HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SAGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: New Hop@ DATE: 1.21.2024
REQUEST SUBMITTED BY: SuziFode PHONE: 764-8402
CONTACT PERSON ATTENDING ROUNDTABLE: Suzi Fode
CONFIDENTIAL INFORMATION: ❑YES *NO
❑Agreement / Contract ❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑Computer Related ❑County Code
El Emergency Purchase
❑Employee Rel.
❑ Facilities Related ❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders M Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
El 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���M M�
Request to Docu-Sign New Hope's STOP Violence Against Women Formula Grant with
Department of Commerce -Office of Crime Victim's Advocacy. The period of the grant
is January 1, 2025 through December 31, 2025 in the amount of $34,449 to improve the
community response to violence against women in Grant and Adams counties.
Dntact accounting to comniete a tinanciat Heauest Form nrior to suemissir
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
Liar Tor FORME-aw
If necessary, was this document reviewed by legal? *1 YES ❑ NO ❑ N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D2:
D3:
4/23/24
DEFERRED OR CONTINUED TO:
WITHDRAWN:
E C
JAN
r
0 8 20X�Off
d
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
K25-003
Washington State
A64 '� Department of
'V,4w'V Con-tmeree
Federal Interagency Grant Agreement with
New Hope
through
Office of Crime Victims Advocacy
Community Services Division
Agreement Number:
F24-31103-023
For
STOP Violence Against Women Formula Grant Program, grant pass
through allocation to improve the community response to violence against
women.
Dated: Wednesday, January 1, 2025
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
vitas ping".un stale
De.pa,menl of
Table of Contents
TABLEOF CONTENTS.............................................................................................................................................. 2
FACESHEET............................................................................................................................................................4
SPECIAL TERMS AND CONDITIONS.........................................................................................................................5
1.
AUTHORITY........................................................................................................................................................5
2.
ACKNOWLEDGEMENT OF FEDERAL FUNDING...................................................................................................5
3.
AGREEMENT MANAGEMENT.............................................................................................................................5
4.
AGREEMENT MODIFICATION.............................................................................................................................5
5.
AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336, ALSO REFERRED TO AS THE "ADA" 28
C. F. R. PART 35.....................................................................................................................................................6
6.
APPLICABILITY OF PART 200 UNIFORM REQUIREMENTS AND DOJ GRANTS FINANCIAL GUIDE.........................6
7.
AUDIT.................................................................................................................................................................6
8.
BILLING PROCEDURES AND PAYMENT...............................................................................................................6
9.
COMPENSATION................................................................................................................................................7
10.
COMPLIANCE WITH 41 U.S.C. 4712 (INCLUDING PROHIBITIONS ON REPRISAL; NOTICE TO EMPLOYEES) .........8
11.
COMPLIANCE WITH DOJ REGULATIONS PERTAINING TO CIVIL RIGHTS AND NONDISCRIMINATION - 28 C.F.R.
PARTS38, 42, AND 54........................................................................................................................................ 8
12.
COMPLIANCE WITH GENERAL APPROPRIATIONS -LAW RESTRICTIONS ON THE USE OF FEDERAL FUNDS ..........
8
13.
COMPUTER NETWORK REQUIREMENT..............................................................................................................8
14.
CONFERENCES, MEETINGS, AND TRAININGS.....................................................................................................9
15.
CONFIDENTIALITY AND INFORMATION SHARING..............................................................................................9
16.
COPYRIGHTED WORKS.......................................................................................................................................9
17.
DEBARMENT....................................................................................................................................................10
18.
DETERMINATIONS OF SUITABILITY TO INTERACT WITH PARTICIPATING MINORS...........................................10
19.
FRAUD AND OTHER LOSS REPORTING..............................................................................................................11
20.
INDIRECT COSTS...............................................................................................................................................11
21.
INSURANCE......................................................................................................................................................11
22.
NON-COMPLIANCE WITH NON-DISCRIMINATION LAWS.................................................................................11
23.
NON-SUPPLANTING.........................................................................................................................................11
24.
NOTIFICATION OF FINDINGS OF DISCRIMINATION OR NONCOMPLIANCE......................................................11
25.
ONGOING COMPLIANCE WITH STATUTORY CERTIFICATIONS.........................................................................11
26.
POLICY FOR RESPONSE TO WORKPLACE -RELATED INCIDENTS OF SEXUAL MISCONDUCT, DOMESTIC
VIOLENCE, AND DATING VIOLENCE..................................................................................................................12
27.
POLITICAL ACTIVITIES.......................................................................................................................................12
28.
POTENTIAL FRAUD, WASTE, ABUSE, AND SIMILAR MISCONDUCT...................................................................12
29.
REPORTING......................................................................................................................................................12
30.
REQUIREMENTTO REPORTACTUAL OR IMMINENT BREACH OF PERSONALLY IDENTIFIABLE INFORMATION
(PII)..................................................................................................................................................................12
31.
REQUIREMENTS PERTAINING TO PROHIBITED CONDUCT RELATED TO THE TRAFFICKING IN PERSONS
(INCLUDING REPORTING REQUIREMENTS AND OVW AUTHORITYTO TERMINATE AWARD) ..........................13
32.
REQUIREMENTS RELATED TO SYSTEM FOR AWARD MANAGEMENTAND UNIQUE ENTITY IDENTIFIERS ........13
33.
RESTRICTIONS ON "LOBBYING" AND POLICY DEVELOPMENT..........................................................................13
34.
SERVICES TO LIMITED-ENGLISH-PROFICIENT (LEP) PERSONS..........................................................................13
35.
STATUTORY AND REGULATORY REQUIREMENTS............................................................................................14
Interagency Agreement Page 2 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
i s hrig.ori. State
C Depat'-1:1nent of
36. SUBGRANTEE/SUBCONTRACTOR DATA COLLECTION......................................................................................14
37. VAWA 2013 NON-DISCRIMINATION PROVISION.............................................................................................14
38. ORDER OF PRECEDENCE...................................................................................................................................14
GENERAL TERMS AND CONDITIONS.....................................................................................................................15
1. DEFINITIONS....................................................................................................................................................15
2. ALL WRITINGS CONTAINED HEREIN.................................................................................................................15
3. AMENDMENTS.................................................................................................................................................15
4. ASSIGNMENT...................................................................................................................................................16
5. CONFIDENTIALITY AND SAFEGUARDING OF INFORMATION............................................................................16
6. COPYRIGHT PROVISIONS..................................................................................................................................16
7. DISPUTES.........................................................................................................................................................17
8. GOVERNING LAW AND VENUE.........................................................................................................................17
9. INDEMNIFICATION...........................................................................................................................................17
10. LICENSING, ACCREDITATION AND REGISTRATION...........................................................................................17
11. RECAPTURE......................................................................................................................................................17
12. RECORDS MAINTENANCE................................................................................................................................17
13. SAVINGS...........................................................................................................................................................18
14. SEVERABILITY...................................................................................................................................................18
15. SUBCONTRACTING...........................................................................................................................................18
16. SURVIVAL.........................................................................................................................................................18
17. TERMINATION FOR CAUSE...............................................................................................................................18
18. TERMINATION FOR CONVENIENCE..................................................................................................................19
19. TERMINATION PROCEDURES...........................................................................................................................19
20. TR EATM E NT 0 F ASS ETS...................................................................................................................................
20
21. WAIVER............................................................................................................................................................20
ATTACHMENT A: AWARD ACCEPTANCE............................................................................................................... 21
ATTACHMENT B: EEOP COMPLIANCE CERTIFICATION FORM...............................................................................22
ATTACHMENT C: RESTRICTIONS AND CERTIFICATIONS REGARDING NON -DISCLOSURE AGREEMENTS AND
RELATEDMATTERS.............................................................................................................................................. 23
ATTACHMENTD: SCOPE OF WORK......................................................................................................................24
ATTACHMENTE: BUDGET.................................................................................................................................... 26
ATTACHMENT F: FEDERAL FUNDS CHECKLIST...................................................................................................... 27
Interagency Agreement Page 3 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
state
" parent of .
Face Sheet
Research and Development: ❑Yes NNo Agreement Number: F24-31103-023
Community Services Division, Office of Crime Victims Advocacy NSubrecipient
FFY 2024 Violence Against Women STOP Grant Program ❑Contractor
1. Grantee
2. Grantee Doing Business As (as applicable)
GRANT, COUNTY OF
New Hope
DBA NEW HOPE, PO BOX 37
EPHRATA,WA 98823
3. Grantee Representative
4. COMMERCE Representative
Suzi Fode
Ben Everett PO Box 42525
Director
Program Coordinator 98504-2525
(509) 764-8402
(360) 725-3024
sfodeCcD-grantcountywa.gov
ben 1amin.everett(cD-commerce.wa.gov 1011 Plum Street SE
Olympia, WA 98501
5. Agreement Amount
6. Funding Source
7. Start Date
8. End Date
$341449.00
Federal: 21 State: ❑ Other: ❑ N/A: ❑
01 /01 /2025
12/31 /2025
9. Federal Funds (as applicable) Federal Agency: ALN Indirect Rate
$34,449.00 Department of Justice, OVW 16.588 N/A
10.Tax ID#
11.SWV#
12.UB1#
13.UEl#
N/A
SWV0002426-17
132001884
ZL6WM26K8KR5
14. Agreement Purpose
STOP Violence Against Women Formula Grant Program, grant pass through allocation to improve the community response
to violence against women.
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the
terms of this Agreement and attachments and have executed this Grant on the date below and warrant they are authorized
to bind their respective agencies. The rights and obligations of both parties to this Agreement are governed by this
Agreement and the following other documents incorporated by reference: Agreement Terms and Conditions including
Attachment "A" — Award Acceptance, Attachment "B" — EEOP Compliance Certification Form, Attachment "C" — Restrictions
and Certifications Regarding Non -Disclosure Agreements and Related Matters, Attachment "D" — Scope of Work,
Attachment "E" — Budget, and Grantee's Application for Funding as submitted and approved by COMMERCE.
FOR AGENCY
FOR COMMERCE
Suzi Fode Director
Name, Title
Cindy Guertin -Anderson, Deputy Director
Signature
Date
Date
APPROVED AS TO FORM ONLY
BY ASSISTANT ATTORNEY GENERAL
APPROVAL ON FILE
Interagency Agreement Page 4 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
Cepa of
► C"m
Special Terms and Conditions
1. AUTHORITY
COMMERCE and Grantee enter into this Agreement pursuant to the authority granted by the
Interlocal Cooperation Act, Chapter 39.34 RCW.
