HomeMy WebLinkAboutCAG2021-116 - Amendment - #4 - KC Community and Human Services - VSHS Levy 2021/2023 Senior Activity Center - 02/03/2023_______2/6/23
DocuSign Envelope ID: DOB226CC-DC25-4D1B-99E4-3099AC69945A
LIQ
King County
Department of Community and Human Services
Adult Services Division
(206) 263-9100 TTY Relay: 711
CONTRACT AMENDMENT
DCHS / Seniors Levy Contract No.
Project/Exhibit(s) I : City of Kent - Senior Activity Center - Original Contract Date
Senior Hubs - VSHSL - SE3
Contractor Kent Senior Activity Center Amendment No.
Address 600 East Smith St Amendment Start Date
Kent, WA 98030
Amendment Requested By:
Adult Services Division
Claudine Wallace / (206) 477-5157
01 /01 /2021
12/01 /2022
Amendment Effects:
X Scope of Service
Time of Performance
X Compensation
Method of Payment
PURPOSE
The purpose of this amendment is to add $6,466 in senior transportation funding and add a scope of
service. The new contract total is $899,383.
A. STANDARD CONTRACT CHANGES
Change funding table as follows:
FUNDING SOURCES
FUNDING LEVELS
EFFECTIVE DATES
COUNTY
$228,998
01/01/2021 - 12/31/2021
COUNTY
$354,912
01/01/2022 - 12/31/2022
COUNTY
$6,466
12/01/2022 - 11/30/2023
COUNTY
$309,007
01/01/2023 - 12/31/2023
TOTAL
$899,383
01 /01 /2021 - 12/31 /2023
B. EXHIBIT CHANGES
1) Exhibit I, Section I., WORK STATEMENT the not to exceed amount is increased by $6,466 for
a new not to exceed amount of $899,383.
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2) Exhibit I, Section I., WORK STATEMENT, as amended in Amendment 2, remove and replace
the funding table as follows:
ASD Result Area
Funding Period
Fund Source
Funding Allocation
Alignment
01 /01 /2021 —
228 998
12/31/2021
2021 VSHSL Fund -Seniors
Social Engagement
301 944
2022 VSHSL Fund - Seniors
01/01/2022 —
12/31 /2022
2020 VSHSL Fund - Seniors
52 968
01/01/2023 —
2023 VSHSL Fund - Seniors
309 007
12/31 /2023
(Reallocated funds) VSHSL
Up to $6,466 for use
12/1/2022 —
Fund — Seniors
toward
11/30/2023
Transportation
transportation -
related expenses
A portion of these funds shall be used to fund equipment and capital improvements not to exceed
52 968
Not to Exceed
$899,383
3) Exhibit I, Section II. PROGRAM DESCRIPTION, A. Program Activities, as amended in
Amendment 2, add new Subsections 10 and 11 as follows:
10. The Contractor shall be reimbursed up to $6,466 to provide Transportation Services to
older adults that support their participation in and awareness of the Senior Hub Program
(Program). Activities shall include but are not limited to:
a. Purchase and distribute travel vouchers for use by participants to access the Program.
b. Manage volunteers to support Transportation Services to increase participants' ability
to access the Program. This shall include, but is not limited to:
i. Recruit and screen new volunteers to ensure volunteers meet the following
requirements:
A. In accordance with the Standard Terms and Conditions, maintain insurance
coverage on the vehicle and drivers shall indemnify the County from any and all
claims arising from the operation and/or use of the vehicle.
B. Are trained in the operation of the vehicle.
C. Have a valid and current Washington State Driver's License with appropriate
endorsements for its use.
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D. Operate the vehicle in a safe manner at all times in compliance with the laws of
the State of Washington.
ii. Provide volunteer Stipends for fuel, time, and/or mileage used for participants'
Program participation and accessibility purposes.
iii. If issuing cash -value cards as compensation, the Contractor shall follow the
guidelines below.
A. Distribute the cards to participants within the Exhibit Period. Any undistributed
cash -value cards shall not be reimbursed.
B. Ensure cards are kept in a secure location, with limited access. When an
employee removes cards from the secured location, there shall be
documentation on a tracking log which includes identity and count of each card
taken, identity and count of each card returned, and dated signature of each
person taking or returning the card(s).
C. Track card(s) by purchase and by distribution to each person. Log of the
purchase and distribution should include:
1. Unique number and value of cash -value cards purchased.
2. Recipient name in enough detail such that if an IRS form 1099-Misc is
required, the agency will have enough information to send to the IRS and
the recipient.
3. Rationale for distribution of cash -value card to the individual.
4. Value of each cash -value card.
5. Dated signature of the recipient upon receiving the cash -value card.
6. Dated signature of employee upon distribution of the cash -value card.
D. The Contractor shall establish clear Stipend payment controls and
procedures when advancing Stipends to volunteers, including, but not
limited to, descriptions of volunteer duties for which Stipends will be
paid, pre -determined Stipend amounts for each body of work, and
Stipend payment journal or logs.
E. The Contractor shall comply with all applicable state and federal laws in
paying such Stipends, including the Internal Revenue Code (Title 26
U.S.C.).
F. The Contractor shall submit reimbursement requests, along with
supporting documentation, as part of the billing cycle outlines in Section
V., COMPENSATION AND METHOD OF PAYMENT for any Stipend
costs claimed for the billing invoice period:
1. A description of activities for which volunteers are receiving the
Stipends, including specific dates of the completed activities.
2. A copy of receipts, invoices, timesheets and/or copies of checks
related to the payment of the volunteer Stipend, as applicable.
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3. If cash -value cards were distributed for volunteer Stipends during
the invoice period, a cumulative cash -value card tracking log, in a
format approved by King County, along with supporting
documentation of cash -value transactions.
4. King County shall not reimburse the Contractor for any cash value
cards that either (i) were not distributed, or (ii) were not documented
as required under this Exhibit.
5. The Contractor must retain on file backup documentation for all
costs paid for Stipends including receipts, invoices, timesheets, and
copies of checks for the duration of Contractor's VSHSL award plus
an additional six years. This documentation must be made available
upon request. The County may conduct a site visit to the
Contractor's office to review and verify the foregoing records.
Advance notice will be given to the Contractor in the case of fiscal
audits to be conducted by the County.
iv. All responsibility, risk, and/or liability in relation to volunteers is the sole
responsibility of the Contractor. King County shall not be liable for any claims or
damages arising out of or related to any volunteers in connection with the services
set forth in this Exhibit.
11. If the Contractor provides direct transportation by City of Kent staff to participants, the
Contractor shall:
a. Maintain insurance coverage on the vehicle and drivers that will indemnify the County
from any and all claims arising from the operation and/or use of the vehicle.
b. Ensure that the vehicle is operated by individuals who are trained in its operation, have
a valid and current Washington State Driver's License with appropriate endorsements
for its use and that the vehicle is operated in a safe manner at all times in compliance
with the laws of the State of Washington.
4) Exhibit I, Section II. PROGRAM DESCRIPTION, C.3. Definitions, add Subsections d and e, as
follows:
d. Transportation Services
For the purposes of this Exhibit, "Transportation Services" are defined as
activities to provide mobility to clients by means of providing transportation directly,
collaborating with organizations that provide transportation, or assisting clients to
access transportation when they cannot drive.
e. Stipends
For the purposes of this Exhibit, "Stipends" are a predetermined amount of money
or item of value that is provided to a volunteer for the one-time or short-term
performance of duties in furtherance of the goals of this Exhibit.
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5) Exhibit I, Section IV. PARTNERSHIP AND REPORTING REQUIREMENTS, B. Reporting
Activities, as amended in Amendment 1, add Subsections 8, 9 and 10, as follows:
8. The Contractor shall submit the Senior Transportation Summary Report to King County
within ten (10) business days following the submission of the last reimbursement request
for transportation -related expenses, and no later than December 14, 2023. The format and
questions for this report shall be provided by King County.
9. The Contractor shall submit a cumulative cash -value tracking log, in a format approved by
King County, along with supporting documentation of cash -value transactions as part of
the billing cycle outlined in Section V., COMPENSATION AND METHOD OF AND
PAYMENT. Copies of receipts of all purchases of cash -value cards, or other goods with
monetary value, shall be provided by the Contractor to King County.
King County shall not reimburse the Contractor for any cash value cards that either (i) were
not distributed, or (ii) were not documented as required under this Exhibit. The total
amount of any undistributed or improperly issued cash value cards shall be deducted from
the Contractor's final invoice, and King County's final payment
10. The Contractor shall submit supporting documentation for any Stipend costs claimed for
the billing invoice period:
a. A description of activities for which volunteers are receiving the Stipends, including
specific dates of the completed activities.
If the activity involved a meeting, supporting documentation should additionally include
a copy of the agenda, meeting minutes and an attendance list.
b. A copy of receipts, invoices, timesheets and/or copies of checks related to the payment
of the volunteer Stipend, as applicable.
c. If cash -value cards were distributed for volunteer Stipends during the invoice period,
completed cash -value tracking log for Stipends distributed.
6) Exhibit I, Section V., COMPENSATION AND METHOD OF PAYMENT, as amended in
Amendment 2, amend the payment table to add "General ledger/expenditure detail, receipts
and/or other supporting documentation (including cash -value tracking log) for Senior
Transportation reimbursement requests, if applicable for payment period" for December 2022
and all 2023 Payment Periods and "Senior Transportation Summary Report" to the December
2023 Payment Period.
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IN WITNESS HEREOF, the parties hereto have caused this amendment to be executed and instituted
on the date first above written.
KING COUNTY
FDocuSigned by:
�t VtS6v' FOR
King ounty Executive
2/3/2023
Date
KENT SENIOR ACTIVITY CENTER
F(O
DocuSigned by:
---
Signature
Lori Hogan
NAME (Please type or print)
2/3/2023
Date
Kent Senior Activity Center Page 6 of 6 2023 Contract Amendment — 6206089