Purchase of Services Agreement_Retired and Senior Volunteer Program 2011Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
FROM: Jennifer Larson, Budget Directo
JML
Attachment
SUBJECT: Purchase of Service Agreement —
Retired and Senior Volunteer Program
Dubuque
kitilll
A1- AmedcaCdy
1111 L
2007
April 23, 2010
Attached for City Council approval is the Purchase of Services Agreement with the
Retired and Senior Volunteer Program for the City's financial support for Fiscal Year
2011.
The adopted Fiscal Year 2011 operating budget provides for the payment of $7,341 for
the Retired and Senior Volunteer Program to enable that agency to continue to retain
part-time staff to help place retired persons or persons 55 years of age and older as
volunteers in nonprofit public and private agencies.
The volunteers help in a variety of ways which include commodity distribution, providing
services to the Department of Human Services, providing help at senior citizen meal
sites, schools, hospitals, and nursing homes, and providing clerical support in offices of
nonprofit agencies and City departments.
It is my recommendation that the City Council approves the attached Purchase of
Services Agreement with RSVP and authorizes the Mayor to execute the contract on
behalf of the City.
THIS AGREEMENT, dated for reference purposes the 1st day of July 2010, is made
and entered into by and between the City of Dubuque, Iowa (City) and the Retired and
Senior Volunteer Program (Agency).
WHEREAS, Agency represents itself as technically and professionally qualified to
provide meaningful volunteer work for retired persons and /or persons age 55 and over in
nonprofit public or private agencies; and
WHEREAS, City has deemed it to be in the public interest to provide Agency with
financial assistance to enhance its services to the elderly.
NOW THEREFORE, the parties hereto agree as follows:
1. Scope of Service
AGREEMENT
BETWEEN
CITY OF DUBUQUE, IOWA,
AND
RETIRED SENIOR VOLUNTEER PROGRAM
Agency shall employ a part-time assistant for its office to assist the director in
administering a volunteer program to place retired persons or persons age 55 and
over in nonprofit public or private agencies. Agency shall ensure that the part-time
assistant is under appropriate supervision.
2. Time of Performance
The term of this Agreement shall be from July 1, 2010 through June 30, 2011.
3. Compensation
City shall pay Agency $7,341.00 as compensation for these services provided by
Agency, which payment shall constitute full and complete compensation for such
services. Compensation shall be paid by City to Agency within ten (10) days after
receipt of a requisition by City of a requisition for such sum from Agency.
4. 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
1
advertising; layoff or termination; rates of pay or other forms of compensation; and
selection for training, including apprenticeship. RSVP 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.
RSVP 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 RSVP under the terms of this.
Agreement because of race, creed, color, religion, national origin, sex, age, sexual
orientation, gender identity, or disability.
5. 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.
6. Assignability
RSVP shall not assign or transfer this Agreement or any interest in this Agreement
without prior written approval of City.
7. 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.
WIT ESS: CITY F DUBUQUE
eanne F. Schneider, City Clerk Roy . Buol, Mayor
RETIRED AND SENIOR VOLUNTEER
PROGRAM
Deb Bell, Director
2
AMOIL
-- QBE INSURANCE CORPORATION
STATEMENT OF COVERAGE
Underwritten by: Administered by -as Agent.
QBE Insurance Corporation The CIMA Companies, Inc.
88 Pine Street 2750 Killarney Drive, Ste 202
New York, NY 10005 Woodbridge, VA 22192
1- 800 - 468 -4200
This Statement of Coverage confirms that Blanket Accidental Death and Dismemberment and Accident
Medical Expense coverages are provided to Covered Persons volunteering with the Participating
Volunteer Organization (Organization) named below, under Policy # MHH 010302, issued by OBE to:
Volunteers Insurance Service Association, Inc.
Organization Name RSVP
350 N. Grandview Avenue
Dubuque, IA 52001
Organization Number IADUBUI
Organization's Effective Date of Coverage 07/01/2010
Covered PersonsAll designated, recorded Volunteers participating in a volunteer project through the
Organization's program
Covered Activities Performance of duties required to carry out assignments made by the Organization,
including travel to, during and from those assignments
Accidental Death and Dismemberment Coverage
Principal Sum
$2,500
100% paid for
Loss of life, two or more hands or feet, sight of
both eyes or one hand or foot and sight of one eye
50% paid for
Loss, or loss of use, of one hand or one foot, or
loss of sight in one eye
25% paid for
Loss of thumb and index finger of the same hand
Accident Medical Expense Coverage
Maximum Benefits for any one Covered Accident
Benefit Period for any one Covered Accident
Deductible
Scope of Coverage
Benefit Amount Payable
Covered Expenses Include
$50,000
52 weeks
None
Excess —pays benefits after any other Health
Care Plans have paid benefits
100% of Usual and Customary charges, up to
Maximum Benefit per Covered Accident
In & Out - Patient Hospital, Ambulatory Medical
Center & Emergency Room, Physician visits &
surgery, diagnostic tests, nursing services and
ambulance charges
Exclusions and Limitations These coverages are subject to exclusions and limitations detailed in the Policy.
