AG 03-046 - VARIOUS CITIESRETURN TO:
EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV:
2. ORIGINATING STAFF PERSON:
EXT: 2_CQ.� 1 3. DATE REQ. BY:
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCLJMENT (E.G, RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCLTMENT ❑ SECURITY DOCLJMENT (E.c. sorm �r.n�n nocuMErr'['s)
o ORDINANCE • ❑ RESOLUTION
❑ CONTRACT AMENDMEN'� (AG#): � .� — � ��p ❑ INTERLOCAL
� OTHER 1'
5. PROJECTNAME: MD(ii.�-: �o�uT Fkww-�J S�/�� �°l°UCRrl�,usit-MdN s�V��✓'�'�S�l���s
6. NAME OF CONTRACTOR: Cjltil�(� N � MO Al�� W ���� �,
ADDRESS: —� TELE ONE ?l.tr/�1)
E-MAIL: FAX:
SIGNATURE NAME: TITLE
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBTTS ❑ PROOF OF AUTHORTI'Y TO SIGN ❑ REQUIItED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
S. TERM: COMMENCEMENT DATE: , ZO G 3 COMPLETION DATE: ���TZI ��L._
9. TOTAL COMPENSATION $ /?S (n I��O C����" -'� �INCLUDE EXPENSES AND SALES TAX, IF ANY�
(IF CALCULATED ON HOURLY LABOR CI�GE - ATTACH SCHEDULES OF EM YEES TTfLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ��s ❑ tvo IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: O CONTRACTOR O CITY
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW I1�IIT / DATE REVIEWED IriITIAL / DATE APPROVED
❑ PROJECT MANAGER / Z /F / 2
�
❑ DIRECTOR
❑ RISK MANAGEMENT (� �rPr.iC�sLE)
❑ LAW
11. COUNCII. APPROVAL (IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCII. APPROVAL DATE:
12: CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
IIVITIAL / DATE SIGNED
❑ LAW DEPARTMENT
❑ SIGNATORY (MAYOR OR DutEC�roR)
❑ CITY CLERK
❑ ASSIGNED AG# AG#
❑ SIGNED COPY RETURNED DATE SENT: I r-I+ �"
COMMENTS:
1/9
Final
Calendar Year 2013
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
, , . ,,.� ... .T . a
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. „ - �.
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Catholic Community Services for Emergency
Assistance Federal Way - Lead City $ 13,500
Covington 8,500
Burien 10,500
Renton 10,609
SeaTac 12,000
TOTAL $ 55,109
Catholic Community Services for Volunteer
Chore Services Federal Way - Lead City $ 9,000
Auburn 3,000
Covington 3,000
Renton 5,000
SeaTac 5,000
TOTAL $ 25,000
Child Care Resources for Information &
Referral Covington - Lead City $ 3,585
Burien 5,000
Renton 5,000
SeaTac 5,000
Tukwila 5,000
TOTAL $ 23,585
Crisis Clinic for telephone referral line and 2-
1-1
2-1-1 $1,000: 24 hr line $1,000 Auburn - Lead City $ 2,000
2-1-1$8,500; 24 hr line None Burien 8,500
2-1-1$2,000; 24 hr line $2,400 Covington 4,400
2-1-1$2,600: 24 hr line $1,700 Des Moines 4,300
2-1-1$9,000: 24 hr line $3,000 Federal Way 12,000
2-1-1$15,000; 24 hr line $5,000 Renton 20,000
2-1-1$4,500; 24 hr line $2,500 SeaTac 7,000
2-1-1$1,500; 24 hr line $2,620 Tukwila 4,120
TOTAL $ 62,320
January 2, 2013
C:\Users\denisec\AppData\Local\Miaosoft\Windows\Temporary Intemet Files\Content.0utlook\KD6N3A0}i�HumServ Joint MOU Ex A 1 of 4
Final
Calendar Year 2013
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
. � � �y� �
, a -
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.. .. ... . ... . . � Ga ... .:. .
Crisis Clinic for Teen Link Auburn - Lead City $ 1,000
Burien 1,000
Covington 2,671
Des Moines 500
Federal Way 3,000
Renton 5,000
SeaTac 2,500
Tukwila 1,500
TOTAL $ 17,171
Domestic Abuse Women's Network
(DAWN) for Community Advocacy and
Crisis Line Covington - Lead City $ 8,000
Burien 2,000
Des Moines 1,000
Federal Way 5,000
RenMn 5,780
SeaTac 5,000
Tukwila 4,000
TOTAL $ 30,780
Domestic Abuse Women's Network
(DAWN) for Transitional Housing (Shelter) Burien - Lead City $ 8,000
Des Moines 5,000
Federal Way 20,000
SeaTac 8,000
Tukwila 7,000
TOTAL $ 48,000
Dynamic Partners for Children with Special
Needs Tukwila - Lead City $ 6,750
Auburn 10,000
Burien 5,000
Covington 9,000
Federal Way 10,000
Renton 10,200
SeaTac 13,000
TOTAL $ 63,950
HealthPoint - DENTAL Renton - Lead City $ 5,000
Covington 3,181
Des Moines 2,600
Federal Way 15,900
SeaTac 14,000
Tukwila 4,550
DENTAL TOTAL $ 45,231
January 2, 2013
C:\Users\denisec\AppDaW\Local\Microsok\Windows\Temporary Internet Files\Content.0utlook\KD6N3AOH\Hum Serv Joint MOU Fac A 2 of 4
Final
Calendar Year 2013
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
, , �� �. . .
� ., � ,,, . �M
�'_� :� " � ���� , � � .. , ���' �? �, .. �� r,�;�i
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HealthPoint - MEDICAL Renton - Lead City $ 28,350
Burien 10,000
Covington 4,000
Des Moines 4,900
Federal Way 15,000
SeaTac 47,000
Tukwila 5,000
MEDICAL TOTAL $ 114,250
King County Sexual Assault Resource Center
(KCSARC) for Comprehensive Sexual
Assault Services Covington - Lead City $ 4,864
Auburn 22,500
Burien 7,500
Renton 32,000
Des Moines 4,100
Federal Way 25,000
SeaTac 8,100
Tukwila 8,305
TOTAL $ 112,369
Multi-Service Center for Emergency Shelter
and Transitional Housing Burien - Lead City 4,000
Des Moines 4,000
Federal Way 38,000
Renton 6,631
SeaTac 7,000
Tukwila 4,000
TOTAL $ 63,631
Senior Services for Meals on Wheels Renton - Lead City $ 10,000
Auburn 7,000
Burien 5,000
Des Moines 3,750
Federal Way 10,000
SeaTac 11,000
Tukwila 7,079
TOTAL $ 53,829
Senior Services for Volunteer Transportation
Services and Senior Shuttles Renton - Lead City $ 11,180
Auburn 5,000
Burien (Sr. Shuttle) 2,000
Des Moines (Sr. Shuttle) 500
Federal Way 10,000
SeaTac 4,000
Tukwila 2,048
TOTAL $ 34,728
January 2, 2013
C:\Usen\denisec\AppData\Local\Microsok\ Windows\Temporary Intemet Files\Contmt.0utlook\KD6N3AOH\Hum Serv Joint MOU Ex A 3 of 4
Final
Calendar Year 2013
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Summary of Lead Cities:
Auburn: Crisis Clinic - 2-1-1 & 24 hr line
Crisis Clinic - Teen Link
Burien: DAWN - Shelter
Multi-Service Center -Emergency Housing
Covington: Childcare Resources - Info & Referral
DAWN - DV Advocacy/Crisis Line
KSCARC
Federal Way: CCS - Emergency Assistance
CCS - Volunteer Chore Services
Renton: HealthPoint - Dental
HealthPoint- Medical
Senior Services - Meals on Wheels
Senior Services - Volunteer Transportation
Tukwila: Dynamic Partners
Jan,�ary 2 2013
C:\Users\denisec\AppData\LOCaI\Microsok\Windows\Temporary Intemet Files\Content.0utlook\KD6N3AOFI�HumServ Joint MOU Ex A 4 of 4
II RETURN TO:
CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATION/DOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPT.IDIV:
CD/HS
2. ORIGINATING STAFF PERSON: KELLI O'DONNELL
EXT: 2653
3. DATEREQ. BY: 04/21/09
4. TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D CONTRACTOR SELECTION DOCUMENT (E. G, RFB, RFP, RFQ)
D PUBLIC WORKS CONTRACT D SMALL PUBLIC WORKS CONTRACT
D PROFESSIONAL SERVICE AGREEMENT D MAINTENANCE AGREEMENT
D GOODS AND SERVICE AGREEMENT D HUMAN SERVICES / CDBG
D REAL ESTATE DOCUMENT D SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
D ORDINANCE ~SOLUTION
D CONTRACT AMENDMENT (AG#): C> '3- O'-\{o
X OTHER ANNUALEXHIBITATO AG 03-046 2 09
5. PROJECT NAME: MOU RE: JOINT HUMAN SERVICES APPLICATIONS AMONG SEVERAL JURISDICTIONS
6. NAME OF CONTRACTOR:
TuKWILA
ADDRESS:
SIGNATURE NAME:
AUBURN, BURIEN, COVINGTON. DES MOINES, FEDERAL WAY. KENT, RENTON, SEATAC AND
VARIOUS
TELEPHONE
TITLE
7. EXHIBITSANDATTACHMENTS:D SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES D PRIOR CONTRACTI AMENDMENTS
8. TERM: COMMENCEMENT DATE:
APRIL 3. 2003
COMPLETION DATE: PERPETUAL
9. TOTAL COMPENSATION $ 123.100 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: DYES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES, $ PAID BY: D CONTRACTOR 0 CITY
D PURCHASING: PLEASE CHARGE TO: Various
10. CONTRACT REVIEW
p-pROJECTMANAGER
D DIRECTOR
D SIGNATORY (CM, ACM, OR DIRECTOR)
D RISK MANAGEMENT (IF APPLICABLE)
DLAW
INITIAL/DATERE~
4/1 'i:(O'1~.zJ
"
INITIAL I DATE APPROVED
11. CONTRACT SIGNATURE ROUTING
D SENT TO VENDOR/CONTRACTOR DATE SENT:
ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
DATE REC'D:
INITIAL/DATE SIGNED
D LAW DEPARTMENT
D SIGNATORY (CM, ACM, OR DIRECTOR)
D CITY CLERK
D ASSIGNEDAG#
D SIGNED COpy RETURNED
AG#
DATE SENT:
COMMENTS:
Update City Clerk Agreement file to include annual update to Exhibit A outlining participating cities funding for joint projects.
