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HomeMy WebLinkAbout5670AGENDA BILL CITY OF BREMERTON 5E CITY COUNCIL SUBJECT: Amendment No. 3 to Services Study Session Date: Reimbursement Agreement with Kitsap COUNCIL MEETING Date: Public Health District for Security Services at Department: Salvation Army Presenter: January 8, 2020 February 5, 2020 Financial Services Melinda Monroe Phone: (360) 473-5306 SUMMARY: The City of Bremerton and the Kitsap Public Health District wish to amend a Services Reimbursement Agreement by extending the current term and expiration date of the agreement to December 31, 2020. This is a cooperative effort in which the City will reimburse the Kitsap Public Health District for its payments to the Salvation Army for security services located at its 6th Street facility. This amendment increases the reimbursement agreement by $30,000 for the extended term. The 2020 Non -Departmental budget includes $30,000 for this purpose. ATTACHMENTS: 1) Amendment No. 3 to the Services Reimbursement Agreement with Kitsap Public Health District and City of Bremerton; 2) Amendment No. 2 to the Services Reimbursement Agreement with Kitsap Public Health District and City of Bremerton FISCAL IMPACTS (Include Budgeted Amount): This item is included in the 2020 Non - Departmental Budget. STUDY SESSION AGENDA: ❑x Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: Z Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve Amendment No. 3 to Services Reimbursement Agreement between the City of Bremerton and Kitsap Public Health District, and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ,� Approve Form Updated 01/02/2018 ❑ Deny ❑ Table ❑ Continue ❑ No Action AMENDMENT NO. 3 TO SERVICES REIMBURSEMENT AGREEMENT BETWEEN CITY OF BREMERTON AND KITSAP PUBLIC HEALTH DISTRICT THIS AMENDMENT NO. 3 to the Services Reimbursement Agreement ("Agreement") entered March 6, 2017, between the City of Bremerton and Kitsap Public Health District, referred to collectively as the "Parties," for reimbursement of expenses for security services, is based upon the following recital of facts: WHEREAS, the current Agreement expires December 31, 2019; and WHEREAS, the Parties desire to extend the current term and reimbursement provisions of the Agreement; and WHEREAS, the Agreement requires modification to be made by written instrument signed by both Parties; NOW THEREFORE,the Parties hereby agree: 1. Section II of the Agreement, "Term," is hereby amended to extend the expiration date of the Agreement to December 31, 2020. 2. Section III of the Agreement, "Reimbursement," is hereby amended to increase the reimbursement to an amount not to exceed a total amount of One-hundred Twenty thousand dollars and 00/100 ($120,000.00), including the $90,000 already paid to reimburse for services in 2019, 2018, and in 2017. 3. All other terms of the Agreement as amended shall remain in full force and effect. IN WITNESS THEREOF, the Parties hereto have executed this Amendment No. 3 as of the date and year last written below. KITSAP U HEALTH DISTRICT CITY OF BREMERTON By: E Ll4 By: reg Wheeler Its: A0/411,(J)5f{ .Tp .- Its: Mayor DATE: �-'7/ Z v Zp DATE: Z l 1 1A "..07..0 APPROVED AS TO FORM: ATTEST: /V .(Pe— ROGER A. LUBOVICH, City Attorney ANGELA HOOVER, City Clerk R:\Legal\Legal\Contracts\FINANCE\Kitsap Public Health District Amendment 1.doc 1 CO �- Expicea 55ti : l d ^t IµU" �i'W �i fiil iW,�` Ey .c ' 1� m„,�1 t 1ci �it ic�a: 4V�ti� NI � I I� l �i 1��� i, d 1 �u', i1 11 , dli�I In11171 I9�11 111idh ���I� r IT' III 11 :,, l(a i li �i ( �k i F 0e' ."i ,,il' iJl li�'I, . - a°li P l"'l 4 - i 9 �1 €1 INSURED/PARTICIPANT: MEMORANDUM#:2020-00-012 I; Kitsap Public Health District 345 6th St,Suite 300 EFFECTIVE:September 1,2019 through August 31,2020 1.1 II Bremerton,WA 98337 This is to certify that the Memorandum of Coverage has been issued to the = Insured/Participant for the period indicated. li' CERTIFICATE HOLDER: ' City of Bremerton i 11 Attn: Financial Services17, 345 6th St,Ste 600 Bremerton,WA 98337 : The Evidence of Coverage does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. II COVERAGE: PER OCCURRENCE AGGREGATE LIMIT LIMIT ,, ii COMPREHENSIVE GENERAL LIABILITY $1,000,000 $1,000,000 II Professional Liability $1,000,000 $1,000,000 Personal Liability Products—Complete Operation $1,000,000 $1,000,000 $1,000,000 $1,000,000 11 AUTO LIABILITY € N/A N/A 2 I Combined Single Limit;Hired and Non-Owned;Temporary Substitute N/A N/A t 1 CRIME BLANKET COVERAGE WITH FAITHFUL PERFORMANCE OF DUTY N/A N/A Per Occurrence Aggregate N/A N/A 1 s PROPERTY/MOBILE EQUIPMENT/BOILER AND MACHINERY Property N/A N/A Mobile Equipment AUTOMOBILE PHYSICAL DAMAGE N/A N/A OTHER COVERAGE: N/A N/A N/A i CANCELLATION: Should any of the above described coverage be cancelled before the expiration date of thereof.Notice will be delivered in accordance with the I provisions of the MOC. MEMO: i Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560/1760/1887/2037. 1 Ca E€I _ t Authori ed Representative ECED Januar 14,2020 6 JAN 2 4 2020 l c R1sk$ gement 9 . 11 s „,lo S"Tec l olo,r Blvd,Suite lo p 9 r .(apt)). 3. 