2. ACKNOWLEDGEMENT OF FEDERAL FUNDING
Federal Award Date: 09/13/2022
Federal Award Identification Number (FAIN): 15JOVW-22-GG-00458-STOP
Federal Awarding Agency: Department of Justice, Office on Violence Against Women
Total amount of federal award 15JOVW-22-GG-00458-STOP: $3,060,210.00
Total amount of federal award 15JOVW-22-GG-00458-STOP obligated in this grant: $0.00
Awarding official: Michael Fong, Director (360) 725-4021
Federal Award Date: 09/13/2023
Federal Award Identification Number (FAIN): 15JOVW-23-GG-00608-STOP
Federal Awarding Agency: Department of Justice, Office on Violence Against Women
Total amount of federal award 15JOVW-23-GG-00608-STOP: $3,784,202.00
Total amount of federal award 15JOVW-23-GG-00608-STOP obligated in this grant: $0.00
Awarding official: Michael Fong, Director (360) 725-4021
Federal Award Date: 09/13/2024
Federal Award Identification Number (FAIN): 15JOVW-24-GG-00552-STOP
Federal Awarding Agency: Department of Justice, Office on Violence Against Women
Total amount of federal award 15JOVW-24-GG-00552-STOP: $3,725,610.00
Total amount of federal award 15JOVW-24-GG-00552-STOP obligated in this grant: $34,449
Awarding official: Michael Fong, Director (360) 725-4021
In the event a correction is required to the Acknowledgement of Federal Funding, an administrative
change will be processed. A change to the Acknowledgement of Federal Funding will not affect your
budget or scope of work and notice will be provided.
The Grantee agrees that all materials and publications (written, web -based, visual, or any other
format) resulting from Agreement activities shall contain the following statements:
"This project was supported by Agreement No. F24-31103-023 awarded by the state administering
office for the Office on Violence Against Women, U.S. Department of Justice's STOP Formula Grant
Program. The opinions, findings, conclusions, and recommendations expressed in this
publication/program/exhibition are those of the author(s) and do not necessarily reflect the views
of the state or the U.S. Department of Justice. Funds are administered by the Office of Crime
Victims Advocacy, Community Services Division, Washington State Department of Commerce."
3. AGREEMENT MANAGEMENT
The Representative for each of the parties shall be responsible for and shall be the contact person
for all communications and billings regarding the performance of this Agreement.
The Representative for COMMERCE and their contact information are identified on the Face Sheet
of this Agreement.
The Representative for the Grantee and their contact information are identified on the Face Sheet
of this Agreement.
4. AGREEMENT MODIFICATION
Notwithstanding any provision of this Agreement to the contrary, at any time during the Agreement
period, COMMERCE may, by written notification to the Grantee and without notice to any known
guarantor or surety, make changes within the general scope of the program activities to be performed
Interagency Agreement Page 5 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
f*44 ¢; of
/ (..i MCC
under this Agreement. All other modifications shall not be valid unless made in writing and signed by
the parties. Any oral understandings and agreements not incorporated herein, unless made in writing
and signed by the parties hereto, shall not be binding.
Notwithstanding any provision of this Agreement to the contrary, at any time during the Agreement
period, COMMERCE may analyze Agreement expenditures as a proportion of the Agreement budget.
If COMMERCE determines, in its sole discretion, that the Agreement funding is underutilized,
COMMERCE, in its sole discretion, may unilaterally modify the Agreement to reduce the balance of
the Agreement budget. Funds de -obligated by COMMERCE as a result of a budget reduction may be
made available to other Grantees for the provision of eligible program activities.
5. AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336, also
referred to as the "ADA" 28 C.F.R. Part 35
The Grantee 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 telecommunications.
6. APPLICABILITY OF PART 200 UNIFORM REQUIREMENTS AND DOJ GRANTS
FINANCIAL GUIDE
The Grantee agrees to comply with the Uniform Administrative Requirements, Cost Principles, and
Audit Requirements in 2 C.F.R. Part 200, as adopted and supplemented by the Department of Justice
(DOJ) in 2 C.F.R. Part 2800 (together, the "Part 200 Uniform Requirements"), and the current edition
of the DOJ Grants Financial Guide as posted on the OVW website, including any updated version
that may be posted during the period of performance. The current edition of the DOJ Grants Financial
Guide can be found at: https://www.olp.gov/do*-financial-guide-2024.
The Grantee also agrees that all financial records pertinent to this award, including the general
accounting ledger and all supporting documents, are subject to agency review throughout the life of
the award, during the close-out process, and for six (6) years after the Agreement end date or as long
as the records are retained, whichever is longer, pursuant to 2 C.F.R. 200.334, 200.337.
7. AUDIT
If the Grantee expends $1,000,000 or more in federal awards as a Subrecipient from any and all
sources in any fiscal year, the Grantee shall procure and pay for a single audit or a program -specific
audit for that fiscal year in accordance with 2 CFR 200 Subpart F. In accordance with 200.501(h), for
profit Subrecipients expending $1,000,000 or more in federal awards are also required to procure and
pay for a single audit or program -specific audit for that fiscal year.
Upon completion of each audit Grantee shall send all audit documentation to the Federal Audit
Clearinghouse.
If the Grantee expends less than $1,000,000 in federal awards as a Subrecipient from any and all
sources in any fiscal year the Grantee shall notify COMMERCE they did not meet the single audit
requirement within 30 calendar days of the end of that fiscal year.
8. BILLING PROCEDURES AND PAYMENT
COMMERCE will pay Grantee upon acceptance of services or program activities provided and receipt
of properly completed invoices which shall be submitted to the Representative for COMMERCE, not
more often than monthly nor less than quarterly.
Invoices shall be submitted to Ben Everett, electronically by email to
benjamin.everett@,commerce.wa.gov or via Secure Access Washington to the Commerce Contract
Management System (CMS).
If required, the attachments to the invoice request in the Commerce Contract Management System
shall describe and document, to COMMERCE's satisfaction, a description of the work performed, the
progress of the project, and fees.
Interagency Agreement Page 6 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
" m . vil' r r}}
Of
4*1 Commerce
Payment shall be considered timely if made by COMMERCE within thirty (30) calendar days after
receipt of properly completed invoices. Payment shall be sent to the address designated by the
Grantee. The invoice shall include the Grant Number: F24-31103-023.
COMMERCE may, in its sole discretion, terminate the Agreement or withhold payments claimed by.
the Grantee for services rendered if the Grantee fails to satisfactorily comply with any term or condition
of this Agreement.
No payments in advance or in anticipation of services or supplies to be provided under this Agreement
shall be made by COMMERCE.
Invoices and End of Fiscal Year
Invoices are due on the 20th of the month following the provision of services.
Final invoices for a state fiscal year may be due sooner than the 20th and COMMERCE will provide
notification of the end of fiscal year due date.
The Grantee must invoice for all expenses from the beginning of the Agreement through June 30,
regardless of the Agreement start and end date.
Duplication of Billed Costs
The Grantee shall not bill COMMERCE for services performed under this Agreement, and
COMMERCE shall not pay the Grantee, if the Grantee is entitled to payment or has been or will be
paid by any other source, including grants or agreements, for that service.
Disallowed Costs
The Grantee is responsible for any audit exceptions or disallowed costs incurred by its own
organization or that of its subgrantees/subcontractors.
COMMERCE may, in its sole discretion, withhold ten percent (10%) from each payment until
acceptance by COMMERCE of the final report.
9. COMPENSATION
COMMERCE shall pay an amount not to exceed $34,449.00 for the performance of all things
necessary for or incidental to the performance of work as set forth in Attachment D — Scope of Work.
Grantee's compensation for services rendered shall be in accordance with Attachment E — Budget.
Grantee shall provide a non-federal match. The total match to be provided shall be at least the amount
indicated in Attachment E — Budget. All funds designated as match are restricted to the same uses
as STOP Formula Grant Program funds. Match funds may be expended in a greater proportion to
Grant funds, however, all match funds must be expended prior to the close of this Grant. An expended
amount of match funds provided must be identified on the invoice voucher form provided by
COMMERCE.
Transfer of funds between line item budget categories must be approved by the Office of Crime
Victims Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10)
percent of the total program budget shall be subject to justification and negotiation between the
Grantee and OCVA, including approval from the Grantee's signature authority and the relevant OCVA
Section Manager.
Payment will be on a reimbursement basis only.
Consultants/contractors may not be paid at a rate in excess of $81.25 per hour, not to exceed $650
per day (excluding travel and subsistence costs) without prior written approval. To exceed this
specified maximum rate, Grantee must submit to OCVA detailed justification and have such
justification approved by the relevant OCVA section manager, prior to obligation or expenditure of
such funds. Issuance of this grant or approval of the grant budget alone does not indicate approval of
any consultant/contractor rate in excess of $81.25 per hour, not to exceed $650 per day. Although
prior approval is not required for consultant rates below this specified maximum rate, Grantees are
required to maintain documentation to support all daily or hourly rates.
Interagency Agreement Page 7 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
` ashing.ul state
Depe-tment of
" Commerce
Travel expenses incurred or paid by the Grantee shall be reimbursed at a rate not to exceed the
current state rate and in accordance with the state of Washington Office of Financial Management
Travel Regulations. Travel expenses are included in the maximum Agreement amount for this
Agreement. Current rates for travel may be accessed using the following link:
https://www.ofm.wa.gov/sites/default/files/public/resources/travel/colormap.pdf.
10. COMPLIANCE WITH 41 U.S.C. 4712 (INCLUDING PROHIBITIONS ON REPRISAL;
NOTICE TO EMPLOYEES)
The Grantee (and any subgrantee at any tier) must comply with, and is subject to, all applicable
provisions of 41 U.S.C. 4712, including all applicable provisions that prohibit, under specified
circumstances, discrimination against an employee as reprisal for the employee's disclosure of
information related to gross mismanagement of a federal grant, a gross waste of federal funds, an
abuse of authority relating to a federal grant, a substantial and specific danger to public health or
safety, or a violation of law, rule, or regulation related to a federal grant.
The Grantee also must inform its employees, in writing (and in the predominant native language of
the workforce), of employee rights and remedies under 41 U.S.C. 4712.
Should a question arise as to the applicability of the provisions of 41 U.S.C. 4712 to this award, the
Grantee is to contact COMMERCE for guidance.
11. COMPLIANCE WITH DOJ REGULATIONS PERTAINING TO CIVIL RIGHTS AND
NONDISCRIMINATION — 28 C.F.R. PARTS 38, 42, AND 54
The Grantee, and any subgrantee at any tier, must comply with all applicable requirements of 28
C.F.R. Part 38 (amended effective April 3, 2024).
Among other things, 28 C.F.R. Part 38 includes rules that prohibit specific forms of discrimination on
the basis of religion, a religious belief, a refusal to hold a religious belief, or refusal to attend or
participate in a religious practice. Part 38 also sets out rules and requirements that relate to engaging
in or conducting explicitly religious activities, and requires that recipients and subrecipients that are
social service providers provide written notice to beneficiaries or prospective beneficiaries of certain
protections as described in 28 C.F.R.38.6(b).
The Grantee, and any subgrantee at any tier, must comply with all applicable requirements of 28
C.F.R. Part 42, specifically including any applicable requirements in Subpart E of 28 C.F.R. Part 42
that relate to an equal employment opportunity program.