4/9
FINAL - 1
Calendar Year 2009
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Catholic Community Services for Emergency
Assistance Renton - Lead City' $ 10,609
Covington 8,500
Burien 10,500
SeaTac 8,000
TOTAL $ 37,609
Catholic Community Services for Volunteer
Chore Services Renton - Lead City $ 5,000
Federal Way 5,000
SeaTac 4,000
TOTAL $ 14,000
Childcare Resources for Resource & Referral Covington - Lead City $ 3,360
Burien 5,000
Renton 10,289
SeaTac 4,000
Tukwila 5,000
TOTAL $ 27,649
Dynamic Family Services (previously
Children's Therapy Center) for Early
Intervention Tukwila - Lead City $ 5,750
Covington 8,000
SeaTac 3,500
TOTAL $ 17,250
Crisis Clinic for telephone referral line and 2-
1-1
2-1-1 $1,000: 24 hr line $1,000 Auburn - Lead City $ 2,000
2-1-1 $3,000; 24 hr line None Burien 3,000
2-1-1 $1,800; 24 hr line $2,000 Covington 3,800
2-1-1 $1,500: 24 hr line $1,500 Des Moines 3,000
2-1-1 $5,000; 24 hr line $3,000 Federal Way 8,000
2-1-1 $5,500; 24 hr line $5,000 Renton 10,500
2-1-1 $4,000; 24 hr line $2,000 SeaTac 6,000
2-1-1 $1,500; 24 hr line $1,500 Tukwila 3,000
TOTAL $ 39,300
C:\Documents and Settings\kellio\Local Settings\ Temporary Internet FiIes\Conlent.Outlook\FCGY86CG\Hum Serv Joint MOU Ex A.xIsx
March 6, 2009
Page 1 of 3
FINAL -1
Calendar Year 2009
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Crisis Clinic for Teen Link
HealthPoint (formerly Community Health
Center) - DENTAL
HealthPoint (formerly Community Health
Center) - MEDICAL
HealthPoint (formerly Community Health
Center) - NATURAL MEDICINE
Auburn - Lead City
Burien
Covington
Des Moines
Federal Way
Renton
SeaTac
Tukwila
TOTAL $
Renton - Lead City
Covington
Des Moines
SeaTac
Tukwila
DENTAL TOTAL $
Renton - Lead City
Covington
Des Moines
Federal Way
SeaTac
Tukwila
MEDICAL TOTAL $
Renton - Lead City $
Covington
Des Moines
SeaTac
Tukwila
Natural Health TOTAL $
King County Sexual Assault Resource Center
(KCSARC) for sexual assault services Covington - Lead City $
Auburn
Burien
Renton
Des Moines
Federal Way
SeaTac
Tukwila
TOTAL $
C:\Documents and Settings\kelIio\LocaI Settings\ Temporary Internet FiIes\Content.Outlook\FCGY86CG\Hum Serv Joint MOU Ex A.xlsx
$
1,000
1,000
1,800
1,000
3,000
4,000
1,000
1,500
14,300
$
13,300
3,000
1,000
11,054
4,000
32,354
$
25,280
4,000
3,000
24,100
39,000
5,000
100,380
5,655
2,000
400
1,000
2,000
11,055
3,540
22,500
7,400
32,000
4,000
30,000
7,800
7,984
115,224
March 6, 2009
Page2of3
FINAL -1
Calendar Year 2009
Exhibit A to Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Multi-Service Center for Transitional
Housing/Shelter
Federal Way - Lead City $
Burien
Des Moines
Renton
SeaTac
Tukwila
TOTAL $
Senior Services for Meals on Wheels
Renton - Lead City $
Burien
Des Moines
Federal Way
SeaTac
Tukwila
TOTAL $
Senior Services for Volunteer Transportation
Services
Renton - Lead City $
Burien (Sr. Shuttle)
Des Moines (Sr. Shuttle)
Federal Way
SeaTac
Tukwila
TOTAL $
Summary of Lead Cities:
Auburn: Crisis Clinic - 2-1-1 & 24 hr line
Crisis Clinic - Teen Link
Covington: Childcare Resources
KSCARC
Federal Way: Multi-Service Center -Transitional Housing
Renton: CCS - Emergency Assistance
CCs... Volunteer Chore Services
HealthPoint - Dental
HealthPoint- Medical
HealthPoint - Natural Medicine
Senior Services - Meals on Wheels
Senior Services - Transportation
Tukwila: Dynamic Family Services
C:\ Documents and Settings\keIlio\LocaI Settings\ Temporary Internet Files\ContenI.OutIook\FCGY86CG\Hum Serv Joint MOU Ex A.xlsx
38,000
3,000
3,000
8,000
6,000
3,800
61,800
10,000
5,000
3,750
10,000
10,000
6,873
45,623
7,950
2,000
1,000
5,000
2,500
1,749
20,199
March 6, 2009
Page 3of3
II RETURN TO:
CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATIONIDOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPT.IDIV:
CD/HS
2. ORIGINATING STAFF PERSON: KELLI O'DONNELL
3. DATEREQ.BY: 04/21/09
EXT: 2653
4. TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D CONTRACTOR SELECTION DOCUMENT (E. G, RFB, RFP, RFQ)
D PUBLIC WORKS CONTRACT 0 SMALL PUBLIC WORKS CONTRACT
D PROFESSIONAL SERVICE AGREEMENT D MAINTENANCE AGREEMENT
D GOODS AND SERVICE AGREEMENT D HUMAN SERVICES / CDBG
D REAL ESTATE DOCUMENT D SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
D ORDINANCE ~RESOLUTION
D CONTRACT AMENDMENT (AG#): 03-0L.\-Lo )
X OTHER ANNUAL EXHIBITATO AG 03-046 2 08
5. PROJECT NAME: MOD RE: JOINT HUMAN SERVICES ApPLICATIONS AMONG SEVERAL JURISDICTIONS
6. NAME OF CONTRACTOR:
TuKWILA
ADDRESS:
SIGNATURE NAME:
AUBURN. BURIEN. COVINGTON, DES MOINES. FEDERAL WAY. KENT, RENTON. SEATAC. AND
VARIOUS
TELEPHONE
TITLE
7. EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES D PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
APRIL 3. 2003
COMPLETION DATE: PERPETUAL
9. TOTAL COMPENSATION $ 119.100 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: D YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES, $ PAID BY: 0 CONTRACTOR 0 CITY
D PURCHASING: PLEASE CHARGE TO: Various
10. ~NTRACTREVIEW
P PROJECT MANAGER
D DIRECTOR
D SIGNATORY (CM, ACM, OR DIRECTOR)
D RISK MANAGEMENT (IF APPLICABLE)
DLAW
INITIAL/DATE~ITIAL/DATEAPPROVED
~n il<f/Dq
11. CONTRACT SIGNATURE ROUTING
D SENT TO VENDOR/CONTRACTOR DATE SENT:
ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
DATE REC'D:
INITIAL/ DATE SIGNED
D LAW DEPARTMENT
D SIGNATORY (CM, ACM, OR DIRECTOR)
D CITY CLERK
D ASSIGNED AG#
D SIGNED COPY RETURNED
AG#
DATE SENT:
COMMENTS:
Update City Clerk Agreement file to include annual update to Exhibit A outlining participating cities funding for joint projects.
4/9
FINAL
Calendar Year 2008
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and implementation of a joint
human services a lication and fundin TO ram.
Catholic Community Services for
Emergency Assistance
SeaTac 8,000
TOTAL $ 51,000
Catholic Community Services for
Volunteer Chore Services Renton - Lead City $ 5,000
Auburn 1,500
Federal Way 4,000
SeaTac 3,000
TOTAL $ 13,500
Childcare Resources for Resource &
Referral Covington - Lead City $ 2,340
Burien 4,000
Renton 7,800
SeaTac 2,000
Tukwila 5,000
TOTAL $ 21,140
Children's Home Society for
Strenghthening Families Auburn -Lead City $ 10,000
Federal Way 5,000
Kent 10,000
TOTAL $ 25,000
Kent - Lead City
Covington
Des Moines
Renton
Tukwila
$
35,000
7,500
1,000
10,000
5,000
58,500
TOTAL $
C:\DOCUME-l\default\LOCAlS-l\Temp\XPgrpwise\Hum Serv Joint MOU Ex A
January 9, 2008
Page 1 of 4
FINAL
Calendar Year 2008
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and implementation of a joint
human services a lication and fundin ro ram.
Community Health Centers for primary
DENTAL services for low and moderate
income persons.
Community Health Centers for
comprehensive MEDICAL services for
low and moderate income persons.
Community Health Center - Natural
Medicine
Crisis Clinic for telephone referral line
and 2-1-1
2-1-1 $1,500; 24 hr line $2,000
2-1-1 None; 24 hr line $1,000
telephone serv $5,000
2-1-1 $5,500; 24 hr line $5,500
2-1-1 $2,550; 24 hr line $2,500
2-1-1 $4,000; 24 hr line $2,000
2-1-1 $1,500; 24 hr line $1,302
Crisis Clinic for Teen Link
C:\IXJCUME-l\defauIt\LOCALS-l \ Temp\XPgrpwise\Hum Serv Joint MOU Ex A
Kent - Lead City
Covington
Renton
SeaTac
Tukwila
DENTAL TOTAL $
$
20,000
2,160
19,000
5,000
2,500
48,660
$
Kent - Lead City
Auburn
Federal Way
Renton
SeaTac
Tukwila
MEDICAL TOTAL $
Renton - Lead City $
Covington
Federal Way
Natural Health TOTAL $
Auburn - Lead City
Covington
Des Moines
Kent
Federal Way
Renton
SeaTac
Tukwila
TOTAL $
Auburn - Lead City
Covington
Des Moines
Federal Way
Renton
SeaTac
Tukwila
TOTAL $
31,600
30,000
38,400
3,000
174,956
5,000
2,000
5,000
12,000
$
5,000
3,500
1,000
5,000
11,000
5,050
6,000
2,802
39,352
$
$
1,000
1,800
1,000
4,000
2,000
1,000
1,000
11,800
January 9, 2008
Page2of4
FINAL
Calendar Year 2008
Exhibit A to
Memorandum of Understanding (MOD) between the Cities for planning, funding, and implementation of a joint
human services a lication and fundin ro am.
King County Sexual Assault Resource
Center (KCSARC) for sexual assault
services
Multi-Service Center for Transitional
Housing/ Shelter
Pregnancy Aid of South King County for
Services for Pregnant Women and their
children (Des Moines location)
Senior Services for Meals on Wheels
Senior Services for Volunteer
Transportation Services
C:\lXXUME-l\defauIt\LGCALS-l\ Temp\XPgrpwise\Hum Serv Joint MOU Ex A
Renton - Lead City
Auburn
Burien
Covington
Des Moines
Kent
Federal Way
SeaTac
Tukwila
TOTAL $
Kent - Lead City
Des Moines
Renton
SeaTac
Tukwila
TOTAL $
$
37,000
22,500
7,000
3,340
4,000
21,000
36,000
7,450
14,000
152,290
$
40,000
2,500
5,000
5,200
3,800
56,500
Tukwila
TOTAL $
Renton - Lead City
Auburn
2,000
7,700
$
10,000
7,000
Federal Way
SeaTac
Tukwila
TOTAL $
Renton - Lead City
Auburn
Des Moines
Federal Way
SeaTac
Tukwila
TOTAL $
9,500
10,000
5,600
44,600
$
7,350
5,000
1,000
6,000
2,500
1,764
23,614
January 9, 2008
Page3of4
Washington Women's Employment and
Education for the REACH Plus Program Kent - Lead City
Renton
SeaTac
$
35,000
10,000
2,000
47,000
TOTAL $
Summary of Lead Cities:
Auburn: Children's Home Society
Crisis Clinic - 2-1-1 & 24 hr line
Crisis Clinic - teen link
Covington: Childcare Resources
Federal Way: Pre aney Aid
Kent:
Comm Health Or - Dental
Comm Health Ctr - Medical
Multi-Service Ctr - transitional housing
Wash Womens Emplymt & Educ - REACH
Renton: CCS - Emergency Assistance
CCS- Volunteer Chore Services
Comm Health Ctr - Natural Medicine
KSCARC
Senior Services - Meals on Wheels
Senior Services - Transportation
January 9, 2008
C:\DOCUME-l\defauIt\LOCALS-l\Temp\XPgrpwise\HumServ ]ointMOU ExA Page 4 of 4
TI RETURN TO:
CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATION/DOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPTIDIV:
CD/HS
EXT: 2653_ 3. DATEREQ. BY: 04/21/09
2. ORIGINATING STAFF PERSON: KELLI O'DONNELL
4. TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D CONTRACTOR SELECTION DOCUMENT (E. G, RFB, RFp, RFQ)
D PUBLIC WORKS CONTRACT D SMALL PUBLIC WORKS CONTRACT
D PROFESSIONAL SERVICE AGREEMENT D MAlNTENANCEAGREEMENT
D GOODS AND SERVICE AGREEMENT D HUMAN SERVICES 1 CDBG
D REAL ESTATE DOCUMENT D SECURITYDOCUMENT(EG.BONDRELATEDDOCUMENTS)
D ORDINANCE 0 RESOLUTION
D CONTRACT AMENDMENT (AG#): 03-o~(I
X OTHER ANNUAL EXHIBITATO AG 03-046 2007
5. PROJECT NAME: MOD RE: JOINT HUMAN SERVICES ApPLICATIONS AMONG SEVERAL JURISDICTIONS
6. NAME OF CONTRACTOR:
TuKWILA
ADDRESS:
SIGNATURE NAME:
AUBURN. BURIEN. COVINGTON. DES MOINES. FEDERAL WAY, KENT, RENTON. SEATAC. AND
VARIOUS
TELEPHONE
TITLE
7. EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/cERTIFICATE D ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES D PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
APRIL 3. 2003
COMPLETION DATE: PERPETUAL
9. TOTAL COMPENSATION $ 114.600 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: DYES XNO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES, $ PAID BY: D CONTRACTOR 0 CITY
D PURCHASING: PLEASE CHARGE TO: Various
10. CONTRACT REVIEW
flPROJECTMANAGER
D DIRECTOR
o SIGNATORY (CM, ACM, OR DIRECTOR)
D RISK MANAGEMENT (IF APPLICABLE)
DLAW
INITIAL/DA1E~
~ 4{,<t{~ /
y
INITIAL/ DATE APPROVED
11. CONTRACT SIGNATURE ROUTING
D SENT TO VENDOR/CONTRACTOR DATE SENT:
ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
DATEREC'D:
INITIAL 1 DATE SIGNED
D LAW DEPARTMENT
D SIGNATORY (CM, ACM, OR DIRECTOR)
D CITY CLERK
D ASSIGNED AG#
D SIGNED COPY RETURNED
AG#
DATE SENT:
COMMENTS:
Update City Clerk Agreement file to include annual update to Exhibit A outlining participating cities funding for joint projects.