9 ( )4 '8418 Fax o )7 o Spokane Washington .9-Z4'Tel ,c�, . . � � 8 £�-c� 1c� Toll Free tit3o b ,.. (,5 9�747. S 567U AGENDA BILL - � L CITY OF BREMERTON CITY COUNCIL SUBJECT: Services Reimbursement Study Session Date: January 25, 2017 Agreement with _Kitsap Public Health_ COUNCIL MEETING Date: February 1, 2017 District for Security Services at the Department: Financial Services Salvation Army Presenter: Mike Riley Phone: (360) 473-5303 SUMMARY: The City of Bremerton and the Kitsap Public Health. District wish to enter a Services Reimbursement Agreement. This is a cooperative effort in which the City will reimburse the District for its payments to the Salvation Army for'„'security services, and the Salvation Army will provide security services at its 6th Street facility. The funds will assist the Health District as it administers a mental health grant from Kitsap County; the grant's aim�is'to provide mental health outreach services. The agreement between the District and the Salvation Army is attached as Exhibit A. ATTACHMENTS: 1) Services Reimbursement Agreement with Kitsap Public Health District; 2) Exhibit A - Professional Services Agreement between Kitsap Public Health District and the Salvation Army; and 3) Interlocal Agreement for Professional Services between Kitsap County and the Kitsap Public Health District G FISCAL IMPACTS (Include Budgeted Amount): This item is included in the 2017 Budget in Non - Departmental not to -exceed $30,000 f STUDY SESSION AGENDA: M1 No Presentation ❑ Full Presentation ' 11, STUDY SESSION ACTION: o Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: I Move to approthe Services Reimbursement Agreement with Kitsap Public Health District in the amount not to eve exceed $30,000 for security services at the Salvation Army; and authorize the Mayor to finalize and execute the agreement with, substantially the same terms and conditions as presented.- COUNCIL resented:COUNCIL ACTION: E?(Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action h Form Updated 01/07/15 KPHD 1560 SERVICES REIMBURSEMENT AGREEMENT ICitsap Public Health District The City of Bremerton ("City") and the Kitsap Public Health District ("District"), referred to collectively as the "Parties," enter into the following Agreement for services reimbursement: I. Scope: The _District shall provide the following service for the benefit of the City: maintaining a contract with the Salvation Army to employ a trained security guard for security services at its facility at 832 6' Street in Bremerton. The District's contract with the Salvation Army, attached hereto as Exhibit A, sets forth the terms of their agreement. The City's role in this Agreement is only reimbursement of expenses for services provided. The City has no interest, control or liability regarding the contract between the District and the Salvation Army. II. Term: This agreement shall commence on the date of execution of this Agreement and shall continue in full force and effect until December 31, 2017, unless terminated earlier pursuant to Section IX of this Agreement. III. Reimbursement: In consideration of the services provided pursuant to this Agreement, City shall 'reimburse the District its costs for these services in an amount not to exceed Thirty Thousand Dollars and 00/100 ($30,000). The District shall submit monthly billling statements detailing the services for which the District has contracted and the amount paid to the Salvation Army during the preceding month. Upon receipt of a conforming billing statement, the City shall promptly process payment. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brought into compliance. The District shall not be reimbursed for work beyond the scope of this Agreement, unless the Scope is modified pursuant to section VILE herein. IV. Relationship of Parties: District and its personnel are not employees or agents of the City. District and its personnel have no authority to bind the City or to control the City's employees and the City's contractors. None of the benefits provided by the City to its employees, including, but not limited to, compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub -consultants of the District. District will be solely and entirely responsible for its acts and for the acts of District's agents, employees, representatives' and sub -consultants during the performance of this Agreement. Bremerton/Kitsap Public Health District Page 1 of 4 KPHD 1560 District is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over District or its personnel. V. Indemnification: District shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement, except for that portion of the injuries and damages caused by the City's sole negligence. The City's review or acceptance of any of the avoid any of these covenants of indemnification. work when completed shall not be grounds to The provisions of this section shall survive the expiration or termination of this Agreement. VI. Insurance: The City may require, as a condition of performance under this Agreement, that the District obtain public liability insurance naming the City as an additional insured. If the City so requires, it shall notify the District and give the District the option to withdraw its request. VII. General Conditions: A. Reports and Information: When requested by the City, District shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested. District shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to substantiate all billed amounts. B. Work Performed at District's Risk: District shall take all precautions necessary and shall be responsible for the safety of its employees, agents, and sub -consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at District's own risk. C. Entire Agreement: This Agreement constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements between them, written or oral, that have not been set forth in the text of this Agreement. D. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. E. Modification: This Agreement may only be modified by written instrument signed by both Parties. F. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be Bremerton/Kitsap Public Health District Page 2 of 4 KPHD 1560 deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. City Address District Address City of Bremerton Kitsap Public Health District 3456 th Street, Suite 600 3456 th Street, Suite 300 Attn: Financial Service's Attn: Katie Eilers Bremerton, WA 98337 Bremerton, WA 98337 (360) 473-5303 (360) 728-2224 G. Waiver: Failure to enforce any provision of this Agreement shall not be deemed a waiver of that provision. Waiver of any right or power arising out of this Agreement shall not be deemed waiver of any other right or power. H. Non -Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contained herein, or to exercise any option herein conferred in one or more instances shall not be construed to be a waiver or relinquishment of said covenants, agreements or options, and the same shall be and remain in full force and effect. L Compliance with Laws: DistricCshall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. J. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement shall be brought in Kitsap County Superior Court. K. Attorneys' Fees: In the event of, litigation to enforce any of the terms or provisions herein, each party shall pay all its own costs and attorney's fees. L. Assignment: Any assignment of this agreement by the District without the written consent of the City shall be void. VIII. Nondiscrimination: District shall not discriminate in employment or services to the public on the basis of race, color, national origin, sex, religion, age, marital status, or disability, except for employment actions based"';on bona fide occupational qualification. IX. Termination: This Agreement may be terminated by either party for convenience upon thirty (30) days written notice to the other party, or for cause if either party fails substantially to perform through no fault of the other 'and does not commence correction within five (5) days of written notice and diligently completes the correction thereafter. Upon such termination, City will be entitled to reports showing the status of all services District is providing to the City as of the effective date of termination. Bremerton/Kitsap Public Health District Page 3 of 4 KPHD 1560 CITY OF BREMERTON Patty Lent," 6P, Date Approved as to form: Bremerton!! City Attorney Attest: Shannon Corin, City Clerk Bremerton/Kitsap Public Health District Page 4 of 4 KITSAP PUBLIC HEALTH DISTRICT Keith Grellner, Administrator 9 /; Date EXHIBIT A KPHD 1562 Page 1 of 8 PROFESSIONAL SERVICES AGREEMENT Between KITSAP PUBLIC HEALTH DISTRICT And THE SALVATION ARMY This Professional Services Agreement ("Agreement") is made and entered into between the Kitsap Public Health District, a Health District organized pursuant to chapter 70.46 Revised Code of Washington and Chapter 9.52 Kitsap County Code, hereinafter referred to as "District," and the Salvation Army, a California corporation, through its Bremerton Corps, hereinafter referred to as "Contractor." The parties mutually agree as follows: I. Period of Performance: The period of performance of this Agreement shall begin August 1, 2016, and belicompleted no later than December 31, 2017, unless terminated sooner or extended as provided for herein. II. Services: The District requires the Contractor to provide the services of a trained security guard in support of the crisis response team performing work related to Kitsap Connects grant project. The presence of security personnel is sought in order to preserve a peaceful work environment for staff employed by the grant as well as to mitigate hazards posed by at -risk clients. A guard shall be on site during core business hours of 8:00 AM to 2:00 PM. Contractor shall provide the vendor agreement specifying the employment and duties of the security guard to the District and it shall be attached as Attachment A. 