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HomeMy WebLinkAboutAgreements/Contracts - Juvenile (003)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: Juvenile Court & Youth Services REQUEST SUBMITTED BY: Suhail Palacios CONTACT PERSON ATTENDING ROUNDTABLE: Suhail PaIaCIOS CONFIDENTIAL INFORMATION: ❑YES 8 NO DATE 09/09/2025 PHONE: 509-754-5690 Ext. 4430 ma ©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 ❑ Out of State Travel ❑ 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 r# nkwA::; 4! To discuss and docu-sign the amended Contract No. 26-31219-064 with the Washington State Department of Commerce. Office of Crime Victims Advocacy specifically for the Crime Victim Service Center (CVSC) Comprehensive Service Grant, to provide services to victims of crimes. The term of this contract is from July 1st, 2026, to June 30th, 2027. If necessary, was this document reviewed by accounting? ❑ YES 0 NO If necessary, was this document reviewed by legal? � YES ❑ NO /// WK ggm %�. DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: �. D2: D3: DEFERRED OR CONTINUED TO: 4/8/24 Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441 EO V�„yo� Department of 44 d Creiii-neirce Amendment K26-175 Washington State Department of Commerce Community Services Division Office of Crime Victims Advocacy SFY 2026-2027 Crime Victim Service Center Grant Contract Number: 26-31219-064 Amendment Number: A 1. Contractor 2. Contractor Doing Business As (optional) GRANT, COUNTY OF Grant County Juvenile Court DBA JUVENILE COURT PO BOX 37 EPHRATA WA 98823 3. Contractor Representative 4. COMMERCE Representative Suhail Palacios Jenna Osterman PO Box 42525 Juvenile Court Administrator Program Coordinator 98504-8304 spalacios@grantcountywa.gov (360) 725-2884 (509) 754-5694 Ext 4430 jenna.osterman@commerce.wa.gov 5. Original Contract Amount 6. Amendment Amount 7. New Contract Amount (and any previous amendments) $235,000.00 $410,000.00 $175, 000.00 8. Amendment Funding Source 9. Amend. Effective Date 10. End Date Federal: N State: ❑ Other: ❑ N/A: ❑ 7/1 /2026 12:00:00 AM 06/30/2027 11. Federal Funds (as applicable) Federal Agency: ALN Number: Indirect Rate (as applicable): 235000.00 Department of Justice, Office for 16.575 Victims of Crime 12. SWV # 13. U BI # 14. U EI # SWV0002426-08 132001884 ZL6WM26K8KR5 15. Amendment Purpose To add Year 2 funds COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept the terms of this Contract As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Contract As Amended are governed by this Contract Amendment and the following other documents incorporated by reference: Contract Terms and Conditions including Attachment "A" — Scope of Work; Attachment "B" — Budget; Attachment "C" — Federal Funds Checklist; Attachment "D" — VOCA Rule, and Contractor's Application for funding. A copy of this Contract Amendment shall be attached to and made a part of the original Contract between COMMERCE and the Contractor. Any reference in the original Contract to the "Contract" shall mean the "Contract as Amended". FOR CONTRACTOR FOR COMMERCE Cindy Guertin -Anderson, Assistant Director Signature Suhail Palacios Date Name Juvenile Court Administrator APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL Title APPROVAL ON FILE Date Docusign Envelope ID: AEAA1051-6F7F-82DE-81A5-1A9927E441 EO This Contract is amended as follows: Adding federal funds and special terms and conditions to the contract. SPECIAL TERMS AND CONDITIONS 1. ACKNOWLEDGEMENT OF FEDERAL FUNDING Federal Award Date: 8/23/23 Federal Award Identification Number (FAIN): 15POVC-23-GG-00478-ASSI Federal Awarding Agency: Department of Justice, Office of Justice Programs, Office for Victims of Crime Total amount of the federal award: $31,079,099 Awarding official: Sarah Clifthorne (360) 789-1275 Total federal amount obligated (initial grant plus this amendment): $235000.00 Unless otherwise specifically authorized herein, the budget period start and end dates shall be the same as the start and end dates on the Face Sheet. The Contractor 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 statements: "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." 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. This subaward may not be used for research and development purposes. 2. ALL SUBAWARDS ("SUBGRANTS") MUST HAVE SPECIFIC FEDERAL AUTHORIZATION As applicable. The recipient, and any subrecipient (ifsubgrantee") at any tier, must comply with all applicable requirements for authorization of any subaward. This condition applies to agreements that -- for purposes of federal grants administrative requirements -- OJP considers a "subaward" (and therefore does not consider a procurement "contract"). The details of the requirement for authorization of any subaward are posted on the OJP web site at https://oip.gov/funding/Explore/SubawardAuthorization.htm (Award condition: All subawards ("subgrants") must have specific federal authorization), and are incorporated by reference here. 3. APPLICABILITY OF PART 200 UNIFORM REQUIREMENTS The Uniform Administrative Requirements, Cost Principles, and Audit Requirements in 2 C.F.R. Part 200, as adopted and supplemented by DOJ in 2 C.F.R. Part 2800 (together, the "Part 200 Uniform Requirements") apply to this FY 2022 award from OJP.. The Part 200 Uniform Requirements were first adopted by DOJ on December 26, 2014. If this FY 2022 award supplements funds previously awarded by OJP under the same award number (e.g., funds awarded during or before December 2014), the Part 200 Uniform Requirements apply with respect to all funds under that award number (regardless of the award date, and regardless of whether derived from the initial award or a supplemental award) that are obligated on or after the acceptance date of this FY 2022 award. For more information and resources on the Part 200 Uniform Requirements as they relate to OJP awards and subawards ("subgrants"), see the OJP website at https://ojp.gov/funding/Part2000niformRequirements.htm. Record retention and access: Records pertinent to the award that the recipient (and any subrecipient ("subgrantee") at any tier) must retain -- typically for a period of 3 years from the date of submission of the final Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 expenditure report (SF425), unless a different retention period applies -- and to which the recipient (and any subrecipient ("subgrantee") at any tier) must provide access, include performance measurement information, in addition to the financial records, supporting documents, statistical records, and other pertinent records indicated at 2 C.F.R. 200.334. In the event that an award -related question arises from documents or other materials prepared or distributed by OJP that may appear to conflict with, or differ in some way from, the provisions of the Part 200 Uniform Requirements, the recipient is to contact OJP promptly for clarification. 4. AUDIT If the Contractor expends $1,000,000 or more in federal awards as a Subrecipient from any and all sources in a fiscal year, the Contractor 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 2 CFR 200.501(h), for -profit Subrecipients expending $1,000,000 or more in federal awards in a fiscal year are also required to procure and pay for a single audit or program -specific audit for that fiscal year. Upon completion of each audit Contractor shall send all audit documentation to the Federal Audit Clearinahouse. If the Contractor expends less than $1,000,000 in federal awards as a Subrecipient from any and all sources in a fiscal year the Contractor shall notify COMMERCE they did not meet the audit requirement threshold within 30 calendar days of the end of that fiscal year. 5. COMPENSATION COMMERCE shall pay an amount not to exceed $410,000.00 for the performance of all things necessary for or incidental to the performance of work as set forth in the Scope of Work. Contractor's compensation for services rendered shall be based on the terms of the Scope of Work and Budget. EXPENSES Contractor shall receive reimbursement for approved expenses as identified below or as authorized in advance by COMMERCE as reimbursable. The maximum amount to be paid to the Contractor for authorized expenses shall not exceed $410,000.00, which amount is included in the Contract total above. If travel is required to complete the scope of work and approved in advance in writing, reimbursable travel expenses may include airfare (economy or coach class only), other transportation, lodging, and food necessary during periods of required travel. Contractor 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. 