HomeMy WebLinkAboutFD American Red Cross Facility Use Agreement+ American
Red Cross
Bay Area Chapter
American Red Cross Shelter Information for Shelter Facility Participants
The American Red Cross Bay Area Chapter in Marin, in cooperation with local city and county government,
maintains a database of approximately 150 emergency disaster shelter facilities. While many of these are
government buildings and public schools, private facilities are also an important part of the community shelter
resource, especially in the event of a local emergency.
Public and private facilities, such as yours, have been contacted by the Red Cross in the past and have agreed to
become a shelter facility in the event of a disaster .
Survey
As a part of the Red Cross disaster preparedness program, trained disaster volunteers from the Red Cross in Marin
periodically conduct on-site shelter facility surveys and update contact information. Survey information is needed
to determine the size and capability of each shelter facility, while the contact information is necessary for Red Cross
to reach a facility representative to authorize use and opening of the facility.
Agreement Opportunity
In order for a facility to become a Red Cross emergency shelter, a standard agreement between the shelter facility
and the American Red Cross is signed by both parties.
The request to open and use a facility as a shelter can come from the Red Cross, the local government, fire or police
departments. When the Red Cross makes such a request, it is almost always in response to a local disaster or
emergency and the Red Cross works closely with the local authorities.
Activation Procedure
The Red Cross emergency shelter procedure is as follows :
1. The Red Cross always requests permission from the facility owner to open and use the facility as a shelter.
By agreeing to become a local shelter, it is imperative that Red Cross obtain and maintain day, night, and
weekend contact information of those authorized to grant permission to open and use the facility.
2. The facility owner will always have the right to refuse to open the shelter. When the Red Cross requests
the use of a facility as a shelter, the owner will be informed on the amount of time the shelter is expected
to be open.
3. After authorization to open the shelter has been granted by the owner, trained Red Cross disaster relief
workers inspect the facility along with a representative from your facility to determine the building'S safety
and current condition. When the facility has been approved for use, trained Red Cross personnel will be
assigned to manage the shelter and, if required, cots, blankets, food, and other emergency supplies will be
provided by Red Cross. No facility supplies are required or expected, although it is often helpful to have a
facility person accessible to help with the operation of the facility.
4. While open, Red Cross staffwill keep the facility owner informed on the status of the operation.
5. Upon the closing of a shelter, the Red Cross will conduct a post-inspection of the facility with a
representative from your facility. Red Cross responsibilities for operating expenses and damage to the
facility are specified in the written agreement.
ARCBA shelter agreement info sheet 5.3.2011
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American
RedCrou
Bay Area Chapter
Together, we can SDW! a life
Phillip Rollins
Shelter Survey Coordinator
Bay Area Chapter
712 Fifth Avenue
San Rafael , CA 94901-3203
Phone: (415) 497-2838
Fax : (415) 721-2377
philfishing@gmail .com
www.redcross.org
American
Red Cross
Facility Use Agreement
Disaster Cycle Services Job Tools
Deploy Materials Workers & Technology / Facility Management
The American National Red Cross ("Red Cross"), a non-profit corporation chartered by the United States Congress,
provides services to individuals, families and communities when disasters strike. The disaster relief activities of the
Red Cross are made possible by the American public who support the Red Cross with generous donations. The Red
Cross's disaster services are also supported by facility owners who permit the Red Cross to use their buildings as
shelters and other service delivery sites for disaster victims. This agreement is between the Red Cross and a facility
owner ("Owner") so the Red Cross can use the facility to provide services during a disaster. This agreement only
applies when Red Cross requests use of the facility and is managing the activity at the facility.
Parties and Facility
Owner:
Full Name of Owner City of San Rafael
Address 1400 5th Avenue, San Rafael, CA 94904
24-Hour Point of Contact Robert Sinnott, Deputy Fire Chief
Name and Title 415-485-5067 office
Work Phone 415261-7333 cell
Cell Phone
Address for Official 1600 Los Gamos Drive, suite 345
Notices (only if different San Rafael, CA 94903
from above address)
Red Cross:
Chapter Name American Red Cross -Bay Area Chapter
Chapter Address 1663 Market Street, San Francisco, CA, 94103
24-Hour Point of Contact Debbie Vee, Senior Disaster Program Manager, 707-639-6851 cell OR
Name and Title Red Cross 24/7 Dispatch Line: (866) 272-2237 OR
Work Phone Red Cross 24/7 Disaster Program Manager On Call: 707-200-7802
Cell Phone
Address for Official American Red Cross, Disaster Cycle Services Logistics, 8550 Arlington Blvd., Fairfax,
Notices VA 22031
Facility:
Insert name and complete street address of building or, if multiple buildings, write "See attached facility list," and
attach facility list, including complete street address of each building that is part of this agreement. If the Red Cross
will use only a portion of a building, then describe the portion of the building that the Red Cross will use.
