AG 21-063 - CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTONRETURN TO: Brittany Julius
EXTS 253-326-1227
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. 0R1GE14ATfNGDEPT./D1V-,v CD/CS
2. ORIGINATING STAFF PERSON: Brittany Jous EXT: 253-326-1227 3. DATE REQ. BY:
4. TYPE OF DOCUMENT (CHECK ONE):
Ll CONTRACTOR SELECTION DOCUMENT (E.G, RFB, RFP, RFQ)
El PUBLIC WORKS CONTRACT D SMALL OR LIMITED PUBLIC WORKS CONTRACT
A PROFESSIONAL SERVICE AGREEMENT D MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT R HUMAN SERVICES / CDBG
1:1 REAL ESTATE DOCUMENT D SECURITY DOCUMENT (E.G. BOND RELATED DocuMENrs)
1:1 ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#) EJ INTERLOCAL
1:1 OTHER
$. PROJECTNAME.-o Volunteer Services
6. NAME OF CONTRACTOR: Catholic Community Services of Western "Wash ington
ADDRESS: TELEPHONE
E-MAIL: F--
es:
SIGNATURE NAME: TITLE
T. EXHIBITS AND ATTACHMENTS: E SCOPE9, tC
OR SERVICES 0 COMPENSATION IR INSURANCE REQUIREMENTS/CERTIFICATE IR ALL
OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN 1:1 REQUtRED LICENSES ❑ ARIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: January 1, 2021
COMPLETION DATE: December 31, 2022
9. TOTAL COMPENSATION $ 207000.00 (INCLUDE EXPENSES AND SALES TAX,1F ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: EJ YES EINO IF YES,, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED AYES 0NO IF YES,, $ PAID BY','[:] CONTRACTOR 1:1 CITY
RETATNAGE: RETAfNAGE AMOUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR D RETAINA0E BOND PROVfDEI
E PURCHASING: PLEASE CHARGE TO: 001-7300-083-562-10-410
10. DOCUMENT/CONTRACT REVIEW
A PROJECT MANAGER
U DIRECTOR
F-1 RISK MANAGEMENT (IF APPLICABLE)
A LAW
11. COUNCILAPPR(),,�IAL(
IFAPPLICABLE�
12. CONTRACT SIGNATURE ROUTING
INITIAL/ )ATE REVIEWED
SjB 02/02/2021
DK 02/08/2021
COMMITTEE APPROVAL DATE: 1 1/10/2020
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE: /2020
F-1 SENT TO VENDOR/CONTRACTOR DATE SENT: IDATE REC'D:
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 / DATE IGNED
1:1 LAW DEPARTMENTM&
r!
t/WtNATORY (MAYOR OR DIRECTOR)
D CITY CLERK
E-] ASSIGNED AG# AGW
COMMENTS:
CITY OF
17eiclera.
UMAN SERVICES AGREEMENT
FOR
VOLUNTEER SERVICES
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 83&7000
www.cityoffederaAvay.com
Thl's
® � � � � ise� ���
umaervlcereemereemen made between the City of Federal Way,
a asi
■ @ ® emanicco oratio Ci*ty"),
and Catholic Communi
ty Services ofWestern Washington, a Washi*ngton public
("Agency").
����benefitco oratioThe Ci*ty
and Agency (together art i�� s are located and do business at the
® � e ■
below addresses which shall valid for any notice requi
red under this Agreement:
CAT OLIC COMMUNITY SERVICES OF
WESTERN WAS ■
INGTON,
144
(telephone)
ccsw-w.or
The Parties agree as follows.
CITY OF FEDERAL e
WAY,
eBri*ttany JullUs
33325 8tf Ave.
S.
Federal
�
(253) 835_265
brittan
@ @
■ Julius
(telephone)
e
&,C1tvoffedera1waV.com
1.0 TERM. term this Agreement shall
be for a period commencing on January , 2021 and t on
December ("Term"). of the ® - Fundi*ng florsecond year Agreement is contingent
� upon satisfactory Agreement
performance
during the first year
the Agreement term and
upon funding availability.
This Agreement
may be extended
for additi*onal periods of time upon the mutual written agreement of the City
Agency.
