AG 21-059 - KENT YOUTH AND FAMILY SERVCESRETURN TO: Brittany Julius EXT: 253-326-1227
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: CD/CS
2. ORIGINATING STAFF PERSON: Brittany Julius
4
EXT: 253-326-1277 3. DATE REQ. BY:
TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
K PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑' GOODS AND SERVICE AGREEMENT 9 HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
❑ OTHER
5. PROJECT NAME: Behavioral Health Services
N
NAME OF CONTRACTOR: Kent Youth and Family Services
ADDRESS:
E-MAIL:
SIGNATURE NAME:
.TELEPHONE
_ FAX:
TITLE
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK OR SERVICES A COMPENSATION A INSURANCE REQUIREMENTS/CERTIFICATE A ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: January 1, 2021
COMPLETION DATE: December 31, 2022
9. TOTAL COMPENSATION $ 16,000.00 (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 ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: I--] RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: 001-7300-053-562-10-410
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED
❑ PROJECT MANAGER SJB 01/21/2021
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
N LAW DK 01-29-2021
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: 11110/2020
12. CONTRACT SIGNATURE ROUTING
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE: 11/17/2020
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ 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 1 DATE SIGNED
&,LAW DEPARTMENT PGI-�)l
21
(MAYOR OR DIRECTOR) 7elIIN'ATORY
ITY CLERK l �
❑ ASSIGNED AG#
COMMENTS:
CITY OF CITY HALL
Federal Wa 33325 Avenue South
Federal
Way, WA 98003-6325
(253) 835-7000
wwwWyoffederalway com
HUMAN SERVICES AGREEMENT
FOR
BEHAVIORAL HEALTH PROGRAMS
This Human Services Agreement ("Agreement") is made between the City of Federal Way, a Washington
municipal corporation ("City"), and Kent Youth and Family Services, a Washington public benefit 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:
KENT YOUTH AND FAMILY SERVICES:
Sue Camou Arrant
232 2nd Avenue S., Suite #201
Kent, WA 98032
(253) 859-0300 (telephone)
The Parties agree as follows:
CITY OF FEDERAL WAY:
Brittany Julius
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-2651 (telephone)
brittanyjulius@cityoffederalway.com
1. TERM. The term of this Agreement shall be for a period commencing on January 1, 2021 and terminating on
December 31, 2022 ("Term"). Funding for the second year of the Agreement is contingent upon satisfactory Agreement
performance during the first year of the Agreement tern 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
parry 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 - 12/2020
CITY OF CITY HALL
ift Fe d e r� 1 Way Feder l Avenue South
8003
Y Federal Way, WA 98003-6325
(253) 835-7000
www ciryoffederalway com
4.2 Method of Payment. On a quarterly basis, the Agency shall submit to the City an invoice for payment on a
form provided by the City 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 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 perfonnance measures set forth in Exhibit A. Should the Agency fail to meet the
performance measures for each quarter, the City reserves the right to adjust payments on a pro rata basis at any time during
the term of this Agreement. Exceptions may be made at the discretion of the City's Human Services Manager in cases where
circumstances beyond the Agency's control impact its ability to meet its service unit goals and the Agency has shown
reasonable efforts to overcome these circumstances to meet its goals. If the City objects to all or any portion of the invoice,
it shall notify the Agency and reserves the option to pay only that portion of the invoice not in dispute. In that event, the
Parties will immediately make every effort to settle the disputed portion.
4.3 Final Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit B. If the Agency's
final invoice 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 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this
Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred
after the end of the current fiscal period, and this Agreement will terminate upon the completion of 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, 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 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.
5.3 City Indemnification. 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,
HUMAN SERVICES AGREEMENT - 2 - 12/2020
Y OF
cFederal Way
J
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wwwWyoffederalway com
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 of Liability. 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
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
HUMAN SERVICES AGREEMENT - 3 - 12/2020
Y OF
LFederal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway.com
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.
