Cities Index.
Exhibit 2: Original Agreement

Alameda City Council
March 18, 2025

Document
Exhibit 2: Original Agreement
Meeting
March 18, 2025
Body
Alameda City Council
Original file
2.4 MB
Text extracted from the city's file for reading and search. Open the original on legistar1.granicus.com. That file is the official record.

Alameda Family Services 1 Service Provider Agreement
Version 05-10-23

SERVICE PROVIDER AGREEMENT
This SERVICE PROVIDER AGREEMENT Agreement entered into this ____ day of _________ 2024 Effective Date , by and between the CITY OF ALAMEDA, a municipal corporation ( the City ), and ALAMEDA FAMILY SERVICES, a California corporation, whose address is 2325 Clement Ave, Suite A Alameda, CA 94501 ( Provider , in reference to the following facts and circumstances:

RECITALS
A. The City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the statutes of the State of California and the Charter of the City.

B. The City is in need of the following services: Full-Time On-Site Mental Health Support at Dignity Village. Provider was elected on a sole source basis because the service sought is an duplication if granted to another agency.

C. Provider is specially trained, experienced and competent to perform the special services which will be required by this Agreement.

D. Whereas, the City Council authorized the City Manager to execute this agreement on ___________________.

E. The City and Provider desire to enter into an agreement for Full-Time On-Site Mental Health Support at Dignity Village upon the terms and conditions herein.

AGREEMENT
NOW, THEREFORE, in consideration of the forgoing, which are incorporated herein by reference, and for good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the City and Provider agree as follows:

1. TERM:

The term of this Agreement shall commence on the ___ day of __________ 2024, and shall terminate on the 30th day of June 2025, unless terminated earlier as set forth herein.

2. SERVICES TO BE PERFORMED:

Provider agrees to do all necessary work at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all necessary work included in Exhibit A as requested. Provider acknowledges that the work plan included in Exhibit A is tentative and does not commit the City to request Provider to perform all tasks included therein. 







 
 


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Exhibit 2

Alameda Family Services 2 Service Provider Agreement
Version 05-10-23

3. COMPENSATION TO PROVIDER:
a. Reimbursement will be made on a quarterly basis. By the 10 th day of each of the following months: October, January, April, and July, Provider shall log into their account on City Data Services or an alternate software provider designated by the City and enter the required information for preparation of a Statement of Work, Expense Report, and Request for Reimbursement for the total amount of work done the previous quarter. Pricing and accounting of charges are to be according to the fee schedule as set forth in Exhibit B and incorporated herein by this reference. Extra work must be approved in writing by the City Manager or his/her designee prior to performance and shall be paid on a Time and Material basis as set forth in Exhibit B. b. The total compensation for this Agreement shall not exceed $109,031. Use of contingency shall be for items of work outside the original scope and requires prior written authorization by the City.

4. TIME IS OF THE ESSENCE:

Provider and the City agree that time is of the essence regarding the performance of this Agreement.

5. STANDARD OF CARE:

Provider agrees to perform all services hereunder in a manner commensurate with the prevailing standards of like professionals or service providers, as applicable, in the San Francisco Bay Area and agrees that all services shall be performed by qualified and experienced personnel who are not employed by the City.

6. INDEPENDENT PARTIES:

Provider hereby declares that Provider is engaged as an independent business and Provider agrees to perform the services as an independent contractor. The manner and means of conducting the services and tasks are under the control of Provider except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of Provider s services. None of the benefits
provided by the City to its employees, including but not limited to unemployment insurance, workers
compensation plans, vacation and sick leave, are available from the City to Provider, its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or other purposes normally associated with an employer-employee relationship from any compensation due to Provider. Payments of the above items, if required, are the responsibility of Provider.

7. IMMIGRATION REFORM AND CONTROL ACT (IRCA):

Provider assumes any and all responsibility for verifying the identity and employment authorization of all of its employees performing work hereunder, pursuant to all applicable IRCA or other federal, or state rules and regulations. Provider shall indemnify, defend, and hold the City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Provider.









 
 













Alameda Family Services 3 Service Provider Agreement
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8. NON-DISCRIMINATION:

Consistent with the City s policy and state and federal law that harassment and discrimination are unacceptable conduct, Provider and its employees, contractors, and agents shall not harass or discriminate against any job applicant, City employee, or any other person on the basis of any kind of any statutorily (federal, state or local) protected class, including but not limited to: race, religious creed, color, national origin, ancestry, disability (both mental and physical) including HIV and AIDS, medical condition (e.g. cancer), genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, pregnancy, political affiliation, military and veteran status or legitimate union activities. Provider agrees that any violation of this provision shall constitute a material breach of this Agreement.

9. HOLD HARMLESS:
a. To the fullest extent permitted by law, Provider shall indemnify, defend (with counsel acceptable to the City) and hold harmless the City, its City Council, boards, commissions, officials, employees,
damages, liability, obligations, claims, suits, judgments, costs and expenses whatsoever, including reasonable attorney
connected to performance of its obligations under this Agreement or out of the operations conducted by Provider even if the City is found to have been negligent. If the Claims filed against Indemnitees allege negligence, recklessness or willful misconduct on the part of Provider, Provider shall have no right of reimbursement against Indemnitees for the costs of defense even if negligence, recklessness or willful misconduct is not found on the part of Provider.

Provider shall not have any obligations to indemnify Indemnitees if the loss or damage is found to have resulted solely from the negligence or the willful misconduct of the City. The defense and indemnification obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement. b. As to Claims for professional liability only, obligation to defend Indemnitees (as set forth above) is limited as provided in California Civil Code Section 2782.8. c.
expressly survive the expiration or early termination of this Agreement.

10. INSURANCE:
a. On or before the commencement of the terms of this Agreement, Provider shall furnish the City with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with Sections 10.b. (1) through ( ). The Certificate Holder should be The City of Alameda, 2263 Santa Clara, Ave., Alameda, CA 94501. Such certificates, which do not limit Provider s indemnification, shall also contain substantially the following statement:

Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days advance
written notice to the City of Alameda. Attention: Risk Manager. 







