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AG 19-234 - WAPI
RETURN TO: Sarah Bridgeford EXT:2651 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: CD/CS 2651 3. DATE REQ.BY:____ORIGINATING STAFF PERSON: _SARAH BRIDGEFORD EXT: _ ., TYPE OF DOCUMENT(CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT(E.G,RFB,RFP,RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT x PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT x HUMAN SERVICES/CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT(E.G BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACTAMENDMENT(AG#): ❑ INTERLOCAL ❑ OTHER PROJECT NAME: BEHAVIORAL HEALTH OUTREACH AND PREVENTION EDUCATION NAME OF CONTRACTOR: WASHINGTON ASIAN/PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCE ABUSE ADDRESS: 28815 PACIFIC HIGHWAY S,STE 7A,FEDERAL WAY,WA 98003—TELEPHONE ,_206-915-6575 E-MAIL: AILEEN@WAPISEATTLE.ORG FAX: SIGNATURE NAME: AILEEN DE LEON TITLE EXECUTNE DIRECTOR EXHIBITS AND ATTACHMENTS:x SCOPE,WORK OR SERVICES x COMPENSATION x INSURANCE REQUIREMENTS/CERTIFICATE x ALL OTHER REFERENCED EXHIBITS x PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS TERM: COMMENCEMENT DATE:_JANUARY 1,2019 - m COMPLETION DATE: DECEMBER 31,2020,___ TOTAL COMPENSATION$ 18,000.I'0 m,.,,,,,,,,,, .m,.,.,.,.,.,._..........._.__.____-- (INCLUDE EXPENSES AND SALES TAX,IF ANY) LY (IF CALCULATED ON HOURLABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE:❑YES ❑NO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑YES LINO IF YES,$ PAID BY:❑CONTRACTOR❑CITY RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT(SEE CONTRACT) OR ❑RETAINAGE BOND PROVIDE x PURCHASING: PLEASE CHARGE TO; 001-7300-083-562-10-410 0. DOCUMENT/CONTRACT MAREVIEW :6 �/�D 1I�1- E x I '_ED INITIAL/DATE APPROVED El PROJECT NAG , ❑ DIRECTOR b .. ,,.... ❑ RISKMANAGEMENT (IFAPPLICABLE) ❑ LAW :mm .t I 1. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 2. CONTRACT SIGNATURE ROUTING SENT TO VENDOR/CONTRACTOR DATE SENT: DATE/ ❑ ATTACH: SIGN.�T U[I.E AU 11O'I�II"Y INSURANCE CERTI I LIQ LNSI XHIBITS RECD: ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (Include dept.support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) INITIAL/DATE SIGNED ❑ LAW DEPARTMENT ,I" 0a t „ f;�I'C��NAI'ORY(MAYOR OR DIRECTOR) ❑ CITY CLERK n_r ❑ ASSIGNED AG# AG# ❑ SIGNED COPY RETURNED DATE SENT: OMME 1/2018 C17Y OF CITY HALL 33325 8th Avenue South FederallWay Federal Way,WA 98003-6325 m000mmmWup (253) 835-7000 watz, www cityoffederalway.com HUMAN SERVICES AGREEMENT FOR BEHAVIORAL HEALTH OUTREACH & PREVENTION EDUCATION This Human Services Agreement("Agreement")is made between the City of Federal Way,a Washington municipal corporation ("City"), and Washington Asian-Pacific Islander Families Against Substance Abuse, a Washington nonprofit corporation("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: WASHINGTON ASIAN-PACIFIC ISLANDER CITY ................. .... .... .... OF FEDERAL WAY: FAMILIES AGAINST SUBSTANCE ABUSE: Aileen De Leon Sarah Bridgeford 28815 Pacific Hwy S, Suite 7A 33325 8th Ave. S. Federal Way, WA 98003 Federal Way, WA 98003-6325 (206) 915-6575 (telephone) (253) 253-835-2651 (telephone) (253) 253-835-2609 (facsimile) aileen�q,wapiseattle.org _ sarah brid efordPcityoffederalway.com The Parties agree as follows: 1. TERM. The term of this Agreement shall be for a period commencing on January 1, 2019 and terminating on December 31, 2020 ("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 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 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 the 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 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 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 - 3/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway.cam 4.2 Method of Payrr�ea t.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 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 Community 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 Exhibit B. If the Agency's final invoice,supporting documentation,and reports are not submitted by the last date specified in Exhibit B,the City shall be relieved of all liability for payment to the Agency of the amounts set forth in said invoice or any subsequent invoice;provided, however, that the City may elect to pay any invoice that is not submitted in a timely manner. 4.4 Budget.The Agency shall apply the funds received from the City under this Agreement in accordance with the line item budget set forth in Exhibit B.The Agency shall request in writing prior approval from the City to revise the line item budget when the cumulative amount of transfers from a line item in any Project/Program Exhibit is expected to exceed ten percent(10%)of that line item. Supporting documents are necessary to fully explain the nature and purpose of the revision,and must accompany each request for prior approval.All budget revision requests in excess of 10%of a line item amount shall be reviewed and approved or denied by the City in writing. 4.5 Non-A.ropfiation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period,the City will not be obligated to make payments for Services or amounts incurred after the end of the current fiscal period,and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Agency Indeninificat o.n. The Agency agrees to release, indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, demands,actions,suits,causes of action,arbitrations,mediations,proceedings,judgments,awards,injuries,damages,liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including,without limitation,their respective agents, licensees, or representatives arising from,resulting from, or in connection with this Agreement or the performance of this Agreement,except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,then,in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Agency and the City,the Agency's liability hereunder shall be only to the extent of the Agency's negligence. Agency shall ensure that each subcontractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the 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 hisurance 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 - 3/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 (253) 835-7000 www cltyoffederalway com 5.3 City Inde- nifica IJ on.The City agrees to release,indemnify,defend and hold the Agency,its officers,directors, shareholders, partners, employees, agents, representatives, and subcontractors 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 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: 6.1. Minimum Limits.The Agency agrees to carry as a minimum,the following insurance,in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability*insurance covering liability arising from premises,operations,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$2,000,000 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 ofLJ abi 1i ly. 