HomeMy WebLinkAboutGrant Related - Emergency Management (003)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Grant County Emergency Management DATE: g/23IZ4
REQUEST SUBMITTED BY: MII"2ya Garcia
CONTACT PERSON ATTENDING ROUNDTABLE: Mireya Garcia
CONFIDENTIAL INFORMATION: ❑YES ONO
PHONE.509-906-6831
TYPE(S) OF
SUBMITTED.(CHECK
ALL
r
THATAPPLY)__
❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑ Computer Related
❑County Code
❑ Emergency Purchase
❑ Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
0 Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
❑Minutes
❑Ordinances
❑Out of State Travel
El Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
❑ Recommendation
❑ Professional Serv/Consultant
❑ Support Letter
[:]Surplus Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
❑WSLCB
e
, " �: + RIDING R A��� A - � ,�j Who, 'what, When, W rrx�# :ost� etc.Emergency Management requests a signature from the BOCC to formally accept a Washington
State Military Department Grant for $54,700. This grants term is July 2024 to June 2025.
This is a reoccurring grant for radiological emergency preparedness.
If necessary, was this document reviewed by accounting? ❑ YES 0 NO ❑ N/A
If necessary, was this document reviewed by legal? ❑ YES 0 NO ❑ N/A
DATE OF ACTION: ,
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
4/2 3/24
DEFERRED OR CONTINUED TO: -Y
WITHDRAWN:
Washington State Military Department
CONTRACT FACE SHFFT
1. Contractor Name and Address:
2. Contract Amount:
3. Contract -- Number
Grant, County of dba Grant County Sheriff's
Office, Emergency Management Division
$54,700
E25-049
35 C Street NW
Ephrata, WA 98823-1685
4. Contractor's Contact Person, phone number, email:
5. Contract Start Date
6. Contract End Date
Josh Sainsbury, (509) 750-7306
jsainsbury@grantcountywa.gov
July 1, 2024
June 30, 2025
7. MD Program Manager, phone numbed, email:
8. Unique Entity Identifier (UEI) #
9. UBI # (state revenue):
Mary Napoli, (253) 512-7225
mary.napoli@mil.wa.gov
ZL6WM26K8KR5
132001 884
10. Funding Authority:
Washington State Military Department (Department) and the Energy Facility Site Evaluation Council (EFSEC)
11. Funding Source Agreement #:
12. Program Index # & Obj/Subobj
13. CFDA # &Title:
1 4 TIN or SSN:
EMD — CGS — EP (2024-25)
75803 NZ
NA
91-6001319
15, Service Districts:
16. Service Area by County(ies):
17. Women/Minority-Owned, State
(BY LEGISLATIVE DISTRICT): 7113
(BY CONGRESSIONAL DISTRICT): 4
Grant County
Certified?: X N/A 0 NO
0 YES, OMWBE #
18. Contract Classification-
19. Contract Type (check all that apply): -
Cl Personal Services 0 Client Services X Public/Local Gov't
X Contract 0 Grant 0 Agreement
0 Collaborative Research 0 A/E 0 Other
0 Intergovernmental (RCW39.34) 0 Interagency
20. Contractor Selection Process:
21. Contractor Type (check all that apply)
X "To all who apply & qualify" 0 Competitive Bidding
0 Private Organization/Individual 0 For -Profit
0 Sole Source 0 AIE RCW 0 N/A
X Public Organization/Jurisdiction X Non -Profit
0 Filed w/OFM? ® Advertised? DYES ONO
Cl VENDOR X SUBRECIPIENT 0 OTHER
22. BRIEF DESCRIPTION:
To provide EFSEC pass -through dollars (SFY 2025) for the county to conduct radiological emergency preparedness
program duties relating to the Columbia Generating Station nuclear power plant.
IN WITNESS WHEREOF, the Department and Contractor acknowledge and accept the terms of this contract, including all referenced
exhibits and attachments which are hereby incorporated in and made part hereof, and have executed this contract as of the date and year
written below. This Contract Face Sheet, Special Terms and Conditions (Exhibit A), General Terms and Conditions (Exhibit B), Statement
of Work (Exhibit C), Budget (Exhibit D), and all other documents, exhibits, and attachments govern the rights and obligations of the parties
to this contract. No other understandings, oral or otherwise, regarding the subject matter of this contract shall be deemed to exist or to bind
any of the parties hereto.
In the event of an inconsistency in this contract, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence
in the following order:
(a) Applicable Federal and State Statutes and Regulations
(b) Statement of Work
(c) Special Terms and Conditions
(d) General Terms and Conditions, and if attached,
(e) EFSEC Award Document
(f) Any other provisions of the contract incorporated by reference.
This contract contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the
subject matter of this contract shall be deemed to exist or to bind any of the parties hereto.
WHEREAS, the parties hereto have executed this contract on the day and year last specified below.
FOR THE DEPARTMENT: F THE CONTRACTOR:
7
S i g kc-oru re Date Signat r Date
Regan Anne Hesse, Chief Financial Officer John M illan, Undersheriff
Washington Military Department For Grant County Sheriffs Office
BOILERPLATE APPROVED AS TO FORM:
Dierk Meierbachtol (signature on file) 6/20/2022
Assistant Attorney General
SFY 2025 (EFSEC) Page 1 of 14 Grant County Sheriffs Office, E25-049
Exhibit,
Washington Military Department
SPECIAL TERMS AND CONDITIONS
Energy Facility Site Evaluation Council (EPSEC)
ARTICLE I -- COMPENSATION SCHEDULE:
This is a fixed price, reimbursement contract. Within the total Contract Amount, authorized travel, subcontracts,
salaries and wages, benefits, printing, equipment, and other goods and services or other budget categories will
be reimbursed on an actual cost basis unless otherwise provided in this contract. Any travel or subsistence
reimbursement allowed under the contract shall be paid in accordance with rates set pursuant to RCW 43.03.050
and RCW 43,03.060 as now existing or hereafter amended and in agreement with federal rates. Receipts and/or
backup documentation for any approved Budget line items, including travel related expenses that are authorized
under this contract, must be maintained by the Contractor and made available upon the request of the
Department.
Reimbursement under the contract will only be made consistent with the contract Budget and authorized changes
to the Budget.
0:4910114M
In addition to the reports as may be required elsewhere in this contract, the Contractor shall prepare and submit
the following reports to the Department's Key Personnel:
Financial - #/C yesCompletion Date
Quarterly Invoices 1 No Later than the 15th day following
the end of the Quarter
Final Invoice 1 July 30, 2025
(shall not exceed overall contract amount)
All contract work must end on June 30, 2025. However, the Contractor has up to 30 days after the Contract end
date to submit all final billing.
Technical
Quarterly Reports
Completion Date
No Later than the 5th day following
the end of the Quarter
All contract work must end on June 30, 2025, However, the Contractor has up to 30 days after the expiration
date to submit all final reports and/or deliverables.
0:4-11RINAR011111,kri,
The individuals listed below shall be considered Key Personnel. The Key Personnel for each of the parties shall
be the contact person for all communications and billings regarding the performance of this Contract.
Any substitution of Contractor's Key Personnel must be made by written notification to the Military Department.
CONTRACTOR:
MILITARY DEPARTMENT:
Name:
Josh Sainsbur
_y
Name:
Mar Napoli
y
- Title:
Chief Deputy
Title:
...