 
 













Alameda Family Services 4 Service Provider Agreement
Version 05-10-23
Provider shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company licensed to offer insurance business in the State of California
than A:VII or (if rated) of at least BBB unless otherwise acceptable to the City. Provider shall deliver updated insurance certificates to the City at the address described in Section 17.f. prior to the expiration of the existing insurance certificate for the duration of the term of Agreement. Endorsements naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers as additional insured shall be submitted with the insurance certificates.
_____________
Provider Initials
b. COVERAGE REQUIREMENTS:

Provider shall maintain insurance coverage and limits at least as broad as:
(1) Workers Compensation:

Statutory coverage as required by the State of California, as well as a Waiver of Subrogation (Rights of Recovery) endorsement. (2) Liability:

Commercial general liability coverage in the following minimum limits:

Bodily Injury: $1,000,000 each occurrence
$2,000,000 aggregate - all other
Property Damage: $1,000,000 each occurrence
$2,000,000 aggregate
If submitted, combined single limit policy with per occurrence limits in the amounts of $2,000,000 and aggregate limits in the amounts of $4,000,000 will be considered equivalent to the required minimum limits shown above. Provider shall also submit declarations and policy endorsements pages. Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required. The Additional Insured Endorsement shall include primary and non-contributory coverage at least as broad as the CG 2010.
(3) Automotive:

Comprehensive automobile liability coverage (any auto) in the following minimum limits:

Bodily injury:

Property Damage:
or
Combined Single Limit:
$00,000 each occurrence
$00,000 each occurrence
$,000,000 each occurrence








 
 













Alameda Family Services 5 Service Provider Agreement
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Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required.

(4) Social Services Professional Liability

Social Services Professional liability insurance which includes coverage appropriate for the professional acts, errors and omissions of Provider’s profession and work hereunder in the following minimum limits:

$1,000,000 each claim

(5) Sexual Misconduct Liability
Sexual Misconduct Liability insurance which may include actual or threatened abuse in the following minimum limits:

$1,000,000 each claim
As to commercial general liability and automobile liability insurance, such insurance will provide that it constitutes primary insurance with respect to claims insured by such policy, and, except with respect to limits, that insurance applies separately to each insured against whom claim is made or suit is brought. Such insurance is not additional to or contributing with any other insurance carried by or for the benefit of the City.
c. SUBROGATION WAIVER:

Provider hereby agrees to waive rights of subrogation that any insurer of Provider may acquire from Provider by virtue of the payment of any loss. Provider agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether the City has received a waiver of subrogation endorsement from the insurer. The Workers’ Compensation policy shall be endorsed with a waiver of subrogation in favor of the City for all work performed by Provider, its employees, agents and subcontractors.

d. FAILURE TO SECURE:

If Provider at any time during the term hereof should fail to secure or maintain the foregoing insurance, the City shall be permitted to obtain such insurance in Provider’s name or as an agent of Provider and shall be compensated by Provider for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid.
e. ADDITIONAL INSUREDS:

The City, its City Council, boards, commissions, officials, employees, agents, and volunteers shall be named as additional insured(s) under all insurance coverages, except workers’ compensation and professional liability insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss, or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance provided by this policy. 







 
 













Alameda Family Services 6 Service Provider Agreement
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Additional Insured coverage under Provider’s policy shall be primary and non-contributory and will not seek contribution from the City’s insurance or self-insurance. Any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be available to the additional insured(s). f. SUFFICIENCY OF INSURANCE:

The insurance limits required by the City are not represented as being sufficient to protect Provider. Provider is advised to consult Provider’s insurance broker to determine adequate coverage for Provider. The coverage and limits shall be (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of the coverage carried by or available to Provider; whichever is greater. g. EXCESS OR UMBRELLA LIABILITY:

If any Excess or Umbrella Liability policies are used to meet the limits of liability required by this Agreement, then said policies shall be true “following form” of the underlying policy coverage, terms, conditions, and provisions and shall meet all of the insurance requirements stated in this Agreement, including but not limited to, the additional insured, SIR, and primary insurance requirements stated therein. No insurance policies maintained by the indemnified parties or Additional Insureds, whether primary or excess, and which also apply to a loss covered hereunder, shall be called upon to contribute to a loss until all the primary and excess liability policies carried by or available to the Provider are exhausted.

11. CONFLICT OF INTEREST:

Provider warrants that it is not a conflict of interest for Provider to perform the services required by this Agreement. Provider may be required to fill out a conflict of interest form if the services provided under this Agreement require Provider to make certain governmental decisions or serve in a staff capacity as defined in Title 2, Division 6, Section 18700 of the California Code of Regulations.

12. PROHIBITION AGAINST TRANSFERS:
a. Provider shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of the City Manager. Provider shall submit a written request for consent to transfer to the City Manager at least thirty (30) days in advance of the desired transfer. The City Manager or their designee may consent or reject such request in their sole and absolute discretion. Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. However, claims for money against the City under this Agreement may be assigned by Provider to a bank, trust company or other financial institution without prior written consent. b. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock, membership interest, partnership interest, or the equivalent, which shall result in changing the control of Provider, shall be construed as an assignment of this Agreement.

Control means fifty percent or more of the voting power of Provider. 







 
 













Alameda Family Services 7 Service Provider Agreement
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13. APPROVAL OF SUB-PROVIDERS:
a. Only those persons and/or businesses whose names and resumés are attached to this Agreement shall be used in the performance of this Agreement. However, if after the start of this Agreement, Provider wishes to use sub-providers, at no additional costs to the City, then Provider shall submit a written request for consent to add sub-providers including the names of the sub- providers and the reasons for the request to the City Manager at least five (5) days in advance. The City Manager may consent or reject such requests in their sole and absolute discretion. b. Each sub-provider shall be required to furnish proof of workers’ compensation insurance and shall also be required to carry general, automobile and professional liability insurance (as applicable) in reasonable conformity to the insurance carried by Provider. c. In addition, any tasks or services performed by sub-providers shall be subject to each provision of this Agreement. Provider shall include the following language in their agreement with any sub-provider: “Sub-providers hired by Provider agree to be bound to Provider and the City in the same manner and to the same extent as Provider is bound to the City.” d. The requirements in this Section 13 shall not apply to persons who are merely providing materials, supplies, data or information that Provider then analyzes and incorporates into its work product.

14. PERMITS AND LICENSES:

Provider, at its sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses, including a City business license that may be required in connection with the performance of the services and tasks hereunder.

15. REPORTS:
a. Each and every report, draft, work product, map, record and other document produced, prepared or caused to be prepared by Provider pursuant to or in connection with this Agreement shall be the exclusive property of the City.
b. No report, information or other data given to or prepared or assembled by Provider pursuant to this Agreement shall be made available to any individual or organization by Provider without prior approval of the City Manager or their designee. c. Provider shall, at such time and in such form as City Manager or their designee may require, furnish reports concerning the status of services and tasks required under this Agreement.

16. RECORDS:
a. Provider shall maintain complete and accurate records with respect to the services, tasks, work, documents and data in sufficient detail to permit an evaluation of Provider’s performance under the Agreement, as well as maintain books and records related to sales, costs, expenses, receipts and other such information required by the City that relate to the performance of the services and tasks under this Agreement (collectively the “Records”). 