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 Contractor and OCVA, including approval from the Contractor's signature authority and the relevant OCVA Section Manager. Payment will be on a reimbursement basis only. Consultant fees may not exceed $650 per day or $81.25 per hour for the Victims of Crime Act portion of this Contract (excluding travel and subsistence costs) without prior written approval. Travel expenses incurred or paid by Contractor 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. Current travel rates may be accessed at: htti)s://ofm.wa.gov/sites/default/files/public/resources/travel/colormal).r)df The Contractor agrees to comply with the financial and administrative requirements set forth in the current edition of the Office of Justice Programs Financial Guide, which can be found at https://oip.qov/financialquide/doi/pdfs/DOJ FinancialGuide.pdf. Funds payable under this Contract include federal Victims of Crime Act (VOCA) victim assistance grant funds (CFDA Number 16.575). In performance of the services, requirements, and activities set forth herein, the Contractor shall comply with all applicable federal requirements of the Victims of Crime Act Rule https://www.federalregister.qov/documents/2016/07/08/2016-16085/victims-of-crime-act-victim-assistance- ro ra m Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 6. COMPLIANCE WITH 41 U.S.C. 4712 (INCLUDING PROHIBITIONS ON REPRISAL; NOTICE TO EMPLOYEES) The recipient (and any subrecipient 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 recipient 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 Contractor shall contact COMMERCE; COMMERCE is to contact the DOJ awarding agency (OJP or OVW, as appropriate) for guidance. 7. COMPLIANCE WITH APPLICABLE RULES REGARDING APPROVAL, PLANNING, AND REPORTING OF CONFERENCES, MEETINGS, TRAININGS, AND OTHER EVENTS The recipient, and any subrecipient ("subgrantee") at any tier, must comply with all applicable laws, regulations, policies, and official 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 in the DOJ Grants Financial Guide (currently, as section 3.10 of "Postaward Requirements" in the "DOJ Grants Financial Guide"). 8. COMPLIANCE WITH DOJ GRANTS FINANCIAL GUIDE References to the DOJ Grants Financial Guide are to the DOJ Grants Financial Guide as posted on the OJP website (currently, the "DOJ Grants Financial Guide" available at.https:Hoop.gov/financialguide/DOJ/index.htm), including any updated version that may be posted during the period of performance. The recipient agrees to comply with the DOJ Grants Financial Guide. 9. COMPLIANCE WITH DOJ REGULATIONS PERTAINING TO CIVIL RIGHTS AND NONDISCRIMINATION - 28 C.F.R. PART 38 The recipient, and any subrecipient ("subgrantee") at any tier, must comply with all applicable requirements of 28 C.F.R. Part 38 (as may be applicable from time to time), specifically including any applicable requirements regarding written notice to program beneficiaries and prospective program beneficiaries. Currently, 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, currently, also sets out rules and requirements that pertain to recipient and subrecipient ("subgrantee") organizations that engage in or conduct explicitly religious activities, as well as rules and requirements that pertain to recipients and subrecipients that are faith -based or religious organizations. The text of 28 C.F.R. Part 38 is available via the Electronic Code of Federal Regulations (currently accessible at https://www.ecfr.gov/cqi-bin/ECFR?page=browse), by browsing to Title 28-Judicial Administration, Chapter 1, Part 38, under e-CFR "current" data. 10. COMPLIANCE WITH DOJ REGULATIONS PERTAINING TO CIVIL RIGHTS AND NONDISCRIMINATION - 28 C.F.R. PART 42 The recipient, and any subrecipient ("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. 11. COMPLIANCE WITH DOJ REGULATIONS PERTAINING TO CIVIL RIGHTS AND NONDISCRIMINATION - 28 C.F.R. PART 54 The recipient, and any subrecipient ("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." Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441 EO 12. COMPLIANCE WITH GENERAL APPROPRIATIONS -LAW RESTRICTIONS ON THE USE OF FEDERAL FUNDS (FY 2022) The recipient, and any subrecipient ("subgrantee") at any tier, must comply with all applicable restrictions on the use of federal funds set out in federal appropriations statutes. Pertinent restrictions, including from various "general provisions" in the Consolidated Appropriations Act, 2022, are set out at https://www.ojp.gov/funding/Explore/ FY22App ropriations Restrictions. htm and are incorporated by reference here. Should a question arise as to whether a particular use of federal funds by a recipient (or a subrecipient) would or might fall within the scope of an appropriations -law restriction, the recipient is to contact OJP for guidance, and may not proceed without the express prior written approval of OJP. 13. COMPLIANCE WITH RESTRICTIONS ON THE USE OF FEDERAL FUNDS --PROHIBITED AND CONTROLLED EQUIPMENT UNDER OJP AWARDS Consistent with Executive Order 14074, "Advancing Effective, Accountable Policing and Criminal Justice Practices To Enhance Public Trust and Public Safety," OJP has prohibited the use of federal funds under this award for purchases or transfers of specified equipment by law enforcement agencies. In addition, OJP requires the recipient, and any subrecipient ("subgrantee") at any tier, to put in place specified controls prior to using federal funds under this award to acquire or transfer any property identified on the "controlled equipment' list. The details of the requirement are posted on the OJP web site at https://www.ojp.gov/funding/explore/prohibited- and-controlled-equipment (Award condition: Compliance with restrictions on the use of federal funds --prohibited and controlled equipment under OJP awards), and are incorporated by reference here. 14. COMPUTER NETWORKS Contractor understands and agrees that it cannot use any federal funds to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. 15. DEBARM ENT A. Contractor, defined as the primary participant and it principals, certifies by signing these General Terms and Conditions that to the best of its knowledge and belief that they: i. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency. ii. Have not within a three-year period preceding this Contract, 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; iii. 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 iv. Have not within a three-year period preceding the signing of this Contract had one or more public transactions (Federal, State, or local) terminated for cause of default. B. Where the Contractor is unable to certify to any of the statements in this Contract, the Contractor shall attach an explanation to this Contract. C. The Contractor agrees by signing this Contract 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 Contractor further agrees by signing this Contract 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 The lower tier Contractor certifies, by signing this Contract 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. Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO Where the lower tier Contractor is unable to certify to any of the statements in this Contract, such contractor shall attach an explanation to this Contract. 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. Contractor may contact COMMERCE for assistance in obtaining a copy of these 16. DETERMINATION OF SUITABILITY TO INTERACT WITH PARTICIPATING MINORS SCOPE. This condition applies to this award if it is indicated -- in the application for the award (as approved by DOJ)(or in the application for any subaward, at any tier), the DOJ funding announcement (solicitation), or an associated federal statute -- that a purpose of some or all of the activities to be carried out under the award (whether by the recipient, or a subrecipient at any tier) is to benefit a set of individuals under 18 years of age. The recipient, and any subrecipient 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 OJP web site at httos:Hoii).gov/fundinq/Explore/Interact- Minors.htm (Award condition: Determination of suitability required, in advance, for certain individuals who may interact with participating minors), and are incorporated by reference here. 17. DISCRIMINATION FINDINGS The recipient assures that in the event that a Federal or State court or Federal or State administrative agency makes a finding of discrimination after a due process hearing on the ground of race, religion, national origin, sex, or disability against a recipient of victim assistance formula funds under this award, the recipient will forward a copy of the findings to the Office for Civil Rights of OJP. 18. EFFECT OF FAILURE TO ADDRESS AUDIT ISSUES The recipient understands and agrees that the DOJ awarding agency (OJP or OVW, as appropriate) and COMMERCE may withhold award funds, or may impose other related requirements, if (as determined by the DOJ awarding agency) the recipient does not satisfactorily and promptly address outstanding issues from audits required by the Part 200 Uniform Requirements (or by the terms of this award), or other outstanding issues that arise in connection with audits, investigations, or reviews of DOJ awards. 19. EMPLOYMENT ELIGIBILITY VERIFICATION FOR HIRING UNDER THE AWARD 1. The recipient (and any subrecipient at any tier) must — a. Ensure that, as part of the hiring process for any position within the United States that is or will be funded (in whole or in part) with award funds, the recipient (or any subrecipient) properly verifies the employment eligibility of the individual who is being hired, consistent with the provisions of 8 U.S.C. 1324a(a)(1). b. Notify all persons associated with the recipient (or any subrecipient) who are or will be involved in activities under this award of both— i. this award requirement for verification of employment eligibility, and ii. the associated provisions in 8 U.S.C. 1324a(a)(1) that, generally speaking, make it unlawful, in the United States, to hire (or recruit for employment) certain aliens. c. Provide training (to the extent necessary) to those persons required by this condition to be notified of the award requirement for employment eligibility verification and of the associated provisions of 8 U.S.C. 1324a(a)(1). d. As part of the recordkeeping for the award (including pursuant to the Part 200 Uniform Requirements), maintain records of all employment eligibility verifications pertinent to compliance with this award condition in accordance with Form 1-9 record retention requirements, as well as records of all pertinent notifications and trainings. 