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School's Our Washington
City of Renton,BSK Out-of-School Time
Contract Period: January 2018—December 2020
Contract number: 014
AMENDMENT
This document amends the contract deliverables to include a completed performance
measurement report every six months from July 2018-Feb 2020.
1.1 Task: Contractor must initiate the project as outlined in the Contractor's Scope of Work
and Budget and submit the required materials as listed below by January 25,2018.
• Copy of Proposal Narrative
• Logic Model
• Signed Contract(with Scope of Work and Budget)
• Completed W-9
• Signed Accountable Community of Health(ACH)Document
• Signed Invoice
• Copy of Liability Insurance
• Background Check Documentation
• Copy of 501c(3)determination letter
• Copy of business license
• Input Registry Data
1.2 Payment: Upon receipt of required materials, Contractor will receive first installment
payment of$35,398.50 in February 2018.
2.1 Task: Contractor must implement the project and submit the required materials as listed
below by July 15,2018.
• Copy of Finalized Evaluation Plan
• Letter of Support from School
• Electronic Copy of Narrative Report(February-June 2018)
• Electronic Copy of Financial Report (February-June 2018)
• Signed Invoice
• Completed Performance Measurement Report
2.2 Payment: Upon receipt of required materials,Contractor will receive second installment
payment of$35398.50 in July 2018.
3.1 Task: Contractor must implement the project, participate in the Youth Program Quality
Initiative, and submit the required materials as listed below by January 15,2019.
• Participation in Bridge Conference(October 2018)
• Self-Assessment Scores on behalf of Place-Based Collaborative (October—November
2018)
• Continuous Improvement Action Plans (December 2018)
• Copy of Insurance Liability
• Copy of Background Check Documentation
• Updated Registry Data
• Electronic Copy of Narrative Report(July- December 2018)
• Electronic Copy of Financial Report(July- December 2018)
• Signed Invoice
• Completed Performance Measurement Report
3.2 Payment: Upon receipt of required materials, Contractor will receive third installment
payment of$47,985.00 in February 2019.
4.1 Task: Contractor must implement the project, participate in the Youth Program Quality
Initiative, and submit the required materials as listed below by July 15,2019.
• Participation in Learning Community Meetings
• Self-Assessment Scores on behalf of Place-Based Collaborative (March-May 2019)
• Continuous Improvement Action Plans (June 2019)
• Updated Registry Data
• Electronic Copy of Narrative Report (January-June 2019)
• Electronic Copy of Financial Report(January-June 2019)
• Signed Invoice
• Completed Performance Measurement Report
4.2 Payment: Upon receipt of required materials, Contractor will receive fourth installment
payment of$47,985.00 in July 2019.
5.1 Task: Contractor must implement the project, participate in Youth Program Quality
Initiative,and submit the required materials as listed below by January 15,2020.
• Participation in Bridge Conference(October 2019)
• Participation in Learning Community Meetings
• Copy of Insurance Liability
• Copy of Background Check Documentation
• Updated Registry Data
• Electronic Copy of Narrative Report(July- December 2019)
• Electronic Copy of Financial Report(July-December 2019)
• Signed Invoice
• Completed Performance Measurement Report
5.2 Payment: Upon receipt of required materials, Contractor will receive fifth installment
payment of$46,374.00 in February 2020.
- 6.1 Task: Contractor must implement the project,participate in the Youth Program Quality
Initiative, and submit the required materials as listed below by July 15,2020.
• Participation in Learning Community Meetings
• Self-Assessment Scores on behalf of Place-Based Collaborative(March—May 2020)
• Continuous Improvement Action Plans (June 2020)
• Updated Registry Data
• Electronic Copy of Narrative Report(January-June 2020)
• Electronic Copy of Financial Report (January-June 2020)
• Signed Invoice
• Completed Performance Measurement Report
6.2 Payment:Upon receipt of required materials,Contractor will receive sixth installment
payment of$46,374.00 in July 2020.
7.1 Task: Contractor must implement the project, participate in Youth Program Quality
Initiative, and submit the required materials as listed below by January 15,2021.
• Participation in Bridge Conference(October 2020)
• Participation in Final Grantee Meeting(TBD)
• Updated Registry Data
• Electronic Copy of Final Narrative Report(July-December 2020)
• Electronic Copy of Final Financial Report(July- December 2020)
• Completed Performance Measurement Report
City of Renton
Signature: Date•
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Printed Name: 44-
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Signature: 0Date:
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Printed Name: Omana Imani
Title: King County Expanded Learning Opportunities Systems Director