2006 Service Agreement
DEPARTMENT OF FINANCE
AND ADMINISTRATION
Rodney Franz, Director
300 West Ash, P.O. Box 736
Salina, Kansas 67402-0736
Cityoi'
~
salina
TELEPHONE (785) 309-5735
FAX (785) 309-5738
TDD (785) 309-5747
E-MAIL rod.franz@salina.org
Website: www.salina-ks.gov
Service Agreement
This agreement entered into on the 1st day of January, 2006 is made by and between the City of Salina,
Kansas, whose address is 300 West Ash Street, Salina, Kansas, referred to as "City", AND HOTLINE, whose address is
227 N Santa Fe, Salina, Kansas, referred to as "Provider."
Section 1, Services. The company hereby employs the provider to perform the following services in accordance with the
terms and conditions set forth in this agreement:
HOTLINE will provide taxi vouchers to qualifying individuals pursuant to the discussion a the City
Commission Study session on July 25, 2005
Section 2, Term of Agreement. This agreement will begin on the 1st day of January, 2006 and will end on the
_31st- day of December, 2006 . Either party may cancel this agreement upon thirty (30) days notice to the other
party in writing, by certified mail or personal delivery.
Section 3, Amount of Agreement: The amount of the agreement is:
$28,500.00
Section 4, Payment to Provider. The provider will be paid pursuant to the following terms and conditions:
Payment will be issued equal monthly installments, with the first payment to be distributed no later than
January 31, 2006
Section 5, Status of provider: The provider is a: Not for profit organization
Section 6, Performance Reporting. The provider shall file performance reports as noted:
Annual Report within 90 Days By March 31, a request for renewal funding is due to be
submitted to the City Clerk's Office, along with an annual report on ridership and fares provided
Section 7, Financial Reporting. The provider shall file financial reports as noted::
Unauditied Financial Report
Covering costs and revenues of the Voucher program.
Section 8, Nonperformance. In the event of provider non-performance or non-compliance with any section in this
agreement, this agreement may be cancelled with 30 days written notice, or in lieu thereof the City may elect to reduce
payments to provider.
Section 9, Compliance with applicable law. Provider shall comply all applicable Federal, State, and Local law and
regulation.
Section 10, City indemnified. Provider shall indemnify and save harmless the City, its officials, agents, servants, officers,
directors and employees from and against aJi claims, expenses, demands, judgments and causes of action for personal
injury, death, and/or damage to property where and to the extent to which such claims, expenses, demands, judgments
and causes of action arise from the Provider's negligent acts. Provider shall notify the City upon the receipt of any claim in
excess of $1,000 in connection with this contract. Provider shall file with City, prior to any payment being made, proof of
insurance as follows:
I:8J No proof of insurance required
0 Commercial General Liability
0 Automobile Liability
0 Professional Liability-Errors and Omissions
0 Workers Compensation Insurance
(statutory).
0 City if Salina required as additional named
insured on policy
0 Other (Please specify):
Comments:
All insurance is to provide a minimum of $500,000 single
limit coverage.
Section 11: Equal Opportunity/Affirmative Action. For agreements in which the value exceeds $20,000, provider shall
comply with the Equal Opportunity/Affirmative Guidelines attached.
Section 12. Independent Contractor. Both the City and the provider agree that the provider will act as an independent
contractor in the performance of its duties under this contract. Accordingly, the provider shall be responsible for payment of
City of Salina Standard Contract for Service; Page 10f 2
all taxes including Federal, State and local taxes arising out of the provider's activities in accordance with this contract,
including by way of illustration but not limitation, Federal and State income tax, Social Security tax, Unemployment
Insurance taxes, and any other taxes or business license fees as required.
Section 13. Attachments incorporated. The following attachments and supplemental documents are incorporated herein
and made an integral part of this agreement.:
I:8J Equal Opportunity/Affirmative Action Requirements
I:8J Provider Proposal
0 Certificates of Insurance
0 W-9 Form
I:8J Proof of Non-profit status
0 Other. Please Specify
Section 14: Official contacts for the City and the provider are:
City:
Name:
Title:
Address:
City, State, Zip
Telephone:
E-mail
Lieu Ann Elsey
City Clerk
300 West Ash, P. O. Box 736
Salina, KS 67401
V. 785-309-5735
Fax: 785-309-5738
LieuAnn. Elsey@salina.org
Name:
Title
Address:
City, State, Zip
Telephone:
E-mail:
Provider:
Liz Totten
Program Coordinator
227 N Santa Fe
Salina, KS 67401
785-827-4803
Section 15. Executed on the ~ day of January,
2006
For the City of Salina:
0"-1 ~
.~ ~ .
