 8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Agency while performing the Services shall belong to the City upon delivery. The Agency make such data, documents, and files available to the City and shall deliver all needed or contracted for work product upon the City's reyuest. 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 ���rr +�� ������' ei�-�r �a�� ��� 33325 8th Avenue South Federal Way, WA 98Q03-6325 f2�s� s�-�t�oa wmv crtyaffeder�l�ay.c�rn 9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and properly reflect a11 direct and indirect costs related to the performance of the Services and maintain such accounting procedwes 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 govemmental 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 sha11 be neither liable nor obligated to pay Agency sick leave, vacarion 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 a11 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 connectian with the work. The Agency shall pay all income and other taxes due except as specifically provided in Secrion 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 inte'rfere 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. EOUAL OPPORTiJNITY EMPLOYER. In all services, prograins, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency or its subcontractors of any level, or any of those entities' employees, agents, sub-agencies, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply to, but not be limited to, the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Agency shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civit Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination. 13. GENERAL PROVISIONS. 13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains a11 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 .4greement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly authorized representatives of the Parties. 132 Assignment and Beneficiaries. Neither the Agency nor the City shall have the right to transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Pariy. If the non- HUMAN SERVICES AGREEMENT - 4- 4/2011 « • .. . .,�, . � .y � �, CITY NALL ��� 33325 8th Avenue South Federa! Way, WA 980�3-6325 {253} 535-7£�U ws�vw cc:rtyofi�derat�y com assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have any right of action or interest in this Agreement based on any provision set forth herein. 13.3 Com�liance with Laws. The Agency shall comply with and perform the Services in accordance with a11 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 shall be deemed received three (3) days after the date of mailing. Any rexnedies 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 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 sha11 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, dif�erence, 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 dces not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. 13.5 Execution. Each individual executing this Agreement on behalf of the City and Agency represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed together and sha11 constitute one instrument, but in maiting proof hereof it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement shal} be the "date of rnutual execution" hereof. [Signature page follows] HUMAN SERVICES AGREEMENT - 5- 4/2011 +CII`Y +QF � ������� ��� CITY HALL 33325 8#h Avenue Soctth FederaE Way, WA 980Q3-632� (253) 835-70flfl w,�v_ cityoflederali�ay cnm IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CTTY OF FEDERAL WAY rt Skip Priest, ayor DATE: J �I�/ !� ATTEST: City Clerk, Carol McNeilly, MC APPROVED AS TO FORM: �L � City Atto y, Patricia A Richaxdson CATHOLIC COMMUIVITY SERVI ES OF WESTERN WASHINGTON By: Printed Name: S V►Sa�n v�� Title: ��o�no,l G�►�e� o�' Q�.Py��k��n5 DATE: J � �/ I 3 STATE OF WASHINGTON ) ) ss. COUNTY OF ��Q,_ ) �� `I On this day personally appeared before me �� V �+� to me known to be the R-e� �wa�� C,1•,�' o�' 0 payo,}ww5 of C wN�wC� t Caw•ww►���, -�j.a..�rv�« that executed the foregoing mstrument, 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 ��� da of 20l Y � 1� ��,� ��e;y's signature � , s printed name u' = Notary '' the State of Washington. � y My commission expires 1`�lnr�l� 1 D.� a.o �S � � O` , ` i� 10'40�''� �' .