Coverage is provided only for treatment of injuries sustained by Covered Persons during Covered Activities, and
excludes injuries resulting from suicide, commission of a felony or assault, riot, war, flying except as a fare - paying
passenger, races or speed contests, any sickness or disease, intoxication, or treatment of existing injuries.
This Statement of Coverage provides a brief overview of provisions, benefits and exclusions and
limitations —only the Blanket Accident Medical Insurance policy provides full information and governs the
terms of coverage provided. You may request a copy of that policy from The CIMA Companies, Inc., at
the address shown above.
XS/Group, hie.
2750 Killarney Drive, Suite 202
Woodbridge VA 22192
Named Organization and Mailing Address
RSVP
350 N. Grandview Avenue
Dubuque, IA 52001
Named Organization's Business: Social Services
Lloyd's of London
Policy No.: MIL2010
Certificate No.: IADUBUI
Certificate Period 07/01/2010 to 07/01/2011
( 12:01 A.M. )
Certificate is: New
VOLUNTEERS INSURANCE SERVICE
Excess Volunteer Liability
Certificate of Insurance
This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2011, 12:01 a.m.,
Standard Time at the Named Organization Mailing Address.
Limits of Insurance
Each Occurrence Limit
Annual Aggregate Limit
$ 1,000,000
$ 3,000,000
This Certificate and the attached coverage form and endorsements, if any, complete this policy.
NOTICE
By applying for this insurance, the applicant also is applying for membership in Volunteers Insurance Service Association, Inc., a risk
purchasing group formed and operating pursuant to the Liability Risk Retention Act of 1986 (15USC 3901 et seq.).
Authorized Signature:
Laurie S. Coleman
Date: May 28, 2010
XS /Group, Inc.
2750 Killarney Drive, Suite 202
Woodbridge VA 22192
Named Organization and Mailing Address
RSVP
350 N. Grandview Avenue
Dubuque, IA 52001
Named Organization's Business: Social Services
Lloyd's of London
Master Policy No.: MIL2010
Certificate No.: IADUBUI
Certificate Period 07/01/2010 to 07/01/2011
(12:01 A.M.)
Certificate is: New
VOLUNTEERS INSURANCE SERVICE
Excess Auto Liability
Certificate of Insurance
This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2011, 12:01 a.m.,
Standard Time at the Named Organization Mailing Address.
Limits of Insurance
Each Automobile Accident Limit
$ 500,000
This Certificate and the attached coverage form and endorsements, if any, complete this policy.
NOTICE
By applying for this insurance, the applicant also is applying for membership in Volunteers Insurance Service Association, Inc., a risk
purchasing group formed and operating pursuant to the Liability Risk Retention Act of 1986 (15USC 3901 et seq.).
Authorized Signature:
Laurie S. Coleman
Date: May 28, 2010
RSVP
June 2, 2010
City Manager's Office
City Hall
Jennifer Larson
50 W. 13" St.
Dubuque, IA 52001
Dear Ms. Larson,
350 North Grandview Avenue
Dubuque, Iowa 52001 -6392
563.589.2655
sponsored by The Finley Hospital
Enclosed are the insurance information forms, the signed Purchase of Services
Agreement between the Retired and Senior Volunteer Program and the City of Dubuque,
and invoice requesting payment for fiscal year 2010 -2011.
The insurance information shows general liability as a supplement to the volunteer's
existing automobile, life and medical insurances.
We are very grateful for the continued support of our program. This funding enables us
to employ a part-time coordinator who assists in placing people age 55 and older in
volunteer service with local non - profit organizations and public agencies.
Please feel free to contact me at 563.589.2622 if you have any questions.
Sincerely,
��, E
Deb Bell
RSVP Director
The Finley Hospital
Encl.
"RSVP is a nationwide volunteer program that invites adults age 55 and older to
use their life experiences and skills to answer the call of their neighbors in need."
Masterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Purchase of Service Agreement —
Retired and Senior Volunteer Program
Dubuque
blItel
AI-Amedca City
'
2007
May 11,2010
During the Fiscal Year 2011 budget process, the Mayor and City Council provided
$7,341 for a Purchase of Service Agreement with the Retired and Senior Volunteer
Program.
Budget Director Jennifer Larson is recommending execution of the attached contract
with RSVP to assist in funding the operation of a program that places retired persons or
persons over 55 years of age and older as volunteer help in nonprofit and public and
private agencies.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
MCVM /jml
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
Jenny Larson, Budget Director
,
Mic C. Van Milligen