AG 22-052 - COMMUNITIES IN SCHOOLSRETURN TO: EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: FWCC
2. ORIGINATING STAFF PERSON: Trisha Plucknett EXT: 6921 3. DATE REQ. BN':
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (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 DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
® OTHER MOU
5. PROJECT NAME: Memorandum of Understanding City of Federal Way and Communities in Schools
6. NAME OF CONTRACTOR: Communities in Schools Federal Way
ADDRESS: TELEPHONE
E-MAIL: FAX:
SIGNATURE NAME: TITLE
7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES It COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE N ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: COMPLETION DATE: September 5, 2022
�u`poneexecution
9. TOTAL COMPENSATION $ Iy I A (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES ®NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ElRETAINAGE BOND PROVIDED
/�
❑ PURCHASING: PLEASE CHARGE TO: "I^ LV
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
9PROJECT MANAGER CG 03/09/22
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
A. LAW JE 319122
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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 I DATE SIGNED
kI AW DEPARTMENT IA a 2_�
SIGNATORY (MAYOR OR DIRECTOR) i if-0z7.
CITY CLERK
)(ASSIGNED AG# AG# "'"
C
4. 2 �-�r` ►�
2/20I7
Memorandum of Understanding
City of Federal Way and Communities in Schools of Federal Way-Highline
THIS MEMORANDUM OF UNDERSTANDING (MOU), dated effective upon mutual execution by all
parties, defines the respective responsibilities of the City of Federal Way ("City"), Communities in Schools of
Federal Way-Highline (CISFWH) a Washington non-profit corporation.
Background
A. The Summer Experiences & Enrichment for Kids (SEEK) Grant was made possible by federal COVID-
19 relief funds given to the Washington Office of the Superintendent of Public Instruction. These grants
will support local agencies in expanding their current summer programs or creating a new program in
order to provide more kids with access to outdoor learning opportunities, especially those who are
typically underserved and who are most impacted by the COVID -19 pandemic.
• Weekly Teen Adventure Trips - $21,100 Grant
These funds will be used to start a new teen adventure series.
• For 10 weeks throughout the summer we will have a different teen adventure trip each week to various
locations.
• City staff will partner with Communities in Schools to help identifying adventure trips that appeal to the
target audience of 12-16-year-old students
• The trips will be free to participants and the goal is to expose kids to new opportunities.
NOW, THEREFORE, the parties agree as follows:
I. Citv Responsibilities. The City agrees to provide the following:
• All transportation and costs associated with transportation;
• Registration process and waiver forms;
■ Pick up and drop off location at the Federal Way Community Center, 876 S 333rd St, Federal Way,
WA 98003;
• Check in and check out procedures;
• One staff member to drive city shuttle on trips and provide support during the trips;
• City shall pay for all meals, tickets, and all other costs associated with the program;
• City will work with SEEK for reimbursement of all expenses;
■ City will reimburse CISFWH employee(s) at $19.00 per hour.
• City will share joint responsibilities with CISFWH staff during trips
II. Communities in Schools (CIS). CIS agrees to the following:
• CISFWH will encourage participation and identify participants for the program;
• CISFWH will provide one staff member 14 hours per week June 27 through August 30, 2022;
CISFWH will provide an invoice for reimbursement to City once a month for staff time; and
• CISFWH staff person will attend all trips and be on site for drop off and pick up
• CISFWH will share joint responsibilities with city staff during trips
[Signature page follows]
IN WITNESS, the Parties execute this MOU below, effective the last date written below.
CITY OF FEDERAL WAY:
5 n Hutton, 1'a r e c 'ttfr
DATE: X120/-�=
CommuliiLi -: in Schools of
By:
Printed Name:
ATTEST:
/7-0 0, � ft � �
C'dv C. [erk, Stephanie Co the jr, CMC
APPROVED AS TO FORM:
J
R) n Call, City ttorney
Way-Highline (CISFWH):
WA,:�-rry
Title: c,C c,-' v�'—' i) (`I% e
DATE: S-
STATE OF WASHINGTON )
ss.
COUNTY OF )
On this day personally appeared before me
of
to me known to be the
that executed the foregoing
instrument, and acknowledged the said instrument a the free and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, a on oath stated that he/she was authorized to execute said
instrument and that the sea] affixed, if any ' the corporate seal of said corporation.
GIVEN my hand and officjZ seal this day of
Notary's signature
Notary's printed name
,20
Notary Public in and for the State of Washington.
My commission expires