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Home My WebLink AboutAgreements/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 Hope REQUEST SUBMITTED BY: SUZI FOCl2 CONTACT PERSON ATTENDING ROUNDTABLE: n/a CONFIDENTIAL INFORMATION: ❑YES ONO DATE: $'Z6.ZS PHONE: 764-8402 I Eli Mel U19N21 - . . ®Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances El Out of State Travel ❑Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB ��iy�� /'.'r��• �e�' �'�� / %'F, � fig: � s � ��y��%Gy�' / f� %� � ��4�� i� Request BOCC wet signature on amended contract #2563-63741 -01 with DSHS If necessary, was this document reviewed by legal? 0 YES ❑ NO ❑ N/A DATE OF ACTION: j/t) DEFERRED OR CONTINUED TO: APPROVE: DENIED D1: D2: D3: ARRTAIN WITHDRAWN: 4/23/24 DSHS Agreement Number COUNTY PROGRAM AGREEMENT Washington state DEPARTMENT 2563-63741 OF &HEALTH AMENDMENTSOCIAL SERVICES Community -Based Domestic Violence Amendment No. Program Emergency Shelter and Support Services 01 This Program Agreement Amendment is by and between the State of Washington Administration or Division Department of Social and Health Services (DSHS) and the County identified below. Agreement Number County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Economic Services Community Services 1221 1221 Administration Division DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Nikki Finkbonner P.O. Box 45740 712 Pear Street SE Olympia, WA 98504- DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL 564 999-3479 ,.y.=_=- °=F. === enter , nikki.finkbonner@dshs.wa.gov COUNTY NAME COUNTY ADDRESS Grant County 311 West Third Avenue New Hope Moses Lake, WA 98837- COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER Suzi Fode COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL (509) 764-8402 509) 766-6574 sfode@grantcountywa.gov IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? 16.575 Yes AMENDMENT START DATE PROGRAM AGREEMENT END DATE 07/01 /2025 06/30/2026 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $5287179.00 $102,575.00 $630,754.00 REASON FOR AMENDMENT; CHANGE OR CORRECT CHOOSE ONE: EXHIBITS. When the box below is marked with a check (4) or an X, the following Exhibits are attached and are incorporated into this Program Agreement Amendment by reference: El Exhibits (specify): This Program Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the original Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and haventhority to enter into this Program Agreement Amendment. COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED 6 Rob Jones, Chair Cindy Carter, Vice -Chair-- -� - f Kevin R. Burgess, Member DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Huan Nguyen, Contracts Officer DSHS/ESA-Community Services Division DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 1 This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows: 1. Purpose. The purpose of this Amendment is to increase the maximum consideration for services provided and amend Exhibit D — Budget. The Special Terms and Conditions are amended as follows: 2. Exhibit D — Budget is deleted and replaced in full by the revised Exhibit D-1 — Budget and Award Information. All references to the Exhibit D — Budget and Exhibit D — Budget and Award Information are hereby amended to Exhibit D-1 — Budget and Award Information for the period of this Amendment. All other terms and conditions of this Contract remain in full force and effect. DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 2 EXHIBIT D-1 BUDGET AND AWARD INFORMATION Community -Based Domestic Violence Program Emergency Shelter and Supportive Services Budget Line Items VOCA FVPSA STATE Line Item Total Salaries $ 156,360.00 $ 62,908.00 $ 1727989.00 $ 392,257.00 Benefits $ 66, 620.00 $ 26, 074.00 $ 65, 513.00 $ 158, 207.00 Subcontracted Services $ - Goods and Services $ 15,585.00 $ 11 455.00 $ 53 250.00 80 290.00 Indirect Sub Total: $ 238 565.00 100 437 $ .00 $ 291,752.00 Contract $ 630,754,00 Total. Match: $749426.00 1. Budget Line Item Revisions. Transfer of funds between line -item budget categories of the approved Budget must be requested in writing by the Contractor if the cumulative amount of these transfers exceeds or is expected to exceed $2,000. Budget adjustment requests must be submitted in writing to the DSHS Program Manager using the Budget Revision Request tab of the Invoice Documentation worksheets and are subject to justification and negotiation. Budget line -item revisions approved by the DSHS Program Manager shall be incorporated by reference into this Contract as addendums to Exhibit D-1 and shall not require separate amendments. 