4/9
.. ~
FINAL
f' Calendar Year 2007
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and implementation of a joint
human services application and funding program.
Renton - Lead City $ 10,000
Covington 5,400
Burien 10,000
Des Moines 3,000
Federal Way 7,000
SeaTac 8,000
TOT AL $ 43,400
. Catholic Community Services for
Volunteer Chore Services Renton - Lead City $ 5,000
Auburn 1,500
Federal Way 4,000
SeaTac 3,000
TOTAL $ 13,500
Covington - Lead City $ 2,340
Burien 4,000
Renton 7,800
SeaTac 2,000
Tukwila 5,000
TOT AL $ 21,140
Auburn -Lead City $ 10,000
Federal Way 5,000
Kent 10,000
TOT AL $ 25,000
Kent - Lead City $ 35,000
Covington 7,500
Des Moines 1,000
Renton 10,000
Tukwila 5,000
TOTAL $ 58,500
C:\Documcnts and Settings\De.f<luJt\ Local 5ettings\Temr\Hum Serv Joint r-.l0U Ex A.xls
January 11, 2007
Page 1 of 4
I HNM
Calendar Year 2007
Exhibit A to
Memorandum of Understanding (MOD) between the Cities for planning, funding, and implementation of a joint
human services application and funding program.
Community Health Centers for
primary DENTAL services for low
and moderate income persons.
Kent - Lead City
Covington
Renton
SeaTac
Tukwila
DENTAL TOTAL $
Community Health Centers for
comprehensive MEDICAL services for
low and moderate income persons. Kent - Lead City
Auburn
Covington
Des Moines
Federal Way
Renton
SeaTac
Tukwila
Crisis Clinic for telephone referral line
and 2-1-1
2-1-1 $1,500; 24 hr line $2,000
2-1-1 None; 24 hr line $1,000
telephone serv $5,000
2-1-1 $5,500; 24 hr line $5,500
2-1-1 $2,550; 24 hr line $2,500
2-1-1 $4,000; 24 hr line $2,000
2-1-1 $1,500; 24 hr line $1,302
C\DOCUlllents and Settings\ Defdu1t\LocaJ Settings\Temp\ Hum Serv Joint t\10U Ex A.xls
MEDICAL TOTAL $
Renton - Lead City $
Covington
Federal Way
Natural Health TOTAL $
Auburn - Lead City
Covington
Des Moines
Kent
Federal Way
Renton
SeaTac
Tukwila
TOTAL $
$
20,000
2,160
19,000
5,000
2,500
48,660
$
57,000
8,536
3,420
2,500
31,600
30,000
38,400
3,000
174,456
5,000
2,000
5,000
12,000
$
5,000
3,500
1,000
5,000
11,000
5,050
6,000
2,802
39,352
January 11, 2007
Page 2 of 4
t FINAL
Calendar Year 2007
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and implementation of a joint
human services application and funding program.
Crisis Clinic for Teen Link Auburn - Lead City $ 1,000
Covington $ 1,800
Des Moines 1,000
Federal Way 4,000
Renton 2,000
SeaTac 1,000
Tukwila 1,000
TOTAL $ 11,800
King County Sexual Assault Resource
Center (KCSARC) for sexual assault
services Renton - Lead City $ 37,000
Auburn 22,500
Burien 7,000
Covington 3,340
Des Moines 4,000
Kent 21,000
Federal Way 36,000
SeaTac 7,450
Tukwila 14,000
TOTAL $ 152,290
Multi-Service Center for Transitional
Housing/ Shelter Kent - Lead City $ 40,000
Des Moines 2,500
Renton 5,000
SeaTac 5,200
Tukwila 3,800
TOTAL $ 56,500
Pregnancy Aid of Sou th King County
for Services for Pregnant Women and
their children (Des Moines location) Federal Way - Lead City $ 4,500
Des Moines 1,000
Tukwila 2,000
TOT AL $ 7,500 .
C\Doruments and Settings\Defoull\Local Settings\ Temp\Hum Serv Joint MOU Ex A.xIs
January 11, 2007
Page 3 of 4
...
.
..
FINAL
Calendar Year 2007
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and implementation of a joint
human services application and funding program.
Senior Services for Meals on Wheels Renton - Lead City $ 10,000
Auburn 7,000
Des Moines 2,000
Federal Way 9,500
SeaTac 10,000
Tukwila 5,600
TOTAL $ 44,100
Senior Services for Volunteer
Transportation Services Renton - Lead City $ 7,350
Auburn 5,000
Des Moines 1,000
Federal Way 6,000
SeaTac 2,500
Tukwila 1,764
TOTAL $ 23,614
Washington Women's Employment
and Education for the REACH Plus
Program Kent - Lead City $ 35,000
Renton 10,000
SeaTac 2,000
TOTAL $ 47,000
Summary of Lead Cities:
Auburn: Children's Home Society
Crisis Clinic - 2-1-1 & 24 hr line
Crisis Clinic - teen link
Covington: Childcare Resources
Federal Way: Pregnancy Aid
Kent: Children's Therapy Center
Comm Health Ctr - Dental
Comm Health Ctr - Medical
Multi-Service Ctr - transitional housing
Wash Womens Emplymt & Educ - REACH
Renton: CCS - Emergency Assistance
CCS- Volunteer Chore Services
Comm Health Ctr - Natural Medicine
KSCARC
Senior Services - Meals on Wheels
Senior Services - Transportation
New agency added in 2007
C\ Documents and Settings\ Default\ LocdISetlings\Temp\ Hum Serv Joint MOU Ex Axis
January 11, 2007
Page 4 of 4
II RETURN TO:
CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATIONIDOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPTIDIV:
CD/HS
2. ORIGINATING STAFF PERSON: KELLI O'DONNELL
EXT: 2653
3. DATEREQ. BY: 04/21/09
4. TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D CONTRACTOR SELECTION DOCUMENT (E. G, RFB, RFP, RFQ)
D PUBLIC WORKS CONTRACT D SMALL PUBLIC WORKS CONTRACT
D PROFESSIONAL SERVICE AGREEMENT D MAINTENANCE AGREEMENT
D GOODS AND SERVICE AGREEMENT D HUMAN SERVICES 1 CDBG
D REAL ESTATE DOCUMENT D SECURITY DOCUMENT (EGBONDRELATEDDOCUMENTS)
D ORDINANCE D RESOLUTION
D CONTRACT AMENDMENT (AG#): 03- 04Lo ~
x OTHER ANNUAL EXHIBIT A TO AG 03-046 2006
5. PROJECT NAME: MOU RE: JOINT HUMAN SERVICES ApPLICATIONS AMONG SEVERAL JURISDICTIONS
6. NAME OF CONTRACTOR:
TuKWILA
ADDRESS:
SIGNATURE NAME:
AUBURN. BURIEN, COVINGTON. DES MOINES. FEDERAL WAY, KENT. RENTON. SEATAC. AND
VARIOUS
TELEPHONE
TITLE
7. EXHIBITS AND ATTACHMENTS: D SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES D PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
APRIL 3, 2003
COMPLETION DATE: PERPETUAL
9. TOTALCOMPENSATION$ 113,077 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: D YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES, $ PAID BY: D CONTRACTOR 0 CITY
D PURCHASING: PLEASE CHARGE TO: Various
10. CONTRACT REVIEW
Ji PROJECT MANAGER
D DIRECTOR
D SIGNATORY (CM, ACM, OR DIRECTOR)
D RISK MANAGEMENT (IF APPLICABLE)
DLAW
INITIAL/DATERE~~~TIAL/DM'EAPPROVED
~ 4!t<f(O .
11. CONTRACTSIGNATUREROUTING
D SENT TO VENDOR/CONTRACTOR DATE SENT:
ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
INITIAL/ DATE SIGNED
DATE REC'D:
D LAW DEPARTMENT
D SIGNATORY (CM, ACM, OR DIRECTOR)
D CITY CLERK
D ASSIGNED AG#
D SIGNED COPY RETURNED
AG#
DATE SENT:
COMMENTS:
Update City Clerk Agreement file to include annual update to Exhibit A outlining participating cities funding for joint projects.
4/9
- ..
FINAL
Calendar Year 2006
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Crisis Clinic for telephone referral line
Crisis Clinic for Teen Link
Pregnancy Aid of South King County for
Services for Pregnant Women and their
children (Des Moines location)
Washington Women's Employment and
Education for the REACH Plus Program
YWCA for the Domestic Violence
Services Program
Hum Serv Joint MOU Ex A.xls
Auburn - Lead City
Burien
Covington
Des Moines
Kent
Federal Way
Renton
SeaTac
Tukwila
4,500
5,000
2,500
5,000
TOT AL $
Auburn - Lead City
Covington $
Des Moines
Federal Way
Renton
SeaTac
Tukwila
3,300
4,985
2,000
42,285
1,500
1,500
TOTAL $
Federal Way - Lead City $
SeaTac
Tukwila
TOTAL $
1,000
1,500
1,000
9,500
4,000
3,600
2,000
9,600
Federal Way - Lead City
Auburn
Kent
SeaTac
TOTAL $
Federal Way - Lead City $
Auburn
Kent
Tukwila
TOTAL $
6,000
35,000
4,500
50,500
4,000
33,000
30,000
25,000
92,000
January 23, 2006
Page 1 of 3
-
FINAL
Calendar Year 2006
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Community Health Centers for primary
DENTAL services for low and moderate
income persons. Kent - Lead City $ 15,000
Covington 2,000
SeaTac 5,000
Tukwila 2,000
DENTAL TOTAL $ 24,000
Community Health Centers for
comprehensive MEDICAL services for
low and moderate income persons. Kent - Lead City $ 58,450
Auburn 32,000
Covington 3,200
Federal Way 31,827
Renton 24,000
SeaT ac 5,000
Tukwila 2,000
MEDICAL TOTAL $ 156,477
Multi-Service Center for Transitional
Housing/ Shelter Kent - Lead City $ 40,000
Auburn 8,200
Des Moines
Renton 2,000
SeaTac 5,200
Tukwila 3,000
TOT AL $ 61,000
King County Sexual Assault Resource
Center (KCSARC) for sexual assault
services Renton - Lead City $ 35,000
Auburn 26,500
Burien 7,500
Covington 3,605
Des Moines
Kent 20,600
Federal Way 36,050
SeaTac 7,416
Tukwila 14,000
TOTAL $ 154,771
Hum Serv Joint MOU Ex A.xls
January 23, 2006
Page 2 of 3
..
-
...
