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CS Agreement for Fiscal Year 2019_Crescent Community Health Center Copyrighted June 18, 2018 City of Dubuque Consent Items # 6. ITEM TITLE: Contracted Services Agreement for Fiscal Year 2019 with Crescent Community Health Center SUMMARY: City Manager recommending execution of the attached Contracted Services Agreement with Crescent Community Health Center. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Approve ATTACHMENTS: Description Type NNM Memo City Manager Memo Staff Memo Staff Memo Contracted Services Agreement Supporting Documentation Dubuque THE CITY OF � DT T� � All-AmericaCity � Masterpiece on the Mississippi 1 I I I I�' �oa�.�o��.zo,3.�o�; TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Contracted Services Agreement — Crescent Community Health Center DATE: May 31, 2018 During the Fiscal Year 2019 budget process, the Mayor and City Council provided $25,000 for the Contracted Services Agreement with Crescent Community Health Center. Most contracted service agencies received a 10% reduction in their service contract in Fiscal Year 2016, Fiscal Year 2017, and Fiscal Year 2018. The 10% reduction was removed in Fiscal Year 2019. The changes to the Fiscal Year 2019 agreements include progress reports submitted quarterly instead of monthly, reports submitted using a form on the City's website, reports will include equity and inclusion reporting, and audit reports are due within 60 days of audit completion instead of 60 days after year-end. Budget Director Jennifer Larson is recommending execution of the attached contract with Crescent Community Health Center. I concur with the recommendation and respectfully request Mayor and City Council approval. �•�'� ��"r���u���� Michael C. Van Milligen MCVM/jml Attachment cc: Julie Woodyard, Executive Director, Crescent Community Health Center Crenna Brumwell, City Attorney Cori Burbach, Assistant City Manager Teri Goodmann, Assistant City Manager Jenny Larson, Budget Director Mary Rose Corrigan, Public Health Specialist Dubuque THE CITY OF � DT T� � All-AmericaCity � Masterpiece on the Mississippi 1 I I I I�' �oa�.�o��.zo,3.�o�; TO: Michael C. Van Milligen, City Manager FROM: Jennifer Larson, Budget Director SUBJECT: Contracted Services Agreement — Crescent Community Health Center DATE: May 18, 2018 Attached for City Council approval is the Contracted Services Agreement with Crescent Community Health Center for Fiscal Year 2019. The adopted Fiscal Year 2019 operating budget reflects a payment of $25,000 to Crescent Community Health Center, for financial assistance to cover operating expenses of that organization. Most contracted service agencies received a 10% reduction in their service contract in Fiscal Year 2016, Fiscal Year 2017 and Fiscal Year 2018. The 10% reduction was removed in Fiscal Year 2019. Crescent Community Health Center utilizes these funds to provide access to primary medical and dental care to underserved community members. The reporting requirements have changed as follows: 1. Progress reports will be submitted quarterly instead of monthly. 2. Quarterly reports will be submitted using a form on the City's website. 3. Quarterly reports will include equity and inclusion reporting. 4. Audit reports are due within 60 days of audit completion instead of 60 days after year-end. It is my recommendation that the City Council approves the attached Contracted Services Agreement with Crescent Community Health Center, and authorizes the Mayor to execute the contract on behalf of the City. JML Attachment AGREEMENT BETWEEN THE CITY OF DUBUQUE, IOWA AND CRESCENT COMMUNITY HEALTH CENTER THIS AGREEMENT, dated for reference purposes the 1st day of July, 2018, is made and entered into by and between the City of Dubuque, Iowa (City) and Crescent Community Health Center (Agency). WHEREAS, City desires to engage the service of Agency to provide access to primary medical and dental care to underserved community members; and WHEREAS, Agency is willing to provide such services to City upon the terms and conditions set forth herein. NOW THEREFORE, the parties hereto agree as follows: 1 Scope of Service Agency shall: a) provide access and affordable medical care to underserved community members and comply with City Council goals and priorities set forth in Attachment A; and b) support the City's efforts to be a viable, livable, and equitable community, and to advance equity and inclusion. The City will provide opportunities to demonstrate this support by inviting the Executive Director of the Agency and any employees working on services covered by this agreement to participate in the following professional development opportunities and supporting activities: a. The opportunity to be active and engaged participants in Inclusive Dubuque peer learning opportunities and strategic efforts; b. The opportunity to attend intercultural and equity workshops offered by the City, including workshops that focus on developing an intercultural team with a strategic plan for advancing equity and inclusion within the Agency and through the Agency's work; c. Assistance in creating semi-annual status reports that demonstrate the ways in which the Agency's efforts are advancing equity and inclusion; and d. Access to the City's equity toolkit. 