2. Indirect Costs. Contractors Indirect Cost Rate: x None ❑ Federal de minimis rate ❑ Negotiated Indirect Cost Rate 3. Match a. The Contractor shall provide $59,641 cash or in -kind match for Victims of Crime Act (VOCA) funds payable under the Contract. b. The Contractor shall provide $14,785 cash or in -kind match for Family Violence Prevention and Services Act (FVPSA) funds payable under the Contract. c. Match shall not be from federal funds. All funds designated as match are restricted to the same uses as VOCA and FVPSA federal funds. Match funds may be expended in a greater proportion to DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 3 contract funds; however, all match funds must be expended prior to the close of this Contract. The Contractor may use state funds payable under this Contract as match toward federal funds payable under this Contract only to the extent necessary to meet the match required by this Contract. Any excess state funds shall not be used as match toward federal funds without the prior written permission of DSHS. If state funds are insufficient to meet the federal match requirement, Contractor shall provide documentation demonstrating additional match as directed by DSHS. 4. Award Information. Funds payable under the Contract are from the following sources: a. $291,753 is allotted under this Contract from the State of Washington general fund. b. $73,927 is allotted under this Contract from the federal Family Violence Prevention and Services Act (FVPSA) grant. The Assistance Listing Number is 93.671. c. $26,510 is allotted under this Contract from federal Family Violence Prevention and Services Act grants awarded through the American Rescue Plan Act of 2021 (FVPSA ARP). This funding must be obligated no later than September 30, 2025 and must be liquidated no later than October 30, 2025. The Assistance Listing Number is 93.671. d. $238,565 is allotted under this Contract from the federal Victims of Crime Act (VOCA) victim assistance grant. The Assistance Listing Number is 16.575. 5. Contractor Assurance Regarding Publications The Contractor hereby agrees that any publications (written visual, or sound), but excluding press releases, newsletters and issue analyses, issued by the Contractor describing programs or projects funded in whole or in part with federal funds under this Contract, shall contain the following statement: "This project was supported by Grant No. 15POVC-23-GG-00478-ASSI awarded by Office for Victims of Crime, US Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the Office for Victims of Crime, US Department of Justice. Grant funds are administered by the Office of Crime Victims Advocacy, Washington State Department of COMMERCE". 6. Corrections to Acknowledgement of Federal Funding 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 the Contractor's budget or scope of work and notice will be provided. This subaward may not be used for research and development purposes. DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 4 7. Acknowledgement of Federal Funding. a. Total amount of federal funds obligated by this action: $339,002 b. Total amount of federal funds obligated by DSHS, including the current financial obligation: $3399002 c. Total amount of federal awards committed by DSHS: $339,002 Family Violence Prevention Victims of Crime Assistance Grants & Services State Grants Amount obligated by this action: Amount obligated by this action: $2389565 $739927 $269510 Federal Award Date: Federal Award Date: 8/23/23 8/20/24 5/17/2021 Federal Award Period: Federal Award Period: 10/1 /21 — 9/30/2025 10/1 /23 — 9/30/25 10/1 /20 — 9/30/25 Federal Award Identification Number (FAIN): Federal Award Identification Number (FAIN): 15POVC-23-GG-00478-ASSI 2402WAFVPS 2102WAFVC6 Total Amount of the Federal Award to Total Amount of the Federal Award to Washington Washington State Department of Commerce, State Department of Social and Health Services: Office of Crime Victims Advocacy: $ 3,034,888 $31,079,099 $ 2, 680, 425 Awarding Official: Joe Nguyen, Director Awarding Official: Department of Justice, Office of Justice Department of Health and Human Services, Programs, Office for Victims of Crime Administration for Children & Families Assistance Listing Number (ALN): Assistance Listing Number (ALN): 16.575 93.671 DSHS Central Contract Services 6026CF County Program Agreement Amendment (3-31-06) Page 5