 
 













Alameda Family Services 8 Service Provider Agreement
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b. All Records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. Provider shall provide free access to the Records to the representatives of the City or its designees during regular business hours upon reasonable prior notice. The City has the right to examine and audit the Records, and to make copies or transcripts therefrom as necessary, and to allow inspection of all proceedings and activities related to this Agreement. Such Records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained by Provider for a period of three (3) years after receipt of final payment.
c. If supplemental examination or audit of the Records is necessary due to concerns raised by the City’s preliminary examination or audit of records, and the City’s supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of this Agreement or failure to act in good faith, then Provider shall reimburse the City for all reasonable costs and expenses associated with the supplemental examination or audit.

17. NOTICES:
a. All notices shall be in writing and delivered: (i) by hand; or (ii) sent by registered, express, or certified mail, with return receipt requested or with delivery confirmation requested from the U.S. postal service; or (iii) sent by overnight or same day courier service at the party’s respective address listed in this Section.
b. Each notice shall be deemed to have been received on the earlier to occur of: (x) actual delivery or the date on which delivery is refused; or (y) three (3) days after notice is deposited in the U.S. mail or with a courier service in the manner described above (Sundays and City holidays excepted).
c. Either party may, at any time, change its notice address (other than to a post office box address) by giving the other party three (3) days prior written notice of the new address. d. All notices, demands, requests, or approvals from Provider to the City shall be addressed to the City at:

City of Alameda
Housing and Human Services
950 W. Mall Square, Suite 205
Alameda, CA 94501
ATTENTION: Lisa Fitts
Ph: (510) 747-6884
e. All notices, demands, requests, or approvals from the City to Provider shall be addressed to Provider at:

Alameda Family Services
2325 Clement Ave, Suite A
Alameda, CA 94501
ATTENTION: Katherine Schwartz / Executive Director








 
 













Alameda Family Services 9 Service Provider Agreement
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Ph: (510) 629-6301
f. All updated insurance certificates from Provider to the City shall be addressed to the City at:

City of Alameda
Housing and Human Services
950 W. Mall Square, Suite 205
Alameda, CA 94501
ATTENTION: Danielle Sullivan / Administrative Assistance Email: [email protected]

18. SAFETY:
a. Provider will be solely and completely responsible for conditions of all vehicles owned or operated by Provider, including the safety of all persons and property during performance of the services and tasks under this Agreement. This requirement will apply continuously and not be limited to normal working hours. In addition, Provider will comply with all safety provisions in conformance with U.S. Department of Labor Occupational Safety and Health Act, any equivalent state law, and all other applicable federal, state, county and local laws, ordinances, codes, and any regulations that may be detailed in other parts of the Agreement. Where any of these are in conflict, the more stringent requirements will be followed. Provider’s failure to thoroughly familiarize itself with the aforementioned safety provisions will not relieve it from compliance with the obligations and penalties set forth herein. b. Provider will immediately notify the City within 24 hours of any incident of death, serious personal injury or substantial property damage that occurs in connection with the performance of this Agreement. Provider will promptly submit to the City a written report of all incidents that occur in connection with this Agreement. This report must include the following information: (i) name and address of injured or deceased person(s); (ii) name and address of Provider’s employee(s) involved in the incident; (iii) name and address of Provider’s liability insurance carrier; (iv) a detailed description of the incident; and (v) a police report.

19. TERMINATION:
a. In the event Provider fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Provider shall be deemed in default in the performance of this Agreement. If such default is not cured within two (2) business days after receipt by Provider from the City of written notice of default, specifying the nature of such default and the steps necessary to cure such default, the City may thereafter immediately terminate the Agreement forthwith by giving to Provider written notice thereof. b. The foregoing notwithstanding, the City shall have the option, at its sole discretion and without cause, of terminating this Agreement by giving seven (7) days’ prior written notice to Provider as provided herein.
c. Upon termination of this Agreement either for cause or for convenience, each party shall pay to the other party that portion of compensation specified in this Agreement that is earned 







 
 













Alameda Family Services 10 Service Provider Agreement
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and unpaid prior to the effective date of termination. The obligation of the parties under this Section 19.c. shall survive the expiration or early termination of this Agreement.

20. ATTORNEYS’ FEES:

In the event of any litigation, including administrative proceedings, relating to this Agreement, including but not limited to any action or suit by any party, assignee or beneficiary against any other party, beneficiary or assignee, to enforce, interpret or seek relief from any provision or obligation arising out of this Agreement, the parties and litigants shall bear their own attorney’s fees and costs. No party or litigant shall be entitled to recover any attorneys’ fees or costs from any other party or litigant, regardless of which party or litigant might prevail.

21. HEALTH AND SAFETY REQUIREMENTS.

Provider acknowledges that the City shall have the right to impose, at the City’s sole discretion, requirements that it deems are necessary to protect the health and safety of the City employees, residents, and visitors. Provider agrees to comply with all such requirements, including, but not limited to, mandatory vaccinations, the use of personal protective equipment (e.g. masks), physical distancing, and health screenings. Provider also agrees to make available to the City, at the City’s request, records to demonstrate Provider’s compliance with this Section.

22. COMPLIANCE WITH ALL APPLICABLE LAWS:

During the term of this Agreement, Provider shall keep fully informed of all existing and future state and federal laws and all municipal ordinances and regulations of the City of Alameda which affect the manner in which the services or tasks are to be performed by Provider, as well as all such orders and decrees of bodies or tribunals having any jurisdiction or authority over the same. Provider shall comply with all applicable laws, state and federal and all ordinances, rules and regulations enacted or issued by the City.

23. CONFLICT OF LAW:

This Agreement shall be interpreted under, and enforced by the laws of the State of California without regard to any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulations of the authorities having jurisdiction over this Agreement (or the successors of those authorities). Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Alameda, State of California.

24. WAIVER:

A waiver by the City of any breach of any term, covenant, or condition contained herein shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, whether of the same or a different character.

25. INTEGRATED CONTRACT:

Subject to the language of Section 30, the Recitals and exhibits are a material part of this Agreement and are expressly incorporated herein. This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No 







 
 













Alameda Family Services 11 Service Provider Agreement
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verbal agreement or implied covenant shall be held to vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both the City and Provider.

26. CAPTIONS:

The captions in this Agreement are for convenience only, are not a part of the Agreement and in no way affect, limit or amplify the terms or provisions of this Agreement.

27. COUNTERPARTS:

This Agreement may be executed in any number of counterparts (including by fax, PDF, DocuSign, or other electronic means), each of which shall be deemed an original, but all of which shall constitute one and the same instrument.