2. City Responsibilities City designates the Public Health Specialist to act as its representative with respect to the work to be performed under this Agreement, and such person shall have authority to transmit instructions, receive information, interpret and define City's policies and provide decisions in a timely manner pertinent to the work covered by this Agreement until Agency has been advised in writing by City that such authority has been revoked. 1 3. Time of Performance The term of this Agreement shall be from July 1, 2018 through June 30, 2019. 4. Compensation City shall pay Agency $25,000 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 upon receipt by City of a requisition for such sum from Agency. 5. Audit and Evaluation Inasmuch as the funds to be provided to Agency by City are public funds, the Agency agrees that it will maintain books of account in accordance with Generally Accepted Accounting Standards together with necessary documentation to support all expenditures. The records of Agency, including payroll accounts and other records of disbursements and receipts, and other records relating to the performance of the activities herein specified, shall be made available for inspection by City or any Certified Public Accountant acting on its behalf, in order to ascertain performance of Agency under this Agreement. Agency agrees to retain such records for not less than three (3) years. 6. Reporting and Monitoring Agency shall render using the City of Dubuque's website (https://www.citvofdubuque.org/FormCenter/Budget-15/Contracted-Services- Performance-Report-208) quarterly online reports detailing its activities related to the use of City funds provided to Agency. The online quarterly reports shall be due on September 30th, December 31St, March 29th, and June 29th. Such reports shall include a performance report on the program(s) supported by City funds and a financial report on the use of City funds. If Agency has an annual audit performed, Agency shall provide City a copy of the annual audit report within 60 days of audit completion. 7. Discrimination In carrying out the services under 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, gender identity, 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, gender identity, or disability. Such action shall include, but not be limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. Agency assures that all qualified applicants will receive consideration for employment without regard to race, creed, color, sex, age, national origin, religion, sexual orientation, gender identity or disability. 2 Agency agrees and will undertake whatever affirmative measures are necessary so that no person shall be excluded from participation in, be denied the benefits of, nor 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, color, creed, religion, sex, national origin, age, sexual orientation, or disability. 8. Termination of Agreement If, through any cause, Agency shall fail to fulfill in a timely and proper manner its obligations under this Agreement, or if the Agency shall violate any of the covenants, agreements or stipulations of this Agreement, City shall thereupon have the right to terminate this Agreement by giving written notice to Agency of such and specifying the effective date thereof not Tess than thirty days before the effective date of such termination. If Agency shall fail to cure its default to the satisfaction of City in City's sole discretion within such thirty -day period, this Agreement shall be deemed terminated at the end of such thirty -day period without further action of either party. Upon termination of this Agreement, Agency shall return to City all unexpended funds and/or any funds utilized for purposes other than stated in the Agreement. 9. Assignability Agency shall not assign any interest in this Agreement without the prior written approval of City. 10. Insurance At the time of execution of this Agreement by Agency, Agency shall provide City copies of Agency's insurance certificates showing compliance with the insurance requirements of Insurance Schedule D, included as Attachment B. CITY OF ' --= UQUE, IOWA -Ro D --Bt I -Ib9. �- Ric Jones, Presi". 'i/g Officer Witness: Ke ;'' Firnstahl, City Clerk CRESCENT COMMUNITY HEALTH CENTER 3 ie Woodyard, Ex;c tive Director FTCA DEEMING NOTICE NO.: 1-F00001063-17-01 GRANT NUMBER: H80CS08765 RSA CRESCENT COMMUNITY HEALTH CENTER 1789 ELM ST STE A DUBUQUE, IA52001 Dear Julie A Woodyard: The Health Resources and Services Administration (HRSA), in accordance with the Federally Supported Health Centers Assistance Act (FSHCAA), as amended, sections 224(g) -(n) of the Public Health Service (PHS) Act, 42 U.S.C. §§ 233(g) -(n), deems CRESCENT COMMUNITY HEALTH CENTER to be an employee of the PHS, for the purposes of section 224, effective 1/1/2018 through 12/31/2018. Section 224(a) of the PHS Act provides liability protection under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2672, or by alternative benefits provided by the United States where the availability of such benefits precludes a remedy under the FTCA, for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by PHS employees while acting within the scope of such employment. This protection is exclusive of any other civil action or proceeding. Coverage extends to deemed entities and their (1) officers; (2) governing board members; (3) full- and part-time employees; and (4) contractors who are licensed or certified individual health care practitioners providing full-time services (i.e., on average at least 321/2 hours per week for the entity for the period of the contract), or, if providing an average