'I III. Oualifications/Eligibility: The Contractor will have the qualifications necessary to successfully complete the objectives of this Agreement. The Contractor hereby affirms that he/she is eligible to work in the United States as set forth in the Immigration Reform and Control Act (IRCA). IV. Compensation: The District agrees to contribute a total compensation not to exceed $30,000 during the Agreement. Compensation will be based on invoices submitted by Contractor itemizing hours worked with a detailed description of services performed. Funding for this Agreement is contingent upon availability of funds from the city of Bremerton. The interlocal agreement between the district and the City of Bremerton detailing the intent to distribute the funds is attached as Attachment B. V. Notices: Notices pursuant to this agreement shall be sent to: If to the District: Kitsap',', Public Health District ATTN': Katie Eilers 345 6th Street, Suite 300 Bremerton, WA 98337 (360) 728-2224 If to the Contractor: Salvation Army ATTN: Sheryl Percy P.O. Box 886 — 832 6h Street Bremerton, WA 98337 (360) 373-5550 KPHD 1562 Page 2 of 8 VI. Billing's: Billings to the District shall be submitted no more frequently than every 30 days, and shall be sent to: Kitsap Public Health District Accou °nts Payable 345 6t' Street, Suite 300 Bremerton, WA 98337 (360)128-2215 VII. Independent Contractor: Contractor and its employees or agents performing under this Agreement are not-il employees or agents of the District. VIII. Indemnification: Contractor shall defend, indemnify and hold the District, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of the Contractor in performance of this Agreement, except for injuries and damages caused by the sole negligence of the District. Solely for the purposes of this provision, the Contractor waives its immunity under Title 51 (Industrial Insurance) of the Revised Code of Washington and acknowledges that this waiver was mutually negotiated by the parties. This provision will survive the expiration or termination of this Agreement. IX. Insurance: The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, its agents, representatives, or 11 employees. No Limitation. Contractor's maintenance of insurance as required by the agreement shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the District's recourse to any remedy available at law or in equity. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: l jl Commercial General Liabilitv insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent Contractors and personal injury and advertising injury. The District shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the District. 2.11 Workers' Compensation coverage as required by the Industrial Insurance laws of the state of Washington. 3.'' Professional Liabilitv insurance appropriate to the Contractor's profession. The Contractor shall provide the District with proof of liability insurance or professional errors and omissions coverage appropriate to the Contractor's profession. KPHD 1562 Page 3 of 8 B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. 2. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability, Professional Liability and Commercial General Liability insurance: 1. The Contractor's insurance coverage shall be primary insurance in respect to the District. Any insurance, self-insurance, or insurance pool coverage maintained by the District shall be excess of the Contractor's insurance and shall not contribute with it. 2. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the District. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage Contractor shall furnish the District with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. X. Safeguarding of Information: The use or disclosure by Contractor of any information or documents obtained by the Contractor in the course of contract performance for any purpose not directly connected with Contractor's responsibilities under this Agreement is prohibited except as may be required by law. The security guard will sign a statement of confidentiality and will safeguard any sensitive information encountered while performing the work of this contract. The confidentiality statement shall be attached as Attachment C. XI. Statutory and Regulatory Compliance: Contractor shall comply with all applicable federal, state, and local laws, regulations, guidelines, and standards in the performance of this Agreement. XII. Compliance with State and Federal Confidentiality Laws: The Contractor shall not use protected health information created or shared under this Agreement in any manner that would constitute a violation of the Health Information Portability and Accountability Act, commonly known as HIPAA, and any regulations enacted pursuant to its provisions. KPHD 1562 Page 4 of 8 XIII. Non -Discrimination: Contractor shall not discriminate against any employee or applicant for employment because of race, color, sex, religion, national origin, creed, marital status, age, Vietnam era or disabled veteran status, sexual preference, or the presence of any sensory mental or physical handicap. XIV. Dispute Resolution: In the event that a dispute arises under the Agreement that the parties are unable,to resolve, they shall allow the dispute to be decided by a Dispute Panel in the following manner: a Mediator shall be mutually appointed by both parties, and each party shall appoint an additional member to the Dispute Panel. The Dispute Panel shall review the facts, contract terms and applicable statutes and rules and make a determination of the dispute. The determination of the Dispute Panel shall be final and binding on the parties hereto. The parties shall equally share the costs, if any, for the services of the Dispute