Purchase of Services Agreement_Substance Abuse Services CenterJune 19, 2009
°f0: The Honorable Mayor and City Council Members
F®IVII: Michael C. Van Milligen, City Manager
SUBJECT': Purchase of Service Agreement -
Substance Abuse Services Center
During the Fiscal Year 2010 budget process, the Mayor and City Council provided
$14,013 for a Purchase of Services Agreement with the Substance Abuse Services
Center.
Budget Director Jennifer Larson is recommending execution of the attached agreement
with Substance Abuse Services Center to provide funding for the operation of a
program which provides for a substance abuse counselor to work with youth in the City
who are referred to any of their high risk youth programs.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Michael C. Van Milligen
MCVM/jml
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
Jenny Larson, Budget Director
June 19, 2009
T®: Michael C. Van Milligen, City Manager
FROM: Jennifer Larson, Budget Director
SUBJECT: Purchase of Service Agreement -
Substance Abuse Services Center
Attached for. City Council approval is the Purchase of Services Agreement with
Substance Abuse Services Center for the City's financial support for Fiscal Year 2010.
The adopted Fiscal Year 2010 operating budget provides a payment of $14,013 to help
fund the Substance Abuse Services Center. The City's contribution funds ahalf-time
substance abuse counselor to work with youth in the City who are then referred to any
of the Center's high risk youth programs. The agency provides a number of services
including early outpatient substance abuse treatment for troubled adolescents and their
parents.
It is my recommendation that the City Council approves the attached purchase of
services agreement with Substance Abuse Services Center and authorizes the Mayor to
execute the contract on behalf of the City.
JML
Attachment
AGREEMENT
BETWEEN
CITY OF DUBUQUE, IOWA
AND
SUBSTANCE ABUSE SERVICES CENTER
THIS AGREEMENT, dated for reference purposes the 1st day of July 2009, is made
and entered into by and between the City of Dubuque, Iowa (City) and Substance Abuse
Services Center (Agency).
WHEREAS, Agency represents itself as technically and professionally qualified to
provide early substance abuse outpatient treatment to troubled adolescents and their
parents; and
WHEREAS, City has deemed it to be in the best interest to provide financial
assistance for ahalf-time adolescent specialist to work in the City of Dubuque.
NOW THEREFORE, the parties hereto agree as follows:
Scope of Service
Agency shall provide an early intervention program and outpatient treatment for
troubled adolescents in the area of substance abuse within the City of Dubuque.
2. Time of Performance
The term of this Agreement shall be from July 1, 2009, through June 30, 2010.
3. Compensation
City shall pay Agency $14,013.00 as compensation for the services provided by
Agency, which payment shall constitute full and complete compensation for such
services. The compensation shall be paid by City to Agency in four equal installments
of $3,503.25, payable September 29, 2009, December 29, 2009, March 30, 2010, and
June 29, 2010 within 10 (ten) days after receipt by City of a requisition for such sum
from Agency.
4. Audit and Evaluation
Inasmuch as the funds to be provided Agency by City are public funds, Agency agrees
that it will maintain books of account in accordance with generally accepted
accounting standards together with necessary documentation to support all
expenditures.
Agency shall provide City quarterly written reports detailing its activities beginning for
the quarter ending September 30, 2009. Such report shall be due ten days after the
end of each quarter. Accompanying each quarterly report shall be copies of any
studies, brochures, or other non-confidential documents, which Agency has produced
during the relevant quarter.
5. Discrimination
In carrying out the services of this Agreement, Agency shall not discriminate against
any employee or applicant for employment because of race, creed, color, sex, age,
national origin, religion, sexual orientation, or disability. Agency shall take affirmative
action to ensure that applicants for employment are employed and that employees are
treated during employment without regard to race, creed, color, sex, age, national
origin, religion, sexual orientation, or disability.
Such action shall include, but not be limited to, the following: employment, upgrading,
demotion or transfer; rates of pay or other forms of compensation; and selection for
training, including apprenticeship.
Agency shall undertake whatever affirmative measures are necessary so that no
person shall be excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activities funded in whole or in part
with any of the funds made available to Agency under the terms of this Agreement
because of race, creed, color, sex, age, national origin, religion, sexual orientation, or
disability.
6. Interest of Members, Officers, or Employees of the City of Dubuque; Members of the
Dubuque City Council; or Other Public Officials
No member, officer, or employee of City or their designees or agents; no member of
the Dubuque City Council; and no other public official of City who exercises any
function or responsibilities with respect to the program during such person's tenure
shall have any interest, direct or indirect, in this contract or the proceeds thereof for
work to be performed in connection with the program assisted under this Agreement.
7. Termination of Agreement
This agreement may be terminated by either party by giving the other party a written,
ninety (90) day notice of such termination or upon such other terms as may be
mutually agreeable.
If, through any cause, Agency shall fail to fulfill in a timely and proper manner its
obligations under this Agreement or if Agency shall violate any of the covenants,
agreements, or stipulations of this Agreement, City shall have the right to terminate
this Agreement by giving written notice to Agency of such termination not less than
five (5) days before the effective date of such termination.
2
8. Assignability
Agency shall not assign this Agreement or any interest in this Agreement without prior
written approval of City.
9. Insurance
At the time of execution of this Agreement by Agency, Agency shall provide City
copies of Agency's insurance certificates showing general liability, automobile liability,
and workers compensation insurance coverage to the satisfaction of City for the term
of this Agreement.