The Grantee, and any subgrantee at any tier, must comply with all applicable requirements of 28
C.F.R. Part 54, which relates to nondiscrimination on the basis of sex in certain "education programs."
12. COMPLIANCE WITH GENERAL APPROPRIATIONS -LAW RESTRICTIONS ON THE
USE OF FEDERAL FUNDS
The Grantee, and any subgrantee at any tier, must comply with all applicable restrictions on the use
of federal funds set out in federal appropriations statutes. Pertinent restrictions, for each fiscal year,
are set out at: https://www.austice.gov/ovw/award-conditions (titled "Award Condition: General
appropriations -law restrictions on use of federal award funds"), and are incorporated by reference
here. Should a question arise as to whether a particular use of federal funds by the Grantee (or a
subgrantee) would or might fall within the scope of an appropriations -law restriction, the Grantee is to
contact COMMERCE for guidance, and may not proceed without the express prior written approval
of COMMERCE.
13. COMPUTER NETWORK REQUIREMENT
Grantees may not use any award funds to maintain or establish a computer network unless such
network blocks the viewing, downloading, and exchanging of pornography. Nothing in this
requirement limits the use of funds necessary for any local law enforcement agency or any other entity
Interagency Agreement Page 8 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
carrying out criminal investigations, prosecution, or adjudication activities or victim assistance -related
activity.
14. CONFERENCES, MEETINGS, AND TRAININGS
The Grantee, and any subgrantee, must comply with all applicable laws, regulations, policies, and
official Department of Justice (DOJ) guidance (including specific cost limits, prior approval and
reporting requirements, where applicable) governing the use of federal funds for expenses related to
conferences (as that term is defined by DOJ, including the provision of food and/or beverages at such
conferences, and costs of attendance at such conferences. Information on the pertinent DOJ
definition of conferences and the rules applicable to this award appears on the Office on Violence
Against Women (OVW) website at: https://www.'ustice.gov/ovw/conference-planning.
OVW Training Guiding Principles
The Grantee understands and agrees that any training or training materials developed or delivered
with funding provided under this award must adhere to the OVW Training Guiding Principles for
Grantees and Subgrantees, available at:
https://www.justice.gov/sites/default/files/ovw/legacy/2012/06/28/ovw-training-guiding-principles-
grantees-subgrantees.pdf.
Food and Beverage Costs
The Grantee agrees Agreement funds will not be used to purchase food and/or beverages for any
meeting, conference, training, or other event, with the exception of support groups or otherwise within
the context of victim services where it is necessary and integral to providing services to enhance
victim safety. Additional information may be found in the Frequently Asked Questions (FAQs) About
STOP Formula Grants available at: https://www.justice.gov/ovw/page/file/1008816/di.
15. CONFIDENTIALITY AND INFORMATION SHARING
The Grantee agrees to comply with the provisions of 34 U.S.C. 12291(b)(2), nondisclosure of
confidential or private information, which includes creating and maintaining documentation of
compliance, such as policies and procedures for release of victim information. The recipient also
agrees to comply with the regulations implementing this provision at 28 C.F.R. 90.4(b) and
"Frequently Asked Questions (FAQs) on the VAWA Confidentiality Provision (34 U.S.C. 12291(b)(2))"
on the OVW website at: https://www.justice.gov/ovw/resources-and-fags-grantees. The Grantee also
agrees to ensure that all subgrantees at any tier meet these requirements.
16. COPYRIGHTED WORKS
Pursuant to 2 C.F.R. 200.315(b), the Grantee may copyright any work that is subject to copyright and
was developed, or for which ownership was acquired, under this Agreement. The Office on Violence
Against Women (OVW) reserves a royalty -free, nonexclusive, and irrevocable right to reproduce,
publish, or otherwise use the work, in whole or in part (including in the creation of derivative works),
for federal purposes, and to authorize others to do so.
OVW also reserves a royalty -free, nonexclusive, and irrevocable right to reproduce, publish, or
otherwise use, in whole or in part (including in the creation of derivative works), any work developed
by a subgrantee of this Agreement, for federal purposes, and to authorize others to do so.
In addition, the Grantee (or any subgrantee, contractor, or subcontractor of this Agreement at any
tier) must obtain advance written approval from the COMMERCE representative assigned to this
Agreement, and must comply with all conditions specified by the program manager in connection with
that approval, before: 1) using Agreement funds to purchase ownership of, or a license to use, a
copyrighted work; or 2) incorporating any copyrighted work, or portion thereof, into a new work
developed under this Agreement.
It is the responsibility of the Grantee (and of each subgrantee, contractor, or subcontractor as
applicable) to ensure that this condition is included in any subgrant, contract, or subcontract under
this award.
Interagency Agreement Page 9 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
r s= it t
IV
17. DEBARMENT
A. Grantee, defined as the primary participant and its principals, certifies by signing these Special
Terms and Conditions that to the best of its knowledge and belief that they:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency.
2. Have not within a three-year period preceding this Agreement, been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public or private agreement
or transaction, violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements, tax evasion, receiving stolen property, making false claims, or obstruction of
justice;
3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph (1)(b) of federal Executive Order 12549; and
4. Have not within a three-year period preceding the signing of this Agreement had one or
more public transactions (Federal, State, or local) terminated for cause of default.
B. Where the Grantee is unable to certify to any of the statements in this Agreement, the Grantee
shall attach an explanation to this Agreement.
C. The Grantee agrees by signing this Agreement that it shall not knowingly enter into any lower
tier covered transaction with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction, unless authorized by
COMMERCE.
D. The Grantee further agrees by signing this Agreement that it will include the clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower
Tier Covered Transaction," as follows, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions:
LOWER TIER COVERED TRANSACTIONS
1. The lower tier Grantee certifies, by signing this Agreement that neither it nor its principals
is presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or
agency.
2. Where the lower tier Grantee is unable to certify to any of the statements in this Agreement,
such Grantee shall attach an explanation to this Agreement.
E. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction, person, primary covered transaction, principal, and voluntarily excluded,
as used in this section, have the meanings set out in the Definitions and Coverage sections of
the rules implementing Executive Order 12549. Grantee may contact COMMERCE for
assistance in obtaining a copy of these regulations.
18. DETERMINATIONS OF SUITABILITY TO INTERACT WITH PARTICIPATING MINORS
The Grantee, and any subgrantee at any tier, must make determinations of suitability before certain
individuals may interact with participating minors. This requirement applies regardless of an
individual's employment status. The details of this requirement are posted on the OVW website at:
https://www.justice qov/ovw/award-conditions (titled "Award condition: Determination of suitability
required, in advance, for certain individuals who may interact with participating minors"), and are
incorporated by reference here.
Interagency Agreement Page 10 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
-ling,on State
'ja`amrent o
WW 0ml
19. FRAUD AND OTHER LOSS REPORTING
Grantee shall report in writing all known or suspected fraud or other loss of any funds or other property
furnished under this Agreement immediately or as soon as practicable to the COMMERCE
Representative identified on the Face Sheet.
20. INDIRECT COSTS
Grantee shall provide their indirect cost rate that has been negotiated between their entity and the
federal government. If no such rate exists a de minimis indirect cost rate of up to fifteen percent (15%)
of modified total direct costs (MTDC) may be used.
21. INSURANCE
Each party certifies that it is self -insured under the State's or local government self-insurance liability
program, and shall be responsible for losses for which it is found liable.
22. NON-COMPLIANCE WITH NON-DISCRIMINATION LAWS
During the performance of this Agreement, the Grantee shall comply with all federal, state, and local
nondiscrimination laws, regulations and policies. In the event of the Grantee's non-compliance or
refusal to comply with any nondiscrimination law, regulation or policy, this Agreement may be
rescinded, canceled or terminated in whole or in part, and the Grantee may be declared ineligible for
further Agreements with COMMERCE. The Grantee 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.
The funds provided under this Agreement may not be used to fund religious worship, exercise, or
instruction. No person shall be required to participate in any religious worship, exercise, or instruction
in order to have access to the facilities funded by this Agreement.
23. NON -SUPPLANTING
The Grantee agrees that Agreement funds will be used to supplement, not supplant, non-federal funds
that would otherwise be available for the activities under this Agreement. Violation of the non -
supplanting requirement can result in a range of penalties, including suspension of future funds under
this Agreement, recoupment of monies provided under this Agreement, and civil and/or criminal
penalties.
24. NOTIFICATION OF FINDINGS OF DISCRIMINATION OR NONCOMPLIANCE
In the event a state or federal court or a state or federal administrative agency makes a finding of
discrimination after a due process hearing on the basis of actual or perceived race, color, religion,
national origin, sex, gender identity, sexual orientation, age, or disability against the Grantee, any
subgrantee at any tier, or a program partner or participant receiving Agreement funds, the Grantee
will forward a copy of the finding to the U.S. Department of Justice, Office of Justice Programs, Office
of Civil Rights (OCR), and the Department of Commerce (COMMERCE).
The Grantee, and any subgrantee at any tier, shall include a statement clearly stating whether or not
the finding is related to any Agreement activity supported with a grant or agreement in which U.S.
Department of Justice funds are involved, and identify all open grants, agreement and contracts
utilizing U.S. Department of Justice funding by grant, agreement or contract number and program
title.
25. ONGOING COMPLIANCE WITH STATUTORY CERTIFICATIONS
The Grantee agrees that compliance with the statutory certification requirements is an ongoing
responsibility during the Agreement period and that, at a minimum, a hold may be placed on the
Grantee's funds for noncompliance with any of the requirements of 34 U.S.C. § 10449 (regarding rape
Interagency Agreement Page 11 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
( - " e
exam payments), 34 U.S.C. § 10449(e) (regarding judicial notification), 34 U.S.C. § 10450 (regarding
certain fees and costs), and 34 U.S.C. § 10451 (regarding polygraphing of sexual assault victims),
and 34 U.S.C. 10454 (regarding victim -centered prosecution), and 34 U.S.C. 10446(d)(6) (regarding
award conditions). Non-compliance with any of the foregoing may also result in termination or
suspension of the Agreement or other remedial measures, in accordance with applicable laws and
regulations.
26. POLICY FOR RESPONSE TO WORKPLACE -RELATED INCIDENTS OF SEXUAL
MISCONDUCT, DOMESTIC VIOLENCE, AND DATING VIOLENCE
The Grantee, and any subgrantee at any tier, must have a policy, or issue a policy within 270 days of
the Agreement start date, to address workplace -related incidents of sexual misconduct, domestic
violence, and dating violence involving an employee, volunteer, consultant, or contractor. The details
of this requirement are posted on the OVW website at: https://www.oustice.gov/ovw/award-conditions
(titled "Award Condition: Policy for response to workplace -related sexual misconduct, domestic
violence, and dating violence"), and are incorporated by reference here.