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 Insurede a ification. 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 the 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 shall 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 - 3/2017 IT of CITY MALL 33326 8th Avenue South Fed�eral Way Federal Way,WA 98003-6325 (263) 835-7000 www Wyoffederafway cam 9. BOOKS AND RECO11.DS. The Agency agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Services and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be maintained for a period of six(6)years after the termination of this Agreement and may be subject,at all reasonable times, to inspection, review or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. 10. INDEPENDENT CONTRACTOR.The Parties intend that the Agency shall be an independent contractor 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 OIC,INTER EST. 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 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. EQUAL OPPORT UNITY EMPL,0N11.11.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 limited to, the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship.Agency shall comply with and shall not violate any of the terms of Chapter 49.60 RCW,Title VI of the Civil Rights Act of 1964,the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973,49 CFR Part 21,21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination. 13. GENERAL PROVISIONS. 13.1 Intemretation and Modificatiorr. This Agreement, together with any attached Exhibits, contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements,whether oral or written,shall be effective for any purpose. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement,the terms of this Agreement shall prevail.The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement.Any provision of this Agreement that is 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. 13.2 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 Party.If the non- HUMAN SERVICES AGREEMENT - 4 - 3/2017 ITT OF CITY HALL 33325 8th Avenue South Federal Way Federal Way.WA 98003-6325 (253) 835-7000 www ciryoffederalway 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 Co'lppdiance witli 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 all of its provisions in which performance is a factor.Adherence to completion dates set forth in the description of the Services is essential to the Agency's performance of this Agreement.Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning of this Agreement.Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail,postage prepaid,to the address set forth above.Any notice so posted in the United States mail shall be deemed received three(3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended to be exclusive,but shall be cumulative with all other remedies available to the City at law,in equity or by statute.The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement,or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately upon occurrence shall not waive such breach or 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 claim, shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County,Washington, unless the parties agree in writing to an alternative process.If the King County Superior Court does not have jurisdiction over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County,Washington and waives any objection that such courts are an inconvenient forum.If either Party brings any claim 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 shall constitute one instrument,but in making proof hereof it shall only be necessary to produce one such counterpart.The signature and acknowledgment pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement shall be the"date of mutual execution"hereof. [Signature page follows] HUMAN SERVICES AGREEMENT - 5 -- 3/2017 ITT OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 r ' (253) 835-7000 www cityoffederalway com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: ATTEST: w M Jim Fevre,, ayor Stephanie Courtney, CM�" ity :" erk APPROVED AS TO FORM: DATE: ... Ran Call C J. y City y Attorn ey WASHINGTON ASIAN-PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCE ABUSE: By Printed Name: „1 Title: t DATE: ..�.......� � ... STATE OF WASHINGTON ) ) ss. COUNTY OF KING ) On this day personally appeared before me Ai. to me known to be the �� of >.d instrument he free and voluntary k 5, �-that executed the foregoing .... � d tl�c sa � t to be t .... ..... r.nstr unIC1at;„and ackrrowle,c� e ry 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 Z day of�. 201 . Notary's signature J Notary Public . .� ry p N. Stat ,� Nguyen� Notary's ranted name � otary 1' iic in and 1 t e of Washington. Mate rat astrin ton My corninission expires 71114 . Ft0== ?"lrissi n Nurnher 200162 Y Gu;rr:,sissio0 Expires July 14,2022 HUMAN SERVICES AGREEMENT - 6 - 3/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 08003-6325 (253) 835-7000 www cityof/ederalway com EXHIBIT A SERVICES Project Summary The Agency shall provide culturally competent and age appropriate prevention and substance abuse treatment 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: 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter Total JAN.— APRIL— JULY— OCT.— MARCH JUNE SEPT. DEC. No. of unduplicated Federal Way persons assisted in 2019 12 12 12 12 48 No. of unduplicated Federal Way persons assisted in 2020 12 12 12 12 48 B. Units of Service The Agency agrees to provide, at minimum, the following units of service by quarter: ist 2nd 3rd 4th Quarter Quarter Quarter Quarter Total JAN.— APRIL— JULY— OCT.