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Home My WebLink AboutAgreements/Contracts - Emergency ManagementGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:Emergency Management REQUEST SUBMITTED BY: MII'2ya Garcia CONTACT PERSON ATTENDING ROUNDTABLE: MII"@ya Garcia CONFIDENTIAL INFORMATION: ❑YES BNO DATE: $/27/2026 PHONE: (509) 906 - 6831 ❑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 8 Grants — Fed/State/County Ell -eases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Reg. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Request to approve amendment for Hazard Mitigation Grant Agreement No. D26-006 Amendment amount of $56,484 with same period of performance as the original contract of 05/23/25 to 05/30/2028. These additional funds will help complete grant project work. • If necessary, was this document reviewed by accounting? 0 YES ❑NO ❑N/A If necessary, was this document reviewed by legal? 7m YES ❑ NO DATE OF ACTION: 9- /- DEFERRED OR CONTINUED TO: WITHDRAWN: APPROVE: DENIED ABSTAIN D2: D3: INKLI =1 4/23/24 SIGNATURE AUTHORIZATION FORM (SAF) WASHINGTON MILITARY DEPARTMENT Camp Murray, Washington 98430-5122 Please read instructions on page 2 before completing this form. NAME OF ORGANIZATION - _ _ Grant County Sheriffs Office, Emergency Mangement ------ ------- DATE SUBMITTED CONTRACT / PROJECT DESCRIPTION Hazard Mitigation Grant Program Energy Resiliency &Redundancy CONTRACT NUMBER HMGP 5456-05 1. AUTHORIZING AUTHORITY PHYSICAL SIGNATURE E-SIGNATURE PRINT OR TYPE NAME TITLE Sevin Burgess commissioner, Chair Fob Jones Commissioner, Vice Chair Cindy Carter Commissioner, Member --------------- 2. AUTHORIZED TO SIGN CONTRACTS /AMENDMENTS PHYSICAL SIGNATURE E-SIGNATURE PRINT OR TYPE NAME TITLE Joe Kriete Sheriff Gary Mansford Undersheriff 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT PHYSICAL SIGNATURE E-SIGNATURE PRINT OR TYPE NAME TITLE ` Mireya Garcia Jessica Olsen EM Specialist EM Specialist rze Page of 2 INSTRUCTIONS FOR THE SIGNATURE AUTHORIZATION FORM (SAF) This form identifies the authorizing authority(ies) and person(s) who have the authority to sign contracts, amendments, and requests for reimbursement. It is required for the management of 'our,-contracts'-with''th, V 8h[_"_' i .__-- '_ ' - I --- Pt6 ngjqn_Mjl`tar.'-_-j I _,.y,[)-- '0 ase_comp, ete_. a 11-section s .......... -------- - The signature and/or e-signature s included on this SAF must match what is on the contracts, amendment, debarment form, and A-19 invoice voucher submitted. It is required that the signatures in WMD's files are current. Changes in staffing or responsibilities will require a new SAS. At least one person must be assigned to each of the three roles and the same person can be assigned to multiple roles. If more than one individual will be signing a contract, amendment, or reimbursement requestpleasemake sure everyone signs this , 'form- If additional lines are needed, please fill out two forms and title them 1 of 2 and 2 of 2. I. Authorizing Authority. Generally, the person(s) signing in this section heads the organization such as the chief executive office. In some cases, other employees within the organization may have been delegated this authority. 2. Authorized to Sign Contracts I Amendments. The person(s) given the authority to bind the organization to the terms and conditions of the contract, 3. Authorized to Sign Requests for Reimbursement. Often the chief financial officer or members of the accounts receivable team. When a request for reimbursement is received, the signature on the A-1 9 invoice voucher is verified that it matches the signature on this form. ' It is advisable to have more than oneperson authorized to ai,q,.nreimbursement,.,requests. This will help prevent delays in processing a request if one person is temporarily unavailable. The payment can be delayed if the request is presented without the proper signature. Once filled out, send the original to WMD with the signed contract. It is recommended you deep a copy with the executed contract in your files. If you have any questions regarding this form or to request new forms, please email the contracts office at contracts.office@mil.wa.gov. K26-150 Washington State Military Department AMENDMENT" 1. SUBRECIPIENT NAME/ADDRESS: 2. GRANT NUMBER: 3. AMENDMENT NUMBER: Grant County Emergency Management D26-006 ............ ---------- -------------- ............. - ------ . ......... ....... - - __ r -- -------- --- --------- ...... - --------- ......... Ephrata, WA 98823 4. SUBRECIPIENT CONTACT, PHONE/EMAIL-, 5. DEPARTMENT CONTACT, PHONE/EMAIL: Mire Garcia, 509-754-2011 x 4521 Nicole Canning 253-512-7236 mxgarcia@grantcoun.tywa.gov icole.Cnning@m#l.war # 6. EIN: 7. ASSISTANCE LISTINGS # & TITLE: 8. FEDERAL AWARD ID # (FAIN): 91-6001319 97.039 (HMGP) FM-5456-05-R FUNDING AUTHORITY: The Washington State Military Department (Department) and the US Department of Homeland Security (DHS) 10. DESCR.] PTION/J USTI A CATION OF AMENDMENT: Total Grant Amount increased from $325,756.00 to $382,240.00 and Subreciplent Management Cost (SubMC) 4 increased from $16,287.00 to $19,093.48 per FEMA approval letter. Changes are noted in red font, strikethrough, and grey highlight. 11. AMENDMENT TERMS AND CONDITIONS: 1 Change the Grant Amount from $325,756.00 to $382,240.00, an increase of $56,484.00. 2. Change the Federal, State, and Local cost shares, as described on Page 2 of this Amendment. 3. Change the Subrecipient Management, Costs (SubMC), as described on Page 2 of this Amendment. 4. Change the original Project Budget, Attachment 5, as described on Page 2 of this Amendment. This Amendment is incorporated in and made a part of the Grant Agreement. Except as amended herein, all other -terms and conditions of the Grant Agreement remain in full force and effect. Any reference in the original Grant Agreement or an Amendment to the "Grant Agreement" shall mean "Grant Agreement as amended",, The Department and Sub. -Recipient acknowledge and accept the terms of this Amendment as identified above, effective on the final date of execution below. By signing this Amendment, the signatories warrant they have the authority to execute this Amendment. IN WITNESS WHEREOF, the parties have executed this Amendment: FOR THE DEPARTMENT: FOR THE SUB .EC ENT: Signature Date Si ure Date Seth Daniel Nickerson, Chief Financial Officer Kriete, Sheriff Washington State Military Department rant County BOILERPLATE APPROVED AS TO FORM: APPROVED AS TO FORM (if applicable): /Siqnature on file/ Dierk Meierbachtol, Assistant Attorney General 10/11/2021 Applicant's Legal Review Date ------------------- FEMA-FM-5456-05-R Page I of 3 Grant County EM, D26-006 Amendment 1 Washington State Military Department Amendments to Agreement D26-006 1. Change Total Grant Agreement Amount from $325,756.00 to $382,240.00, an increase of ............ - - ---------------------------------------- -------- - ------------- At'Agreement - 'I i, At Attachment 1, Article 11 Administrative Requirements, 2. Project Funding, paragraph (t 0� 1) r, 7 r, r, 1) A a., replace with $3.8212'40.b ' -0. iii. At Project Budget, Attachment 5, to be replaced with Project Budget — Revision 1, Attachment 5. 2. Change the Federal, State, and Local cost shares to F: $286,680.00y S: $47,780.001 L: $47,780.00. i. At Agreement Face Sheet Box 2: 1 F�--$286,680.00, an increase of $42,363.00. 2 $47 . S. 780.00, an increase of $7,060.50. 3. -40 S.'- $ , 47,780:.00 an increase of $7,060.50. ii. At Attachment 1, Article 11 Administrative Requirements, 2, Project Funding, paragraph b,., replace ttAn 71 with $47 780.-00. iii. At Attachment 1, Article 11 Administrative Requirements, 2. Project Funding, paragraph c., (tr)AA qI'7 QQ replace with $2.86,680--0'. iv, At Attachment 1, Article 11 Administrative Requirements, 2. Project Funding, paragraph d.3 (ZAO 74CI 9 replace $47i780.00. 