9. BOOKS AND RECORDS. The Agency agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of the Services and 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 OF INTEREST. It is recognized that Agency may or will be performing services during the Term
for other parties; however, such performance of other services shall not conflict with or interfere with Agency's ability to
perform the Services. Agency agrees to resolve any such conflicts of interest in favor of the City. Agency confirms that
Agency 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 OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made
possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Agency or its
subcontractors of any level, or any of those entities' employees, agents, sub -agencies, or representatives against any person
because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital
status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide
occupational qualification in relationship to hiring and employment. This requirement shall apply to, but not be 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 Vl of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act
of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination.
13. GENERAL PROVISIONS.
13.1 Interpretation and Modification. This Agreement, together with any attached 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
HUMAN SERVICES AGREEMENT - 4 - 12/2020
CITY OF
A** CITY
Federal Way
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway corn
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 Assiourient 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 -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 Compliance with Laws. The Agency shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions,
regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation
of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement,
this Agreement may be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence in 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
Parry 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
HUMAN SERVICES AGREEMENT - 5 - 12/2020
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253)835-7000
www. ci ryotfederehn ey com
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 - 6 - 12/2020
CITY OF CITY HALL
Federal Way 33325 8th , WA South
Federal Wey, WA 98003-6325
(253) 835-70M
www_ a4vffiederaMW com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
0;7�
Jim F , Mayor
DATE: !
KENT YOU H AND FAMILY SERVICES:
By:
Printed Name: Sue Camou Arrant
Title: Interim Executive Director
DATE:
STATE OF WASHINGTON )
) ss.
COUNTY 0174t�C) _j
I Ir
ATTEST:
l
tep jani'C urtney, C, City Clerk
A AS TO FORM:
-f e r J. Ryan Call, City Attorney
On this day erson ly appeared before me sw �I. Iy1a o,, fipg4 to me known to be the
r Qu ,� U j {ramM,— of CGt , t , 'Fq y 11 that executed the foregoing
instrument, and acknowledged the said instrument to nd voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said
instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN�mv hand and official seal this day of �Wa� , 20-�
p, MATH
_��•�'��,� • • • • ••�� ••,�,�- Notary's signature r�
vus '•: s_ Notary's printed name ,�,,[�►�
Notary Public in and for the State of Washington.
cow'.
�u++Eii.i My commission expires SW1rU� 1a,�
�re +� W 1..r�00�••
HUMAN SERVICES AGREEMENT - 7 - 12/2020
CITY OF
Federal
Proiect Summary
CITY HALL
Way
� ■+a y 33325 Sth Avenue South
�vFederal Way, WA 98003-6325
(253) 835-7000
www atyoffederalway com
EXHIBIT A
SERVICES
The Agency shall provide counseling and treatment services to the youth 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 erso s assisted in 2021
1
2
1
1
5
No. of unduplicated Federal
Way persons assisted in 2022
1
2
1
1
5
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st
2nd
3rd
4th
Quarter
Quarter
Quarter
Quarter
Total
JAN. —
APRIL —
JULY —
OCT. —
MARCH
JUNE
SEPT.
DEC.
2021
1. Counseling
6
7
7
7
27
2. Case Management
1
2
1
1
5
2022
1. Counseling
6
1 7
1 7
1 7 1
27
2. Case Management
1
2
1
1
5
HUMAN SERVICES AGREEMENT - 8 - 12/2020
Y OF
cFederalWay,&,�
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www otyoffederahmy com
C. Definition of Services
1. Counseling - Number of hours of mental health, substance use and co- occurring clinical services;
Counseling hours include individual, family, and group counseling services for children, youth, and their
families.
2. Case Management- Hours dedicated to advocating for clients in other social service systems, referring or
coordinating outside or additional services, assisting clients in navigating barriers, or holding clients
accountable for attendance when mandated to services by the legal system.
D. Performance Measure(s)
Outcome(s) to be reported:
1. 92% of participants engage in provided services.
