The URL can be used to link to this page

Home My WebLink AboutAgreements/Contracts - New Hope DV/SAAugust 2, 2022 Board. of Grant County Commissioners PO Box 37 Ephrata, WA 98823 RE: Signature for Contract #22."31219-012 Amendment A Dear Board of County comm iss"I . onerso. Please see attached contract for review and approval* Contractor: Department of Commerce,- Office of Crime Victims Advocacy Term of Contract: . 7..1.2022 to 6.30.2023 .Puroose: Waive match requirement Su'zi l=ode is requesting permission to Docu-Sign -electronically with the contractor. Thank you for your consideration, Suzi Fode,, Director Kids Hope and New Hope EEID ' U i 12 202 GRANT COUNIY COMMISSIONERS DocuSign Envelope ID: C6216709-9FC0-46D3-84A8-ADC413D031C3 Amendment Commerce Grant Amendment Face Sheet Washington State Department of Commerce Community Services and Housing Division Office of Crime Victims Advocacy SFY 2022-2023 Crime Victim Service Center Grant Grant Number: 22-31219-012 Amendment Number: A 1. Grantee 2. Grantee Doing Business As (optional) GRANT, COUNTY OF New Hope PO BOX 37 EPHRATA WA 98823-0037 3. Grantee Representative (only if updated) 4. COMMERCE Representative (only if updated) 5. Original Grant Amount 6. Amendment Amount 7. New Grant Amount $199,988.00 1 $199,961.00 $399,949.00 8. Amendment Funding Source 9. Amend. Effective Date 10. End Date Federal: 0 State: Z Other: ❑ N/A: ❑ 1 7/1/2022 12:00:00 AM 1 06/30/2023 11. Federal Funds (as applicable) Federal Agency: CFDA Number: Indirect Rate $181363.00 Department of Justice, 16.575 (if applicable): Office for Victims of Crime 12. SWV # 13. UBI # 14. UEI # SWV0002426-17 132001884 ZL6WM26K8KR5 15. Amendment Purpose To de -obligate unspent funds from Year 1, add funding for Year 2, and to reduce the match requirement on this grant. COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of this Grant and attachments and have executed this Grant on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Grant are governed by this Grant and the following other documents incorporated by reference: Grant Terms and Conditions including Attachment A — Scope of Work; Attachment B — Budget; Attachment C —Equal Employment Opportunity Plan Certification; Attachment D - Victims of Crime Act (VOCA) Program Rule; and Grantee's Original Application for funding. A copy of this Grant Amendment shall be attached to and made a part of the original Grant between COMMERCE and the Grantee. Any reference in the original Grant to the "Grant" shall mean the "Grant as Amended". FOR GRANTEE FOR COMMERCE Diane Klontz, Assistant Director Signature SuziFode Date Name Director APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL Title APPROVAL ON FILE Date DocuSign Envelope ID: C6216709-9FC0-46D3-84A8-ADC413D031 C3 Amendment A Grant Number: 22-31219-012 Amendment Number: A The purpose of this amendment is to de -obligate unspent funds from Year 1 (7/1/21 through 6/30/22) and add funds to the budget for Year 2 (7/1/22 through 6/30/23) and to reduce the match requirement for the grant period. This Grant is amended as follows: 1. Acknowledgement of Federal Funding Federal Award Date: 9/17/2020 Federal Award Period: 10/1/2019 — 9/30/2023 Federal Award Identification Number (FAIN): 2020-V2-GX-0022 Total Amount of the Federal Award: $38,159,052 Awarding Official: Department of Justice, Office of Justice Programs, Office for Victims of Crime Allocation by this action reduced to: $181363.00 The Grantee agrees that any publications (written, visual, or sound) but excluding press releases, newsletters, and issue analyses, issued by the Grantee describing programs or projects funded in whole or in part with federal funds under this Grant, shall contain the following statements: "This project was supported by Grant No. 2020-V2-GX-0022 awarded by Office for Victims of Crime, US Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the Office for Victims of Crime, US Department of Justice. Grant funds are administered by the Office of Crime Victims Advocacy, Washington State Department of COMMERCE." In the event a correction is required to the Acknowledgement of Federal Funding, an administrative change will be processed. A change to the Acknowledgement of Federal Funding will not affect your budget or scope of work and notice will be provided. This subaward may not be used for research and development purposes. 