Panel. XV. Choice of Law: This Contract has been and shall be construed as having been made and delivered within the State of Washington and it is agreed by each party hereto that this Contract shall be governed by the laws of the State of Washington, both as to its interpretation and performance. Any action at law, suit in equity, or judicial proceeding arising out of this Contract shall be instituted and maintained only in any of the courts of competent jurisdiction in Kitsap County, Washington. XVI. Severability: If a court of competent jurisdiction holds any part, term, or provision of this Contract to be illegal, or invalid in whole or in part, the validity of the remaining provisions shall not be affected, and the parties' rights and obligations shall be construed ,and enforced as if the Contract did not contain the particular provision held to be invalid. XVII. Amendment: This Agreement may be modified only by a written amendment executed by authorized representatives of both parties. XVIII. Termination: This Agreement may be terminated by either party upon giving at least thirty (15) days advance written notice to the other party. In the event that funding for this project is withdrawn, reduced or limited in any way after the effective date of this Contract, KPHD may summarily terminate this Contract notwithstanding any other termination provision of this Contract. Termination under this paragraph shall be effective upon the date specified in the written notice of termination sent by KPHD to the Contractor. After the effective date, no charges incurred under this Contract are allowable. If the Contractor breaches any of its obligations hereunder, and fails to cure the breach within ten (10) calendar days of written notice to do so by the KPHD, KPHD may terminate this Contract, in which case KPHD shall pay the Contractor only for the costs of work performed. XIX. Entire Agreement: This Agreement constitutes the entire agreement between the parties regarding its subject matter. Any oral or written representations not expressly incorporated in this Agreement are specifically excluded. KPHD 1562 Page 5 of 8 KITSAP PUBLIC HEALTH DISTRICT By: Keith Grellner Administrator Date: Funding Source Program: Non -Federal Contract/Grant THE SALVATION ARMY 'A California Corporation' Through its Bremerton Corps Date: Bill Dickinson Divisional Commander KPHD 1562 Page 6 of 8 ATTACHMENT A Temporary Aereement of Service 08/15/2016 STEPHEN GROUP INTERNATIONAL has been requested to furnish uniformed security agents, which services client regards as critical to its business and or event operations, on the following terms and conditions: Client: The Salvation Army, A California Corporation, through its Bremerton Corps. / P.O. Box 886-832 6u' Street, Bremerton, WA 98337 / ATTN: Sheryl Plercy / office (360) 917-0675 / cell (360) 865-2932 / sheryl.piercy@usw.salvatlonarmy org Location of Service to be provided: THE SALVATION ARMY — BREMERTON - 832 6th St, Bremerton, WA 98337 Date/Time: TUESDAY AUGUST 15.16 — TUESDAY AUG 15.17 (10:00 am — 2:00 pm / M/T/W/T/F) Classification of Agent ------------------------------Hours requested ------------------Regular hourly rate Uniformedsecurity agents on site Total Hrs = 20 per week. $25.00 per hour per security agent Initial role;requested of Stephen Group international security agent by Client: Client request: Secure Area of Operation —Providing Fire watch and Access control to location named above, to authorize personnel deemed by client during said hours. Establish presence and deterrence of illegal activity through all legal means granted by Washington State Laws Regulating Private Security Guards Chapter 18.170 RCW/ Washington Administrative Code for Private Security Guards WAC 308-18/ Washington State Criminal Code Title 9A. Observe and Report unauthorized activity determined by Client to Client and or Client representative, Stephen Group International management staff and local law enforcement agencies if determined necessary by statute or Client request. Client will pay Stephen Group International overtime rates equal to one and one — half (1.5) times above for any over time, supervision and training time requested or required by Client, arising from abnormally severe weather conditions, natural disasters or acts of God, or resulting from the special needs of clients operation: client will pay additional late -fee of 20% of total Involce 0 full oavment Is not received within 15 days of comritetlon of service Stephen Group International is not an insurer of the Clients risks and exposure. Stephen Group International makes no guarantee that the no loss will occur orthat the services provided will prevent events or occurrences that the services is designed to help detect or avert. Stephen Group International will be not be held liable for negligence on the part of Independent contractors to Client or a third party. These terms and conditions are limited to the terms and conditions located on this document AGREED: (Client Name) ..Bill Dickinson Client Signature and Dater Stephen Group International representative "Sienature and Date: Jake Stephen 8/17/2016 KPHD 1562 Page 7 of 8 ATTACHMENT B PLACEHOLDER FOR AGREEMENT WITH