27. POLITICAL ACTIVITIES
Political activity of Grantee's employees and officers are limited by the State Campaign Finances and
Lobbying provisions of Chapter 42.17A RCW and the Federal Hatch Act, 5 U.S.C. 1501 - 1508.
No funds may be used for working for or against ballot measures or for or against the candidacy of
any person for public office.
28. POTENTIAL FRAUD, WASTE, ABUSE, AND SIMILAR MISCONDUCT
The Grantee agrees to promptly refer to the Department of Justice Office of the Inspector General
(OIG) any credible evidence that a principal, employee, agent, subgrantee, contractor, subcontractor,
or other person has, in connection with funds under this award — (1) submitted a claim that violates
the False Claims Act; or (2) committed a criminal or civil violation of laws pertaining to fraud, conflict
of interest, bribery, gratuity, or similar misconduct.
Potential fraud, waste, abuse, or misconduct involving or relating to funds under this award should be
reported to the OIG by — (1) online submission accessible via the OIG webpage at:
https://oig.lustice.gov/hotline/grant-complaint (select "Submit Report Online"); (2) mail, directed to:
U.S. Department of Justice, Office of the Inspector General, Investigations Division, ATTN: Grantee
Reporting, 950 Pennsylvania Ave., NW, Washington, DC 20530; (3) by facsimile directed to the DOJ
OIG Fraud Detection Office (Attn: Grantee Reporting) at (202) 616-9881 (fax).
Additional information is available from the DOJ OIG website at: https://oig.'ustice.clov/hotline.
29. REPORTING
The Grantee shall submit an annual progress report electronically on a form or in the system provided
by COMMMERCE for the services or program activities funded through this Grant. The report shall
be inclusive of the work performed by any subgrantees. The report is due to COMMERCE January
31, 2026 (for the performance period January 1, 2025 — December 31, 2025). The Grantee and any
subgrantees shall maintain documentation and records that support the progress report.
Coordinated Community Response: The Grantee shall submit quarterly progress reports
electronically on a form or in the system provided by COMMERCE on the Coordinated Community
Response Activity indicated in the approved grant application.
30. REQUIREMENT TO REPORT ACTUAL OR IMMINENT BREACH OF PERSONALLY
IDENTIFIABLE INFORMATION (PII)
The Grantee, and any subgrantee at any tier, must have written procedures in place to respond in the
event of an actual or imminent breach (as defined in OMB M-17-12) if it (or a subrgrantee)--1) creates,
Interagency Agreement Page 12 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
Dpa,wrnt of
*41100mnwree
collects, uses, processes, stores, maintains, disseminates, discloses, or disposes of personally
identifiable information (PI I) (as defined in 2 C.F.R. 200.1) within the scope of an OVW grant -funded
program or activity, or 2) uses or operates a Federal information system (as defined in OMB Circular
A-130). The Grantee's breach procedures, and the procedures of any subgrantee at any tier, must
include a requirement to report actual or imminent breach of PH to COMMERCE no later than 24
hours after an occurrence of an actual breach, or the detection of an imminent breach.
31. REQUIREMENTS PERTAINING TO PROHIBITED CONDUCT RELATED TO THE
TRAFFICKING IN PERSONS (INCLUDING REPORTING REQUIREMENTS AND OVW
AUTHORITY TO TERMINATE AWARD)
The Grantee, and any subgrantee at any tier, must comply with all applicable requirements (including
requirements to report allegations) pertaining to prohibited conduct related to the trafficking of
persons, whether on the part of the Grantee, subgrantees, or individuals defined (for purposes of this
condition) as "employees" of the Grantee or of any subgrantees. The details of the Grantee's
obligations related to prohibited conduct related to trafficking in persons are posted on the OVW
website at: https://www.justice.gov/ovw/award-conditions (titled "Award Condition: Prohibited conduct
by recipients and subrecipients related to trafficking in persons (including reporting requirements and
OVW authority to terminate award")), and are incorporated by reference here.
32. REQUIREMENTS RELATED TO SYSTEM FOR AWARD MANAGEMENT AND UNIQUE
ENTITY IDENTIFIERS
Grantees must have obtained a Unique Entity Identifier from the System for Award Management
(SAM), currently at https://www.sam.ggv, and provided their Unique Entity Identifier to OCVA.
Grantees are not required to maintain an active SAM registration, but must obtain a Unique Entity
Identifier.
33. RESTRICTIONS ON "LOBBYING" AND POLICY DEVELOPMENT
In general, as a matter of federal law, federal funds may not be used by the Grantee, or any
subgrantee at any tier, either directly or indirectly, in support of the enactment, repeal, modification or
adoption of any law, regulation or policy, at any level of government, in order to avoid violation of 18
U.S.C. § 1913. The Grantee, or any subgrantee may, however, use federal funds to collaborate with
and provide information to federal, state, local, tribal and territorial public officials and agencies to
develop and implement policies and develop and promote state, local, or tribal legislation or model
codes designed to reduce or eliminate domestic violence, dating violence, sexual assault, and stalking
(as those terms are defined in 34 U.S.C. § 12291(a)) when such collaboration and provision of
information is consistent with the activities otherwise authorized under this grant program.
Another federal law generally prohibits federal funds awarded by the Office on Violence Against
Women from being used by the Grantee, or any subgrantee at any tier, to pay any person to influence
(or attempt to influence) a federal agency, a Member of Congress, or Congress (or an official or
employee of any of them) with respect to the awarding of a federal grant or cooperative agreement,
subgrant, grant, subcontract, or loan, or with respect to actions such as renewing, extending, or
modifying any such award. See 31 U.S.C. § 1352. Certain exceptions to this law apply, including an
exception that applies to Indian tribes and tribal organizations.
Should any question arise as to whether a particular use of federal funds by the Grantee (or any
subgrantee) would or might fall within the scope of these prohibitions, the Grantee is to contact
COMMERCE for guidance, and may not proceed without the express prior written approval of
COMMERCE.
34. SERVICES TO LIMITED-ENGLISH-PROFICIENT (LEP) PERSONS
To ensure compliance with Title VI and the Safe Streets Act, Grantees are required to make
reasonable steps to ensure that LEP persons have meaningful access to their programs. Meaningful
access may entail providing language assistance services, including interpretation and translation
Interagency Agreement Page 13 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
sh
services, where necessary. Recipients are encouraged to consider the need for language services
for LEP persons served or encountered both in developing their programs and budgets and in
conducting their programs and activities. Reasonable costs associated with providing meaningful
access for LEP individuals are considered allowable program costs. Additional assistance regarding
LEP obligations and information may be found at: www.lep.gov.
35. STATUTORY AND REGULATORY REQUIREMENTS
The Grantee agrees to comply with all relevant statutory and regulatory requirements which may
include, among other relevant authorities, the Violence Against Women Act of 1994, P.L. 103-322,
Violence Against Women Act of 2000, P.L. 106-386, the Violence Against Women and Department
of Justice Reauthorization Act of 2005, P.L. 109-162, the Violence Against Women Reauthorization
Act of 2013, P.L. 113-4, the Violence Against Women Act Reauthorization Act of 2022, P.L. 117-103,
the Omnibus Crime Control and Safe Streets Act of 1968, 34 U.S.C. §§ 10101 et seq. and OVW's
implementing regulations at 28 C.F.R. Part 90.
36. SUBGRANTEE/SUBCONTRACTOR DATA COLLECTION
Grantee will submit reports, in a form and format to be provided by COMMERCE and at intervals as
agreed by the parties, regarding work under this Agreement performed by
subgrantees/subcontractors and the portion of Agreement funds expended for work performed by
subgrantees/subcontractors, including but not necessarily limited to minority -owned, woman -owned,
and veteran -owned business subgrantees/subcontractors. "Subgrantees/subcontractors" shall mean
subgrantees of any tier.
37. VAWA 2013 NON-DISCRIMINATION PROVISION
The Grantee acknowledges that 34 U.S.C. § 12291(b)(13) prohibits recipients of OVW awards from
excluding, denying benefits to, or discriminating against any person on the basis of actual or perceived
race, color, religion, national origin, sex, gender identity, sexual orientation, or disability in any
program or activity funded in whole or in part by this Agreement. Grantees may provide sex -
segregated or sex -specific programming if doing so is necessary to the essential operations of the
programs, so long as the Grantee provides comparable services to those who cannot be provided
with sex -segregated or sex -specific programming. The Grantee agrees that it will comply with this
provision. The Grantee also agrees to ensure that any subrecipients (subgrantees) at any tier will
comply with this provision.
38. ORDER OF PRECEDENCE
In the event of an inconsistency in this Agreement, the inconsistency shall be resolved by giving
precedence in the following order:
• Applicable federal and state of Washington statutes and regulations
• Special Terms and Conditions
• Attachment A: Award Acceptance
• Attachment B: EEOP Compliance Certification Form
• Attachment C: Restrictions and Certifications Regarding Non -Disclosure Agreements and
Related Matters
• Attachment D: Scope of Work
• Attachment E: Budget
• General Terms and Conditions
• Application for Funding as submitted and approved by COMMERCE
Interagency Agreement Page 14 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
3'f
It 'IV
Dees "r ienl of
General Terms and Conditions
1. DEFINITIONS
As used throughout this Agreement, the following terms shall have the meaning set forth below:
A. "Authorized Representative" shall mean the Director and/or the designee authorized in writing
to act on the Director's behalf.
B. "COMMERCE" shall mean the Washington Department of Commerce.
C. "Grant" or "Agreement" or "Contract" means the entire written agreement between
COMMERCE and the Grantee, including any Exhibits, documents, or materials incorporated
by reference be reference and may constitute a Subaward if so designated. E-mail or Facsimile
transmission of a signed copy of this Agreement shall be the same as delivery of an original.
D. "Grantee" shall mean the entity identified on the face sheet performing service(s) under this
Agreement, and shall include all employees and agents thereof.
E. "Modified Total Direct Costs" (MTDC) shall mean all direct salaries and wages, applicable fringe
benefits, materials and supplies, services, travel, and up to the first $50,000 of each subaward
(regardless of the period of performance of the subawards under the award). MTDC excludes
equipment, capital expenditures, charges for patient care, rental costs, tuition remission,
scholarships and fellowships, participant support costs and the portion of each subaward in
excess of $50,000.
F. "Personal Information" shall mean information identifiable to any person, including, but not
limited to, information that relates to a person's name, health, finances, education, business,
use or receipt of governmental services or other activities, addresses, telephone numbers,
social security numbers, driver license numbers, other identifying numbers, and any financial
identifiers, and "Protected Health Information" under the federal Health Insurance Portability
and Accountability Act of 1996 (HIPAA).
G. "State" shall mean the state of Washington.
H. "Subaward" shall mean an award provided by a pass -through entity to a subrecipient for the
subrecipient to carry out part of a Federal award received by the pass -through entity. It does
not include payments to a contractor or payments to an individual that is a beneficiary of a
Federal program. A subaward may be provided through any form of legal agreement, including
an agreement that the pass -through entity considers a contract.