Program Manag"er
Email:
jsai nsbu ry@grantcountywa,gov
Email:
mary.napoli@mil.wa.gov
Phone:.
(509) 750-7306
Phone:
, (253).... 12-7225
SFY 2025 (EFSEC) Page 2 of 14 Grant County Sheriffs Office, E25-049
ARTICLE IV -- ADDITIONAL SPECIAL CONDITIONS AND MODIFICATION TO GENERAL CONDITIONS:
I No funds received under this contract shall be used for any purpose other than for performance of tasks
described in the Statement of Work (Exhibit C) and consistent with the Budget (Exhibit D).
2, The Contractor shall provide a match of $0 of non-federal origin, Said match may be in the form of goods,
services, and in -kind services,
3. This contract is contingent upon the receipt of Energy Facility Site Evaluation Council (EF E ) funds
provided solely for the purpose of supporting the development of radiological emergency preparedness
relating to the Columbia Generating Station nuclear power plant. The Contractor acknowledges that
since this contract involves EFSEC funding, the period of performance described herein will likely begin
prior to the availability of funds. Contractor agrees that it will not hold the Department or the State of
Washington liable for any damages, claims for reimbursement, or any type of payment whatsoever for
services performed under this contract prior to the provision and distribution of appropriated funds, or if
funds are not appropriated or provided by EFSEC to fund this contract.
SFY 2025 (EFSEC) Page 3 of 14 Grant County Sherifrs Office, E25-049
Exhibit
Washington Military Department
GENERAL TERMS AND CONDITIONS
Energy Facility Site Evaluation Council (EFSEC)
1. DEFINITIONS --As used throughout this contract, the following terms shall have the meaning set forth below:
e. "Department" shall mean the Washington Military Department, as a state agency, any division, section, office,
unit or other entity of the Depertment, or any of the officers or other officials lawfully representing that
-DapertmenL
b. "The Adjutant General" as it isused herein shall mean the Director of the Washington Military Deportment.
The term "Authorized Department Representative" shall mean those persons who have written authorization
tosign Department contracts and represent Deportment as signed and directed byThe Adjutant General,
C. "Contractor" shall mean that firm, organization, group, individual, or other entity performing services under
this contract, and shall include all employees ofthe Contractor. Itshall include any subcontractor retained by
the prime Contractor as. permitted under the terms ofthis agreement.
d. "Subcontractor' shall mean one. not in the employment ofthe Contractor, who is performing all or part of
those services underthis contract through aseparate contract with the Contractor. The terms "auboontractor"
and "eubcontractona,mean suboontrmctor(a)|nany tier.
e. "WAC"isdefined and used herein tomean the Washington Administrative Code.
f. "RCW'ledefined and used herein tomean the Revised Code ofWashington.
2. CONTRACTOR NOT EMPLOYEE OF AGENCY—ThoContractor,ed/or employees or agents performing
this agreement are not emplo�
y�eoor�genoftheOepartmen |nany manner what.�oever. a Contractor will not
bepresented aenor claim to beenofficer oremployee of the Department orof the State of Washington by reason
hereof, nor will the Contractor make any claim, demend, or application to or for any right, privilege or benefit
applicable to an officer or employee of the Department or of the State of Washington, including, but not limited to,
VVodene' Compensation coverage, unemployment insurance bmnefits, social security benefits, retirement
membership orcredit, orprivilege orbenefit which would accrue toa civil service employee under Chapter 41.O0
It is understood that if the Contractor is another state department, state agency, state university, state college, state
ity communt
college, state board, orstate commission, that the officers and employees are employed by the State
cfWashington in their own right.
If the Contractor is an individual currently employed by e Washington State agency, the Department shall obtain
proper approval from the employing agency or institution before entering into this contract, A statement of"no
conflict ofinterest" shall besubmitted tothe Department.
3. COMPLIANCE WITH APPLICABLE LAW
The Contractor and all subcontractors shall comply with, and the Department is not responsible for determining
compliance with, any and. all applicable fmdona|, state, tribal government, and local laws, regu\atiuns, and/or policies,
This obligation includes, but is not limited to, Ethics in Public Service (RCW 42.52); Covenant Against Contingent
Faea(48 C.F.R.Sec. 52.2O3-5);Public Records Act (RCVV42.58);and safety and health regulations.
In the event of the Contractor's or a subcontractor's noncompliance or refusal to comply with any law or policy, the
Department may rescind, oonoe|' or terminate the contract in whole or in part. The Contractor is responsible for
any and all costs orliability arising -from the Contractor's failure tocomply with- applicable law.
4. NONDISCRIMINATION -- During the performance of this agreement, the Contractor shall comply with all federal
and state nondiscrimination statutes and regulations. These requirements include, but are not limited to:
a. Nondiscrimination in Employment: The Contractor shall not discriminate against any employee or applicant
for employment because ofrace, color, sex, sexual orientation, religion, national origin, creed, marital
status, age, Vietnam era ordisabled veterans status, orthe presence ofenysensory.manta|.orphyeical
handicap. This requirement does not apply, however, to a religious corporation, association, educational
institution or society with respect to the employment of individuals of particular religion to perform work
connected with the carrying on by such corponetion, eosooisdion, educational institution or society of its
activities.
b. The Contractor shall take action to ensure that employees are employed and treated during employment
without discrimination because of their onoa, oo|or, aex, sexual orientation reUgion, national origin. cread,
mehte| status, aQe. Vietnam era or disabled veterans abstuo, or the presence of any oenoory, mental, or
physical handicap,
SFY 2025 (EFSEC) Page 4 of 14 Grant County Sheriffs Office, E25-049
Such action shall include, but not be limited to, the following: Employment, upgrading, demotion, or transfer,
recruitment or recruitment selection for training, including apprenticeships and volunteers.
5. NONCOMPLIANCE WITH NONDISCRIMINATION LAWS -- In the event of the Contractor's noncompliance or
refusal to comply with any nondiscrimination law, regulation, or policy, this contract may be rescinded, canceled or
terminated in whole or in part, and the Contractor may be declared ineligible for further contracts with the
Department. The Contractor shall, however, be given a reasonable time in which to cure this noncompliance. Any
dispute may be resolved in accordance with the "Disputes" procedure set forth herein.
6, MINORITY AND WOMEN -OWNED BUSINESS ENTERPRISES -- In accordance with the legislative findings and
policies set forth in Chapter 39.19 RCW, the State of Washington encourages participation in all its contracts by
MWBE firms certified by the Office of Minority and Women f s Business Enterprises (OMWBE). To the extent
possible, the Contractor will solicit and encourage minority -owned and women -owned business enterprises who
are certified by the OMWBE under the state of Washington certification program to apply and compete for work
under this contract, Voluntary numerical MWBE participation goals have been established, and are indicated
herein: Minority Business Enterprises: (MBE's): 10% and Woman's Business Enterprises (WBE's): 6%.
7. SUBCONTRACTING -- All subcontracts entered into pursuant to this contract shall incorporate this contract in full
by reference. Neither the Contractor nor any Subcontractor shall enter into subcontracts for any of the work
contemplated under this contract and after original contract award, without obtaining prior written approval of the
Department. Contractor shall use a competitive process in award of any contracts with subcontractors that are
entered into after original contract award, The Military Department may request a copy of any and/or all
subcontracts that exist for work being completed under this contract. In no event shall the existence of the
subcontract operate to release or reduce the liability of the Contractor to the Department for any breach in the
performance of the Contractor's duties.
