Loading...
HomeMy WebLinkAboutAgreements/Contracts - BOCCDocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 Ak Washington State 10 of ��►• CO epI17IT1eI'Ce Interagency Agreement with New Hope through Office of Crime Victims Advocacy Community Services and Housing Division I K21-190 19 STOP Violence Against Women Formula Grant Program, grant pass through allocation to improve the community response to violence against women. Start date: January 1, 2022 > DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 THIS PAGE INTENTIONALLY LEFT BLANK DocuSign Envelope ID:- D7797FDC-3C21-48DE-AAF1-OFE857A57750 TABLE OF CONTENTS FaceSheet....................................................................................................................................................1 SpecialTerms and Conditions...................................................................................................................... 2 1. Authority........................................................................................................................................... 2 2. Acknowledgement of Federal Funding............................................................................................ 2 3. Audit................................................................................................................................................. 2 4. Billing Procedures and Payment...................................................................................................... 2 5. Compensation.................................................................................................................................. 3 6. Conferences Meetings and Trainings.............................................................................................. 3 7. Debarment....................................................................................................................................... 4 8. Grant Management.......................................................................................................................... 5 9. Grant Modification............................................................................................................................ 5 10. Indirect Costs................................................................................................................................... 5 11. Insurance......................................................................................................................................... 5 12. Non -Compliance With Non -Discrimination Laws............................................................................. 5 13. Non-Supplanting.............................................................................................................................. 5 14. Political Activities.............................................................................................................................. 6 15. Potential Fraud, Waste, Abuse and Similar Misconduct.................................................................. 6 16. Procurement Standards for Federally Funded Programs................................................................ 6 7. Reporting.......................................................................................................................................... 7 18. Services to Limited -English Proficient (LEP) Persons..................................................................... 7 19. Statutory and Regulatory Requirements.......................................................................................... 7 20. Subcontractor Data Collection......................................................................................................... 7 21. VAWA 2013 Non -Discrimination Provision ............................................... 22. Order of Precedence........................................................................................................................ 8 General Terms and Conditions..................................................................................................................... 9 1. Definitions .................................................. 2. All Writings Contained Herein.......................................................................................................... 9 3. Amendments.................................................................................................................................... 9 4. Assignment...................................................................................................................................... 9 5. Confidentiality and Safeguarding of Information.............................................................................. 9 6. Copyright........................................................................................................................................10 7. Disputes.........................................................................................................................................10 8. Governing Law and Venue............................................................................................................11 9. Indemnification......................................................................... 