— MARCH JUNE SEPT. DEC. 2019 1. Counseling 12 12 12 12 48 2020 1. Counseling 12 12 1 12 12 1 48 C. Defmition of Services 1. Counseling: counseling is measured by the number of completed assessments into substance use disorder or mental health treatment. HUMAN SERVICES AGREEMENT - 1 - HSA Exh 5/2017 ITT OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 (253) 835-7000 www.cityoffederalway.com D. Performance Measure(s) ....... �.. _.... _.. ..... Outcome(s) to be reported: 1. Individuals will have improved health. Records A. Project Files The Agency shall maintain files for this project containing the following items: 1. Notice of Grant Award. 2. Motions, resolutions, or minutes documenting Board or Council actions. 3. A copy of this Agreement with the Scope of Services. 4. Correspondence regarding budget revision requests. 5. Copies of all invoices and reports submitted to the City for this project. 6. Bills for payment with supporting documentation. 7. Copies of approved invoices and warrants. 8. Records documenting that costs reimbursed with funding provided under this Scope are allowable. Such records include, but are not limited to: 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 - 2 - HSA Exh 5/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 Federal Way (253) 835-7000 www cityoffederalway corn 9. 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 County FY 2018 Income Limits Summary (effective 41112018) ...................... ........... FY 2018 Median Income Income 1 2 3 4 5 6 7 8 King County Limit Person Persons Persons Persons Persons Persons Persons Persons Category Extremely Low (30%) $22,200 $25,700 $28,900 $32,100 $34,700 $37,250 $39,850 $42,400 Income Limits Very Low $103,400 (50%) Income $37,450 $42,800 $48,150 $53,500 $57,800 $62,100 � $66,350 � $70,650 Limits Low (80%) $56,200 $64,200 $72,250 $80,250 $86,700 $93,100 $99,550 $105,950 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. 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 - 3 - HSA Exh 5/2017 CI HALL CITY F 33325 8th Avenue South Federal Way,WA 98003-6325 l,t, 1� Federal Way (253) 835-7000 www cityoffederal way.com EXHIBIT B COMPENSATION Project Budget The Agency shall apply the following funds to the project in accordance with the Line Item Budget Summary, detailed below. The total amount of reimbursement pursuant to this Agreement shall not exceed Eighteen Thousand and 00/100 Dollars ($18,000.00). .......... — A. City of Federal Way Funds 2019 2020 City of Federal Way General Fund: $9,000.00 $9,000.00 Total City of Federal Way Funds: $9,000.00 $9,000.00 B. Line Item Budget 2019 2020 Personnel Services (detail below) $6,848.00 $6,848.00 Office or ... Operating Su lies $121.00 $121.00 Insurance $161.00 $161.00 Travel and Trainingmmmmmmmm $443.00 $443.00 Communications _ $77.00 $77.00 Administration(Overhead) mmm $1,350.00 $1,350.00 W ..Total City of Federal Way Funds: $ ...... ....................W......9,000.00 $9,000.00.... C. Personnel Detail Position Title Position Full- Annual Salary HS Funds Time Equivalent and Benefits Chemical Dependency 0.16 $42,800.00 $6,848.00 Professional Trainee Total: $42,800.00 $6,848.00 Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly and are due on the following dates: 1 st Quarter: April 15 or within 10 days of notice to proceed, whichever is later; 2nd Quarter: July 15; 3rd Quarter: October 15; and 4th Quarter: Final Reimbursement Request and Service Unit Report forms due January 6; 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 - 4 - HSA Exh 5/2017 CITY OF CrTY HALL 33325 8th Avenue South Federal 'Way Federal Way,WA 98003-6325 (253) 835-7000 w cityoffederadway.com Estimated Quarterly Payments: 2019 1 st Qtr $2,250.00 2nd Qtr $2,250.00 3rd Qtr $2,250.00 4th Qtr $2,250.00 2020 1St Qtr $2,250.00 2nd Qtr $2,250.00 3rd Qtr $2,250.00 4th Qtr $2,250.00 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 Fu,ndin 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. HUMAN SERVICES AGREEMENT - 5 - HSA Exh 5/2017 State of Washington Department of Social and Health Services Division of Behavioral Health and Recovery TraniPormbii,g fives ADMINISTRATOR CHANGE NOTIFICATION FORM BEHAVIORAL HEALTH AGENCY SERVICE PROVIDER • Washington Administrative Code (WAC) 388-877-0400(1) requires the governing body to appoint an administrator responsible for the day-to-day operation of the services. • WAC 388-877-0400(2) requires the governing body to maintain a current job description for the administrator including the administrator's authority and duties(see WAC 388-877-0410). • WAC 388-877-0400(4) requires the governing body to notify the department, Division of Behavioral Health and Recovery(DBHR)within 30 (thirty) days of a change in the agency administrator. NAME OF AGENCY: WAPI Community Services CD Certification Number. 7 - ® 7 8 �.._.. _ ..... .e ....._ �....... ............ . MH License Number Note: If the person named below is being appointed as Administrator of more than one certified agency or branch, ge_ nc y numbers for which the Administrator will be responsible. then attach a List o al a _nameswan New Administrator Name: Title: Aileen De Leon Executive Director Date Appointed: Administrator's E-mail: Administrator's Telephone: 01/02/2015 aileen awa�piseattle.org 206-223-9578 ext. 11 INSTRUCTIONS: Return this signed form with: 1. A copy of the result of a criminal background check that has been completed by the Washington State Patrol within the last 365 days on the person appointed. 2. A copy of the job description signed by a member of the governing body and the appointed administrator that includes key responsibilities listed in WAC 388-877-0410 as well as elements listed in WAC 877-0510(1)(e). 3. Signature on this form from a member of the governing body. Printed Name of Member of the Governing Body Submitting Title: Form: Clinical Supervisor Miae Aramori g Date of Signature: Signa t Mailing Address: Telephone: (206)223-9578 3722 S Hudson Street (Lower Level) Seattle, WA 98118 Fax: ( 206) 838-1851 Submit these items within 30 days of the Admin""mt"-_"_"_-a"—"t—m . E-mail: iistrator appointment to: Division of Behavioral Health and Recovery Certification Provider Request Manager Post Office Box 45330 Olympia,Washington 98504-5330 FAX: (360)725-2279 If you have any questions or concerns, contact the Certification Provider Request Manager by calling DBHR toll free 1-877-301-4557 or 360 725-3819 or e-mail darrel.streets dshs.wa. ov . Administrator Change Notttacation—04111114 WATCH Search Results- o.Match - Washington State Patrol Page 1 of I Tuesday, January 0 , 2015 4=WATCH WASHINGTON ACCESS TO CRIMINAL HISTORY Web Search No Record Washington State