28. SIGNATORY:

By signing this Agreement, signatory warrants and represents that they executed this Agreement in their authorized capacity and that by their signature on this Agreement, they or the entity upon behalf of which they acted, executed this Agreement.

29. CONTROLLING AGREEMENT:

In the event of a conflict between the terms and conditions of this Agreement (as amended, supplemented, restated or otherwise modified from time to time) and any other terms and conditions wherever contained, including, without limitation, terms and conditions included within exhibits, the terms and conditions of this Agreement shall control and be primary.

30. NONDISCRIMINATION – FEDERAL REQUIREMENTS:
a. Provider certifies and agrees that it will not discriminate against any employee or applicant for employment because of race, color, religion, national origin, ancestry, sex, age, or condition or physical or mental handicap (as defined in 41 C.F.R. Section 60-741, et seq.), in accordance with requirement of state or federal law. Provider shall take affirmative action to ensure that qualified applicants are employed and that employees are treated during employment without regard to race, color, religion, national origin, ancestry, sex, age, or condition of physical or mental handicap in accordance with requirements of state and federal law. Such shall include, but not be limited to, the following:
(1) Employment upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation.

(2) Selection for training, including interns and apprentices.

A. Provider agrees to post in conspicuous places in each of Provider’s facilities providing services hereunder, available and open to 







 
 













Alameda Family Services 12 Service Provider Agreement
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employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause.

B. Provider shall, in all solicitations or advertisements for employees placed by or on behalf of Provider, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, age, or condition of physical or mental handicap, in accordance with requirements of state and federal law.

C. Provider shall send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding a notice advising the labor union or workers’ representative of Provider’s commitments under this paragraph.

D. Provider certifies and agrees that it will deal with its subcontractors, bidders, or vendors without regard to race, color, religion, national origin, ancestry, sex, age, or condition of physical or mental handicap, in accordance with requirement of state and federal law.

E. In accordance with applicable state and federal law, Provider shall allow duly authorized county, state and federal representatives access to its employment records during regular business hours in order to verify compliance with the anti-discrimination provisions of this paragraph. Provider shall provide such other information and records as such representatives may require in order to verify compliance with the anti-discrimination provisions of this paragraph.
b. If the City finds that any of the provisions of this paragraph have been violated, the same shall constitute a material breach of Agreement upon which the City may determine to cancel, terminate, or suspend this Agreement. The City reserves the right to determine independently that the anti-discrimination provisions of this Agreement have been violated. In addition, a determination by the California Fair Employment Practices Commission or the Federal Equal Employment Opportunity Commission that Provider has violated state and federal anti- discrimination laws shall constitute a finding by the City that Provider has violated the anti- discrimination provisions of Agreement.

c. The parties agree that in the event Provider violates any of the anti-discrimination provisions of this paragraph, the City shall be entitled, at its option, to the sum of $500.00 pursuant to California Civil Code Section 1671 as liquidated damages in lieu of canceling, terminating, or suspending this Agreement.

d. Provider hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. Section 794), all requirements imposed by the applicable regulations, and all guidelines and interpretations issued pursuant thereto, to the end that no qualified handicapped person shall, on the basis of handicap, be excluded from participation in, be 







 
 













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denied the benefits of, or otherwise be subjected to discrimination under any program or activity of Provider receiving Federal Financial Assistance. In addition, Provider shall comply with the Uniform Federal Accessibility Standards, and Provider, Engineer, or Architect responsible for any design, construction or alteration shall certify compliance with those Standards.

e. Provider’s attention is directed to laws, including but not limited to:

(1) CIVIL RIGHTS/EQUAL OPPORTUNITY

A. Civil Rights Act of 1964. Under Title VII of the Civil Rights Act of 1964, no person shall, on the grounds of race, sex, religion, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.

B. Section 109 of the Housing and Community Development Act of 1974. No person in the United States shall, on the grounds of race, color, national origin, or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with funds made available under this title.

C. Section 109 of the Act further provides that any prohibition against discrimination on the basis of age under the Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.) or with respect to an otherwise qualified handicapped individual as provided in Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) shall also apply to any program or activity funded in whole or in part with funds made available pursuant to the Act.
(2) PROGRAM ACCESSIBILITY FOR INDIVIDUALS WITH

DISABILITIES
This Agreement is subject to laws and regulations concerning the rights of otherwise qualified individuals with handicaps for equal participation in, and benefit from federally assisted programs and activities, including but not limited to:

A. Americans with Disabilities Act of 1990 (ADA) (28 C.F.R. 5). Title II, Subpart A of the Americans with Disabilities Act of 1990 applies to all publicly funded activities and programs. Provider shall also comply with the public accommodations requirements of Title III of the ADA, as applicable.

B. Nondiscrimination on the Basis of Handicap (24 C.F.R. 8). These regulations, which implement Section 504 of the Rehabilitation Act of 1973, as amended, and as cited in Section 109 of the Housing and Community Development Act, apply to all federally assisted 







 
 













Alameda Family Services 14 Service Provider Agreement
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activities and programs and are implemented through the regulations at 24 C.F.R. 8.

C. Architectural Barrier Act of 1968. Any building or facility, excluding privately owned residential structures, designed, constructed, or altered with federal funds, shall comply with the Uniform Federal Accessibility Standards, 1984 (41 C.F.R. 3) and the Handicapped Accessibility Requirements of the State of California Title 24. The Consultant, Engineer or Architect responsible for such design, construction or alteration shall certify compliance with the above standards.

D. In resolving any conflict between the accessibility standards cited in paragraphs (A), (B) and (C) above, the more stringent standard shall apply.

32. RESTRICTIONS ON LOBBYING – FEDERAL REQUIREMENT:

This Agreement is subject to 24 C.F.R. 87 which prohibits the payment of Federal funds to any person for influencing or attempting to influence, any public officer or employee in connection with the award, making, entering into, extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or agreement.

33. FEDERAL CONDITIONS:
a. Subrecipient Monitoring and Management Requirements. In attachment C, City provides subrecipient with disclosures required under 2 CFR Section 200.330.

b. Federal Conditions Exhibit Certification-Public Service, Economic Development, and Micro Enterprise Monitoring and Management Requirements. In attachment D, City provides subrecipient with a list if relevant exhibits.

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Alameda Family Services 1 Service Provider Agreement
Version 05-10-23
IN WITNESS WHEREOF, the parties have each caused this Agreement to be duly executed on its behalf as of the Effective Date.