10. Licensing, Accreditation and Registration......................................................................................11 11. Recapture.......................................................................................................................................11 12. Records Maintenance....................................................................................................................11 13. Savings..........................................................................................................................................11 14. Severability.....................................................................................................................................11 15. Subcontracting/Subgranting...........................................................................................................11 16. Survival..........................................................................................................................................12 17. Termination for Cause....................................................................................................................12 18. Termination for Convenience.........................................................................................................12 19. Termination Procedures.................................................................................................................12 20. Treatment of Assets.......................................................................................................................13 21. Waiver..........................................................................................................................................14 Attachment A -Certification of Compliance with Federal Regulations Attachment B - U.S. Department of Justice Certified Standard Assurances Attachment C -Certification Form -Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 TABLE OF CONTENTS Attachment D — Restrictions and Certifications Regarding Non -Disclosure Agreements and Related Matters Attachment E — Scope of Work Attachment F — Budget DocuSigh Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 FACE SHEET Grant Number: F21-31103-062 Washington State Department of Commerce Community Services and Housing Division Office of Crime Victims Advocacy FFY 2021 Violence Against Women STOP Grant Program 1. Grantee 2. Grantee Doing Business As (optional) Grant, County Of New Hope PO Box 37 Ephrata, WA 98823-0037 3. Grantee Representative 4. COMMERCE Representative SuziFode Ashley Storey PO Box 42525 Director Program Coordinator 98504-2525 Phone: (509) 764-8402 Phone: (360) 725-2881 Email: sfode@ ntcountvwa.gov ashleicole.stor2&com m erce. ov 1011 Plum Street SE ,g ra wa.g Olympia, WA 98501 5. Grant Amount 6. Funding Source 7. Start Date 8. End Date $337178.00 L Federal: Z State: El Other: El NIA: R 01/01/2022 12/31/2022 9. Federal Funds Federal Agency CFDA Number Indirect Cost Rate (as applicable) Department of Justice, OvW 16.588 N/A 10. Tax ID # 11. SwV # 12. UBI # 13. DUNS # N/A SWV0002426-17 13 2001884 010202562 14. Grant Purpose STOP Violence Against Women Formula Grant Program, grant pass through allocation to improve the community response to violence against women. COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of this Grant and Attachments and have executed this Grant on the date below and warrant they are authorized to bind their respective agencies. The rights and obligations of both parties to this Grant are governed by this Grant and the following other documents incorporated by reference: Grantee Terms and Conditions including Attachment A — Certification of Compliance with Federal Regulations; Attachment B — U.S. Department of Justice Certified Standard Assurances; Attachment C — Certification Form — Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements; Attachment D — Restrictions and Certifications Regarding Non -Disclosure Agreements and Related Matters; Attachment E — Scope of Work; Attachment F — Budget; and Grantee's Application for Funding as submitted and approved by COMMERCE. FOR GRANTEE FOR COMMERCE I r�DocuSlgned by: r—DocuSigned by: Signature Diane Klontz, Assistant Director CindyCarter12/16/2021 16:42 AM PST Name Date Board of County Commissioners, Chair Title APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL 07/1712019 12/15/2021 11:51 PM PST APPROVAL ON FILE Date 1 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 1. AUTHORITY COMMERCE and Grantee enter into this Grant pursuant to the authority granted by the Interlocal Cooperation Act, Chapter 39.34 RCW. 2. ACKNOWLEDGEMENT OF FEDERAL FUNDING Federal Award Date: 09/13/2021 Federal Award Identification Number (FAIN): 15JOVW-21-GG-0058-MUMU Total amount of the federal award: $3,449,421.00 Total amount of federal award 15JOVW-21-GG-0058-MUMU funding in this Grant: $33,178.00 The Grantee agrees that all materials and publications (written, web -based, audio-visual, or any other format) resulting from grant activities shall contain the following statement: "This project was supported by Subgrant No. F21-31103-062 awarded by the state administering office for the Office on Violence Against Women, U.S. Department of Justice's STOP Formula Grant Program. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the author(s) and do not necessarily reflect the views of the state or the U.S. Department of Justice." Grant funds are administered by the Office of Crime Victims Advocacy, Community Services and Housing Division, Washington State Department of Commerce. 3. AUDIT If the Grantee is a subrecipient and expends $750,000 or more in federal awards from any and/or all sources in any fiscal year, the Grantee shall procure and pay for a single audit or a program -specific audit for that fiscal year. Upon completion of each audit, the Grantee shall: A. Submit to COMMERCE the reporting package specified in OMB Super Circular 2 C.F.R. 200.501, reports required by the program -specific audit guide (if applicable), and a copy of any management letters issued by the auditor. B. Submit to COMMERCE follow-up and developed corrective action plans for all audit findings. If the Grantee is a subrecipient and expends less than $750,000 in federal awards from any and/or all sources in any fiscal year, the Grantee shall notify COMMERCE they did not meet the single audit requirement. The Grantee shall send all single audit documentation to auditreview@commerce.wa.gov 4. BILLING PROCEDURES AND PAYMENT COMMERCE will pay Grantee upon acceptance of services provided and receipt of properly completed invoices, which shall be submitted to the Representative for COMMERCE. The Grantee shall submit all requests for reimbursement on the Invoice Voucher (A-19) form provided by OCVA program staff. Invoices shall be submitted at least quarterly, but not more often than monthly, on the Invoice Voucher (A-19) Forms. The Invoice Voucher shall be submitted to Ashley Storey, Program Coordinator, Office of Crime Victims Advocacy, Post Office Box 42525, Olympia, Washington 98504-2525. Invoices can also be submitted electronically by email to ash le-nicole.store cornmerce.wa. ov or via Secure Access Washington to the Commerce Contract Management System (CMS). Payment shall be considered timely if made by COMMERCE within thirty (30) calendar days after receipt of properly completed invoices. Payment shall be made via electronic funds transfer. 2 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS COMMERCE may, in its sole discretion, terminate the Grant or withhold payments claimed by the Grantee for services rendered if the Grantee fails to satisfactorily comply with any term or condition of this Grant. No payments in advance or in anticipation of services or supplies to be provided under this Grant shall be made by COMMERCE. The Grantee agrees to comply with the financial and administrative requirements set forth in the current edition of the U.S. Department of Justice, Grants Financial Guide, which can be found at httr)s://www.iustice.gov/ovw/r)acie/file/l 1 16786/download. Duplication of Billed Costs The Grantee shall not bill COMMERCE for services performed under this Grant, and COMMERCE shall not pay the Grantee, if the Grantee is entitled to payment or has been or will be paid by any other source, including grants, for that service. Disallowed Costs The Grantee is responsible for any audit exceptions or disallowed costs incurred by its own organization or that of its subgrantees. 5. COMPENSATION COMMERCE shall pay an amount not to exceed $33,178.00 for the performance of all things necessary for or Incidental to the performance of work as set forth in Attachment E — Scope of Work. Grantee's compensation for services rendered shall be in accordance with Attachment F — Budget. Victim services grantees cannot be required to provide match. Grantee can provide match voluntarily, including "in kind" match. However, such provision of match must be truly voluntary. Grantee has volunteered to provide a match of 0.00. An expenditure amount of match funds must be identified on the invoice voucher form provided by COMMERCE. Transfer of funds between line item budget categories must be approved by the Office of Crime Victims Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) percent of the total program budget shall be subject to justification and negotiation between the Grantee and OCVA, including approval from the Grantee's signature authority and the relevant OCVA Section Manager. Payment will be on a reimbursement basis only. Consultant fees may not exceed $650 per day (excluding travel and subsistence costs) for an eight- hour day or may not exceed $81.25 per hour for less than an eight-hour day. Travel expenses incurred or paid by the Grantee shall be reimbursed at a rate not to exceed the current state rate and in accordance with the state of Washington Office of Financial Management Travel Regulations. Travel expenses are included in the maximum grant amount for this Grant. Current rates for travel may be accessed using the following link: htt s://www.ofm.wa. ov/sites/default/files/ ublic/resources/travel/colorma df. 6. CONFERENCES, MEETINGS, AND TRAININGS The Grantee, and any Subgrantee, must comply with all applicable laws, regulations, policies, and official Department of Justice (DOJ) guidance (including specific cost limits, prior approval and reporting requirements, where applicable) governing the use of federal funds for expenses related to conferences (as that term is defined by DOJ), including the provision of food and/or beverages at such conferences, and costs of attendance at such conferences. Information on the pertinent DOJ definition of conferences and the rules applicable to this award appears on the Office of Violence Against Women (OVW) website at hftr)s://www.justice.,gov/ovw/conference-planning. 