HomeMy WebLinkAboutAgreements/Contracts - BOCC (002)Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
MEMO
To: Terry Westhoff
Chief Financial Officer
From: Zabrina Hansen-Lumbert
Date: August 7, 2024
Subject: DOCUMENT EXECUTION - 305V-24-091
X Contract / Amendment # / Other
Parties: Grant County
Purpose: The purpose of this contract is to establish the roles and responsibilities of the Vet
Corp member for this site.
Commencement Date: 9/1 /2024
I Expiration Date: 8/31/2025
SOW Reviewed By: ®HR IT Compliance X N/A
I Contract/Amendment Amount: $3,000.00 (Revenue)
Comments: Contract Manager is Heather Simpler
2024
{ T, I �1h�8 5yF { �.o� a
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
VIET�
WDVA Contract No.. 305V-24-091
AGREEMENT BETWEEN
WASHINGTON STATE
DEPARTMENT OF
VETERANS AFFAIRS
GRANT COUNTY
I. PURPOSE
The purpose of this Agreement (the "Agreement") is to define the working
relationship between the Washington State Department of Veterans Affairs
("WDVA"), through its Veterans Conservation Corps Program and Grant County
("Site"). This Agreement will clarify the collaborative roles and responsibilities of
the two parties with respect to Veterans' affairs on the Site
II. AUTHORITY OR LEGAL STATUS
This Agreement is entered into in accordance with the State's Partners for Veteran
Supported Campuses Memorandum of Understanding signed September 10, 2014
by the Office of the Governor, Washington National Guard, Washington State
Department of Veterans Affairs, Student Achievement Council, State Board for
Community and Technical Colleges, and Workforce Training and Education
Coordinating Board.
III. ROLES AND RESPONSIBILITIES
The WDVA and its representative Vet Corps members shall aid and assist the
Site staff in increasing awareness of Veteran's programs on and off Site by
providing the following services:
• Encourage the success of Veterans through the development of workshops on relevant
topics for Veterans, provide educational and employment support and resources to
Veterans.
• Educate community about working with Veterans.
• Understand and comply with Family Educational Rights and Privacy Act (FERPA).
• Communicate with Veterans about important information and updates with assistance
from the Site where needed.
• Support Veterans completing materials needed by certifying official, such as GI Bill
• Other duties as assigned.
The Vet Corps member is an augment of already established services, and is not there to
replace a full time staff member.
Vet Corps member will be engaged in an advisory committee that provides
recommendations on serving student Veterans and will be collaborating with services off
Site to handle Veteran needs and emergencies.
Page 1 of 7
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
WDVA Contract No.: 305V-24-091
The Vet Corps member at the Site is to be complimentary to other services and in no way is
intended to supplant or compete with the Site service providers.
The Vet Corps member's role and service shall not be construed as having an employment
or contractor relationship with the Site and will not entitle the Vet Corps member to any
compensation or benefits from the Site.
WDVA and the Vet Corps member shall adhere to the terms and conditions in the: (a) Vet
Corps Member Contract, attached as Attachment A, for reference, and (b) the Serve
Washington (formerly known as Commission for National and Community Service)
guidelines, attached hereto for reference and incorporated herein.
The Site shall provide, if available, workspace to include access to email and phone on a
part-time basis.
The Site shall through best efforts provide a safe and welcoming working environment to
foster optimal collaboration.
IV. PERIOD OF PERFORMANCE
The term of this Agreement shall be from September 1, 2024, or date of execution
whichever is later, through August 31, 2025. Upon the expiration of the initial term, this
Agreement may be renewed for two (2) additional one (1) year periods, only upon
successful selection to receive a Vet Corps representative for the next year.
The service year period for the Vet Corps Representative to participate and provide
services for the Site is from September 1, 2024, through August 31, 2025.
Once accepted, either party may give written notice of non -renewal to the other party not
less than ninety (90) days prior to the expiration of the initial term or any renewal term
then in effect
V. FEES
The WDVA Veterans Conservation Corps requires a site participation fee for each Vet Corps
representative assigned to the Site. The Site shall pay site participation fee required per
the below table based on the number of Vet Corps representatives assigned.
Participation Fee Guidelines
Vet Corps Representative
Number of Vet Corps Representatives
1
2
3
4
Participation Fee
$3,000
$6,000
$9,000
$12,000
During the initial period of performance. of September 1, 2024, through August 31, 2025, Site
is slated to receive one (1) Vet Corps representative for the Service year period of
September 1, 2024, through August 31, 2025.
VI. CONTRACT MANAGEMENT
The Contract Manager for each of the parties shall be the contact person for all
Communications regarding the performance of this contract.