This clause does not include Contracts of employment between the Contractor and personnel assigned to work
under this Contract.
8. INDEMNIFICATION -- To the fullest extent permitted by the law, the Contractor expressly agrees to and shall
indemnify, defend and hold harmless the State and its agencies, officials, agents and employees from and against
all claims, actions, costs, damages, or expenses of any nature arising out of or incident to the Contractor's or any
subcontractor's performance or failure to perform the contract, The Contractor's obligation to indemnify, defend
and hold harmless also includes any claim by the Contractor's agents, employees, representatives or any
subcontractor or its employees. The Contractor's obligation to defend includes payment of any costs or attorneys'
fees.
The Contractor's obligation shall not include such claims that may be caused by the sole negligence of the State
and its agencies, officials, agents, and employees. If the claims or damages'are caused by or result from the
concurrent negligence of (a) the State, its agents or employees and (b) the Contractor, its subcontractors, agents,
or employees, this indemnity provision shall be valid and enforceable only to the extent of the negligence of the
Contractor or its subcontractors, agents, or employees.
The Contractor expressly agrees to waive its immunity under Title 51 RCW (industrial Insurance) to the extent
required to indemnify, defend, and hold harmless the State and its agencies, officials, agents or employees.
9. COVENANT AGAINST CONTINGENT FEES -- The Contractor warrants that no person or selling agency has been
employed or retained to solicit or secure this contract upon an agreement or understanding for a commission,
percentage, brokerage, or contingent fee, excepting bona fide employees or bona fide established commercial or
selling agency maintained by the Contractor for the purpose of securing business,
The Department shall have the right, in the event of breach of this clause by the Contractor, to annul this contract
without liability or, in its discretion, to deduct from the contract price or consideration or otherwise recover the full
amount of such commission, percentage, brokerage, or contingent fee.
10. NONASSIGNABILITY -- Neither this contract, nor any claim arising under this contract, nor the work to be provided
under this contract, and any claim arising thereunder, shall be assigned or delegated by either party in whole or in
part, without the express prior written consent of the other party, which consent shall not be unreasonably withheld.
11, AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101 .3367 42 U.S.C. 12101 et seq, and its
implementing regulations, 28 CEO. Part 35. * The Contractor must comply with the ADA, which provides
comprehensive civil rights protection to individuals with disabilities in the areas of employment, public
accommodations, state and local government services, and telecommunication.
12. RECORDS, MONITORING AND AUDIT ACCESS
a. The Contractor shall perform under the terms of the contract, and the Department has responsibility for
reasonable and necessary monitoring of the Contractor's performance, The Department shall conduct
SFY 2025 (EFSEC) Page 5 of 14 Grant County Sheriffs Office, E25-049
contract monitoring activities on a regular basis. Monitoring means any planned, ongoing, or periodic
activity that measures and ensures contractor compliance with the terms, conditions, and requirements of
e contract, Monitoring involves prudent collection of information about Contractor operations and is not
limited to site visits or the completion of formal reviewa, Monitoring may include periodic contractor
reporting to the Department. Deportment review of audit reports. invoice reviewe, onsitm reviews and
observations, and surveys. Adequate documentation is essential for effective contract monitoring and will
include copies of letters, meeting notes, and records of phone conversations as evidence that conscientious
monitoring has occurred during the period ofthe contract.
b.The Contractor shall maintain books, records, documents, and other evidence and accounting procedures
and practices that sufficiently and properly reflect all direct and indirect costs of any nature expended in the
performance ofthis contract. These records shall besubject edall reasonable times toinspection, review,
oraudit bypersonnel duly authorized bythe Department, the Office cf the State Auditor, and federal officials
aoauthorized bylaw, rule, regulation, orcontract. The Contractor will retain aUboobe.reoords.documente.
and other materials relevant to this contract for six (6) years from the date contract final payment is made
hereunder,. and make them available for inspection by persons authorized under this provision,
o.The Department or the State Auditor many of their representatives and federal officials so authorized by
law, rule, regulation, or contract shall have full access to and the right to examine during normal business
hours and as often as the Department or the State Auditor may deem necessary, all of the Contractor's
records with respect toall matters covered inthis contract. Such representatives shall hepermitted braudit,
examine, and make excerpts ortranscripts from such records endtomakeaudbsofe|{contracts'|nvoioee.
materials, payrolls, and records ofmatters covered bythis contract. Such rights last for six (S)years from
the date final payment |amade hereunder,
d.The Contractor shall cooperate with and freely participate in any other monitoring or evaluation activities
conducted by the Department that are pertinent to the intent of this contract,
13. ACCESS TO PUBLIC RECORDS
a-Theparties acknowledge that the Department issubject �the Public Records Act, Chapter 42.56 RCW1
and that records prepared, owned, used or retained by the Department relating to the conduct of
government or the performance of any governmental or proprietary function are available for public
inspection or copying, except as exempt under RCVV 42.58 or other statute which exempts on prohibits
disclosure ofspecific information orrecords.
b. The Contractor shall provide access bzdata generated under this contract tothe Department and the State
Auditor atnoadditional cost. This includes access to all information that supports the findings, conclusions,
and recommendations of the Contractor's reports, including computer models and methodology for those
models.
C. Access to Data. The contractor shall provide eooeoa to all data generated under the contract to the
Department, the Joint Legislative Audit and Review Committee, and the Office of the State Auditor ot no
additional cost. For the purposes of this requirement, "data" includes all information that supports the
findinQo, conclusions and recommendations of the contractor's reports, including computer models and
methodology for those models.
14,DISCLOSURE —The use or disclosure by any party of any information concerning the Department for any purpose
not directly connected with the administration of the Department's or the Contractor's responsibilities with respect
to services provided under this contract |mprohibited except by prior written consent of the Department oreorequired
to comply with the Public Records Act or court order.
Contractor acknowledges that the Department issubject hoChapter 42.5ORCVV the Public Records Act, and that
this Contract shall beepublic record asdefined |nRCVV42.58.O.1O. Any specific information that isclaimed bythe
Contractor to be confidential or proprietary must be clearly identified as such by the Contractor. To the extent
consistent with Chapter 42.56 RCW, the Department shall maintain the confidentiality of all such information marked
confidential orproprietary, If a request is made to view the Contractor's information, the Department will notify the
Contractor of the request and the dote that such records will be released to the requester unless Contractor obtains
e court order enjoining that disclosure. If the Contractor fails to obtain the court order enjoining d|mc|oouna. the
Department will release the requested information onthe date specified.
15. RIGHTS IN DATA— The parties hereto agree that all works originating from this contract shall be "works for hire"
as defined by the U.S. Copyright Act of 1976 and shall be owned by the Department and/or the State of Washington,
Unless otherwise pnovided, this contractual term applies to all works |nclud|ng, but not limited to, reports, graphic
design and logos, documents, files, pamphlets, advertisements, publications, books, magazines, surveys, studies,
computer progroma. U|ma, tapom, and/or sound reproductions prepared by an employee within the scope of
employment, and also to all works specially ordered or commissioned for use as a contribution to a collective work,
SFY 2025 (EFSEC) Page 6 of 14 Grant County Sheriffs Office, E25-049
asepart ofamotion picture or other audiovisual work, as a translation, asesupplementary work, asecompilation,
as an instructional text, asotest, as answer material for a test, oras an atlas.