of less than 32% hours per week of such service, are licensed or certified providers in the fields of family practice, general internal medicine, general pediatrics, or obstetrics/gynecology. Volunteers are neither employees nor contractors and therefore are not eligible for FTCA coverage under FSHCAA. This Notice of Deeming Action (NDA) is also confirmation of medical malpractice coverage for both CRESCENT COMMUNITY HEALTH CENTER and its covered individuals as described above. This NDA, along with documentation confirming employment or contractor status with the deemed entity, may be used to show liability coverage for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by PHS employees while acting within the scope of such employment. In addition, FTCA coverage is comparable to an "occurrence" policy without a monetary cap. Therefore, any coverage limits that may be mandated by other organizations are met. This action is based on the information provided in your FTCA deeming application, as required under 42 U.S.C. § 233(h), with regard to your entity's: (1) implementation of appropriate policies and procedures to reduce the risk of malpractice and litigation; (2) review and verification of professional credentials and privileges, references, claims history, fitness, professional review organization findings, and licensure status of health professionals; (3) cooperation with the Department of Justice (DOJ) in the defense of claims and actions to prevent claims in the future; and (4) cooperation with DOJ in providing information related to previous malpractice claims history. Deemed health centers must continue to receive funding under Section 330 of the PHS Act, 42 U.S.C. § 254b, in order to maintain coverage as a deemed PHS employee. If the deemed entity loses its Section 330 funding, such coverage will end immediately upon termination of the grant. In addition to the relevant statutory and regulatory requirements, every deemed health center is expected to follow HRSA's FTCA-related policies and procedures, which may be found online at http://wwvv.bphc.hrsa.gov. THE CITY OF �� � DuB E Masterpiece on the Mississippi G 0 A L S & P R I 0 R I T I E S 2032 VISION STATEMENT CITY MISSION STATEMENT Dubuque 2032 is a sustainable and resilient city and an inclusive and Dubuque city government is progressive and financially sound with equitable community.Dubuque 2032 lias preserved our Masterpiece residents receiving value fortheirtax dollars and achieving goals on the Mississippi,has a strong diverse economy and expanding through partnerships.Dubuque city governinenYs mission is to deliver connectiviTy.Our residents experience healthy living and active lifestyles; excellent inunicipal services that support urban living;contribute to have choices of quality,livable neighborhoods;have an abundance oi fun an equitable,sustainable city;plan iorthe community's future;and thingsto do;and are engaged in the community. facilitate access to aitical human services. I I : ! I � I .i • � � • � •�i � . � � � � �� � � ' � i• � � � i � � � � � i . � . � .i • .� • . � � .� • .i • i� ��� � � � � • ' � ' � i• � ' i� i • � � � � .i • � •� � � .i • i� � � �� � .� • � • �• � �i POLICY AGENDA items are issues that need direction or a policy MANAGEMENT AGENDA items are issues for which the City decision bythe City Council,or need a major funding decision by the City Council has set the overall direction and provided initial funding, Council,orissuesthatneedCityCouncilleadershipinthecommunityor mayrequirefurtherCityCouncilactionorfunding,oraremajor with othergovernmental bodies. Tlie policyagenda is divided intotop management projectsthat maytake multipleyearsto implement. The priorities and high priorities. management agenda is divided into top priorities and high priorities. 2011-2019 POLICY AGENDA 2011-2019 MANAGEMENT AGENDA TOP PRIORITIES(in alphabetical order) TOP PRIORITIES(in alphabetical order) • Central Avenue Revitalization:Streetscape and Business Development • CHANGE Program:Implementation • Citywide Flower Planting Program • Citywide Traffic Signal Synchronization • CommunitywideSolarStrategy • ComiskeyParkExpansionandRenovation • Comprehensive Plan:Adoption • Crescent Community Health Center:Development Agreement • East-West Corridor Study Implementation • Greater Dubuque Development Corporation Downtown Transformation • MasterPlan forChaplain Schmitt Island • Residential Housing Upgrade/Flood Protection Program • SouthPortRedevelopmentMasterPlan • WestsideWaterSystein:lmplementation • Splash Pad HIGH PRIORITIES(in alphabetical order) HIGH PRIORITIES(in alphabetical order) • Affirmatively Furthering Fair Housing Plan:Development • Crime Prevention Program Expansion • Cartegraph Partnership:High-Performance Government • Dilapidated Buildings/Structures • City Performance Measures/Open Data Catalog/Data-Driven • Five Flags Center Study Governance • InclusiveDubuque • InternationalCity/CountyManagementAssociation(ICMA) • Kerper Boulevard Revitalization Report Fellowship International Exchange • Multicultural Family Center:Colts Building Direction and Funding • Leisure Services Department Assessment • RiverCruise Docking Facilities • Parking Ramp Maintenance:Direction/Funding • Roosevelt Road WaterTower • Teen/Young Professionals/Seniors:Jackson Park Pilot Program • Water&ResourceRecoveryCenterNutrientTrading Overthe course of three evening sessions in August 2017,City Council mem6ers reaifirmed the 15-year vision statement and m ission statement and identified eight five-year goals for the city. They also identified top and high priorities for a Rev.11/13/17 2017-2019 policy agenda as well as a management agenda for projects and initiatives planned for 2017-2019. 