2.9 SERVICES. The Agency shall perform
the
services more specifically described in
Exhibit A-, attached h
and
incorporated("Servi"ces")
thi*s reference in a manner consistent
vn*thaccepted professional practice
� or other si - milar
�
services wl"thin the Puget Sound
region in
effect at the time
those services areperformed tthe City's
satisfaction,
within
the time ■■dir
.iod Te Agency
peri prescribed the Cty and pursuant to ection
of the Mayor or hs or her designCe.�warrants
that ■ ■ ■ f skill,
Ieas e ruisite traiani andexerfenceecessato rovie te ervices'ani*s appropriately
accredited a
licensed
all agencies anovernmenta entities,, including u
t not e �m� �ted to obta_� 0 �n
a Ci _ toFederal�applicable
Way
e _
business registration. Servis�esshalle_�n ,�mmed_�ateu
on te eect,�ve date �� tis Aeement. Services shall be sub
ect
� -
at all times, to inspection by
and approval
City, but the mak"
(or failure or delay in
making) such inspection
or
notr ievAgency of responsibility o of the ervices in acco ance with this Agreement,
approval
performance
notwithstan
■ City�'s
_� �� � the o �eof defective
performance,,t�� � � � � � � ���
� �
discovery.
3 ■ TERMINATION. '��■■® -
i ea� m term�nate t�s Agreement, w�tor w�tout cause, uon rov� �n��te oter
party thirty
(30) days" written notice at its address set forth above. The City m yerm_�nate te�s �eement a�mme_�atey'ithe
Agency fails to maintain required insurance, breaches confidentiality, or materially violates Secti*on 12,
and s
may
■ ■ ■ ■ , ■ agreements.
res t in 1ni i i iour eCi*ty
4@ COMPENSATION.
` � 4*1 moante n returor the ervice � the City shallpay the g en cy an amount not to exceed a maximum
amount and according to a rate or method as delineated i"n Ex bl*t attached hereto and incoi-porated eby
t�s reference. �
The
City reimburse the Agency only for the approved activities and in accordance with the procedures as specified in
Exhibit B ■ The Agency sbe - ■
solely responsible for the payment of any taxes imposed
anlawful jurisdiction resulting
from this Agreement.
4*2 Method of PaymOn quarterly basis, the Agency s submi't to the Ci �a an ifor payment on a
a *ty
' i a
form provided by the Ciand all reporteed by ths A s as rqulr gr
eement. Paymentshall be made on quarterly
HUMAN SERVICES AGREEMENT M I M 12/2020
CITY OF CITY HALL
�... Fe deral %A/alr 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835=7000
ivivw. cityoffederahvay com
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 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 Ci*ty'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.
4.6 3 Final Invoice. The Agency shall submit its final invoice by the date indicated on Exhibit B. if the Agency's
finalinvoice and reports are not submitted by the last date specified in Exhibit B, the City shall be relieved of all liability
IS for payment to the Agency of the amounts set forth in sadinvoi-mceior any subsequent invoice; provided, however, that the
City may elect to pay any invoice that is not submitted i*n a timely manner.
404 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 Avency 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, tomes, losses, fines,, fees, penalties expenses, attorneys 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 i*s 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 Ci'ty's inspection or
acceptance of any of Agency's work when completed shall not be grounds to avoid any of these covenants of
indemnification.on.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Agency waives any
immunity that may be granted to I*t 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.
503 City Indemnification. The City agrees to release, indemni*fy, 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, attorneys 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
1
respect to any event occurring prior to such expiration or termination.,
HUMAN SERVICES AGREEMENT - 2 - 12/2020
their agents, representatives,
their agents, representatives,
r wittytUNPULA to any event occurring prior to such expiration o
Minimum Limits. The Agency agrees to carry as a minimum, the following
with such carriers who have a rating tha
a. Commercial
CITY OF
17e(J era
way
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 employees or subcontractors for the
duration of the Agreement and tnereane
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835w7OOO
www. cityoffedefaf way carrr
follows:
6010
r termination as
.6 insurance, in such forms and
do coRk
vering 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 contrae
$1,,000,000 for each occurrence and $2,000.,000 general aggregate.
t is satisfactory to the City:
�neral liability in'psiurance
b-0 Workers' compensation and employe
laws of the State of Washington;
C.