2. Monitoring a. The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3. Allowable costs a. To the extent that such costs are not reimbursed under any other federal program, award funds may be obligated for the reasonable, necessary, and allocable costs (if any) of actions designed to ensure compliance with this condition. 4. Rules of construction Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441 EO a. Staff involved in the hiring process - For purposes of this condition, persons "who are or will be involved in activities under this award" specifically includes (without limitation) any and all recipient (or any subrecipient) officials or other staff who are or will be involved in the hiring process with respect to a position that is or will be funded (in whole or in part) with award funds. b. Employment eligibility confirmation with E-Verify - For purposes of satisfying the requirement of this condition regarding verification of employment eligibility, the recipient (or any subrecipient) may choose to participate in, and use, E-Verify (www.e-verify.gov), provided an appropriate person authorized to act on behalf of the recipient (or subrecipient) uses E-Verify (and follows the proper E-Verify procedures, including in the event of a "Tentative Nonconfirmation" or a "Final Nonconfirmation") to confirm employment eligibility for each hiring for a position in the United States that is or will be funded (in whole or in part) with award funds. c. "United States" specifically includes the District of Columbia, Puerto Rico, Guam, the Virgin Islands of the United States, and the Commonwealth of the Northern Mariana Islands. d. Nothing in this condition shall be understood to authorize or require any recipient, any subrecipient at any tier, or any person or other entity, to violate any federal law, including any applicable civil rights or nondiscrimination law. e. Nothing in this condition, including in paragraph 4.B., shall be understood to relieve any recipient, any subrecipient at any tier, or any person or other entity, of any obligation otherwise imposed by law, including 8 U.S.C. 1324a(a)(1). Questions about E-Verify should be directed to DHS. For more information about E-Verify visit the E-Verify website (https://www.e-verify.gov/) or email E-Verify at E-Verify@dhs.gov. E-Verify employer agents can email E- Verify at E-VerifyEmployerAgentC�-dhs.gov. Questions about the meaning or scope of this condition should be directed to COMMERCE, before award acceptance. 20. ENCOURAGEMENT OF POLICIES TO BAN TEXT MESSAGING WHILE DRIVING Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging While Driving," 74 Fed. Reg. 51225 (October 1, 2009), DOJ encourages recipients and subrecipients ("subgrantees") to adopt and enforce policies banning employees from text messaging while driving any vehicle during the course of performing work funded by this award, and to establish workplace safety policies and conduct education, awareness, and other outreach to decrease crashes caused by distracted drivers. 21. EXAMINATION OF RECORDS The Contractor authorizes Office for Victims of Crime (OVC) and/or the Office of the Chief Financial Officer (OCFO), and its representatives, access to and the right to examine all records, books, paper or documents related to the VOCA grant. The State will further ensure that all VOCA subgrantees will authorize representatives of OVC and OCFO access to and the right to examine all records, books, paper or documents related to the VOCA grant. 22. FFATA REPORTING: SUBAWARDS AND EXECUTIVE COMPENSATION As applicable. COMMERCE must comply with applicable requirements to report first -tier subawards ("subgrants") of $30,000 or more and, in certain circumstances, to report the names and total compensation of the five most highly compensated executives of the recipient and first -tier subrecipients (first -tier "subgrantees") of award funds. The details of recipient obligations, which derive from the Federal Funding Accountability and Transparency Act of 2006 (FFATA), are posted on the OJP web site at https://ojp.gov/funding/Explore/FFATA.htm (Award condition: Reporting Subawards and Executive Compensation), and are incorporated by reference here.This condition, including its reporting requirement, does not apply to-- (1) an award of less than $30,000, or (2) an award made to an individual who received the award as a natural person (i.e., unrelated to any business or non-profit organization that he or she may own or operate in his or her name). COMMERCE submits FFATA information on behalf of all Contractors. 23. FRAUD AND OTHER LOSS REPORTING Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Contractor shall report in writing all known or suspected fraud or other loss of any funds or other property furnished under this Contract immediately or as soon as practicable to the Commerce Representative identified on the Face Sheet. Reporting potential fraud, waste, and abuse, and similar misconduct The recipient, and any subrecipients ("subgrantees") at any tier, must promptly refer to the DOJ Office of the Inspector General (OIG) any credible evidence that a principal, employee, agent, subrecipient, 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:Hoig.justice.gov/hotline/contact-grants.htm (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; and/or (3) by facsimile directed to the DOJ OIG Investigations Division (Attn: Grantee Reporting) at (202) 616-9881 (fax). Additional information is available from the DOJ OIG website at https:Hoig.iustice.gov/hotline. 24. INDIRECT COSTS Contractor 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 15% of Modified Total Direct Costs (MTDC) may be used. 25. LIMITED ENGLISH PROFICIENCY Applicants must ensure that Limited English Proficiency persons have meaningful access to the services under this program(s). National origin discrimination includes discrimination on the basis of limited English proficiency (LEP). To ensure compliance with Title VI and the Safe Streets Act, recipients are required to take reasonable steps to ensure that LEP persons have meaningful access to their programs. Meaningful access may entail providing language assistance services, including oral and written translation when necessary. The U.S. Department of Justice has issued guidance for Contractors to help them comply with Title VI requirements. The guidance document can be accessed on the Internet at www.lep.gov. 26. "METHODS OF ADMINISTRATION" - MONITORING COMPLIANCE WITH CIVIL RIGHTS LAWS AND NONDISCRIMINATION PROVISIONS COMMERCE's monitoring responsibilities include monitoring of subrecipient compliance with applicable federal civil rights laws and nondiscrimination provisions. Within 90 days of the date of award acceptance, COMMERCE must submit to OJP's Office for Civil Rights (at Civil Rights MOA@usdoj.gov) written Methods of Administration ("MOK) for subrecipient monitoring with respect to civil rights requirements. In addition, upon request by OJP (or by another authorized federal agency), the recipient must make associated documentation available for review. The details of the recipient's obligations related to Methods of Administration are posted on the OJP web site at https://oiQ.gov/funding/Explore/StateMethodsAdm in-FY2017update. htm (Award condition: "Methods of Administration" - Requirements applicable to States (FY 2017 Update), and are incorporated by reference here. 27. MONITORING The recipient agrees to promptly provide, upon request, financial or programmatic -related documentation related to this award, including documentation of expenditures and achievements. The recipient understands that it will be subject to additional financial and programmatic in-depth or on -site monitoring, which may be on short notice, and agrees that it will cooperate with any such monitoring. The recipient agrees to develop or maintain effective internal Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO controls to manage federal awards (see 2 C.F.R. 200.303) and effective financial management policies and procedures to manage federal awards (see 2 C.F.R. 200.302). 28. NATIONAL VOCA TRAINING As applicable. The recipient agrees to ensure that at least one key grantee official attends the annual VOCA National Training Conference. Any recipient unable to attend must get prior approval by OVC in writing. COMMERCE attends this training to meet this federal requirement; Contractors should not plan to attend the training event, attendance is not eligible. 29. NON -SUPPLANTING CERTIFICATION No VOCA Grant funds will be used to supplant existing state, local, or other non-federal funding already in place to support current services. VOCA Grant funds will be used to increase the total amount of funds used for crime victim assistance. Violation of the non -supplanting requirement can result in a range of penalties, including suspension of future funds under this Contract, recoupment of monies provided under this Contract, and civil and/or criminal penalties. 