Ownership includes the right to copyright, patent, register, and the ability to transfer these rights. Work del ivered
under the contract, but which does not originate therefrom, shall be transferred to the Department with a
nonexclusive, roya|ty-free^irrevocable license topublish, translate, reproduce, deliver, perform, dispose of, and to
authorize others to do so; provided, that such license shall be limited to the extentwhich the Contractor has eright
to grant such e license. The Contractor shall exert all reasonable effort to advise the Department, at the time of
delivery of works furnished under this contract, of all known or potential invasions of privacy contained -therein and
of any portion of such document which was not produced in the performance of this contract. The Department shall
receive prompt written notice of each notice or de|m or copyright infringement received by the Contractor with
respect boany works created under this contract.
The Contractor shall not affix any restrictive markings upon any works, and ifsuch markings are affixed, the
Department shall have the right at any time to modify, remove, obliterate, or ignore such markings.
18. PUBLICITY -- The Contractor agrees to submit to the Department all advertising and publicity matters relating to
this contract wherein the Deportment's name is mentioned or language used from which the connection of the
Department's name may, in the Department's judgment, be infer'red or implied. The Contractor agrees not to publish
oruse such advertising and publicity matters without the prior written consent of the Department,
17. PRIVACY -- Personal information collected, used or acquired in connection with this contract shall beused solely
for the purposes of this contract. Contrectorgnd its subcontractors agree not to re|eaee, divu|ge, publish, tnansfer,
sell or otherwise make known to unauthorized persons personal information without the express written consent of
the Department or as provided by law. Contractor agrees to implement physical, electronic and managerial
safeguards toprevent unauthorized access topersonal information.
The Department reserves the right to monitor, audit, or investigate the use of personal information collected, used
oracquired bythe Contractor through this contract. The monitoring, auditing orinvestigating may include but |onot
limited to^salting" bythe Department. Contractor shall certify return or destruction of all personal information upon
expiration of this contract. Salting is the act of placing a record containing unique but false information in a database
'that can be used later to identify inappropriate disclosure of data contained in the database.
Any breach of this provision may result in termination of the contract and the demand for return of all personal
information. The Contractor agrees to indemnify and hold harmless the Department for any damages related to the
Contractor's unauthorized use ofpersonal information,
For purposes of this provision, personal information includes, but is not limited to. information identifiable to an
individual that ma|mbae to a natural penaon'e hee|th, finances, education, busineoe, use or receipt of governmental
sen/loee, or other activities, namem, edd'essea, telephone numbers, soo|e| security numbers, driver license
numbers, financial profiles, credit card numbers, financial identifiers and other identifying numbers.
18. TREATMENT OF ASSETS
a. Title to all property furnished by the Department shall remain with the Department, Title to all property
purchased by the Contractor, for the cost of which the Contractor isentitled to be reimbursed asadirect
item ofcost under this contract, shall pass 10and vest inthe Department upon delivery ofsuch property by
the vendor. Title to other property, the cost of which is reimbursable to the Contractor under the contract,
shall pass to and vest in the Department upon (|) issuance for use of such property in the performance of
this contract, or (i|) commencement of use of such property in the performance of this contract, or (U\)
reimbursement of the cost thereof by the Department in whole or in part, whichever first occurs,
b. Any property of the Department furnished to the Contractor shall, unless otherwise provided herein, or
approved by the Department, be used only for the performance of this contract.
C. The Contractor shall be responsible for any loss or damage to property of the Department that results from
the negligence of the Contractor or which results from the failure on the pert of the Contractor to maintain
and administer that property in accordance with sound management practices.
d. Upon the happening of loss or destruction of, or damage to, any Department property, the Contractor shall
notify the Department thereof and shall take all reasonable steps to protect that property from further
damage.
e. The Contractor shall surrender to the Department all property of the Department prior to settlement upon
completion, termination, orcancellation ofthis agreement,
f All reference to the Contractor under this clause shall include any of the Contractor's employees or agents
or subcontractors.
SFY 2025 (EFSEC) Page 7 of 14 Grant County Sheriffs Office, E25-049
19, SITE SECURITY - While on Department premises, Contractor, its agents, employees, or subcontractors shall
conform inall respects with physical, fire orother security regulations.
20. ATTORNEY'SFEES-|ntheavenLof litigation or other action brought to enforce contract terms oralternate dispute
resolution process, each party agrees to bear its own attomey's fees and costs.
21. TAXES - All payments accrued on account of payroll taxes, unemployment oontributiona, any other taxes.
insurance or other expenses for the Contractor or its staff shall be the sole responsibility of the Contractor.
22. TRAVEL AND SUBSISTENCE REIMBURSEMENT -- Unless the contract specifically provides for different rates,
any travel or subsistence reimbursement expressly authorized under the contract shall be paid in accordance with
rates set pursuant to RCVV43.O3.U5O and RCVV43.O3.O8O and the State Administrative and Accounting Manual
(G/VAPN) Chapter 10.80 - Travel Rahan, now existing or amended,
Receipts and documentation for travel or subsistence expenses that are authorized under this contract must be
maintained by the Contractor and be made available to the Department upon request.
23. LICENSING AND ACCREDITATION STANDARDS -- Unless exempt from registration by law, the Contractor shall
complete registration with the Department of Revenue, and be responsible for payment of all taxes due on payments
made under this Contract. VVAC458-2O-1O1.
The Contractor shall comply with all applicable local, state, and federal licensing and accrediting
requirements/standards, necessary in the performance of this contract. (See RCW 10.02 for state licensing
requirements/definitions.) The Contractor shall provide to the Department all identification codes/numbers that
apply to the business as required in the state and federal revenue laws and regulations.
Identifications such aothe State Department of Revenue number, federal employee identification number, stabcertificatiocertification�o
on number of o minorwmmon-owned business enterprise, and any other applicable registration
identification that may exist should be provided. The Contractor shall be responsible for payment ofall related
licensing, accreditation and other related fees and charges,
24. CERTIFICATION REGARDING DEBARMENT, SUSPENSION ORINELIGIBILITY -|ffederal funds are the basis
for this contract, the Contractor certifies that the Contractor is not presently debarred, auopended, proposed for
debarment, declared ine||gib|a, or voluntarily excluded from participating in this contract by any federal deportment
or agency.
Ifrequested byWashington Military Department, the Contractor shall complete and sign oCertification
������.|n�i��'�\�n���f�.A�s�f��m����Contractor
-~
for this Contract shall beincorporated into this Contract by reference.
Further, the Contractor agrees not toenter into any arrangements orcontracts related to this contract with any party
that isdebarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating
in this contract by any federal department or agency.
In addition, the state debarment laws shall apply: RCW 39.19.090;RCW 39.12.065 (3).