Automob0
ile liability insurance covering all owned, non -owned, hired and leased vehicles w
t with limits no less than
r s liability insurance in amounts sufficient
pursuant to the
minimum combined single limits inthe minimum amounts required tn drive under Washington State law er acciden
bodily injury, ip
ncluding personal injury or death, and property damage.
ith a
t for
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.
643. 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 Jiability policies attached hereto as Exhibit C and incorporated by this reference. At
the Cl*ty'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 term4k
inated 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 i"n 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
HUMAN SERVICES AGREEMENT - 3 - 12/2020
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityotfederahvay. com
100 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 respon-W a
sible for the safety of its employees, agents,
CITY OF
Federal
and subcontractors m ihe performance ot the Services and work and shall utilize all protection necessary for
All work shall be done at Agency's own risk, and Agency shall be responsible for any loss of or damage to materials
or other articles used or held for use in connection withVie work. I he Agency shall pay all income and other taxes due
14P
that DurDos e-,
tools,
except as specifically provided in Section 4. Industrial or any other insurance that i*s purchased for the benefit of the City,
regardless of whether such may provide a Agreement to an employment contract.
secondary or incidental benefit to the Agency, shall not be deemed to convert this 116
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.,
ask
l
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,, marit
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, SectioSection504 of the Rehabilitation Act
of 19737 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination., 13.9
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 Affreement and no pri'oor 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 orin 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 interestin this Agreement based on any provision set forth herein.
HUMAN SERVICES AGREEMENT - 4 - 12/2020
CITY OF
17e (J e ra
Way
13.3 Compliance with Laws. The Agency shall
applicable federal, state, local, and city laws
0 .6
regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effec
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
including,
(253) 835me7000
Vwvw. cityotfederahvay. coin
comply with and perform the Service
without limitation, all City codes,
s in accordance with all
ordinances. resolutions_
tive. 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
7
this Agreement may be rendered null and void, at the City's option.
13.04
performance I*s
Enforcement. Time
is of the essence in
this Agreement and each and a
11 of its provis41 ions in which
a factor. Adherence to completion dates set forth in the description of the Services is essential to the Agency's
performance ot this Agreement. Any not -ices 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, i"n
equity or by statute. The failure of the City to insist upon strict performance of any of the covenants and agreements
contained in this A,,,,reement,tion conor to exercise ay ferred bwe 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 b(za.. 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 attorneys 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 I"t 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 - 12/2020
CITY OF
17eiclera
Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
wvw. cityoffederalway. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below,.
CITY OF FEDERAL WAY:
DATEO
CATHOLIC COMMUNITY SERVICES OF
WESTERN WASHINGTON:
By:
k
Printed Name:
Title:
DATE.,0
t
l C��
ff a
(,tee--4.�
3��-31s
STATE OF WASHINGTON
COUNTY OF
tb-i Q
11
appear
ATTEST,
�h$ii*e Courtney, CMC,
APPROVED AS TO FORM?
J. Ryan Call, City Attorney
ity
Jerk
to me known to be the
/- hat executed the foregoing
I %r F
ee and votuntar act and deed ot said corporation,
for the uses and purposes therein mentioned. and on oath stated that he/she was authori7,ed to execute sail
instrument and that the seal affixed ,
t%1111111111
GI���Ia46��cial
exp
o: (P daVp
dip
NOTARY �
PUBLIC60.1
40 011
4f
NO
WA
fit# list%%
; 2
of
instrument, and acknowledged the said instrument to be the
if any, is the corporate seal of said corporation..
seal this
day of
Notary's signature
Notary's printed name
otary
y commission expires
te of
ashi"ngtonO
HUMAN SERVICES AGREEMENT
� 6 -
12/2020
CITY OF
17eciera
Proiect Summa
The Agency shall
transport ation to 1
Way
EXHIBIT A
SERVICES
provide volunteer services, such as housework,, laundry,
ow -income,, older adults and adults with disabilities 1*n the City of Federal Way. The Agency
RP
st all ensure that services provided with funding under this Agreement are made available to Federal Way
residents.
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-w7000
ivvLv�1/. cfiyoffBde%ahiay. COm
minor home repairs, shopping, and
Performance Measures
A. Number Served
The Agency agrees to serve, a
.t minimum, the following unduplicated number of Federal Way residents with
Human Services funds,:
1st 2nd 3rd 4th
Quarter Quarter Quarter Quarter Total
JAN@ - ARIL - TULY - OCT. -
MARCH JUNE SEPT. DEC.