�' . ���i�� WASH��,,- HUMAN SERVICES AGREEMENT - 6- 4/2011 M r � ,a a► �r EXHIBIT "A" SERVICES err�r wa�� 33325 8th Avenue Sou� Federal Way, WA 88Q43-6325 (253) 83r70{7U vswvw. dtyoffederalt�y cnm Project Summary The City of Federal Way, along with the cities of Burien, Covington, Renton, and SeaTac, have entered into a Memorandum of Understanding to make the most efficient use of their resources by cooperating to provide joint application and funding for human services. It is the City's responsibility to enter into an agreement with the Agency on behalf of the cities which are party to said Memorandum of Understanding. The Agency shall provide emergencv assistance vouchers for rent motel food prescription or transuortation for the cities listed below. The Agency shall ensure that services provided with funding under this Agreement are made available to the participating cities' residents. Performance Measures A. Number Served The Agency agrees to serve, at minimum, the following unduplicated number of residents by city with Human Services funds annually: QUARTER Burien Number of unduplicated Burien Clients QUARTER Covington Number of unduplicated Covington Clients QUARTER Federal Way Number of unduplicated Federal Way Clients QUARTER Renton Number of unduplicated Renton Clients QUARTER SeaTac Number of unduplicated SeaTac Clients 1 gt 2"q 3`O 4`" Annual Totai 15 15 15 15 60 1S 2"` 3` 4 Annual Total 19 19 19 19 76 1g 2" 3� 4' Annual Total 8 8 9 9 34 1 S 2"` 3` 4 Annual Total 16 16 16 16 64 1s 2" 3' 4 Annual Total 25 25 26 26 102 HUMAN SERVICES AGREEMENT - 7- 4/2011 . .. � � ar CITY HALL ��� 33325 8th Avenue South Fecieral Way, WA 9$Of}3-6825 (253) $35-7flOfl vwwv atyolf�rtrha�y. corn B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter annually: QUARTER 1� 2" 3` 4 Annual City of Burien Performance Measures Total 1. Financial Aid 3 3 3 3 12 2. Shelter Nights 106 106 106 107 425 QUARTER 1g 2" 3` 4 Annual City of Covington PerFormance Measures Total 1. Financial Aid 4 4 5 5 18 2. Shelter Ni hts 30 30 30 31 121 QUARTER 1g 2" 3r 4 Annual City of Federal Way Performance Measures Total 1. Financial Aid 4 4 4 3 15 2. Shelter Ni hts 137 137 137 136 547 QUARTER 1S 2" 3` 4 Annual City of Renton Performance Measures Total 1. Financial Aid 3 3 3 3 12 2. Shelter NI hts 107 107 108 108 430 QUARTER 1 S 2" 3` 4 Annual City of SeaTac Performance Measures Total 1. Financial Aid 4 4 3 3 14 2. Shelter Nights 119 119 119 120 477 C. Definition of Services 1. Financial aid is measured by the number of individuals benefitting from program payments made to landlords or utility companies, or who stay in a motel after receiving a voucher from the program. D. Outcome(s) Outcome(s) to be reported: l. Individuals andlor families will have secure housing. Records A. Project Files The Agency shall maintain files for this project containing the following items: 1. Notice of Grant Award. 2. Motions, resolutions, or minutes documenting Board or Council actions. HUMAN SERVICES AGREEMENT - 8- 4/2011 « !M� ,�r r w .�r , a� �w 4. 6. 8. � CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003�325 (253} 835-7fl00 vvww atyofi�ter�l�y cvm A copy of this Agreement with the Scope of Services. Correspondence regarding budget revision requests. Copies of all invoices and reports submitted to the City for this project. Bills for payment with supporting documentation. Copies of approved invoices and warrants. 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. Documentation of client income. The Agency agrees to use the HLJD Income Guidelines to report income of clients served under this Agreement. Income guidelines may be adjusted periodically by HUD. �_ � � �..�. , .... �-: -.. _-: . ?s. _ Median �ncome 1 Z 3 4 5 6 7 8 Income ��mit person Persons Persons Persons Persons Persons Persons Persons Category 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 (50%) 530,350 $34,700 $39,050 $43,350 $46,850 $50,300 $53,8� $57,250 Income Limits Low (809'0) $q5,100 $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 shall submit an Annual Demographic Data Report. The agency shall collect and retain the data requested on this form from the persons served through this contract. Data should be tracked in an ongoing manner and submitted annually no later than January 15 in the format requested by the City. The Agency 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. HUMAN SERVICES AGREEMENT - 9- 4/2011 [ITY OF � ������' CITY HALL ��� 33325 8th Avenue South Federal Way, WA 98003-6325 (253} 835-700fl rv�! cit yotF�Clerahv�y_ corr► 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 $110,218 for the two year term of the agreement. Annual Budqet and Expenses bv Citv: City of Burien Personnel Direct Services Covington Personnel Direct Services City of Federal Way Personnel Direct Services City of Renton Personnel Direct Services City of SeaTac Personnel Direct Services Total: $ 5,250 $ 5,250 $ 4,250 $ 4,250 $ 6,750 $ 6, 750 $ 5,304 $ 5,305 $ 6,000 $ 6,000 $55,109 Reimbursement Requests and Service Unit Re�ort forms shall be submitted no less frequently than quarterly and are due on the following dates: 1 st Quarter: April 15 or within 10 days of notice to proceed, whichever is later; 2nd Quarter: July 