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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 Refugee Women’s Alliance
(“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 benef it 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
through Renton’s budget process and the Agency’s satisfactory contract performance
during the first year of the contract term.
3. Termination: Prior to the expiration of the Term, this Agreement may be terminated or
suspended immediately, with or without cause by Renton. The Agency may cancel this
Agreement only upon thirty (30) business days’ prior written notice to Renton. In the
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
17-071
4/4/2017
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
3/17/2017 | 3:29:23 PM PDT4/4/2017 | 9:16:29 AM PDT
Exhibit A - Scope and Schedule of Work
2017-2018 Agency Services Agreement 1
Exhibit A
Scope and Schedule of Work
2017-2018 Program Services Agreement
Agency: Refugee Women’s Alliance 2017 Funding: $7,500
Program: Case Management and Emergency
Assistance
2018 Funding: $7,500
This funding
will provide:
Case Management and emergency
assistance services to immigrant and
refugee clients to help them access social
services and meet basic needs.
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
15 Basic Needs for families
Number of Outreach and Case
management Hours 240
Number of Clients receiving
emergency assistance 4
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 4 4
Number of Outreach and Case management
Hours
60 60
Number of Clients receiving emergency assistance 1 1
2nd Unduplicated City of Renton clients served 4 8
Number of Outreach and Case management Hours 60 120
Number of Clients receiving emergency assistance 1 2
3rd Unduplicated City of Renton clients served 4 12
Number of Outreach and Case management Hours 60 180
Number of Clients receiving emergency assistance 1 3
4th Unduplicated City of Renton clients served 3 15
Number of Outreach and Case management Hours 60 240
Number of Clients receiving emergency assistance 1 4
Definition of Units of Service:
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
I. Contract Administration
Agency will provide a copy of the current year’s audit when it is available, along with any
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
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B
DocuSign Envelope ID: 31C8E97A-29C0-447B-81FA-730DE096E79B