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HUMAN SERVICES AGREEMENT
CAG-_____
THIS HUMAN SERVICES AGREEMENT, dated ______________, is by and between the City of
Renton (the “City”), a Washington municipal corporation, and Bridge Disability Ministries
(“Agency”), The City and the Agency are referred to collectively in this Agreement as the
“Parties.” Once fully executed by the Parties, this Agreement is effective as of the last date
signed by both parties.
RECITALS
WHEREAS Renton has provided General Fund budget funds to finance certain programs;
WHEREAS the programs provided by the Agency are for the general community’s benefit and
are designed for the well-being of children, individuals, and families in the City of Renton;
NOW, THEREFORE, in consideration of the recitals, which are incorporated by reference, and
the following mutual promises and covenants contained in this Agreement, the Parties mutually
agreed as follows:
1. Scope of Services: Agency agrees to provide the services as specified in Exhibit A,
which is attached and incorporated herein and may hereinafter be referred to as the
“Services.” The Services shall be performed in a manner consistent with the accepted
practices for other similar services, completed to Renton’s satisfaction within the time
prescribed by Renton, and pursuant to the direction of the Human Services Manager
(“HSM”) or designee. In the case of multiple projects, each project shall correspond to a
separate Scope of Work.
2. Term: The term of this Agreement shall be for a period of two (2) years commencing on
January 1, 2017, and terminating on December 31, 2018 (“Term”). Funding for the
second year of the contract is contingent upon the availability of funds to be allocated
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
17-087
4/10/2017
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
4/4/2017 | 2:57:09 PM PDT4/10/2017 | 10:15:08 AM PDT
Exhibit A - Scope and Schedule of Work
2013-2014 Agency Services Agreement 1
Exhibit A
Scope and Schedule of Work
2017-2018 Program Services Agreement
Agency: Bridge Disability Ministries 2017
Funding:
$6,000
Program: Certified Professional Guardianship
Program
2018
Funding:
$6,000
This funding
will provide:
Case Management services to improve the
health and welfare of adults with severe
developmental disabilities
Total:
$12,000
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
3 Health & Wellness
Number of Case Management
Hours 120
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 3 3
Number of Case Management Hours 30 30
2nd Unduplicated City of Renton clients served 0 3
Number of Case Management Hours 30 60
3rd Unduplicated City of Renton clients served 0 3
Number of Case Management Hours 30 90
4th Unduplicated City of Renton clients served 0 3
Number of Case Management Hours 30 120
Definition of Units of Service:
Case Management: Direct and indirect work as a guardian of a person with developmental
disabilities. Including issues related to quality of life, housing, legal, and medical issues,
and oversight of matters related to the client’s well-being.
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
I. Contract Administration
Agency will provide a copy of the current year’s audit when it is available, alon
II. Reporting Requirements and Timeline
III. Service Unit Report
Data from this form will be used to track each program’s progress toward meeting the goals
Programs that have not reached
the 90% performance level by the end of the third quarter may be asked to submit a preliminary
performance report along with the reimbursement request for fourth quarter.
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C
DocuSign Envelope ID: 1EAF5A7D-508B-43E8-A13F-7A10778B720C