25. ADVANCE PAYMENTSpROHIBITEO-TheDepartment shall make no payments in advance or|nanticipation of
services or supplies to be provided under this contract. Contractor shall not invoice the Department |nadvance of
delivery ofsuch goods orservices. RCVV43.88.18O;Washington State Constitution, Article VU|.§5
26. LOSS OR REDUCTION OF FUNDING -- In the event funding from abnte' fedemo|, or other sources is withdrawn,
reduced, orlimited inany way after the effective date ofthis contract and prior tonormal completion, the Department
may immediately terminate the contract in its sole discretion under the "Termination for Convenience" dauem,
without the ten (10) day notice requirement. A|bernoUvely, the pates may renegotiate the terms ofthis contract
under the "CONTRACT yNC}D|F|CAT|ON9^ provision to comply with new funding limitations and conditions,
although the Department has noobligation \odoso.
27. WAIVER OF DEFAULT -VVeiver of any default shall not be deemed to be e waiver ofany subsequent default.
Waiver of breach of any provision of the contract shall not be deemed to be a waiver of any other or subsequent
bnaeoh and shall not be construed to be a modification of the terms of the contract unless stated to be such in
writing, signed bythe Director and attached tothe original contract.
28. CONTRACTNOD|FICATIONS-This contract contains all the terms and conditions agreed upon by the parties.
Noother understandings, oral orotherwise, regarding the subject matter of this agreement shall bedeemed to exist
or bind the parties hereto unless made |nwriting and signed by the parties. The Department and the Contractor
may, from time to time, request changes to the contract, Any such changes that are mutually agreed upon by the
parties to this contract shall be incorporated herein by written amendment to this contract. |t{mmutually agreed and
understood that no alteration or variation of the terms ofthis contract shall be valid unless made in vvhdng and
SFYuooa(EFSEo) Page aor14 Grant County Sheriffs Office, E25-o4s
�ned by the parties hereto, and that any other understanding oragreements, oral or otherwise, are not
incorporated herein and shall not bebinding unless made in writing and signed by the parties hereto.
29.LIMITATION OF AUTHORITY—"AuthoMzed Signature" Only the assigned Authorized Signature for the
Department or the assigned delegate by writing (delegation to be made prior to action) shall have the express.
implied, or apparent authority to alter, amend, modify, or waive any clause or condition of this contract. Furthermore,
any alteration, omemdment, modification, or waiver of any clause or condition of this contract is not effective or
binding unless made inwriting and signed bythe authorized person.
30. DISPUTES — Except as otherwise provided /nthis contract, when abona fide dispute arises between the parties
and it cannot be resolved through discussion and negotiation, either party may request a dispute resolution board
to resolve the dispute. A request for odispute resolution board shall beinwriting, state the disputed issues, state
the relative positions ofthe parties, and besent toall parties, The board shall consist oforepresentative
by the Department, o representative appointed by the Contractor and a third party mutually agreed uponappointedby both
parties. The determination of the dispute resolution board eheshallbefinal and binding on the parties hereto. Each
party shall bear the cost for Its member of the dispute resolution board and its attorney fees and costs, and share
equally the cost ofthe third board member,
31.RECAPTURE OF FUNDS—|nthe event that the Contractor fails to expend funds under this Contract in accordance
with state laws and/or the provisions of this Contract, the Agency reserves the right torecapture state funds |nan
amount equivalent tothe extent of the noncompliance in addition to any other remedies available at law or in equity.
Such right of recapture shall exist for a period not to exceed six (6) years following Contract termination. Repayment
by the Contractor of funds under this recapture provision shall occur within 30 days of demand. |nthe event that
the Agency is required to institute legal proceedings to enforce the recapture provision, the Agency shall be entitled
to its costs thereof, including reasonable ettomeyo^feee.
32. CONFLICT OPINTEREST—The Department may, by written notice to the Contractor, terminate this contract if it
is found after due notice and examination by TheAdjutantGenera|or-theAuthorizedDepartmentRepresentative
that there is a violation of Chapter 42.52 RCVV Ethics in Public Smm4oe, or any similar statute involving the
Contractor inthe procurement of, orperformance under, this oontrac.
33. TERMINATION FOR CONVENIENCE — Notwithstanding any provisions of this contract, the Contractor may
terminate this contract by providing written notice ofsuch termination, specifying the effective date thereof, at |oeat
thirty (3D)days prior tosuch date.
Notwithstanding any other provisions of this contract, the Department may, by ten (10) days written notice'
beginning onthe seday after the mailing ofthe written notice, terminate this contract,
'[nwhole or|npart. If
this oonLnaoi is so terminated, the Department shall be liable only for payment required under the terms of this
contract for services rendered or goods delivered prior to the effective date of termination. Upon notice of
termination for convenience, the Department reserves the right to suspend all or part of the contract, withhold further
payments, and prohibit the Contractor from incurring additional obligations of funds,
34. TERMINATION OR SUSPENSION FOR CAUSE — In the event the Department determines the Contractor has
failed to comply with the conditions of this contract in an acceptable and timely manner, the Department has the
right tosuspend orterminate this contract. The Department shall notify the Contractor Ynwriting ofthe need totake
corrective action.
If the default or violation is not corrected after ten (1O)days or within ereasonable tilmeframe as determined by the
Department, the contract shall bedeemed terminated, The Department reserves the - to suspend all orpart of
the contract,contract,withhold further payments, or prohibit the Contractor from incurring additional obligations of funds
during investigation ofthe alleged compliance breach andpeodingcorrecUveaoUonbytheContractororedeoision
bythe Department Loterminate the contract.
In the event this contract imterminated as provided above. the Department shall be entitled to pursue the same
remedies against the Contractor as it could pursue in the event of a breach of the contract by the Contractor. The
rights and remedies of the Department provided for in this clause shall'not be exclusive and are in addition to any
other rights and remedies provided by |evv. The existence of facts upon vvh|oh The Adjutant General or the
Authorized Department Representative makes any determination under this o|ouae aheshallbaan issue and may be
reviewed aaprovided inthe "Dieputeo"clause ofthis contract.
The termination shall be deemed to be a "Termination for Convenience" if it is determined that the Contractor: (1)
was not in default, or (2) failure to perform was outside of the Contractor's control, fault or negligence, The rights
and remedies of the Department provided in this contract are not exclusive and are in addition to any other rights
and remedies provided by law.
SFY 2025 (EFSEC) Page 9 of 14 Grant County Sheriffs Office, E25-049
35, TERMINATION PROCEDURE -- Upon termination of this contract, the Department, in addition to any other rights
provided in this contract, may require the Contractor to deliver to the Department any property specifically produced
or acquired for the performance of such part of this contract as has been terminated.
The Department shall pay to the Contractor the agreed upon price, if separately stated, for completed work and
services accepted by the Department., and the amount agreed upon by the Contractor and the Department for (i)
completed work and services for which no separate price is stated, (ii) partially completed work and services, (iii)
other property or services which are accepted by the Department, and (iv) the protection and preservation of
property, provided, that if the termination is due to default, The Adjutant General or the Authorized Department
Representative shall determine the extent of the liability of the Department. Failure to agree with such determination
shall be a dispute within the meaning of the "Disputes" clause of this contract. The Department may withhold from
any amounts due the Contractor such sum as The Adjutant General or the Authorized Department Representative
determines to be necessary to protect the Department against potential loss or liability.
