HomeMy WebLinkAboutAdden 1
Ukrainian Community Center of Washington
Crisis Family Intervention Program 2021-2022
Original Contract CAG -21-056
CONTRACT AMENDMENT NO. 1
This CONTRACT AMENDMENT, made and entered into this _________ day of ___________, 2021
between the City of Renton (the “City” or “Renton”), Washington municipal corporation, and Ukrainian
Community Center of Washington , (“Agency”) amends an earlier Agreement (AGREEMENT) dated
March 18, 2021. The City and the Agency are referred to collectively in this Amendment as the
“Parties”.
WHEREEAS the CITY and Agency mutually desire to amend the original AGREEMENT:
NOW THEREFORE, it is mutually agreed that the terms, stipulations and conditions of the original
AGREEMENT shall be binding upon the parties hereto except as insofar as amended by the CONTRACT
AMENDMENT as follows:
I.
SCOPE OF SERVICES, is amended as summarized in Exhibit A-Amendment 1 attached hereto. Table of
quarterly service units is amended to ensure service units are consistent with other funders. Exhibit A-
Amendment 1 hereby entirely replaces the original Scope of Services attached as Exhibit A to the
original AGREEMENT.
II
All other terms and conditions set forth in the original AGREEMENT are unchanged by this amendment
and shall continue to govern.
IN WITNESS WHEREOF, the Parties have voluntarily entered into this Amendment as of the date last
signed by the Parties below.
CITY OF RENTON
By: _____________________________
Kelly Beymer
Administrator
________________________________
Date
Approved as to Legal Form
By Renton City Attorney’s Office
By: _____________________________
Senior Assistant City Attorney
________________________________
Date
AGENCY:
Ukrainian Community Center of Washington.
By: _______________________________
Oleg Pynda
Executive Director
__________________________________
Date
Page 1 of 4
Exhibit A
Scope and Schedule of Work
2021-2022 Program Services Agreement
Agency: Ukrainian Community Center of Washington 2021
Funding:
$12,000
Program: Crisis Family Intervention Program 2022
Funding:
$12,000
This funding
will provide:
Professional Mental Health Counseling and Family
Support Sessions in a culturally and linguistically
appropriate manner.
Total:
$24,000
Effective
Date
Year 1: January 1, 2021– December 31, 2021
Year 2: January 1, 2022– December 31, 2022
Annual Program Outputs: Renton Need Area:
Unduplicated Renton
Residents
12 Health and Wellness
Number of clients receiving
Professional Mental Health
Counseling
12
Number of Family Support
Sessions 1
The Agency shall provide the approximate number of City of Renton clients with the following
services each year of the agreement. Services shall be provided in a manner which fully
complies with all applicable federal, state and local laws, statutes, ordi nances rules and
regulations, as are now in effect or may be amended or enacted during the course of the
Agreement.
Definition of Units of Service:
Family Support Sessions: Two hour Parenting Educations Sessions will be provided to
immigrant parents of children ages 0-18 with at least 12 participants each session.
Parenting Education Sessions are designed to educate immigrant parents about positive
parenting and also teach them about negative consequences of corporal punishment and
U.S. laws about child abuse and neglect.
Professional Mental Health Counseling: Services are designed to provide assistance to
families at risk of child abuse/neglect, spousal abuse, other types of domestic violence,
youth involved in drugs and/or crime, high school dropouts, and/or runaway youth,
depression and other mental health disorders.
DocuSign Envelope ID: 688611B7-1490-44DA-A94C-90DD9693C748
Page 2 of 4
Quarter Service Unit # of Units Cumulative
Total
1st Unduplicated City of Renton clients served 3 3
Number of clients receiving Professional Mental
Health Counseling
3 3
Number of Family Support Sessions 1 1
2nd Unduplicated City of Renton clients served 3 6
Number of clients receiving Professional Mental
Health Counseling
3 6
Number of Family Support Sessions 0 1
3rd Unduplicated City of Renton clients served 3 9
Number of clients receiving Professional Mental
Health Counseling
3 9
Number of Family Support Sessions 1 2
4th Unduplicated City of Renton clients served 3 12
Number of clients receiving Professional Mental
Health Counseling
3 12
Number of Family Support Sessions 0 2
Budget $12,000 Annually
Personnel $12,000
Non-Personnel $0
The above Services shall be provided by December 31, 2021 for year one of the two -year
Agreement and December 31, 2022 for year two of the Agreement.
I. Contract Administration
- The Agency shall notify Renton, in writing, within ten (10) calendar days of any changes in
program personnel or board membership.
- By April 15, the Agency shall provide Renton with an annual calendar showing dates and times
of operations of sites, including times and dates of closure. Hours of operation during the period
of the Agreement must be consistent with the annual calendar provided. The Agency will notify
Renton in writing (e-mail is sufficient for the purposes of this requirement) of any deviations from
the calendar that are three (3) calendar days in length or longer. Notifications shall be provided
at least five (5) business days prior to closure except in extreme emergencies, in which case
notification should be made as soon as possible.
- The Agency shall provide Renton with a current list of its Board of Directors, general or limited
partners, as applicable. The list should include city of residence and vacant positions.
DocuSign Envelope ID: 688611B7-1490-44DA-A94C-90DD9693C748
Page 3 of 4
-The Agency will provide a copy of the current year’s audit when it is available, along with any
audit management or cover letters provided.
II. Demographic and Outcome Data Report
The Agency shall collect and retain demographic data requested from the persons served through
this contract. Data should be tracked in an ongoing manner and submitted annually by January 30
of the following year. Outcome data shall be submitted annually in conjunctions with the
Demographic report. Data should be collected and demonstrate the program’s progress toward
Outcomes as specified below.
Outcomes 1. 85% of program participants will achieve at least one of their self-identified goals.
Measurement: Goal achievement will be measured at monthly tracking meeting with client.
DocuSign Envelope ID: 688611B7-1490-44DA-A94C-90DD9693C748
Page 4 of 4
QUARTERLY REPORTS DUE DATES
1st through 3rd quarter reports 1st = April 15th
2nd = July 15th
3rd = October 15th
Note: Programs not at the 90% performance
level by the end of the third quarter may be
asked to submit a preliminary performance
report with the 4th quarter reimbursement
request.
4th and final annual reimbursement First week in January. Date to be
announced.
Outcomes and demographics January 31, 2022/ January 31, 2023
Regular Monitoring Visit: The Agency shall allow the City to conduct a regular
monitoring visit to the Agency, at a date and time agreeable to the parties which shall
be no later than 30 days after the city’s request.
DocuSign Envelope ID: 688611B7-1490-44DA-A94C-90DD9693C748