06.e LC4YF 2024 City of Scandia AgreementCity of Scandia and
Lakes Center for Youth and Families
AGREEMENT
PARTIES
This agreement is made and entered into by and between the City of
Scandia, Minnesota ("Municipality") and Lakes Center for Youth and
Families (LC4YF).
2. RECITALS
LC4YF is a non-profit social service agency.
The mission of LC4YF is to ensure the success of youth, adults and
families through programming to meet the ever -changing needs of
individuals, families and our community.
Through this Agreement the Municipality intends to contract with LC4YF in
the amount of $5,500.00 to provide such services to its residents and to
act as a sponsor of LC4YF by providing financial support, a method to
establish appropriate services to be provided and policy guidance for its
activities.
This Agreement shall be used as the formal agreement between LC4YF
and each of the participating municipalities. This Agreement is intended to
continue the spirit of cooperation and collaboration in the provision of
social services between the Municipality and LC4YF.
3. TERMS AND CONDITIONS
In consideration of the mutual understandings of this Agreement, the
parties hereby agree as follows:
a. Prior Agreements Cancelled. By execution of this Agreement any prior
agreements and amendments thereto between the parties are hereby
cancelled.
b. Services Provided. LC4YF shall provide the Municipality and its residents
with youth and family programming upon request. This can include, but is not
limited to, proposed changes in services and programs and a summary of the
previous year's services. Description of these services may include a
presentation to the Municipality at a regularly scheduled meeting, an informal
meeting with less than a quorum of the Municipality board or a
conversation/meeting with a Municipality board member or Municipality
administrator.
c. Funding
i.ln addition to the participating municipality's share of the annual
budget, funds for the operation of LC4YF will be raised by LC4YF
endeavoring to secure user fees, grants and appropriations from
private organizations, private individuals, the State of Minnesota,
Federal and County agencies, and other legal and appropriate
sources.
ii Amounts payable by the Municipality shall be paid to at a date
mutually agreed upon by both parties, to cover the Municipality's share
for that year.
d. Further Obligations of LC4YF. In addition to the obligations set forth
elsewhere in this Agreement, this Agreement is further contingent upon
LC4YF doing the follows:
LC4YF shall provide to the municipality, upon request, bylaws, IRS tax
exempt status, annual report, audited financial statement, program
specific summary of services and any other reasonable information
request.
ii.Purchasing a policy of liability insurance in the amount of at least
$1,500,000.00, naming the Municipality as an additional insured and
providing a copy of the insurance certificate evidencing such policy to the
Municipality;
iii.LC4YF shall defend and indemnify the Municipality from any and all
claims or causes of actions brought against the Municipality of any matter
arising out of this Agreement or the services provided pursuant to this
Agreement; and,
e. Term. The term of this agreement will be through December 31,
2024. Unless either party gives at least 6 months written notice of its
intent to cancel this Agreement effective December 31 of the year in which
the notice is made, LC4YF will continue to provide services to the
Municipality if a successor agreement has not been executed prior to the
end of the term.
Distribution of Assets Upon Dissolution.
If LC4YF ceases to operate, the Board of Directors will follow the
provisions stated in the bylaws.
IN WITNESS WHEREOF, the parties have executed this Agreement on this date
set forth below.
MUNICIPALITY
City of Scandia
By:
Elected Official
Its:
Clerk/Manager/Administrator
Dated:
LC4YF
Lakes Center for Youth and Families
By: Jamie Prettner
Its: Interim Executive Director
Dated: 7/10/24
Ae"Rb®
il.. . CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
1 12/26/2023
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,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
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).
PRODUCER
CLINIACI
NAME: Macey Cannon
Carney Insurance Services, Inc
PHONE fi51 464-6001IFAX
A/C, No, E.: ( (AIC, No):
ADDRESS: cents@carneyteatn.com
944 Lake Street South
INSURER(S) AFFORDING COVERAGE
NAIC #
Forest Lake MN 55025
INSURER A : SECURA INSURNCE
INSURED
INSURER B : SFM MUT INS CO
11347
Lake Center for Youth & Families
INSURER C : WEST BEND MUTUAL
20 LAKE ST N, Unit #103
INSURER D :
INSURER E :
FOREST LAKE MN 55025-2523
INSURER F :
COVERAGES CERTIFICATE Nl1MRFR: RFVIRION NtIMRFR-
THIS IS TO CERTIFY THAT 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 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.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MMIDDIYYYY)
(MM/DD/YYYY)
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I I OCCUR
CP003357676
01/01/2024
01/01/2025
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurrence)
$ 300,000
MED EXP (Anyone person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PE� LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
(Per accident)
$
$
A
UMBRELLA LIAB
EXCESSUAB
OCCUR
CLAIMS -MADE
CU3357677
01/01/2024
01/01/2025
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
DED RETENTION $
$
BOFFICER/MEMBER
WORKERS COMPENSATION
ND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
21434.220
12/01/2023
12/01/2024
v
I� STATUTE ER
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$ 100,000
E.L. DISEASE - POLICY LIMIT
$ 500,000
C
Directors and Officers
B029934
01/24/2024
01/24/2025
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
1"3ill III 1iiii Pf-111 17iP1111913G1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Scandia I ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 128 I AUTHORIZED REPRESENTATIVE
Scandia MN 55073
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