FINAL
Calendar Year 2006
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Catholic Community Services for
Volunteer Chore Services
Senior Services for Meals on Wheels
Senior Services for Volunteer
Transportation Services
Hum Serv Joint MOU Ex A.xls
Renton - Lead City $ 5,000
Auburn 5,000
Burien 8,000
Federal Way 4,000
Kent 5,000
SeaTac 3,000
TOTAL $ 30,000
Renton - Lead City $ 6,000
Auburn 7,000
Des Moines
Federal Way 9,500
SeaTac 7,700
Tukwila 7,000
TOT AL $ 39,200
Renton - Lead City $
Auburn
Des Moines
Federal Way
Kent
SeaTac
Tukwila
TOTAL $
Changes from 2005 amts =
6,000
5,000
1,000
5,700
7,500
2,275
1,692
29,167
January 23, 2006
Page 3 DB
TI RETURN TO:
~
CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATION/DOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPT.IDIV:
CD/HS
2. ORIGINATING STAFF PERSON: KELLI O'DONNELL
EXT: 2653
3. DATEREQ. BY:
4. TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D CONTRACTOR SELECTION DOCUMENT (E.G, RFB, RFP, RFQ) I L
D PUBLIC WORKS CONTRACT 0 SMALL PUBLIC WORKS CONTRACT PilO.: ,f)~~
o PROFESSIONAL SERVICE AGREEMENT D MAINTENANCE AGREEMENT ~
D GOODS AND SERVICE AGREEMENT D HUMAN SERVICES 1 CDBG
D REAL ESTATE DOCUMENT r'\AI/'l D SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
D ORDINANCE O<>.....(/\V D RESOLUTION
X CONTRACT AMENDMENT (AG#): ADDING CITY OF COVINGTON TO MOU 2.a?s-
D OTHER
5. PROJECT NAME: MOU RE: JOINT HUMAN SERVICES APPLICATIONS AMONG SEVERAL JURISDICTIONS
6. NAME OF CONTRACTOR:
TuKWILA
ADDRESS:
SIGNATURE NAME:
AUBURN. BURIEN. COVINGTON. DES MOINES, FEDERAL WAY. KENT. RENTON. SEATAC. AND
VARIOUS
TELEPHONE
TITLE
7. EXHIBITSANDATTACHMENTS:D SCOPE, WORK OR SERVICES D COMPENSATION D INSURANCE REQUIREMENTS/CERTIFICATE D ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN D REQUIRED LICENSES D PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
APRIL 3,2003
COMPLETION DATE: PERPETUAL
9. TOTAL COMPENSATION $ 91.450 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: DYES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED D YES X NO IF YES, $ PAID BY: D CONTRACTOR 0 CITY
D PURCHASING: PLEASE CHARGE TO: Various
10. CONTRACT REVIEW
P(PROJECT MANAGER
D DIRECTOR
D SIGNATORY (CM, ACM, OR DIRECTOR)
D RISK MANAGEMENT (IF APPLICABLE)
DLAW
~/DATE~
4/ Jq{ otf
INITIAL/DATEAPPROVED
11. CONTRACT SIGNATURE ROUTING
D SENT TO VENDOR/CONTRACTOR DATE SENT:
ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
INITIAL/DATE SIGNED
DATEREC'D:
D LAWDEPARTMENT
D SIGNATORY (CM, ACM, OR DIRECTOR)
D CITY CLERK
D ASSIGNED AG#
D SIGNED COPY RETURNED
AG#
DATE SENT:
COMMENTS:
Update City Clerk Agreement file to include the 2005 Addendum adding the City of Covington to the MOU.
4/9
Mayor
Noel Gibb
Deputy Mayor
Joan McGilton
CounciImembers
Jack Block, Jr.
Lucy Krakowiak
Stephen Lamphear
Sally Nelson
Gordon Shaw
City of Burien
415 Southwest 150th Street. Burien, Washington 98166-197.3
Phone: (206) 241-4647' Fax: (206)248-5539
www.d.burien.wa.us
MEMORANDUM
Date:
March 15,2005
To:
City of Auburn
City of Des Moines
City of Federal Way
City of Kent
City of Renton
City of SeaTac
City of Tukwila
Cc: City of Covington
From: Lori Fleming, City of Burien
Subject: Addendum No. I to MOD between South King County cities for
Joint Human Services Program
Attached for your files is a copy of Addendum No.1 to the Memorandum of
Understanding (MOU) amongst the various South King County cities for a
Joint Human Services Funding Program. The purpose of Addendum No.1 is to
add the City of Covington to the MOU, effective January 1,2005.
If you have any questions, please contact me at (206) 248-5518 or
Lorif@ci.burien. wa. us.
R:\AD\LoriF\2005\Cvrmemo to cities on Addend I-Joint I-IS MOll.doc
()RIGINAL
Addendum 1
to
MEMORANDUM OF UNDERSTANDING BETWEEN THE
CITIES OF AUBURN, BURIEN, DES MOINES, FEDERAL
WAY, KENT, RENTON, SEATAC, AND TUKWILA FOR
PLANNING, FUNDING, AND IMPLEMENTATION OF A
JOINT HUMAN SERVICES APPLICATION AND
FUNDING PROGRAM.
The attached Memorandum of Understanding between the Cities for the planning, funding, and
implementation of a joint human services application and funding program shall be modified to
include the City of Covington, Washington.
Provision 7. Notices on page 3 shall be changed to include the City of Covington, with the
contact person being the Human Services Manager, currently Victoria Throm.
All other terms and conditions of the above referenced contract shall remain the same.
These changes shall become effective on January 1,2005.
By:
Title: ~ ~ ~
Date: Z - 2&.{ - 0 5"
MEMORANDUM OF UNDERSTANDING BETWEEN
THE CITIES OF AUBURN, BURIEN, DES MOINES,
FEDERAL WAY, KENT, RENTON, SEATAC, AND
TUKWILA FOR PLANNING, FUNDING, AND
IMPLEMENTATION OF A JOINT HUMAN
SERVICES APPLICATION AND FUNDING
PROGRAM.
THIS MEMORANDUM OF UNDERSTANDING ("MOD") is entered into pursuant
to Chapter 39.34 RCW by the Cities of Auburn, Burien, Des Moines, Federal Way, Kent,
Renton, SeaTac, and Tukwila, Washington hereinafter referred to as "Cities", to provide
for planning, funding, and implementation of a joint human services application and
funding program.
WHEREAS, the Cities engage in activities which support human service providers in
King County; and
WHEREAS, the parties wish to make the most efficient use of their resources by
cooperating to provide funding to support human service providers in south King County;
and
WHEREAS, through the Interlocal Cooperation Act, the parties have the authority to
engage in cooperative efforts which result in more efficient use of Government resources;
and
NOW THEREFORE, and in consideration of the terms, conditions and performances
made herein, it is agreed as follows:
1. Purpose of MOD: The purpose of the MOD is the set up a cooperative arrangement
between the Cities to consolidate the human services application and funding process.
Four nonprofit human services agencies, commonly funded by many of the Cities, have
been designated by the Cities for calendar year 2003. Nonprofit agencies may be added
or deleted each year as determined by the Cities for the cooperative program.
2. Joint Participation.
a) Lead City. A Lead City will be designated by the Cities for each Nonprofit
Agency, as shown in Exhibit A, to act as the fiscal and administrative agent
for the Cities for that Nonprofit Agency. A Lead City is usually established
by the amount of funding and/or support to the particular Nonprofit Agency.
The responsibilities of the Lead City are described in Section 4.
b) Participating City. A Participating City is a city participating III the
cooperative funding of a Nonprofit Agency, who is not a Lead City.
Participating Cities for each Nonprofit Agency are identified in Exhibit A. A
Participating City shall review quarterly reports from the Nonprofit Agency.
Joint Human Services Application and Funding MOU
Page 2 of7
If a Participating City becomes concerned with a Nonprofit Agency's
services, it will promptly notify the Lead City. If a Participating City
determines that a Nonprofit Agency is not performing satisfactorily for their
city, the Participating City reserves the right to request the Lead City to
withhold payments to the Nonprofit Agency for their share of funding. In the
event that a claim or lawsuit is initiated by a Nonprofit Agency against any
City for withholding payment, the City requesting the withholding of payment
shall be responsible for settling or defending the claim or lawsuit. In addition,
in the event of any settlement of or judgment on the claim or lawsuit, the City
requesting that payment be withheld shall be fully responsible for the payment
of such settlement of judgment and shall indemnify, defend, and hold
harmless the other Cities for such settlement or lawsuit.
c) Nonprofit Agency. For calendar year 2003, the Cities identified and agreed
that they will coordinate to consolidate the human services application and
funding process for the following four Nonprofit Agencies: Crisis Clinic,
King County Sexual Assault Resource Center, Community Health Center, and
the Part-Time Domestic Violence Planner through the King County Coalition
Against Domestic Violence. Nonprofit Agencies may be added or deleted
each year as determined by the Cities for the cooperative program.
3. Funding Arrangement.
a) Allocation. Each Participating City shall provide to the Lead City no later
than March 31 st of each year, the total annual funding allocation approved by
their City Councils for the Nonprofit Agency, as described in Exhibit A. No
administrative costs shall be imposed by the Lead City to the other
Participating Cities. Exhibit A will be updated each year to show the
Nonprofit Agencies, Lead Cities, Participating Cities, and funding amounts
for that calendar year. {For City of Des Moines only, the last sentence of this
paragraph was changed to read: "Exhibit A will be updated each year by
approval of amendment to this agreement to show the Nonprofit Agencies,
Lead Cities, Participating Cities, and funding amounts for that calendar
year. "}
b) Return of Unspent Funds. Any monies that the Nonprofit Agency(s) does not
spend during the calendar year shall be proportionately returned to each
Participating City. On or before March 31 st of the next calendar year the Lead
City will provide the unspent funds to each Participating City.
4. Responsibilities of Lead City. A Lead City has been designated to act as the fiscal and
administrative agent for the Cities for each Nonprofit Agency, as shown in Exhibit A.
The responsibilities ofthe Lead City shall include the following:
a) Send an invoice to each Participating City by January 30th of each year for
their annual approved allocation to the Nonprofit Agency.
R:\AD\Contracts\2oo2 Contracts\HmnServ-ArtsCuIt-CityMatch Contracts\Hwn Serv Joint Fund MOU.doc
Final MOU - April 3, 2003
Joint Human Services Application and Funding MOD
Page 3 of7
b) Contract with the Nonprofit Agency each year, for the total funding allocated
by the Participating Cities, detailing performance measures to be performed
by the Nonprofit Agency for each City.
c) Receive, review, and process the quarterly invoices and reports from the
Nonprofit Agency. Quarterly reports shall describe services provided
specifically to each City. Disputes regarding billings will be resolved among
the Participating Cities.
d) Provide copies of quarterly reports to the Participating Cities, if the reports are
not provided directly by the Nonprofit Agency.
e) Provide the Nonprofit Agency with a funding application and technical
assistance as required.
f) Perform an annual monitoring visit of the Nonprofit Agency, to include the
participation of another Participating City.
g) Maintain accounts and records which properly reflect transactions related to
this MOD.
5. Duration. This MOD shall become effective when it is approved by a majority of the
Cities and shall remain in effect through December 31,2003, with automatic extensions
annually, unless terminated as described in section 6.
6. Termination. Any party may terminate its participation in the MOD without cause by
giving the other Cities a thirty day written notice. The terminating party shall remain
fully responsible for meeting its funding responsibilities and other obligations established
by this MOD through the end ofthe calendar year in which such notice is given.
7. Notices. Notices to the Cities shall be sent to the following persons:
Kent ~.
Renton
SeaTac
Tukwila
8. Indemnification.
Each City agrees to indemnify the other Cities from any claims, damages, losses, and
costs, including, but not limited to, attorney's fees and litigation costs, arising out of
claims by third parties for property damage and bodily injury, including death, caused
solely by the negligence or willful misconduct of such City, the City's employees,
R:\AD\Contracts\2oo2 Contracts\HumServ-ArtsCult-CityMatch Contracts\Hwn Serv Joint FWld MOD.doc
Final MOD - April 3, 2003
Joint Human Services Application and Funding MOD
Page 4 of7
affiliated corporations, officers, and lower tier subcontractors in connection with this
MOD.
Each City hereby waives its immunity under Title 51 of the Revised Code of Washington
for claims of any type brought by any City agent or employee against the other Cities.
This waiver is specifically negotiated by the parties and a portion of the City's payment
hereunder is expressly made the consideration for this waiver.
9. Insurance. Each City shall procure and maintain in full force throughout the
duration of the Agreement comprehensive general liability insurance with a minimum
coverage of $1,000,000.00 per occurrence/aggregate for personal injury and property
damage. In the event that a City is a member of a pool of self-insured cities, the City
shall provide proof of such membership in lieu of the insurance requirement above. Such
self insurance shall provide coverage equal to or greater that required of non-self
insurance pool member Cities.
10. Oversight Committee. This Agreement shall be managed by an Oversight
Committee made up of one representative of each City. The representative of each City
shall be that person designated in section 7 of this Agreement. The Oversight
Committee shall meet at least annually to discuss the terms of the Agreement and manage
the services provided pursuant to the Agreement.