15; 3rd Quarter: October 15; and 4th Quarter: Final Reimbursement Request and Service Unit Report forms due January 8; Demographic Data Report and Annual Outcome Data Report with supporting documentation due January 15. The Agency shall submit Reimbursement Requests in the format requested by the City. Reimbursement Requests Invoices shall include a copy of the Service Unit Report and any supporting documents for the billing period. HUMAN SERVICES AGREEMENT - 10 - 4/2011 +GITY OF ������' Estimated Quarterly Payments: 2013 1 st Qtr 2nd Qtr 3rd Qtr 4th Qtr 2014 1 S` Qtr 2'� Qtr 3`a QtI' 4�' Qtr $13,777.25 $13,777.25 $13,777.25 $13,777.25 $13,777.25 $13,777.25 $13,777.25 $13,777.25 CITY HALL ��� 33325 8#h Avenue South Federal Way, WA 98Q03-6325 {253) 835-70{lfl w►�w�+atyo�deraha�! carr 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 invoices shall not exceed the estimated payxnent 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 Program Accomplishment 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 are met. No conditions. HiJMAN SERVICES AGREEMENT - 11 - 4/2011 CITY OF CITY HALL � �� � � �� � ��� 33325 8th Avenue South Federa! Way, WA 98003-6325 (253)835-7000 www. c�lyotlederalway. com City of Federal Way Human Services Con#ract for 2013-2014 General Fund Authorized Signatures for invoices I authorize the foilawing individuals to sign invoices and quarterly reports on behatF of: 6� W for (Contracting Agency), the following: _�vv�,�,r�v�G� �e,ivi . (Program Title). Authorizing Signature: (must be signed by person who signs the contracf, genera!!y, Executive Director) Additional Aufhorized Sfgnafure: Additional Authorized Signature: % .5/ (Datej (Printed Namej (Tifle) (Signature) (Date) Note: !t is the respnnsibility a# the cantractor ta inform the City of Federal Way if #hey wish io add a name to or delete names from this lisf. ��! ft` �fi 1.�� CathofiC COMMUnITY Serv�ces OF WESTERN WASNINGTON Most Rew Alez J. Bmnety D.D.. Ph.D. ,9r�;s�oy ojsearc�c Very Rev. Kezmefh Haydocic Chairmare of the Board of Tiuste�s ��� �. ��� . ��t ►� 100 - 23rd Avenue South Seatfle, WA9814M2302 206-323-6336 Fax: 206-324-4535 , T� e:c��: April i, 2008 Susan Vaughn 100 23� Avenue South Seattle, WA 981A�4 RE: CCSWW LEGAL PROTOCOL NO'TICE UF DELEGATION Dear Susan, In aocardance with the policies and procedures outlined in the CCSVV�V Legal Protocol, I am writing tl�is Ietter to outline the authority and responsibilities granted to you in the i,egal Protocol to comglete the following business transactions an behalf of CCSW W: 1. � Complete review of aIl CCS Family Center renewal contracts to �ensure that contracts are fiscaIly viable and to ensure the agency complies with audits an.d othar regulatory requireinents. 2. Review all contracts prior to submission of the contracts to the CCSWW C�orporate Office for the contract review process. Sign contracts upon approval through the contract review process. 3. Review certificates of insurance and leases on an annual basis to ensure agency i�,�,��nce billing aud coverage are accurate. Advise the CCSWW Risk Manager and the Chief Fina.ncial Officer of any changes necessary to additional insureds, addresses, limits of coverage, etc. as soon as possible after the change has occurred. 4. Review aIl leases aad purchase and sale agreements for real estate with corpora.te legal counsel. This should be done in conjunction with the Chief Fivancial Officer. 5. Serve as a primary check signer at the agency. 6. Approve requests for credit with vendors in amounts less than $5,000.00. 7. Recommend to the Chief Financial Officer that a staffpersan receive a corporate credit card. 8. Assist Regional Vice President in evaluating whether a new position should be filled avd/or any reorganization occurs before t.hey axe initiateci. Evaluanons would include whether or not the job descriptions of current staff can be rewritten to accommodate the new duties. 9. Submit to ihe Regional Vice President any requests for the Corporation, or individual .on behalf of tlie corporation, to join or create an afftliated entzty or joint venture. 1Q. Submit a balanced business plan to tl�e Chief Financial Officer and Executive Vice President on an annual basis. ] 1. Submit to the Chief Financial Officer any business plan modification in excess of five percent (5%) of total operating budget. Page I of 2 .-�. 12. Review agency fmancial a�dit. 13. Review program audits and work with program directors to ma.ke responses an. behalf of agency. 14. Immediately in�orm t.�e �xecutive Vice President and Corporate Legal Connsel of a�y deman.ds, ciaims, legal pleadiags or letters threat�ni�g same, or upon bei�g inf�ormed of injuries and/or accidents or dax�ger from or to any parson. 