4 2017-2019 MANAGEMENT IN PROGRESS ' WaterDepartmentMailingsforBarringtonLakesandClWACustomers • Emerald Ash Borer Program Implementation • Steeple Square Campus • CNG Truck Purchase(3) • Transit Service Expansion • Bee Branch Community0rchard • Riverfront Lease Gavilon Sites(2) • Community Climate Action and Resiliency Plan • Workforce Market-rate Housing • lowa Economic Development Authority Community Energy • Industrial Park Development • Recycling Program • Brownfield Area-wide Planning • Path Fonvard(Air Quality)Plan • Economic Impact of Historic Preservation—Marketing Plan • Four Mounds Foundation/HEART Program • Phased Historic Architectural Survey • Purchase of Service Program • Marketing Du�uque Jet Center Services • My Brother's Keeper • Ad on the RiverWinter Edition • Sister Cities Program • City Focus Magazine on Economic Development • Airport Sanitary Lagoon Removal • Art on the River Exhibit • The Jule Evening Service Implementation • America's River III • Smad Transportation Program • Sale of P.d on the River Sculptures • Bus Routes • AirServiceExpansion • DubuquelndustrialCenterSouth 2017-2019 MA10R PROIECTS • OppodunityDubuqueJo�TrainingPrograms • Leadership Enrichment After School Program(LEAP) • Fire Headquaders and Stations ADA Compliance Upgrades • Text to 9-1-1 • Fire Station HVAC and Lighting Improvement Projects • Radio System Upgrade to P25 • 17th Street/West Locust Reconstructions Project • Neighbor2Neigh�orPilot Initiative • Thomas Place RetainingWall Repair • Fats-Oils-Grease(FOG)Program Inspections and Enforcement . Lowell Street RetainingWall Repair • DispatcherTraining • CumminsCoudWallRepair/WaterMainReplacement • Communication National QualityAssurance . 22nd Street/Kaufman Avenue Reconstruction Project • CP.D Connection to City Camera Network • HVAC Upgrades • "Smad 9-1-1"Building Pmfiles • Munir.ipal Service Center Imprnvements • Am�ulance Replacement • Water Main Extension Projects • ADA Audit • West 3rd Street Reservoir Back Up Generator:Purchase Solar Projects(2) • CommunitySolarAction Plan • Liquid Deicer Blending System Upgrade Project • Source of Income Implementation of Recommendations . Cell 9 Phase III Landfill Expansion • Non-Emergency Mobile/Podable Radio Units Replacement . Washington Street 30°Force Main • Water and Resource RecoveryCenter • Pipelines Inspection Equipment Upgrade Project • Fire Pumper Replacement • Water Depadment Well Maintenance • 2018 Community Health Needs Assessment/Health Improvement Plan . gee Branch Project Municipal Separate Storm Sewer System(MS4)Permit • Automatic Fire Station Aleding Project Compliance Program/Projects • Fire Depadment Accreditation • Energy Eflicient Street Lights • Housing Grants for Homeowner Rehabilitation . WaterTank Inspection and Maintenance • HUD Voluntary Compliance Agreement • Former Du6uque Brewing&Malting Building Project,3000 Jackson St. • FDAVoluntary Retail Food Regulatory Standards • Flexsteel Project • Police Oflicer Recruitment and Retention • Southwest Aderial Project(IDOT) • 21st Century Policing:Action Plan . Bee Branch Watershed Flood Mitigation Project • Healthcare Coverage for Residents from the Marshall Islands . Historic Millwork District Public Projects • Diverse Police Hiring • Five Flags Theater and Ham House Building Improvements • EquityRepod • GrandRiverCenter • Code Enforcement Accela Program • Creekwood Park • Flood Wall/Levee Breech Study and Action Plan • The Jule Operations&Training Center Project • Housing Department Equity Plan • East-West Roundabouts • AbandonedNacant Buildings Repod • Traflic Signal Upgrade(1) • Direct Time Entryand Employee Access Center . Upper Bee Branch CP Railroad Cmssing • WaterSmad Podal Software Implementation • North Cascade Road Reconstmction Project • InVision Software for ADA Improvements • Washington Street Improvement Project • Autolink of Finance Community Plus and Laserfishe . Menards Frontage Road Project • SRF 2017 De6t Issuances(Kerper Project) • Military Road Reconstmction Project • Grant Management Software • Chavenelle Road Rehabilitation Project • Debt Reduction Plan Implementation • Chavenelle Road Hike/Bike Trail Project • Mobile Asset Management Software • ADA Curb Ramp Projects • Labor Negotiations and Contract • University and Grandview Roundabout • Water Source Initial Plan and Distribution Hydraulic Model • I-Net Future:Strategy and Actions • CityWe�siteAudit • Code of Ordinances 5 ATTACHMENT B City of Dubuque lnsurance Requirements forPfofessional Services INSURANCE SCHEDULE J 1. shallfumish a signed certificate of insurance to the City of Dubuque; lowafor the coverage required in Exliibit I prior to commencing work and at the end of the pro�ect'ifttie term ofwork is longer than 6Q days. Contractors presenting annual certificatesshall present a certificate at ttie end of each pro�ect+ivith the final billing Each certificate shall'be prepared on the most current ACORD form approved by the lowa Department of Insurance or an equivaJent approved by the Finance Director Each certificate shall include astatemenf under Description of Operations as to why the certificate was issued:Eg Projecf# or Project Location at or construction of 2: All policies of insurance required hereunder slialf be with an insurer authonzed to do business in lowa and all insurers shall have a rating of A or better in ttie currenf A.M Best's-Rating Guide. 