3. Change the Subreciplent Management Cost (Sulk) from $16,287.00 to $19,093.48, an increase of $2,806.48. 0117 1111 1 I At Agreement Face Sheet, Box 2. il. At Article 11 Administrative Requirements, 2. Project Funding, paragraph e., replace -� with $1-9.,093,-48. 4. Change the original ginal Project Budget, Attachment 5. i. At Project Budget, Attachment 5, to be replaced with the attached Project Budget — Revision 1, Attachment 5. FEMA-FM-5456-05-R Page 2 of 3 Grant County EM, D26-006 Amendment I Attachment 5 PROJECT BUDGET —REVISION I ------Grant County--Ernerg nagernent.------- --- -- -- ------- - -- --- -- - - - ---- ------ - ----- --- - en.a---Ma -------- --------------- .................. -------- ------ - - - .......... ............... .... -PROJECT-TITLL. ------ ----- APPROVED BUDGET CATEGORY ESTIMATED COST --------------------- ---------------- ------- Architectural, Engineering, Geotechnical, etc. Site Work tA AtIA Arl �y j Construction 't8, Equipment (trackable assets costing $246 7644 -rG0 $I,.- $5,000 or,more) Miscellaneous (Personnel, Fringe Benefits, $4,95600 Travel, Sueplies) -------------- . P 0nn roject Total 32;Z 799 SubMC — This category is restricted to eligible grant administration costs, including indirect costs, and is limited to 5% of eligible project expenditures. The (tl A 7 0 W amount shown here reflects the maximum amount available, based on the approved project budget. TOTAL (Project Total+ SubMC)-. $3424141.001, Tracking and Reportil ng Project Costs-, Project expenses for which reimbursement is sought must be tracked and reported by approved budget cost categories, above" Documentation of expenditures by approved budget cost categories should be made on a separate spreadsheet or table and 'included with each A-1 9. Supporting documentation of all costs shall include, but not be limited to: tracking of staff time spent on the project through timesheets or other similar documentation.; dated invoices from contractors and subcontractors for work completed; dated 'Invoices for goods and services purchased; and documentation of in -bind contributions of personnel, equipment and supplies. Final Payment: Final payment of any remaining, or withheld, funds will be made upon submission by the SUBRECIPIENT within 60 days of completion of the project of the final report and an A-1 9, Voucher Distribution, and completion of all final inspections by the DEPARTMENT. Final payment also may be conditioned upon a financial review, if determined necessary by the DEPARTMENT. Adjustments to the final payment may be made following any audits conducted by the DEPARTMENT, Washington State Auditors Office, the United States Inspector General, or their authorized representatives. Per 2023 Hazard Mitigation Assistance Program and Policy Guide, no cost overruns will be funded. If costs exceed the maximum amount of FEMA funding approved, the SUBRECIPIENT shall pay the costs in excess of the approved budget. A request for additional funds to cover a cost overrun may be granted by the DEPARTMENT and FEMA only if funds are available within the HMGP ceiling for this disaster, (FEMA- FM-5456-WA). A request for additional funds must be fully documented and justified, FEMA-FM-5456-05-R Page 3 of 3 Grant County EM, D26-006 Amendment 1 Amendment Number I - Hazard Miticit�ation Grant Program (Grant Number D26-006) (Between GCSO-EM and The Washington State Military Department and US Department of Homeland Secun*ty) -- - Date: % / ��r 0 U.Nr ...... .... 0 ; % Uj SEA C n % VOO GTOA \`�� A-Ff EST. - Caitlin E. Manell Clerk of the Board APPROVt:t,'[Y'A� TO FOIQvt - - ---- --- ---- - T---r-e--vor R. Beiiier, WSBA ;,:47989 Grant County Prosecutor"s Office C 1 1, Prosecufing Attomev *v*l Depuq I M- t Date: BOARD OF COUNTY COMM,ISSIONERS GRANT CO-UINNTY, WASHINGTON Kevin R. Burgess, p'Wair P............. ....... b, s-ice-Chair Cindy Cart Member