HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SA14
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new, beginnings- better tomorrows.
August 22, 2023
Board of Grant County Commissioners
PO Box 37
Ephrata, WA 98823
RE: Docu-Sign Signature Permission Requested Agreement #F20-31213-401 Amendment B
Dear Board of County Commissioners:
Please see the attached agreement amendment for review and approval.
VOLA Children's Advocacy Center Child Centered Services VOCA Initiative
Contractor: Department of Commerce, Office of Crime Victims Advocacy
Term of Contract: 7.01.2023 through 6.30.204
Pur ose: This agreement is to de -obligate year one services and add Year two funding to
coordinate the multidisciplinary team response to the investigation of child abuse/neglect,
child sexual abuse, and/child fatality cases in Grant and Adams Counties.
Amount: $243,210.58
Suzi Fode is requesting permission to Docu-Sign electronically with the contractors.
Thank you for your consideration,
Suzi Fode, Director
Kids Hope and New Hope APROPV�E�
AUG p 7 2D13
CO-- N ENT
DocuSigrl Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
Arilrot VY III j!jkV1 I :�Ltltt-
1W IVCoiiDepartnientof
'40 imerce
Amendment
K23-213
Grant Number: F20-31219-401
Amendment Number: B
Washington State Department of Commerce NSubrecipient
Community Services Division 11 Contractor
Office of Crime Victims Advocacy
Children's Advocacv Center Child Centered Services VOLA Initiative
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
(and any previous amendments)
$1187996.58
$243,210.58
$1247214.00
8. Amendment Funding Source
9. Amend. Effective Date
10. End Date
Federal: 0 State: F-1 Other: 0 N/A: 0
8/1/2023 12:00:00 AM
06/30/2024
11. Federal Funds:
Federal Agency:
ALN Number:
Indirect Rate:
(as applicable):
Department of Justice, Office of
16.575
(as applicable):
$243210.58
Justice Programs, Office for
Victims of Crime
12. SWV #
13. UBI #
14. UEI #
SWV0002426-17
132001884
ZL6WM26K8KR5
15. Amendment Purpose
To de -obligate Year 1 balance and add Year 2 funding.
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" —
Federal Funds Checklist, Attachment I'D" — Victims of Crime Act (VOLA) Rule, and Grantee's 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
SuziFode Director
Cindy Guertin -Anderson, Assistant Director
Date
Name, Title
Signature
APPROVED AS TO FORM ONLY
BY ASSISTANT ATTORNEY GENERAL
APPROVAL ON FILE
Date
DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
1p Washington Mate
o Department of
This Grant is amended as follows:
Special Terms and Conditions
1. ACKNOWLEDGEMENT OF FEDERAL FUNDING
Federal Award Date: 9/16/21
Federal Award Identification Number (FAIN): 15POVC-21-GG-00605-ASSI
Total amount of the federal award: $23,924,343
Awarding official: Department of Justice, Office of Justice Programs, Office for Victims of Crime
Additional amount obligated by this action: $$118,996.58
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. 15POVC-21-GG-00605-ASSI 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 $243,210.58 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 in accordance with Attachment B — Budget.
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 at least $0.00. 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)
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. Current travel rates may be accessed at:
2
DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
Washington State
Department of
*40 cC�:1.�.m+C`.ilee
https://ofm.wa.gov/sites/default/files/public/resources/travel/colormar). r)df
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
httr)s:Hoip.gov/financialguide/doi/r)dfs/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
htt s://www.federalre ister. ov/documents/2016/07/08/2016-16085/victims-of-crime-act-victim-
assistance-program.
"METHODS OF ADMINISTRATION" - MONITORING COMPLIANCE WITH CIVIL
RIGHTS LAWS AND NONDISCRIMINATION PROVISIONS
COMMERCE's monitoring responsibilities include monitoring of subrecipient compliance with
applicable federal civil rights laws and nondiscrimination provisions. Within 90 days of the date of
award acceptance, COMMERCE must submit to OJP's Office for Civil Rights (at
Civil Rig htsMOA@usdoj.gov) written Methods of Administration ("MOA") for subrecipient monitoring
with respect to civil rights requirements. In addition, upon request by OJP (or by another authorized
federal agency), the recipient must make associated documentation available for review.
The details of the recipient's obligations related to Methods of Administration are posted on the OJP
web site at https:Hoip.,gov/fundin_ /g Explore/StateMethodsAdmin-FY2017up,date.htm (Award
condition: "Methods of Administration" - Requirements applicable to States (FY 2017 Update), and
are incorporated by reference here.
The recipient agrees to promptly provide, upon request, financial or programmatic -related
documentation related to this award, including documentation of expenditures and achievements.
The recipient understands that it will be subject to additional financial and programmatic in-depth or
on-site monitoring, which may be on short notice, and agrees that it will cooperate with any such
monitoring. The recipient agrees to develop or maintain effective internal controls to manage federal
awards (see 2 C.F.R. 200.303) and effective financial management policies and procedures to
manage federal awards (see 2 C.F.R. 200.302).
DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
Washington Stite
Departmlent of
rc
Attachment B: Budaet
Budget
CAC
Total
Salaries
$1459666.43
$14506.43
Benefits
$439466.38
$439466.38
Goods and Services
$549077.77
$545077.77
Total
$2435210.58
$2439210.58
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
htt s:Hofm.wa. ov/sites/default/files/ ublic/resources/travel/colorma . df.
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.
rd
DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
'A'ashincgton State
Department of
Attachment C: Federal Funds Checklist
(i) Subrecipient name (which must match the name
associated with its unique entity identifier);
(ii) Subrecipient's unique entity identifier;
(iii) Federal Award Identification Number (FAIN);
(iv) Federal Award Date (see §200.39 Federal award date)
of award to the recipient by the Federal agency;
(v) Subaward Period of Performance Start and End Date;
(vi) Subaward Budget Period Start and End Date;
(vii) Amount of Federal Funds Obligated by this action by
the pass-through entity to the subrecipient;
(viii) Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current obligation;
(ix) Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity;
(x) Federal award project description, as required to be
responsive to the Federal Funding Accountability and
Transparency Act (FFATA);
GRANT, COUNTY OF
ZL6WM26K8KR5
15POVC-21-GG-00605-ASSI
9/16/21
07/01/2022 to 06/30/2024
07/01/2022 to 06/30/2024
$1181996.58
Subrecipient— reference your records.
Subrecipient— reference your records.
Direct services for victims of crime.
Federal awarding agency: Department of Justice,
Office of Justice Programs, Office for Victims of
(A) Name of Federal awarding agency, pass-through Crime
entity, and contact information for awarding official of the Pass-through entity: WA State Department of
Pass-through entity; Commerce, Office of Crime Victims Advocacy
Contact Information:
sherina.james@commerce.wa.gov
(xii) Assistance Listings number and Title; the pass-
through entity must identify the dollar amount made
available under each Federal award and the Assistance
Listings Number at time of disbursement;
(xiii) Identification of whether the award is R&D;
(xiv) Indirect cost rate for the Federal award (including if
the de minimis rate is charged) per §200.414.
16.575 Crime Victim Assistance
Not for research and development purposes.
5
DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7
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DocuSign Contract Review and Routing Form
Office of Crime Victims Advocacy
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Grant
Sherina James
proofed documents
Manager
8/16/2023 15:11 PM PDT
Matched approved Obligation Summary
Section
Mikah Semrow
Memo and Allocation Spreadsheet
Manager
g
8/16/2023 5:18 PM PDT
Reviewed entry and coding in CMS
Correct template from IntraCOM has
(Assistant)
been used
Richard Torrance
Managing
OR
8/17/2023 17:08 AM PDT
Director
Documentation has been included with
reason for exception
Updated 5/25/2422
Reviewed by:
Title:
I verify that I have:
Date:
Grant
Manager
Checked that Grantee has completed all
required certifications and/or forms
Updated 5/25/2422
DocuSign
Certificate Of Completion
Envelope Id: 5F075DEE5E974319BCBD6A7DD49643A7
Status: Sent
Subject: Please DocuSign: OCVA VOCA CAC Amendment F20-31219-401
8/16/2023 4:25:05 PM
Division:
Community Services and Housing
Pool: StateLocal
Program: OCVA
Storage Appliance Status: Connected
ContractNumber: F20-31219-401
Location: DocuSign
DocumentType:
:-
_:Si _nature , _ _,, _
Contract Amendment
Sherina James
Source Envelope:
Sent: 8/16/2023 4:30:42 PM
Document Pages: 6 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: 198.239.106.246
Recard Tracking
Status: Original
Holder: Kelly Tracy
Location: DocuSign
8/16/2023 4:25:05 PM
kelly.tracy@commerce.wa.gov
Security Appliance Status: Connected
Pool: StateLocal
Storage Appliance Status: Connected
Pool: Washington State Department of Commerce
Location: DocuSign
n
Sa ner Eve _ts _ . _ _ .
:-
_:Si _nature , _ _,, _
Ti mestam -
Sherina James
Completed
Sent: 8/16/2023 4:30:42 PM
sherina.james@commerce.wa.gov
Viewed: 8/16/2023 5:10:55 PM
Security Level: Email, Account Authentication
Signed: 8/16/2023 5:11:28 PM
(None)
Using IP Address: 147.55.134.29
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mikah Semrow
mikah.semrow@commerce.wa.gov
Sexual Assault Services Section Manager
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Richard Torrance
richard.torrance@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@granteountywa.gov
Director
Grant County
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Completed
Using IP Address: 147.55.134.12
Completed
Using IP Address: 147.55.149.172
Sent: 8/16/2023 5:11:29 PM
Viewed: 8/16/2023 5:17:37 PM
Signed: 8/16/2023 5:18:43 PM
Sent: 8/16/2023 5:18:45 PM
Viewed: 8/17/2023 7:08:20 AM
Signed: 8/17/2023 7:08:22 AM
Sent: 8/17/2023 7:08:24 AM
Viewed: 8/17/2023 10:27:55 AM
Signer Events SignatureTimestamp` "
Accepted: 7/22/2021 9:54:00 AM
ID: f9391 c86-5931-4a2b-9328-a83d20f3b27c
Cindy Guertin -Anderson
cindy.guertin-anderson@commerce.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM
, Parties agreed to: Suzi Fode
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