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Purchase of Services RSVP - Retired & Senior 5iiB~E ~<k~ MEMORANDUM May 27, 2005 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 During the Fiscal Year 2006 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 Dawn Lang 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. Ai ~/fL Michael C. Van Milligen MCVM/ksf Attachment cc: Barry Lindahl, Corporation Counsel Cindy Steinhauser, Assistant City Manager Dawn Lang, Budget Director "........ ... '"i _J r 1'1 ,'J '. . I , . i , ,," '"'I ~") -j ._j. ....J D~B~E ~<k~ MEMORANDUM May 27, 2005 TO: Michael C. Van Milligen, City Manager FROM: Dawn Lang, Budget Director SUBJECT: Purchase of Service Agreement - Retired and Senior Volunteer Program The adopted Fiscal Year 2006 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. DLL/ksf Attachment AGREEMENT BETWEEN CITY OF DUBUQUE, IOWA, AND RETIRED SENIOR VOLUNTEER PROGRAM THIS AGREEMENT, dated for reference purposes the 1st day of July 2005, 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 Agency shall: A. 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, 2005, through June 30, 2006. 3. Compensation The City shall pay Agency $7,341 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 execution of the Agreement by both parties and upon 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, 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, 1 sex, age, national origin, religion, 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 payor 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, or disability. RSVP agrees and will 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, degree of handicap or disability. 5. Assionabilitv RSVP shall not assign or transfer any interest in this Agreement without prior written approval from of City. 6. 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. WITNESSED: ~/ill1 &~~t:~ Karen M. Chesterman Deputy City Clerk Date June 6, 2005 CITY OF DUBUQUE Joyce E. Connors, Mayor Pro-Tem June 6, 2005 Date RETIRED AND SENIOR VOLUNTEER PROGRAM /s/ Bob Schroeder, RSVP Director . Date 6/13/05 2 ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 08/16/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION La Mair-Mulock-Condon Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4200 University Ave 5te 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Des Moines, IA 50266-5945 515244-0166 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Midwest Medical Insurance Company Finley Tri-5tate Health Group INSURER B: 350 N Grandview INSURER c: Dubuque, IA 52001 INSURER D: INSURER E: Client#. 14392 FINL TRI5 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER PJ>H~~i~f68,w\E Pg~fl/~'2'/~reN LIMITS A GENERAL LIABILITY IHPOOOO84 04/04/05 04/04/06 EACH OCCURRENCE $1 000.000 f-- DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY $ f-- tJ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ f-- PERSONAL & ADV INJURY $ f-- GENERAL AGGREGATE $3 000 000 f-- n'L AGGREAE ~~~ APnS PER: PRODUCTS-COM~OPAGG $ POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) f-- ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) f-- f-- HIRED AUTOS BODILY INJURY (Per accident) $ NON-QWNED AUTOS f-- f-- PROPERTY DAMAGE $ (Per accident) R~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A ~~SSlUMBRELLA LIABILITY IHPOOO084 04104/05 04/04/06 EACH OCCURRENCE $5 000 000 X OCCUR D CLAIMS MADE AGGREGATE $5.000 000 $ ~ ~EDUCTIBLE $ X RETENTION $10000 $ WORKERS COMPENSATION AND WC STATU- IOJ1;i- EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ ~~EMi.~~~~~1~NS below E.L. DISEASE - POLICY LIMIT $ A OTHER Professional IHPOOO084 04104/05 04104/06 $1,000,000 Per Claim Liability $3,000,000 Aggregate DESCRIPTION OF OPERATIONS' LOCATIONS 'VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS Named Insureds Include: Finley Tri-5tate Health Group, The Finley Hospital, Dubuque Visiting Nurses Assoc., Finley Health Foundation, Cascade Medical Center, Finley Acute Rehabilitation, Dubuque Endoscopy The City of Dubuque is named as Additional Insured. CERTIFICATE HOLDER CANCELLATION City of Dubuque 1805 Central Dubuque, IA 52001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3Q... DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ",UTHORIZED REPRESENTATIVE .