No. of unduplicated Federal
Wa ersons assisted in 2021 1 3 3 3 3 12
No. of unduplicated Federal
Way ersons assisted in 2022 3 3 3 3 12
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
1st 2nd 3rd 4t"
Quarter Quarter Quarter Quarter Total
JAN* - APRIL - JULY - OCT -
MARCH NNE SEPT& DEC
9
2021
I Chore Services/In-Home Care
172 172 172 172 688
2022
I. Chore Services/In-Home Care
172 172 172 172 688
C. Definition of Services
1. Chore seryices/In Home Care -Chore services are measured by the hours of assistance provided to
clients within each jurisdiction by the volunteers with whom they are matched,.
HUMAN SERVICES AGREEMENT - 7 - 12/2020
CITY OF
Feder
D. Performance Measure(s)
Outcome(s) to be reported:
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
kvivnr. crryarreaera- iway. cam
1. 75% of program participants receiving household chore assistance and transportation
to medical appointments will feel better able to perform routine tasks as a result of
receiving chore assistance and transportation through Volunteer Services.
2. 75% of program participants will report improved health outcomes such as decreased
ti fague and isolation.
Records,
A. Project Files
The Agency shall
maintain files for this project containing the following items:
Notice of Grant Award,.
Motions, resolutions,, or minutes documenting Board or Council actions.
A copy of this Agreement with the Scope of Services.
Correspondence regarding budget revision requests.
Copies of allinvoicesiand reports submitted to the City for this project.
Blls for payment with supporting documentation.
Copies of approved invoices and warrants.
Documentation of client address; residencyN erified via
g County Parcel Viewer.
Documentation of client income. The Agency agrees to use the Hut) Income Guidelines to report
income of cli
HUD.
ents served under this Agreement. Income guidelines may be adjusted periodically b),
King County FY 2020 Income Limits Summary 2 3 4
The Agency agrees to use updated Income Guidelines which will be provided by the City.
HUMAN SERVICES AGREEMENT 8
ii i
12/2020
CITY OF
17e(jera
Reports and Repouti*nf! Schedule
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835m7OOO
www. cityoffederalway. com
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 sha
requested on this form from the persons served through this contract.
manner and submitted annually no later than January 15 in the format
11 collect and retain the data
Data should oe tracked in an ongoing
requested by the City.
The Agency shall implement and track at least one measurable outcome for the program as presented 1"n the
application. Changes to the outcome presented inthe' bapproved by
mustetheCit_ must be the City prior to
implementation. The Agency shall report the results oi its Dutcome measures) 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 notcesirelated 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.
r
HUMAN SERVICES AGREEMENT - 9 - 12/2020
CITY OF
Federal %Piwf,
Project Budget
CITY HALL
ay 33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835,m7OOO
vvvnv. cityvffederalway. com
EXHIBIT B
COMPENSATION
The Agency shall apply the following funds to the project. The total amount of compensation pursuant to this
Agreement shall not exceed Twenty Thousand and 00/100 Dollars ($20,000.00
City of Federal Way Funds
2021
2022
City of Federal Way General Fund:,
$109000600
$109000*00
Total Cit of Federal Way Funds,.
$1,01000000
$10000000
Reimbursement Requests and Service Unit Report forms shall be submitted no less frequently than quarterly
and are due on the following dates:
1st Quarter: April 15 or within 10 days of notice to proceed,, whichever i*s later;
2nd Quarter: July 15;
3rd Quarter: October 15; and
4th Quarter: Final Reimbursement Request and Service Unit
Report and Annual Outcome Data Report due January 15.
The Agency shall submit
copy of the Service Unit
Report forms due January 6; Demographic Data
payment requests in the format requested by the City. Paymen
Report.
Estimated Quarterly Payments!.