ALAMEDA FAMILY SERVICES CITY OF ALAMEDA
a California corporation a municipal corporation
Katherine Schwartz Jennifer Ott
Executive Director City Manager

RECOMMENDED FOR APPROVAL
Amy Wooldridge
Assistant City Manager
APPROVED AS TO FORM:

City Attorney
Len Aslanian
Assistant City Attorney








 
 
























 
 













AFS-Dignity Village Mental Health Therapist Scope of Work 1 Ї ‹–› ‘ˆ Žƒ‡†ƒ ƒ† ‹˜‡ ‡›• ƒ”‡ •’‘•‘”‹‰ ‘‡ ‡™ǡ ˆ—ŽŽǦ–‹‡ ȋ‘†ƒ›Ǧ ”‹†ƒ›Ȍǡ ‡–ƒŽ

‡ƒŽ–Š Ї”ƒ’‹•– ’‘•‹–‹‘ ™‹–Š‹ Žƒ‡†ƒ ƒ‹Ž› ‡”˜‹ ‡• –‘ ’”‘ ˜‹†‡ –Ї”ƒ’‡—–‹
 •‡”˜‹
‡• –‘
”‡•‹†‡–•‘ˆ‹‰‹–›‹ŽŽƒ‰‡ǤЇ’‘•‹–‹‘ƒ†•
‘’‡‘ˆ™‘”ƒ”‡Ž‹•–‡†„‡Ž‘™ǣ

BACKGROUND
  Šƒ• ƒ ˆ—ŽŽ
‘–‹—— ‘ˆ •‡”˜‹
‡• –Šƒ– †‡Ž‹˜‡”• ’”‘‰”ƒ‹‰– ‘ • — ’ ’ ‘ ” –  Ž ƒ  ‡ † ƒ  • ƒ –  ‡˜‡”› ƒ‰‡ ƒ† •–ƒ‰‡ǡ ˆ”‘ ‹–‡•‹˜‡
ƒ•‡ ƒƒ‰‡‡– ˆ‘” ˆ‘”‡”Ž› Š‘‡Ž‡•• ˆƒ‹Ž‹‡• –‘ –Ї”ƒ’› ˆ‘” ›‘—‰ ‘–Ї”•Ǥ ‘–Š ‘—”
‡–”ƒŽŽ› Ž‘
ƒ–‡† ‡–ƒŽ Ї ƒŽ–Š
Ž‹‹
 ƒ† •ƒ–‡ŽŽ‹–‡
‘ˆˆ‹
‡• ‘ –Ї „ƒ•‡ǡ ƒ• ™‡ŽŽ ƒ• ‘—” Š‘‡Ǧ˜‹•‹–‹‰
Ž‹‹
‹ƒ•ǡ ƒ ŽŽ‘™ —• –‘ ”‡ƒ†‹Ž› „”‹‰
ƒ

‡••‹„އ ƒ†
‘—‹–›Ǧ‹–‡‰”ƒ–‡†
”‹–‹
ƒŽ ‡–ƒŽ ЇƒŽ–Š •‡”˜‹
‡• –‘ –Š‘•‡ ‹ ‡‡†Ǥ  —”
Ž‘‰Ǧ•–ƒ†‹‰
‘—–›
‘–”ƒ
–• ƒ”‡ †‡•‹‰‡† –‘ •‡”˜‡ Š‹‰Š ƒ
—‹– ›
‘•—‡”• ™Š‘  ƒ”‡
‡š’‡”‹‡
‹‰•‹‰‹ˆ‹
ƒ–‡–ƒŽЇƒŽ–Š
”‹•‡•ƒ†Šƒ˜‡
Š”‘‹
’•›
Š‹ƒ–”‹
†‹•‘”†‡”•Ǥ
—’‡”˜‹•‘”• ™‹–Š‹ –Ї ƒ‰‡
› Šƒ˜‡ ›‡ƒ”• ‘ˆ
”‹•‹• ”‡•’‘•‡ ‡š’‡ ” ‹ ‡ 
‡ ƒ  † ™ ‡ 
— ” ” ‡  – Ž › 
‘’‡”ƒ–‡ƒ‡Ž‹“—‡
›”‡˜‡–‹‘‡–™‘”’”‘‰”ƒ–Šƒ–•‡”˜‡•›‘ —–Š‘’”‘„ƒ–‹‘ ‘”ƒ–Ǧ ”‹•ˆ‘”†‡–‡–‹‘™‹–ŠƒʹͶȀ͹‘Ǧ
ƒŽŽ•—’’‘”–Ž‹‡Ǥ ƒŽ•‘’ ƒ”–‡”•™‹–Š–ЇŽƒ‡†ƒ ‹”‡ ‡’ƒ”–‡– –‘ ‘’‡”ƒ–‡ –Ї Žƒ‡†ƒ  ‡ƒǡ ™Š‹ Š ’”‘˜‹†‡• –Їƒ Ž – ‡ ”  ƒ – ‹ ˜ ‡ – ‘ ’ ‘ Ž ‹
‡ 
”‡•’‘•‡ ˆ‘” ‹†‹˜‹†—ƒŽ• ‡š’‡”‹‡
‹‰ ƒ ‡–ƒŽ ЇƒŽ–Š
”‹•‹• ‹  Ž ƒ  ‡ † ƒ Ǥ   • – ƒ ˆ ˆ ƒ ” ‡ 
‡š’‡”‹‡
‡† ‹ ’”‘˜‹†‹‰ •‡”˜‹
‡• ™Š‹Ž‡
‘ǦŽ‘
ƒ–‡† ‘ –Ї
ƒ’—• ‘ ˆ ƒ  ‘ – Š ‡ ” ƒ ‰ ‡ 
› ƒ  † 
—†‡”•–ƒ† –Ї ‹’‘”–ƒ
‡ ‘ˆ †‡˜‡Ž‘’‹‰
އƒ” ƒ† ‘’‡
‘—‹
ƒ–‹‘ ƒ• ™‡ŽŽ ƒ•
‘’’‘”–—‹–‹‡•ˆ‘”†‹”‡
–ˆ‡‡†„ƒ
Ǥ