The rights and remedies of the Department provided in this section shall not be exclusive and are in addition to any
other rights and remedies provided by law or under this contract,
After receipt of a notice of termination, and except as otherwise directed by the Department, the Contractor shall:
a. Stop work under the contract on the date, and to the extent specified, in the notice;'
b. Place no further orders or subcontracts for materials, services, or facilities except as may be necessary for
completion of such portion of the work under the contract as is not terminated;
C. Assign to the Department, in the manner, at the times, and to the extent directed by The Adjutant General
or the Authorized Department Representative, all of the rights, title, and interest of the Contractor under the
orders and subcontracts so terminated, in which case the Department has the right, at its discretion, to
settle or pay any or all claims arising out of the termination of such orders and subcontracts.
d. Settle all outstanding liabilities and all claims arising out of such termination of orders and subcontracts,
with the approval or ratification of the Department to the extent The Adjutant General or the Authorized
Department Representative may require, which approval or ratification shall be final for all the purposes of
this clause;
e. Transfer title to the Department and deliver in the manner, at the times, and to the extent directed by the
Department any property which, if the contract had been completed, would have been required to be
furnished to the Department;
f. Complete performance of such part of the work as shall not have been terminated by the Department; and
9- Take such action as may be necessary, or as the Department may require, for the protection and
preservation of the property related to this contract which is in the possession of the Contractor and in which
the Department has or may acquire an interest.
36. GOVERNING LAW AND VENUE -- This contract shall be construed and enforced in accordance with, and the
validity and performance hereof shall be governed by, the laws of the state of Washington. In the event of a lawsuit
involving this contract, venue shall be proper only in Thurston County. The Contractor, by execution of this contract,.
acknowledges the jurisdiction of the courts of the state of Washington in this matter.
37. SEVERABILITY -- If any provision of this contract or any provision of any document incorporated by reference shall
be held invalid, such 'Invalidity shall not affect the other provisions of this contract which can be given effect without
the invalid provision, and to this end the provisions of this contract are declared to be severable.
38. DATE COMPLIANCE - If applicable to this contract, the Contractor is responsible for ensuring that all materials
and equipment installed as part of this contract shall accurately process dateltime data between year calculations,
to the extent that other information technology, used in combination with the information technology being acquired,
properly exchanges dateltime data with it.
39, HISTORICAL AND CULTURAL ARTIFACTS - The Contractor agrees that if historical, archaeological data, or
cultural artifacts, relics or specimens are discovered during and as the result of contract activities such as
construction, the Contractor shall immediately stop those specific activities and notify the local historical
preservation officer, the state's historical preservation officer at the Washington State Department of Archeology
and Historic Preservation, and the Department's contact person for this contract.
40, INDUSTRIAL INSURANCE -- If Vendor has operations in Washington, this section shall apply. If Vendor has no
operations in Washington, this section shall NOT apply.
SFY 2025 (EFSEC) Page 10 of 14 Grant County Sheriffs Office, E25-049
a. Contractor employments ' excluded from mandatory coverage are listed in RCW 51.12.020 and include sole
proprietors, partners, corporate officers and certain others. The Contractor may elect optional coverage for
these employments.
b. Prior to performing work under this contract, the Contractor shall provide or purchase industrial insurance
coverage for the Contractor's employees, as may be required of an "employer" as defined in Title 51 RCW
(industrial Insurance), and shall maintain full compliance with Title 51 RCW during the course of this
contract.
To protect the State's interest, if either the Contractor or someone employed by the Contractor is injured
while performing work under the contract, the Contractor's employees should be covered by industrial
insurance. The Contractor shall comply with the provisions of Title 51 RCW (Industrial Insurance). If the
Contractor falls to provide industrial insurance coverage or fails to pay premiums or penalties on behalf of
its employees as may be required by law, the Department may collect from the Contractor the full amount
payable to the Industrial Insurance accident fund. The Department may deduct, the amount owed by the
Contractor to the accident fund from the amount payable to the Contractor by the Department under this
contract, and transmit the deducted amount to the Department of Labor and Industries (L&I). This provision
does not waive any of L&Is rights to collect from the Contractor. RCW 51.04.060. No employer or worker
shall exempt himself or herself from the burden or waive the benefits of this title.
C. The Contractor shall be prepared, upon request, to provide documentation of industrial insurance coverage
for any workers employed by the Contractor. The Department will not be responsible for payment of
industrial insurance premiums or for any other claim or benefit for this Contractor, or any subcontractor or
employee of the Contractor, which might arise under the industrial insurance laws during performance of
duties and services under this contract.
41, RESPONSIBILITIES OF THE PARTIES --
Each party to this contract hereby assumes responsibility for claims and/or damages to persons and/or property
resulting from any negligent act or omissions on the part of itself, its employees, its officers, and its agents. Neither
party assumes any responsibility to the other party for the consequences of any negligent claim, act, or omission of
any person, agency, firm, or corporation not a part to this contract,
42. EXECUTIVE ORDER 18-03 - WORKERS" RIGHTS
The Contractor represents and warrants that the Contractor does not require its employees, as a condition of
employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers. The
Contractor further represents and warrants that, during the term of this contract, the Contractor shall not, as a
condition of employrnent, require its employees to sign or agree to mandatory individual arbitration clauses or
class or collective action waivers.
SFY 2025 (EFSEC) Page 11 of 14 Grant County Sheriffs Office, E25-049
Exhibit C
STATEMENT OF WORK
Energy Facility Site Evaluation Council (EFSEC)
SFY25 Grant County Radiological Emergency Preparedness (REP) Program
INTRODUCTION -,- The Washington State Military Department (the Department), Emergency Management
Division (EMD), coordinates emergency management activities and implements the Washington State Fixed
Nuclear Facility Plan. Through an interagency agreement, the Energy Facility Site Evaluation Council (EFSEC)
provides funds for emergency preparedness services in support of Energy Northwest's Columbia Generating
Station Emergency Response Plan. The Department is authorized through this interagency agreement to
subcontract with certain Washington counties for emergency preparedness (EP) services including coordination
of response roles, plans, exercises, and other details. The following Scope of Work outlines the responsibilities
of Grant County Sheriff's Office, under this contract.
--------------------
PROGRAMACTIVITY
FREQ UENC Y
A.
UPDATE OF PLANS AND LETTERS OF AGREEMENT
Grant County Chemical and Radiological plan; revise as necessary to incorporate any needed
1
updates to the plan and procedures for training, drills, exercises, and changes in the notification
Annually oras
process,
needed
Provide draft revisions for annual review and comment to Energy Northwest, WA State EMD
Annually or as
2.
and local organizations for any updates or corrections.
needed
3
Conduct periodic review of letters of agreement or memoranda of understanding with entities,
Annually as
.or
jurisdictions, and disciplines that may be involved during a radiological incident,
needed
Attend planning meetings (issues) related to Energy Northwest for coordination, planning, and
4,
training that may impact Grant County's preparedness efforts,
As Scheduled
B.
PUBLIC EDUCATION AND INFORMATION
1 "
Participate in Community Outreach Programs, ie., schools, civic groups
As Requested
Make available program emergency preparedness information to ingestion zone residents and
2 -
.1--
businesses
------------
Annually
C.