Page 2 of 7
Docusign Envelope ID: 2E3FC36E-493E-41 130-91DA0-03134397131 DF4
WDVA Contract No.: 305V-24-091
Site: Site Contract Manager Information
WDVA Contract Manager Information
Name: Anthony Garcia
Heather Simpler
Title: Veteran Service Officer
Department of Veterans Affairs
Address: 35 C Street NW, PO Box 37
P.O. Box 41150
City/State/Zip: Ephrata, WA 98823
Olympia, WA 98504-1150
Phone: (509) 885-4097
Phone: 360 515-6983
Email: agarcia(@,grantcountywa.gov
Email address: heather. simplengaOva.wa.gov
VII.GENERAL TERMS ANDCONDITIONS
Prohibited Activities: Site shall ensure Vet Corps members do not engage in Prohibited
activities.
AmeriCorps members assigned to your Site may not engage in prohibited activities
directly or indirectly by recruiting, training, or managing others for the primary purpose of
engaging in one of the prohibited activities listed below.
While charging time to the AmeriCorps program, accumulating service or training hours,
or otherwise performing activities supported by the AmeriCorps program or the
Corporation for National and Community Service (CNCS), Site and AmeriCorps
members may not engage in the following activities (see 45 CFR § 2520.65):
Prohibited Activities.
1. Attempting to influence legislation;
2. Organizing or engaging in protests, petitions, boycotts, or strikes;
3. Assisting, promoting, or deterring union organizing;
4. Impairing existing contracts for services or collective bargaining agreements;
5. Engaging in partisan political activities, or other activities designed to influence
the outcome of an election to any public office;
6. Participating in, or endorsing, events or activities that are likely to include
advocacy for or against political parties, political platforms, political candidates,
proposed legislation, or elected officials;
7. Engaging in religious instruction, conducting worship services, providing
instruction as part of a program that includes mandatory religious instruction or
worship, constructing or operating facilities devoted to religious instruction or
worship, maintaining facilities primarily or inherently devoted to religious
instruction or worship, or engaging in any form of religious prose lytization;
8. Providing a direct benefit to -
a. A business organized for profit;
b. A labor union;
Page 3of7
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
WDVA Contract No.: 305V-24-091
c. A partisan political organization;
d. A nonprofit organization that fails to comply with the restrictions
contained in section 501(c)(3) of the Internal Revenue Code of 1986
related to engaging in political activities or substantial amount of
lobbying except that nothing in these provisions shall be construed to
prevent participants from engaging in advocacy activities undertaken
at their own initiative; and
e. An organization engaged in the religious activities described in
paragraph 7 above, unless CNCS assistance is not used to support
those religious activities;
9. Conducting a voter registration drive or using CNCS funds to conduct a voter
registration drive;
10. Providing abortion services or referrals for receipt of such services; and
11. Such other activities as CNCS may prohibit.
However, as private citizens, individuals and AmeriCorps members may exercise their
rights and may participate in the activities listed above on their own initiative, on non-
AmeriCorps time, and using non-CNCS funds. Individuals should not wear the
AmeriCorps logo while engaged in any of the activities on their personal time.
WDVA will develop a standard poster and provide hard and electronic copies to the Site.
• Termination: This Agreement can be canceled at any time by either party, upon thirty
(30) days written notice.
Relationship of the Parties: The parties are independent entities. This Agreement does
not create any employment, joint venture, partnership, or agency relationship between
the parties or their employees, subcontractors, volunteers or agents. Site shall not be
responsible for payment of any statutory workers compensation or employer's liability
insurance as required by state law for any WDVA employee, or independent contractor
performing this agreement.
• Responsibility: Each party to this Agreement shall be responsible for its own acts or
omissions and for those of its directors or trustees, officers, employees, agents, and
volunteers. Neither party shall be responsible to the other party for the acts or omissions
of persons or entities not a party to this Agreement.
Insurance: During the term of this Agreement, WDVA shall maintain general liability
insurance coverage in limits of at least one million dollars ($1,000,000) per occurrence
with the State of Washington Self Insurance Program. WDVA will provide the Site with a
certificate of insurance as proof of the required coverage. The parties acknowledge that
AmeriCorps maintains liability insurance coverage on Vet Corps members.