3: Each certificate shall be furnished to the Department of the City of Dubuque: 4: Failure to prowde coverage required`by this Insurance Schedule shall not be deemed a waive�of these�equirements by the'City of Dubuque. Failure to ol�tain or maintain the required insutance shall be considered a material breach of this agreement 5: Contractors shall require all subconsultants and'sub-subconsultants to obtain and mamtain dunng the performance of work insurance forthe coverages described in this Insurance Schedule and shali obtain cerfificates oi irisurances from all sueh subconsultants and sub-subconsultanfs. Contractors agree that theyshall be liable for the fiailure of a subconsultant and sub- subconsultant to obtain and maintain such covecages The City may tequest a copy of su�h certificates from the Contractor, 6. All required endorsements shall be attached to certificate of insurance. 7. Whenever a specific ISO focm is listed, required the current edition af the form must be used, or an equivalent form may kie substituted if approvetl by the Finance Ditector and sub�ect to the contractor identifying and.lis5ng in writing all deviations andPsxclusions from ttie ISO form; 8. Contractors shall lae reqwred to carryShe minimum coverage/limits or`greater ifrequired by lavd or otfier legal agi�eement,in Exhibit l. Jf the cant�actor's litriits of lia6ility are higfier than tFie requited minimum limits ttien the provider s limitsshall be.tFiis agreement s requi�ed limits. Page 1 of 4 Schedule J Professional Services November 20T7 6 City of Dubuque Insurance Requirements for Professional Services INSURANCE SCHEDULE J (continued) Exhibit l A) COMMEaCIAL GENERAL LIABILIN General Aggregate Limit $2,OOQ;000 Products-Completed Operations Aggregate Limit $1,OOQ;000 Personaband Advertismg Inju�y Limit $1,OOQ;000 Each Occurrence $1,OOQ;000 Fire Damage Limit(any one:occurrence) $5Q,Q00 Medical Payments $5;000 1} Coverageshall be written on an occurrence, not claims made, form The general liability coverage shall be Nentten in accord with ISO form CG0001 or business oiNners form BP0002_All deviations from tlie standard ISO commercial general liability form CG 0001, or business owners form BP 0002 shall tie clearly identified. 2} Include ISOrendorsement form CG 25 04"Designated Location(s) General AggregaCe Limit or GG 25 03"D�signated Constructipn Pro�ect(s) Gener�I Aggregate Limit asapproptiate. 3} Include endorsement indicating that coverage is pnmary and non contri6utory. 4} Include Pteservation of Governmental Immunities Endorsement: (Sample attacFied): 5} Include additional insuted endorsement for: The City of Dubuque, including all its elected and appointed officials aJl its employees and volurrteers, all its boards, commissions and/or authonties and tFieir board members; employees and valunteers Use ISO forrn CG 2026. 6j Policy sliall include Waroer of Right to Recover from Others endorsernent. B) AUTOMOBILE'LIABILITY Combined Single Limit $1,000,��0 C) WdRKERS'GOMPENSATION 8 EMPLOYERS LIABILITY Statutory benefits couering all employees m�ured on the�oki by accident;or disease as presctibed by lowa Gode Chepter 85 as amended: Couerage A Statutory�tate of lowa Couerage B Em'ployersLiability Each Accident $100,��0 Each Employee-0isease $100;��0 Policy Limit Disease $500,000 Policyshall include Waiver of Right to Recover from Others endorsemenf. Nonelection of Warkers Compensation or Employers Liability Coverage under lowa Code sec. 87 22 _yes form attactied Page 2 of 4 Schedule J Professional Services November 2017 7 City of Dubuque Insurance Requirements for Professional Services INSURANCE SCHEDULE J (continued) D) UMBRELLA/EXCESS LIABILITY $1,000,000 Umbrella/excess liability coverage must be at least following form with the underlying policies included herein. E) PROFESSIONAL LIABILITY $1,000,000 Provide evidence of coverage for 5 years after completion of project. F) CYBER LIABILITY $1,000,000 _yes _no Coverage for First and Third Party liability including but not limited to lost data and restoration, loss of income and cyber breach of information. Page 3 of 4 Schedule J Professional Services November 2017 $ City of Dubuque insurance Requirements for P�afessional Services PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT 1. Nonwaiver of Govemmental immunitv. The msurer expressly agrees and states that the purcliase of tliis pohcy and the including of fhe City of Dubuque lowa as an Additional Insured does not waive any of the defenses of governmental immunity available to ttre City of Dubuque, lowa under Code of lowa Section 670 4as d is now exists and as it may be amended from time to time. 2. Claims Go�eraqe. The insurer furtheragrees that this policy of insurance shall cover only ttiose claims not subject to the defense of governmental immunity under the Code of lowa Section 670:4 as it naw exists and as�t maq be amended from time�o t�me.�Those�claims not subject to�Gode of IQwa Section 670 4 shall be covered by tFtie terms and conditions of tYiis insurance policy. 3. Assertion of Govemment ImmunitV.`The City of,pubuque, lowa shall be responsible for asserting any defense af governmental immunity and may do so�at�any timerand sha(1�o so upon the timely wrt�en request of tlie insure�. 