30. OJP TRAINING GUIDING PRINCIPLES Any training or training materials that the recipient -- or any subrecipient ("subgrantee") at any tier -- develops or delivers with OJP award funds must adhere to the OJP Training Guiding Principles for Grantees and Subgrantees, available at https://www.oip.gov/fundinq/implement/traininq-guiding-principles-grantees-and-subgrantees. 31. POTENTIAL IMPOSITION OF ADDITIONAL REQUIREMENTS As applicable. The recipient agrees to comply with any additional requirements that may be imposed by the DOJ awarding agency (OJP or OVW, as appropriate) during the period of performance for this award, if the recipient is designated as "high -risk" for purposes of the DOJ high -risk grantee list. DOJ monitors and evaluates risk for COMMERCE, and COMMERCE monitors and evaluates risk for Contractors. Contractor agrees to comply with any additional requirements that may be imposed if COMMERCE has designated the Contractor as "high risk" via risk assessment and monitoring procedures. 32. QUARTERLY FINANCIAL STATUS REPORTS As applicable. The recipient agrees that it will submit quarterly financial status reports (the SF 425 Federal Financial Report) to OJP in JustGrants, no later than the deadlines set out in the DOJ Financial Guide and the JustGrants guidance (typically 30 days after the end of each calendar quarter). Delinquent reports may lead to funds being frozen and other remedies. COMMERCE submits these financial status reports, this does not apply to Contractors. 33. RECIPIENT INTEGRITY AND PERFORMANCE MATTERS: REQUIREMENT TO REPORT INFORMATION ON CERTAIN CIVIL, CRIMINAL, AND ADMINISTRATIVE PROCEEDINGS TO SAM AND FAP I I S The recipient must comply with any and all applicable requirements regarding reporting of information on civil, criminal, and administrative proceedings connected with (or connected to the performance of) either this OJP award or any other grant, cooperative agreement, or procurement contract from the federal government. Under certain circumstances, recipients of OJP awards are required to report information about such proceedings, through the federal System for Award Management (known as "SAM"), to the designated federal integrity and performance system (currently, "FAPIIS"). The details of recipient obligations regarding the required reporting (and updating) of information on certain civil, criminal, and administrative proceedings to the federal designated integrity and performance system (currently, "FAPIIS") within SAM are posted on the OJP web site at https://oip.gov/fundinq/FAPIIS.htm (Award condition: Recipient Integrity and Performance Matters, including Recipient Reporting to FAPIIS), and are incorporated by reference here. 34. RECLASSIFICATION OF VARIOUS STATUTORY PROVISIONS TO A NEW TITLE 34 OF THE UNITED STATES CODE 9 Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO As applicable. On September 1, 2017, various statutory provisions previously codified elsewhere in the U.S. Code were editorially reclassified (that is, moved and renumbered) to a new Title 34, entitled "Crime Control and Law Enforcement." The reclassification encompassed a number of statutory provisions pertinent to OJP awards (that is, OJP grants and cooperative agreements), including many provisions previously codified in Title 42 of the U.S. Code. Effective as of September 1, 2017, any reference in this award document to a statutory provision that has been reclassified to the new Title 34 of the U.S. Code is to be read as a reference to that statutory provision as reclassified to Title 34. This rule of construction specifically includes references set out in award conditions, references set out in material incorporated by reference through award conditions, and references set out in other award requirements. 35. REQUIRED TRAINING FOR GRANT AWARD ADMINISTRATOR AND FINANCIAL MANAGER As applicable. The State Administering Agency (COMMERCE) fulfills the requirements in this section. Contractors should not anticipate completing the OJP financial management and grant administration training. The Grant Award Administrator and all Financial Managers for this award must have successfully completed an "OJP financial management and grant administration training" by 120 days after the date of the recipient's acceptance of the award. Successful completion of such a training on or after October 15, 2020, will satisfy this condition. In the event that either the Grant Award Administrator or a Financial Manager for this award changes during the period of performance, the new Grant Award Administrator or Financial Manager must have successfully completed an "OJP financial management and grant administration training" by 120 calendar days after the date the Entity Administrator enters updated Grant Award Administrator or Financial Manager information in JustGrants. Successful completion of such a training on or after October 15, 2020, will satisfy this condition. A list of OJP trainings that OJP will consider "OJP financial management and grant administration training" for purposes of this condition is available at https://onlinegfmt.training.ojp.gov/. All trainings that satisfy this condition include a session on grant fraud prevention and detection. The recipient should anticipate that OJP will immediately withhold ("freeze") award funds if the recipient fails to comply with this condition. The recipient's failure to comply also may lead OJP to impose additional appropriate conditions on this award. 36. REQUIREMENT FOR DATA ON PERFORMANCE AND EFFECTIVENESS UNDER THE AWARD The recipient must collect and maintain data that measure the performance and effectiveness of work under this award. The data must be provided to OJP in the manner (including within the timeframes) specified by OJP in the program solicitation or other applicable written guidance. Data collection supports compliance with the Government Performance and Results Act (GPRA) and the GPRA Modernization Act of 2010, and other applicable laws. Contractors report data to their COMMERCE grant manager at jenna.osterman@commerce.wa.gov. See "Reporting" Special Term and Condition. COMMERCE will report this data to OJP. 37. REQUIREMENT TO DISCLOSE WHETHER RECIPIENT IS DESIGNATED "HIGH RISK" BY A FEDERAL GRANT -MAKING AGENCY OUTSIDE OF DOJ As applicable. If the recipient is designated "high risk" by a federal grant -making agency outside of DOJ, currently or at any time during the course of the period of performance under this award, the recipient must disclose that fact and certain related information to OJP by email at OJP.ComplianceReporting(a�,oip.usdoi.gov. For purposes of this disclosure, high risk includes any status under which a federal awarding agency provides additional oversight due to the recipient's past performance, or other programmatic or financial concerns with the recipient. The recipient's disclosure must include the following: 1. The federal awarding agency that currently designates the recipient high risk, 2. The date the recipient was designated high risk, 3. The high -risk point of contact at that federal awarding agency (name, phone number, and email address), and 10 Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 4. The reasons for the high -risk status, as set out by the federal awarding agency. 33. REQUIREMENT TO REPORT ACTUAL OR IMMINENT BREACH OF PERSONALLY IDENTIFIABLE INFORMATION (P11) The recipient (and any "subrecipient" at any tier) must have written procedures in place to respond in the event of an actual or imminent "breach" (OMB M-17-12) if it (or a subrecipient) -- (1) creates, collects, uses, processes, stores, maintains, disseminates, discloses, or disposes of "Personally Identifiable Information (PII)" (2 CFR 200.1) within the scope of an OJP grant -funded program or activity, or (2) uses or operates a "Federal information system" (OMB Circular A 130). The recipient's breach procedures must include a requirement to report actual or imminent breach of PH to an OJP Program Manager no later than 24 hours after an occurrence of an actual breach, or the detection of an imminent breach. Contractors reports this information to COMMERCE, COMMERCE reports to OJP. 39. REQUIREMENT TO REPORT POTENTIALLY DUPLICATIVE FUNDING As applicable. If the recipient currently has other active awards of federal funds, or if the recipient receives any other award of federal funds during the period of performance for this award, the recipient promptly must determine whether funds from any of those other federal awards have been, are being, or are to be used (in whole or in part) for one or more of the identical cost items for which funds are provided under this award. If so, the recipient must promptly contact their COMMERCE grant manager at jenna.osterman@commerce.wa.gov. COMMERCE must notify the DOJ awarding agency (OJP or OVW, as appropriate) in writing of the potential duplication, and, if so requested by the DOJ awarding agency, must seek a budget -modification or change -of - project -scope Grant Award Modification (GAM) to eliminate any inappropriate duplication of funding. 