11. Applicable Law; Venue; Attorney's Fees. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. In the event any
suit, arbitration, or other proceeding is instituted to enforce any term of this Agreement,
the parties specifically understand and agree that venue shall be exclusively in King
County, Washington. The prevailing party in any such action shall be entitled to its
attorney's fees and costs of suit.
12. Counterparts. This document may be executed in any number of counterparts,
each one which shall be considered an original.
IN WITNESS WHEREOF, the undersigned have entered into this MOD as of this
day of , 2003.
R:\AD\Contrncts\2oo2 Contrncts\HwnServ-ArtsCult-CityMatcb Contrncts\Hum Serv Joint Fund MOD.doc
Final MOD - April 3, 2003
IN WITNESS WHERE~ undersigned have entered into this MOD as of this
z.\~ day of .. .. ~ ,,2003.
:~OFA~~o.>
Title:_ M~()Y
Date: ~ 1 2DD3
Attest:~ ~
L_
Res. 3564
Exhibit A
Joint Human Services Application and Funding MOU
Page 5 of6
Joint Human Services Application and Funding MOU
Page 5 of7
CITY J.F BURIE~ I .-A~'--
BY:.p~ ,r: vrQ'--IJ
Title: tdv, ~
Date: I -/ ZI ~ 07
A~:
City Attorney-
Attest:
CITY OF COVINGTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF DES MOINES
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF FEDERAL WAY
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
\\DcOI\records\AD\Contracts\2002 Contracts\HumServ-ArtsCult-CityMatch Contracts\Hum Serv Joint Fund MOU.doc
Final MOU - December 19,2002
Joint Human Services Application and Funding MOU
Page 5 of7
CITY OF BURIEN
By:
Title:
Date:
Attest:
CITY OF COVINGTON
By:
Title:
Date:
Attest:
::TY q;q?J
TItle: Cd, /IIAJ'fj 0/
Date: / 7 ~/I:J
I
Attest:
CITY OF FEDERAL WAY
By:
Title:
Date:
Attest:
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
To Form:
C.~~
City Attorney
Approved As To Form:
City Attorney
\\SENIOR_NT\DATA\WORD\SUE\human services\Hum Serv Joint Fund MOU2003.doc
Final MOU - December 19,2002
I
L___________
~
1" ..,
....
Joint Human Services Application and Funding MOU
Page 6 of8
Approved As To Form:
V1yMMA6d- ~~:~1l\Al1~
I Cl Attorney
:~/~~~~
CITY OF KENT
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF RENTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF SEe.TAC
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
K:\CD Human Services\Regional\Joint HS MOU\MOU - Final.doc
Final MOU - December 19,2002
Joint Human Services Application and Funding MOU
Page 6 of7
Date:
Attest:
CITY OF RENTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF SEATAC
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF TUKWILA
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
C:\DOCUME-l\KJohnson\LOCAL8-l\Temp\Hum Serv Joint Fund MOU.doc
Final MOU - December 19, 2002
Joint Human Services Application and Funding MOD
Page 4 of5
Each City hereby waives its immunity under Title 51 of the Revised Code of ashington
for ims of any type brought by any City agent or employee against t other Cities.
This wa:. er is specifically negotiated by the parties and a portion of e City's payment
hereunder I xpressly made the consideration for this waiver.
9. Insurance. ach City shall procure and maintain. full force throughout the
duration of the Agree ent comprehensive general liabi . y insurance with a minimum
coverage of $1,000,000. er occurrence/aggregate or personal injury and property
damage. In the event that a ity is a member of pool of self-insured cities, the City
shall provide proof of such mem ship in lieu the insurance requirement above. Such
self insurance shall provide cover e eq to or greater that required of non-self
insurance pool member Cities.
10. Oversight Committee. t shall be managed by an Oversight
Committee made up of one re sentative of eac City. The representative of each City
shall be that person desi ated in section 7 of is Agreement. The Oversight
Committee shall meet at ast annually to discuss the te of the Agreement and manage
the services provided suant to the Agreement.
11. A lica e Law. Venue. Attorne 's Fees. This Agreemen all be governed by
and construe m accordance with the laws of the State of Washingto In the event any
suit, arbit ion, or other proceeding is instituted to enforce any term of t . Agreement,
the p . es specifically understand and agree that venue shall be exclusive . n King
Cou y, Washington. The prevailing party in any such action shall be entitled 0 its
att rney's fees and costs of suit.
IN WIWESS WHEREOF uthe undersigned have entered into this MOD as of this
.J~ day of .:i~ ,2.003.
CITY O~F NTON
By: _ ;/~
J se Tanner
Title: Mayor
~~~~
City Attorney
Date: ;1- .3-~OO.3
Attest: ~'". tJ~
City Clerk, Bonnie I. Walton
H:\HUMAN _ SE\2003funding\JointFundingPilot\Hum Serv Joint Fund MOU.doc
Final MOU - December 19,2002
Joint Human Services Application and Funding MOD
Page 6 of7
CITY OF KENT
By:
Title:
Date:
Attest:
CITY OF RENTON
By:
Title:
Date:
Attest:
CITY OF SEAT AC
BY:~~
. Bruce Ray m, City Manager
TItle:
Dale: ,3p/~
Attest:
CITY OF TUKWILA
By:
Title:
Date:
Attest:
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
~ As To Form:
- -1>- rvr~ ai.J
City Attorney
Approved As To Form:
City Attorney
Joint Human Services Application and Funding MOD
Page 60f7
CITY OF KENT
By:
Title:
Date:
Attest:
CITY OF RENTON
By:
Title:
Date:
Attest:
CITY OF SEATAC
By:
Title:
Date:
Attest:
CITY OF ~WILA
By:QfJ S~t.l tV'HV, v-QQJ-
Title: Cyyz ~ tJvLJ
Date: / II I d :3
Attest: ~ ~
C:\WINDOWS\TEMP\Hum Serv Joint Fund MOU.doc
Final MOU - December 17,2002
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
Approved As To Form:
FINAL
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Catholic Community Services for
Volunteer Chore Services
Senior Services for Meals on Wheels
Senior Services for Volunteer
Transportation Services
R:\CONTRACIS\Finance Admin contracts\Hum Serv JOinl MOU Ex A.xls
Renton - Lead City $ 5,000
Auburn 5,000
Burien 8,000
Federal Way 4,000
Kent 5,000
SeaTac 3,000
TOTAL $ 30,000
Renton - Lead City $ 6,000
Auburn 7,000
Des Moines 1,500
Federal Way 9,500
SeaTac 7,700
Tukwila 7,000
TOTAL $ 38,700
Renton - Lead City $
Auburn
Des Moines
Federal Way
Kent
SeaTac
Tukwila
6,000
5,000
400
5,700
7,500
2,275
1,692
28,567
TOTAL $
January 20, 2005
Page3of3
FINAL
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Community Health Centers for primary
DENTAL services for low and moderate
income persons. Kent - Lead City $ 15,000
Covington 2,000
SeaTac 5,000
Tukwila 2,000
DENTAL TOTAL $ 24,000
Community Health Centers for
comprehensive MEDICAL services for
low and moderate income persons. Kent - Lead City $ 58,450
Auburn 32,000
Covington 3,200
Federal Way 31,827
Renton 24,000
SeaTac 5,000
Tukwila 2,000
MEDICAL TOTAL $ 156,477
Multi-Service Center for Transitional
Housing/Shelter Kent - Lead City $ 40,000
Auburn 8,200
Des Moines 2,500
Renton 2,000
SeaTac 5,200
Tukwila 3,000
TOTAL $ 60,900
King County Sexual Assault Resource
Center (KCSARC) for sexual assault
services Renton - Lead City $ 35,000
Auburn 26,500
Burien 7,500
Covington 3,605
Des Moines 4,000
Kent 20,600
Federal Way 36,050
SeaTac 7,416
Tukwila 14,000
TOTAL $ 154,671
R:\CONTRACfS\Finance Admin contracts\Hum Serv Joint MOD Ex A.xIs
January 20, 2005
Page 2 of3
FINAL
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Crisis Clinic for telephone referral line Auburn - Lead City $ 1,500
Burien 4,500
Covington 5,000
Des Moines 2,500
Kent 5,000
Federal Way 11,000
Renton 3,300
SeaTac 4,985
Tukwila 2,000
TOTAL $ 39,785
Crisis Clinic for Teen Link Auburn - Lead City
Covington $ 1,500
Des Moines 1,500
Federal Way 4,000
Renton 1,000
SeaTac 1,500
Tukwila 1,000
TOTAL $ 10,500
Pregnancy Aid of South King County for
Services for Pregnant Women and their
children (Des Moines location) Federal Way - Lead City $ 4,000
SeaTac 3,600
Tukwila 2,000
TOTAL $ 9,600
Washington Women's Employment and
Education for the REACH Plus Program Federal Way - Lead City $ 10,000
Auburn 6,000
Kent 35,000
SeaTac 4,500
TOTAL $ 55,500
YWCA for the Domestic Violence
Services Program Federal Way - Lead City $ 4,000
Auburn 33,000
Kent 30,000
Tukwila 25,000
TOTAL $ 92,000
R:\CONTRAcrs\Finance Admin contracIs\Hum Serv Joint MOD Ex A.xls
January 20, 2005
Page lof3
Calendar Year 2004
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
King County Sexual Assault Resource Center
(KCSARC) for sexual assault services Renton - Lead City $
Auburn
Burien
Des Moines
Kent
Federal Way
SeaTac
Tukwila
Catholic Community Services for Volunteer
Chore Services
Senior Services for Meals on Wheels
Senior Services for Volunteer Transportation
Services
R:\CONTRACIS\Finance Admin contracls\Hum Serv Joint MOU Ex Axis
TOTAL $
Renton - Lead City $
Auburn
Burien
TOTAL $
Renton - Lead City $
Auburn
Des Moines
SeaTac
Tukwila
TOTAL $
Renton - Lead City $
Auburn
Des Moines
Kent
SeaTac
Tukwila
TOTAL $
35,000
26,500
7,500
4,000
20,000
35,000
7,200
14,000
149,200
5,000
5,000
10,000
20,000
6,000
7,000
2,000
7,700
7,000
29,700
6,000
5,000
2,000
5,000
2,178
1,575
21,753
3/15/2005
Page2of2
Calendar Year 2004
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Crisis Clinic for telephone referral line
Crisis Clinic for Teen Link
Community Health Centers for
comprehensive medical services for low and
moderate income persons.
Part-Time Domestic Violence Planner
through King Cty Coalition Against
Domestic:;:Violence for planning activities in
Multi-Service Center for Transitional
Housing / Shelter
R:\CONTRACfS\Finance Admin contracts\Hum Serv Joint MOU Ex Axis
Auburn - Lead City $
Burien
Des Moines
Kent
Federal Way
Renton
SeaTac
Tukwila
TOTAL $
Auburn - Lead City
Des Moines
Renton
SeaTac
Tukwila
TOTAL $
Kent - Lead City $
Auburn
Federal Way
Renton
SeaTac
TOTAL $
Kent - Lead City $
Renton
TOTAL $
Kent - Lead City $
Auburn
Des Moines
Renton
SeaTac
Tukwila
TOTAL $
1,500
4,500
2,500
5,000
10,000
3,300
2,780
2,000
31,580
1,500
1,000
1,000
1,000
4,500
69,350
32,000
31,827
24,000
10,600
167,777
15,000
5,000
20,000
38,250
8,200
2,500
2,000
5,000
3,000
58,950
3/15/2005
Page 1 of 2
Joint Human Services Application and Funding MOD
Page 7 of7
EXHIBIT A
to
Memorandum of Understanding (MOU) between the Cities for planning, funding,
and implementation of a joint human services application and funding program.
CALENDAR YEAR 2003
Name of Nonprofit Agency Participating Cities &
Tentative Fundinf!:
Crisis Clinic for the telephone Auburn - Lead City - $1,500
referral line Burien - $4,500
Des Moines - $2,500
Kent - $5,000
Federal Way - $10,000
Renton - $3,300
SeaTac - $2,780
Tukwila - $2,000
TOTAL - $36,580
King County Sexual Assault Renton - Lead City - $35,000
Resource Center (KCSARC) Auburn - $26,500
for sexual assault services Burien - $7,500
Des Moines - $4,000
Kent - $20,000
Federal Way - $35,000
SeaTac - $7,200
Tukwila - $14,000
TOTAL - $152,700
Community Health Centers Kent - Lead City - $58,450
for comprehensive medical AubUrn - $27,550
services for low and moderate Federal Way - $31,827
Income persons. Renton - $24,000
SeaTac - $10,600
TOTAL - $155,627
Part-Time Domestic Violence Kent - Lead City - $15,000
Planner through King County Renton - $5,000
Coalition Against Domestic TOTAL - $20,000
Violence for planning
activities in South King
County.