Patrol Identification and Criminal History Section P.O. Box 42633 Olympia, Washington 98504-2633 Telephone (360) 534-2000 THE FOLLOWING C FURNISHEDIS L USE ONLY This report was generated from a transaction run on 01/06/2015 at 14:19 Child/Adult Abuse Information Act RCW 43.43.830-845 Pursuant to the purpose of inquiry, NO Record was found in the Washington State Criminal History Repository based on the descriptors provided: DELEON HENRY,AILEENC DOB 05/23/1977 SEX U RAC This may mean that the person you searched for has no criminal conviction record OR that your search criteria did not match the spelling of the person's name or date of birth, Positive identification or non-identification in the Washington State Patrol's database, can only be determined by fingerprint comparison. https:Hfortress.wa.gov/wsp/watch/Inbox?rsPage=detail LocalIndex=0 1/6/2015 WAR JOB DESCRIPTION Position: Executive Director Reports to: Board of Directors Category: 1.0 FTE/Grant Funded/Exempt Summa Statement. Under the general supervision of the Board of Directors, the Executive Director is responsible for the overall management of the agency. The major functions of the Executive Director is: managing overall operations of the agency, maintaining board relations,ensuring sound fiscal operations of the agency,program planning/development, grant development, acting as a compliance contact to outside jurisdictions and their regulatory authorities. The executive director also serves as "Agency Administrator"and completes all duties listed as per the WAC 388-805-145. Duties and Responsibilities: 1. PROGRAM MANAGEMENT • Oversee development and implementation of all of WAPI's programs • Identify issues affecting WAPI's constituents for new programs and projects • Represent WAPI in coalitions,committees and conferences • Serve as WAPI's spokesperson and increase WAPI's visibility in the community • To maintain on-going evaluation of the agency in fulfilling its objectives. 2. FUNDRAISING • Ensure adequate funding is in place so that WAPI's goals are achieved • Oversee development and submission of grant proposals to public and private funding sources, both ongoing and new. • Work with Board to develop and implement fundraising strategies 3. FINANCIAL MANAGEMENT&REPORTING • Oversee annual budget and monitor revenues and expenditures • Oversee submission of grant reports, updates and annual reports • Ensure that WAPI is in compliance with policies and procedures of funders, including WAC 440-22-155. • To assure sound fiscal operations and improve funding base of the agency as appropriate in the context of agency goals. 4. ORGANIZATIONAL • Ensure smooth day-to-day operations • Provide supervision, leadership and guidance to staff and volunteers Washington Asian Pacific Islander Community Services 606 Maynard Ave S#106 Seattle. WA 98104 1(0)206.223.9578 1(F)206.838.18511 wapiseattle.org WAR • Ensure performance evaluations are conducted on a regular basis • Acts as the agency administrator and completes all duties as per the WAC 388-805-145. • Acts as the agency's TB Infection Control Monitor and follows policy's as per WA state's model TB policy Duties and responsibilities may be added or deleted as determined necessary by the Board of Directors. MINIMUM QUALIFICATIONS • Master's degree in social work, public administration or related field or equivalent work experience related to field. • Deep understanding and experience with substance abuse issues and services • Must have at least three years of recovery and drug free lifestyle as of the date of the application. • Direct experience working with or deep understanding of Asian Pacific Islander issues/communities/cultures Cultural competency, as defined by SAMHSA. • Must be able to work with people of diverse cultural,educational,social, and economical background. • Experience in administration, management, human service or other directly related fields. • Ability to think develop and implement operating plans. • Ability to lead and to foster leadership • Excellent written and verbal skills PREFERRED QUALIFICATIONS • Bilingual or bicultural capabilities with Asian/Pacific languages and cultural groups. • Previous experience as an Executive Director in comparable agency or equivalent experience Washington Asian Pacific Islander Community Services 606 Maynard Ave S#106 Seattle. WA 98104 1(0)206.223.9578 1(F)206.838.18511 wapiseattle.org WADI Executive Director Job Opportunity i 001 .®- ® e ® • Opportunity Summary: WAPI is a non-profit agency dedicated to Seattle's underserved youth of color to provide drug and alcohol rehabilitation through counseling and alternative programs—both culturally relevant to those we serve.To lead WAPI and its youth to future success,we are seeking an Executive Director committed to carry out our mission,values and passion for helping the youth.We seek a Strong leader who shares the deep interest we have in making a meaningful impact to the challenged community of Asian Pacific Islander youth and youth of color. Our Programs: Our Mission: Street Scholars—Leadership and drug treatment To provide.and advocate for culturally:competent program focused on awareness of substance and age'-appropriate prevention and substance abuse and social justice to promote educated abuse treatment services for Asian Pacific Islander decisions about staying sober Youth and altYouth of Color. Prevention—Activities and services led by the youth alongside advisors focused on social jksti;e Our11on: and cultural identity building To create an enviroiiinent for children,youth, Katatyst—Youth driven music and art education acjults,families and communities that is healthy Iwro rare!providing a healthy-altQFnativ@ L&substanteabuse free � environment,peer support and social justice We are seeking an Executive Director that will guide as well as inspire our agency to carryout impactful programs and breakdown barriers to further success.The ideal candidate will be a dynamic leader,resourceful,strategic and collaborative. The role will directly impact those we serve as well as extend to the community and stakeholders as the face of the agency,be responsible and accountable to the Board of Directors and shape the environment of our program and staff.We are seeking a candidate that believes in the organization and one that will help pave the road to future success by forging strengths and seeking opportunities for the program. The