Purchase of Services Helping Services NE Iowa Inc
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MEMORANDUM
May 27, 2005
TO:
The Honorable Mayor and City Council Members
FROM:
Michael C. Van Milligen, City Manager
SUBJECT: Purchase of Services Agreement -
Helping Services of Northeast Iowa, Inc.
During the Fiscal Year 2006 budget process, the Mayor and City Council provided
$2,023 for the Purchase of Services Agreement with Helping Services of Northeast
Iowa, Inc.
Budget Director Dawn Lang is recommending execution of the attached contract with
Helping Services of Northeast Iowa, Inc. to help provide substance abuse prevention
services to the residents of Dubuque. These services include consultations, training,
presentations and early intervention programming.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
MjC&JV~~
MCVM/ksf
Attachment
cc: Barry Lindahl, Corporation Counsel
Cindy Steinhauser, Assistant City Manager
Dawn Lang, Budget Director
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MEMORANDUM
May 27, 2005
TO:
Michael C. Van Milligen, City Manager
FROM:
Dawn Lang, Budget Director
SUBJECT: Purchase of Services Agreement -
Helping Services of Northeast Iowa, Inc.
Attached for City Council approval is the Purchase of Services Agreement with Helping
Services of Northeast Iowa, Inc. for Fiscal Year 2006.
The adopted Fiscal Year 2006 operating budget reflects a payment of $2,023 to
Helping Services for Northeast Iowa, Inc., for financial assistance to cover operating
expenses of that agency. The agency has received financial assistance from the City
for the past nine years.
Helping Services of Northeast Iowa, Inc. utilizes these funds for their Education
Services Division, which provides substance abuse prevention services to the residents
of Dubuque. These activities include consultations, training, presentations, and early
intervention programming.
It is my recommendation that the City Council approves the attached Purchase of
Services Agreement with Helping Services of Northeast Iowa, Inc., and authorizes the
Mayor to execute the contract on behalf of the City.
DLL/ksf
Attachment
AGREEMENT
BETWEEN
THE CITY OF DUBUQUE, IOWA
AND
HELPING SERVICES OF NORTHEAST IOWA, INC.
THIS AGREEMENT, dated for reference purposes the 1st day of July 2005, by
and between the City of Dubuque, Iowa, (City) and Helping Services for Northeast Iowa,
Inc., (Agency).
WHEREAS, Agency represents itself as technically and professionally qualified
to provide training and consultation in the area of substance abuse prevention to
community task forces and schools; and
WHEREAS, City has deemed it to be in the public interest to provide financial
assistance to be used to cover general operating expenses of Agency's program.
NOW THEREFORE, the parties hereto agree as follows:
1. Scope of Service
Agency shall:
a. provide, within the City of Dubuque, educational services related to a
substance abuse prevention program for the purpose of teaching persons to
make sensible decisions for themselves concerning the role that substances
play in their lives.
2. Time of Performance
The term of this Agreement shall be from July 1, 2005 through June 30, 2006.
3. Compensation
City shall pay the Agency $2,023 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 within ten (10) days after the
execution of this Agreement by both parties and upon receipt by City of a
requisition for such sum from Agency.
4. Discrimination
In carrying the services under this Agreement, Agency shall not discriminate
against any employee or applicant for employment because of race, creed, color,
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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,
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.
Agency assures that all qualified applicants will receive consideration for
employment without regard to race, creed, color, sex, age, national origin,
religion, or disability.
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, 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, color, creed, religion, sex, national origin,
age, degree of handicap or disability.
5. Assiqnabilitv
Agency shall not assign or transfer any interest in this Agreement without the
prior written approval from of City.
6. Insurance
At the time of execution of this Agreement by Agency, Agency shall provide the
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
CITY OF DUBUQUE, IOWA
Karen M. Chesterman,
Deputy City Clerk
June 6, 2005
Joyce E. Connors
. Connors, Mayor Pro-Tem
June 6, 2005
Date
HELPING SERVICES FOR
NORTHEAST IOWA, INC.