40. REQUIREMENTS OF THE AWARD; REMEDIES FOR NON-COMPLIANCE OR FOR MATERIALLY FALSE STATEMENTS The conditions of this award are material requirements of the award. Compliance with any assurances or certifications submitted by or on behalf of the recipient that relate to conduct during the period of performance also is a material requirement of this award. Limited Exceptions. In certain special circumstances, the U.S. Department of Justice ("DOX) may determine that it will not enforce, or enforce only in part, one or more requirements otherwise applicable to the award. Any such exceptions regarding enforcement, including any such exceptions made during the period of performance, are (or will be during the period of performance) set out through the Office of Justice Programs ("OJP") webpage entitled "Legal Notices: Special circumstances as to particular award conditions" (ojp.gov/funding/Explore/LegalNotices- AwardRegts.htm), and incorporated by reference into the award. By signing and accepting this award on behalf of the recipient, the authorized recipient official accepts all material requirements of the award, and specifically adopts, as if personally executed by the authorized recipient official, all assurances or certifications submitted by or on behalf of the recipient that relate to conduct during the period of performance. Failure to comply with one or more award requirements -- whether a condition set out in full below, a condition incorporated by reference below, or an assurance or certification related to conduct during the award period -- may result in OJP taking appropriate action with respect to the recipient and the award. Among other things, the OJP may withhold award funds, disallow costs, or suspend or terminate the award. DOJ, including OJP, also may take other legal action as appropriate. Any materially false, fictitious, or fraudulent statement to the federal government related to this award (or concealment or omission of a material fact) 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 lead to imposition of civil penalties and administrative remedies for false claims or otherwise (including under 31 U.S.C. 3729-3730 and 3801-3812). Should any provision of a requirement of this award be held to be invalid or unenforceable by its terms, that provision shall first be applied with a limited construction so as to give it the maximum effect permitted by law. Should it be held, instead, that the provision is utterly invalid or -unenforceable, such provision shall be deemed severable from this award. 11 Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO 41. REQUIREMENTS PERTAINING TO PROHIBITED CONDUCT RELATED TO TRAFFICKING IN PERSONS (INCLUDING REPORTING REQUIREMENTS AND OJP AUTHORITY TO TERMINATE AWARD The recipient, and any subrecipient ("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 recipients, subrecipients ("subgrantees"), or individuals defined (for purposes of this condition) as "employees" of the recipient or of any subrecipient. The details of the recipient's obligations related to prohibited conduct related to trafficking in persons are posted on the OJP web site at https:Hojo.gov/funding/Explore/ProhibitedConduct-Trafficking.htm (Award condition: Prohibited conduct by recipients and subrecipients related to trafficking in persons (including reporting requirements and OJP authority to terminate award)), and are incorporated by reference here. 42. REQUIREMENTS RELATED TO "DE MINIMIS" INDIRECT COST RATE As applicable. A recipient that is eligible under the Part 200 Uniform Requirements and other applicable law to use the "de minimis" indirect cost rate described in 2 C.F.R. 200.414(f), and that elects to use the "de minimis" indirect cost rate, must advise OJP in writing of both its eligibility and its election, and must comply with all associated requirements in the Part 200 Uniform Requirements. The "de minimis" rate may be applied only to modified total direct costs (MTDC) as defined by the Part 200 Uniform Requirements. Recipient requirement to notify OJP is for COMMERCE. Contractors must work with their COMMERCE grant manager regarding requirements related to "de minimis" indirect cost rate. 43. REQUIREMENTS RELATED TO SYSTEM FOR AWARD MANAGEMENT AND UNIVERSAL IDENTIFIER REQUIREMENTS COMMERCE must comply with applicable requirements regarding the System for Award Management (SAM), currently accessible at https://www.sam.gov/. This includes applicable requirements regarding registration with SAM, as well as maintaining the currency of information in SAM. COMMERCE also must comply with applicable restrictions on subawards (itsubgrants") to first -tier subrecipients (first -tier "subgrantees"), including restrictions on subawards to entities that do not acquire and provide (to the recipient) the unique entity identifier required for SAM registration. The details of the recipient's obligations related to SAM and to unique entity identifiers are posted on the OJP web site at h_ttps://oii).gov/funding/Explore/SAM.htm (Award condition: System for Award Management (SAM) and Universal Identifier Requirements), and are incorporated by reference here. This condition does not apply to an award to an individual who received the award as a natural person (i.e., unrelated to any business or non-profit organization that he or she may own or operate in his or her name). 44. 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 nondisclosure of classified information. In accepting this award, the recipient a. 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 12 Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO b. 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. 2. If the recipient does or is authorized under this award to make subawards ("subgrants"), procurement contracts, or Both- a. it represents that - i. 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 ii. it has made appropriate inquiry, or otherwise has an adequate factual basis, to support this representation; and b. 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. 45. RESTRICTIONS ON "LOBBYING" In general, as a matter of federal law, federal funds awarded by OJP may not be used by the recipient, or any subrecipient ("subgrantee") at any tier, either directly or indirectly, to support or oppose the enactment, repeal, modification, or adoption of any law, regulation, or policy, at any level of government. See 18 U.S.C. 1913. (There may be exceptions if an applicable federal statute specifically authorizes certain activities that otherwise would be barred by law.) Another federal law generally prohibits federal funds awarded by OJP from being used by the recipient, or any subrecipient 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, contract, 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 a Grantee (or Subgrantee) would or might fall within the scope of these prohibitions, the Contractor is to contact COMMERCE for guidance, and may not proceed without the express prior written approval of COMMERCE. Should any question arise as to whether a particular use of federal funds by a recipient (or subrecipient) would or might fall within the scope of these prohibitions, the Contractor is to contact COMMERCE for guidance, and may not proceed without the express prior written approval of COMMERCE. COMMERCE is to contact OJP for guidance, and may not proceed without the express prior written approval of OJP. 46. SPECIFIC POST -AWARD APPROVAL REQUIRED TO USE A NONCOMPETITIVE APPROACH IN ANY PROCUREMENT CONTRACT THAT WOULD EXCEED $350,000 As applicable. The recipient, and any subrecipient ("subgrantee") at any tier, must comply with all applicable requirements to obtain specific advance approval to use a noncompetitive approach in any procurement contract that would exceed the Simplified Acquisition Threshold (currently, $350,000). This condition applies to agreements that -- for purposes of federal grants administrative requirements -- OJP considers a procurement "contract" (and therefore does not consider a subaward). The details of the requirement for advance approval to use a noncompetitive approach in a procurement contract under an OJP award are posted on the OJP web site at https://oip.gov/funding/Explore/Noncom pet itiveProcurem ent.htm (Award condition: Specific post -award approval required to use a noncompetitive approach in a procurement contract (if contract would exceed $250,000)),and are incorporated by reference here. 13 Docusign Envelope ID: ABAA1051-6177F-82DE-81A5-1A9927E441E0 47. SUBGRANT AWARD REPORT (SAR) The recipient must submit a Subgrant Award Report (SAR) to OVC for each subrecipient of the VOCA victim assistance funds, within ninety (90) days of awarding funds to the subrecipient. Recipients must submit this information through the automated system. Contractors submit this information to COMMERCE, who then submits this information to OVC. 48. TRAINING AND TECHNICAL ASSISTANCE The recipient must receive and engage in any training and technical assistance activities recommended by the Office for Victims of Crime. This requirement applies to COMMERCE. 49. VOCA FUNDS As applicable. The Victims of Crime Act (VOCA) of 1984 states that VOCA funds are available during the federal fiscal year in which the award was actually made, plus the following three fiscal years. At the end of this period, VOCA funds will be deobligated. (E.g., VOCA funds awarded in FY 2023, are available until the end of FY 2026). Extensions beyond the statutory period may be granted at the discretion of DOJ, and may be requested in accordance with OJP processes, but are not assured. COMMERCE manages this funding period requirement, Contractors must adhere to the Contract period on the Contract Face Sheet. 