1. B Street Community Center. 618 B St San Rafael, CA 94901
2. Albert Boro Community Center. 50 Canal St San Rafael, CA 94901
3. Terra Linda Community Center. 670 Del Ganado Rd San Rafael, CA 94903
DMWT Facility Use Agreement V.2.0 2017.06.29
Owner: Disaster Cycle Services
Author: Deploy Materials, Workers and Technology Process
American
Re d Cross
Facility Use Agreement
Disaster Cycle Services Job Tools
Deploy Materials Workers & Technology / Facility Management
Terms and Conditions
1. Use of Facility: Upon request and if feasible, Owner will permit the Red Cross to use and occupy the Facility on
a temporary basis to conduct emergency, disaster-related activities. The Facility may be used for the following
purposes (both parties must initial all that apply):
Facility Purpose o.wner Initials Red Cross Initials
Service Center (Operations, Client Services , or Volunteer Intake)
Storage of supplies
Parking of vehicles
Disaster Shelter
2. Facility Management: The Red Cross will designate a Red Cross official to manage the activities at the Facility
("Red Cross M~nager"). The Owner will designate a Facility Coordinator to coordinate with the Red Cross
Manager regarding the use of the Facility by the Red Cross.
3. Condition of Facility: The Facility Coordinator and Red Cross Manager (or designee) will jointly conduct a
survey of the Facility before it is turned over to the Red Cross. They will use the first page of the Red Cross's
Facility/Shelter Opening/Closing FoMlt to record any existing damage or conditions. The Facility
Coordinator will identify and secure all equipment in the Facility that the Red Cross should not use. The Red
Cross will exercise reasonable care while using the Facility and will not modify the Facility without the Owner's
express written approval.
4. Food Services (This paragraph applies only when the Facility is used as a shelter or service center.): Upon
request by the Red Cross, and if such resources are available, the Owner will make the food service resources of
the Facility, including food, supplies, equipment and food service workers, available to feed the shelter
occupants. The Facility Coordinator will designate a Food Service Manager to coordinate meals at the direction
of and in cooperation with the Red Cross Manager. The Food Service Manager will establish a feeding schedule
and supervise meal planning and preparation. The Food Service Manager and Red Cross Manager will jointly
conduct a pre-occupancy inventory of the food and food service supplies before the Facility is turned over to the
Red Cross. When the Red Cross vacates the Facility, the Red Cross Manager and Facility Coordinator or Food
Service Manager will conduct a post-occupancy inventory of the food and supplies used during the Red Cross's
activities at the Facility.
5. Custodial Services (This paragraph applies only when the Facility is used as a shelter or service center.): Upon
request of the Red Cross and if such resources are available, the Owner will make its custodial resources,
including supplies and workers, available to provide cleaning and sanitation services at the Facility. The Facility
Coordinator will designate a Facility Custodian to coordinate the these services at the direction of and in
cooperation with the Red Cross Manager.
6. Security/Safety: In coordination with the Facility Coordinator, the Red Cross Manager, as he or she deems
necessary and appropriate, will coordinate with law enforcement regarding any security and safety issues at the
Facility.
DMWT Facility Use Agreement V.2.0 2017.06.29
Owner: Disaster Cycle Services
Author: Deploy Materials, Workers and Technology Process
American
Red Cross
Facility Use Agreement
Disaster Cycle Services Job Tools
Deploy Materials Workers & Technology / Facility Management
7. Signage and Publicity: The Red Cross may post signs identifying the Facility as a site of Red Cross operations in
locations approved by the Facility Coordinator. The Red Cross will remove such signs when the Red Cross
concludes its activities at the Facility. The Owner will not issue press releases or other publicity concerning the
Red Cross's activities at the Facility without the written consent of the Red Cros~ Manager. The Owner will refer
all media questions about the Red Cross activities to the Red Cross Manager.
8. Closing the Facility: The Red Cross will notify the Owner or Facility Coordinator of the date when the Red Cross
will vacate the Facility. Before the Red Cross vacates the Facility, the Red Cross Manager and Facility
Coordinator will jointly conduct a post-occupancy inspection, using the second page of the Shelter/Facility
Opening/Closing Form, to record any damage or conditions.