SERVICES
 ™‹ŽŽ’”‘˜‹†‡‡–ƒŽЇƒŽ–Š•‡”˜‹
‡•–Šƒ–™‹ŽŽ’ƒ”–‡”™‹–Š ‹‰‹–›‹ŽŽƒ‰‡’”‘‰”ƒ‹‰Ǥ Ї•‡•‡”˜‹
‡•™‹ŽŽ†‡Ž‹˜‡”„‡•–’”ƒ
–‹
‡‡–ƒŽЇƒŽ–Š•‡”˜‹
‡•‘•‹–‡–‘”‡•‹†‡–•‘ˆ‹‰‹–›
‹ŽŽƒ‰‡Ǥ •‡”˜‹
‡•™‹ŽŽ‹
Ž—†‡ǣ
ͳǤ •‹–‡‹Ž‹‡—Ǧ„ƒ•‡†–Ї”ƒ’‡—–‹
‹–‡”˜‡–‹‘•
ʹǤ ”‹•‹•‹–‡”˜‡–‹‘ƒ††‡Ǧ‡•
ƒŽƒ–‹‘
͵Ǥ ʹͲ‹†‹˜‹†—ƒŽ•‡••‹‘•ǡ‹
Ž—†‹‰
Ї
Ǧ‹•’‡”™‡‡
ͶǤ ͳǦʹ‰”‘—’•Ȁ™‘”•Š‘’•’‡”™‡‡
ͷǤ ”‘’Ǧ‹
‘—•‡Ž‹‰
͸Ǥ ••‡••‡–
͹Ǥ ƒ•‡
‘•—Ž–ƒ–‹‘
ͺǤ ‡ˆ‡””ƒŽ•ƒ†Ž‹ƒ‰‡•–‘Š‹‰Š‡”އ˜‡Ž•‘ˆ
ƒ”‡ƒ†•’‡
‹ƒŽ–› ’”‘‰”ƒ•
ͻǤ ”ƒ‹‹‰ˆ‘”‹‰‹–›‹ŽŽƒ‰‡•–ƒˆˆ








 
 













AFS-Dignity Village Mental Health Therapist Scope of Work

2 GOALS

ͳǤ ”‘˜‹†‡ ‡–ƒŽ ЇƒŽ–Š †‹”‡
– ƒ† •—’’‘”–‹˜‡ •‡”˜‹
‡• –‘ ͻͲΨ ‘ˆ ”‡•‹†‡–• ȋ–Š‹•
•–ƒ–‹•–‹
 –ƒ‡• ‹–‘ ƒ

‘—–
‘•—‡”• ™Š‘ †‡
Ž‹‡ ‘ˆˆ‡”• ‘ˆ †‹ ”‡
– ‡–ƒŽ ЇƒŽ–Š
•—’’‘”––Šƒ–”‡•—Ž–‹‡‰ƒ‰‡‡–
ŠƒŽŽ‡‰‡•ȌǢ
ʹǤ —’’‘”–ͻͲΨ‘ˆ”‡•‹†‡–•‹‹Ž‹‡—•‡––‹‰ǡ‹
Ž—†‹‰†‡‡•
ƒŽƒ– ‹‘ǡ
‘ˆŽ‹
–”‡•‘Ž—–‹‘
ƒ†‡†‹ƒ–‹‘„‡–™‡‡”‡•‹†‡–•ǡƒ†”‡•‹†‡–•ƒ†•–ƒˆˆ ͵Ǥ 
ͶǤ ‡Ž‹˜‡” ƒ ‹‹— ‘ˆ ͷ ™‘”•Š‘’•Ȁ–”ƒ‹‹‰• –‘ ”‡•‹†‡–• ƒ† •–ƒˆˆ ‘ ƒ ˜ƒ”‹‡–› ‘ˆ ‡–ƒŽЇƒŽ–Š–‘’‹
•–Šƒ–‡‡–•–ƒ–‡†‡‡†•Ǥ


 ™‹ŽŽ’”‘˜‹†‡–”ƒ—ƒǦ‹ˆ‘”‡†ǡ
—Ž–—”ƒŽŽ›•‡•‹–‹˜‡ǡƒ†Šƒ”Ǧ”‡†—
–‹‘ˆ‘
—•‡†
‡–ƒŽЇƒŽ–Šƒ†
‘Ǧ‘

—””‹‰•‡”˜‹
‡•ǡ—–‹Ž‹œ‹‰–Ї‡˜‹†‡
‡„ƒ•‡†‘–‹˜ƒ–‹‘ƒŽ

–‡”˜‹‡™‹‰ȋ
Ȍˆ”ƒ‡™‘”ǡ™Š‹
ŠŠƒ•’”‘˜‡‡ˆˆ‡
–‹˜‡™‹–ŠŠƒ”†Ǧ–‘Ǧ‡‰ƒ‰‡
’‘’—Žƒ–‹‘•Ǥ
ƒ††‹–‹‘ǡ–Ї‡–ƒŽЇƒŽ–Š–Ї”ƒ’‹•–™‹ŽŽ—–‹Ž‹œ‡‘‰‹–‹˜‡‡Šƒ˜‹‘”ƒŽƒ† ‹ƒŽ‡
–‹
‡Šƒ˜‹‘”ƒŽ–Ї”ƒ’›‹–‡”˜‡–‹‘•–‘•—’’‘”–”‡•‹†‡–•‡–ƒŽЇƒŽ–Šǡƒ ”‡†—
–‹‘‹•›’–‘•ǡƒ‹
”‡ƒ•‡‹‡‘–‹‘ƒŽ”‡‰—Žƒ–‹‘ƒ†ƒ‹
”‡ƒ•‡‹
ˆ—
–‹‘‹‰Ǥ

‡ˆ‡””ƒŽ•ˆ‘”‹†‹˜‹†—ƒŽƒ†‰”‘—’–Ї”ƒ’›ƒ›„‡’”‘˜‹†‡†„›‹‰‹–›‹ŽŽƒ‰‡•–ƒˆˆǡƒ• ™‡ŽŽƒ•”‡•‹†‡–•‡ŽˆǦ”‡ˆ‡””ƒŽ•ǤЇ ‡–ƒŽЇƒŽ–Š Ž‹‹
‹ƒ™‹ŽŽ”‡ƒ
Š‘—––‘–Ї
”‡ˆ‡””‹‰‹‰‹–›‹ŽŽƒ‰‡•–ƒˆˆˆ‘”ˆ—”–Ї”‹ˆ‘”ƒ–‹‘ƒ†–Ї‡‰ƒ‰‡–Ї”‡•‹†‡–•‹ •—’’‘”–‹˜‡ƒ
–‹˜‹–‹‡•™‹–Š‹ʹͶŠ‘—”•ǡ‡š
‡’–‘™‡‡‡†•ǤǤ
Ї‡–ƒŽЇƒŽ–Š–Ї”ƒ’‹•–™‹ŽŽ™‘”™‹–Š–Ї”‡•‹†‡–•ƒ•— Šƒ•‡‡†‡†–‘•—’’‘”–
Ǥ‡‡–‹‰•™‹ŽŽ–ƒ‡’Žƒ
‡ƒ–
ƒ Ž‘
ƒ–‹‘ ‘•–
‘˜‡‹‡– ˆ‘” –Ї
‘•—‡”Ǥ Ї› ™‹ŽŽ ‘