50. VOCA REQUIREMENTS As applicable. COMMERCE assures that the State- and its subrecipients will comply with the conditions of the Victims of Crime Act (VOCA) of 1984, sections 1404(a)(2), and 1404(b)(1) and (2), 34 U.S.C. 20103(a)(2) and (b)(1) and (2) (and the applicable program guidelines and regulations), as required. Specifically, the State certifies that funds under this award will: a. be awarded only to eligible victim assistance organizations, 34 U.S.C. 20103(a)(2); b. not be used to supplant State and local public funds that would otherwise be available for crime victim assistance, 34 U.S.C. 20103(a)(2), or for administering the state victim assistance program, 34 U.S.C. 20110(h); and c. be allocated in accordance with program guidelines or regulations implementing 34 U.S.C. 20103(a)(2)(A) and 34 U.S.C. 20103(a)(2)(B) to, at a minimum, assist victims in the following categories: sexual assault, child abuse, domestic violence, and underserved victims of violent crimes as identified by the State. 51. ORDER OF PRECEDENCE In the event of an inconsistency in this Contract, 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 • General Terms and Conditions • Attachment A — Scope of Work • Attachment B — Budget • Attachment C — Federal Funds Checklist • Attachment D — VOCA Rule • SFY 2026-2027 Crime Victim Service Center Grant Application for Funding as submitted and approved by COMMERCE ATTACHMENT B: BUDGET 14 Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO Budget CVSC Total Salaries $171,365.08 $1711365.08 Benefits $559468.44 $551468.44 Goods and Services $183 J 66.48 $1839166.48 Match $1029500.00 $102,500.00 Non - Match Total $4109000.00 $41000.00 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 Contractor and OCVA, including approval from the Contractor's signature authority and the relevant OCVA Section Manager. Travel expenses incurred or paid by Contractor 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. Current rates for travel may be accessed at https://ofm.wa.ciov/sites/default/files/public/resources/travel/colormar).pdf. Any purchase over $10,000 must be pre -approved by COMMERCE. ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT. 15 Docusign Envelope ID: ABAA1051-6F7F-82DE-8lA5-lA9927E441 EO ATTACHMENT C: FEDERAL FUNDS CHECKLIST (i) Subrecipient name (which must match the name associated with GRANT, COUNTY OF its unique entity identifier); (ii) Subrecipient's unique entity identifier; ZL6WM26K8KR5 t (iii) Federal Award Identification Number (FAIN); 15POVC-23-GG-00478-ASSI (iv) Federal Award Date (see §200.39 Federal award date) of award 8/23/23 to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; 07/01 /2025 to 06/30/2027 (vi) Subaward Budget Period Start and End Date; 07/01/2025 to 06/30/2027 (vii) Amount of Federal Funds Obligated by this action by the pass- $235000.00 through entity to the subrecipient; 1 .__ .._.... ...... ._.. _.........._.... ..... .. . ........__.._.. ..._..... _...___... ........ .._..... .,..... ,............... ...... ,...... .. ...._.. ...... ,_..,.. .. .. .....,. _....._.m.» _.. ....... ..__..., ._._... _.. ... _...,.._. .....,., ., ..... ... ........., ..... .,,.. .... ............... ........ . ..._............ ._ (viii) Total Amount of Federal Funds Obligated to the subrecipient Subrecipient —reference your records. by the pass -through entity including the 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 responsive to the Federal Funding Accountability and Transparency Act Direct services for victims of crime. (FFATA); Federal awarding agency: Department of Justice, (xi) Name of Federal awarding agency, pass -through entity, and Office of Justice Programs, Office for Victims of Crime contact information for awarding official of the Pass -through entity; Pass -through entity: WA State Department of Commerce, Office of Crime Victims Advocacy jenna.osterman@commerce.wa.gov (xii) Assistance Listings number and Title; the pass -through entity must identify the dollar amount made available under each Federal 16.575 Crime Victim Assistance 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 the de minimis rate is charged) per §200.414. ATTACHMENT D: VOCA RULE Federal Register:: Victims of Crime Act Victim Assistance Program 16 Docusign Envelope ID; ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO 'In k,, J, Igto1 ate Comm, tm nt of rce DocuSign Contract Review and Routing Form Office of Crime Victims Advocacy Reviewed by: Title: I verify that I have: Date: Jenny Osterman Grant Manager proofed documents 8/17/2026 1116 PM PDT Matched approved Obligation Summary Nick Gleason Y Section Memo and Allocation Spreadsheet p Manager Reviewed entry and coding in CMS 8/17/2026 1 4.19 PM PDT Correct template from IntraCOM has Assistant been used Trisha Smith or OR 8/19/2026 1 10:55 AM PDT Managing 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 Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Certification of Federal Award Requirements Funding for this grant is comprised of Federal Victims of Crime Act (VOCA) funds. Applicants must meet the following conditions in order to receive grant funding: 1. Unique Entity Identifier (UEI) from SAM.gov system This number is required to receive federal funds. According to the Department of Justice Grants Financial Guide, unless an exception applies, all applicants and recipients must have a unique entity identifer when applying for Federal awards and cooperative agreements (initial or supplemental awards) (2 C.F.R. Part 25 - Universal Identifier and System of Award Management). In April of 2022 the federal government stopped using the DUNS number and switched to UEI's assigned via the SAM.gov system. If your entity was already registered in SAM.gov, your UEI has already been assigned. This number is currently visible on your entity registration record. Please note that SAM.gov registration is not required to obtain an UEI and OCVA is no longer requiring SAM.gov registration for our grantees. To obtain a UEI (without full entity registration in SAM.gov), please visit the SAM.gov website. • See Quick Start Guide for Getting Your Unique Entity ID (SAM) • See SAM.gov I Home • This is a free service Agency's Unique Entity Identifier (UEI): ZL6WM26K8KR5 2. Audit Requirements Federal Grant Funds Subrecipients expending $1,000,000 or more in federal grant funds annually are required to secure an audit pursuant to OMB Uniform Guidance 2 CFR Part 200, Subpart F and are allowed to utilize federal grant funds to budget for the audit costs. See Section 8000 of the Subrecipient Handbook for more detail. Applicant is certifying it will comply with this audit requirement. 3. Executive Compensation Data In certain circumstances recipients of federal funds must report the names and total compensation of their five most highly compensated executives. Answer the following questions to determine if you have to submit this information. n the agency's preceding fiscal year, did the organization a) receive 80 percent or more of its annual gross revenues in U.S. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements: Yes E1 No 1 b) and $25,000,000 or more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative agreements: Yes M No IR Did you answer "yes" to both 3.a) and 3.b)? Yes El No If you answered "yes" to both questions please provide the names/compensation of the five (5) most highly compensated executives of the recipient of award funds: Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO 5. 4. Internal Revenue Service (IRS) 501(c)(3) Determination Letter VOCA funding requires that nonprofit organizations verify their federal nonprofit status (as applicable) by providing a copy of their Internal Revenue Service (IRS) 501(c)(3) determination letter. A nonprofit organization is as described in section 501 (c)(3) of the Internal Revenue Code of 1986 and is exempt from taxation under section 501(a) of that Code. See 42 U.S.0 § 13925(b)(16)(B). Unless submitted previously, nonprofit organizations applying for funding must submit a copy of Internal Revenue Service to OCVA. 5. Computer Networks The applicant understands and agrees that it cannot use VOCA Grant funds to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. 6. Non -Supplanting Certification The applicant understands and agrees that no VOCA Grant funds will be used to supplant existing state, local, or other non-federal funding already in place to support current services. VOCA Grant funds will be used to increase the total amount of funds used for crime victim assistance. Violation of the non -supplanting requirement can result in a range of penalties, including suspension of future funds under this grant, recoupment of monies provided under this grant, and civil and/or criminal penalties. 