4. Non-Denial of Goveraae The insurer shall not deny coverage under-this policy and the insurer shall not deny any of the [ights and benefits accruing to the City ofDubuque; lowa under`this polrcy#or reasons of governmental immunity unless and until a court of competent�u�isdiction has ruled in favor of tlie defense(s} of governmental immunity asserted by the City of Dubuque iovda. No Other Chanqe in Poficv The abaue preservation of govemmental immunities shall not otherwise change or alter the couerage available undertlie policy: SPE�IMEN (DEPARTMENT MANAGER: FILL IN ALL BLANKS AND CHECK BOXES} Page 4 of 4 Schedule J P�ofessional Services November 20T7 9 ATTACHMENT C iNc�us�v� dubuque Connecting People•Strengthening Community Inclusive Dubu ue q A local network of community leaders from faith, labor, education and government organizations dedicated to advancing justice and social equity in our community. � ' � 1 � .� - � - � � �' � - r `� ,. , � r � � ;-_ � � . , � . �, �;;� ._ . . � .�' �- � ��. A � � . , ,. �. � _ � � . >> �__� k � i Y '.�° Y 10 What is Inclusive Dubuque? . .. . � . . . - Inclusive Dubuque is a peer-learning network of partners committed to creating an informed, equitable and indusive � ' community where all people are respected,valued and � � _ � � - �- - . . . engaged. The network is comprised of more than 50 • . � organizations across sectors induding faith, government, nonprofit, business, education and more.To see a complete " `''' listing of organizations,visit www.inclusivedbq.org. ' """' - . - The Indusive Dubuque network works�ollaboratively to eliminate bias in our a. . . +_ _ �ommunity.While this goal would be diffi�ult for a single organization or individual to a�hieve,ea�h network member�an�ontribute to an effe�tive out�ome by: • providir�g data and information to inform decisions • supporting equifij education opportunities • creating and sharing equifijtools These goals are a��omplished by supporting partner-led se�tor grou�s and peer-learnin�opportunities. Sector Groups Community and network members lead these groups to address bias within the seven fo�us areas of the equity profile. Se�tor groups are supported by a data team and guided by the expertise and lived experien�e of their members;data to learn and tra�k their progress;and the use of a ra�ial/so�ial equity lens to help guide de�ision-making. Peer-Learning Indusive Dubuque offers peer-learning opportunities—induding edu�ation,training and resour�es—to network partners to improve personal and organizational understanding of all types of bias and promote ra�ial and so�ial equity. Earty Warning Community Mobilization CVB integrates ' Business leaders and Planning @ cultural competency My Brother's Keeper � identifyopportunity Cham6er�iversitySummit intotrainingmodules initiativeforms . . � •i i i • Gathering of Implementation Cityjoins Government Race and Equity Partners IncWsive�u6uque Alliance on Race 5 Equity Training through • Launched (6ARE) 6ARE •: • � 11 I'm a Dubuquer Campaign � Winner of a 2017-18 Dubuque Silver ADDY Award and a 2018 ' Dubuque 365 Community Impact Award,the "I'm a Dubuquer" . - -. .. - campaign was part of a local partnership between the Network and " '" •. . - . the Telegraph Hera�d to redefine a term deeply embedded in the . , . � Dubuque community from something used to draw a line between - • �� ��� � - �- - insiders and outsiders into one that welcomes all who call ' ' - .. - . .. .. - Dubuque home. _ , _ , , Learn more about the campaign at www.imadubuquer.com. Best Practices Last year,the Network launched"Best Practices in Diversity, Equity and Inclusion,"a nine-month, peer-learning work-shop series. Organized by the network's Peer-Learning Council(PLC),the series gives participants the opportunity to learn about and engage in best practices for diversity,equity and indusion.Sessions took place on a monthly basis and cover such topics as leading organizations through change, meeting organizational goals, communication,and recruitment strategies.The series will wrap up in June with presentations by participants demonstrating how they will apply the skills they have learned to support their organizations'equity and indusion goals. Sector groups leam Community Equity ��Y�NICC expands minority outreach Results-Based Restorative Strategies 1une:I'm a Du6uquer Profile 6egins Aug:GDDC Implements Entrepreneur Strategy Accounta6ility peer-learning session Oct:Best Practices 6egins i i i i i i i . i i : Network workshop Sept:Cham6er launches Minority Business Council Develop Racial Best Practices with author Oct:Community Equity Profile complete Equity Toolkit (continued) MadeleineTaylor Nw:SectorgroupsformaroundEquityProfilepriorities � 12 The Network at Work Network and community members have joined � • - � •• ,• � • •�� - partner-led working groups to address new _ _ _ � � � � � challenges and bring the racial/social equity lens to � -� • - � existing programs and efforts in education, arts and �� ' � `' '"`" � ' °�''' culture and our neighborhoods.These groups work �r� to identify priorities, measurable indicators and r - partners and programs that can be engaged to affect change. F, n- m �P_�F - ° Se�tor groups are utilizing a pro�ess�alled Results-Based A��ountability in an effort to better understand how we�an tra�k our progress.Sin�e De�ember 2015,more than 90 people have joined se�tor groups and that number�ontinues to grow as members identify voi�es missing from the�onversation. In addition to parti�ipating in se�tor groups and Best Pra�ti�es,network