Executive Director will manage overall operations,maintain board relations,ensure sound fiscal operations of the agency, manage programs and be responsible for grant development.The Executive Director also serves as"Agency Administrator" and completes all duties listed as per the Washington State certification requirements for chemical dependency service providers: Responsibilities V Executive Director responsibilities include,but are not limited to the following: PROGRAM MANAGEMENT Oversee development and implementation of all of WAPI's programs Identify:issues affecting WAPI's constituents for new programs and projects Represent WAPI in coalitions,committees and conferences Serve as WAPI's spokesperson and increase WAPI's visibility in the community Maintain on-going evaluation ofthe agency in fulfilling its objectives. FUNDRAISING — In consultation with the board of directors,ensure adequate funding is in place to achieve WAPI's goals WAPI Executive Director Job Opportunity Oversee development,submission,and reporting of grant proposals to public and private funding sources,both ongoing and new Work with Board to develop and implement new and diverse fundraising strategies FINANCIAL MANAGEMENT&REPORTING — Oversee annual budget and monitor revenues and expenditures — Oversee submission of grant reports,updates and annual reports — Maintain compliance with policies and procedures of funders,including WAC 440-22455 — Ensure sound fiscal operations and improve.funding based on agency goals. ORGANIZATIONAL — Represent WAPI at community events — Provide supervision,leadership and guidance to staff and volunteers — Conduct performance evaluations on a regular basis Desired Experience: The candidate should demonstrate the following competencies Substance Responsibility:Understanding and experience with substance abuse issues and services.Must have a drug free lifestyle as of the date of the application Cultural Competency:Direct experience working with or deep understanding of Asian Pacific Islander issues/communities/cultures.Must be ableto work with people of diverse cultural,educational,social,and economical background cultural competency Strong Leadership:Ability to lead and to foster leadership.Experience working with a board of directors and/or volunteer committees Management and Operations:Experience in administration,management,human service or other directly related fields. Budget and budget forecasting experience.Ability to think,develop and implement operating plans Fundralsing:Experience in fundraising and fund development,including events,grants management,and donor cultivation. Experience in the grantmaking process. Relationship Building:Ability to cultivate and manage relationships within the agency,community members and donors Education:Master's degree in social work,public administration or related field or equivalent work experience related to the field: Non-profit Experience:5-10 years in the nonprofit sector Position Details: 1 FTE Grant Funded Exempt employee 35-40 hours per week Salary:$40,0.00-45,000 annually Reports to the Roard of Directors Emple`e tetra � ' Date reserrtative—Board of Directors Date CITY of CITY HALL 33325 8th Avenue Federal, Way Federal Way,WA 98003-6325 (253) 336-7000 www.ciP,yoffe4d.,Ytqr(,ilviaf��q,.com City of Federal Way Human Services Contract for 2019-2020 General Fund Authorized Signatures for Invoices I authorize the following individuals to sign invoices and quarterly reports on behalf of: (Contracting Agency), for the following '" i✓�°���� "�� m (Program Title). m" : ° . Authorizing r Signature: (must be signed by (Printed Name) (Title) person who signs the contract, generally, " Executive Director) .. r'w; " ", _. w. t.( 0N 1 (S,( ' ature) (Date) Additional Authorized Signature: (Printed Name) (Title) (Sinature) (Date Additional Authorized Signature: (Printed Name) (Title) (Signature) (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. 3/14/2019 Corporations and Charities System BUSINESS INFORMATION Business Name: WASHINGTON ASL4,N/PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCEABUSE UBI Number: 601 437 903 Business Type: WA NONPROFIT CORPORATION Business Status: ACTIVE Principal Office Street Address: 28815 PACIFIC HWY S STE 7A,FEDERAL WAY,WA,98003-3876,UNITED STATES Principal Office Mailing Address: 28815 PACIFIC HWY S STE 7A,FEDERAL WAY,WA,98003-3876,UNITED STATES Expiration Date: 01/31/2020 Jurisdiction: UNITED STATES,WASHINGTON Formation/Registration Date: 01/04/1993 Period of Duration: PERPETUAL Inactive Date: Nature of Business: BEHAVIORAL HEALTH SERVICE PROVIDER REGISTERED AGENT INFORMATION Registered Agent Name: AILEEN DE LEON Street Address: 28815 PACIFIC HIGHWAY S SUITE 7A,FEDERAL WAY,WA,98003-3876,UNITED STATES Mailing Address: GOVERNORS ............ Title Governors Type Entity Name First Name Last Name mm GOVERNOR INDIVIDUAL GABRIELLE JOYCE GOVERNOR INDIVIDUAL JAMIE DO GOVERNOR INDIVIDUAL SAMANTHA GARCIA https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation WASHASI-01 ..................... .") S'TER ACORO' YYYY) MMIDD/ CERTIFICATE OF LIABILITY INSURANCE 11DATE(MMIDDf 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT PLC Insurance LLC PHONE (425))712-3664 ,,,,,,,,,,,,,,,,,, {A L..Nol(425).712-3786 19401 40th Ave W,Suite 440 M^"L„ IC ICi�ns.com LYMWOOd,WA 98036 INSURER($,),AFFORDING COVERAGE �.INSURER,A:Philadelphiaelhia lnde ant Ins Co....... ..... ..118058. 11 as B Phtlad. P , ce Co ... 18058. INSURED INSURER , Washington Asian Pacific Islander IN URER c. 3722 S.Hudson St. INSURER D: Seattle,WA 98118 INSURER E: INSURER F:�� �� COVERAGES CERTIFICATE NUMBER. w............ ........ REV"$SI0NNUM,@E,R: 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 7 ADDI.SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE IVSD WVD POLICY NUMBER LIMITS R, ......... �(MM/DDIYYVY) IMM/DD�IYVYYI A j X COMMERCIAL GENERAL LIABILITY ��CMACE TO RENTED 100,000 H DCCtIRRENCE $ 1,000,000 CLAIMS MADE X J OCCUR PHPK1942372 4/1/2019 4/1/2020 PQi,.kMh aE'S LES, r urArc,n 1 MED EXP(Anyone�pprson) $ 5,000 _ ...... .................. ,��,m,,, PERSONAL&ADV INJURY $ 1,000,000 I rE�N POLICY AGGREGATE LIMIT ECT�PLILS PER: .GENERAL A1.GGREGATE g 3 000 000 i LOC PRODUCTS-COMPIOP AGG �$ 3,000,000 n�HER. WA STOP GAP 1,000 000 A COMBINED SINGLE LIMIT I$ 1,000 000 AUTOMOBILE LIABILITY (E aamldenQ 11 X ANY AUTO PHPK1942372 4/1/2019 4/1/2020 BODILYINJURY(Perperson) $ ................... AUTOS ONLY AUTOS BOD!YINI,UR,Y(PeraC6lden:91L$ ., OWNED SCHEDULED 11111- HIRED NO •V hg"O I3„"Hw'DPLH'6W" ..MACE ............... AUTOS ONLY .., AllC)S rDL"Y" ( *a uc�.