I. "Subcontractor" shall mean one not in the employment of the Grantee, who is performing all or
part of those services under this Agreement under a separate Agreement or contract with the
Grantee. The terms "subcontractor" and "subcontractors" mean subcontractor(s) in any tier.
J. "Subrecipient" or "Subgrantee" shall mean a non -Federal entity that receives a subaward from
a pass -through entity to carry out part of a Federal program; but does not include an individual
that is a beneficiary of such program. A Subrecipient may also be a recipient of other Federal
awards directly from a Federal awarding agency.
2. ALL WRITINGS CONTAINED HEREIN
This Agreement contains all the terms and conditions agreed upon by the parties. No other
understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
exist or to bind any of the parties hereto.
3. AMENDMENTS
This Agreement may be amended by mutual agreement of the parties. Such amendments shall not
be binding unless they are in writing and signed by personnel authorized to bind each of the parties.
Interagency Agreement Page 15 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
FS jae '
. :r';
4. ASSIGNMENT
Neither this Agreement, work thereunder, nor any claim arising under this Agreement, shall be
transferred or assigned by the Agreement without prior written consent of COMMERCE.
5. CONFIDENTIALITY AND SAFEGUARDING OF INFORMATION
A. "Confidential Information" as used in this section includes:
1. All material provided to the Grantee by COMMERCE that is designated as "confidential"
by COMMERCE;
2. All material produced by the Grantee that is designated as "confidential" by COMMERCE;
and
3. All Personal Information in the possession of the Grantee that may not be disclosed under
state or federal law.
B. The Grantee shall comply with all state and federal laws related to the use, sharing, transfer,
sale, or disclosure of Confidential Information. The Grantee shall use Confidential Information
solely for the purposes of this Agreement and shall not use, share, transfer, sell or disclose any
Confidential Information to any third party except with the prior written consent of COMMERCE
or as may be required by law. The Grantee shall take all necessary steps to assure that
Confidential Information is safeguarded to prevent unauthorized use, sharing, transfer, sale or
disclosure of Confidential Information or violation of any state or federal laws related thereto.
Upon request, the Grantee shall provide COMMERCE with its policies and procedures on
confidentiality. COMMERCE may require changes to such policies and procedures as they
apply to this Agreement whenever COMMERCE reasonably determines that changes are
necessary to prevent unauthorized disclosures. The Grantee shall make the changes within
the time period specified by COMMERCE. Upon request, the Grantee shall immediately return
to COMMERCE any Confidential Information that COMMERCE reasonably determines has not
been adequately protected by the Grantee against unauthorized disclosure.
C. Unauthorized Use or Disclosure. The Grantee shall notify COMMERCE within 24 hours of any
unauthorized use or disclosure of any confidential information, and shall take necessary steps
to mitigate the harmful effects of such use or disclosure.
6. COPYRIGHT PROVISIONS
Unless otherwise provided, all Materials produced under this Agreement shall be considered "works
for hire" as defined by the U.S. Copyright Act and shall be owned by COMMERCE. COMMERCE
shall be considered the author of such Materials. In the event the Materials are not considered "works
for hire" under the U.S. Copyright laws, the Grantee hereby irrevocably assigns all right, title, and
interest in all Materials, including all intellectual property rights, moral rights, and rights of publicity to
COMMERCE effective from the moment of creation of such Materials.
"Materials" means all items in any format and includes, but is not limited to, data, reports, documents,
pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes,
and/or sound reproductions. "Ownership" includes the right to copyright, patent, register and the ability
to transfer these rights.
For Materials that are delivered under the Agreement, but that incorporate pre-existing materials not
produced under the Agreement, the Grantee hereby grants to COMMERCE a nonexclusive, royalty -
free, irrevocable license (with rights to sublicense to others) in such Materials to translate, reproduce,
distribute, prepare derivative works, publicly perform, and publicly display. The Grantee warrants and
represents that the Grantee has all rights and permissions, including intellectual property rights, moral
rights and rights of publicity, necessary to grant such a license to COMMERCE.
The Grantee shall exert all reasonable effort to advise COMMERCE, at the time of delivery of
Materials furnished under this Agreement, 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
Interagency Agreement Page 16 of 29
Docusign Enve}lope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
00 W, Vlrvon SWAA
Depa"':rYlt"nt of
1411W 1()n1MCrCV
Agreement. The Grantee shall provide COMMERCE with prompt written notice of each notice or claim
of infringement received by the Grantee with respect to any Materials delivered under this Agreement.
COMMERCE shall have the right to modify or remove any restrictive markings placed upon the
Materials by the Grantee.
7. DISPUTES
In the event that a dispute arises under this Agreement, it shall be determined by a Dispute Board in
the following manner: Each party to this Agreement shall appoint one member to the Dispute Board.
The members so appointed shall jointly appoint an additional member to the Dispute Board. The
Dispute Board shall review the facts, Agreement terms and applicable statutes and rules and make a
determination of the dispute. The Dispute Board shall thereafter decide the dispute with the majority
prevailing. The determination of the Dispute Board shall be final and binding on the parties hereto. As
an alternative to this process, either of the parties may request intervention by the Governor, as
provided by RCW 43.17.330, in which event the Governor's process will control.
E. GOVERNING LAW AND VENUE
This Contract shall be construed and interpreted in accordance with the laws of the state of
Washington, and the venue of any action brought hereunder shall be in the Superior Court for
Thurston County.
9. INDEMNIFICATION
Each party shall be solely responsible for the acts of its employees, officers, and agents.
10. LICENSING, ACCREDITATION AND REGISTRATION
The Grantee shall comply with all applicable local, state, and federal licensing, accreditation and
registration requirements or standards necessary for the performance of this Agreement.
11. RECAPTURE
In the event that the Grantee fails to perform this Agreement in accordance with state laws, federal
laws, and/or the provisions of this Agreement, COMMERCE reserves the right to recapture funds in
an amount to compensate COMMERCE for the noncompliance in addition to any other remedies
available at law or in equity.
Repayment by the Grantee of funds under this recapture provision shall occur within the time period
specified by COMMERCE. In the alternative, COMMERCE may recapture such funds from payments
due under this Agreement.
12. RECORDS MAINTENANCE
The Grantee shall maintain books, records, documents, data and other evidence relating to this
Agreement and performance of the services described herein, including but not limited to accounting
procedures and practices that sufficiently and properly reflect all direct and indirect costs of any nature
expended in the performance of this Agreement.
The Grantee shall retain such records for a period of six (6) years following the date of final payment.
At no additional cost, these records, including materials generated under the Agreement, shall be
subject at all reasonable times to inspection, review or audit by COMMERCE, personnel duly
authorized by COMMERCE, the Office of the State Auditor, and federal and state officials so
authorized by law, regulation or agreement.
If any litigation, claim or audit is started before the expiration of the six (6) year period, the records
shall be retained until all litigation, claims, or audit findings involving the records have been resolved.
Interagency Agreement Page 17 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
A4 WA": ?
0 r0r-epa-jTient of
C . mnier'
13. SAVINGS
In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way
after the effective date of this Agreement and prior to normal completion, COMMERCE may suspend
or terminate the Agreement under the "Termination for Convenience" clause, without the ten (10)
calendar day notice requirement. In lieu of termination, the Agreement may be amended to reflect the
new funding limitations and conditions.
14. SEVERABILITY
The provisions of this Agreement are intended to be severable. If any term or provision is illegal or
invalid for any reason whatsoever, such illegality or invalidity shall not affect the validity of the
remainder of the Agreement.
15. SUBCONTRACTING
The Grantee may only subcontract work contemplated under this Grant if it obtains the prior written
approval of COMMERCE.
If COMMERCE approves subcontracting, the Grantee shall maintain written procedures related to
subcontracts, as well as copies of all subcontracts and records related to subcontracts. For cause,
COMMERCE in writing may: (a) require the Grantee to amend its subcontracting procedures as they
relate to this Grant; (b) prohibit the Grantee from subcontracting with a particular person or entity; or
(c) require the Grantee to rescind or amend a subcontract.
Every subcontract shall bind the Subcontractor to follow all applicable terms of this Agreement. The
Grantee is responsible to COMMERCE if the Subcontractor fails to comply with any applicable term
or condition of this Agreement. The Grantee shall appropriately monitor the activities of the
Subcontractor to assure fiscal conditions of this Agreement. In no event shall the existence of a
subcontract operate to release or reduce the liability of the Grantee to COMMERCE for any breach
in the performance of the Grantee's duties.
Every subcontract shall include a term that COMMERCE and the State of Washington are not liable
for claims or damages arising from a Subcontractor's performance of the subcontract.
16. SURVIVAL
The terms, conditions, and warranties contained in this Agreement that by their sense and context
are intended to survive the completion of the performance, cancellation or termination of this
Agreement shall so survive.
17. TERMINATION FOR CAUSE
In the event COMMERCE determines the Grantee has failed to comply with the conditions of this
Agreement in a timely manner, COMMERCE has the right to suspend or terminate this Agreement.
Before suspending or terminating the Agreement, COMMERCE shall notify the Grantee in writing of
the need to take corrective action. If corrective action is not taken within 30 calendar days, the
Agreement may be terminated or suspended.
In the event of termination or suspension, the Grantee shall be liable for damages as authorized by
law including, but not limited to, any cost difference between the original Agreement and the
replacement or cover Agreement and all administrative costs directly related to the replacement
Agreement, e.g., cost of the competitive bidding, mailing, advertising and staff time.
COMMERCE reserves the right to suspend all or part of the Agreement, withhold further payments,
or prohibit the Grantee from incurring additional obligations of funds during investigation of the alleged
compliance breach and pending corrective action by the Grantee or a decision by COMMERCE to
terminate the Agreement. A termination shall be deemed a "Termination for Convenience" if it is
determined that the Grantee: (1) was not in default; or (2) failure to perform was outside of his or her
control, fault or negligence.
Interagency Agreement Page 18 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
V-Va-shiriq,.oti Stale
pa"Urlent of
cn m ' 'Ie
The rights and remedies of COMMERCE provided in this Agreement are not exclusive and are, in
addition to any other rights and remedies, provided by law.
18. TERMINATION FOR CONVENIENCE
Except as otherwise provided in this Agreement, COMMERCE may, by ten (10) business days written
notice, beginning on the second day after the mailing, terminate this Agreement, in whole or in part.
If this Agreement is so terminated, COMMERCE shall be liable only for payment required under the
terms of this Agreement for services rendered or goods delivered prior to the effective date of
termination.
19. TERMINATION PROCEDURES
Upon termination of this Agreement, COMMERCE, in addition to any other rights provided in this
Agreement, may require the Grantee to deliver to COMMERCE any property specifically produced or
acquired for the performance of such part of this Agreement as has been terminated. The provisions
of the "Treatment of Assets" clause shall apply in such property transfer.
