HomeMy WebLinkAboutCAG2021-516 - Amendment - Coalition for Refugees from Burma - Youth Internship Program - 12/10/2021ApprovalOriginator:Department:
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Director or Designee Mayor
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Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
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Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
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rev. 20200218
FOR CITY OF KENT OFFICIAL USE ONLY
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Exhibit A - Revised
Scope and Schedule of Work
2021-2022 Consultant Services Agreement
Agency: Coalition for Refugees from Burma
Program: Youth Internship Program
Contact: Mona Han, monahan@rootedbrilliance.org
Program
Description:
Provide internships for up to 5 youth (ages 16-23). The internship will focus on
program review, design and implementation focused on Kent 101 and provide
recommendation to improve the program with attention to young people. Interns
will complete a final report or presentation about the internship .
Pursuant to Section I. of the Consultant Services Agreement (CSA) executed on Nov 1, 2021, Consultant shall provide the
approximate number of City of Kent clients with the following services:
Service Unit Descriptions and Deliverables Units for Kent Residents
Contracted to Serve
Service Unit 1: Outreach and engagement
Description: The organization will implement a process to recruit young people (16-23
yrs old) to youth internships
3-5 youth contacted
Service Unit 2: Youth Internship
Description: The organization will host 2-4 youth in internships. Each intern will serve up
to 20 hours and can included activities identified by the organization.
2-4 interns
Service Unit 3: Learning Circle
Description: Staff will participate in developing strategies for a youth employment
program in Kent.
4 meetings
A final report describing the recommendations will be submitted by the organization. Youth that participated in the
internship program should assist in the final report as part of the internship.
Funds Awarded: not to exceed $4,000
Unduplicated Kent Youth Contracted
to Serve 4
The above services shall be provided by February 22, 2022
Contract Administration
-The Consultant shall notify the City, in writing, within ten (10) days of any changes in agency
leadership or program personnel.
-The Consultant shall provide the City with a current list of its board of directors, general or limited
partners, as applicable.
-In special circumstances and upon written agreement between the City and Consultant through a
revised Scope and Schedule of Work, unspent funds the CSA can be carried ove r to 2022. The
revised Scope and Schedule of Work shall be attached and incorporated into the CSA.
-All records related to the CSA must be retained for three (3) years plus the current year.
Reporting Requirements and Timeline
All data and required forms shall be submitted electronically.
Reimbursement and Service Unit Report - This form will be filled out electronically and serve as the
invoicing mechanism for payment to your agency/program. Data from this form will be used to track each
program’s progress toward meeting the Scope of Work. It shall be submitted monthly, no later than the
10th of the day following the end of the month, unless otherwise specified.
Report Due Date
Service Unit Report and Reimbursement
Request
10th day following each month
Final Reimbursement Request February 22, 2022
Please sign below to indicate acceptance of the change to the contract end date and reporting due.
Mona T. Han, Executive Director, Coalition for Refugees from Burma Date
Merina Hanson, Human Services Manager Date
12/22/21
Merina Hanson (Dec 22, 2021 07:33 PST)
12/22/2021
2022 Revised SOW-CRB-Youth Internship
Final Audit Report 2021-12-22
Created:2021-12-22
By:KateLynn Jennings (kjennings@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAARexqMvHwbXtGOA_Js8BuFR4kkjsR1C6i
"2022 Revised SOW-CRB-Youth Internship" History
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2021-12-22 - 3:25:09 PM GMT- IP address: 146.129.252.126
Document emailed to MONA T HAN (monahan@rootedbrilliance.org) for signature
2021-12-22 - 3:25:41 PM GMT
Email viewed by MONA T HAN (monahan@rootedbrilliance.org)
2021-12-22 - 3:25:55 PM GMT- IP address: 67.161.102.114
Document e-signed by MONA T HAN (monahan@rootedbrilliance.org)
Signature Date: 2021-12-22 - 3:27:26 PM GMT - Time Source: server- IP address: 67.161.102.114
Document emailed to Merina Hanson (mhanson@kentwa.gov) for signature
2021-12-22 - 3:27:28 PM GMT
Email viewed by Merina Hanson (mhanson@kentwa.gov)
2021-12-22 - 3:33:19 PM GMT- IP address: 104.28.116.132
Document e-signed by Merina Hanson (mhanson@kentwa.gov)
Signature Date: 2021-12-22 - 3:33:46 PM GMT - Time Source: server- IP address: 24.18.250.253
Agreement completed.
2021-12-22 - 3:33:46 PM GMT