�dr,nE, .......... .$ ,,,,,,,, .,.. �� ....�, .... .�. ..�. 1,000000 PHU6664873 4/1/2019 4/1/2020 B X UMBRELLA LIAR OCCUR � EACH OCCURRENCE $ , EXCESS LIAB CLAIMS MADE AGGREGATE is 1,000,000 DED X RETENTION$ .... .. STAT(dTE, WORKERS COMPENSATION T PER 0TH_ ANDEMPLOYERS'LIABILITY 1 ER:. .... -------------------------- YIN -- .........YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E,L EACH ACCIDENT $ "gF n,ERWEMBER EXCLUDED. o NIA ')eta-redatory in NH) EL.DISEASE-EA EMPLOYEE$ A Professional Liab. PHPK1942372 411/2019 I~ 41112020 Prof. If yes,describe under .... w m .DESCRIPTION OFOPERATIONS below .), _ _ C'.d. G�ISEASF POLICY LIMIT $ rof.Liab.Incident 1,000,000 A 'Professional Liab. PHPK1942372 4/1/2019 4/1/2020 Prof.Liab Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Federal Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y y ACCORDANCE WITH THE POLICY PROVISIONS. 33325 8th Ave S Federal Way,WA 98003 - AUTHORIZED REPRESENTATIVE ............................ ... ......... ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1011 Refugee Women's Alliance (ReWA) Amended and Restated Bylaws January 9, 2019 ARTICLE I. NAME The name of the organization shall be Refugee Women's Alliance (ReWA). ARTICLE II. PURPOSE ReWA(Herein referred to as the "Corporation.") is a nonprofit multi-ethnic organization that promotes inclusion, independence,personal leadership and strong communities by providing refugee and immigrant women and families with culturally and linguistically appropriate services. The Corporation advocates for social justice,public policy changes, and equal access to services while respecting cultural values and the right to self- determination. ARTICLE III. MEMBERSHIP The Corporation shall have no members. ARTICLE IV. BOARD OF DIRECTORS Section 1: Role of the Board The Corporation shall be governed by a Board of Directors, which shall exercise all the powers of the Corporation except as otherwise provided herein. Section 2: Number and Term a. The membership of the Board of Directors shall be from twelve to fifteen and shall consist of individuals who are interested in the welfare of refugee and immigrant women and their families. 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. b. A majority of Directors shall be women. All efforts shall be made to have majority representation from individual ethnic groups that have a presence the Corporation's services and programs. Each Director shall be elected to a term of three years, and may be reelected for an additional two terms. Directors may serve additional terms upon approval of the Board of Directors. c. Candidates for the Board of Directors may be nominated by any currently serving Director or the Executive Director. Candidates shall provide a written application and resume. Candidates will be reviewed by the Executive Committee, and if approved recommended to the Board. Approval shall be by a simple majority of a quorum of the Board. d. A Director may take a sabbatical from Board service. Directors on sabbatical from the Board shall not be counted as part of the Board for purposes of determining a quorum under these Bylaws. Sabbaticals may be for up to one year. To assure the continuity and functioning of the Board, the Board in its discretion may extend or shorten sabbatical terms. a:. The Executive Director attends the board meetings as an ex-officio member,but does not vote. Section 3: Vacancies The Board of Directors shall have the power to fill any vacancy occurring in the Board and any Directorship to be filled by reason of an increase in the number of Directors by amendment to these Bylaws. Section 4: Resignation or Removal a. Resignation from the Board must be in writing and received by the Executive Director and will be documented in the minutes of the next Board meeting. b. Directors are expected to make board-meeting attendance a priority. A Director's board term will end immediately when she or he has three unexcused absences from Board meetings in a consecutive 12-month period. Excused absences include illness, vacation, and unexpected family or work emergencies. When unable to attend, notification to the Board Chair is expected. c. A Director who violates the Code of Conduct,the Conflict of Interest Agreement or in any other way fails to meet her or his responsibilities as a Director may be removed from the Board by a two-thirds majority vote of the Directors or Executive Committee. Section 5: Conflict of Interest a. The Board of Directors shall be comprised of neither employees nor relatives of employees, officers or directors of the Corporation. For the purposes of this Section, a relative is defined as a husband,wife, father, father-in-law,mother, mother-in-law,brother,brother-in-law, sister, sister-in-law, daughter, daughter-in- law, son, son-in-law,niece, nephew, grandparent, grandchild,uncle, aunt, stepchild, and domestic partner. In addition, the relatives of a domestic partner shall be considered relatives to the same extent such relatives would be included in this section, as if the employee and domestic partner were married. b. The Board shall not enter into any contract or transaction with: (a) one or more of its Directors, (b) a Director of a related organization, or(c) an organization in or of which a Director of the Corporation is a director, officer, or legal representative,.or in some other way has a material financial interest unless: 1) That interest is disclosed to the Board of Directors, 2) The Board approves, authorizes or ratifies the action in good faith, 3) The approval is by a majority of Directors (not counting the interested Director), 4) At a meeting where a quorum is present(not counting the interested Director),the interested Director may be present to answer questions,but may not advocate for the action to be taken and must leave the room while a vote is taken. The minutes of all actions taken on such matters shall clearly reflect that these requirements have been met. c. All prospective Directors shall disclose any potential conflicts of interest between said prospective Board member and the Corporation. d. Any Director who anticipates or identifies a conflict of interest shall recues herself or himself from any discussion or decision pertaining