CITY OF BREMERTON KPHD 1562 Page 8 of 8 ATTACHMENT C STATEMENT OF CONFIDENTIALITY As a contractor of the Salvation Army, I understand and agree to follow these principles of confidentiality: To conduct myself in a manner that assures client confidentiality and ensures compliance with regard to "protected health information" (PHI) and "electronic protected health information" (EPHI). Not to handle, seek, or inquire about PHI or EPHI. To hold in confidence all identifying information about any potential, current, or former client utilizing the Kitsap Connects Program I may encounter. Employee/Intern/Volunteer/Contractor Signature Date Supervisor/Program Manager Signature Date INSURED/PARTICIPANT: Kitsap Public Health District 345 6th St, Suite 300 Bremerton, WA 98337 CERTIFICATE HOLDER: City of Bremerton Attn: Financial Services 345 6th St, Ste 600 Bremerton, WA 98337 _1Ws�p-1 o Memorandum #2018-00-012 This is to certify that the Memorandum of Coverage has been issued to the the Member named above for the period indicated. EFFECTIVE: September 1, 2017 to September 1, 2018 COVERAGE: LIMIT Comprehensive General Liability General Liability $ 1,000,000 Professional Liability $ 1,000,000 Personal Liability $ 1,000,000 Auto Liability Combined Single Limit $ 1,000,000 Hired and Non -Owned Auto Coverage $ 1,000,000 Temporary Substitute Auto Coverage $ 1,000,000 Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560. The Evidence of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Authorized Re resentative 9/1/2017 0 endurisT. WASHINGTON 1610 S Technology Blvd, Suite 100 - Spokane Washington - 99224 Tel. (509) 838-0910 - Toll Free (800) 462-8418 - Fax (509) 747-3875 INSURED/PARTICIPANT: Kitsap Public Health District 345 6th St, Suite 300 Bremerton, WA 98337 CERTIFICATE HOLDER: City of Bremerton Attn: Financial Services 345 6th St, Ste 600 Bremerton, WA 98337 Memorandum #2018-00-012 This is to certify that the Memorandum of Coverage has been issued to the the Member named above for the period indicated. EFFECTIVE: September 1, 2017 to September 1, 2018 COVERAGE: LIMIT Comprehensive General Liability General Liability $ 1,000,000 Professional Liability $ 1,000,000 Personal Liability $ 1,000,000 Auto Liability Combined Single Limit $ 1,000,000 Hired and Non -Owned Auto Coverage $ 1,000,000 Temporary Substitute Auto Coverage $ 1,000,000 Evidence of coverage in respects to the Services Reimbursement Agreement. The Evidence of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Authorized 4resentative 9/1/2017 0 endures. WASHINGTON 1610 S Technology Blvd, Suite 100 - Spokane Washington - 99224 Tel. (509) 838-0910 - Toll Free (800) 462-8418 - Fax (509) 747-3875 KPHD 1560 Amendment 1 (1760) AMENDMENT NO. 1 TO SERVICES REIMBURSEMENT AGREEMENT BETWEEN CITY OF BREMERTON AND KITSAP PUBLIC HEALTH DISTRICT THIS AMENDMENT NO. 1 to the Services Reimbursement Agreement ("Agreement") entered March 6, 2017, between the City of Bremerton and Kitsap Public Health District, referred to collectively as the "Parties," for reimbursement of expenses for security services, is based upon the following recital of facts: WHEREAS, the current Agreement expires December 31, 2017; and WHEREAS, the Parties desire to extend the current term and reimbursement provisions of the Agreement; and WHEREAS, the Agreement requires modification to be made by written instrument signed by both Parties; NOW THEREFORE, the Parties hereby agree: 1. Section II of the Agreement, "Term," is hereby amended to extend the expiration date of the Agreement to December 31, 2018. 2. Section III of the Agreement, "Reimbursement," is hereby amended to increase the reimbursement to an amount not to exceed sixty thousand dollars and 00/100 ($60,000.00), including the $30,000.00 already paid to reimburse for services provided in 2017. 3. All other terms of the Agreement as amended shall remain in full force and effect. IN WITNESS THEREOF, the Parties hereto have executed this Amendment No. 1 as of the date and year last written below. KITSAP P B TH DISTRICT CITY OF BREMERTON w, By: 4ellowlBy: L , W ler Its: A AA Its: DATE: L 2 DATE: LA `30 1 1$ APPROVED AS TO FORM: v ROGER AJXBOVICCity Attorney P 41 A EST: SHANNON CORIN, City Clerk R:1Legal\L.egal\Contracts\FINANCE\Kitsap Public Health District Amendment Ldoc AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Amendment to Services Study Session Date: January 24, 2018 Reimbursement Agreement with Kitsap COUNCIL MEETING Date: February 7, 2018 Public Health District for Security Services at Department: Financial Services the Salvation Army Presenter: Mike Riley Phone: (360) 473-5303 SUMMARY: The City of Bremerton and the Kitsap Public Health District wish to amend a Services Reimbursement Agreement by extending the current term and expiration date of the agreement to December 31, 2018. This isa cooperative effort in which the City will reimburse the Health District for its payments to the Salvation Army for security services located at its a Street facility. This amendment increases the reimbursement agreement by $30,000 for the extended term. The 2018 Non -Departmental budget includes $30,000 for this purpose. ATTACHMENTS: 1) Services Reimbursement Agreement