7. ADA Requirement (FOR NON -TRIBAL GRANTEES ONLY) Does the location where services are primarily provided comply with ADA requirements for accessibility? Yes No El If no, provide information on how this is addressed: N/A By signing this document below, the applicant certifies the following: "I certify to the best of my knowledge and belief that the information provided herein is true, complete, and accurate. I am aware that the provision of false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil, or administrative consequences including, but not limited to violations of U.S. Code Title 18, Sections 2, 1001, 1343 and Title 31, Sections 3729-3730 and 3801- 3812." Signature Suhail Palacios Name and Title of Authorized Representative Date Juvenile Court Administrator Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441 EO Civil Rights Certifications The applicant herby assures and certifies compliance with all applicable Federal statutes, regulations, policies, guidelines, requirements, and any conditions of the recipient's grant. If a grant is made, the grantee and subgrantees, if any, will be subject to statutory prohibitions on discrimination. 1. Discrimination on the Basis of National origin — Limited English Proficient (LEP) Individuals To ensure compliance with the Omnibus Crime control and Safe Streets Act of 1968 and Title VI of the Civil Rights Act of 1964, applicants must take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access to services and legal protections. Meaningful access may entail providing language assistance services, including oral and written translation, where necessary. Assistance in understanding grant recipient's obligations under the law may be found in the Department of Justice's Guidance to Federal Financial Assistance Regarding Title VI Prohibition Against National Origin Discrimination Affecting Limited English Proficiency Persons (LEP Guidance), which can be found at 67 Fed. Reg. 41455 (June 18, 2002). Additional assistance regarding LEP obligations and information may be found at www.lep.gov. 2. Federal Non -Discrimination Requirements The applicant will comply with any applicable federal nondiscrimination requirements, which may include: • the Omnibus Crime Control Act and Safe Streets Act of 1968 (42 U.S.C. § 3789d); • the Victims of Crime Act (42 U.S.C. § 10604(e)); • the Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil Rights Act of 1964 (42 U.S.C. § 2000(d)); • the Rehabilitation Act of 1973 (29 U.S.C. § 794); • the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12131-34); • the Education Amendments of 1972 (20 U.S.C. §§ 1681,1683,1685-86); • the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); i 28 C.F.R. Part 42 (U.S. Department of Justice Regulations — Nondiscrimination, Equal Employment Opportunity, Policies and Procedures); ® Executive Order 13279 (equal protection of the law for -faith based and community organizations); and • 28 C.F.R. Part 38 ((U.S. Department of Justice Regulations — Equal Treatment for Faith Based Organizations). The applicant shall further comply with federal law prohibiting grant recipients from retaliating against individuals taking action or participating in action to secure rights protected by federal law. 3. Civil Rights Provision - Prohibition of Discrimination for Recipients of Federal Funds The applicant assures compliance of all applicable nondiscrimination requirements of the Victims of Crime Act. No person in any state shall, on the grounds of race, color, religion, national origin, sex, age, or disability be excluded from participation in, be denied the benefits of, be subjected to discrimination under, or denied employment in connection with any program or activity receiving federal financial assistance, pursuant to the following statutes and regulations: Section 809(c), Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 U.S.C. 3789d, and Department of Justice Nondiscrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d, et seq.; Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794; Subtitle A, Title II of the Americans with Disabilities Act of 1990, 42 U.S.C. 12101, et seq. and Department of Justice regulations on disability discrimination, 28 CFR Part 35 and Part 39; Title IX of the Education Amendments of 1972, as Docusign Envelope ID: ABAA1 051-6F7F-82DE-81 A5-1 A9927E441 EO amended, 20 U.S.C. 1681-1683; and the Age Discrimination Act of 1975, as amended, 42 U.S.C. 61011 et seq. 4. Federal Civil Rights Training Recipients of financial assistance from the Department of Justice, such as Victims of Crime Act (VOCA) funds, either awarded directly or through another recipient, must comply with the federal statutes and regulations that prohibit discrimination based on race, color, national origin, sex, religion, age, and disability in VOCA-funded programs or activities. As part of its training efforts, the Office for Civil Rights at the Office of Justice Programs has developed an online civil rights training curriculum for recipients. This training, which consists of six segments and accompanying self -tests, is designed to provide recipients with an overview of applicable nondiscrimination laws and the general civil rights obligations that are tied to grants awarded by the Department of Justice. The OCR offers this online version of its training program to ensure that recipients who are unable to participate in an in -person training session can still receive valuable technical assistance. All six Civil Rights training programs are available at http://oip gov/about/ocr/ocr-traininq-videos/video- ocr-training.htm Please note: The OJP Civil Rights Non -Discrimination Training is currently_ unavailable. Grantees will be notified when the training is available The recipient must view the online training at least once every two years. By signing this certification, the applicant acknowledges the viewing of OJP Civil Rights Non -Discrimination training. 5. Notification of Findings of Discrimination or Non -Compliance 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 grounds of race, color, religion, national origin, age, disability, or sex against the Grantee or a program partner or participant receiving grant 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 shall include a statement clearly stating whether or not the finding is related to any grant activity supported with a grant in which U.S. Department of Justice funds are involved, and identify all open grants utilizing U.S. Department of Justice funding by grant number and program title. 6. Equal Employment Opportunity Program (EEOP) The Grantee will determine whether it is required to formulate an Equal Employment Opportunity Program (ESOP), in accordance with 28 C.F.R. 42.301 et. seq. If the Grantee is not required to formulate an ESOP, it will submit a certificate form to the Washington State Department of Commerce (COMMERCE) indicating that it is not required to develop an EEOP. If the Grantee is required to develop an EEOP but not required to submit the EEOP to the OCR, the Grantee will submit a certification to COMMERCE certifying that it has an EEOP on file which meets the applicable requirements. If the Grantee is awarded a grant of $500,000 or more and has 50 or more employees, it will submit a copy of its EEOP to the OCR and COMMERCE. Non-profit organizations, federally recognized Indian Tribes, and medical and educational institutions are exempt from the EEOP requirement, but are required to submit a certification form to COMMERCE to claim the exemption. Information about civil rights obligations of Grantees can be found at http://www.oip.usdoi.gov/ocr/. 7. Grantee Duty to Ensure Subcontractor Compliance The Grantee is required to ensure compliance with these requirements by any program partner or participant receiving funding under this grant. Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO As the duly authorized representative of the grantee, I hereby certify that the Grantee will comply with the above Civil Rights requirements specified in this Certification Signature Date Suhail Palacios Juvenile Court Administrator Name and Title of Authorized Representative Grant County Juvenile Court Name of Agency Name and Title of person who completed OJP Civil Rights Non -Discrimination Training (see #4) Most recent date online training was completed Recipients must view the online training at a minimum of every two years for the duration VOCA funding is received. Please note: The OJP Civil Rights Non -Discrimination Training is currently unavailable. Grantees will be notified when the training is available. Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 28 CFR Part 67, Section 67.510, Participants' responsibilities. The regulations were published as Part VI1 of the May 26, 1988 Federal Register (pages 19160-19211). 1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are 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 prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Suhail Palacios Juvenile Court Administrator Name and Title of Authorized Representative Signature Date Grant County Juvenile Court Name of Organization DBA JUVENILE COURT PO BOX 37 EPHRATA, WA 98823 Address of Organization Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Certification Regarding Lobbying Each person shall file the most current edition of this certification and disclosure form, if applicable, with each submission that initiates agency consideration of such person for an award of a federal contract, grant, or cooperative agreement of $100,000 or more; or Federal loan of $150,000 or more. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 or not more than $100,000 for each such failure. The undersigned certifies, to the best of their knowledge and belief, that; A. No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer of employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or any employee of a member of Congress, in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative agreement. B. If any non -Federal funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall initial here and complete and submit "Disclosure of Lobbying Activities", in accordance with its instructions. OCVA will provide this form, if needed. C. The undersigned shall require that the language of this certification be included in the award documents for all sub -awards at all tiers and that all sub -recipients shall certify and disclose accordingly. Suhail Palacios Juvenile Court Administrator Name and Title of Authorized Representative Signature Date Grant County Juvenile Court Name of Organization DBA JUVENILE COURT PO BOX 37 EPHRATA, WA 98823 Address of Organization Docusign Envelope ID: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Certification of Suitability to Interact with Participating Minors To assist OCVA in monitoring new grant requirements for federal funds, please complete this form to certify that your organization has completed the required background checks for all covered individuals that interact with any minor in the course of activities under your grant (employees paid by the grant, volunteers used as match under the grant, and volunteers supporting grant -covered activities). Grantees are required to have documentation that the search was conducted, and this should be maintained in accordance with your document retention policies. Grantee Name: Grant County Juvenile Court Grant Number: 26-31219-064 Background checks must include: • Public sex offender and child abuse webs ites/registries • Criminal history registries and similar repositories of criminal history records • An eligible fingerprint search/background check has been completed If the applicant determines that no minors will be served by staff being directly charged or staff/volunteers used as match for this federally funded grant, the search is not required. Applicant hereby certifies that the recipient (and any subrecipients) have complied with the above regulations, as applicable. Signature of Authorized Official Name of Authorized Official Suhail Palacios Date Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO Request for Volunteer Requirement Waiver Current VOCA program guidelines requires that grant recipients must use volunteers as a condition of receiving funds unless the state administrator determines there is a compelling reason to waive this requirement. A "compelling reason" may be a statutory or contractual provision concerning liability or confidentiality of counselor/victim information, which bars using volunteers for certain positions, or the inability to recruit and maintain volunteers after a sustained and aggressive effort. If an applicant requests a waiver of the volunteer requirement, the section below must be completed providing a compelling reason why the use of volunteers is not feasible for the agency. am requesting a waiver for the use of volunteers for my VOCA project/program: 'es d No If you are requesting a volunteer waiver, provide detailed explanation for your request in the following section. Waivers may only be requested in the following situations: 1, In the case of statutory or contractual provisions that prohibits the use of volunteers. (Attach a copy of the applicable statute or contract.) 2. In the case of a lack of volunteers. If you list this as a reason for the waiver request, you must document the efforts made to recruit volunteers. Our agency is requesting a waiver for the following reason/s: N/A Docusign Envelope ID: ABAA1051-6F7F-82DE-81 A5-1 A9927E441 EO Subgrant Award Report (SAR) Complete the information below, this will be used by OCVA to complete the federal Subgrant Award Report (SAR) which collects basic information on subgrant recipients and program activities that will be implemented with VOCA plus match funds. How to video is here: https://vimeo.com/365156967 1. Organization Name: Grant County Juvenile Court 2. VOCA Crime Victim Assistance Funds Awarded in this grant: $235000.00 3. Sub -Grant Number (number assigned to your contract): 26-31219-064 4. Budget and Staffing Indicate below the requested information based on the subrecipient's current fiscal year Report the total budget available to the victim services program, by source of funding. Do not report the entire agency budget, unless the entire budget is devoted to victim services program. For example, if VOCA funds are awarded to support a victim advocate unit in a prosecutor's office, only report the budget for the victim advocate unit. Information Requested Response Explanation as required) A. Total budget for all victimization The amount reported is for the programs and services 415,000 current fiscal year. Include the subaward amount for this contract/grant. B. Annual funding amounts allocated State funds: Identify by source, the amount of to all victimization programs $ 0 funds allocated to the victimization and/or services for the current Local funds: programs/services budget of the fiscal year subgrantee agency. 831000 DO NOT COUNT FUNDS IN Other federal funds: MORE THAN ONE CATEGORY 0 OTHER FEDERAL includes all Other non-federal: federal funding except the 0 subaward amount reported in Question 2. C. Total number of paid staff for Total Paid Staff: Count each staff member once. all subgrantee victimization Enter Whole Number Both full and part time staff programs and/or services should be counted as one staff 7 member. DO NOT prorate based on FTE. D. Number of staff hours funded Number of Hours: through this VOCA award Total COUNT of hours of work by (plus match) for subgrantee's 2,312 all staff supporting the work of this victimization programs and/or VOCA subaward plus match. services E. Number of volunteer staff Volunteer Staff: supporting the work of this Enter Whole Number COUNT each volunteer staff VOCA award (plus match) for once. DO NOT prorate based on subgrantee's victimization 15 FTE. programs and/or services F. Number of volunteer hours Number of Hours: supporting the work of this Total count of hours of work byall VOCA award (plus match) for volunteers supporting the work of subgrantee's victimization 1 �598 this VOCA subaward plus match. programs and/or services Certificate Of Completion Envelope Id: ABAA1051-6F7F-82DE-81A5-1A9927E441E0 Subject: OCVA: Grant County Juvenile Court: CVSC Amendment A 1 26-31219-064 Division: Community Services and Housing Program: OCVA ContractNumber: 26-31219-064 DocumentType: Contract Amendment Source Envelope: Document Pages: 27 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 8/17/2026 12:09:08 PM Security Appliance Status: Connected Signer Events Jenna Osterman jenna.osterman@commerce.wa.gov 7/27/26 Security Level: Email, Account Authentication (None), Login with SSO Electronic Record and Signature Disclosure: Not Offered via Docusign Nicky Gleason nicky.gleason@commerce.wa.gov Commerce Specialist 5 Washington State Department of Commerce Security Level: Email, Account Authentication (None), Login with SSO Electronic Record and Signature Disclosure: Not Offered via Docusign Trisha Smith trisha.smith@commerce.wa.gov Managing Director WA State Dept of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Suhail Palacios spalacios@grantcountywa.gov Juvenile Court Administrator Grant County Juvenile Court and Youth Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Holder: Lupe Mendoza lupe.mendoza@commerce.wa.gov Pool: StateLocal Signature Completed Using IP Address: 147.55.149.195 Completed Using IP Address: 198.238.75.136 Completed Using IP Address: 147.55.149.225 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: 198.239.106.206 Location: DocuSign Timestamp Sent: 8/17/2026 12:17:14 PM Viewed: 8/17/2026 1:16:11 PM Signed: 8/17/2026 1:16:31 PM Sent: 8/17/2026 1:16:32 PM Viewed: 8/17/2026 4:19:01 PM Signed: 8/17/2026 4:19:19 PM Sent: 8/17/2026 4:19:20 PM Viewed: 8/19/2026 10:55:10 AM Signed: 8/19/2026 10:55:19 AM Sent: 8/19/2026 10:55:21 AM Viewed: 8/25/2026 1:08:12 PM Signer Events Signature Accepted: 8/25/2026 1:08:12 PM ID: aa0b33e5-9fc5-4165-9acO-3be05bOd293a Jenna Osterman jenna.osterman@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Cindy Guertin -Anderson cindy.guertin-anderson@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Timestamp In Person Signer Events Signature Timestarr,p` Editor Delivery Events - Status - Timestarn Agent Delivery Events Status 1'imestamp Intermediary Delivery. Events Status Timestamp Certified Delivery Events Status Timestarnp Carbon Copy Events Status Timestarnp Witness Events Signature Tirnestamp Notary Events Signature Tirestamp Envelope Summary Events'., Status Timestamps Envelope Sent Hashed/Encrypted 8/17/2026 12:17:14 PM Envelope Updated Security Checked 8/24/2026 7:40:57 AM Envelope Updated Security Checked 8/24/2026 7:40:57 AM Envelope Updated Security Checked 8/24/2026 7:40:57 AM Envelope Updated Security Checked 8/24/2026 7:40:57 AM Envelope Updated Security Checked 8/26/2026 3:31:47 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: Suhail Palacios 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. 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