Unlawful Discrimination: Under this Agreement, the contractor shall not discriminate
against Vet Corps members on the basis of religion, age, sex, status as a breastfeeding
mother, pregnancy, marital status, race, color, creed, national origin, political affiliation,
military status, status as an honorably discharged veteran, a disabled veteran or Vietnam
era veteran, sexual orientation, gender identity, gender expression, any real or perceived
sensory, mental or physical disability, use of a trained guide or service animal by a
Page 4 of 7
Docusign Envelope ID: 2E3FC36E-493E-41 130-91DA0-03134397131 DF4
WDVA Contract No.: 305V-24-091
person with a disability, genetic information, status as a victim of domestic violence,
sexual assault, or stalking.
• Nondiscrimination
A. Nondiscrimination Requirement. During the term of this Contract, Contractor,
including any subcontractor, shall not discriminate on the bases enumerated at RCW
49.60.530(3). In addition, Contractor, including any subcontractor, shall give written
notice of this nondiscrimination requirement to any labor organizations with which
Contractor, or subcontractor, has a collective bargaining or other agreement.
B. Obligation to Cooperate. Contractor, including any subcontractor, shall cooperate
and comply with any Washington state agency investigation regarding any allegation
that Contractor, including any subcontractor, has engaged in discrimination prohibited
by this Contract pursuant to RCW 49.60.530(3).
C. Default. Notwithstanding any provision to the contrary, Department may suspend
Contractor, including any subcontractor, upon notice of a failure to participate and
cooperate with any state agency investigation into alleged discrimination prohibited by
this Contract, pursuant to RCW 49.60.530(3). Any such suspension will remain in
place until Department receives notification that Contractor, including any
subcontractor, is cooperating with the investigating state agency. In the event
Contractor, or subcontractor, is determined to have engaged in discrimination
identified at RCW 49.60.530(3), Department may terminate this Contract in whole or
in part, and Contractor, subcontractor, or both, may be referred for debarment as
provided in RCW 39.26.200. Contractor or subcontractor may be given a reasonable
time in which to cure this noncompliance, including implementing conditions
consistent with any court -ordered injunctive relief or settlement agreement.
D. Remedies for Breach. Notwithstanding any .provision to the contrary, in the event of
Contract termination or suspension for engaging in discrimination, Contractor,
subcontractor, or both, shall be liable for contract damages as authorized by law
including, but not limited to, any cost difference between the original contract and the
replacement or cover contract and all administrative costs directly related to the
replacement contract, which damages are distinct from any penalties imposed under
Chapter 49.60, RCW. Department shall have the right to deduct from any monies due
to Contractor or subcontractor, or that thereafter become due, an amount for
damages Contractor or subcontractor will owe Department for default under this
provision.
• Controlling Lave: The validity, interpretation and performance of this Agreement shall be
controlled by and construed under the laws of the State of Washington. The State courts
of Washington and the United States District Court for the Western District of Washington
will have exclusive jurisdiction of the parties with respect to any dispute or controversy
between them arising under or in connection with this Agreement.
• Entire Agreement: This Agreement, including any attachments, contains the entire
agreement of the parties with respect to this matter. No representations have been made
or relied upon by either party, other than those expressly provided for in this Agreement.
Page 5of7
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
WDVA Contract No.: 305V-24-091
This Agreement can only be amended or modified in writing by authorized agents of the
parties.
• Authority: The undersigned represent and warrant to each other that they possess all
right, interest and authority necessary to be bound by the terms and conditions of this
Agreement.
VIII. SIGNATURES
GRANT COUNTY
Signed by:
f9a6m - 1.
Barbara J. Vasquez
Printed Name
Clerk of the Board
Title
8/29/2024 1 08:00:33 PDT
Date
WASHINGTON STATE DEPARTMENT
OF VETERANS AFFAIRS
Docuftned by:
l`u Y,4 004"ff
(nE48...
Terry Westhoff
Printed Name
Chief Financial Officer
Title
8/14/2024 1 10:27:13 PDT
Date
Page 6 of 7
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397B1 DF4
WDVA Contract No.: 305V-24-091
ATTACHMENT A
Vet Corps Member Contract
I )
Member -Agreement
2024-2025.pdf
Page 7of7
Docu&qff
Certificate Of Completion
Envelope Id: 2E3FC36E493E41 B09DA003B4397B1 DF4
Status: Completed
Subject: Complete with Docusign: 305V-24-091 MEMO Grant County - 08.07.2024.docx, 305V-24-091 CONTRACT G...
