AGREEMENT WITH GOODWILL FOR SCSEP FY16.PDF

HOST AGENCY AGREEMENT
Host Agency Maricopa County
As part of the Senior Community Service Employment Program (SCSEP), operated under Title V
of the Older Americans Act, this Agreement is voluntarily entered into by Maricopa County
administered by it Human Services Department, a governmental agency, (hereinafter referred to as the
Host Agency), and Goodwill Industries of Central Arizona (hereinafter referred to as Goodwill). The
intent of this agreement is to provide useful community service assignments for low-income mature
workers, in order to increase their skills and assist transition to permanent employment.
The host agency agrees:
• To provide a safe and healthful training site, adequate orientation and training, additional
training as needed, and to treat each participant as a valued partner in the host agency.
• To assist Goodwill in transitioning fully trained participants off of the program; and to
consider participants for regular employment on its staff when vacancies occur or when new
positions are created.
• To abide by mutually agreed to training schedules, documented through properly prepared
time sheets, activity reports and periodic performance evaluations: Volunteer or overtime
hours are not permitted. Participants are required to attend periodic meetings during
regular working hours, and the host agency recognizes that participants will be unavailable
for training during these times.
• To report any and all in-kind contributions accurately, documenting supervisors’ rates of pay,
time spent training and providing oversight of the participant, and any other and all other
records and assistance necessary to prove Goodwill’s compliance with SCSEP regulations.
(See Host Agency In-kind Supervision Report and Host Agency Handbook)
• Sponsorship of a participant will not result in the partial or total displacement of currently
employed workers; will not reduce regular hours worked, wages, or benefits; will not be used
as a replacement for a position from which a person has been laid off; will not impair
existing contracts or result in the substitution of Federal funds for other funds in connection
with work that would otherwise be done. See Host Agency Handbook for more information
on Maintenance of Effort violations.
• To assure that participants are not discriminated against based on age, race, color, religion,
sex, national origin, disability, veteran status, political affiliation, or any other basis prohibited
by law.
• To send a representative to a group meeting of host agency supervisors. Group meetings of
host agency supervisors or designated representatives will be held annually to acquaint all
concerned with the SCSEP goals and objectives.
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HOST AGENCY AGREEMENT
• To furnish any tools, equipment, supplies and safety training, equipment or preparation
required to perform the participant’s training assignment.
• To comply with applicable provisions of the Americans with Disabilities Act.
• To maintain adequate insurance covering participants while acting under the host agency’s
supervision. This obligation includes the maintenance of comprehensive general liability
insurance. Additionally, if participants have been authorized to drive as part of their
assignments, the agency will insure that all documentation required is completed before
participant is assigned to drive. This includes an agreement of continuous liability coverage
($100,000/$300,000), agency insurance information, insurance declaration pages, official
driving record of the participant, a copy of their valid driver’s license and any other
information necessary to minimize the agency’s liability.
• To not hold Goodwill liable for any damages incurred in the case of a driving accident
involving an assigned participant.
• Assure that participants are not assigned to positions that involve political activities on
behalf of either partisan or non-partisan groups.
• To adhere to policies and responsibilities as detailed in the Goodwill SCSEP Host Agency
Handbook.
Goodwill agrees:
• To recruit, enroll, and assign a participant to the host agency for the purpose of engaging in
productive community service training with duties and tasks as specified in a written
description of a community service training assignment.
• To be responsible for all administrative and fiscal controls of the SCSEP and for paying
wages and providing applicable fringe benefits, including worker’s compensation, to each
participant as defined in the Goodwill SCSEP Participant Handbook.
Goodwill reserves the right to reassign any participant whenever reassignment will increase
opportunities for training or unsubsidized employment, will serve the best interests of the
participant, or will better support the goals and objectives of the program. Host agency
understands that they have no inherent right to a participant and that assignment of
participants to that host agency depends upon the training needs and job goals of that
participant. The host agency may terminate its participation as a host agency at any time for any
reason upon notification to Goodwill. This agreement may be amended by written mutual
agreement.
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HOST AGENCY AGREEMENT
The Parties agree to the terms of the Addendum attached hereto. In the event of conflict between
the Addendum and the terms of this Host Agreement, the Addendum terms are controlling.