partners are already taking steps in their own organization.These network-owned a�tions help�ontribute to�reating an equitable and indusive�ommunity where all people feel respe�ted,valued and engaged.Here are just a few of the ways our"network is at work": • Economic Wellbeing:Northeast lowa Community • Higher Education:Loras College has implemented College and Greater Dubuque Development Corporation �ultural�ompeten�y training as part of the Honors have implemented an outrea�h strategy to engage Student Program�urri�ulum. minority�ommunity members in Opportunity Dubuque. • Government:The City of Dubuque has joined the • Business:The Dubuque Chamber of Commer�e has Government Allian�e on Ra�e and Equity and is �reated a Minority Business Coun�il with a mission to implementing a ra�ial equity toolkit. guide minority and under-represented business owners toward lo�al resour�es. • Health:Mer�y Medi�al Center,Cres�ent Community Health Center,University of Dubuque,Dubuque's • Education:The Dubuque Community S�hool Distri�t is Human Rights Department,and others are in�reasing disaggregating data regarding Grade-Level Reading, health�are a��ess for the Marshallese population attendan�e and graduation rates to help improve out- through a�ommunity health program that helps remove �omes for all students. barriers to�are. TO LEARN MORE AND FIND OUT HOW YOU CAN GET INVOLVED,VISIT WVJVJ.INCLUSIVEDBO.ORG 1N�Lusi��. dubuque Connecting People•Strengthening Community Inclusive Dubuque is facilitated by the Community Foundation of Greater Dubuque. 13 'ri m cin'nr� . .". . DuB ��� UE � Mn.h'r��ie'tre�i fhe ivtidtissippi � � The City of Dubuque's team of Intercultural Facilitators offers two learning and development workshops for City employees and partner organizations: • A 10.5 hour foundations workshop that is designed for individual development and focuses on raising awareness, fostering improved understanding, and providing tools that can be used to build individual skill at navigating differences. • A 32 hour application workshop that is designed for teams who are interested in developing a plan for advancing equity and inclusion goals within their team or organization. Both workshops are grounded in an intercultural approach that is evidence informed and developmental. It is important to understand what our training is and is not: • First, the intercultural approach acknowledges race and racial issues but does not limit its focus to these issues. Rather, the focus is on culture as a broad concept that encompasses all people, and on the various aspects of cultural and social identities that may make a difference when we are interacting with one another. • Second, the goal is not to change beliefs or belief systems. The goal is to build skills so that people are effective interacting across cultural differences. • Third, the focus is on a broad set of skills that can be applied across cultures to improve communication and understanding. The training does not focus on culture specific details and information. • Fourth, although training employees can be a very productive tool, depending solely on training to foster acceptance and the skills needed to make sustainable change is severely limited. There must be sustainable efforts to support staff in applying newly acquired skills. We don't expect to be competent in a sport after a few practice sessions, similarly we cannot expect to be competent working with cultures other than our own after a few workshops. • Finally, there is a recognition that any skills learned must be applied in context, and that training is only one piece of a larger approach that includes assigning resources and developing a long-term strategy to identify barriers affecting certain groups and to create an inclusive and equitable work environment. 10.5 Hour Workshop: Intercultural Competence and Equity Objectives of the workshop are to: • Establish a common language and understanding regarding an intercultural approach to equity and inclusion • Reinforce the importance of continuing to develop the skills needed to work and live in a culturally diverse community 14 n�rr�r .�. � . . B ? h9irltr��iece'e��Rir rViiegi<,:I��{�f . _... _ . • Understand how we process diversity related information to form perceptions about ourselves and others • Examine some of the foundations of culture • Examine personal identity and its relationship to culture • Examine how language, non-verbal communication, and values can interfere with communication • Begin to unpack inclusion and equity issues in individual organizations using an intercultural approach • Understand employee roles in contributing towards an inclusive organizational culture 32-Hour Developing Equity Frameworks through Intercultural Methods This workshop is best suited for those working on teams seeking to advance equity and inclusion. Participants will use an intercultural framework to collectively explore individual, institutional, and systemic opportunities. The program includes opportunities for participants to practice using the tools they have received, working together to identify dilemmas facing their organizations, to develop strategies for addressing issues, and to create action items. Objectives for the four-day program are to: • Understand fundamental concepts related to an intercultural approach to inclusion and equity using individual, institutional, and structural levels • Learn tools and skills that can be applied to influence organizational change • Recognize inclusion and equity issues to advance action plans to stabilize equity and inclusion in the organization • Identify equity needs of your community through your organization's lens and set goals to influence a positive impact in the community • Identify inclusion and equity issues and begin to develop an action plan to advance equity and inclusion in participant organizations or groups • Create an all-encompassing environment based on trust for: o Effective team building o Healthy workforce culture o Active strategic planning 15 FTCA DEEMING NOTICE GRANT NUMBER: NO.: H80CS08765 .'