2. 85% of individuals/families report program effectiveness by improving family
relationships.
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. Documentation of client address; residency verified via King County Parcel Viewer.
HUMAN SERVICES AGREEMENT - 9 - 12/2020
CITY OF
�L Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ciryoffederalvlay com
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 2020
Income Limits Summary,
Median
FY 2020
Income
Income
1
2
3
4
5
6
7
8
King
Limit
Person
Persons
Persons
Persons
Persons
Persons
Persons
Persons
County
Category
Extremely
Low
(30%)
$25,100
$28,650
$32,250
$35,800
$38,700
$41,550
$44,400
$47,300
Income
Limits
Very Low
$113,300
(50%)
Income
$41,800
$47,800
$53,750
$59,700
$64,500
$69,300
$74,050
$78,850
Limits
Low
(80%)
$66,700
$76,200
$85,750
$959250
$102,900
$110,500
$118,150
$125,750
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 - 10 - 12/2020
4 CITY OF
Federal Wa
EXHIBIT B
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253)835-7000
www otyoffederalway com
COMPENSATION
Pro6ect Budget
The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this
Agreement shall not exceed Sixteen Thousand and 00/100 Dollars ($16,000.00).
City of Federal Way Funds
2021
2022
City of Federal Way General Fund:
$8,000.00
$8,000.00
Total City of Federal Way Funds:
$8,000.00
$8,000.00
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 due January 15.
The Agency shall submit payment requests in the format requested by the City. Payment requests shall include a
copy of the Service Unit Report.
Estimated Quarterly Payments:
2021
1 st Qtr
$2,000.00
2nd Qtr
$2,000.00
3rd Qtr
$2,000.00
4th Qtr
$2,000.00
01Q►W
1st Qtr $2,000.00
2nd Qtr $2,000.00
3rd Qtr $200.00
4th Qtr $2,000.00
Quarterly payment 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.
HUMAN SERVICES AGREEMENT - 11 - 12/2020
Issue Date 512212020 Cert #:0000024284
Non Profit Insurance Program
CERTIFICATE OF COVERAGE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE A CONTRACT
BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRATION IS WAIVED, subject to the terms and conditions of
the policy, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
COMPANIES AFFORDING COVERAGE
Clear Risk Solutions
GENERAL LIABILITY
451 Diamond Drive
American Alternative Insurance Corporation, at al.
Ephrata, WA 98823
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, et al.
INSURED
PROPERTY
American Alternative Insurance Corporation, et al.
Kent Youth and Family Services
MISCELLANEOUS PROFESSIONAL LIABILITY
232 South Second Avenue #201
Princeton Excess and Surplus Lines Insurance Company
Kent, WA 98032
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF
POLICY EXP
DESCRIPTION
LIMITS
DATE
DATE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-10 6/01/2020
6/01/2021
PER OCCURRENCE
$5,000,000
OCCURRENCE FORM
PER MEMBER AGGREGATE
$10,000,000
INCLUDES STOP GAP
PRODUCT-COMP/OP
$5,000,000
PERSONAL & ADV. INJURY
$5,000,000
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-10 6/01/2020
6/01/2021
COMBINED SINGLE LIMIT
$5.000,000
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
PROPERTY
N1-A2-RL-0000013-10 6/01/2020
6/01/2021
ALL RISK PER OCC EXCL EQ & FL
$75,000,000
EARTHQUAKE PER OCC
$1,000,000
FLOOD PER OCC
$1,000,000
(PROPERTY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-10 6/01/2020
6/01/2021
PER CLAIM
$5,000,000
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$40,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
Regarding the contract for mental health and substance abuse treatment for youth and Watson Manor Transitional Housing.City of Federal Way
is named as Additional
Insured regarding this contract only and is subject to policy terms, c onditions,and exclusions.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH TI4F Pnl If:Y PRC)V 1.4I 11Ak4Z
CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Federal Way
33325 8th Ave
Federal Way, WA 98063-9718
3531900
-0'
Kent Youth and
01
Family Services
RESOLUTION
The resolution of November 5, 2020 is amended as follows:
November V' resolutis�n:
"Effective Monday November 23, 2020, Sue Camou Arrant, as interim Executive Director of Kent Youth
and Family Services, is fully authorized to sign all contracts on behalf of the Kent Youth and Family
Services Board of Directors. She is further empowered, on behalf of the corporation, to enter into all
routine business transactions on behalf of the board of directors and the corporation."