2021
1st Qtr $21500000
2nd Qtr $2,500000
3rd Qtr $2500.00
4th Qtr $215OOoOO
2022
I A Qtr $2,500000
Znd Qtr $2500-000
3rd Qtr $2,500.00
4tthh Qtr $2,500-000
t requests shall Is a
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 - 10 - 12/2020
Most Rev. Paul D. Etienne, DD, STL
Archbishop of Seattle
Very Rev. Bradley R. Hag efin
Vicar for Catholic Chorities,
Chair4f the Board of Trustees
Michael L Reichert
President
100 - 23rd Avenue South
Seattle, WA 981 -2302
800-499-5979
Fax: 206-328-5699
r►+nWW-d=vww."
Strengthening children and
families, sheltering the most
vulnerable, preventing
homelessness, Providing
permanent supportive
housi'nq and ensuring dignity
and security for our seniors,
CATHOLIC C 10, 1 U N I
OF WESTERN WASHI
August 1, 2020
Bill Hallerman
100 23rd Avenue South
Seattle,, WA 98144
RE: CCSWW Managementp t I
Notice of Delegation for Vice Pre
Dear Bill,
sident
Ty SERVICES
NON
I n accordance with the policies and procedures outlined in the CCSWW Marlagemen
Protocol, I am writing this letter t
o outline the authorit
y and responsibilities granted
��� u3e roianagemen�
vrotocol to complete the foHowine hu
CCSWW:
1. The contracts listed below must be reviewed through the CCSWW contract review
process before being signed. You will ensure that all issuesrairs
siness transactions
fund
ed by t
t
to you
on behalf of
he CFO and/or
L"C Udllat;ner insurance Keviewer are addressed prior tn the contract being signed.
This applies to the following:
a 1.
ba
New contracts with new
fenders do not need to L
ers for CCS (new contracts with current CCS
reviewed by CCsww);
wnuacts Tor new services not currently done elsewhere in the organization —
this applies even if the funder is not new,
All contracts, MOUs or dd d 5 with a healthcare entity (including
Telemedicine entities) or insurance provider (even if they are renewals or we aireaoy
have a contract with the entity elsewhere in the organization);
Contracts with CCS vendors in excess of $10 onn one
All leases, including new leases and renewals;
All construction contracts in excess of $10,000.00
Agreements on behalf of LLC's;
Agreements that require Corporate Resolution;
Agreements that require a Certificate of Action of the President;
Any amendments to the above.
2,-
Review and approve the following contracts:
a. All renewal contracts;
b. Any new contract with a current funder (e.g., State of Washington, Pierce
County, etc..), except if they are fll::111)r a service not currently done elsewhere in the
organization;
c. Contracts with CCS vendors which are I s eI th
an 110,000.00;
d. All construction contracts which are less than $10,000.00;
e. All evert related contracts with vendors (this includes new vendors and/or new
events),
f. Any amendments to the above.
O'ki
pr
CATHOLIC COMMUNITY SERVICES
o WvilrFitv WAltmiNcrolm
3. Sign contracts, agreements or
appropriate approval process.
work orders which have been approved through the
4. Oversee and ensure that any contir
construction related professional seryices assi
Center (CDC) on behalf of CCS complies with the CCS Procurement Policy.
act for the procurement of contractors and
gned to the Community D
evelopment
5-o This section applies to new leases only. Request approval from the President
(through the CFO) to lease real estate either from or to another
entity. When
requesting approvai, you will communicate the terms of the agreement to the CFO,
� another
the lessee
compatibility and conformity with Catholic Social Teachd'
ing.
In addition, when you are requesting that CCSWW lease property t
individual/entity, you will also provide any information you have on
about their
b. Communicate the termination of any lease agreement to the CFI.
7. Submit any request for t
President for approval.
he purchase and sale of CCSWW real estate to the CFO and
8. Approve requests for credit with vendors in amounts less than $!;,000.00
for credit with vendors in am )ntiligureater t
the CFO.
han $5,000.00 must be subm
9, Recommend the issuance of corporate credit cards for -*
individua
Recommend the credit card limit for each employee to the CFO.
. Requests
fitted to
staff to t
10. Submit all requests for the Corporation to join or create an affiliated en
partnership or joint venture to the CFO and Executive Vice President.
11. Submit
Preside
he CFO.
tity or
names of primary and secondary check signers to the CFO or Executive Vice
t for approval.
12. Ensure that
Finance. If t
any purchase over 550 000.004'
is approved bv you and
Ill
he Director of Finance is unavailable, ensure the CFO o
A ccounting Operations approves the purchase.
the Director of
r the Director of
13. Develop annual financial plan/budget and present to the CFO and Executive Vice
President for discussion and review. The President will approve the budget.