COMMERCE shall pay to the Grantee the agreed upon price, if separately stated, for completed work
and services accepted by COMMERCE, and the amount agreed upon by the Grantee and
COMMERCE for (i) completed work and services for which no separate price is stated, (ii) partially
completed work and services, (iii) other property or services that are accepted by COMMERCE, and
(iv) the protection and preservation of property, unless the termination is for default, in which case the
Authorized Representative shall determine the extent of the liability of COMMERCE. Failure to agree
with such determination shall be a dispute within the meaning of the "Disputes" clause of this
Agreement. COMMERCE may withhold from any amounts due the Grantee such sum as the
Authorized Representative determines to be necessary to protect COMMERCE against potential loss
or liability.
The rights and remedies of COMMERCE provided in this section shall not be exclusive and are in
addition to any other rights and remedies provided by law or under this Agreement.
After receipt of a notice of termination, and except as otherwise directed by the Authorized
Representative, the Grantee shall:
A. Stop work under the Agreement on the date, and to the extent specified, in the notice;
B. Place no further orders or subgrants for materials, services, or facilities except as may be
necessary for completion of such portion of the work under the Agreement that is not
terminated;
C. Assign to COMMERCE, in the manner, at the times, and to the extent directed by the
Authorized Representative, all of the rights, title, and interest of the Grantee under the orders
and subgrants so terminated, in which case COMMERCE has the right, at its discretion, to
settle or pay any or all claims arising out of the termination of such orders and subgrants;
D. Settle all outstanding liabilities and all claims arising out of such termination of orders and
subgrants, with the approval or ratification of the Authorized Representative to the extent the
Authorized Representative may require, which approval or ratification shall be final for all the
purposes of this clause;
E. Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed
by the Authorized Representative any property which, if the Agreement had been completed,
would have been required to be furnished to COMMERCE;
F. Complete performance of such part of the work as shall not have been terminated by the
Authorized Representative; and
G. Take such action as may be necessary, or as the Authorized Representative may direct, for
the protection and preservation of the property related to this Agreement, which is in the
possession of the Grantee and in which COMMERCE has or may acquire an interest.
Interagency Agreement Page 19 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
D pa'_- ((Ywnl ruf
4kv C nier
20. TREATMENT OF ASSETS
Title to all property furnished by COMMERCE shall remain in COMMERCE. Title to all property
furnished by the Grantee, for the cost of which the Grantee is entitled to be reimbursed as a direct
item of cost under this Agreement, shall pass to and vest in COMMERCE upon delivery of such
property by the Grantee. Title to other property, the cost of which is reimbursable to the Grantee under
this Agreement, shall pass to and vest in COMMERCE upon (i) issuance for use of such property in
the performance of this Agreement, or (ii) commencement of use of such property in the performance
of this Agreement, or (iii) reimbursement of the cost thereof by COMMERCE in whole or in part,
whichever first occurs.
A. Any property of COMMERCE furnished to the Grantee shall, unless otherwise provided herein
or approved by COMMERCE, be used only for the performance of this Agreement.
B. The Grantee shall be responsible for any loss or damage to property of COMMERCE that
results from the negligence of the Grantee or which results from the failure on the part of the
Grantee to maintain and administer that property in accordance with sound management
practices.
C. If any COMMERCE property is lost, destroyed or damaged, the Grantee shall immediately
notify COMMERCE and shall take all reasonable steps to protect the property from further
damage.
D. The Grantee shall surrender to COMMERCE all property of COMMERCE prior to settlement
upon completion, termination or cancellation of this Agreement.
E. All reference to the Grantee under this clause shall also include Grantee's employees, agents
or subgrantees/subcontractors.
21. WAIVER
Waiver of any default or breach shall not be deemed to be a waiver of any subsequent default or
breach. Any waiver shall not be construed to be a modification of the terms of this Grantee unless
stated to be such in writing and signed by Authorized Representative of COMMERCE.
Interagency Agreement Page 20 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
SLa-t
Depa.-rne t o
%k
Commerce' Attachment A
Attachment A: Award Acceptance
By signing the certification below, I --
A. Declare to the U.S. Department of Justice (DOJ), and COMMERCE under penalty of perjury, that
I have authority to make this declaration and certification on behalf of the applicant.
D. Certify to DOJ and COMMERCE, under penalty of perjury, on behalf of myself and the applicant,
to the best of my knowledge and belief, that the following are true as of the date of this award
acceptance:
1. 1 have conducted or there was conducted (including by applicant's legal counsel as appropriate
and made available to me) a diligent review of all terms and conditions of, and all supporting
materials submitted in connection with, this award, including any assurances and certifications
(including anything submitted in connection therewith by a person on behalf of the applicant
before, after, or at the time of the application submission and any materials that accompany
this acceptance and certification); and
2. 1 have the legal authority to accept this award on behalf of the applicant.
C. Accept this award on behalf of the applicant.
D. Declare the following to DOJ and COMMERCE, under penalty of perjury, on behalf of myself and
the applicant:
1. 1 understand that, in taking (or not taking) any action pursuant to this declaration and
certification, DOJ and COMMERCE will rely upon this declaration and certification as a material
representation; and
2. 1 understand that any materially false, fictitious, or fraudulent information or statement in this
declaration and certification (or concealment or omission of a material fact as to either) may be
the subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34
U.S.C. §§ 10271-10273), and also may subject me and the applicant to civil penalties and
administrative remedies under the federal False Claims Act (including under 31 U.S.C. §§
3729-3730 and/or §§ 3801-3812) or otherwise.
New Hope
Agency Name
Suzi Fode nirector
Name of Authorized Official Title of Authorized Official
Signature of Authorized Official
Date
Interagency Agreement Page 21 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
4 C lm(rC e
Attachment B
Attachment B: EEOP Compliance Certification Form
Recipient's Name: New Hope
Address: DBA NEW HOPE PO BOX 37, EPHRATA, WA 98823
Is agency a ❑ Direct or Z Sub recipient of OJP, OVW or COPS funding? Law Enforcement A enc ?❑Yes ❑ No
UEI Number: ZL6WM26K8KR5 T Vendor Number (only if direct recipient): N/A
Name and Title of Contact Person: Suzi Fode, Director
Telephone Number: (509) 764-8402 E-Mail Address: sfode@grantcountywa.gov
Section A Declaration Claiming Complete Exemption from the EEOP RequirementIN-
-
yp � �% / � / �� � _
ease checkal the followingboxes that apply' ; // _ ,�/-�� - -� /��
Less than fifty employees / -- Indian tribe � -9-Yr� Medical Institution. �- � �-� �;
� ' , ❑ '�' ❑ '/ sus s�/�/ � /� ��
/
Nonprofit Organization. F-] Educational Institution. Receiving an award less than $25,000
12 [responsible official], certify
that [recipient] is not required to prepare an EEOP for the reason(s) checked above, pursuit to 28 C.F.R. § 42.302.
1 further certify that [recipient] will
comply with all applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of services.
Print or Type Name and Title Si nature Date
Section B—Declaration Claiming Exemption from EEOP Submission Requirement and Certifying That an EEOP Is on
File for Review
If a recipient has fifty or more employees and is receiving a single award or, subaward of $25, 000 or more, but less than $500, 000, then the
recipient agency does not have to submit an EEOP to the OCR for review as long as it certifies the following (42 C.F.R. § 42.305):
I, [responsible official],
certify that [recipient]
Which has fifty or more employees and is receiving a single award for $25,000 or more, but less than $500,000, has formulated
an EEOP in accordance with 28 C.F.R. pt. 42, subpt E. I further certify that within the last twenty-four months, the proper authority
has formulated and signed into effect the EEOP and, as required by applicable federal law, it is available for review by the public,
employees, the appropriate state planning agency, and the Office for Civil Rights, Office of Justice Programs, U.S. Department
of Justice. The EEOP is on file at the following office:
[organization],
[address].
Print or Type Name and Title Signature Date
Section C Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil Rights for Review
If a recipient agency has fifty or more employees and is receiving a single award or subaward of $500,000 or more, then the recipient agency
must send an EEOP Short Form to the OCR for review.
1, [responsible official],
certify that [recipient],
which has fifty or more employees and is receiving a single award of $500,000 or more, has formulated an EEOP in
accordance with 28 C.F.R. pt. 42, subpt. E, and sent it for review on [date] to the
Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice.
Print or Type Name and Title Signature Date
Interagency Agreement Page 22 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
shine
g,.un State
4v Commerce
Attachment C
Attachment C: Restrictions and Certifications Regarding Non -
Disclosure Agreements and Related Matters
No recipient or subrecipient ("subgrantee") under this award, or entity that receives a procurement contract
or subcontract with any funds under this award, may require any employee or contractor to sign an internal
confidentiality agreement or statement that prohibits or otherwise restricts, or purports to prohibit or restrict,
the reporting (in accordance with law) of waste, fraud, or abuse to an investigative or law enforcement
representative of a federal department or agency authorized to receive such information.
The foregoing is not intended, and shall not be understood by the agency making this award, to contravene
requirements applicable to Standard Form 312 (which relates to classified information), Form 4414 (which
relates to sensitive compartmented information), or any other form issued by a federal department or
agency governing the non -disclosure of classified information.
A. In accepting this award, the recipient
1. represents that it neither requires nor has required internal confidentiality agreements or statements
from employees or contractors that currently prohibit or otherwise currently restrict (or purport to
prohibit or restrict) employees or contractors from reporting waste, fraud, or abuse as described
above; and
2. certifies that, if it learns or is notified that it is or has been requiring its employees or contractors to
execute agreements or statements that prohibit or otherwise restrict (or purport to prohibit or
restrict), reporting of waste, fraud, or abuse as described above, it will immediately stop any further
obligations of award funds, will provide prompt written notification to the federal agency making this
award, and will resume (or permit resumption of) such obligations only if expressly authorized to
do so by that agency.
B. If the recipient does or is authorized under this award to make subawards ("subgrants"), procurement
contracts, or both
1. it represents that
a. it has determined that no other entity that the recipient's application proposes may or will
receive award funds (whether through a subaward ("subgrant"), procurement contract, or
subcontract under a procurement contract) either requires or has required internal
confidentiality agreements or statements from employees or contractors that currently prohibit
or otherwise currently restrict (or purport to prohibit or restrict) employees or contractors from
reporting waste, fraud, or abuse as described above; and
b. it has made appropriate inquiry, or otherwise has an adequate factual basis, to support this
representation; and
2. it certifies that, if it learns or is notified that any subrecipient, contractor, or subcontractor entity that
receives funds under this award is or has been requiring its employees or contractors to execute
agreements or statements that prohibit or otherwise restrict (or purport to prohibit or restrict),
reporting of waste, fraud, or abuse as described above, it will immediately stop any further
obligations of award funds to or by that entity, will provide prompt written notification to the federal
agency making this award, and will resume (or permit resumption of) such obligations only if
expressly authorized to do so by that agency.