with Kitsap Public Health District and City of Bremerton; 2) Amendment No. 1 to Services Reimbursement Agreement between City of Bremerton and Kitsap Public Health District. FISCAL IMPACTS (Include: Budgeted Amount): This item is included in the 2018 Non - Departmental Budget. STUDY SESSION AGENDA: ® Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: ❑ Consent Agenda ® General Business ❑ Public Hearing RECOMMENDED MOTION Move to approve Amendment No. 1 to Services Reimbursement Agreement between the City, of Bremerton and Kitsap Public Health District, and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: [ja/Approve Form Updated 011=018 n Deny ❑ Table ❑ Continue ❑ No Action AGENDA BILL CITY OF BREMERTON 5G CITY COUNCIL SUBJECT: Amendment No. 2 to Services Study Session Date: February 13, 2019 Reimbursement Agreement with the Kitsap COUNCIL MEETING Date: February 20, 2019 Public Health District for Security Services at Department: Financial Services the Salvation Army Presenter: Melinda Monroe Phone: (360) 473-5306 SUMMARY: The City of Bremerton and the Kitsap Public Health District wish to amend a Services Reimbursement Agreement by extending the current term and expiration date of the agreement to December 31, 2019. This is a cooperative effort in which the City will reimburse the Health District for its payments to the Salvation Army for security services located at its 6th Street facility. This amendment increases the reimbursement agreement by $30,000 for the extended term. The 2019 Non-Departmental budget includes $30,000 for this purpose. ATTACHMENTS: 1) Services Reimbursement Agreement with Kitsap Public Health District and City of Bremerton; 2) Amendment No. 1 to Services Reimbursement Agreement between City of Bremerton and Kitsap Public Health District. FISCAL IMPACTS (Include Budgeted Amount): This item is included in the 2019 Non- Departmental Budget. STUDY SESSION AGENDA: © Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: ®Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve Amendment No. 2 to Services Reimbursement Agreement between the City of Bremerton and Kitsap Public Health District; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: MApprove El Deny ❑ Table ❑ Continue [I] No Action Form Updated 01/02/2018 KPI-ID 1560,Amendment 1 (1877) AMENDMENT NO. 2 TO SERVICES REIMBURSEMENT AGREEMENT BETWEEN CITY OF BREMERTON AND KITSAP PUBLIC HEALTH DISTRICT THIS AMENDMENT NO. 2 to the Services Reimbursement Agreement ("Agreement") entered March 6, 2017, between the City of Bremerton and Kitsap Public Health District, referred to collectively as the "Parties," for reimbursement of expenses for security services, is based upon the following recital of facts: WHEREAS,the current Agreement expires December 31, 2018; and WHEREAS, the Parties desire to extend the current term and reimbursement provisions of the Agreement; and WHEREAS, the Agreement requires modification to be made by written instrument signed by both Parties; NOW THEREFORE, the Parties hereby agree: 1. Section II of the Agreement, "Term," is hereby amended to extend the expiration date of the Agreement to December 31, 2019. 2. Section III of the Agreement, "Reimbursement," is hereby amended to increase the reimbursement to an amount not to exceed Ninety thousand dollars and 00/100 ($90,000.00), including the $60,000 already paid to reimburse for services provided in 2017 and 2018. 3. All other terms of the Agreement as amended shall remain in full force and effect. IN WITNESS THEREOF,the Parties hereto have executed this Amendment No. 2 as of the date and year last written below. KITSAP P 4B I ' ALTH DISTRICT CITY OF BREMERTON BY: E i1 iM tit Al By: Gee, c.J1,1ce.1Er Its: Its: M y o c DATE: 2(2 2/2 d/5 DATE: Z) ,-1 ) 261,9 APPROVED AS TO FORM: ATTEST: ROGERode t ) VICH, City Attorney A GE WOODS, City Clerk R:\Legal\LLegal\Contracts\FINANCE\Kitsap Public Health District Amendment l.doc Enduri � EVIDENCE OF. I. INSURED/PARTICIPANT: MEMORANDUM#:2019-00-012 Kitsap Public Health District 345 6th St,Suite 300 EFFECTIVE:September 1,2018 through August 31,2019 Bremerton,WA 98337 This is to certify that the Memorandum of Coverage has been issued to the Insured/Participant for the period indicated. CERTIFICATE HOLDER: City of Bremerton Attn: Financial Services 345 6th St,Ste400 Bremerton,WA 98337 i !� The Evidence of Coverage does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. COVERAGE: PER OCCURRENCE AGGREGATE LIMIT LIMIT COMPREHENSIVE GENERAL LIABILITY $1,000,000 $1,000,000 Professional Liability $1,000,000 $1,000,000 Personal Liability $1,000,000 $1,000,000 Products-Complete Operation $1,000,000 $1,000,000 AUTO LIABILITY N/A N/A Combined Single Limit;Hired and Non-Owned;Temporary Substitute N/A N/A CRIME BLANKET COVERAGE WITH FAITHFUL PERFORMANCE OF DUTY N/A N/A Per Occurrence Aggregate N/A N/A PROPERTY/MOBILE EQUIPMENT/BOILER AND MACHINERY Property N/A N/A Mobile Equipment AUTOMOBILE PHYSICAL DAMAGE N/A N/A OTHER COVERAGE:N/A N/A N/A CANCELLATION: Should any of the above described coverage be cancelled before the expiration date of thereof.Notice will be delivered in accordance with the provisions of the MOC. MEMO: Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560/1887. AL I Authori ed Representative Januar 11,2019 endures.. WASHINGTON 1610 S Technology Blvd,Suite Too-Spokane Washington-99224 Tel.