R:\AD\Contracts\2002 Contracts\HwnServ-ArtsCult-CityMatch Contracts\Hwn Serv Joint Fund MOU.doc
Final MOU - April 3, 2003
D~~~I D 5"' I DATE OUT--.J TO: ~ _~
CITY OF FEDERAL WAY LAW DEPARTMENT__u-
\
REQUEST FOR CONTRACT PREPARATIONIDOCUMENT REVIEW/SIGNATURE ROUTING SLIP
1.
ORIGINATING DEPT.IDIV: COMMUNITY DEVELOPMENT/HUMAN SERVICES DIVISION
2.
4.
5.
6.
ORIGINATING STAFF PERSON: ANGELINAALLEN-MpYISI EXT: 26503. DATE REQ. BY:
TYPE OF DOCUMENT REQUESTED (CHECK ONE)
D PROFESSIONAL SERVICE AGREEMENT
D MAINTENANCE/LABOR AGREEMENT
D PUBLIC WORKS CONTRACT
D SMALL PUBLIC WORKS CONTRACT
(LESS THAN $200,000)
D PURCHASE AGREEMENT)
(MATERIALS, SUPPLIES, EQUIPMENn
D REAL ESTATE DOCUMENT
D SECURITY DOCUMENT (E.G. AGREEMENT &
PERFIMAIN BOND; ASSIGNMENT OF FUNDS IN LIEU OF BOND)
D CONTRACTOR SELECTION DOCUMENT
(E.G., RFB, RFP, RFQ)
D CONTRACT AMENDMENT
D CDBG
D OTHER
AG#:03-046
7ft. F, OJ'
~y
PROJECT NAME: NEW EXHIBIT A FOR MOU WITH SOUTH KING COUNTY CITIES
NAME OF CONTRACTOR:
ADDRESS:
SIGNATURE NAME:
TELEPHONE
TITLE
7. ATTACH ALL EXHIBITS AND CHECK BOXES D SCOPE OF SERVICES D ALL EXHIBITS REFERENCED IN DOCUMENT
D INSURANCE CERTIFICATE D DOCUMENT AUTHORIZING SIGNATURE
8.
TERM: COMMENCEMENT DATE:
COMPLETION DATE:
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: DYES DNOIFYES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES D NO IF YES, $ PAID BY: D CONTRACTOR D CITY
10.
11.
CONTRACT REVIEW INITIALIDATE APPROVED
D PROJECT MANAGER
D DIRECTOR
D RISK MANAGEMENT
DLAW
INITIALIDATE APPROVED
CONTRACT SIGNATURE ROUTING INITIALIDATE APPROVED
D LAW DEPARTMENT
D CITY MANAGER
D CITY CLERK
D SIGN COPY BACK TO ORGINATING DEPT.
D ASSIGNED AG#
D PURCHASING: PLEASE CHARGE TO:
INITIALIDATE APPROVED
COMMENTS
This is the amended Exhibit A that should be attached to the MOU contract (AG#03-046). Please let me know if you have questions.
10/09/02
e FINAL e
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
N'ameofN'onprofit Agency & Program Participating.Cities FUlldillg
Crisis Clinic for telephone referral line Auburn - Lead City $ 1,500
Burien 4,500
Covington 5,000
Des Moines 2,500
Kent 5,000
Federal Way 11,000
Renton 3,300
SeaTac 4,985
Tukwila 2,000
TOTAL $ 39,785
Crisis Clinic for Teen Link Auburn - Lead City
Covington $ 1,500
Des Moines 1,500
Federal Way 4,000
Renton 1,000
SeaTac 1,500
Tukwila 1,000
TOTAL $ 10,500
Pregnancy Aid of South King County for
Services for Pregnant Women and their
children (Des Moines location) Federal Way.. Lead City $ 4,000
SeaTac 3,600
Tukwila 2,000
TOTAL $ 9,600
Washington Women's Employment and
Education for the REACH Plus Program Federal Way - Lead City $ 10,000
Auburn 6,000
Kent 35,000
SeaTac 4,500
TOTAL $ 55,500
YWCA for the Domestic Violence
Services Program Federal Way - Lead City $ 4,000
Auburn 33,000
Kent 30,000
Tukwila 25,000
TOTAL $ 92,000
Hum Serv Joint MOD Ex A.xls
January 20, 2005
Page 1 of 3
e FINAL e
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Name of Nollprofit Agency & Progra:m Participating Cities Funding
Community Health Centers for primary
DENTAL services for low and moderate
income persons. Kent - Lead City $ 15,000
Covington 2,000
SeaTac 5,000
Tukwila 2,000
DENTAL TOTAL $ 24,000
Community Health Centers for
comprehensive MEDICAL services for
low and moderate income persons. Kent - Lead City $ 58,450
Auburn 32,000
Covington 3,200
Federal Way 31,827
Renton 24,000
SeaTac 5,000
Tukwila 2,000
MEDICAL TOTAL $ 156,477
Multi-Service Center for Transitional
Housing/ Shelter Kent - Lead City $ 40,000
Auburn 8,200
Des Moines 2,500
Renton 2,000
SeaTac 5,200
Tukwila 3,000
TOTAL $ 60,900
King County Sexual Assault Resource
Center (KCSARC) for sexual assault
services Renton - Lead City $ 35,000
Auburn 26,500
Burien 7,500
Covington 3,605
Des Moines 4,000
Kent 20,600
Federal Way 36,050
SeaTac 7,416
Tukwila 14,000
TOTAL $ 154,671
Hum Serv Joint MOV Ex A.xls
January 20, 2005
Page 2 oB
e FINAL e
Calendar Year 2005
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
Name of Nonprofit Agency~Program Participating Cities Funding
Catholic Community Services for
Volunteer Chore Services Renton - Lead City $ 5,000
Auburn 5,000
Burien 8,000
Federal Way 4,000
Kent 5,000
SeaTac 3,000
TOTAL $ 30,000
Senior Services for Meals on Wheels Renton - Lead City $ 6,000
Auburn 7,000
Des Moines 1,500
Federal Way 9,500
SeaTac 7,700
Tukwila 7,000
TOTAL $ 38,700
Senior Services for Volunteer
Transportation Services Renton - Lead City $ 6,000
Auburn 5,000
Des Moines 1,000
Federal Way 5,700
Kent 7,500
SeaTac 2,275
Tukwila 1,692
TOTAL $ 29,167
Hum Serv Joint MOD Ex A.xls
January 20, 2005
Page 3 of3
1.
2.
4.
5.
6.
I?~o/l*/b3 I DATE OUT: I TO: CAr, 5- Gr~
, CITY OF FEDERAL WAY LAW DEPARTMENT
REQUEST FOR CONTRACT PREPARATIONIDOCUMENT REVIEW/SIGNATURE ROUTING SLIP
ORIGINATING DEPT.IDIV: C9 / (-IS ,.
I/A/..7 /~ ~ /1 ~ tA.___
ORIGINATING STAFF PERSON: !t.er.-iYl.t7IS (
TYPE OF DOCUMENT REQUESTED (CHECK ONE)
o PROFESSIONAL SERVICE AGREEMENT
o MAINTENANCE/LABOR AGREEMENT
o PUBLIC WORKS CONTRACT
o SMALL PUBLIC WORKS CONTRACT
EXT: L(03 9
3. DATE REQ. BY:
(LESS THAN $200,000)
o PURCHASE AGREEMENT)
(MATERIALS, SUPPLIES, EQUIPMENT)
o REAL ESTATE DOCUMENT
PROJECT NAME: /Ill 0 U
o SECURITY DOCUMENT (E.G. AGREEMENT &
PERFIMAIN BOND; ASSIGNMENT OF FUNDS IN LIEU OF BOND)
o CONTRACTOR SELECTION DOCUMENT
(E.G., RFB, RFP, RFQ) ? 1'\ l II
o CONTRACT AMENDMENT I ;)..1'~loJ AG#: 0..:).- \.Fno
o CDBG ~j~,Y\~d ~
ilaOTHER( . EXhl h ,'-f A --For Abt3 .~).
.
&. -hveE.r\ S-o. ~~j Co. u -he <
NAME OF CONTRACTOR:
ADDRESS:
SIGNATURE NAME:
\
Kl """" Pt-
\
TELEPHONE
TITLE
7. ATTACH ALL EXHIBITS AND CHECK BOXES 0 SCOPE OF SERVICES 0 ALL EXHIBITS REFERENCED IN DOCUMENT
o INSURANCE CERTIFICATE 0 DOCUMENT AUTHORIZING SIGNATURE
8.
TERM: COMMENCEMENT DATE:
COMPLETION DATE:
9. TOTAL COMPENSATION $ (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - AIT ACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 0 YES 0 NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED DYES DNOIFYES, $ PAID BY: o CONTRACTOR 0 CITY
10.
11.
CONTRACT REVIEW INITIALIDA TE APPROVED
o PROJECT MANAGER
o DIRECTOR
o RISK MANAGEMENT
o LAW
INlTIALIDA TE APPROVED
CONTRACT SIGNATURE ROUTING INITIALIDATE APPROVED
o LAW DEPARTMENT
o CITY MANAGER
o CITY CLERK
o SIGN COpy BACK TO ORGINATING DEPT.
o ASSIGNED AG#
o PURCHASING: PLEASE CHARGE TO:
INITIALIDA TE APPROVED
COMMENTS
10/09/02
/' ..{! J
~~/(4~
5},
Calendar Year 2004
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
T entabve
Name of Nonprofit Agency & Program Participating Cities Funding
Crisis Clinic for telephone referral line Auburn - Lead City $ 1,500
Burien 4,500
Des Moines 2,500
Kent 5,000
Federal Way 10,000
Renton 3,300
SeaTac 2,780
Tukwila 2,000
TOTAL $ 31,580
Crisis Clinic for Teen Link Aubum - Lead City
Des Moines 1,500
Renton 1,000
SeaTac 1,000
Tukwila 1,000
TOTAL $ 4,500
Community Health Centers for
comprehensive medical services for low and
moderate income persons. Kent - Lead City $ 69,350
Auburn 32,000
Federal Way 31,827
Renton 24,000
SeaTac 10,600
TOT AL $ 167,777
Part-Time Domestic Violence Planner
through King Cty Coalition Against
Domestic Violence for planning activities in Kent - Lead City $ 15,000
Renton 5,000
TOTAL $ 20,000
Multi-Service Center for Transitional
Housing/ Shelter Kent - Lead City $ 38,250
Auburn 8,200
Des Moines 2,500
Renton 2,000
SeaTac 5,000
Tukwila 3,000
TOTAL $ 58,950
Hum Serv Joint MOD Ex A for 2004
12/19/2003
Page 1 of 2
Calendar Year 2004
Exhibit A to
Memorandum of Understanding (MOU) between the Cities for planning, funding, and
implementation of a joint human services application and funding program.
TentatIve
Name of Nonprofit Agency & Program Participating Cities Funding
King County Sexual Assault Resource Center
(KCSARC) for sexual assault services Renton - Lead City $ 35,000
Auburn 26,500
Burien 7,500
Des Moines 4,000
Kent 20,000
Federal Way 35,000
SeaTac 7,200
Tukwila 14,000
TOTAL $ 149,200
Catholic Community Services for Volunteer
Chore Services Renton - Lead City $ 5,000
Auburn 5,000
Burien 10,000
TOTAL $ 20,000
Senior Services for Meals on Wheels Renton - Lead City $ 6,000
Auburn 7,000
Des Moines 2,000
SeaTac 7,700
Tukwila 7,000
TOT AL $ 29,700
Senior Services for Volunteer Transportation
Services Renton - Lead City $ 6,000
Auburn 5,000
Des Moines 2,000
Kent 5,000
SeaTac 2,178
Tukwila 1,575
TOT AL $ 21,753
Hum Serv Joint MOD Ex A for 2004
12/19/2003
Page 2 of 2
DATE IN:
DATE OUT:
TO:
I
-;J CITY OF FEDERAL WAY LAW DEPAR"'t W'
REGUEST FOR CONTRACT PREPARATiON/DocUMENT REVIEW/SIGNATURE ROUTING SLIP
1. ORIGINATING DEPT.lDlv.: ~D / I-J. S
ORIGINATING STAFF PERSON:j.. &-fa./4",hf)
EXT~3.DATEREG.By:~;I~,1C)~
2.