3 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS OVW Traininq Guiding Principles The Grantee understands and agrees that any training or training materials developed or delivered with funding provided under this award must adhere to the OVW Training Guiding Principles for Grantees and Subgrantees, available at https://www.iustice.gov/ovw/grantees#Resources. Food and Beverage Costs The Grantee agrees STOP Formula Grant Program funds will not be used to purchase food and/or beverages for any meeting, conference, training, or other event, with the exception of supportrou s g P or training volunteers. Additional information may be found in the Frequently Asked Questions (FAQs) About STOP Formula Grants available at: htt s://www.iustice. o //Ovwf a e/file/100881 /download. 7. DEBARMENT A. Grantee, defined as the primary participant and it principals, certifies by signing these Terms and Conditions that to the best of its knowledge and belief they: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; 2. Have not within a three-year period preceding this Grant, 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, Y bribery, falsification or destruction of records, making false statements, tax evasion, receiving stolen property, making false claims, or obstruction of justice; 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of federal Executive Order 12549; and 4. Have not within athree-year period preceding the signing of this Grant had one or more public transactions (Federal, State, or local) terminated for cause of default. B. Where the Grantee is unable to certify to any of the statements in this Grant, the Grantee shall attach an explanation to this Grant. C. The Grantee agrees by signing this Grant that it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by COMMERCE. D. The Grantee further agrees by signing this Grant that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered Transaction," as follows, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions: LOWER TIER COVERED TRANSACTIONS 1. The lower tier Grantee certifies, by signing this Grant that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. 2. Where the lower tier Grantee is unable to certify to any of the statements in this Grant, such Grantee shall attach an explanation to this Grant. E. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, person, primary covered transaction, principal, and voluntarily excluded, as 4 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS used in this section, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. 8. GRANT MANAGEMENT The Representative for each of the parties shall be responsible for and shall be the contact person for all communications and billings regarding the performance of this Grant. The Representative for COMMERCE and their contact information are identified on the Face Sheet of this Grant. The Representative for the Grantee and their contact information are identified on the Face Sheet of this Grant 9. GRANT MODIFICATION Notwithstanding any provision of this Grant to the contrary, at any time during the Grantp eriod, COMMERCE may, by written notification to the Grantee and without notice to any known guarantor or surety, make changes within the general scope of the program activities to be performed under this Grant. All other modifications shall not be valid unless made in writing and signed by the parties. Any oral understandings and agreements not incorporated herein, unless made in writing and signed by the parties hereto, shall not be binding. Notwithstanding any provision of this Grant to the contrary, at any time during the Granfip eriod, COMMERCE may analyze Grant expenditures as a proportion of the Grant budget. If COMMERCE determines, in its sole discretion, that the Grant funding is underutilized, COMMERCE, in its sole discretion, may unilaterally modify the Grant to reduce the balance of the Grant budget. Funds de - obligated by COMMERCE as a result of a budget reduction may be made available to other Grantees for the provision of eligible program activities. 10. INDIRECT COSTS Grantee shall provide their indirect cost rate that has been negotiated between their entity and the federal government. If no such rate exists a de minimis indirect cost rate of up to ten (10) percent of modified total direct costs (MTDC) may be used. 11. INSURANCE Each party certifies that it is self-insured under the State's or local government self-insurance liability program, and shall be responsible for losses for which it is found liable. 12. NON-COMPLIANCE WITH NON-DISCRIMINATION LAWS During the performance of this Grant, the Grantee shall comply with all federal, state, and local nondiscrimination laws, regulations and policies. In the event of the Grantee's non-compliance or refusal to comply with any nondiscrimination law, regulation or policy, this Grant may be rescinded, canceled or terminated In whole or in part, and the Grantee may be declared ineligible for further Grants. The Grantee shall, however, be given a reasonable time in which to cure this noncompliance. Any dispute may be resolved in accordance with the "Disputes" procedure set forth herein. 