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Home My WebLink AboutAgreements/Contracts - JuvenileGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: Juvenile Court &Youth Services DATE: 11/17/2023 REQUEST SUBMITTED BY: Suhail Palacios CONTACT PERSON ATTENDING ROUNDTABLE;SUiIaII Palacios CONFIDENTIAL INFORMATION: ❑YES Fm NO PHONE.509-237-9821 iENZM.X\MTEAZWK01901091 O�\\�\\\\\\\\\O\\�\\\O\\\\\�\\\��\\\\\\\\\\\\��\\�\O\\\�\�1\\\�O\\\\\\�\\�\\�\\\\\\�\\� 7m Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rei. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑Grants -- Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Amend the contract F19-31219476 OCVA VOCA grant to reduce federal obligation to amount expended to date and obligate remaining funds from state funding. No change to total budget or other terms and conditions \.\.�..... ....�.�..\...\...\ ..,"n\x, Q\.\� WROMMUR.,mm, 00 \ d ," 2, DATE OF ACTION: ,2 F APPROVE: DENIED ABSTAIN D1: A�j D2: D3: DEFERRED OR CONTINUED TO: Department of Commerce, Office of Crime Victims Advocacy Amendment B - VOCA Contract #F19-31219-476 BOARD OF COUNTY COMMISSIONERS GRANT COUNTY, WASHINGTON R o b i r o 'kit. .. ....... ATTEST: Cindy Ca: pr Vice -Chair B rbara J. V Danny E/ Stone, Member s e rk oof f the B r 't d Approved as to form: Rebekah ylor, WSBA #53257 Civil Deputy Prosecuting Attorney Date: /I/ 2�' 3 - 11 K23-273 "IMe ew4e&t e= awwww&j'd, al wa & ffteoz Pwdw " mo~za "d qaW-a �n a Zvi &1,trm Paw, "" eWiNT COUNTY JUVENILE COURT & YOUTH SERVICES P.O-, Box 8-18- [ 30,3 Abel Road, Ephrata, W -A 98823 phone (509) 754-5690 1 eFax 1-509-754-5797 su&a Ydaxioj, awmmi6uat" Scott (96 an, Wwwde, Sva*exi Manogt* Yeppu.Tetead, Cfftce Atnagm November 17, 2023 Board of Grant County Commissioners PO Box 37 Ephrata, WA 98823 RE: Signature for Amendment Contract #F19-31219-476 Dear Board of County Commissioners: Please see attached amendment for review and approval. Contractor: Department of Commerce, Office of Crime Victims Advocacy — VOCA Term of Contract: July 1st, 2023 to June 30th, 2024 Purpose: To reduce federal obligation to amount expended to date and obligate remaining funds from state funding. No change to total budget or other terms and conditions. I am requesting permission to Docu-Sign electronically with the contractor. Thank you for considering my request. Suhail Palacios, Juvenile Court Administrator Grant County Juvenile Court & Youth Services 0a'T wej� r'a dew 0M omwmeo 4 W4" =4al� aad AWMOZY49 Ad&41 MOO I "C"At�o I "d A"'W" d"9e �" de�' at- led "a4 aidffwa owy-AW, " DocuSign Envelope ID: 297928B4-OABE-4FD4-9444-1 CF11 DD65137 ;.�ooar>rrenl of This Grant is amended as follows: Special Terms and Conditions 1. ACKNOWLEDGEMENT OF FEDERAL FUNDING Federal Award Date: 9/13/2019 Federal Award Identification Number (FAIN): 2019-V2-GX-0034 Total amount of the federal award: $51,207,272 Awarding official: Department of Justice, Office of Justice Programs, Office for Victims of Crime Amount obligated by this action reduced to the amount expended: $92382.66. Remaining unspent balance on grant obligated to state funding. 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. 2019-V2-GX-0034 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. ALL OTHER TERMS AND CONDITIONS OF THIS GRANT REMAIN IN FULL FORCE AND EFFECT. DocuSign Envelope ID: 297928B4-OABE-4FD4-9444-1 CF1 1 DD65137 IOWWas,hington State A Dena I r,'Tront of 1040F, (10.611.1le'r("C! Attachment C: Federal Funds Checklist Subaward Contract Checklist Federal Award Information (i) Subrecipient name (which must match the name GRANTCOUNTY OF associated with its unique entity identifier); ... ............. ..... I....' I - r ............. ... "..' .1.1--l' .... . ............. .... I ........ ............... I . ............. ................. . . ..... ... .... .. ........ ... .. ............. , . I....-. -I -- --------_-- -1 ----- - - ------ ..... ............. ............. ......... .. ........ . . ............................ ....... ........... .............. . ................... . . ..... ... ..... . ..... .......... (ii) Subrecipient's unique entity identifier; . .......... . ...... ..... . .............................. ....... . .. ... .. ..... .......... ........... ....... .. ....... . .... .. I . . ................................. " ............... .......... ............. ................. ............................................. ............... . . .. ZL6WM26K8KR5 ....... . ....... ..... I...... ......... - .... . ....... ......... . .. ... ....... . (iii) Federal Award Identification Number (FAIN); I .. . ........ ............. ............... . - .............. I..'.."..' .......... 2019-V2-GX-0034 ..... ........ . . ...... .......... - I'll., I .............. .. -.1- ................... .... ....................... ... ................. ....... (iv) Federal Award Date (see §200.39 Federal award .......... .............. ........ .............. . ........ . ....... . 9/13/2019 date) of award to the recipient by the Federal agency; .................. -I.-I ............ ............. . .................. . ........... .... ... ... .......... .... --------- . ............. .......... I .............. . ................. ......... .... ...... . ................. . .......... .................. .......................... ... .. .................. ................. ........ . ....... .................... ............. ........ ....... ........ .... ........ .. ............ . ... ..... . .... ........................... . .. ... .......... . ...... . ... ............ ... (v) Subaward Period of Performance Start and End Date; ....... 07/01/2022 to 06/30/2024 .......... . . ...... ...... I ........... ..... .......... . . ..... ....... . ....... . . ........... . .. . ............ . . . .... ...... ___.__ . ...... ... ............. ......................... . ... . ........... ...... .... .................... (vi) Subaward Budget Period Start and End Date; .......... ............. ........... ... I ................... ............. I I I I . ......... .... ....... . ............... . .... . ..... ___.___ . ............ .............. ....... ...................... ............ ............... ...... ............................................ .................................................................. ......................... ... . ......... .... ...................... .. .. . ..... .... ................. _'__. .... . . .. ................. ........... ....... . ............ ........ . ....... .... 07/01/2022 to 06/30/2024 I ... I I ............. ............... ....... ....... ................. I ...... ...... ..... ........................... (vii) Amount of Federal Funds Obligated by this action by . .... ...... - ........... . ..................... .... ... .................. ............... . ............... . ............................. ... ................... ....................... . ........ . ..... ............ . ... ..... ......... ......... . ........ ..... ....... ............... ............ - .......... ... ....... ... .... . ............ ...... $92382.66 the pass-through entity to the subrecipient; . . ................. ......... .. ... ........ ............... ..................... .......... .. .............. ...... .. . .......... ........... ........ .. --------- .................. ..... . ......... - ...... ........ ..... ..... (viii) Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the Subrecipient — reference your records. current obligation; ..... ................ I .......... I ................ .............. ....... ....... ... ..... ............. .. ...... . .......... ..... . ..... . . ...... .......... .... ........ .... ........... . ... ... - ...... ........... ........................................................ ........... ........... ........... ... ....... ........................... .. r'.."' ... ... ... .......... . ............. ...... I ......... ........ I ...... . ....... .. . .......... ....... . .................. . ....... ------- .......... .... .. (ix) Total Amount of the Federal Award committed to the Subrecipient — reference your records. subrecipient by the pass-through entity; ... . ...... I ................ .. .............. ... . .. ..... ......... ....... __-____.____-11 ------ (x) Federal award project description, as required to be responsive to the Federal Funding Accountability and Direct services for victims of crime. Transparency Act (FFATA); ..... . ........ ....... .. . ...... ..... . .......................... . ... ..... - . ................................... .. ......................... ................. ............... ... ............. ... ... -1-1--.1 .... ....... _'..' ...... ...... .......... .............. ........ ............ ..... ................ ... ............ .. . ....... 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: ... ....... . . ........ .................... .... ...... . . ..... ... . . ..... . . . .... I ....... ...... .......... . ... ..... ....... . . . ... . ... ........... .... ........... .... . .. ......... .. . ............ jenna.osterman@commerce.wa.gov ..... . . ............ ... . ... ............. . ...... .......... . ............. ........ ... - .. ......... .......... ..... ..... (xii) Assistance Listings number and Title; the pass- through entity must identify the dollar amount made 16.575 Crime Victim Assistance available under each Federal award and the Assistance Listings Number at time of disbursement; ------------- . . .. . . ..... ................ . ............................................................... .................... ....... ................. . .. . ..... . ..... - ----------_- ------ (xiii) Identification of whether the award is R&D; . ......... ... . . ........ .. ... ...... ... . . ........ ........... ................ Not for research and development purposes. ... ................. .......... I ...... .... ....... ......... ... ................... ............... ...... .............. ..... ........ . .. . . . ....... ..... . .. . . . ............... ............. (xiv) Indirect cost rate for the Federal award (including if the de minimis rate is charged) per §200.414. ...... ....... ....... . . . ....... . ....... . ........ -.-- I DocuSign Envelope ID: 297928B4-OABE-4FD4-9444-1 CF11 DD65137 �,4 y ! Washington State #A Department f . Com, erre DocuSign Contract Review and Routing Form Office of Crime Victims Advocacy / , / ,;r .a .. ., •r'rr'n' / / /. ,, „ � /r / . /rr; ., .,,. rr ;, /;rr r9r' ., r -; r r/'r rr ,,.rrrr :,;;rr r, .rr M 1g1'Xg11,1, / Jenna Osterman Grant Manager Proofed documents 11/14/2023 112:51 PM PST Matched approved Obligation Summary Section Nicky Gleason Memo and Allocation Spreadsheet Manager g Reviewed entry and coding in CMS 11/14/202314:53 PM PST Correct template from IntraCOM has (Assistant) been used Richard Torrance Managing OR 11/14/2023 1 4:53 PM PST Director Documentation has been included with reason for exception Reviewed by: I Title: I I verify that I have: I Date: Grant Checked that Grantee has completed all Manager required certifications and/or forms Updated 5/25/2022 DocuSign Certificate Of Completion Envelope Id: 297928B40ABE4FD494441 CF11 DD65137 Status: Sent Subject: Please DocuSign: OCVA VOCA Victims of Child Abuse & Negl Initv-Amendment F19-31219-476 Division: Community Services and Housing Program: OCVA ContractNumber: F19-31219-476 DocumentType: Contract Amendment Source Envelope: Document Pages: 4 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: 147.55.134.52 Record Tracking Status: Original Holder: Kelly Tracy Location: DocuSign 11/9/2023 3:54:43 PM kelly.tracy@commerce.wa.gov Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign Signer Events Signature Timesta p( Jenna Osterman Completed Sent: 11/9/2023 3:57:11 PM jenna.osterman@commerce.wa.gov Viewed: 11/14/2023 12:51:11 PM Security Level: Email, Account Authentication Signed: 11/14/2023 12:51:20 PM (None), Login with SSO Using IP Address: 147.55.134.2 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 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 Suhail Palacios spalacios@grantcountywa.gov Juvenile Court Administrator Grant County Juvenile Court and Youth Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/16/2023 11:46:29 AM ID: b71 ecfa1-97bd-44ca-929b-f1368301 c5a3 o #. Using IP Address: 147.55.149.181 Using IP Address: 198.239.106.225 Sent: 11/14/2023 12:51:21 PM Viewed: 11/14/2023 4:53:00 PM Signed: 11/14/2023 4:53:02 PM Sent: 11/14/2023 4:53:03 PM Viewed: 11/14/2023 4:53:44 PM Signed: 11/14/2023 4:53:47 PM Sent: 11/14/2023 4:53:48 PM Viewed: 11/16/2023 11:46:29 AM Signer Events Signature Timestamp Cindy Guertin -Anderson cindy.guertin-anderson@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events - Status Timestamp Witness Events Signature Timestamp Votary EventsSignature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/9/2023 3:57:11 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM Parties agreed to: Suhail Palacios 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, fiill 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 fiiture 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: ht,tps:Hsup-port.doc-Lisign.com/,auides/signer-gt jide- signing-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 ftiture 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 'CONTfNUE' 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 ftiture 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.