Agmt10 Samaritan House MOU - Laserfiche WebLink

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includes, but not limited to, the following: Initial Screening Questionnaire, Risk Determination Assessment, Client Self Declaration of Housing Status, Client Self Declaration of Income, Verification of Income, Homeless Certification, HPRP Staff Affidavit Form, HPRP Client Intake Form, HMIS Data Collection Form, Client Assistance Agreement, Budget and Housing Forms, HPRP Client Exit Form, HMIS Discharge Form, 3 & 6 Month Follow-up form, and other forms as required. Additional forms and documents may be added as needed during the grant period. Note: Required dataformsfor financial assistance are to be completed and submitted to Samaritan Housefor each client PRIOR to issuing financial assistance checks to vendors. Incomplete or inaccurate dataforms will be returnedfor correction before assistance checks will be processed. Follow up interviews and/or surveys will be conducted on program participants at 3 and 6 months. Samaritan House and Contractor agree to coordinate efforts on the implementation of the follow-up component. Integration of Services & Interagency Communication Samaritan House and Contractor will work toward the highest degree of service integration and interagency communication. Specific procedures to be followed will include: Training: Contractor will participate in HPRP trainings and meetings for partner and agencies to be held by Samaritan House and the County of San Mateo concerning HMIS data collection and other program procedures. Program oversight committee: to ensure all partners have opportunities to participate in the oversight of the collaborative, an oversight committee comprised of one representative from each partner agency will meet quarterly to monitor the success of program logistics, interagency communication, service coordination, service/program modification, and program outputs and outcomes. Committee will review significant staffing changes that may affect service provision. Data collection and reporting: Both agencies agree to all data collection and HMIS requirements as outlined in the proposal and grant agreement and required by HUD regulations and HCD. Samaritan House will have primary responsibility for entering such data into the HMIS and reporting on collected data to HCD. Outreach and Marketing: Work collaboratively with the oversight committee to implement outreach and marketing efforts to eligible participants for HPRP funding. Conduct outreach and marketing activities for HPRP funding within contractor's scope of services. Insurance Both Samaritan House and Contractor will maintain adequate liability and property insurance. Each agency will name the other as an additional insured on their policies. Personnel, Space, and Materials Contractor will be responsible for recruitment, hiring, supervision, training, payroll, and benefits of their staff providing the services as described above under Services to be provided. Time and activity reports are required for all reimbursement of personnel costs related to this agreement. Any significant changes in staffing that may affect service provision may be City of Redwood City/Fair Oaks Community Center - State HPRP funding; November 1, 2009-September 30,2011 2