to the identified conflict. The individual shall not be entitled to vote in regard to the identified conflict. Section 6Relationship between the Board of Directors and the Executive Director The Board primarily governs and provides counsel to the Executive Director. It does not and should not get involved in the day-to-day management of the Corporation. The Executive Director is primarily responsible for leading the organization. Section 7: Duties of the Board of Directors The duties of the Board of Directors shall include,but are not limited to,the following: a. Maintain the continuity and the identity of the Corporation in the community. b. Be legally responsible for the conduct of the business of the Corporation. c. Determine,periodically review, and revise the Board policies that guide the work of the Corporation including personnel policies, the Investment Policy and the Internal Controls Policy. d. Obtain finances, determine the financial plan or budget, and annually authorize and receive an audit. e. Represent the Corporation in the community and develop informed interest and support. f. Review the Corporation's programs and services in light of changing needs. g. Engage in long-term planning to meet the needs of the Corporation. h. Steward the care of the Corporation's property and funds. i. Hire and supervise the Executive Director, including an annual performance and salary review. i. Exercise discretion and judgment when discussing matters of the Corporation during and outside of meetings. k. Carry out any other duties it deems necessary and proper by the Board of Directors. cctaoti.: Meeti.a gs ofthc Board of Directors a. The Corporation's Board of Directors shall meet, at minimum, six (6)times per year. The meetings shall be held at a time and a place as determined by the Chair in consultation with the Executive Director. Telephonic or Web-based meetings are acceptable under this paragraph. b. Written notice of meetings providing the place, date, and time will be provided in writing at least five days in advance. c. Special meetings of the Board may be called by the written request of one-third of the Directors then in office or by the Board Chair. Directors shall be notified in writing at least five working days before the special meeting takes place. The special meeting notification shall state the reasons that the meeting has been called,the business to be transacted, and who called it. No other business but that specified in the notification may be transacted at this meeting without the unanimous consent of all present at the meeting. d. A simple majority of the Board of Directors shall constitute a quorum. e. The regular meeting in January shall be known as the annual meeting. f. The annual meeting of the Corporation shall be held for the purpose of: 1. Providing for the general interest of the organization by promoting and interpreting its purposes and activities. 2. Electing Officers of the Corporation when the term of any such officer expires. 3. Meeting in executive session per Section 8.h. 4. Conducting any other business that may arise. g. Members of the Board of Directors, or its committees,may participate in meetings by means of teleconferencing in which all participants can hear each other at the same time. Participation by such means shall constitute presence at the meeting and inclusion in the voting process. Use of teleconferencing at Board meetings shall be limited to special circumstances with prior approval from the Board Chair. h. Members of the Board of Directors will convene an executive session at the Annual Meeting to provide Board Members an opportunity to discuss matters of a confidential or sensitive nature. Additional executive sessions may be held at the discretion of the Chair. The Chair may invite non-members who may have pertinent information to the discussion. Minutes are not taken during executive session. Section 9: Voting 1. At meetings, all votes shall be by voice,unless the majority requires a written ballot. In the event that a ballot is required, there shall not appear any place on such ballot to indicate the person who cast the ballot. 2. Each Director shall have one vote and such voting may not be done by proxy.. 3. The Chair shall not vote unless it is to break a tie vote among the Directors. ARTICLE V.ACTIONS BY WRITTEN CONSENT Any corporate action required or permitted by the Corporation's Articles of Incorporation or Bylaws, or by 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 actions 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. The Corporate Secretary will document such votes in the corporate records. ARTICLE VI. OFFICERS Section 1: Officer Enumerated The Officers of the Corporation shall be: a Chair, a Vice Chair, a Secretary, and a Treasurer. The Officers of the Corporation shall be elected and voting shall be by simple majority from the membership of the Board. The Officers shall perform the duties prescribed by these Bylaws and perform such other duties as the Board of Directors may prescribe. Section 2: Duties I. The Chair shall preside at all meetings of the Board of Directors and Executive Committee; oversee the activities of the Corporation and execute all instruments on its behalf, serve as an ex-officio member of all standing committees of the Corporation except the Executive Committee; and perform other duties usually inherent in such office. 2. In the absence of the Chair,the Vice Chair shall serve in the capacity of the Chair.. The Vice Chair may serve as Chair Person for any committee and shall undertake other responsibilities as assigned by the Chair. 3. The Secretary shall ensure that minutes are taken at each meeting of the Board of Directors, keep records of all meetings including attendance, and perform such duties as the Chair may direct. 