RADIOLOGICAL EMERGENCY RESPONSE TRAINING
Ensure initial and annual training is provided for Emergency Operations Center (EOC)
personnel and first responders (ie, elected officials, law enforcement, fire service, public
works, dispatchers, emergency workers, volunteers) involved in the Fixed Nuclear Facility Annually oras
(FNF) plan. Training may be done in cooperation with the Washington Department of Health needed
(WDOH), Washington Department of Agriculture (WSDA), WA State EMD and Energy
Northwest.
Attend and participate in other REP program training or training pertinent for Emergency
2.
Management to include but not limited to: CC, RPPR, REEL, RPPP, REP-DIR, HSEEP, PIO, IS (100,
As Scheduled
200) 7001800), ICS (300t 400), G-235 (Planning)
Maintain training attendance records and outlines of training subject matter. Provide copies to
3 -
FEMA Region X, Energy Northwest., and WA State EMD as requested.
As Requested
4.
Submit to FEMA training calendar for future calendar year.
Annually
DM
DRILLS
Participate in scheduled off year drills, dressed rehearsals, and evaluated exercises (2024
ingestion). Work with the Energy Northwest Emergency Planner to include Grant County in
their drills and exercises when the exercise scenario identifies a risk to Grant County. Seek a
As Scheduled
Columbia Generating Station representative to participate at the Emergency Coordination
SFY 2025 (EFSEC) Page 12 of 14 Grant County Sheriffs Office, E25-049
1-01-ONOGRAM ACTIVITY
FREQUENCY
Center on behalf of the Facility exercises and Drills as necessary.
2.
Participate in JIS/JIC, Food Control drills, or exercises/drills related to the REP program,
As Scheduled
Participate in the exercise development process for evaluated exercises, attend exercise
planning team meetings and develop required exercise documents
As Scheduled
E.
24-HOUR STAFFING
Emergency Management will adequately train and staff the Emergency Coordination Center
and will maintain 24-hour staffing for protracted operations, Ongoing
F.
EMERGENCY FACILITIES AND EQUIPMENT
Emergency Management will maintain an operational Emergency Coordination (ECC) Center at
35 C Street NW, Ephrata,, Washington. The ECC will maintain current wall charts and maps for
the Chemical and Radiological Plan and program. Periodic reviews will aid in identifying needed
Ongoing
changes and improvements for efficient and effective coordination capability.
Emergency Management maintains and tests the CEMNET radio, a communications capability
2.
to communicate with the State EOC. This radio will be tested when staff is available to assure
Weekly
connectivity is made with the State EOC.
Maintain Emergency Worker Kits for WSP by inspecting OSL dosimeters, recharge/replace 0-20R
3.
.DRD, ensure KI is current, and procedures are current.,
Semi -Annually
Maintain radiological detection instruments for calibration in accordance with the
manufacturers' recommendations. Grant County Emergency Management has Canberra
4.
MCB2's which do not require calibration and Canberra Ultra Radiac Plus detectors which
Annual
require annual calibration,
5.
Maintain Emergency Alert System (EAS) and ensure equipment is functional at all times.
Quarterly
G.
ALERT AND NOTIFICATION
Maintain an updated Alert & Notification list, for suspected changes, with the Multi Agency
Communication Center, Grant County's single point dispatch center.
Quarterly
H.
ADMINISTRATIVE
I
Review and update as needed annual budget and work plan, submit to EFSEC for approval.
Annually
2.
Submit performance reports to WA State EMIR to document program activities,
Quarterly
Provide sufficient information and documentation to WA State EMD to assist in the
3-
development of the Annual Letter of Certification, I
Annually
Conduct administrative functions such as correspondence, financial monitoring and tracking,
4.
1
submission/requests for reimbursements., monitor compliance for State and Federal audit
0 A
ngoing
requirements, etc.
I I
SFY 2025 (EFSEC) Page 13 of 14 Grant County Sheriffs Office, E25-049
BUDGET SHEET
Energy Facility Site Evaluation Council (EF EC)
Contract expenditures shall be documented according to the following categories when appropriate:
ITEM DESCRIPTION
COST
A. Salaries and Wages
$
33,000
Benefits
$
15,000
C. Personal Contracts
$
0
E. Goods & Services
$
21700
G. Travel
$
41000
J. Capital Outlay
$
0
TOTAL
$
54$700
Up to 10 percent (+/-) of any single budget category amount may be shifted between approved
budget objects,
Final signed invoice voucher (A-1g) to be submitted with final performance report and
deliverables. A-1 9's not to exceed the total amount of contract award.
NOTE.* Maintain expenditures within the listed budget categories.
SFY 2025 (EFSEC) Page 14 of 14 Grant County Sheriffs Office, E25-049
SIGNATURE AUTHORIZATION FORM
WASH(NGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before completing this form.
NAME OF ORGANIZATION DATE SUBMITTED
Grant County Sheriff's Office, Emergency Management
PROJECT DESCRIPTION CONTRACT NUMBER
To provide EFSEC pass -through dollars (SFY 2025) for the county to E25-049
conduct radiological emergency preparedness program duties. p
1. AUTHORIZING AUTHORITY
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Joe Kriete
sheriff 2022
John McMillan
Undersheriff 2022
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
IGNATU E
PRINT OR TYKE NAME
TITLE
Joe Kriete
Sheriff
John McMillan
Undersherlff
L2Josh
Sainsbury
Chief Deputy
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
IGNATURE
PRINT OR TYPE NAME
TITLE
Josh Sainsbury
Chief Deputy
e�
Mireya Garcia
EM specialist
MAC-1WOL1\HOMEIKARENBI....1WP\SIGNAUTH Revised 3103
This form identifies the persons who have the authority to sign contracts, amendments,
and requests for reimbursement. It is required for the management of your contract with
the Military Department (MD). Please complete all sections. One copy with original
signatures is to be sent to MD with the signed contract, and the other should be kept with
your copy of the contract.
When a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file, The payment can be delayed if the request is
presented without the proper signature. It is important that the signatures in MD's files
are current. Changes in staffing or responsibilities will require a new signature
authorization form.
Authorizing Authority. Generally, the person(s) signing in this box heads
4.
the governing body of the organization, such as the board chair or mayor. In
some cases, the chief executive officer may have been delegated this
authority.
2. Authorized to Sign Contracts/Contract Amendments. The person(s) with
this authority should sign in this space, Usually, it is the county
commissioner, mayor, executive director, city clerk, etc.
3. Authorized to Sign Requests for Reimbursement. Often the executive
director, city clerk, treasurer, or administrative assistant have this authority.
It is advisable to have more than one person authorized to sign
reimbursement requests. This will help prevent delays in processing a
request if one person is temporarily unavailable.
If you have any questions regarding this form or to request new forms, please call your
IVID Program Manager,
Washington Military Department Contract Number:_____
Debarment, Suspension, Ineligibility or Voluntary Exclusion Certification Form
NAME
Doing business as (DBA)
Grant County Sheriffs Office, Emergency Management
ADDRESS
Applicable Procurement
WA Uniform Business
Federal Employer Tax
PO BOX
or Solicitation #, if any:
Identifier (UBI)
Identification #,-
This certification is submitted as part of a request to contract.
Instructions For Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower
Tier Covered Transactions
READ CAREFULLY BEFORE SIGNING THE CERTIFICATION. Federal regulations require contractors and bidders to sign and
abide by the terms of this certification, without modification, in order to participate in certain transactions directly or
indirectly involving federal funds.