WITNESS:
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~fiJeanne F. Schneider, City Clerk
CITY OF DUBUQUE
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Roy D.;'Buol, Mayor
SUBSTANCE ABUSE
SERVICES CENTER
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Diane K. Thomas, Executive Director
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Date created: December 9, 2008
For coverage effective: December 9, 2008
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I N S U R A N C E
8 FINANCIAL SERVICES
FOR
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Nesler Centre
799 Main Street
Dubuque, IA 52001
Prepared by:
Donald J. lough, CU
Molyneaux Insurance, Inc.
100 Kirkwood Boulevard, P.O. Box 939
Davenport, Iowa 52805-0939
(563) 324-1011 Phone
(563) 324-7909 Fax
www.molyneaux.com
This is a synopsis of coverage for your information only and does not constitute a change or waiver of
policy terms or conditions. Please refer to your actual policy(ies) for coverage terms and conditions.
59683
Insurin C® any
Lin1i#~ ® C®verage
Philadelphia Indemnity Insurance Co
Location: 1 799 Main Street Dubuque IA 52001
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Office
Proper _
Personal
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Business Income ~ 10,000 _ _
Location: 2 909 W. Main St, Ste 1 Manchester IA
BUildizl~ Description Co~~erage Limit De~d. ~"_
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Personal Pro er _
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Business Income $10,000
Location: 3 218 N. Franklin St. Manchester IA 52057
Buildi~l~ Description Coeera~e Limit Ded. ~`
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Storage Personal Property $10 000 $500 80
Covered saes
sa Adjust ent asi~
Risks of Direct Physical Loss
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Replacement Cost if repaired
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Insurin Co pang Philadelphia Indemnity Insurance
Li its o Insurance
Hardware $ 95,000
Media and Data Included
Extra Expense ~ 30,000
Covered Losses Risks of Loss except as
excluded or limited
Deductibles
Mechanical Breakdown
All Other Covered Losses
~ 500
~ 500
Loss Adjustnaerat Basis
Replacement Cost if repaired or
replaced
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Employee Dishonesty
Li it o Insurance
Limit per loss
mloyees Covered
Deductible
Welfare lane per P~ttache Schedule
Money 8v Securities
Limit o Insurance
On Premises
Away From Premises
Deductible
$ 100,000
Blanket All Employees
$ 1,000
5,000
5,000
500
MOLYNEAtTX
Page 8 of 18
I surir~ ® a~y®
I.i its ® Liability
Philadelphia Indemnity Insurance Co
Each Occurrence Limit
Fire Damage Limit -one fire
Medical Expenses Limit -one person
Personal 8v Advertising Injury Limit
General Aggregate Limit
Products/Completed Operations Aggregate Limit
reium asis
'lass C'l~:~ss 1)c~cri~~Yion GasiS
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_ 44440 __ NF Profit -_Health Care Facilities Area __ _ __
'~ 44440 T NF Profit -Health Care Facilities Area
~~postn~e
-_ ...___.__._._.7,400
1,200
$ 1,000,000
~ 100,000
$ 5,000
~ 1,000,000
~ 3,000,000
$ 3,000,000
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Page 9 of 18
Insurin o pang: Philadelphia Indemnity Insurance Co
I.i its o Liability
Each Claim ~ 1,000,000
Aggregate $ 3,000,000
ecluctible ~ 0
etroactive Date 12-9-1990
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Page 10 of 18
n~urin o any
Li it of Liability
Per Claim
Annual Aggregate
etetion -per claim
etroactive Date
Philadelphia Indemnity Insurance Co
lai s acle
1,000,000
1,000,000
0
12-9-2007
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Page 11 of 18
Irt~urin arty
Li it ® Liability
Philadelphia Indemnity Insurance Co
Bodily Injury and/or Property Damage ~ 1,000,000
Covers liability arising out of the operation of hired or non-owned autos only.
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Page 12 of 18
In~urin o anye Philadelphia Indemnity Insurance Co
Limit of Liability
Retroactive Date 12-9-1997
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Page 13 of 18
Insu~in Co a~ay:
Limits o Liability
First Comp Insurance
Medical Statutory
Disability Income Statutory
Employer's Liability
Bodily Injury by Accident $ 100,000
Bodily Injury by Disease-Policy Limit ~ 500,000
Bodily Injury by Disease-Each Employee ~ 100,000
Experience Modification 1.1800
State: I
Note that if, as of the policy effective date you have work in any state not listed in Item 3A, coverage
will not be afforded unless the insurer is notified within 30 days. Further, if you begin work in any
state listed in 3C ("North Dakota, Ohio, Washington, Wyoming"), you must notify the carrier
immediately.
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`Class , Desci iption _~ Payroll,. _ _
8864 Social Services Organizations- All $950,000 ~'
Employees
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Page 14 of 18
Insu~in ® any: Philadelphia Indemnity Insurance Co
Li its Liability
General Aggregate Limit $ 1,000,000
Products/Completed Operations $ 1,000,000
Personal Injury 8v Advertising Injury Limit $ 1,000,000
Each Occurrence Limit ~ 1,000,000
Self Insured Retention $ 10,000
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Policy Period: December 9, 2008/December 9, 2009
Property ~ 986
Electronic Data Processing $ 496
Crime ~ 551
General Liability $ 859
Professional Liability ~ 1,532
Employee Benefits Liability $ 300
Hired 8s Non-Owned Auto Liability $ 191
Workers Compensation ~ 18,915
Umbrella Liability 1,000
Directors 8v Officers Liability $ 1,877
Totai Annual Premium $ 26,707
igher Liability li its ay be available
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