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 Hope/Kids Hope
REQUEST SUBMITTED BY: Kim Pope
CONTACT PERSON ATTENDING ROUNDTABLE: Kim Pope
CONFIDENTIAL INFORMATION: ❑YES *NO
DATE: 06/25/2026
PHONE: 509-764-8402
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®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
❑ Grants — Fed/State/County ❑ Leases
❑ MOA / MOU
❑ Minutes
❑ Ordinances ❑ Out of State Travel
❑ Petty Cash
❑ Policies
❑ Proclamations ❑ Request for Purchase
❑ Resolution
El Recommendation
El Professional Serv/Consultant ❑Support Letter
❑Surplus Req.
❑Tax Levies
❑Thank You's ❑Tax Title Property
❑WSLCB
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The attached document is required for submission for the Children's Advocacy Centers of Washington Grant.
The Certification Statement must be signed by the Chair of the Board of County Commissioners for Grant County.
This coincides with the Face Sheet which was submitted last week for signature, they both will be submitted.
If necessary, was this document reviewed by accounting? ❑ YES 0 NO ❑ N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
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DATE OF ACTION:
APPROVE: DENIED ABSTAIN
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DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
Children's Advocacy Centers
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Children's Advocacy Center Capacity B'uildM*g Grants
ACCREDITED CENTERS
July 1, 2026 —June 30, 2027
Certification Statement
Page I
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Indicate in. the space provided Whether your organization meets each standard or requirement. If
not, please describe on a separate sheet the measures you Will take to meet the standard or
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-requirement.
CAC Name: Kids Hope
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The applicant organization affirms that it meets the following requiremen t-s:
a) Ensure adequate administrative & accounting procedures/controls necessary to
safeguard the funding that may be awarded under the terms of the RFQ.
b) Maintai. books, records, documents, and ether evidence directly related. to
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petformance of the work following generally accepted accounting procedures and
have -these available for review during a desk audit.
c) Has a Federal. Tax. ID number.
d) Will comply with all applicable federal, state, and local laws and regulations,
including but not limited to, nondiscrimination laws and regulations.
e) The agency, has an active SAM.GOV registration status and is not presently
debarred, suspended, proposed for deban-nent, declared ineligible, or voluntarily
by department
excluded any Federal or agency from participating in transactions,
and agrees to include the above requirement in any and all. subcontracts into
which it enters.
t) Has the capability to meet program expenses in advance of reimbursement.
g) Provide services that meet all the core standards for CAUs.
h) Complete all required reports and billing documentation in a timely manner.
Invoices are due to CACWA bj) the 15'hof each month. If you are unable to submit
bji the 15"'you must let John Mow in advance. Any submis- son submitted after the
20t" will not be processed until tie fallowing month.
Page 2
i) Will submit most recent signed Protocol, Memorandum of Understanding or
Interagency Agreement with eacb of the following:
1) All law enforcement agencies within the CAC's service area
2) County Prosecutor
3) Child Protective Services
4) Medical
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5) Therapy
6) Advocacy
j) Have a regularly scheduled (at least montbly) Multidisciplinary Team meeting
that includes case review and case tracking,
k) Reports suspected 'Incidents of child abuse or neglect of a child or vulnerable
adult in accordance with RC W 26.44.0303 and 74.34.035.
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The applicant organization affirms that it meets the, folio require ments0!
1) Maintains criminal history background checks pursuant to RCW 43.43.832 and
43,43,834, for all prospective employees, volunteers, and subcontractors who may
have unsupervised access to children or vulnerable adults.
m) Participates in statewide data collection and evaluation, including surveys or
other activities as required by CACWA.
n) Maintains the required 'insurance coverage (see Appendix A, Insurance
Requirements, at the end of the Accredited Centers RFQ 2025-26 document)
which will adequately cover their program, If the contractor's
self -insured, proof of self-insurance must be provided.
o). An independent financial audit or review must be performed annually based on
the following..
a) If your organization expends $1,000,000 or more in federal awards from
any and/or all sources in any fiscal year, you must procure and pay for a
single audit or a program -specific audit for that fiscal year.
b) If your organization upends less than $ 1,000, 0 0 0 in federal awards from
any and/or all sources in any fiscal year and it"s total annual revenue is
more than $500,000, you must procure and pay for an independent
financial audit.
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c) If your organization's total annual revenue is less than $500,000 you may
substitute an independent financial review.
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The applicant organization affirmatively agrees to the following conditions:
1. All contracts are contingent on CA. A, receiving adequate funding from the
State of Washington for the purposes stated in the RFQ. Changes in the terms or
amount of the CA contract may result in a corresponding change -in funding
awarded through the RFQ*
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2. Applicant will submit a detailed scope of-wor1c plan with clear goal(s),
measurable objective(s) and performance measure(s),
3. Funds will be used for the intended purposes of this contract and in accordance
with the scope of work submitted with this RFQ*
4. Funds from this award ' cannot be used for the following:
a) No Federal.Match. — Funds in this contract cannot be used as match
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toward federal funds.
b) Supplanting — Funds in this contract are to supplement, not supplant any
federal, state and local funding you may receive,
or
..Applicant must report semiannually on progress towards goals, objectives &
performance measures. Findings from OM S may be used to measure progress,
6. CA may reallocate awarded funds at any time during this grant period,
due to non-performance or poor performance in meeting the goals and objectives
outlined in the proposal, failure to spend the funds in accordance with their
intended purpose and/or failure to meet required semiannual reporting
responsibilities.
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The applicant organization affirmatively agrees to then olio conditions:
7. Applicant will re -view actual spending vs. budget after (6) and (9) months to
see if they are on track to spend out contract. At (9) month review, applicant will
submit a 4th Qtr. spending plan, including a detailed budget narrative,
8. If it appears that the awardee will not spend all funds allocated under this grant,
CA WA may reduce that organizations award.
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9. Maintain full CACwA Membership in Good Standingland active FICA.
Membership as an Accredited CAC.
CERTIFICATION STATEMENT,
We certify that all statements in this application are true to the best of our knowledge
Executive Director:
Name: Kira Pope
Signature:
Board Chair
Name: Kevin Burgess
Title: Director
Date: 0612 /2026
Title: BOCC Chair
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Signature: 1--ifenn4 rll�_ 6�44:fz
Date: ^ o
I An accredited CAC is considered in good standing with the State Chapter (Children's Advocacy Centers of
Washington) when it fulfills all membership requirements and actively supports the collective mission to improve
Washington's response to child abuse through a coordinated, multidisciplinary response. Good
standing reflects a CAC's accountability, commitment to continuous improvement, and strong partnership
within Washington's network of child advocacy centers. This includes:
■ Maintaining current membership status with CACwA
■ Submitting required reports and documentation in a timely and accurate manner
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Actively participating in CACWA meetings, trainings, surveys, and statewide initiatives
N Complying with National Children's Alliance (tCA) accreditation standards
0 Demonstrating adherence to best practices
0 working with the State Chapter and/or other impacted parties promptly and transparently to
resolve any compliance, performance, or other issues that may adversely impact the work if
CACs and/or CACWA..