14. Present any actual or projected departures from the approved financial
plan/budget in excess of 1% to the CFO and E411ecutive Vice President.
15. Financial Plan/Budget Modifications:
• Ensure adequate funding when filling new positions not included in
financial plans/budgets and/or vacancies for whCih there is no longer
adequate funding by confirming need for position and working with the
CFO or designee to identify funds. If funds are not identified, present issue
to CFO and Executive Vice President for co -approval.
CATHOLIC COMMUNITYD ICE
1-90 IV I % I * A%v %V%� 64 r k,4# t 004
0 10
Approve all staff reorganizations or upgrades prior to their initiation by
confirming the need for the change(s) and by working with the Regional
uirector OT t-inance to ensure adequate funds are available,
16. Review all proposed staff terminations. If recommending
the Vice President of Human Resources. If there is mutual agreement to termto
inate
staff, the Vice President of Human Resources w
President for the final decision.
ill con
termination, consult with
salt with the Executive Vice
17, Review annual agency financial audits and in conjunction with the CFO, develop
mediation plans on all compliance findings.
18. Report any demand, claim, (excluding Worker's Compensation and Unemployment
Compensations le I pleading or letter threatening same, or upon being informed
of injuries
Vice President. Consu
and/or accidents or danger fr
It with the Executl
19. Ensure that any and all outside
om or to any person to the CCS Executive
ve Vice President prior to taking any action.
egal counsel representing t
has been authorized to do so by the Executive Vice Presides
review by the Executive Vice President, obtain all t
as outlined in the Management Protocol.
he appnev in anv wav
7 F
t. In preparation for the
he documents related to counsel
20. Ensure that all private consultants are approved b V
Human Resources prior to their retention by CCS.
the CFO and Vice Presqr
ident o"If
21. Consult with CCS Retained Counsel prior to the release of any client or corporate
records to any person or entity in connection with any court order, subpoena, or
demand letter. No corporate or client records should be released in response to a
court order., subpoena, or demand letter without authorization from CCS Retained
Counsel.
22. Consult with the Vice President of Human Resources prior to any release of
personnel files and associated records.
23. Approve the purchase of computer equipment according to the price points
established by the organization. On an as needed basis, approve the purchase of
spec
ffic equipment falling outside the parameters of the price points,,
24. Recommend to the CFO the establishment of emergency checking accounts and the
amount of the account for specific sites for the purpose of providing funds for
clients in crisis situations.
4
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License fnformation:
Entity nanw.
Bin "s name
Entity type:
A.
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Suw4ness [De -
Location I DI.
P U.7 T-P. 4, 1,
Location aMress:
Mailing address:
Excise tax and reseller permit status:
sftfelwy Of state status;
Endorsements
held at lo-catwr,
Ocevs* or
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CATHOLIC COMMUNITY SERVICES
Op j%'Tt om. .4�111* +
This authorization is valid until July 31, 2021 unless you are otherwise notified.
07-.'eo
I have read and understand this delegation of authority to me as outlined in the CCSWW
Management Protocol.
(Vice President's Signature)
0
01
CITY OF
IF�i(leral
CITY HALL
33325 8th Avenue South
Fadwal Way, wA 98003.6325
(253) 835m7OOO
www aiyotTederalway, com
Cl
ty of Federal Way
Human Services Contract for 2021m2022 General Fund
Authorized Signatures for Invoices
authorize the following individuals to sign invoices and quarterly reports on behalf of:
Catholic Community Services of Western Washington (Contracting Agency), for
the following: N.Volunteer Services. (Program T'Itie).