This Host Agency Agreement is in effect from 7/1/2015 to June 30, 2016
(Date) (Date)
**PLEASE NOTE MAINTENANCE OF EFFORT VIOLATIONS:
Sponsorship of a participant will not result in the partial or total displacement of currently
employed workers; will not reduce regular hours worked, wages, or benefits; will not be
used as a replacement for a position from which a person has been laid off; will not impair
existing contracts or result in the substitution of Federal funds for other funds in
connection with work that would otherwise be done. See Host Agency Handbook for
more information on Maintenance of Effort violations.
This organization agrees not to willingly violate any maintenance of effort.
Supervisor’s Signature __________________________________________________________
Host Agency: Maricopa County Goodwill Industries of Central Arizona
Address: 301 W. Jefferson
(Signature of Authorized Goodwill Staff)
Phoenix, AZ 85004
County: Maricopa Signature:
FEIN: 86-6000472
Name: Tamera Murray
Title: Mgr, Volunteer Experience & Senior Services
Signature:
Date: July 1, 2015
Name: Steve Chucri
Title: Chairman, Board of Supervisors
Date:
Definition of Host Agency Status
x This host agency is a government agency.
This host agency is a certified non-profit agency under Section 501(c) (3) of the
U.S. Internal Revenue Code
501(c) (3) documentation is attached.
501(c) (3) documentation is on file with Goodwill
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Addendum to
Goodwill Industries
Senior Community Service Employment Program
Host Agency Agreement with Maricopa County
1. Conflict of Terms: In the event there is a conflict between the terms of this Addendum and the terms of the Host
Agency Agreement, the terms of this Addendum control.
2. General Liability Insurance Exception: In the event the Host Agency or sub-contractor(s) is/are a public entity, then the
Insurance Policy Requirements shall not apply. Instead such public entity shall provide a Certificate of Self-Insurance
equal to the levels required by Host Agreement. Goodwill will provide all workman compensation insurance.
3. Reciprocal Indemnification: Each party (as "Indemnitor") agrees to defend, indemnify, and hold harmless the other party
(as "Indemnitee") from and against any and all claims, losses, liability, costs, or expenses (including reasonable
attorney's fees) (hereinafter collectively referred to as "Claims") arising out of bodily injury of any person (including
death) or property damage, but only to the extent that such Claims which result in vicarious/derivative liability to the
Indemnitee are caused by the act, omission, negligence, misconduct, or other fault of the Indemnitor, its officers,
officials, agents, employees, or volunteers.
4. Maricopa County is a governmental entity and therefore exempt from providing certification of 501(c) (3) status.
5. Conflict of Interest. Participation in this Agreement is subject to Section 38-511 of the Arizona Revised Statutes which
provides that this Agreement may be cancelled if any person significantly involved in initiating, negotiating, securing,
drafting or creating this Agreement on behalf of the County is, at any time while this Agreement, or any extension
thereof, is in effect, an employee or agent of the other party to this Agreement in any capacity or a consultant to any
other party with respect to the subject matter of this Agreement.
6. Either party may terminate this agreement with 30-days written notice. Notice shall be mailed by first class mail or
hand-delivered. The address for such notices is:
Bruce Liggett, Director Tamara Murray Mgr. Volunteer Experience & Senior Serv
Maricopa County Human Services Department Goodwill of Central Arizona
234 N. Central, 3rd Floor 2626 W. Beryl Ave
Phoenix, AZ 85004 Phoenix, AZ 85021
602-506-5911 602-535-4144
7. Notice of Arbitration Statutes. Pursuant to Arizona Revised Statutes Section 12-1518, the parties acknowledge and
agree that they will be required to make use of mandatory arbitration of any legal action that is filed in the Arizona
superior court concerning a controversy arising out of this Agreement if required by Section 12-133 of the Arizona
Revised Statutes.
8. Miscellaneous.
a. Neither party shall have the right to assign this Agreement without the prior written consent of the other
party.
b. This Agreement constitutes the entire agreement and understanding of the parties with respect to its
subject matter. No prior or contemporaneous agreement or understanding will be effective.
c. This Agreement shall be governed by the laws of Arizona, the courts of which state shall have jurisdiction
over its subject matter.
d. The individual signing on behalf of Host Agency hereby represents and warrants that s/he is duly
authorized to execute and deliver this Agreement on behalf of Host Agency and that this Agreement is
binding upon Host Agency in accordance with its terms.
e. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, and
all of which together shall constitute one and the same instrument.