13. NON -SUPPLANTING The Grantee agrees that Grant funds will be used to supplement, not supplant, non-federal funds that would otherwise be available for the activities under this Grant. 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. 5 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 14. POLITICAL ACTIVITIES Political activity of Grantee's employees and officers are limited by the State Campaign Finances and Lobbying provisions of Chapter 42.17A RCW and the Federal Hatch Act, 5 U.S.C. 1501 — 1508. No funds may be used to work for or against ballot measures or for or against the candidacy of any person for public office. 15. POTENTIAL FRAUD WASTE ABUSE AND SIMILAR MISCONDUCT The Grantee agrees to promptly refer to the Department of Justice Office of the Inspector General OIG any credible evidence that a principal, employee, agent, subgrantee, 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) mail directed to: Office of the Inspector General, U.S. Department of Justice, Investigations Divisions, 950 Pennsylvania Avenue, N.W. Room 4706, Washington, DC 20530• 2) email to: of .hotline usdo". ov; and/or (3) the DOJ OIG hotline: (800) 869-4499 (phone) or 202 616-9881 (fax). 16. PROCUREMENT STANDARDS FOR FEDERALLY FUNDED PROGRAMS A Grantee which is a local government or Indian Tribal government must establish procurementp olicies and procedures in accordance with 2 C.F.R. Part 200, for all purchases funded by this Grant. The Grantee's procurement system should include at least the following: A. A code or standard of conduct that shall govern the performance of its officers, employees, or agents engaged in the awarding of contracts using federal funds. B. Procedures that ensure all procurement transactions shall be conducted in a manner torovide, to P the maximum extent practical, open and free competition. C. Minimum procedural requirements, as follows: 1. Follow a procedure to assure the avoidance of purchasing unnecessary or duplicative items. 2. Solicitations shall be based upon a clear and accurate description of the technical requirements of the procured items. 3. Positive efforts shall be made to use small and minority-owned businesses. 4. The type of procuring instrument (fixed price, cost reimbursement) shall be determined by the Grantee, but must be appropriate for the particular procurement and for promoting the best interest of the program involved. 5. Contracts shall be made only with reasonable subcontractors who possess the potential ability to perform successfully under the terms and conditions of the proposed procurement. 6. Some form of price or cost analysis should be performed in connection with every procurement action. 7. Procurement records and files for purchases shall include all of the following: a. Contractor selection or rejection. b. The basis for the cost or price. c. Justification for lack of competitive bids if offers are not obtained. R9 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 8. A system for contract administration to ensure subcontractor conformance with terms, conditions and specifications of this Grant, and to ensure adequate and timely follow-up of all purchases. D. The Grantee and Subgrantees must receive prior approval from COMMERCE for using funds from this Grant to enter Into a sole source contract or a contract where only one bid or proposal is received when value of this contract is expected to exceed $5,000. Prior approval requests shall include a copy of proposed contracts and any related procurement documents and justification for non-competitive procurement, if applicable. 17. REPORTING The Grantee shall submit an annual progress report electronically on a form provided by COMMERCE for the work performed. The electronic report is due to COMMERCE January 15, 2023 (for the performance period January 1, 2022 through December 31, 2022). The Grantee shall maintain documentation and records that support the progress report. 18. SERVICES TO LIMITED -ENGLISH -PROFICIENT (LEP) PERSONS To ensure compliance with Title VI and the Safe Streets Act, Grantees 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 interpretation and translation services, where necessary. Grantees are encouraged to consider the need for language services for LEP persons served or encountered both in developing their programs and budgets and in conducting their programs and activities. Reasonable costs associated with providing meaningful access for LEP individuals are considered allowable program costs. Additional assistance regarding LEP obligations and information may be found at www.ler).gov. 19. STATUTORY AND REGULATORY REQUIREMENTS The Grantee agrees to comply with all relevant statutory and regulatory requirements which may include, among other relevant authorities, the Violence Against Women Act of 1994, P.L. 103-322, Violence Against Women Act of 2000, P.L. 106-386, Omnibus Crime Control and Safe Streets Act of 19687 42 U.S.C. 3711 et seq., the Violence Against Women and Department of Justice Reauthorization Act of 2005, P.L. 109-162, the Violence Against Women Reauthorization Act of 2013, P.L. 113-4, and OVW's implementing regulations at 28 C.F.R. Part 90. 