Source Envelope:
Document Pages: 12 Signatures: 4
Envelope Originator:
Certificate Pages: 3 Initials: 1
Zabrina Hansen-Lumbert
AutoNav: Enabled
zabrina.hansenlumbert@dva.wa.gov
Envelopeld Stamping: Enabled
IP Address: 147.55.7.170
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
sta�
pnerEv tits ure
Keith Meyer oocuftned by: Sent: 8/7/2024 12:36:29 PM
keith.meyer@dva.wa.gov " tx Viewed: 8/14/2024 8:04:48 AM
Security Level: Email, Account Authentication A0846NE106e K... Signed: 8/14/2024 8:04:55 AM
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Terry Westhoff
terry.westhoff@dva.wa.gov
CFO
Washington State Dept of Veterans Affairs
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Zabrina Hansen-Lumbert
zabrina.hansenlumbert@dva.wa.gov
Contract Specialist 3
Washington State Department of Veterans Affairs
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Barbara J. Vasquez
bvasquez@grantcountywa.gov
Clerk of the Board
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signature Adoption: Pre -selected Style
Using IP Address: 147.55.7.170
EocuSigned by: Sent: 8/14/2024 8:04:58 AM
iit,S#"ff Viewed: 8/14/2024 10:26:40 AM
7F622448... Signed: 8/14/2024 10:27:13 AM
Signature Adoption: Pre -selected Style
Using IP Address: 147.55.7.170
s Sent: 8/14/2024 10:27:16 AM
Viewed: 8/20/2024 7:01:19 AM
Signed: 8/20/2024 7:01:24 AM
Signature Adoption: Pre -selected Style
Using IP Address: 147.55.7.170
Et
Signed by: Sent: 8/29/2024 7:44:25 AM
ay ot,V'x I V&S Viewed: 8/29/2024 7:59:07 AM
80805931A273454... Signed: 8/29/2024 8:00:33 AM
Signature Adoption: Pre -selected Style
Using IP Address: 24.245.66.135
In Person Signer Events Signature Timestamp
Editor De ive ry Events Status
Timestamp
,Agent Delivery Events Status `
Timestamp
Intermediary Delivery Events Status-
Timestamp
Certified Delivery Events Status:
-Timestamp
Anthony Garcia
agarcia@grantcountywa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Heather Simpler
heather.simpler@dva.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jeff Fletcher
jeffreyf@dva.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Yacob Zekarias
yacob.zekarias@dva.wa.gov
Budget Director
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Accounts Payable
coacctspay@dva.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Accounts Receivable
dvadlcoar@dva.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
W J
i
-01 --- :44M
01 1
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Sent: 8/29/2024 8:00:36 AM
Sent: 8/29/2024 8:00:37 AM
Sent: 8/29/2024 8:00:38 AM
Sent: 8/29/2024 8:00:39 AM
Sent: 8/29/2024 8:00:40 AM
Sent: 8/29/2024 8:00:41 AM
Witness Events Signature Timestamp
Notary Events Signature Timestamp
EnveIo Saummary Events' Status
Timestamps
Envelope Sent Hashed/Encrypted 8/7/2024 12:36:29 PM
Certified Delivered Security Checked 8/29/2024 7:59:07 AM
Signing Complete Security Checked 8/29/2024 8:00:33 AM
Completed Security Checked 8/29/2024 8:00:41 AM
; Payment Events -Status
y _ _ - Timestamps
Docusign Envelope ID: 2E3FC36E-493E-41 B0-9DA0-03B4397B1 DF4 WASHINGTON ST TaIL Aff
VV• M��`" '�'�"�" VVI ILI Q%A r I V%.vaoing Action Request (CPAR)- Revenue DEPARTMENT QF
Page 4: Training Requirernerds VETERANS
AFFAIRS �VA
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[✓] Newcontract: # 305V-24-091 x
r x• Delegated Authority (per contract term): ;_..
❑Amend --xistIn Contract, # Amend.#. . .
9
-Direct BuY mit
Com etitive----- E. V $30,000/$40,000 (for OMWBE & WDVA certified businesses)
=❑ p Solicitation: # ` - -Client Services: $1,000,000
-IT Purchase Limit $1,000,000 (requires WDVA IT and OCIO review & approval)
2. Type of Contract/Procurement (check all that apply)
3. Contractor Legal Name: Grant County
❑Goods& Services RV(Client Services
Universal Business Identifier (UBI): UBI Search- Link
Intera enc A reement Prof. Sere./Consult
❑ , _g y g ❑
Contractor Address: 35 C Street NW, P.O. Box 37, Ephrata, WA 98823
❑ Information Tech Agreement ❑ MOU/MOA
Contractor Signatory: Anthony Garcia Signatory Email: agarcia@grantcountywa.gov
❑ Other:
Contractor Contact: Anthony Garcia
Contractor Contact (email/phone): agarcia@grantcountywa.gov / (509)885-4097
4. -on act Met od Statewide Contract ,: Sole Sour Emer eAIrt
"-
r in h .:.