4. TYPE OF DOCUMENT REGUESTED [CHECK ONE]:
D PROFESSIONAL SERVICE AGlREEMENT
D MAINTENANCElLABOR AGlREEMENT
D PUBLIC WORKS CONTRACT
D SMALL PUBLIC WORKS CONTRACT
(Less THAN 526,0003
D PURCHASE AGlREEMENT
[MATERIALS. SUPPLIES. EcaUIPMENT1
D REAL ESTATE PURCHASE & SALES AGlREEMENT
D SECURITY DOCUMENT
[E.G., AGREEMENT & PERFIMAIN BONDi AsSIGNMENT OF FUNDS IN LIEU OF BOND]
D CONTRACTOR SELECTION DOCUMENT
[E.G.. RFB. RFP, RFGJ
D CONTRACT AMENDMENT
~::::EN/l1 DIP
D CDBG
AG':
5.
PRO.JECT NAME~~ ~; ::]OINT J..Ju/V1AN S~VIC6S /f(JPJ~1 G4=f1{)N.5 A-MbLY
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NAME OF CONTRACTOR:
ADDRESS: eMJN,:~JTUtJUJ&:k'
6.
D INDIVIDUAL
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TAX ID'ISS',
TYPE OF PERSDN OR ENTITY [CHECK ONE]:
SIGNATURE NAME:
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7. SCOPE OF WORK: ATTACH EXHIBIT A . A COMPLETE AND DETAILED DESCRIPTION OF THE SERVICES OR SCOPE OF
WDRK, INCLUDING COMPLETION DATE FOR EACH PHASE OF WORK AND LOCATION OF WORK.
B. TERM: COMMENCEMENT DATE:
'~/31 /QJ
I I
TDTAL CDMPENSATION $ 7 6 I Sl;;;,:7 [INCLUDE EXPENSES AND SALES TAX, IF ANY]
[IF CALCULATED ON HOURLY LABOR CHARGE - ATTAcH BC~E ULES OF EMPLOYEES TITLES AND HOLIDAY RATESJ
REIMBURSABLE EXPENSES: D VES 0 IF VES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED? D VES No IF VES, $ PAID BY: D CONTRACTOR
COMPLETION DATE:
9.
DCITY
10. SELECTION PROCESS USED [CHECK ONE]:
D REGlUEST FDR BIDS
D REGlUEST FOR PROPOSALS
D REGlUEST FDR GUDTES
D REGlUEST FOR GuALIFICATIDNS
D ARCHITECT & ENGlINEER LIST
D SMALL WDRKS ROSTER
CONTRACT REVIEW ~ INITIALlDATE ApPROVED
~IRECTDR ~L\ \t~l; t~\~ J-
LAW [ALL CONTRACTS] ^ \J :\J../,\.rt ~\j -0 vUi;P^ ~
ISK MANAGlEMENT (,V- ~~f ~
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WHITE - ORIGINAL STAYS WITH CONTRACT CANARY - CLERK TO STAFF PINK - .LAW DEPT. GlDLOENRDD - ORIGINATING STAFF
L04S12 [REV 11/98]
flGr#o 3"-O'f~
MEMORANDUM OF UNDERSTANDING BETWEEN
THE CITIES OF AUBURN, BURIEN, DES MOINES,
FEDERAL WAY, KENT, RENTON, SEATAC, AND
TUKWILA FOR PLANNING, FUNDING, AND
IMPLEMENTATION OF A JOINT HUMAN
SERVICES APPLICATION AND FUNDING
PROGRAM.
THIS MEMORANDUM OF UNDERSTANDING ("MOU") is entered into pursuant
to Chapter 39.34 RCW by the Cities of Auburn, Burien, Des Moines, Federal Way, Kent,
Renton, SeaTac, and Tukwila, Washington hereinafter referred to as "Cities", to provide
for planning, funding, and implementation of a joint human services application and
funding program.
WHEREAS, the Cities engage in activities which support human service providers in
King County; and
WHEREAS, the parties wish to make the most efficient use of their resources by
cooperating to provide funding to support human service providers in south King County;
and
WHEREAS, through the lnterlocal Cooperation Act, the parties have the authority to
engage in cooperative efforts which result in more efficient use of Government resources;
and
NOW THEREFORE, and in consideration of the terms, conditions and performances
made herein, it is agreed as follows:
1. Purpose of MOU: The purpose of the MOU is the set up a cooperative arrangement
between the Cities to consolidate the human services application and funding process.
Four nonprofit human services agencies, commonly funded by many of the Cities, have
been designated by the Cities for calendar year 2003. Nonprofit agencies may be added
or deleted each year as determined by the Cities for the cooperative program.
2. Joint Participation.
a) Lead City. A Lead City will be designated by the Cities for each Nonprofit
Agency, as shown in Exhibit A, to act as the fiscal and administrative agent
for the Cities for that Nonprofit Agency. A Lead City is usually established
by the amount of funding and/or support to the particular Nonprofit Agency.
The responsibilities of the Lead City are described in Section 4.
b) Participating City. A Participating City is a city participating in the
cooperative funding of a Nonprofit Agency, who is not a Lead City.
Participating Cities for each Nonprofit Agency are identified in Exhibit A. A
Participating City shall review quarterly reports from the Nonprofit Agency.
Joint Human Services Application and Funding MOD
Page 2 of7
If a Participating City becomes concerned with a Nonprofit Agency's
services, it will promptly notify the Lead City. If a Participating City
determines that a Nonprofit Agency is not performing satisfactorily for their
city, the Participating City reserves the right to request the Lead City to
withhold payments to the Nonprofit Agency for their share of funding. In the
event that a claim or lawsuit is initiated by a Nonprofit Agency against any
City for withholding payment, the City requesting the withholding of payment
shall be responsible for settling or defending the claim or lawsuit. In addition,
in the event of any settlement of or judgment on the claim or lawsuit, the City
requesting that payment be withheld shall be fully responsible for the payment
of such settlement of judgment and shall indemnify, defend, and hold
harmless the other Cities for such settlement or lawsuit.
c) Nonprofit Agency. For calendar year 2003, the Cities identified and agreed
that they will coordinate to consolidate the human services application and
funding process for the following four Nonprofit Agencies: Crisis Clinic,
King County Sexual Assault Resource Center, Community Health Center, and
the Part-Time Domestic Violence Planner through the King County Coalition
Against Domestic Violence. Nonprofit Agencies may be added or deleted
each year as determined by the Cities for the cooperative program.
3. Funding Arrangement.
a) Allocation. Each Participating City shall provide to the Lead City no later
than March 31 st of each year, the total annual funding allocation approved by
their City Councils for the Nonprofit Agency, as described in Exhibit A. No
administrative costs shall be imposed by the Lead City to the other
Participating Cities. Exhibit A will be updated each year to show the
Nonprofit Agencies, Lead Cities, Participating Cities, and funding amounts
for that calendar year. {For City of Des Moines only, the last sentence of this
paragraph was changed to read: "Exhibit A will be updated each year by
approval of amendment to this agreement to show the Nonprofit Agencies,
Lead Cities, Participating Cities, and funding amounts for that calendar
year. ''}
b) Return ofUnsvent Funds. Any monies that the Nonprofit Agency(s) does not
spend during the calendar year shall be proportionately returned to each
Participating City. On or before March 31 st of the next calendar year the Lead
City will provide the unspent funds to each Participating City.
4. Responsibilities of Lead City. A Lead City has been designated to act as the fiscal and
administrative agent for the Cities for each Nonprofit Agency, as shown in Exhibit A.
The responsibilities of the Lead City shall include the following:
a) Send an invoice to each Participating City by January 30th of each year for
their annual approved allocation to the Nonprofit Agency.
R:IAD\Contracts\2002 Contracts\HmnServ-ArtsCuIt-CityMatch Contracts\Hwn Serv Joint Fund MOU.doc
Final MOU - April 3, 2003
Joint Human Services Application and Funding MOU
Page 3 of7
b) Contract with the Nonprofit Agency each year, for the total funding allocated
by the Participating Cities, detailing performance measures to be performed
by the Nonprofit Agency for each City.
c) Receive, review, and process the quarterly invoices and reports from the
Nonprofit Agency. Quarterly reports shall describe services provided
specifically to each City. Disputes regarding billings will be resolved among
the Participating Cities.
d) Provide copies of quarterly reports to the Participating Cities, if the reports are
not provided directly by the Nonprofit Agency.
e) Provide the Nonprofit Agency with a funding application and technical
assistance as required.
f) Perform an annual monitoring visit of the Nonprofit Agency, to include the
participation of another Participating City.
g) Maintain accounts and records which properly reflect transactions related to
this MOD.
5. Duration. This MOD shall become effective when it is approved by a majority of the
Cities and shall remain in effect through December 31, 2003, with automatic extensions
annually, unless terminated as described in section 6.
6. Termination. Any party may terminate its participation in the MOD without cause by
giving the other Cities a thirty day written notice. The terminating party shall remain
fully responsible for meeting its funding responsibilities and other obligations established
by this MOU through the end ofthe calendar year in which such notice is given.
7. Notices. Notices to the Cities shall be sent to the following persons:
Ci
Auburn
Burien
Des Moines
Federal Way
Renton
SeaTac
Tukwila
Contact
Planner, currently Shirley Aird
Management Analyst, currentl Lori Fleming
Senior Services Mana er, currently Sue Padden
Human Services Manager, currently Lydia Assefa-
Dawson
Human Services Manager, currently Katherin
Johnson
Contract S ecialist, currently Dianne Utecht
Senior Project Coordinator, currentl Soraya Low
Human Services Mana er, currentl Evel Bo kan
Kent
8. Indemnification.
Each City agrees to indemnify the other Cities from any claims, damages, losses, and
costs, including, but not limited to, attorney's fees and litigation costs, arising out of
claims by third parties for property damage and bodily injury, including death, caused
solely by the negligence or willful misconduct of such City, the City's employees,
R:\AD\Contracts\2oo2 Contracts\HurnServ-ArtsCult-CityMatch Contracts\Hmn Serv Joint Fund MOU.doc
Final MOU - April 3, 2003
Joint Human Services Application and Funding MOD
Page 4 of7
affiliated corporations, officers, and lower tier subcontractors in connection with this
MOD.
Each City hereby waives its immunity under Title 51 of the Revised Code of Washington
for claims of any type brought by any City agent or employee against the other Cities.
This waiver is specifically negotiated by the parties and a portion of the City's payment
hereunder is expressly made the consideration for this waiver.
9. Insurance. Each City shall procure and maintain in full force throughout the
duration of the Agreement comprehensive general liability insurance with a minimum
coverage of $1,000,000.00 per occurrence/aggregate for personal injury and property
damage. In the event that a City is a member of a pool of self-insured cities, the City
shall provide proof of such membership in lieu of the insurance requirement above. Such
self insurance shall provide coverage equal to or greater that required of non-self
insurance pool member Cities.
10. Oversight Committee. This Agreement shall be managed by an Oversight
Committee made up of one representative of each City. The representative of each City
shall be that person designated in section 7 of this Agreement. The Oversight
Committee shall meet at least annually to discuss the terms of the Agreement and manage
the services provided pursuant to the Agreement.
11. Applicable Law: Venue: Attorney's Fees. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. In the event any
suit, arbitration, or other proceeding is instituted to enforce any term of this Agreement,
the parties specifically understand and agree that venue shall be exclusively in King
County, Washington. The prevailing party in any such action shall be entitled to its
attorney's fees and costs of suit.
12. Counterparts. This document may be executed in any number of counterparts,
each one which shall be considered an original.
IN WITNESS WHEREOF, the undersigned have entered into this MOD as of this
day of ,2003.
R:\AD\Contracts\2oo2 ContractslHwnServ-ArtsCult-CityMatch ContractslHum Serv Joint Fund MOU.doc
Final MOU - April 3, 2003
IN WI!NBSS WHEREQF, the undersigned have entered into this MOD as of this
2-\s.;t- dayof ~~~ . ,2003.