4. The Treasurer shall review financial records and submit periodic reports concerning the finances of the Corporation to the Board of Directors. Section 3: Term Each officer shall be elected for a term of two years and shall serve until her or his successor is duly elected and qualified. No person shall hold more than one office at a time. The term of office shall begin at the close of the Annual Meeting when elected and shall continue until the close of the Annual Meeting of the second year of office or until successors are elected. Officers may serve additional terms upon approval of the Board. ARTICLE VII. COMMITTEES Sectionl: Executive Committee The Executive Committee members shall consist of the Chair,Vice Chair, Secretary, and Treasurer. The Executive Committee shall be responsible for developing and monitoring the strategic plan,reviewing personnel policies, the annual evaluation and compensation of the Executive Director, and dealing with miscellaneous board issues. Section 2: Ad Hoc Committees The Board of Directors may form ad hoc committees as needed. ARTICLE VIII.ADMINISTRATIVE AND FINANCIAL PROVISIONS . Arnendi em od*B e Section 1: Annual Review,arid AL The Board shall review the Bylaws annually. The Bylaws may be amended at any Board of Directors meeting by a simple majority of the quorum of Directors. Written notice specifying a proposed change or changes shall be sent to the members of the Board of Directors at least ten days before they are asked to vote on amendments. Section 2: Rules of Procedure The rules contained in the current edition of Robert's Rules of Order shall govern the organization in all cases to which they are applicable and in which they are not inconsistent with these Bylaws. Section 3: Fiscal Year The last day of the fiscal year of the Corporation shall be December 31. Section 4: Loans Prohibited The Corporation shall make no loans to any officer or to any Director. CERTIFICATION: Eileen Concannon being the Secretary of the Corporation hereby certifies that the Board of Directors duly adopted the foregoing Bylaws as amended on January 91h 2019. --o"i WASHASI-01 TOS'T'ER . 1164 0 CERTIFICATE OF LIABILITY INSURANCE DATE,MM/°DIYYYY) �� 9119/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieuofsuch endorsement(s). PRODUCER CONTACT Tiffany Brewster PLC Insurance LLC PHONE 19401 40th Ave W,Suite 440 IAIC No Ex*(425)275-0557 Cn r Nap EMAIL .. tiffanY�Plciiis.COmLynnwood,WA 98036 .-..... ......... ...... ......... ......... ......... INSUR, ER(P),AfFPRpfNP COVERAGENa l,cu INSURER A:Philadel hia Indemnity Ins 18058 INSUREDINSURER,B:Philadelphia Insurance CO 1$05$,,,,, Washington Asian Pacific Islander INSURER c 3722 S.Hudson St. INSURER D Seattle,WA 98118 INSURER E.: INSURER F: COVERAGES CERTWICATE 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 i. ............. ......... ........-ADDL SUBR .... ..,.:.POLICY EFF POLICY EXP :..: ......... ,,, -.... ........ LTR TYPE OF INSURANCE INSp yyyD POLICY NUMBER � �� lM.M,JpMI,YYY,?'.1..� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1CLAIMS-MADE CCUR DIAMMAtgEe TOCS RENTED EwN,TuE�D+ $ 100,000 PHPK1942372 4/1/20194/1/2020 m MED EXP(An.one Prsar9 5,000 ................. PERSONAL&.ADV INJURY $, 1,000,000 GE9LAGGREGA'TE LI MIT APPLIES;'-PER: �GENERALAGGREGATE .. ........ 3,000'000 .... POLICY''.... PRO-- XECT ''.., LOC PRODUCTS-COMP/OP AGG $ ,,,,,,,,,,,,,,,,,, 3000,000 1,000,000 1„PTHER�. .... .... ......,: .,WA... STOPGAP:..: .... $ q COMBNED SINGI E LIMIT 1,000,000 AUTOMOBILE LIABILITY $ X�ANY AUTO PHPK1942372 4/1/2019 4/1/2020 BODILV INJURY,(Perperson) 1-$ ,...... .. OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident/ $ _. AUTOS ONLY _. NON-OWNED O P.Y ,.(Per"JPL,Ri7irur+IPA.MAGE $ B ( X UMBRELLA LAB OCCUR EACH OCCURRENCE 1$ 1,000,000, EXCESS LIAB .............. CLAIMS-MADE10,000, ' ... $ ...... 0 C DED X RETENTION$ PHU6664873 4/1/2019 4/1/2020 AGGREGATE 1 000 00 WORKERS �. IE,,,w, WN RKERS COMPENSATION PER OTH D EMPLOYERS'LIABILITYti,7 N STATUTE ER . ......... .......... ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A EL EACH ACCIDENT $ 4114/I'IC ER/MEMBER EXCLUDED? - /51 atory in NH) E,,L DISEASE....-EA EMPLOYEE$ ..... ....... L If yes,describe under DESCRIPTION OF OPERATIONS below E.L.,DISEASE-POLICY LIMIT $ _ A Professional Liab. PHPK1942372 4/1/2019 4/1/2020 iProf.Liab.Incident 1,000,000 A Professional Liab. PHPK1942372 4/1/2019 4/1/2020 Prof.Liab Aggregate 39000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Federal Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY HALL CITY OF 33325 8th Avenue South Federal Way,WA 98003-6325 (253)835-7000 Federal Way or# 0j.,)p(wtuR""kid°,)1/ www.cityoffederalway.com Jim Ferrell, Mayor April 2, 2019 Washington Asian Pacific Islander Families Against Substance Abuse Aileen De Leon 28815 Pacific Highway S, Ste 7A Federal Way, WA 98003 Dear Aileen De Leon: Enclosed with this letter is the Human Services General Fund Agreement for 2019-2020 between the City of Federal Way and Washington Asian Pacific Islander Families Against Substance Abuse for the Behavioral Health Outreach and RPevention Education program. This agreement covers a two- year period. Reimbursement of your program's expenses under this agreement will depend on completion of the performance measures outlined in Exhibit A of the agreement. Please have the agreement signed and notarized and return it to the City accompanied by the following documentation: • Proof of Signature Authority. See the enclosed, "Proof of Signature Authority Requirement,"for an explanation of required documentation. • Authorized Signatures for Invoices. The individual who signs the contract must also sign the enclosed form authorizing additional person(s)from your agency to sign Reimbursement Requests (those individuals must also sign the form). • Insurance Certificate. Proof of insurance must be submitted with the signed agreement as outlined in Section 6. Insurance. A checklist of required documents is enclosed for your convenience. Upon receipt of the signed agreement with the required documents, the City will execute the agreement. One copy of the executed agreement will be returned to you with your notification to proceed. Please return the signed, notarized contract and other required documents as soon as possible. Reimbursement may be requested for costs incurred as of the start date set forth on the first page of the enclosed agreement. Project costs incurred prior to the start date cannot be reimbursed. Please refer to the contract for due dates for quarterly reports and billing. Quarterly reports will be submitted online via the Share1 app web site. Your staff will receive instructions on how to access and complete the online forms. If you have any questions regarding your contract, please contact me at(253) 835-2651 or by e-mail at sarah brilleforda.catvoffedef iw�,. The City of Federal Way is pleased to be a partner with you in serving Federal Way residents. Sincera , Sarah Bridgeford CDBG/ Human Services Coordinator Enclosures (4)