9. Reimbursement: Subject to the conditions in paragraph 10(e) below, the Red Cross will reimburse the Owner
for the following:
a. Damage to the Facility or other property oj Owner, reasonable wear and tear excepted, resulting
from the operations of the Red Cross. Reimbursement for facility damage will be based on
replacement at actual cash value. The Red Cross, in consultation with the Owner, will select from
bids from at least three reputable contractors. The Red Cross is not responsible for storm damage
or other damage caused by the disaster.
b. Reasonable costs associated with custodial andJood service personnel and supplies which would
not have been incurred but for the Red Cross's use of the Facility. The Red Cross will reimburse at
per-hour, straight-time rate for wages actually incurred but will not reimburse for (i) overtime or
(ii) costs of salaried staff.
c. Reasonable, actual, out-oj-pocket costs Jor the utilities indicated below, to the extent that such
costs would not have been incurred but for the Red Cross's use of the Facility. (Both parties must
initial all utilities that may be reimbursed by the Red Cross):
Red
Water
Gas
Electrici
Waste Dis
d. The Owner will submit any request for reimbursement to the Red Cross within 60 days after the
occupancy of the Red Cross ends. Any request for reimbursement must be accompanied by
supporting invoices. Any request for reimbursement for personnel costs must be accompanied by a
list of the personnel with the dates and hours worked.
e. If the disaster is a Federally-declared disaster and Owner is a municipal or state government entity,
then the Owner will work with appropriate emergency management agencies to seek cost
reimbursement through the Federal Emergency Management Agency's program for administering
Public Assistance Category B under the Robert T. Stafford Act. The Red Cross is not obligated to
reimburse the Owner for costs covered by Public Assistance Category B.
10. Insurance: The Red Cross shall carry insurance coverage in the amounts of at least $1,000,000 per occurrence
for Commercial General Liability and Automobile Liability. The Red Cross shall also carry Workers'
Compensation coverage with statutory limits for the jurisdiction within which the facility is located and
DMWT Facility Use Agreement V.2.0 2017.06.29
Owner: Disaster Cycle Services
Author: Deploy Materials, Workers and Technology Process
American
Red Cross
$1,000,000 in Employers' Liability.
Facility Use Agreement
Disaster Cycle Services Job Tools
Deploy Materials Workers & Technology / Facility Management
11. Indemnification: The Red Cross shall defend, hold harmless, and indemnify Owner against any legal liability,
including reasonable attorney fees, in respect to claims for bodily injury, death, and property damage arising
from the negligence of the Red Cross during the use of the Facility.
12. Term: The term of this agreement begins on the date of the last signature below and ends 30 days after written
notice by either party.
City of San Rafael
Jim Schutz
Name (Printed)
City Manager
Date
DMWT Facility Use Agreement V.2.0 2017.06.29
Owner: Disaster Cycle Services
Author: Deploy Materials, Workers and Technology Process
The American National Red Cross
(Legal Name) [)fl; ~
By (Signature) 0--=
_Debbie yee ____________ _
Name (Printed)
_Senior Disaster Program Manager ____ _
Title
_March 28, 2018 ___________ _
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Fire Department
Project Manager: Robert Sinnott
Extension: 5067
Contractor Name: American Red Cross
Contractor's Contact: Phillip Rollins
Contact's Email: philfishing@gmail.com
D FPPC: Check if Contractor/Consultant must file Form 700
Step RESPONSIBLE DESCRIPTION
DEPARTMENT
1 Project Manager a. Email PINS Introductory Notice to Contractor
Robert Sinnott
b. Email contract (in Word) & attachments to City
Atty c/o Laraine.Gittens@cityofsanrafael.org
2 City Attorney a. Review, revise, and comment on draft agreement
and return to Project Manager
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
3 Project Manager Forward three (3) originals of final agreement to
contractor for their signature
4 Project Manager When necessary, * contractor-signed agreement
agendized for Council approval
*PSA > $20,000; or Purchase> $35,000; or
Public Works Contract> $125,000
Date of Council approval
PRINT CONT INUE ROUTING PROCESS WITH HARD COPY
5 Project Manager Forward signed original agreements to City
Attorney with printed copy of this routing form
6 City Attorney Review and approve hard copy of signed
agreement
7 City Attorney Review and approve insurance in PINS, and bonds
(for Public Works Contracts)
8 City Manager / Mayor Agreement executed by Council authorized official
9 City Clerk Attest signatures, retains original agreement and
forwards copies to Project Manager
COMPLETED
DATE
3/21/2018
3/21/2018
3/27/2018
3/27/2018
3/37/18
~ N/A
Or
Click here to
enter a date.
3/2q/lf6
3/2..'1/1 g-s-so-fr
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REVIEWER
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