%4-. ACORD 25 (2001/08) 1 of 2 #51 05083/M 102084 BLK @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #S1 05083/M1 02084 VOLUNTEERS INSURANCE SERVICE VOLUNTEER ACCIDENT INSURANCE CERTIFICATE OF INSURANCE Insurer: Life Insurance Company of North America 1601 Chestnut Street Philadelphia, PA 19192 Agent: The CIMA Companies, Inc. 216 South Peyton Street Alexandria, VA 22314 A Stock Insurance Company, herein Called The Company Toll Free: 1-800-468-4200 Association Member: RSVP 350 N. Grandview Avenue Dubuque, IA 52001 Certificate of Insurance Master Policy No.: SPS900302 This certificate is not a contract of insurance. It contains only the principal provisions relating to the coverage and payment of loss under the policy described herein. This certificate replaces any and all certificates previously issued to the Insured with respects to the policy described herein. Effective Date of Coverage: 07/01/2005 Policyholder: Volunteers Insurance Service Association, Inc. THE COMPANY HEREBY CERTIFIES that the registered volunteers of the Association Member named above are insureds under the policy against loss resulting directly and independently of all other causes from accidental bodily injuries caused by an accident occurring while the policy is in force as to the Insured, provided such injuries arise out of or in the course of the hazards described. The amount of Insurance applicable per Insured with respect to the Indemnities described below is: PRINCIPAL SUM $2,500.00 CAPITAL SUM $2,500.00 MEDICAL INDEMNITY $25,000.00 INSURING AGREEMENT Persons Insured: All registered volunteers of the Association Member. Description of Hazards: This policy covers injuries arising out of or in the course of the following: while on volunteer assignment for the Association Member within the United States of America, its territories, possessions, Canada; or anywhere in the world, with respect to traveling, while on assignment or any traveling directly to and from the assignment or any incidental travel while on the assignment sponsored by the Association Member. Authorized Signature: TL -004672 Harry F. Custis Date: June 1, 2005 (IADUBUl) The CIMA Companies, Inc. 216 South Peyton Street Alexandria, Virginia 22314-2892 Employers Insurance ofWausau, A Mutual Company P.O. Box 105067 Atlanta, Georgia 30348-5067 Named Organization and Mailing Address RSVP 350 N. Grandview Avenue Dubuque, IA 52001 Master Policy No.: CNS THCZ915286129013 Certificate No.: IADUBU1 Named Organization's Business: Social Services Certificate Period 07/01/2005 to 07/01/2006 ( 12:01 A.M. ) Certificate is: New VOLUNTEERS INSURANCE SERVICES Excess Volunteer Liability Certificate of Insurance This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2006 , 12:01 a.m., Standard Time at the Named Organization Mailing Address. Limits of Insurance Each Occurrence Limit $ 1,000,000 $ 3,000,000 Annual Aggregate Limit 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: Harry F. Custis Date: June 1, 2005 (IADUBUl) The CIMA Companies, Inc. 216 South Peyton Street Alexandria, Virginia 22314-2892 Employers Insurance ofWausau, A Mutual Company P.O. Box 105067 Atlanta, Georgia 30348-5067 Named Organization and Mailing Address RSVP 350 N. Grandview Avenue Dubuque, IA 52001 Master Policy No.: CNS THCZ915286129013 Certificate No.: IADUBU1 Named Organization's Business: Social Services Certificate Period 07/01/2005 to 07/01/2006 ( 12:01 A.M. ) Certificate is: New VOLUNTEERS INSURANCE SERVICES Excess Auto Liability Certificate of Insurance This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2006 , 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: Harry F. Custis Date: June 1, 2005 (IADUBUl) RSVP 350 North Grandview Avenue Dubuque, Iowa 52001-6392 563.589.2655 sponsored by The Finley Hospital Dawn Lang Budget Director City of Dubuque 50 West 13th Street Dubuque, Iowa 52001-4864 Dear Ms. Lang, Enclosed is the insurance information you asked for of the Retired and Senior Volunteer Program through our Purchase of Services Agreement with the City of Dubuque for fiscal year 2005-06. It shows genera11iability as a supplement to the volunteer's existing automobile, life and medical insurances. We do not provide workers compensation insurance coverage, as these are volunteer positions. I am very grateful for the continued support of our program. 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