/ Jason Gage, City Manager
~
Lieu Ann Elsey, City Clerk
For the Provider
Attest:
~-ø4(~v~~
t~~ )Yiuu~-1J.U<Í~/ ~ ~- .
City of Salina Standard Contract for Service; Page 20f 2
'I EMPLOYMENT DATA REPORT
Employment at this establishment-Report all permanent full-time or part-time employees including apprentices and
on-the-job. Enter the appropriate figures on all lines and in all columns. Blank spaces will be considered as zeros.
JOB NUMBER OF EMPLOYEES
CATEGORIES Overall MALE FEMALE
Totals White Black Hispanic Asian American White Black Hispanic Asian American
(Sum of (not of (not of or Indian or (not of (not of or Indian or
columns Hispanic Hispanic Pacific Alaskan Hispanic Hispanic Pacific Alaskan
B thru K) origin) origin) Islander Native origin) origin) Islander Native
A B C D E F G H I J K
Officials and
ManaQers 1 I
Professionals 2
Technicians 3 i
Sales Workers 4
Office and J
Clerical 5
Craft Workers
(Skilled) 6
Operatives
(Semi-Skilled) 7
laborers
(Unskilled) 8
Service Workers 9
TOTAL 10 3
Total reported in
last Employment <I
Data Report 11
(The trainees below should also be included in the fiaures for the appropriate occupational cateQories above.)
White Collar 12
Production 13
1. Dates of payroll period used: J.:JI.:?I /"'-:: 2. Does this establishment employ apprentices?
- Yes No
.-.!.-.>",,)--'..'..;--;.;.
1. Is the location of the establishment the same as that reported last year? - Yes - No - No report last year
2. Is the major business activity at that establishment the same as that reported last year? -,¿, Yes - No - No report last year
3. What is the major activity of this establishment? Be specific, i.e., manufacturing steel castings, retail grocer, wholesale plumbing
supplies, title insurance, etc. Include the specific type of product or service provided, as well as the principal business or industrial activity.
-+rti 11.5p(")rk+t '0 V'\ I h:ts'¡ ç ¡~()t~ q,SS IS-k< ~
Remarks: (Use to explain major changes from last report, other pertinent information).
Name of Certifying Official Title Signature Date
~1 .UI¡o. v\1A.DiO,{~u\'l111.t\".- >' v }, ; n. QJlL ~1 AA ìJtA jD,b
Per~on to contact regarding Street Address £"
this report ;:):;;"7 /\/. r .L ß <11"
£/ Dm City ~ ç:t~. ~ Zip
c' -: If'LL> ¡, 7CfO/
Title: Phone Area Number Extension
Return to: Salina Human Relations Dept 76 <;- ( ) X'd7-C/YO3
300 West Ash, Salina KS 67401 FAX (if available)
FAX 785 - 309-5769 EDF - 100 (1/97)
RON THORNBURGH
Secretary of State
STATE OF KANSAS
June 08, 2005
MARLENE HANSMANN
HOTLINE - CRISIS,
227 N SANTA FE
STE 305
SALINA KS
INFORMATION ..........
67401
The records on file in this office indicate:
ID#: 81- 706 - 4
Current name:
HOTLINE - CRISIS, INFORMATION AND REFERRAL, INC.
Previous name(s):
CRISIS HOTLINE--DIAL HELP, INC.
Mailing address:
227 N SANTA FE 305
SALINA KS 67401
State of incorporation:
KANSAS
Date of incorporation/authorization:
July 19, 1983
In good standing:
(X) Yes
( ) No i
Authorized capital:
N/A
Resident Agent/Registered afe:
JEROME P. HELLMER
419 WASH
SALINA KS 67401
bw
Business Services: (785) 296-4564
FAX: (785) 296-4570
Web site: www.kssos.org
e-mail: kssos@kssos.org
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Elections: (785) 296-4561
FAX: (785) 291-3051
September 12,2005
Rod Franz
City of Salina
300 WAsh
Salina, Ks 67401
Dear Rod,
Have you heard the buzz? The Salina Taxi Voucher Program
has a new coordinator. Hi, I am Liz Totten, the new Taxi Voucher
Coordinator. Bob is moving on to other opportunities and I wish to
let you know that if you have any questions or concerns, please
call. I look forward to working with you.