5. COMPENSATION COMMERCE shall pay an amount not to exceed ($399,949.00) for the performance of all things necessary for or incidental to the performance of work as set forth in Attachment A - Scope of Work. Grantee's compensation for services rendered shall be based on the following rates or in accordance with Attachment B — Budget. Funds added for Year 2 (7/1/22 through 6/30/23) are state funds and not federal funds. The Grantee shall provide a non-federal match for the Victims of Crime Act portion of this Grant. The total match to be provided shall be no more than the $33,797.00 already provided by the Grantee. All funds designated as match are restricted to the same uses as VOCA federal funds. Match funds may be expended in a greater proportion to grant funds, however, all match funds must be expended prior to the close of this Grant. Expenditures of match funds must be identified on the invoice voucher form. Transfer of funds between line item budget categories must be approved by the Office of Crime Victims Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) DocuSign Envelope ID: C6216709-9FC0-46D3-84A8-ADC413D031 C3 percent of the total program budget shall be subject to justification and negotiation between the Grantee and OCVA, including approval from the Grantee's signature authority and the relevant OCVA Section Manager. Payment will be on a reimbursement basis only. Consultant fees may not exceed $650 per day or $81.25 per hour for the Victims of Crime Act portion of this Grant (excluding travel and subsistence costs). Travel expenses incurred or paid by Grantee shall be reimbursed at a rate not to exceed the current state rate and in accordance with the State of Washington Office of Financial Management Travel Regulations. Any out-of-state travel must be approved in advance by the COMMERCE program coordinator for this Grant. Current travel rates may be accessed at https:Hofm.wa.gov/sites/default/files/public/resources/travel/colormap.pdf. The Grantee agrees to comply with the financial and administrative requirements set forth in the current edition of the Office of Justice Programs Financial Guide, which can be found at https:Hoip.gov/financialguide/doi/odfs/DOJ FinancialGuide.pdf. Funds payable under this Grant include federal Victims of Crime Act (VOCA) victim assistance grant funds (CFDA Number 16.575). In performance of the services, requirements, and activities set forth herein, the Grantee shall comply with all applicable federal requirements of the Victims of Crime Act Rule https://www.federaI register.gov/documents/2016/07/08/2016-16085/victims-of-crime-act-victim- assistance-pro ram. 3 DocuSign Envelope ID: C6216709-9FC0-46D3-84A8-ADC413D031 C3 Grant Number: 22-31219-012 Amendment Number: A ATTACHMENT B — BUDGET The detailed budget is modified as follows: Budget Category Original Budget Year 1 Expended to Date Balance Remaining from Year 1 Year 2 Budget Amended Budget (Year 1 Expenditures + Year 2) Salaries $114,942.00 $115,547.00 $0.00 $118,339.00 $233,886.00 Benefits $44,040.00 $44,428.00 $0.00 $45,359.00 $89,787.00 Goods and Services $41,006.00 $39,986.00 $28.00 $36,290.00 $76,276.00 Match $49,997.00 $33,797.00 $0.00 $0.00 $33,797.00 Total $199,988.00 $199,961.00 $28.00 $199,988.00 $399,949.00 Funding for Year 2 (7/1/22 through 6/30/23) is entirely comprised of state funding. All federal funding left unspent from Year 1 is de -obligated as expenditures from that federal award are concluded as of 6/30/22. Transfer of funds between line item budget categories must be approved by the Office of Crime Victims Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) percent of the total program budget shall be subject to justification and negotiation between the Grantee and OCVA, including approval from the Grantee's signature authority and the relevant OCVA Section Manager. Travel expenses incurred or paid by Grantee shall be reimbursed at a rate not to exceed the current state rate and in accordance with the State of Washington Office of Financial Management Travel Regulations. Current rates for travel may be accessed at https:Hofm.wa.gov/sites/default/files/public/resources/travel/colormap .pdf. Any purchase over $5,000 must be pre -approved by COMMERCE. ALL OTHER TERMS AND CONDITIONS OF THIS GRANT REMAIN IN FULL FORCE AND EFFECT. 4 DocuSign Envelope ID: C6216709-9FC0-46D3-84A8-ADC413D031C3 Washington State Departmentof C--jol-ti mmer-ce DocuSign Contract Review and Routing Form Office of Crime Victims Advocacy K .e:,\ \ \. ; \• `,,\ ut, N.. + \�.\t "\,nth, � \ a, ,�„ , �'.. J . .\ h . � a��. 3\ @ a, , \ \ \` � .N �\, v � , . Q aG�� \ . �, \ ,." � , a ,\, ,Y\, ,. \, n \ ,\ \ " x ,, t\ .. � ,!`" .. „\ \. � \ ,.".\ \. \,C �. V .,r,. n\:Gn (,.` V�. r. .,..�� .i N \p\, ..: \ � ♦y. V\� ... � .. �\v. \1 Y \,. \ �. :: `l F ,\ ,t , `N \\: P t, `\ 1 b : h \. ,\Y �,\ , h .n.\:• ..,, \ M '4�... `\ • �\ ,�. V7 \ , 1. r , ��M, � e� n�e.ecis��a,.er �,\a . te,e sub \\ � si�o: a ,: \ i, : n\ \ � t , • \ � a t a a , n r� \ n . , s More s�s ��a \ � D echos s s� �\ ,�r� \ ,,t, .P . � �. \ . Reviewed by: Title: I verify that I have: Date: Grant Checked that Grantee has completed all Grant Manager required certifications and/or forms Jenna Osterman Manager Proofed documents 7/26/2022 (2:43 PM PDT Matched approved Obligation Summary Section Nicky Gleason Memo and Allocation Spreadsheet Manager 7/27/2022 13:32 PM PDT Reviewed entry and coding in CMS Correct template from IntraCOM has (Assistant) been used Trisha Smith Managing OR 7/28/2022 112:37 PM PDT Director Documentation has been included with reason for exception K .e:,\ \ \. ; \• `,,\ ut, N.. + \�.