—” ƒ•  ˆ”‡“—‡–Ž› ƒ• ‹•
‡
‡••ƒ”›–‘•—’’‘”–
Ž‹‡–‡‡†•Ǥ
‘”‰ƒ‹œƒ–‹‘•ǡ–Ї‡–ƒŽЇƒŽ–Š
Ž‹‹
‹ƒ™‹ŽŽ™‘”–‘‡•—”‡–Šƒ––Ї
‘•—‡””‡
‡‹˜‡•
Ǧ ƒ††‹–‹‘ƒŽ ‡–ƒŽ ЇƒŽ–Š •—’’‘”– ‹
Ž—†‹‰ ‡†‹
ƒ–‹‘
ƒƒ‰‡‡– ƒ† ‘—–•‹†‡ ͳʹ •–‡’• ƒ† ‘–Ї” ƒ‰‡
‹‡• –Šƒ– ‘ˆˆ‡” • ’‡
‹ƒŽ‹œ‡† –Ї”ƒ’›
•‡”˜‹
‡••—
Šƒ•‹••‡›ǡ
ǡ ƒ‹Ž›
—•–‹
‡‡–‡”‡–
Ǥ
Ї ‡–ƒŽ ЇƒŽ–Š –Ї”ƒ’‹•– ™‹ŽŽˆƒ
‹Ž‹–ƒ–‡ –Ї”ƒ’› ‰”‘—’• ƒ†™‘”•Š‘’• ˆ‘” ”‡•‹†‡–•ǡ ˆ‘
—•‹‰‘އƒ”‹‰
‘’‹‰•‹ŽŽ•Ǣ‡‘–‹‘ƒŽ”‡‰—Žƒ–‹‘Ǣ‹† ˆ—ސ‡••Ǣ†‡ƒŽ‹‰™‹–Љ”‹‡ˆ 







 
 













AFS-Dignity Village Mental Health Therapist Scope of Work

3 ƒ†Ž‘••Ǣ
‘‡
–‹‰–‘‘–Ї”•Ǣƒ‰‡”ƒƒ‰‡‡–ǡƒ††‡˜‡Ž‘’‡ –‘ˆ•ƒˆ‡–›’Žƒ•ˆ‘” –‹‡• ‘ˆ
”‹•‹•Ǥ Ї•‡ ‰”‘—’• ƒ”‡ ƒ ‹˜ƒŽ—ƒ„އ ‘’’‘”–—‹–›–‘‰‡‡”ƒ–‡ ‘‡
–‹‘ ƒ†
•–ƒ„‹Ž‹œƒ–‹‘ƒ†–‘„—‹Ž†
‘—‹–›Ǥ
  ”‡
‘‰‹œ‡• –Šƒ– ƒ›
‘•—‡”• ƒ› ƒŽ”‡ƒ†› „‡ ”‡
‡‹˜‹‰ •‡”˜‹
‡• ‹–‡”ƒŽŽ› ƒ†
ˆ”‘ ‘–Ї” ‘”‰ƒ‹œƒ–‹‘•Ǥ
ˆ –Š‹• ‹• –Ї
ƒ•‡ǡ –Ї ‡–ƒŽ ЇƒŽ–Š –Ї”ƒ’‹•– ™‹ŽŽ ‘„–ƒ‹ ƒ
”‡Ž‡ƒ•‡‘ˆ‹ˆ‘”ƒ–‹‘ˆ”‘–Ї
‘•—‡”•‘ƒ•–‘„‡ƒ„އ–‘
‘‘”†‹ƒ–‡•‡”˜‹
‡•™‹–Š–Ї
‡š‹•–‹‰ •‡”˜‹
‡ ’”‘˜‹†‡”•Ǥ  Ї ‡–ƒŽ ЇƒŽ–Š –Ї”ƒ’‹•– ƒ› ƒŽ •‘ ‘˜‡‡ ƒ ‡ƒ
‡‡–‹‰‹ˆ–Ї
‘•—‡”‹•”‡
‡‹˜‹‰•‡”˜‹
‡•ˆ”‘—Ž–‹’އƒ‰ ‡
‹‡•ǡ„—–‹•
Š”‘‹
ƒŽŽ›
‹
”‹•‹•ƒ††‘‡•‘–ƒ’’‡ƒ”–‘„‡•–ƒ„‹Ž‹œ‹‰ǤЇ‡ƒ‡‡– ‹‰™‹ŽŽ„‡ƒ‘’’‘”–—‹–› –‘ †‡–‡”‹‡ ƒ› ‘„•–ƒ
އ• –‘ •–ƒ„‹Ž‹œƒ–‹‘ ƒ†
”‡ƒ–‡ ƒ
‘ŽŽƒ„‘”ƒ–‹˜‡ ’Žƒ –‘ ”‡‘˜‡
–Ї•‡ ‘„•–ƒ
އ•ǡ –Ї”‡„› ‹
”‡ƒ•‹‰ ‡‰ƒ‰‡‡– ‹ •‡”˜‹
‡•Ǥ Ї 
‘•—‡” ™‹ŽŽ
’ƒ”–‹
‹’ƒ–‡ ‹ –Š‹• ‡‡–‹‰ —Ž‡••
‘–”ƒ‹†‹
ƒ–‡† †—‡ –‘ ƒ
—–‡  ‡–ƒŽ ‹ŽŽ‡•• ‘”
•—„•–ƒ
‡ —•‡ ‹••—‡•Ǥ ‘•—‡” ’ƒ”–‹
‹’ƒ–‹‘ ‡•—”‡• –Ї›  Šƒ˜‡ ƒ ˜‘‹
‡ ‹ –Ї‹” ‘™
–”‡ƒ–‡–ǡ–Šƒ––Ї‹”’‡”•’‡
–‹˜‡•ƒ†‰‘ƒŽ•ƒ”‡‹–‡‰”ƒ–‡†ƒ†ƒ–
Š–Ї‹”
‘‰‹–‹˜‡ƒ†
‡–ƒŽЇƒŽ–Š
ƒ’ƒ
‹–›ˆ‘”‡‰ƒ‰‡‡–Ǥƒ”–‹
‹’ƒ–‹‘ƒŽ•‘Їޒ• †‡–‡”‹‡–Ї„‡•–އ˜‡Ž
‘ˆ
ƒ”‡‡‡†‡†ˆ‘”‹’”‘˜‡†‘—–
‘‡•Ǥ
”‡
‘‰‹œ‡• –Šƒ– ‡ˆˆ‡
–‹˜‡
‘—‹
ƒ–‹‘ ƒ† ‡‰ƒ‰‡‡– †‡’‡†•‘
—Ž–‹˜ƒ–‹‰ –”—•–
™‹–Š
‘•—‡”•Ǥ  •–”‹˜‡•–‘Š‹”‡•–ƒˆˆ–Šƒ–”‡ˆŽ‡
––Ї
‘ —‹–‹‡•–Ї›™‘”‹ƒ†
ƒ”‡ †‡†‹
ƒ–‡† –‘ ‡•—”‹‰ –Šƒ– –Ї”‡ ƒ”‡ ‘
—Ž–—”ƒŽ „ƒ””‹‡”• –Šƒ– •–ƒ† ‹ –Ї ™ƒ› ‘ˆ
’”‘˜‹†‹‰–Ї„‡•–’‘••‹„އ
ƒ”‡–‘–Š‘•‡™‡•‡”˜‡Ǥ
 ™‹ŽŽ—–‹Ž‹œ‡–Ї ”‘‰”ƒ—’‡”˜‹•‘”–‘ˆ—
–‹‘ƒ•–Ї ‡š’‡”–™Š‘‘˜‡”•‡‡•–Ї
‡–ƒŽЇƒŽ–Š–Ї”ƒ’‹•–’‘•‹–‹‘ǡ‘ˆˆ‡”‹‰
Ž‹‹
ƒŽ‰—‹†ƒ
‡ƒ †’”‘˜‹†‹‰„ƒ
Ǧ—’™Š‡
‡
‡••ƒ”›Ǥ  Ї ”‘‰”ƒ —’‡”˜‹•‘” ™‹ŽŽ –”ƒ
 ”‡ˆ‡””ƒŽ• ƒ†
ƒ•‡Ž‘ƒ† ƒ
–‹˜‹–‹‡•ǡ –”ƒ