� 0 1-F00001063-17-01 +• CRESCENT COMMUNITY HEALTH CENTER 1789 ELM ST STE A DUBUQUE, IA52001 Dear Julie A Woodyard: The Health Resources and Services Administration (HRSA), in accordance with the Federally Supported Health Centers Assistance Act(FSHCAA), as amended, sections 224(g)-(n) of the Public Health Service (PHS)Act, 42 U.S.C. §§ 233(g)-(n), deems CRESCENT COMMUNITY HEALTH CENTER to be an employee of the PHS, for the purposes of section 224, effective 1/1/2018 through 12/31/2018. Section 224(a) of the PHS Act provides liability protection under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2672, or by alternative benefits provided by the United States where the availability of such benefits precludes a remedy under the FTCA, for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by PHS employees while acting within the scope of such employment. This protection is exclusive of any other civil action or proceeding. Coverage extends to deemed entities and their(1) officers; (2) governing board members; (3)full-and part-time employees; and (4) contractors who are licensed or certified individual health care practitioners providing full-time services (i.e., on average at least 321/2 hours per week for the entity for the period of the contract), or, if providing an average of less than 32% hours per week of such service, are licensed or certified providers in the fields of family practice, general internal medicine, general pediatrics, or obstetrics/gynecology. Volunteers are neither employees nor contractors and therefore are not eligible for FTCA coverage under la FSHCAA. II This Notice of Deeming Action (NDA) is also confirmation of medical malpractice coverage for both CRESCENT COMMUNITY HEALTH CENTER and its covered individuals as described above. This NDA, along with documentation confirming employment or contractor status with the deemed entity, may be used to show liability coverage for damage for personal injury, including death, resulting from the performance of medical, surgical, dental, or related functions by PHS employees while acting within the scope of such employment. In addition, FTCA coverage is comparable to an "occurrence" policy without a monetary cap. Therefore, any coverage limits that may be mandated by other organizations are met. This action is based on the information provided in your FTCA deeming application, as required under 42 U.S.C. §233(h), with regard to your entity's: (1) implementation of appropriate policies and procedures to reduce the risk of malpractice and litigation; (2) review and verification of professional credentials and privileges, references, claims history, fitness, professional review organization findings, and licensure status of health professionals; (3) cooperation with the Department of Justice (DOJ) in the defense of claims and actions to prevent claims in the future; and (4) cooperation with DOJ in providing information related to previous malpractice claims history. Deemed health centers must continue to receive funding under Section 330 of the PHS Act, 42 U.S.C. §254b, in order to maintain coverage as a deemed PHS employee. If the deemed entity loses its Section 330 funding, such coverage will end immediately upon termination of the grant. In addition to the relevant statutory and regulatory requirements, every deemed health center is expected to follow HRSA's FTCA-related policies and procedures, which may be found online at http://wwvv.bphc.hrsa.gov. 0 ACc R®® CERTIFICATE OF LIABILITY INSURANCE DATE/27/20 8YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Friedman Insurance, Inc. PO Box 759 Dubuque IA 52004-0759 CONTACT Lauren Moser PHONE FAX (A/c. No, Ext): 563-585-2798 (A/C, No): 563-556-4425 ADDREss: moserl@friedman-group.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: Cincinnati Insurance Company 10677 INSURED CRESCOM-01 Crescent Community Health Center 1789 Elm Street Suite A Dubuque IA 52001 INSURER B ECP 047 6971 INSURER C : 3/6/2019 INSURER D : $1,000,000 INSURER E: INSURER F : XOCCUR COVERAGES CERTIFICATE NUMBER: 1107581323 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DDYYY) /Y LIMITS A X COMMERCIAL GENERAL LIABILITY Y ECP 047 6971 3/6/2018 3/6/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE XOCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS ECP 047 6971 3/6/2018 3/6/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPETY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ECP 047 6971 3/6/2018 3/6/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/ N - N /A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Dubuque is listed as an Additional Insured on the above General Liability. CERTIFICATE HOLDER CANCELLATION City of Dubuque 50 W. 13th Street Dubuque, IA 52001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT TIVE ��--cam/� ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD