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Home My WebLink AboutAdden 1CONTRACT AMENDMENT AGENCY NAME/ADDRESS: Renton Kiwanis Clothes Bank 300 Rainier Avenue N Renton, WA 98057 CONTRACT NUMBER: CAG 17-115 AMENDMENT NUMBER: 1 DESCRIPTION/JUSTIFICATION OF AMENDMENT OR MODIFICATION: The number of visits set forth in Exhibit A is being adjusted because of the location of the Clothes Bank which is no longer as easily accessible by public transportation and the clarification that the number of visits in the contract was limited to Renton residents only, not all the clients of the clothing bank. AMENDMENT TERMS AND CONDITIONS for 2017-2018: 1. Exhibit A is deleted in its entirety and replaced with the following: Exhibit A Scope and Schedule of Work 2017-2018 Program Services Agreement Agency: Renton Kiwanis Clothes Bank 2017 Funding: $7,500 Program: Renton Clothes Bank 2018 Funding: $7,500 This funding will provide: Free, clean wearable clothing to needy children and families in the community Total: $15,000 Effective Date Year 1: January 1, 2017– December 31, 2017 Year 2: January 1, 2018– December 31, 2018 Annual Program Outputs: Renton Need Area: Unduplicated Renton Residents 1100 Basic Needs for Families Number of visits where individuals receive clothes 1300 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, ordinances rules and regulations, as are now in effect or may be amended or enacted during the course of the Agreement. Quarter Service Unit # of Units Cumulative Total 1st Unduplicated City of Renton clients served 275 275 Number of visits where individuals receive clothes 325 325 2nd Unduplicated City of Renton clients served 275 550 Number of visits where individuals receive clothes 325 650 DocuSign Envelope ID: 7457A736-469C-4A5F-9C60-EFC0AD6B7424 3rd Unduplicated City of Renton clients served 275 825 Number of visits where individuals receive clothes 325 975 4th Unduplicated City of Renton clients served 275 1100 Number of visits where individuals receive clothes 35 1300 Definition of Units of Service: Each visit by a client receiving age and seasonally appropriate clothing is counted as one unit of service Budget Personnel $7,500 annually Non-Personnel $0 The above Services shall be provided by December 31, 2017 for year one of the two-year agreement and December 31, 2018 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 must be consistent with the Scope of Services 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 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. Reporting Requirements and Timeline All data and required forms shall be submitted on forms and in the manner specified by the City. Agency will include in quarterly narrative updates on search for finding a new location. III. Service Unit Report Data from this form will be used to track each program’s progress toward meeting the goals stipulated in the Scope of Services. It shall be submitted quarterly, no later than the 15th of the month following the end of the quarter (i.e. April 15, July 15, October 15, and January 15), along with the Reimbursement Request unless otherwise specified. Programs that have not reached the 90% performance level by the end of the third quarter may be DocuSign Envelope ID: 7457A736-469C-4A5F-9C60-EFC0AD6B7424 asked to submit a preliminary performance report along with the reimbursement request for fourth quarter. IV. Reimbursement Request This form will serve as the invoicing mechanism for payment to your Agency/program. It shall be submitted quarterly, no later than the 15th of the month following the end of the quarter (i.e. April 15, July 15, and October 15). Th e 4th quarter reimbursement request will be submitted no later than December 27th. V. Demographic Data Report The Agency shall collect and retain the data requested on this form from the persons served through this contract. Data should be tracked in an ongoing manner and submitted annually by January 15 of the following year. VI. Annual Outcome Data Report Outcome data shall be submitted annually by January 15. Data should demonstrate the program’s progress toward Outcomes specified in the Scope of Services. Outcome: 98% of individuals using the RKCB will receive free age appropriate and seasonally appropriate clothing. Measurement: Staff and volunteers have been trained to collect all vouchers and record the information in a systematic manner for reporting. Report Due Date Service Unit Report and Reimbursement Request 15th day following each quarter Final Reimbursement Request (4th Quarter) December 27th, 2017/December 27th, 2018 Demographic Data Report January 15th, 2018/January 15th, 2019 Annual Outcome Data Report January 15th, 2018/January 15th, 2019 DocuSign Envelope ID: 7457A736-469C-4A5F-9C60-EFC0AD6B7424 No other changes to the contract are made. All other terms and conditions of the original contract thereto remain in full force and effect and are herein incorporated by reference. In Witness whereof, the parties have caused this agreement to be executed the day and year set forth above. Renton Kiwanis Clothes Bank____ ______________________________ AGENCY Kelly Beymer Community Services Administrator By: _____________________ Jon Pozega APPROVED AS TO FORM: Its: Board President_________ ______________________________ Shane Moloney, City Attorney DocuSign Envelope ID: 7457A736-469C-4A5F-9C60-EFC0AD6B7424 10/19/2018 | 2:29 PM PDT 10/22/2018 | 9:57 AM PDT Shane Moloney