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AG 16-0441 1 RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. /DIV: POLICE DEPARTMENT 2. ORIGINATING STAFF PERSON: LYNETTE ALLEN EXT: 6701 3. DATE REQ. BY: ASAP 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ MAINTENANCE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ RESOLUTION ❑ INTERLOCAL ❑ PUBLIC WORKS CONTRACT X PROFESSIONAL SERVICE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ REAL ESTATE DOCUMENT ❑ ORDINANCE ❑ CONTRACT AMENDMENT (AG #): ❑ OTHER 5. PROJECT NAME: BLUEPEARL VETERINARY PARTNERS, RENTON 6. NAME OF CONTRACTOR: 3, u, e,"? e a c ` f2��c <,� - `i CvC t ADDRESS: O, ` P{ (A) E -MAIL: O . cf 1, v�c ct.0 • [ u.e.Q a c�c SIGNATURE NAME: Z , N, (AD ; c c „i Q. !rS TELEPHONE AO L -3 ,q — (octal FAX: TITLE 7r � G� ; , e_ A.tar 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS 1 lcL1 tt �a1311(1 8. TERM: COMMENCEMENT DATE: -1,e+ ht DATE: - f�Y 9. TOTAL COMPENSATION PER VISIT COST (INCLUDE EXPENSES AND SALES TAX, IF ANY) (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: 0 0 (. -a1 [ oo -1( 3 - J 5-1 " 31 -Li, to 10. DOCUMENT /CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW (7�G !2��4ji( 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 CERTIFICATE, LICENSES, EXHIBITS INITIAL/ DATE SIGNED ❑ LAW DEPARTMENT tXSIGNATORY (MAYOR DIRECTORY ❑ CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED gut, NO 5n neck. A # /69 -64/4-1 DATE SENT: Oil -D(p' / (Q COMMENTS: This is a MOU but not with a Government Agency. Does it have to So through Council? 44.,(4-4 '1Ad.InVU -&cCI lame_ . \)es , 4 a *mut > c ZQIDco. te- o - ' NW .414c1" t&1.45 Q04S .)1Ae- torandum of Understanding Between BluePearl Veterinary Partners, Renton and City of Federal Way for Emergency Animal Care Services This Memorandum of Understanding (MOU) sets the terms and understanding between BluePearl Veterinary Partners, Renton ( BluePearl Renton) and the City of Federal Way Police Department (City) to treat stray companion animals originating from within the boundaries of the City. Background As a 24 -hour emergency hospital, BluePearl Renton is in a unique position to provide emergency animal care services to strays in south King County. As a service to our community, and in recognition of the service the City provides to its citizens, BluePearl Renton extends the below outlined pricing for emergency and after hours veterinary services to the City, with the following requirements. Requirements The following requirements for this agreement apply: A. BluePearl Renton shall treat only small, companion animals. No livestock or other farm animals. B. Services shall be provided to stray pets at the request of an animal control officer or other recognized official of the City of Federal Way. Services will not be provided directly to the general public. C. BluePearl Renton shall provide only emergency and after hours services. No general practice services, such as sterilization, vaccination, dermatology, parasitology, or dentistry shall be performed. D. BluePearl Renton shall not provide care beyond initial stabilization and /or pain control without the permission of an animal control officer or other recognized city official. Charges for services beyond those outlined above will be provided at regular retail rates, minus a 20% discount. Estimates for cost will be provided upon request. E. Services are provided at the discretion of the attending veterinarian, who may choose to decline to treat. F. Specialty services, such as major surgery, cardiology, internal medicine, and oncology, do not fall under the purview of this memorandum. Estimates for these services will be provided by request. G. Strays found within Federal Way city limits and brought to BluePearl Renton by good Samaritans will be examined and housed at the above rates, with the understanding that our staff will do their best to redirect these individuals to bring the stray directly to Federal Way Animal Control instead. H. The terms of this memorandum may be revoked at any time, by either party, without notice. Pricing • Office visit and physical exam - $75.00 • Euthanasia - $20.00 • Hospitalization per 24 hour period (or fraction thereof) - $40.000are of remains (general cremation) - $20.00 or through the vendor of choice for the Indemnification BluePearl Veterinary Partners, Renton shall indemnify and hold harmless the City and its officers, boards, commissions, employees, agents, attorneys, and contractors from and against any liability, damages, and claims, (including, without limitation, reasonable fees and expenses of attorneys, expert witnesses and consultants), which may be asserted by reason of any actor or omission of BluePearl Veterinary Partners, Renton, its employees, agents, or contractors, which may arise out of the MOU. The City shall indemnify and hold harmless BluePearl Veterinary Partners, Renton and its officers, boards, commissions, employees, agents, attorneys, and contractors from and against any and all liability, damages, and claims, (including, without limitation, reasonable fees and expenses of attorneys, expert witnesses and consultants), which may be asserted by reason of any act or omission of the City, its employees, agents, or contractors, which may arise out of the MOU. Duration This MOU is at -will and may be modified by mutual consent of authorized officials from BluePearl Renton and the City. This MOU shall become effective upon signature by the authorized officials from BluePearl Renton and the City, and shall continue until December 31, 2017 or until modified or terminated by any one of the partners by mutual consent. In the absence of mutual agreement by the authorized officials, this agreement may be reviewed annually. Contact Information BluePearl Veterinary Partners, Renton Jon Wieringa, LVT VTS(ECC) Practice Manager 4208 Lind Avenue SW Renton, WA 98057 206.364.1660 x405 jon.wieringa@bluepearlvet.com (signature) BluePearl Veterinary Partners, Renton Practice Manager Date: •-• 7 �— City of Federal Way Lt. Tracy Grossnickle Federal Way Police Department School Resource Officers /Animal Services 33325 8th Avenue South Federal Way, WA 98003 253- 835 -6736 Fax: 253 -838 -6898 Tracy.Grossnickle i cityoffederalway.com 97,47 Date: 0/ (signature) (Andy J. Hwang, Federal Way Police Department, Chief of Police)