1.Bysigning and submitting this proposal, the prospective lower tier participant ieproviding the certification set out
below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower der participant knowingly rendered an
erroneous cerUfioadon, in addition to other remedies available to the Federal Government the department oragency
with which this transaction originated may pursue available remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the departnent, institution or office to
which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances.
4. The terms covered transaobon, debarred, suspended, ineligible, lower tier covered Lnanmootion, particpont, penson,
primary covered tranaootion, prinoipa|, proposal, and voluntarily excluded, as used in this dauoe, have the meaning
set out in the Definitions and Coverage sections of m|em implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicable CFR, debaned, oumpended, declared ineUgib|e, or voluntarily excluded
from participation in this covered transacdon, unless authorized by the department or agency with which this
transaction originated.
G. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," without modifiootion, in all lower ter covered transactions and in all solicitations for lower tier oow*nad
transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debarment under opp|ioob|a CFR, debarred, ouapended, ine|igib(e, or voluntarily
excluded from covered Ynsnseotions, unless it knows that the certification is erroneous. Apartioipan1 may decide the
method and frequency by which it determines the eligibility ofits principals. Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non -procurement Programs.
B. Nothing contained in the foregoing shall be construed to require establishment of e system of records in order to
render in good faith the certification required by this o|auae. The knowledge and information of participant is not
required to exceed that which is normally possessed by a prudent person in the ordinary course of business activity.
A. Except for transactions authorized under paragraph 5 of these instruotions, if participant in a covered transaction
knowingly enters into a lower tier covered transaction with o person who is proposed for debarment under applicable
CFR, auspended, debarnad, ine|ig|b|e, or voluntarily excluded from participation in this tnsnsaotion, in addition to other
remedies available to the Federal Government, the department oragency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
Certification Regarding Dmbmrnment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal mcontract, that neither bnor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarilyexcudnd
from participation in this transaction by any Federal department or agency. Where the prospective lower tier
participant is unable to certify to any the statements in this certification, such prospective participant shall
attach an explanation to this form. "-I A A
Bidder or Contractor Signature:
Print Name and Title: Joe Kriete, S riff
Washington Military Department Contract Number:
FEDERAL DEBARMENT, SUSPENSION
INELIGIBILITY and VOLUNTARY EXCLUSION
(FREQUENTLY ASKED QUESTIONS)
What is "Debarment, $uspension, Inelic I Oblifty, and Voluntary Exclusion'"?
These terms refer to the status of a person or company that cannot contract with or receive grants from a federal agency.
In order to be debarred, suspended, ineligible, or voluntarily excluded, you must have. -
had a contract or grant with a federal agency, and
4 gone through some process where the federal agency notified or attempted to notify you that you could not contract
with the federal agency.
0 Generally, this process occurs where you, the contractor, are not qualified or are not adequately performing under a
contract, or have violated a regulation or law pertaining to the contract.
Why am I required to sign this certification`?
You are requesting a contract or grant with the Washington Military Department. Federal law (Executive Order 12549)
requires Washington Military Department ensure that persons or companies that contract with Washington Military
Department are not prohibited from having federal contracts.
What is Executive Order 12549?
Executive Order 12549 refers to Federal Executive Order Number 12549. The executive order was signed by the
President and directed federal agencies to ensure that federal agencies, and any state or other agency receiving federal
funds were not contracting or awarding grants to persons, organizations, or companies who have been excluded from
participating in federal contracts or grants, Federal agencies have codified this requirement in their individual agency
Code of Federal Regulations (CFRs).
What is the pgrpose of this certification?
The purpose of the certification is for you to tell Washington Military Department in writing that you have not been
prohibited by federal agencies from entering into a federal contract.
What does the word "pro_poral" mean when referred to in this certification?
Proposal means a solicited or unsolicited bid, application, request, invitation to consider or similar communication from
you to Washington Military Department.
What or who is a "lower tier particlRant"?
Lower tier participants means a person or organization that submits a proposal, enters into contracts with, or receives a
grant from Washington Military Department, OR any subcontractor of a contract with Washington Military Department.- If
you hire subcontractors, you should require them to sign a certification and keep it with your subcontract.
What is a covered transaction when referred to in this certification?
Covered Transaction means a contract, oral or written agreement, grant, or any other arrangement where you contract
with or receive money from Washington Military Department. Covered Transaction does not include mandatory
entitlements and individual benefits,
Sample Debarment, Suspension, Ineligibility, Voluntary Exclusion Contract Provision
Debarment Certification. The Contractor certifies that the Contractor is not presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participating in this Contract by any
Federal department or agency. If requested by Washington Military Department, the Contractor shall complete
a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion form. Any such form
completed by the Contractor for this Contract shall be incorporated into this Contract by reference.
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before completing this form.
NAME OF ORGANIZATION I DATE SUBMITTED
Grant County Sheriff's Office, Emergency Management 1 9/23/24
PROJECT DESCRIPTION I CONTRACT NUMBER
To provide EFSEC pass -through dollars (SFY 2024) for the county to I E25-049
conduct radiological emergency preparedness program duties.
1. AUTHORIZING AUTHORITY
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Cindy Carter
Commissioner, Chair
Danny E. Stone
Commissioner, Vice Chair
�rN �- Ntim
Rob Jones
Commissioner, Member
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE
PRINT OR TYPE NAME
TITLE
Joe Kriete
Sheriff
John McMillan
Undersheriff
Josh Sainsbury
Chief Deputy
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE
PRINT OR TYPE NAME
TITLE
Jessica Olsen
EM Specialist
Mireya Garcia
EM Specialist
\\NAC-1\VOL1\HOME\KARENB\.... \WP\SIGNAUTH Revised 3/03
INSTRUCTIONS FOR SIGNATURE AUTHORIZATION FORM
This form identifies the persons who have the authority to sign contracts, amendments,
and requests for reimbursement. It is required for the management of your contract with
the Military Department (MID). Please complete all sections. One copy with original
signatures is to be sent to MD with the signed contract, and the other should be kept with
your copy of the contract.
When a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file. The payment can be delayed if the request is
presented without the proper signature. It is important that the signatures in MD's files
are current. Changes in staffing or responsibilities will require a new signature
authorization form.
1. Authorizing Authority. Generally, the person(s) signing in this box heads
the governing body of the organization, such as the board chair or mayor. In
some cases, the chief executive officer may have been delegated this
authority.
2. Authorized to Sign Contracts/Contract Amendments. The person(s) with
this authority should sign in this space. Usually, it is the county
commissioner, mayor, executive director, city clerk, etc.
3. Authorized to Sign Requests for Reimbursement. Often the executive
director, city clerk, treasurer, or administrative assistant have this authority.
It is advisable to have more than one person authorized to sign
reimbursement requests. This will help prevent delays in processing a
request if one person is temporarily unavailable.
If you have any questions regarding this form or to request new forms, please call your
MD Program Manager.
Department: Emergency Management
Grantor: Washington State Military Department
Grant No. E25-049
Date signed: ��� - � , 2024
GRANT COUNTY BOARD
OF COUNTY COMMISSIONERS
ATTEST:
r ara J. Vasquez, CMC
Clerk of the Board