Authorizing
Signature:
(must be signed by
'R
person who signs
the contract,
generally,
Executive Director)
(Printed Name}
fi
h
'a
(Signalure)
s. .I
(Date)
� Va•+,. tF. rY*,r■t•*.Ka t�%aQI-Tt �w*■ ■.rf% "+'R. rr*o"*M*�*M'F R•#w+*.,&##... &.j;s ■*;+■ttf+.*f+tip,*N tM.-.AI.� -VI r I TrA -r: a-#tM9*4twi44 '114-%Kr,.*iY•TE+*r3" ���w �-�tw*�a� }� w+art. %.. - V ff %. # A � 04 ■ t 111 *. t; .*.a * _,-'I * i " # f-V ■ 4 i �NI fii f # f; swL 9-1111 i a 11� f 4 i L f #f* * r-p 9L f *-d if 414 tom■ # ti-R+s fof*** a q It 441;= tr rII 4 Pf *3 t y; ## k b Wt a 11 111 * k*
Additional
A uthorized
Signature:
Additional
Authorized
Signature:
Hollianne Monson
(Printed Name)
(Signature)
t
(Printed Name)
C
(Signature)
Note.:It is the responsibility of the contractor to of
name to or delete names from this list.
Program Director
(Title)
3/24/2021
(Date)
n
III
!tie)
la? 111R;b�l
(Date)
nfor the City of Federal Way if they wish tO add a
4.
w _Mmpwmmanlh� d� dNrrrrEwEE§__
COVERAGES CERTIFICATE NUMBER: 1460954338
TLJIC IC Tn /`C ICV__
REVISION NUMBER:
iit I i nri� i n�rvu�.icJyr irvaurwrvVt usi to tstLUW HAVE BEFN 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 RFF-N RFrn ir.Fn av Pair) ri ninec
iNSR
LTR TYPE OF INSURANCE
A X� COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE u OCCUR
E 1 AGGREGATE LIMIT APPLIES PER,
i
PRO -
POLICY i JE T ,r F LOC
OTHER:
AUTOMOBILE LIABILITY
f X 1 ANY AUTO
i
OWNED
AUTOS ONLY
X HIRED
AUTOS ONLY
V�\lIYIV.
ADDL,SUBR POLICY EFF I POLICY EXP
IN ` VWD POLICY NUMBER(MNI/DDlYYYY)'l
Y _ uP l nqinqn 71I I�n�n �►a �•-nn.
'SCHEDULED
AUTOS
NON -AWNED
X
i AUTOS ONLY
8 UMBRELLA LIAB x � OCCUR
X EXCESS LlAB CLAIMS-
❑ED RETENTION $
C WORKERS COMPENSATION
AND EMPLOYERS` LIABILITY
ANYPRDPRI ETOFiIPARTNE RIEXECUTlVE
OFFICE RJMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
A Errors & Omissions !Prof. Liab.
B I
MADE
YIN
N1A
1
r
BP1 023020
8220000785428
WCE-0937531-20
BP1 023020
822000 0785428
F
1/I/LULU I //I/LULI
7/l/2020
7/1I2020
7/1 /2020
7/l/2020
7/1 /2020
u
7/l/2021
7/l/2021
LIMITS
EACH OCCURRENCE
$ 15000,000
DAMAGE TO RENTED
-PREMISES Ea occurrence
$1,000,000
MED EXP (Any one person)
$ Nil
PERSONAL & AUV iNJURY
$ 1,0009
000
GENERAL AGGREGATE
$130001000
PRODUCTS - COMP/OP AGG
$ 1!tOOO)000
COMBINED SINGLE LIMIT
$ 15000P000
(Ea accident
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
(Per accident
5
EACH OCCURRENCE
$ 5,0001000
AGGREGATE
$51000,000
�
7/l/2021 x PER QTH-
STATUTE ER_ F
E.L. EACH ACCIDENT $ 'i ,0001000
E.L. DISEASE - EA EMPLOYEE $ 1,0009000
E.L. DISEASE - POLICY LIMIT $ 150001000
7/1/2021 Each Claim/Aggregate $Z0001000
7/11/2021
DESCRIPTION OF OPERATIONS ! LOCATIflN51 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Limits shown are inclusive of defense and insured retention. Covera e for Additional Insureds is restricted to the amount of insurance required by contact or
permit, Retention under policy #BP 102302 (A XV, Non-Admitted)is �250 ODD for Liability. The applicable Certificate is $0 for Liability.
location maintenance deductible that apples to this
Coverage extends for claims arising out of the Professional Services Agreement for Severe Weather Shelter between the pity of Federal Way and catholic
Community Services of Western Washington.,
CERTIFICATE HOLDER
City of Federal Way
33325 8th Avenue South
Federal Way WA 98003w6325
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD