HomeMy WebLinkAboutCAG2023-202 - Amendment - #1 - Feminist Woman's Health Center dba Cedar River Clinics - Reproductive Health Care for Low Income Women - 04/24/2023 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form Dir Asst:
• For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (optional)
W A S H I N G T O N
Originator: Department:
KateLynn Jennings for Christine Horn Parks,Recreation&Community Services
Date Sent: Date Required:
> 4/18/2023 Soonest possible please
0
Q Authorized to Sign: Date of Council Approval:
Q [ZDirector or Designee Mayor N/A
Budget Account Number: Grant? Yes❑✓ No
10006370.64150.4805
Budget?W]YesEl No Type: N/A
Vendor Name: Category:
Cedar River Clinic
Contract
Vendor Number: Sub-Category:
2017954 Amendment
p
Project Name:
Reproductive Health Care for Low Income Women -Amendment 1
E
i
= Project Details:
Amendment to reduce the contractual number of service units and residents served annually.
a.+
C
N
Agreement Amount: N/A Basis for Selection of Contractor: Other
QJ *Memo to Mayor must be attached
3- Start Date: 1/1/2023 Termination Date: 12/31/2023
Q Local Business?F—]Yes 17 No* If meets requirements per KCC3.70.700,pleosecomplete"VendorPurchase-Locol Exceptions"form onCityspoce.
Business License Verification:Yes Elln-Process ElExempt(KCC 5.01.045)
Notice required prior to disclosure? Contract Number:
F-]YesONo CAG2023-202
Comments:
p1
C
n
30
41
N
> i
Date Received by City Attorney: N/A
R
p� Date Routed to the Mayor's Office: N/A
Vf
Date Routed to the City Clerk's Office:
adccW22313_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20200218
•
KEN T
W A S H I N G T O N
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: Feminist Women's Health Center
dba Cedar River Clinics
CONTRACT NAME & PROJECT NUMBER: Rearoductive Health Care for Low Income Women
CAG2023-202
ORIGINAL AGREEMENT DATE: 3/30/2023
This Amendment is made between the City and the above-referenced Consultant or
Vendor and amends the original Agreement and all prior Amendments. All other provisions of
the original Agreement or prior Amendments not inconsistent with this Amendment shall remain
in full force and effect. For valuable consideration and by mutual consent of the parties,
Consultant or Vendor's work is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, the Consultant or Vendor shall:
The Exhibit A to the Agreement is replaced with the amended
exhibit attached and incoprated to this Amendment No. 1.
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are modified as follows:
Original Contract Sum, $30,000
including applicable WSST
Net Change by Previous Amendments n/a
including applicable WSST
Current Contract Amount $30,000
including all previous amendments
Current Amendment Sum n/a
Applicable WSST Tax on this n/a
Amendment
Revised Contract Sum n/a
AMENDMENT - 1 OF 2
Original Time for Completion December 31, 2024
(insert date)
Revised Time for Completion under n/a
prior Amendments
(insert date)
Add'I Days Required (f) for this n/a
Amendment
Revised Time for Completion December 31, 2024
(insert date)
The Consultant or Vendor accepts all requirements of this Amendment by signing below,
by its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settlement of
all claims of any kind or nature arising from or connected with any work either covered or
affected by this Amendment, including, without limitation, claims related to contract time,
contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless
otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the
guarantee and warranty provisions of the original Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any),
and this Amendment, prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANT/VENDOR: CITY OF KENT:
By: Mercedes Sanchez(Apr 18,2023 15:52 PDT) By: Merina anson(Apr 24,2023 08:15 PDT)
Print Name: Mercedes Sanchez Print Name: Merina Hanson
Its Director of Development, Communications, ai Its Human Services Manager
DATE: 4/18/2023 DATE: 4/24/2023
ATTEST: APPROVED AS TO FORM:
(applicable if Mayor's signature required)
kloa
Kent City Clerk Kent Law Department
[In this field,you may enter the electronic filepath where the contract has been saved]
AMENDMENT - 2 OF 2
4^4
,0 Exhibit A
KENT WcS h' NGTON Scope and Schedule of Work
PARKS, RECREATION b
COMMUNITY SERVICES 9 2023-2024 Consultant Services Agreement
Agency: Feminist Women's Health Center dba Cedar River Clinics
Program: Reproductive Health Care for Low Income Women
Contact: Name: Mercedes Sanchez
Email: mercedess@cedarriverclinics.org
Phone: 425-278-1132
Program Healthcare for low-income women including: birth control, annual exams, testing,
Description: treatment, and follow-up visits. Abortion services not eligible for reimbursement
under this program.
First Term: 2023 Second Term: 2024
Funds Awarded: $15,000 Funds Awarded: $15,000
Pursuant to Section I. of the Consultant Services Agreement(CSA)executed on January 1,2023,Consultant shall provide the
approximate number of City of Kent clients with the following services each year of the CSA:
Unduplicated Kent Clients Contracted 65
to Serve
Service Unit Descriptions and Deliverables Units for Kent Residents
Contracted to Serve
Service Unit 1: Medical Care 68
Description: Well Woman Care visit
Service Unit 2:
Description:
Service Unit 3:
Description:
Outcomes Resulting from Service Units Achievement
Rate Target
Outcome Area 1:Clients have improved knowledge to make informed decisions relating to personal 100%
health and wellness.
Outcome Area 2:
Quarter # of Units Cumulative
Residents Served and Service Unit Total
15t Unduplicated City of Kent clients served 16 16
Service Unit 1: Well Woman Care visit 17 17
2nd Unduplicated City of Kent clients served 16 32
Service Unit 1: Well Woman Care visit 17 34
3rd Unduplicated City of Kent clients served 16 48
Service Unit 1: Well Woman Care visit 17 51
4t" Unduplicated City of Kent clients served 17 65
Service Unit 1: Well Woman Care visit 17 68
The above services shall be provided by December 31, 2023 for year one of the two-year CSA, and
December 31, 2024 for year two of the CSA.
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 from Year 1 of the CSA can be carried over to
Year 2 or the budget otherwise redistributed between each year of the two-year CSA. The revised
Scope and Schedule of Work shall be attached and incorporated into the CSA.
- In addition to quarterly and annual reporting, staff may perform desktop or onsite monitoring to
ensure contract compliance. Any onsite monitoring will be scheduled with adequate time to prepare
for the visit. The Contractor can request a copy of the monitoring form at any time by contacting
City of Kent staff.
- All records related to the CSA must be retained for six (6) years plus the current year.
Exhibit A Scope of Work continued
Performance Measures
The consultant will be expected to meet 100% of the performance measures as set forth within this
Exhibit A. Exceptions may be made only in accordance with Section III.C. of the CSA. If the performance
measures are not fulfilled, payment for services rendered will be reduced in accordance with Section III.0
of the CSA.
Reporting Requirements and Timeline
All data and required forms shall be submitted electronically.
Service Unit Report - Data from this form will be used to track each program's progress toward meeting
the goals stipulated in the Scope of Work. It shall be submitted quarterly, no later than the 15th of the
month following the end of the quarter (i.e. April 15, July 15, Oct 15, Jan 30), along with the
Reimbursement Request.
Reimbursement Request - This form will be filled out electronically and serve as the invoicing mechanism
for payment to your agency/program. It shall be submitted quarterly, no later than the 15th of the month
following the end of the quarter (i.e. April 15, July 15, Oct 15, Jan 10), unless otherwise specified.
Demographic Data Report - The agency shall collect and retain the data requested on this form from
the persons served through this contract. Data should be tracked in an ongoing manner and submitted
annually (by January 30).
Annual Outcome Data Report - Outcome data shall be submitted no later than the 30th following the
end of the fourth quarter (i.e. January 30). Data should demonstrate the program's progress toward
Outcomes specified in the Scope of Work.
Report Due Date
Service Unit Report and Reimbursement 15th day following each quarter
Request
Final Reimbursement Request (4th Qtr.) January loth, 2024/January loth, 2025
Demographic Data Report January 30th, 2024/January 3oth, 2025
Annual Outcome Data Report January 30th, 2024/January 3oth, 2025
Signature:
Melissa McCormick(Apr 24,2023 09:53 PDT)
Email: cityclerk@kentwa.gov
2023-2024_CedarRiverClinics-ReproductiveHea
IthCare-Amd 1
Final Audit Report 2023-04-24
Created: 2023-04-18
By: KateLynn Jennings(kjennings@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAEVjyg_aQQazDGfxXFxk1 Rrgxbs4gA44p
"2023-2024_CedarRiverClinics-ReproductiveHealthCare-Amd 1 "
History
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2023-04-18-10:17:50 PM GMT-IP address: 146.129.252.126
Document emailed to mercedess@cedarriverclinics.org for signature
2023-04-18-10:18:47 PM GMT
Email viewed by mercedess@cedarriverclinics.org
2023-04-18-10:46:29 PM GMT-IP address:73.109.48.40
dp Signer mercedess@cedarriverclinics.org entered name at signing as Mercedes Sanchez
2023-04-18-10:52:11 PM GMT-IP address:73.109.48.40
d4 Document e-signed by Mercedes Sanchez (mercedess@cedarriverclinics.org)
Signature Date:2023-04-18-10:52:13 PM GMT-Time Source:server-IP address:73.109.48.40
Document emailed to mhanson@kentwa.gov for signature
2023-04-18-10:52:14 PM GMT
Email viewed by mhanson@kentwa.gov
2023-04-24-3:14:23 PM GMT-IP address:73.11.236.7
d4 Signer mhanson@kentwa.gov entered name at signing as Merina Hanson
2023-04-24-3:15:12 PM GMT-IP address:73.11.236.7
�p Document e-signed by Merina Hanson (mhanson@kentwa.gov)
Signature Date:2023-04-24-3:15:14 PM GMT-Time Source:server-IP address:73.11.236.7
Document emailed to Kim Komoto (kkomoto@kentwa.gov)for signature
2023-04-24-3:15:15 PM GMT
Powered by
Adobe
` ENT Acrobat Sign
Email viewed by Kim Komoto (kkomoto@kentwa.gov)
2023-04-24-3:19:18 PM GMT-IP address: 104.47.64.254
dp Document e-signed by Kim Komoto (kkomoto@kentwa.gov)
Signature Date:2023-04-24-3:19:34 PM GMT-Time Source:server-IP address: 146.129.252.126
Document emailed to cityclerk@kentwa.gov for signature
2023-04-24-3:19:36 PM GMT
Email viewed by cityclerk@kentwa.gov
2023-04-24-4:53:35 PM GMT-IP address: 104.47.64.254
dp Signer cityclerk@kentwa.gov entered name at signing as Melissa McCormick
2023-04-24-4:53:56 PM GMT-IP address: 146.129.252.126
d4 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date:2023-04-24-4:53:58 PM GMT-Time Source:server-IP address: 146.129.252.126
Agreement completed.
2023-04-24-4:53:58 PM GMT
Names and email addresses are entered into the Acrobat Sign service by Acrobat Sign users and are unverified unless otherwise noted.
Powered by
Adobe
�� KENT Acrobat Sign