15. Aci as one of the primary ctinta�ts between CC5 and Corporate Legal Counsel. 16. Contact Corporate �.,ega3 Counsel when any client's corpora.te records are requested by court order, sul�p� �* ���. le�ter. 17. Approve purchases of comp�rs, ioca� serveTS ar►d printers. Submi� any decisions regarding connectivity isstxes, aflfli�vare applica�ions and system wide services to the TT Ca.binet for approval. 18. Make a recflmmendation to the Chief Fina�cial Officer re�arding the establishment of checking accounts for specific si for the purpose of providing funds for clients in crisis situa�ions. furiher � � : I have read and underatand this delegation of authori#y to me as outlined in the CCS W W L,egal Protocol. � �._.: � � e.-� �,,,�,.�..-..�..- � r� �� �._.- �- .�.r---�� .� `� e �, Page 2 of 2 � � ��c � �� ;,' � ���� :: � u : �� `� � � �d� � �"�� ^'� ����� ��„ �� � � � �y '� �'� ' � � �`��}�Date 5/1/2012 � r, �� �� i�`,�.. F �*�`a�. h � v�.g �u� �5 r �� ���,��t Certificate of Covera e ��� �� R � � �� ��� ��� g � � ��. ,,. _„�,� ..�.�<� a.:,'�P��,�.e�.�r.>�E� :��4`°e...w:r'�. `..�'.�: .,�:�,.a.w.��r:`_ .,.,..,._.,�. ,.,z '�`d.�� -:-: ...,.e�:��< ��.;�¢-, .s �,x.;*.��m;,,��'.'. Certificate Holder This Certificate is issued as a matter of information only and Corporation of the Catholic Archbishop of Seattle confers no rights upon the holder of this certificate. This certificate Chancery Office does not amend, extend or alter the coverage afforded below. 710 9th Ave Seattle, WA 98104 Company Affording Coverage THE CATHOLIC MUTUAL RELIEF SOCIETY OF AMERICA Covered Location 10843 OLD MILL RD Catholic Community Services OMAHA, NE 68154 100 23rd Ave S Seattle, WA 98144 Coverages This is to certify that the coverages listed below have been issued to the certificate holder named above for the certiticate 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 coverage afforded described herein is subject to all the terms, exclusions and conditions of such coverage. Limits shown may have been reduced by paid claims. Type ef Covenge Certificate Number Coverage E[fective Coverage Expiration Date Date �ro�� Property Ral & Personal Property D. General Liability Each Occurrence 1,�,�� General Asgregate �✓ Occurrence Products-Comp/OP Ag� 8558 7/1/2012 7/1/2013 � Ctaims Made Personal & Adv Iajnry Fire Damage (Any one Tire) Med Exp (Any ooe person) Excess Liability Each Occorrence Annual Aggregrate Other Each Occarrence Claims Made Annaal Aggresrate Limit/Covenge DescripHon of Uperations/[,ocationsNehicles/Special Items (the following langusge superseiles any other language ia this eodorsement or the Ctrtiticate ie eoatliM wit6 this language) Coverage only extends for claims directly arising out of Catholic Community Services Contract Agreements with The City of Federal Way for Volunteer Chore Services and Emergency Assistance, for the term of the certificate. Includes CMRS Auto, $100,000 SI. Holder of Certiticate � Cancellation � °��,-. Additional Protected Person(s) Should any of the above described coverages be cancelled before the expiration date thereof, the issuing company will City of Federai Way endeavor to mail 30 days written notice to the 6older of certificate named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. Authoriud Representative / �1 � , 4 0064000406 ENDORSEMENT (TO BE ATTACHED TO CERTIFICATE) Effective Date of Endorsement: 7/1/2012 Cancellation Date of Endorsement: 7/1/2013 Certificate Holder. Corporation of the Catholic Archbishop of Seattle Chancery O�ce 710 9th Ave Seattle, WA 98104 loca6on: Catholic Community Services 100 23rd Ave S Seattle, WA 98144 Certificate No. 8558 of The Catholic Mutual Relief Sociery of America is amended as follows: SECTION II - ADDITIONAL PROTECTED PERSON(S) It is understood and agreed that Section II - Liability (only with respect to Coverage D- General Liability), is amended to include as an Additional Protected Person(s) members of the orga�izations shown in the schedule, but only with respect to their liability for the Protected Person(s) activities or activities they perform on behalf of the Protected Person(s). It is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under this endorsement to the Additional Protected Person(s) will not precede the effective date of this certificate of coverdge endorsement or extend beyond the cancellation date. Schedule - ADDITIONAL PROTECTED PERSON(S) City of Federal Way Remarks (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language): Coverage only extends for claims directly arising out of Catholic Community Services Contract Agreements with The City of Federal Way for Volunteer Chore Services and Emergency Assistance, for the term of the certificate. Includes CMRS Auto, $100,000 SI. �; � y � 1� � �Ir�"� iat{_� 0— Y � PKS-�2z(� a� t