\t "\,nth, � \ a, ,�„ , �'.. J . .\ h . � a��. 3\ @ a, , \ \ \` � .N �\, v � , . Q aG�� \ . �, \ ,." � , a ,\, ,Y\, ,. \, n \ ,\ \ " x ,, t\ .. � ,!`" .. „\ \. � \ ,.".\ \. \,C �. V .,r,. n\:Gn (,.` V�. r. .,..�� .i N \p\, ..: \ � ♦y. V\� ... � .. �\v. \1 Y \,. \ �. :: `l F ,\ ,t , `N \\: P t, `\ 1 b : h \. ,\Y �,\ , h .n.\:• ..,, \ M '4�... `\ • �\ ,�. V7 \ , 1. r , ��M, � e� n�e.ecis��a,.er �,\a . te,e sub \\ � si�o: a ,: \ i, : n\ \ � t , • \ � a t a a , n r� \ n . , s More s�s ��a \ � D echos s s� �\ ,�r� \ ,,t, .P . � �. \ . Reviewed by: Title: I verify that I have: Date: Grant Checked that Grantee has completed all Manager required certifications and/or forms Updated 5/25/2022 DocuSigm .Certificate Of ldfion:.- Envelope Id: C62167099FC046D384A8ADC413D031 C3 Status: Sent Subject: Please DocuSign: OCVA CVSC VOCA20 Year 2 and Match Reduction Amendment 22-31219-012 Division: Community Services and Housing Program: OCVA ContractNumber: 22-31219-012 DocumentType: Contract Amendment Source Envelope: Document Pages: 5 Signatures: 0 Envelope Originator: Certificate Pages: 5 Initials: 0 Kelly Tracy AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone: (UTC -08:00) Pacific Time (US & Canada) Olympia, WA 98504-2525 kelly.tracy@commerce.wa.gov IP Address: 147.55.134.90 R666 ed, Tracking Electronic Record and Signature Disclosure: Not Offered via DocuSign Nicky Gleason nicky.gleason@commerce.wa.gov Washington State Department of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Trisha Smith trisha.smith@commerce.wa.gov Washington State Department of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Suzi Fode sfode@grantcountywa.gov Director Grant County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/22/2021 9:54:00 AM ID: f9391c86-5931-4a2b-9328-a83d20f3b27c Completed Using IP Address: 147.55.149.246 Completed Using IP Address: 147.55.149.189 Sent: 7/26/2022 2:43:55 PM Viewed: 7/27/2022 3:31:11 PM Signed: 7/27/2022 3:32:27 PM Sent: 7/27/2022 3:32:28 PM Viewed: 7/28/2022 12:37:20 PM Signed: 7/28/2022 12:37:27 PM Sent: 7/28/2022 12:37:29 PM Viewed: 7/28/2022 2:09:54 PM ner. Events S g :.'Sii nature 1'imesl m p: Diane Klontz diane.klontz@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign v _r In Person Si ner E eats.__ -Si natu e, .: imestam Editor Delive Events ry Status _T imestarr�, . Ev n = A ent �elove a ,ts __ _ _ - g :.,rY . _ _ Status - _ lime stam . . p Intermedia Delive Events: Status Ti MM mestam Gertrfied�"ry.-Ev n s Status :T im estam, Eve #s ,Carbon Co _ n _ .:. ; S atus Timestar�n Witness Events _, , Si nat ---------- Timesta " Nota a Summar : Events Envelop Y Status - Timestam p Envelope Sent Hashed/Encrypted 7/26/2022 2:04:21 PM a went„ Vents= _. Status Ti mestam s ;R -or and S� nature .Di closure :: % lectronic ec d _ _ Electronic Record and Signature Disclosure created on: 8/11/2420 4:44:12 PM Parties agreed to: Suzi Fode ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check -box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.15 per -page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Washington State Department of Commerce: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: docusign@commerce.wa.gov To advise Washington State Department of Commerce of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at docusign@commerce.wa.gov and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Washington State Department of Commerce To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to docusign@commerce.wa.gov and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Washington State Department of Commerce To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check -box indicating you wish to withdraw your consent, or you may; ii. send us an email to docusign@commerce.wa. gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: htlps://support.docusi gn.com/guides/si _ner- , u, ide- siigning- system -requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described. herein, then select the check -box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. By selecting the check -box next to `I agree to use electronic records and signatures', you confirm that: You can access and read this Electronic Record and Signature Disclosure; and You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and Until or unless you notify Washington State Department of Commerce as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Washington State Department of Commerce during the course of your relationship with Washington State Department of Commerce.