/s/ David Runyon, Exe utive Director
Date 6-13-05
2
late: 8/24/2005
'neaux Insurance
Time: 1:37 PM
Page: 002
To:
Kevin @ 15635894149
Mo]
~ ACORDT~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
08/24/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Molyneaux Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
100 Kirkwood Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 939
Davenport, IA 52805 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Philadelphia Indemnity
Helping Services of Northeast Iowa Inc. INSURER B Virginia Surety
P. O. Box 372 INSURER C
Decorah, IA 52101 INSURER 0'
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INSURER E
Cllent#: 30413
HELSE
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 PERT AIN, 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.
I~;: ~~[ TYPE OF INSURANCE POLICY NUMBER -- POLI~~IEFFEr.;TI~ Pg~fl,~~~t~ LIMITS
D"TE MMIDDIVY
A ~NER"L LI"BILITY PHPK117S96 05/01105 05/01/06 EACH OCCURRENCE $1 000 000
X. COt\JI\,IERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000
-'-l CLAIMS MADE [iJ OCCUR MED EXP (Any olle person) $10.000
- PERSONAl & ADV INJURY 51 000 000
- GENERAl AGGREGATE $2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COt\JPIOP AGG $2000,000
)(l POLICY n ~~T n LOC
A ~OMOBILE LIABILITY PHPK117596 05/01105 05/01106 COMBINED SINGLE LIMIT
NlY AUTO (Ea accide"t) $1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per peroa,,)
- --
~ HIRED AUTOS BODILY INJURY
$
X NON-OWNED AUTOS (Per acoda"l]
-
- PROPERTY DAMAGE 5
(P", a""'del")
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
A iJ~SSIU MBRELLA LIABILITY PHUB044230 05/01/05 05/01106 EACH OCCURRENCE $2.000.000
X OCCUR 0 CLAIMS MADE AGGREGATE $2000.000
$
~ DEDUCTIBLE $
X RETENTION $10000 $
B WORKERS CQNPENS"TION AND WVSOO0876501 05/02/05 05/02/06 X Tr';.';~-t!~i;!;; I IOJ~-
EMPLOYERS' LIABILITY $100.000
ANY PROPRIETORIPARTNERiEXECUTIVE E L EACH ACCIDENT
OFFICERIMEMBER EXCLUDED'! E.L, OISEASE -EAEMPLOYEE $100 000
If y~s, descrIbe under $500,000
SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT
OTHER
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder Is Included as an Additional Insured on the General
Liability coverage if required by written contract, per #CG2026.
CERTIFICATE HOLDER
CANCELLATION
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Dubuque DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MIUL -3JL DAYS WRITTEN
aUn: Kevin NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FIULURE TO DO SO SHALL
City Hall - City Manager's IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Office REPRESENTATIVES.
Dubuque, IA 52001 A!:!.TH~pD REPRESENTA~IVE
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ACORD 25 (2001/08) 1 of 2
#M24189
PKM
&1 ACORD CORPORATION 1988
late: 8/24/2005
'neaux Insurance
Time: 1:37 PM
Page: 003
To: Kevin @ 15635894149
Mo]
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 foml 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
#M24189
'1'8/24/2005
. . Insurance
Time: 1:37 PM
Page: 001
To: Kevin @ 15635894149
Mol
MOLYNEAUX INSURANCE
Fax Transmission
P.O. Box 939 - 100 Kirkwood Blvd. - Davenport, fA 52805
Telephone (563) 324-1011 - Fax (563) 326-1880
www.molyneaux.com
To: Kevin
From: Pam Mattison
Pax Number: 15635894149
Date: August 24,2005
Pages: 3
Time: 1 :37:36 PM
Subject:
certificate: Helping Services of Northeast Iowa
Message:
TIus e-mail. including attacrunents, is intended for the exclusive use ofthe addressee and may contain proprietary, confidential or
privileged information. If you are not the intended recipient, or an employee or agent responsible for delivering the message to the
intended recipient, any dissemination, use, distribution or copying is strictly prohibited. If you have received tllls e-mail in error, please
notify me via return fax and permanently delete the original and destroy all copies.
Please note: You should only consider coverage bound when confirmed by an agent. TIlls could be either verbally or in writing.