Amended to:
"Effective Monday November 23, 2020, Sue Camou Arrant, as interim Executive Director of Kent Youth
and Family Services, is fully authorized to sign all contracts on behalf of the Kent Youth and Family
Services Board of Directors. She is further empowered, on behalf of the corporation, to enter into all
routine business transactions on behalf of the board of directors and the corporation."
For the purposes of signing contracts on behalf of Kent Youth and Family Services, Sue Camou Arrant is
authorized to record the title of Executive Director.
Vicki Foege
Kent Youth and Family Services Board Secretary
Lesley Hogan
Kent Youth and Family Services B and President
232 Second Avenue S., Suite 201, Kent WA 98032 1 p: 253.859.0300
facebook.com/kentyouthandfamily () twitter.com/kentyouthfamily
WWW.KYFS.ORG
CITY OF
vww�'
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
City of Federal Way
Human Services Contract for 2021-2022 General Fund
Authorized Signatures for Invoices
authorize the following] individA2A8
uallsto sign invoices and quarterly reports on behalf of:
T t't (Y)l t .� �� (Contracting Agency), for
the following: (Program Title).
Authorizing
Signature:
Pro n-t In t
(must be signed by (Printed Name) (Title)
person who signs
the contract,
generally, _ I
Executive Director)
(Si natu (Date)
Additional
Authorized
Signature:
Additional
Authorized
Signature:
(Printed Name)
(Signature) �7 (Date)
(Printed Name)/ (Title)
9 (Date)
r
`mil ram""
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.
3/9/2021 Corporations and Charities System
BUSINESS INFORMATION
Business Naive:
KENT YOUTH AND FAMILY SERVICES
UBI Number:
601 138 800
Business Type:
WA PUBLIC BENEFIT CORPORATION
Business Status:
ACTIVE
Principal Office Street Address:
232 2ND AVE S STE 201, KENT, WA, 98032-5862, UNITED STATES
Principal Office Mailing Address:
232 2ND AVE S STE 201, KENT, WA, 98032-5862, UNITED STATES
Expiration Date:
09/30/2021
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
09/21/1970
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
CHARITABLE, COMMUNITY SUPPORT SERVICES
REGISTERED AGENT INFORMATION
Registered Agent Naive:
KENT YOUTH AND FAMILY SERVICES
Street Address:
232 2ND AVE S STE 201, KENT, WA, 98032-5862, UNITED STATES
Mailing Address:
GOVERNORS
Title
Governors Type
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
Entity Name First Name
CYNTHIA
LESLEY
RONA
::. NMI
Last Name
BOYD
HOGAN
POPP
BHULLAR
https://ccfs.sos.wa.gov/#/BusinessSearch/BusinessInformation 1/1
< Business Lookup
License information:
Entity name:
Business name:
Entity type:
UBI Ot:
Business ID:
Location ID:
Location:
Location address:
Mailing address:
KENT YOUTH AND FAMILY SERVICES
KENT YOUTH AND FAMILY SERVICES
Norpro`t Corpora; or
601-138-800
001
Active
Excise tax and reseller permit status:
Secretary of State status:
Endorsements
Endorsements held at this location
Federa Way Norprof t Bas'ress
232 2ND AVE S STE 201
KENT WA 96032-5862
232 2ND AVE S STE 201
KENT WA 96032-5862
C`ck here
Cl"ck here
License M Count Details