New Hope
Agency Name
Suzi Fode Director
Name of Authorized Official Title of Authorized Official
Signature of Authorized Official
Date
Interagency Agreement Page 23 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
washingorl state
401 C0ffie,rcl(� Attachment D
Attachment D: Scope of Work
January 1, 2025 through December 31, 2025
New Hope shall provide staff and furnish goods and services necessary to accomplish the activities under
the STOP Violence Against Women Formula Grant Program during the Agreement period.
This Agreement is not a Benefit or Entitlement to the Grantee. It is not to be used to acquire property or
services for the state government's direct benefit. The principle purpose of this Agreement is to provide
funding for New Hope to accomplish a public purpose.
Funding from this Agreement must be used to support the Grantee's STOP Violence Against Women
Formula Grant Program. Grantee must ensure that activities funded under this Agreement are available to
adult or youth victims (ages 11 or older) of domestic violence, sexual assault, stalking or dating violence
during Grantee's regular business hours and shall include, but not be limited to:
• active advocacy, medical advocacy and/or legal advocacy on behalf of the client;
• ensuring that crisis intervention and assistance in the development of individual safety plans
are available;
• assistance with obtaining protection orders or other court documents;
• ensuring outreach is provided to inform victims of existing services;
• assistance in accessing Crime Victims Compensation benefits;
• referrals to other agencies which can provide information for a client;
• active collaboration with law enforcement and prosecution to ensure a supportive and strong
coordinated response for victims of domestic violence; sexual assault, dating violence, and
stalking; and
• ensuring that goods and services, supplies or administrative costs supported by this grant
program are related to issues involving adult or youth victims (ages 11 and older) of domestic
violence, sexual assault, dating violence or stalking.
Services provided must be consistent with current state and federal laws and mandates.
Outreach, Public Awareness and Education Activities
Agreement funds may only be used to support, inform, and outreach to victims about available services.
Grantee agrees Agreement funds cannot be used to conduct public awareness or community education
campaigns or related activities to broadly address domestic violence, dating violence, sexual assault or
stalking.
Coordinated Community Response Team
The Grantee, and any Subgrantees, if applicable, will meet at least quarterly with the other recipients of
STOP Formula Grant Program funding in their county to collaborate on the Community Activities indicated
in their approved grant applications to increase the safety of victims of domestic violence, sexual assault,
dating violence and/or stalking and to hold offenders accountable. OCVA Program Staff may attend and/or
conduct periodic checks for compliance with the quarterly meetings. Noncompliance may result in
suspension of payments to Grantee under this Grant.
The Grantee, and any Subgrantees, if applicable, will submit quarterly progress reports on the Coordinated
Community Response Activity from their approved grant application as indicated in Section 29 — Reporting.
Noncompliance may result in suspension of payments to Grantee under this Grant.
Victim Safety and Recovery
The Grantee and subgrantees, if applicable, agree that these funds will not support activities that
compromise victim safety and recovery and undermine offender accountability, such as:
Interagency Agreement Page 24 of 29
Docusign Envelope ID: 1 Cs 2*F�2987-57BB-4267-AC89-FE5C9AE2D87F
gpi
Lle"Pa-6.ment of
%40 C MMerc
Attachment D
A. Procedures or policies that exclude victims from receiving safe shelter, advocacy services,
counseling, and other assistance based on their actual or perceived sex, age, immigration status,
race, religion, sexual orientation, gender identity, mental health condition, physical health condition,
criminal record, work in the sex industry, income or lack of income, or the age and/or sex of their
children.
B. Procedures or policies that compromise the confidentiality of information and/or privacy of persons
receiving services.
C. Procedures or policies that require victims to take certain actions (e.g., seek an order of protection,
receive counseling, participate in couples counseling or mediation, report to law enforcement, seek
civil or criminal remedies) in order to receive services.
D. Procedures or policies that fail to include conducting safety planning with victims.
E. Project designs, products, services, and/or budgets that fail to account for the unique needs of
individuals with disabilities, with limited English proficiency, or who are Deaf or hard of hearing,
including accessibility for such individuals.
The Office on Violence Against Women (OVW) does not fund activities that jeopardize victim safety, deter
or prevent physical or emotional healing for victims, or allow offenders to escape responsibility for their
actions.
Deliverables
The Grantee shall be responsible for the following deliverables:
A. Participation in community collaboration meetings at least quarterly — As detailed above
B. Reports — As described in Section 29 of the Special Terms and Conditions
C. Vouchers — Must be submitted at least quarterly
Performance Measures
Provision of the deliverables listed above will be measured using the following performance measures:
A. Participation in at least 75% of the quarterly community collaboration meetings
B. 100% of required reports will be submitted on time
C. 90% of vouchers will be completed on time
Interagency Agreement Page 25 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
State
n e n}nof
01
Attachment E: Budget
January 1, 2025 through December 31, 2025
Attachment E
Budget
STOP - Victim
Services (Adams
County)
STOP - Victim
Services (Grant
County)
Total
Salaries
K582.00
$81488.00
$181070.00
Benefits
$3,481.00
$31119.00
$61600.00
Goods and Services
$5,814.00
$31965.00
$91779.00
Total
$189877.00
$15,572.00
$34,449.00
Transfer of funds between line item budget categories must be approved by the Office of Crime Victims
Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) percent of the
total program budget shall be subject to justification and negotiation between the Grantee and OCVA,
including approval from the Grantee's signature authority and the relevant OCVA Section Manager.
The cost of allowable equipment purchased with these funds must be prorated to Agreement activity usage,
unless items are used 90% or more on Agreement activities. Equipment authorized to be purchased with
Agreement funds must be documented in an inventory system indicating, at a minimum, date of purchase,
quantity, and distribution. Equipment must also be purchased within the first quarter of the
Agreement.
Printing of Materials: OCVA must forward requests to print brochures, billboards, and other publications
developed with Agreement funds to the Office on Violence Against Women not less than twenty (20) days
prior to public release of the materials. If approved, the printing must be completed within the first
three (3) months of the Agreement.
Food and Beverage Costs: The Grantee agrees Agreement funds will not be used to purchase food and/or
beverages for any meeting, conference, training, or other event, with the exception of support groups or
otherwise within the context of victim services where it is necessary and integral to providing services to
enhance victim safety. Additional information may be found in the Frequently Asked Questions (FAQs)
About STOP Formula Grants available at: https://www.*ustice.gov/ovw/page/file/1008816/download.
Consultant/contractor fees may not exceed $650 per day (excluding travel and subsistence costs) for an
eight -hour day or may not exceed $81.25 per hour for less than an eight -hour day. Grantees are required
to maintain documentation to support all daily or hourly rates.
Interagency Agreement Page 26 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
VVd` lrly- Slat&,
0h, ANode s"r )ent of
Attachment F: Federal Funds Checklist
(i) Subrecipient name (which must match the name
associated with its unique entity identifier);
(ii) Subrecipient's unique entity identifier;
(iii) Federal Award Identification Number (FAIN);
GRANT, COUNTY OF
ZL6WM26K8KR5
15JOVW-22-GG-00458-STOP
Attachment F
(iv) Federal Award Date (see §200.39 Federal award date)
09/13/2022
of award to the recipient by the Federal agency;
i
(v) Subaward Period of Performance Start and End Date;
01 /01 /2025 to 12/31 /2025
(vi) Subaward Budget Period Start and End Date;
01 /01 /2025 to 12/31 /2025
(vii) Amount of Federal Funds Obligated by this action by
Subrecipient - See Special Terms;
the pass -through entity to the subrecipient;
Acknowledgement of Federal Funding section
(viii) Total Amount of Federal Funds Obligated to the
subrecipient by the pass -through entity including the current
Subrecipient — reference your records.
obligation;
................
(ix) Total Amount of the Federal Award committed to the
Subrecipient — reference your records.
subrecipient by the pass -through entity;
(x) Federal award project description, as required to be
responsive to the Federal Funding Accountability and
Transparency Act (FFATA);
(xi) Name of Federal awarding agency, pass -through entity,
and contact information for awarding official of the Pass -
through entity;
(xii) Assistance Listings number and Title; the pass -through
entity must identify the dollar amount made available under
each Federal award and the Assistance Listings Number at
time of disbursement;
(xiii) Identification of whether the award is R&D;
(xiv) Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per §200.414.
STOP Violence Against Women Formula Grant
Program, grant pass through allocation to improve
the community response to violence against
women.
Subrecipient - See Special Terms;
Acknowledgement of Federal Funding section
16.588 Violence Against Women Formula Grants
Not for research and development purposes.
N/A
Interagency Agreement Page 27 of 29
Docusign Envelope ID: 1C2F2987-57BB-4267-AC89-FE5C9AE2D87F
shruc - state
Depa me to (if
qqVe' C Attachment F
(i) Subrecipient name (which must match the name
GRANT, COUNTY OF
associated with its unique entity identifier);
J
(ii) Subrecipient's unique entity identifier;
ZL6WM26K8KR5
(iii) Federal Award Identification Number (FAIN);
----- - ----
15JOVW-23-GG-00608-STOP
.. . ...... .
(iv) Federal Award Date (see §200.39 Federal award date)
.
09/13/2023
of award to the recipient by the Federal agency;
(v) Subaward Period of Performance Start and End Date;
01 /01 /2025 to 12/31/2025
(vi) Subaward Budget Period Start and End Date;
01 /01 /2025 to 12/31/2025
(vii) Amount of Federal Funds Obligated by this action by
Subrecipient - See Special Terms;
-through entity to the subrecipient; the pass
.. .. .... .. ........ . ..... ... . ..........
Acknowledgement of Federal Funding section
(viii) Total Amount of Federal Funds Obligated to the
subrecipient by the pass -through entity including the
Subrecipient — reference your records.
Current obligation;
(ix) Total Amount of the Federal Award committed to the
— Subrecipient reference your records.
subrecipient by the pass -through entity;
(x) Federal award project description, as required to be
STOP Violence Against Women Formula Grant
responsive to the Federal Funding Accountability and
Program, grant pass through allocation to improve
Transparency Act (FFATA);
the community response to violence against
women.
(xi) Name of Federal awarding agency, pass -through entity,
Subrecipient - See Special Terms;
and contact information for awarding official of the Pass -
Acknowledgement of Federal Funding section
through entity;
(xii) Assistance Listings number and Title; the pass -through
entity must identify the dollar amount made available under
16.588 Violence Against Women Formula Grants
each Federal award and the Assistance Listings Number at
time of disbursement;
(xiii) Identification of whether the award is R&D;
Not for research and development purposes.
(xiv) Indirect cost rate for the Federal award (including if
N/A
the de minimis rate is charged) per §200.414.