CITY OF A,~ .~
By: -~.1
Tit1e:_'fY\~ov
Date: .~ 1 2ll1l3
At1est:~ ~
Res. 3564
Exhibit A
Joint Human Services Application and Funding MOD
Page 5 of6
Joint Human Services Application and Funding MOU
Page 5 of7
CITY IF BURIE~ / -'"^" ~~
By: ,l)~r: C/O r--7J
Title: &..1,1 ;/?~
Date: I -/21 - 07
Appro;>~ASr<IYrm:
~<>~
~/ /
- '--
City Attorney
Attest:
CITY OF COVINGTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF DES MOINES
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF FEDERAL WAY
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
\\DcOl\records\AD\Contracts\2002 Contracts\HumServ-ArtsCult-CityMatch Contracts\Hum Serv Joint Fund MOU<doc
Final MOU - December 19, 2002
Joint Human Services Application and Funding MOU
Page 5 of 7
CITY OF BURIEN
By:
Title:
Date:
Attest:
CITY OF COVINGTON
By:
Title:
Date:
Attest:
By:
Title: ~(Il $Af'lj ()/
Date: II ;;:t/l):]
I
Attest:
CITY OF FEDERAL WAY
By:
Title:
Date:
Attest:
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
To Form:
C.~~
City Attorney
Approved As To Form:
City Attorney
\\SENIOR_NT\DA T A \ WORDlSUE\human services\Hum Serv Joint Fund MOU2003.doc
Final MOU - December 19,2002
~
;
..'
Joint Human Services Application and Funding MOU
Page 6 of8
vTj )4/WAGU--
D~lm
Attest: - I - - ~~i ~~~~
Approved As To Form:
((UU~ ~_~~Uv\lk~
CI Attorney
CITY OF KENT
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF RENTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF SEATAC
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
K:\CD Human Services\Regional\Joint HS MOU\MOU - Final.doc
Final MOU - December 19, 2002
Joint Human Services Application and Funding MOU
Page 6 of7
By:
Titl
Date:
Attest:
CITY OF RENTON
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF SEATAC
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
CITY OF TUKWILA
By:
Approved As To Form:
Title:
City Attorney
Date:
Attest:
C:\DOCUME-I\KJohnson\LOCALS-I\Temp\Hum Serv Joint Fund MOU.doc
Final MOU - December 19, 2002
Joint Human Services Application and Funding MOU
Page 4 of5
Each City hereby waives its immunity under Title 51 of the Revised Code of ashington
for ims of any type brought by any City agent or employee against t other Cities.
This wa" er is specifically negotiated by the parties and a portion of e City's payment
hereunder 1 xpressly made the consideration for this waiver.
9. Insurance. ach City shall procure and maintain' full force throughout the
duration of the Agree ent comprehensive general liabi . y insurance with a minimum
coverage of $1,000,000. er occurrence/aggregate or personal injury and property
damage. In the event that a ity is a member of pool of self-insured cities, the City
shall provide proof of such mem ship in lieu the insurance requirement above. Such
self insurance shall provide cover e eq to or greater that required of non-self
insurance pool member Cities.
10. Oversight Committee. T s Agree nt shall be managed by an Oversight
Committee made up of one re sentative of eac City. The representative of each City
shall be that person desi ated in section 7 of is Agreement. The Oversight
Committee shall meet at ast annually to discuss the te of the Agreement and manage
the services provided rsuant to the Agreement.
11. A lica e Law' Venue' Attorne 's Fees. This Agreemen all be governed by
and construe III accordance with the laws of the State of Washingto In the event any
suit, arbit ion, or other proceeding is instituted to enforce any term of t . Agreement,
the pa . es specifically understand and agree that venue shall be exclusive in King
Cou y, Washington. The prevailing party in any such action shall be entitled 0 its
atte5mey's fees and costs of suit.
IN Wr~:~ESS WHEREOF{)he undersigned have entered into this MOD as of this
.J~ day of 4~ ,2003.
NTON
;;/~
~~3vu~
City Attorney
By:
J
Title: Mavor
Date: ~- .J.Pl..003
Attest: ~\". LJ~
City Clerk, Bonnie I. Walton
H:\HUMAN_SE\2003funding\JointFundingPilot\Hum Serv Joint Fund MOU.doc
Final MOU . December 19, 2002
Joint Human Services Application and Funding MOD
Page 60f7
CITY OF KENT
By:
Title:
Date:
Attest:
CITY OF RENTON
By:
Title:
Date:
Attest:
CITY OF SEAT AC
By: ~ ~1!
Bruce Ray m, City Manager
Title:
Date: -3p/0
Attest:
CITY OF TUKWILA
By:
Title:
Date:
Attest:
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
CJ[i T;;;~Oil.J
City Attorney
Approved As To Form:
City Attorney
Joint Human Services Application and Funding MOU
Page 6 of7
CITY OF KENT
By:
Title:
Date:
Attest:
CITY OF RENTON
By:
Title:
Date:
Attest:
CITY OF SEAT AC
By:
Title:
Date:
Attest:
CITY OF TSKWILA
By:QfJ S~,..;) ,V)\V)WlQ.J-
Title 4/1 d, tl--u
Date: III., I d :3
#; ;;..L'.'
, ~ -;-t--
Attest: t'.~. " . , .,~
. ~ (!.i!.[{4<---'
C;\WINDOWS\TEMP\Hum Serv Joint Fund MOU.doc
Final MOU, December 17,2002
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
Approved As To Form:
City Attorney
Approved As To Form:
Joint Human Services Application and Funding MOD
Page 7 of7
EXHIBIT A
to
Memorandum of Understanding (MOU) between the Cities for planning, funding,
and implementation of a joint human services application and funding program.
CALENDAR YEAR 2003
Name of Nonprofit Agency Participating Cities &
Tentative Fundint!
Crisis Clinic for the telephone Auburn - Lead City - $1,500
referral line Burien - $4,500
Des Moines - $2,500
Kent - $5,000
Federal Way - $10,000
Renton - $3,300
SeaTac - $2,780
Tukwila - $2,000
TOTAL - $36,580
King County Sexual Assault Renton - Lead City - $35,000
Resource Center (KCSARC) Auburn - $26,500
for sexual assault services Burien - $7,500
Des Moines - $4,000
Kent - $20,000
Federal Way - $35,000
SeaTac - $7,200
Tukwila - $14,000
TOTAL - $152,700
Community Health Centers Kent - Lead City - $58,450
for comprehensive medical Auburn - $27,550
services for low and moderate Federal Way - $31,827
Income persons. Renton - $24,000
SeaTac - $10,600
TOTAL - $155,627
Part- Time Domestic Violence Kent - Lead City - $15,000
Planner through King County Renton - $5,000
Coalition Against Domestic TOTAL - $20,000
Violence for planning
activities in South King
County.
R:IAD\Contracts\2002 Contracts\HwnServ-ArtsCult-CityMatch Contracts\Hum Serv Joint Fund MOU.doc
Final MOD - April 3, 2003
CITY OF RENTON
1055 S. GRADY
RENTON, WA 98055
(425) 430-6897
CITY OF FEDERAL WAY
PATRICK BRIGGS
PO BOX 9718
FEDERAL WAY, W A 98063
MAKE CHECKS PAYABLE TO THE CITY OF RENTON
PLEASE DETACH AND RETURN WITH YOUR REMITTANCE
CITY OF RENTON
Miscellaneous
Interlocal Agreement for King County Sexual Assault Resource Center (KCSARC)
1] 1"'- - /1,1 '"Xl t?)
++ "'=I- C" /~ -~~O W<ZL -fiLO
~clp.?eJea .eJnIEU6!S
.IUSH d JOt. ,. "1!
r 1_'." ~ '
" # Je ..)
J01l-,.~;_J\j pZZjJOlunB 841 S'tj 'eO!OMI! S!Ln uo
pelB~S SB p6A!eOeJ ueaq eAB4 SeO!Al8:J )O/Pl.B
aSlPUB40JaW a41llnn aE,.;aIMOU>foB ^qeJal~ I
COI-73CD-OZ3r-Sh lX-to --4/0
A-G.tf 03 ~o~(p
ACCOUNT NO. 1337
Please Remit to: CITY OF RENTON
1055 S. GRADY WAY
RENTON, W A 98055
f'(
ooF
INVOICE
02355
AMOUNT PAID
0211112003
1337
35,000.00
3/18/2003
Total Amount Due:
PAYABLE UPON RECEIPT
35,000.00
35,000.00
35,000.00
ACORQM CERTIFICATE OF LIABILITY INSURANCE 112~i1M_2D002
PRODUCER THIS CERTIFICATE IS ISSUED ~S A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
WILLIAM F. DAVIS INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P .0. BOX 45 2 ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
RENTON, WA. 98057 Ab 0 J--4f0, INSURERS AFFORDING COVERAGE
.1~~u~;Dl~.2--68]~-.-.--- .--.-----+I~SUA~~A:.WEST~RN...WORLD_ INSURANCE COMPANY --==
KING COUNTY SEXUAL AS SAUL T RESOURCE CENTER ; INSURERB UNIGARD INSURANCE COMPANY
1--......-...-----..--.---...
P .0. BOX 300 INSURER C:
1---.-.- .. -..-.--....------..---
RENTON, \~A. 98057 INSURERD.._ __._____~_____
. INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
i~i:T--. TYPE OF;~SURANC-;-.'. ! _..__n ---- [".POLICY EFFECTIVE I POLICY EXPIRATiONr--."- -.-- ..-
POLICY NUMBER LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
~ ! ; -
A ffi'~'^' "'"'\"''';'^''''w I NPP720373/1 11-23-2002 11-23-2003, FIRE DAMAG!,_.~Any one fire) $ 50,000
: CLAIMS MAlJE l."-..J OCCUR , iviED EXP (Any aile person) ,$ 1,000
r-.- i $ 1 ,000,000
'-X WA S TOP--GAE.--.-- I PERSONAL & ADV INJURY
~.;;;;"''''''' """ '"''''' ,,;;. GENERAL AGGREGATE $2,000,000
. .u_ $ INCLUDED--
PRODUCTS. COMP/OP AGG
POLICY h j~gT n' LOC ...-.---
! AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT
~. (Ea accident) $1,000,000
: ANY AUTO I
~ --.........-
. I ALL OWNED AUTOS i BODILY INJURY
'--j $
i -l SCHEDULED AUTOS : (Per person)
r----........--- -.--
B '~ HIRED AUTOS PX808932 11-23-2002 11-23-20031 BODILY INJURY i
tx-: NON.OWNED AUTOS (Per accident) i$
.--.--
~m. ...----.- PROPERTY DAMAGE $
: (Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
---,.,~ -"--'_.'--"-'-"'- .-
ANY AUTO OTHER THAN EA ACC $ -.-.-
______I
I AUTO ONLY: AGG $
, EXCESS LIABILITY i EACH OCC'!fl~5_f\ICE $
CJ OCCUR D CLAIMS MADE .-........
! AGGREGATE 1$ -.---.----
~_.__._.__.-
~_~ DEDUCTIBLE 1$
... - I --
_.-.- i$ "-~_.'.-'-
RETENTION $ $
WORKERS COMPENSATION AND I. we STATU- ! IOTH-
TORY LIMITS i EA
EMPLOYERS' LIABILITY ----~
E.L. EACH ACCIDENT $ --...-.--
: I ---.-...-..........-.-......-
I nEC~C'OISEASE . EA EMPLOYEE $ ...-...-....
,
i E.L. DISEASE. POLICY LIMIT $
! OTHER i i
; LIABILIITY
A iPROFESSIONAL NPP720373/1 11-23-2002 11-23-2003 $1,000,000 EA. INCIDENT
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICA TE E10LDER IS AN ADD IT I ONAL INSURED AS RESPECTS: CONTRACT ISSUED FOR OPERA lIONS
AS SEXUAL ASSAULT AND EDUCA lION SERVICE.
CERTIFICATE HOLDER 'x' ADDITIONAL INSURED; INSURER LETTER:
CANCEllATION
CITY OF FEDERAL WAY
P.O. BOX 9718
FEDERAL WAY, WA. 98063-9718
ATTN: LYDIA ASSEFA-DAWSON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3CL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
ACORD 25-5 (7/97)