(5oq)838-0910-Toll Free(800)462-8418-Fax(509)747-3875 I Enduris • f EVIDENCE OF COVERAGE • INSURED/PARTICIPANT: Memorandum#2018-00-012 Kitsap Public Health District 345 6th St,Suite 300 Bremerton,WA 98337 CERTIFICATE HOLDER: City of Bremerton Attn:Financial Services 345 6th St,Ste 600 Bremerton,WA 98337 • This is to certify that the Memorandum of Coverage has been issued to the the Member named above for the period indicated. EFFECTIVE: September 1,2017 to September 1,2018 COVERAGE: LIMIT Comprehensive General Liability General Liability $ 1,000,000 Professional Liability $ 1,000,000 Personal Liability $ 1,000,000 Auto Liability Combined Single Limit $ 1,000,000 Hired and Non-Owned Auto Coverage $ 1,000,000 • Temporary Substitute Auto Coverage $ 1,000,000 Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560. The Evidence of Coverage does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. dib Authorized Re iresentative 9/1/2017 endures. WASHINGTON 1610 S Technology Blvd,Suite 100-Spokane Washington-99224 Tel.(509)838-0910-Toll Free(800)462-8418-Fax(509)747-3875 Endures i • EVIDENCE OF COVERAGE 3 INSURED/PARTICIPANT: Memorandum#2018-00-012 Kitsap Public Health District 345 6th St,Suite 300 Bremerton,WA 98337 CERTIFICATE HOLDER: City of Bremerton Attn:Financial Services 345 6th St,Ste 600 Bremerton,WA 98337 This is to certify that the Memorandum of Coverage has been issued to the the Member named above for the period indicated. EFFECTIVE: September 1,2017 to September 1,2018 COVERAGE: LIMIT Comprehensive General Liability General Liability $ 1,000,000 Professional Liability $ 1,000,000 Personal Liability $ 1,000,000 Auto Liability Combined Single Limit S 1,000,000 Hired and Non-Owned Auto Coverage $ 1,000,000 Temporary Substitute Auto Coverage $ 1,000,000 Evidence of coverage in respects to the Services Reimbursement Agreement. The Evidence of Coverage does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. eh I Authorized Re•resentative 9/1/2017 endures. WASHINGTON 1610 S Technology Blvd,Suite 100-Spokane Washington-99224 Tnl (Cl1O) OZO r\nin T,.II C.,....tonin AG, owl O r_../rnnx INSURED/PARTICIPANT: MEMORANDUM#:2020-00-012 Kitsap Public Health District 345 6th St,Suite 300 EFFECTIVE:September 1,2019 through August 31,2020 Bremerton,WA 98337 This is to certify that the Memorandum of Coverage has been issued to the Insured/Participant for the period indicated. CERTIFICATE HOLDER: City of Bremerton J l�' 1 Attn:Financial Services , 345 6th St,Ste 600 l✓ Bremerton,WA 98337 The Evidence of Coverage does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. COVERAGE: PER OCCURRENCE AGGREGATE LIMIT LIMIT COMPREHENSIVE GENERAL LIABILITY $1,000,000 $1,000,000 Professional Liability $1,000,000 $1,000,000 Personal Liability $1,000,000 $1,000,000 Products—Complete Operation $1,000,000 $1,000,000 AUTO LIABILITY N/A N/A Combined Single Limit;Hired and Non-Owned;Temporary Substitute N/A N/A CRIME BLANKET COVERAGE WITH FAITHFUL PERFORMANCE OF DUTY N/A N/A Per Occurrence Aggregate N/A N/A PROPERTY/MOBILE EQUIPMENT/BOILER AND MACHINERY Property N/A N/A Mobile Equipment AUTOMOBILE PHYSICAL DAMAGE N/A N/A OTHER COVERAGE:N/A N/A N/A CANCELLATION: Should any of the above described coverage be cancelled before the expiration date of thereof.Notice will be delivered in accordance with the provisions of the MOC. MEMO: Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560/1887. Authori ed Representative August 29,2019 enduris INSURED/PARTICI PANT: Kitsap Public Health District 345 6th St, Suite 300 Bremerton, WA 98337 CERTIFICATE HOLDER: City of Bremerton Attn: Financial Services 345 6th St, Ste 600 Bremerton, WA 98337 RECEIVED SEP 15 2020 City of Bremerton Risk Management MEMORANDUM#: 2021 00 012 EFFECTIVE: September 1, 2020 through August 31, 2021 This is to certify that the Memorandum of Coverage has been issued to the Insured/Participant for the period indicated. The Evidence of Coverage does not constitute o contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. COVERAGE: PER OCCURRENCE AGGREGATE LIMIT LIMIT COMPREHENSIVE GENERAL LIABILITY $1,000,000 $1,000,000 Professional Liability $11000,000 $1,000,000 Personal Liability $1,000,000 $1,000,000 Products — Complete Operation $1,000,000 $1,000,000 AUTO LIABILITY N/A N/A Combined Single Limit Hired and Non -Owned; Temporary Substitute N/A N/A CRIME BLANKET COVERAGE WITH FAITHFUL PERFORMANCE OF DUTY N/A N/A Per Occurrence Aggregate N/A N/A PROPERTY/MOBILE EQUIPMENT/BOILER AND MACHINERY Property N/A N/A Mobile Equipment AUTOMOBILE PHYSICAL DAMAGE N/A N/A OTHER COVERAGE: N/A N/A N/A CANCELLATION: Should any of the above described coverage be cancelled before the expiration date of thereof. Notice will be delivered in accordance with the provisions of the MOC. MEMO: Evidence of coverage in respects to the Services Reimbursement Agreement. Contract 1560/1760/1887/2037. i Authori ed Representative JUly 22,020 enduris.� vi;6r11r,6ToN �610 S Technology Blvd, Suite too - Spokane Wash ington_-,99224 TeL (509)-858-0910 -Toll Free (8o0 62-8 18 -_Fax (509) 747-38T5