’”‘‰”‡••ǡ ’”‘˜‹†‡
Ž‹‹
ƒŽ •—’‡”˜‹•‹‘ ƒ† „‡•– ’”ƒ
–‹
‡
ƒ•‡
‘•—Ž–ƒ–‹‘ǡ ƒ† ‹•
”‡•’‘•‹„އˆ‘”•–ƒˆˆ‹‰ǡ•
Ї†—Ž‹‰ǡƒ†
‘˜‡”ƒ‰‡Ǥ
‘”–Ї‡–ƒŽ
‡ƒŽ–ŠЇ”ƒ’‹•–ƒ••‹‰‡†–‘‹‰‹–›‹ŽŽƒ‰‡ǡ ™‹ŽŽ‡’Ž‘›ƒˆ—ŽŽǦ–‹‡ ƒ••‘
‹ƒ–‡‡–ƒŽЇƒŽ–Š–Ї”ƒ’‹•–ǡƒ•™‡ŽŽƒ•™‹ŽŽ—–‹Ž‹œ‡–Ї ˆ—ŽŽǦ–‹‡”‘‰”ƒ—’‡”˜‹•‘”Ǥ ”‹•‹• ‡”˜‹
‡• ‹˜‹•‹‘ ‹ ™Š‹
Š –Š‹• ’”‘‰”ƒ ™‹ŽŽ „‡ Š‘—•‡† Šƒ• ƒ ƒŽ”‡ƒ†›
‡š‹•–‹‰ ‹˜‹•‹‘ ‹”‡
–‘” ™Š‘ ‘˜‡”•‡‡• ‡–ƒŽ ЇƒŽ–Š ƒ†
”‹•‹• •‡”˜‹
‡•ǡ ‹
Ž—†‹‰ ƒ

Ž‹‹
ƒŽ–”ƒ‹‹‰’”‘‰”ƒǤ
–ƒˆˆ‹‰“—ƒŽ‹ˆ‹
ƒ–‹‘•
‰‘‘† •–ƒ†‹‰ˆ‘”ǡ ǡ ŠǤǤ‘”•›ǤǤǢƒ† ƒ‹‹—‘ˆ Ͷ›‡ƒ”•–”ƒ‹‹‰ƒ† ‡š’‡”‹‡
‡™‹–Š‡–ƒŽЇƒŽ–Š
”‹•‹•ƒ••‡••‡–ƒ†‹–‡”˜‡–‹‘Ǥ
Ї ‡–ƒŽ
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‹ƒŽ








 
 













AFS-Dignity Village Mental Health Therapist Scope of Work

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-Budget








 
 













Alameda Family Services
CS Additional City Therapist Budget
Work Hours 2080
Months Left in FY 12
Total Work Hours Left in FY 2080
Fringe 0.17
FTE 40
Percentage of Hours left in FY 1.00
Name Title
ADP Rate Fringe Hours per
Week FTE Hire
Assumption
Additional City
Therapist Total Activity Additional City
Therapist
Karen Zeltzer, LCSW Program Director (licensed) 57.69$ 9.81$ 40 1.00 100% 4% 4% 5,616 $ TBH Therapist 35.00$ 5.95$ 40 1.00 100% 100% 100% 85,176$ Total Salary 90,792$
ODC - Program Supplies 600$
ODC - Laptop 1,000$
ODC - Occupancy items 1,000$
ODC - Other 600$
3,200$
Indirect Rate Load %s 0.160
Indirect Rate 15,039$
Total Expense 109,031$
Revenue 109,031$
Margin 0$
Calcs are driven by these inputs








 
 





















 
 





















 
 













SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #
NAME:

CONTACT
(A/C, No):

FAX
E-MAIL
ADDRESS:

PRODUCER
(A/C, No, Ext):

PHONE

INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY
Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR

CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE

DAMAGE TO RENTED
$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
1/10/2024
Acrisure Partners West Coast Insurance Services, LLC
900 E. Hamilton Ave. Suite 500
Campbell CA 95008
Certificate Department
925-686-2860 925-686-6118
[email protected]
License#: 6009644 Technology Insurance Company, Inc 42376 ALAMFAM-02
Alameda Family Services
2325 Clement Ave.

Alameda CA 94501
1206504443
A XY TWC4369415 1/1/2024 1/1/2025
1,000,000
1,000,000
1,000,000
As required by written contract, the following endorsements apply to the Certificate Holder and/or any other entity named in this section: Workers' Compensation Waiver of Subrogation WC040306 04-84.

Alameda Family Services
2325 Clement Avenue
Alameda CA 94501
USA








 
 













WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84)
Schedule
Person or Organization Job Description
Any person or organization as required by written contract.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 1/1/2024 Policy No. TWC4369415 Endorsement No. 0 Insured Alameda Family Services (A Non-Profit) Premium $ 39,583 Insurance Company Technology Insurance Company, Inc.

Countersigned by
WC 04 03 06
(Ed. 04-84)
rofit)
)
c.








 
 













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