_ _ _ _ _ _ _ ce , . _ c Direct Bu C.-Ill, etI ive=Solicitation
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5. Purpose of Amendment? (Only complete this section if amending an existing contract -
6. Is the contractor/vendor either of the
Check ALL applicable boxes)
following businesses? (Check ALL applicable
❑ Add FundsF]Update Statement of Work
boxes)
FIReduce Funds ❑ Extend Contract Period _
_
❑Veteran Owned Flwomen-Owned
F]update Terms & Conditions FIReduce Contract Period[:]Minority-Ownedi[:]Smalli
Business Business
❑ Other:
To search for certified small, minority-, women-, and
7. Contract Review Checklist (Answer all Yes/No questions below)
Veteran -owned businesses, click the followinglinks:
Yes / No
Veteran -Owned OMWBE
❑ ❑ Will contract personnel enter WDVA facilities under this contract,
❑ Will contract personnel require access to computers, hardware, and/or software?
For Information on how vendors can become
❑✓ ❑ Will there be an exchange of information between contracted parties?
p - �
❑ ❑✓ Will to information PHI, HIPPA,
certified w/ WDVA .and OMWBE, click the following
contractors require access protected (i.e. etc.)
❑ ❑✓ Does the contract reference regulations, Medicare/Medicaid, PCC, survey, credentialling,
links:
standards of care, HIPPA/PHI?
WDVA OMWBE
❑✓ ❑ Does the contract require special payment terms?
s. Describe the services/goods to be provided by the contractor/vendor and how this supports WDVA's strategic goals
and objectives. Include WDVA departments and partners impacted by this work and explain why this work cannot be
completed internally by WDVA staff:
The purpose of this Agreement (the "Agreement") is to define the working relationship between, the Washington State Department of Veterans Affairs ("WDVA" ),
through its Vet Corps Program and CONTRACTOR NAME (''Site/College/University"). This Agreement will clarify the collaborative roles and responsibilities of
the two parties with respect to veterans' affairs on the site. The contractor is regionally located and can provide access for Vet Corps members to serve Veterans in
their local community by being a responsive Veterans program ensuring Veterans are connected to their earned benefits and services.
• What are the expected ongoing costs of this contract? Describe costs here and how they contribute to total costs. (For
example: UAT, additional staff, IT and other equipment, software, and licensing)
N/A
•
9 Contract Term & Budget
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Contract Ma Heather Simpler
Date Revi
VA) Digitally signed by Simpler, Heather
Div. Leader/Sup.: Keith Meyer
Date Reviewed8/14/2024 108:0qPta
wolled t5y;
Budget Staff: Chony T. Culley
Date Reviewed, 08/07/2024
Digitally signed by Chony T. Culley
Sig nature'-kC=ftdflYeqTT ulle Y Date: 2024.08.07 10:20:06 -071001
Chief Financial Officer: Terry Westhoff
Date Reviewet/14/2024 110
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Date Reviewed:.
Signature: �iiiiiiiiiiiiiiiiiiiiii18B0286622448
Docusign Envelope ID: 2E3FC36E-493E-41 BO-9DAO-03B4397BI DF4
Docusign Envelope ID: 2E3FC36E-493E-41 BO-91DAO-03134397131 DF4 hington State
Department of Veterans Affairs
Contracts & Purchasing Training Requirements
Review ALL Roles & Duties below for specific training requirements
For help determining the appropriate training track, answer questions on the Training Track Identification Tool
For additional assistance and/or questions about the required trainings, please reach out to WDVA's Contracts
Office at Contracts. DVACO@dva.wa.gov.
*Note: Executive management, home administrators and other employees may need to complete multiple
training tracks dependent upon role(s) and responsibilities
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stakeholders, vendors and contract managers./Coordinates purchases andanagem.
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s Contract Management 301
contract database syste s Develops contract requirements /Develops
6. Contract anagem,en
-d --procurement strategyj Develops'contract procurement ocuments.a-nd
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contracts] Develops s lecification sfor,the contract of goods or services/Top level
yc a ri egoticati o goods o
management of -suppl h i N ons for contracts f r services
'Advises C ontract, M.anager/Monitibr Prepares procurement/
Purchases/procurement coordination- /Writes contract & procurement policy
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-asers Purch h.osqW"hibm d YV --s
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Duties- Conducts purchasing card (P-card) purchases within established limits of
1. Purchasing & Procurement Ethics
,authority Conducts small_ procurement from master contracts Conducts low -risk
2. WA -State Small Purchases
direct buys within limits of authority/ Supply inventory, stock rooms, office
3. Supplier Diversity
supplies
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