Interagency Agreement Page 28 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
NO M"A Wa hung urt State
in
D pa�tr fist of
Coffin, wiv
(i) Subrecipient name (which must match the name
associated with its unique entity identifier);
(ii) Subrecipient's unique entity identifier;
(iii) Federal Award Identification Number (FAIN);
(iv) Federal Award Date (see §200.39 Federal award date)
of award to the recipient by the Federal agency;
(v) Subaward Period of Performance Start and End Date;
(vi) Subaward Budget Period Start and End Date;
(vii) Amount of Federal Funds Obligated by this action by
the pass -through entity to the subrecipient;
(viii) Total Amount of Federal Funds Obligated to the
subrecipient by the pass -through entity including the
current obligation;
(ix) Total Amount of the Federal Award committed to the
subrecipient by the pass -through entity;
(x) Federal award project description, as required to be
responsive to the Federal Funding Accountability and
Transparency Act (FFATA);
(xi) Name of Federal awarding agency, pass -through entity,
and contact information for awarding official of the Pass -
through entity;
(xii) Assistance Listings number and Title; the pass -through
entity must identify the dollar amount made available under
each Federal award and the Assistance Listings Number at
time of disbursement;
(xiii) Identification of whether the award is R&D;
(xiv) Indirect cost rate for the Federal award (including if
the de minimis rate is charged) per §200.414.
Attachment F
GRANT, COUNTY OF
ZL6WM26K8KR5
15J OVW-24-G G-00552-STO P
09/13/2024
01 /01 /2025 to 12/31 /2025
01 /01 /2025 to 12/31 /2025
Subrecipient - See Special Terms;
Acknowledgement of Federal Funding section
Subrecipient — reference your records.
Subrecipient — reference your records.
STOP Violence Against Women Formula Grant
Program, grant pass through allocation to improve
the community response to violence against
women.
Subrecipient - See Special Terms;
Acknowledgement of Federal Funding section
1 16.588 Violence Against Women Formula Grants
Not for research and development purposes.
I N/A
Interagency Agreement Page 29 of 29
Docusign Envelope ID: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
},.
' 1 `t'aDc.-Z'partment of
DocuSign Contract Review and Routing Form
Office of Crime Victims Advocacy
Reviewed by:
Title:
I verify that I have:
Date:
Ben Everett
Grant
Manager
Proofed documents
1/8/2025 9:17 AM PST
Matched approved Obligation Summary
Jodine Honeysett
Section
Manager
Memo and Allocation Spreadsheet
p
1/8/2025 1 10 : 21 AM PST
Reviewed entry and coding in CMS
Correct template from IntraCOM has
Assistant
been used
Trisha Smith
or
Managing
OR
1/8/2025 1 10:53 AM PST
Documentation has been included with
Director
reason for exception
Use if Grant Manager needs to verify Grantee submission before Assistant Director's signature
Reviewed by:
Title:
I verify that I have:
Date:
Grant
Manager
Checked that Grantee has completed all
required certifications and/or forms
Updated 5/25/2022
Certificate Of Completion
Envelope Id: 1 C2F2987-57BB-4267-AC89-FE5C9AE2D87F
Subject: OCVA: IFFY 2024 Violence Against Women STOP Grant Program-F24-31103-023 New Hope
Division:
Community Services and Housing
Program: OCVA
ContractNumber: F24-31103
DocumentType: Contract
Source Envelope:
Document Pages: 30 Signatures: 0
Certificate Pages: 5 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
Status: Original
12/30/2024 3:11:53 PM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Signer Events
Ben Everett
benjamin.everett@commerce.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jodine Honeysett
jodine.honeysett@commerce.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Trisha Smith
trisha.smith@commerce.wa.gov
AMD
WA State Dept of Commerce
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Suzi Fode
sfode@grantcountywa.gov
Director
Grant County
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 7/22/2021 9:54:00 AM
ID: f9391 c86-5931-4a2b-9328-a83d20f3b27c
Holder: Lupe Mendoza
lupe.mendoza@commerce.wa.gov
Pool: StateLocal
Pool: Washington State Department of Commerce
Signature
Completed
Using IP Address: 198.180.5.87
Completed
Using IP Address: 198.238.8.184
Completed
Using IP Address: 147.55.134.122
0 docusign,
Status: Sent
Envelope Originator:
Lupe Mendoza
1011 Plum Street SE
MS 42525
Olympia, WA 98504-2525
lupe.mendoza@commerce.wa.gov
IP Address: 198.238.6.149
Location: DocuSign
Location: DocuSign
Timestamp
Sent: 12/30/2024 3:22:45 PM
Resent: 1 /6/2025 1:02:12 PM
Viewed: 1/8/2025 9:17:25 AM
Signed: 1/8/2025 9:17:42 AM
Sent: 1/8/2025 9:17:44 AM
Viewed: 1/8/2025 10:17:05 AM
Signed: 1/8/2025 10:21:04 AM
Sent: 1/8/2025 10:21:07 AM
Viewed: 1/8/2025 10:53:43 AM
Signed: 1/8/2025 10:53:54 AM
Sent: 1/8/2025 10:53:57 AM
Viewed: 1/8/2025 11:22:30 AM
Signer Events Signature Timestamp
Cindy Guertin -Anderson
cndy.guertin-anderson@commerce.wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events
Signature
Timestamp
EdetoJ.r,Delivery Events`
Status`'
Timestamp
Agent Delivery Events
Status
Timest amp
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp
Carbon Dopy Events
` Status
Timestamp
witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
12/30/2024 3:22:45 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM
Parties agreed to: Suzi Fode
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Washington State Department of Commerce (we, us or Company) may be
required by law to provide to you certain written notices or disclosures. Described below are the
terms and conditions for providing to you such notices and disclosures electronically through the
DocuSign system. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to this Electronic Record and
Signature Disclosure (ERSD), please confirm your agreement by selecting the check -box next to
`I agree to use electronic records and signatures' before clicking `CONTINUE' within the
DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.15 per -page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Washington State Department of Commerce:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: docusign@commerce.wa.gov
To advise Washington State Department of Commerce of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at docusign@commerce.wa.gov and
in the body of such request you must state: your previous email address, your new email
address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from Washington State Department of Commerce
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to docusign@commerce.wa.gov and in
the body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with Washington State Department of Commerce
To inform us that you no longer wish to receive fat -Lire notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check -box indicating you wish to withdraw your consent, or you may;
ii. send us an email to docusign@commerce.wa.gov and in the body of such request you must
state your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https:Hsupport.docusi .com/guides/si er-guide-
signing-system-requirements .
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check -box next to `I agree to use electronic records and signatures' before
clicking `CONTINUE' within the DocuSign system.
By selecting the check -box next to `I agree to use electronic records and signatures', you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify Washington State Department of Commerce as described
above, you consent to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Washington State Department of Commerce
during the course of your relationship with Washington State Department of Commerce.
Outlook
RE: Consent Agenda Item for BOCC 1.21.25
From Rebekah M. Kaylor <rmkaylor@grantcountywa.gov>
Date Wed 1 /8/2025 2:54 PM
To Suzi Fode <sfode@grantcountywa.gov>; Caitlin E. Manell <cemanell@grantcountywa.gov>
Cc Barbara Vasquez <bvasquez@grantcountywa.gov>
I am good with that.
Regards,
Rebekah Kaylor
Chief Deputy Prosecuting Attorney (Civil/Appellate)
Grant County Prosecuting Attorney's Office
PO Box 37
Ephrata, WA 98823
Phone: 509.754.2011 x3950
Fax: 509.754.6574
rmka lor@grantcountywa.gov
The contents of this e-mail message, including any attachments, are intended solely for the use of the person or entity to whom the e-mail was
addressed. It contains information that may be protected by attorney -client privilege, work -product, or other privileges, and may be restricted from
disclosure by applicable state and federal law. If you are not the intended recipient of this message, be advised that any dissemination, distribution, or
use of the contents of this message is strictly prohibited. If you received this message in error, please contact the sender by reply e-mail. Please also
permanently delete all copies of the original e-mail and any attached documentation. Please be advised that any reply to this e-mail may be considered a
public record and be subject to disclosure upon request.
From: Suzi Fode <sfode@grantcountywa.gov>
Sent: Wednesday, January 8, 2025 2:47 PM
To: Caitlin E. Manell <cemanell@grantcountywa.gov>
Cc: Rebekah M. Kaylor <rmkaylor@grantcountywa.gov>; Barbara Vasquez <bvasquez@grantcountywa.gov>
Subject: RE: Consent Agenda Item for BOCC 1.21.25
Perfect. Thank you for your quick reply.
Rebekah... your call! If an email is easier to announce your legal decision to the BOCC, then sounds
like that will work.
Easy (and convenient) is good
Suzi
BOARD OF COUNTY COMMISSIONERS
Grant County, Washington
RESOLUTION AUTHORIZING RESOLUTION No. 25- 005 -CC
EXECUTION OF FEDERAL
INTERAGENCY GRANT AGREEMENT
F24-31103-023 BETWEEN GRANT
COUNTY NEW HOPE AND
WASHINGTON STATE DEPARTMENT
OF COMMERCE
WHEREAS, Chapter 34.39 RCW, the Interlocal Cooperation Act, permits local
government entities to make the most efficient use of their powers by enabling them to cooperate
with other localities on a basis of mutual advantage, for the purposes of providing services and
facilities in a manner and pursuant to forms of governmental organization that will accord best
with geographic, economic, population and other factors influencing the needs and development
of local communities; and
WHEREAS, the Washington State Department of Commerce through the Office of
Crime Victims Advocacy Community Services Decision is authorized pursuant to Chapter 39.34
RCW to enter into interagency agreements; and
WHEREAS, Grant County, Washington, by and through New Hope is vested with
authority to enter into an interagency agreement pursuant to Chapter 3 9.3 4 RCW; and
WHEREAS, the purpose of Federal Interagency Grant Agreement Number F24-31103-
023 is for the STOP Violence Against Women Formula Grant Program, grant pass through
allocation to improve the community response to violence against women; and
WHEREAS, it is the desire of Grant County, by and through New Hope, and the
Washington State Department of Commerce to enter into this Federal Interagency Grant
Agreement.
https:Hgrantcountywa-my.sharepoint.com/personallceinanell_grantcountywa,_gov/Documents/DesktoplHomework/New Hope_STOP Grant
Interlocal 0 1.09.2025.docx
NOW, THEREFORE, BE IT HEREBY RESOLVED, that the attached Federal
Interagency Grant Agreement between Grant County New Hope and the Washington State
Department of Commerce be approved.
DATED this _Z,y day of a , 2025.
BOARD OF COUNTY
COMMISSIONERS
Yea Nay Abstain GRANT COUNTY, WASHINGTON
R�b J air
ATTEST: � ❑ ❑
Cindy CartA Vice -Chair
lie
arbara J. e � ❑ ❑ '1-57
Jerk of the od�; Kevin R. Bur ess, Member
https:Hgranteountywa-my.sharepoint.corn/personaUcemanell_grantcountywa_govIDocumentsIDesktoplHomeworkiNew Hope —STOP Grant
Interlocal 01.09.2025 .docx