Sincerely,
¿Ai~
Liz Totten
Salina Taxi Voucher
Program Coordinator
827 -4803 Office
HOTLINE
227 N. Santa Fe
Suite 305
Salina. Kansas 67401
LinkingResources-toNeeds!.... '.:. "'.....' "..'.'. . ......'..."..'
July 6, 2005
Rod Franz
City of Salina
300 WAsh
Salina KS 67401
Rod,
Enclosed please find my written request for funding from the City of Salina for FY
2006.
If you have questions, please feel free to give me a call.
Thanks for
~It
Bob Hunter
Program Coordinator
Salina Taxi Voucher Service
827-9224
Certifi<d by
to
A United Way
Member Agency
CrisisfToll Free. . . . . . . . . . . . (888) 887-9124
Administrative # . . . . . . . . . . . (785) 827-4803
Information & Referral. . . . . . . (785) 827-4747
www.salinaHOTLlNE.org
A~
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- Aaodado. .. Suldd."",-
HOTLINE
227 N. Soota Fe
Suite aas.=- 30'":5
Salina. Kansas 67401
:LinkingResourcestoNeeds!'.."..'...'..,... ...'...'...' '.'...'. ........<'
FUNDING REOUEST-
Salina Taxi Voucher Service, a program of HOTUNE Crisis, Information & Referral is requesting
$28,500.00 from the City of Salina for funding during the year of 2006. This is an increase of
$6,500.00 over funding for 2005. Due to increasing rider numbers and fare costs to the
program, we feel justified in asking for this amount. Kansas Department of Transportation
budgeted a total of $35,000.00 for the local match...an amount I feel exorbitant.
FUNDING SOURCES-
Following is a break down as to funding that has been verified for the year 2006...
City of Salina $22,000*
KOOT $35,000
State $14,000
Salina Area United Way $ 6,500
TOTAL $11,500
*current amount funded by the City of Salina...all other figures are for 2006
KOOT funding we will receive for FY 2006 is $14,500 (Federal) and $5,814.40 (State) short of
what was applied for in the last grant. Salina Area United Way has not increased their money
to this program for several years. We have contracted out all that we can in order to be
reimbursed for fares paid out...
SUMMARY-
In the first two quarters of 2005, we have already paid out $46,161.29 in fares. Comparing the
same time period for 2004, $29,763.85 was paid out. This is an increase of almost 65%. This
is truly a program that is working...word of mouth is a wonderful advertising tool. If this trend
continues, our fare expenses will be over the $90,000 mark by end of year. As you can see
from the figure above, we will fall short by approximately $14,800 for the year. The over 65-
age group accounts for approximately 35% of the total transports done; a majority of the
transports we do are for those persons who own no vehicle, single parents with no other
options for transportation, low income people who cannot afford to fix their broken down
vehicles, and other situations that leave no choices. Total number of transports provided in the
first two quarters of 2005 was 8860; for the same time period of 2004 the number transported
was 6558. This is an increase of 2302. These figures translate into an overall increase of fares
per transport of $0.68. Most of this increase is due to higher gasoline costs, higher insurance
premiums, higher repair costs, etc. Those increases are passed on to our program.
One of the stipulations to continue to receive funding from KOOT is to complete Project
Reviews from time to time. The last one filled out, in April of this year, asked for long-range
plans. Salina Taxi Voucher Service would like to eventually give free transports to those
individuals over the age of 65. But, as you can see, the opposite is true...we may have to start
cutting part of the program.
to
Crisis/Toll Free. . . . . . . . . . .. (888) 887-9124
Administrative # . . . . . . . . . .. (785) 827-4803
Information & Referral. . . . . .. (785) 827-4747
Salina Taxi Voucher Service. .. (785) 827-9224
A United Way
Member Ageocy
The Board of HOTLINE is meeting Saturday, July 9, to discuss long range plans for the
programs of HOTLINE. One of those programs to be discussed at length is Salina Taxi Voucher
Service. All agree it is a viable program...there just seems to be no one to fund monetarily
what is needed. Salina Taxi Voucher Service is too small to fight the big gun in town for
dollars, both from the City and from KDOT...but for a little pistol, we feel it does a great job!!
Thank you for your attention to this matter, and thank you for your consideration towards
funding goals fo our program
~I
Bob Hunter
Program Coordinator
Salina Taxi Voucher Service