20. SUBCONTRACTOR DATA COLLECTION Grantee will submit reports, in a form and format to be provided by COMMERCE and at intervals as agreed by the parties, regarding work under this Grant performed by subcontractors and the portion of grant funds expended for work performed by subcontractors, including but not necessarily limited to minority-owned, woman -owned, and veteran -owned business subcontractors. "Subcontractors" shall mean subcontractors of any tier. 21. VAWA 2013 NON-DISCRIMINATION PROVISION The Grantee acknowledges that 34 U.S.C. § 12291(b)(13) prohibits recipients of OVW awards from excluding, denying benefits to, or discriminating against any person on the basis of actual or perceived race, color, religion, national origin, sex, gender identity, sexual orientation, or disability in any program or activity funded in whole or in part by this Grant. Grantees may provide sex -segregated or sex-specific programming if doing so is necessary to the essential operations of the programs, so long as the Grantee provides comparable services to those who cannot be provided with sex -segregated or sex- specific programming. The Grantee agrees that it will comply with this provision. FN DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 SPECIAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 22. ORDER OF PRECEDENCE In the event of an inconsistency in this Grant, the inconsistency shall be resolved by giving precedence in the following order: • Applicable federal and state of Washington statutes and regulations • Face Sheet • Special Terms and Conditions • Attachment A —Certification of Compliance with Federal Regulations • Attachment B — U.S. Department of Justice Certified Standard Assurances • Attachment C —Certification Form -Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements • Attachment D —Restrictions and Certifications Regarding Non -Disclosure Agreements and Related Matters • Attachment E —Scope of Work • Attachment F —Budget • General Terms and Conditions • Application for Funding as submitted and approved by COMMERCE 0 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 1. DEFINITIONS As used throughout this Grant, the following terms shall have the meaning set forth below: A. "Authorized Representative" shall mean the Director and/or the designee authorized in writing to act on the Director's behalf. B. "COMMERCE" shall mean the Department of Commerce. C. "Grant" or "Agreement" means the entire written agreement between COMMERCE and the Grantee, including any attachments, documents, or materials incorporated by reference. E-mail or facsimile transmission of a signed copy of this Grant shall be the same as delivery of an original. D. "Grantee" shall mean the entity identified on the face sheet performing service(s) under this Grant, and shall include all employees and agents of the Grantee. E. "Personal Information" shall mean information identifiable to any person, including, but not limited to, information that relates to a person's name, health, finances, education, business, use or receipt p of governmental services or other activities, addresses, telephone numbers, social security numbers, driver license numbers, other identifying numbers, and any financial identifiers. F. "State" shall mean the state of Washington. G. "Subgrantee', shall mean one not in the employment of the Grantee, who is performing all orP art of those services under this Grant under a separate grant with the Grantee. The terms "subgrantee" and "subcontractors" mean subgrantee(s) in any tier. 2. ALL WRITINGS CONTAINED HEREIN This Grant contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Grant shall be deemed to exist or to bind any of the parties hereto. 3. AMENDMENTS This Grant may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 4. ASSIGNMENT Neither this Grant, work thereunder, nor any claim arising under this Grant, shall be transferred or assigned by the Grantee without prior written consent of COMMERCE. 5. CONFIDENTIALITY AND SAFEGUARDING OF INFORMATION A. "Confidential Information" as used in this section includes: 1. All material provided to the Grantee by COMMERCE that is designated as "confidential" by COMMERCE; 2. All material produced by the Grantee that is designated as "confidential" by COMMERCE; and 3. All personal information in the possession of the Grantee that may not be disclosed under state or federal law. B. The Grantee shall comply with all state and federal laws related to the use, sharing, transfer, sale, or disclosure of Confidential Information. The Grantee shall use Confidential Information solely for the purposes of this Grant and shall not use, share, transfer, sell or disclose any Confidential Information to any third party except with the prior written consent of COMMERCE or as may be required by law. The Grantee shall take all necessary steps to assure that Confidential Information is safeguarded to prevent unauthorized use, sharing, transfer, sale or disclosure of Confidential 9 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS Information or violation of any state or federal laws related thereto. Upon request, the Grantee shall provide COMMERCE with Its policies and procedures on confidentiality. COMMERCE may require q changes to such policies and procedures as they apply to this Grant whenever COMMERCE reasonably determines that changes are necessary to prevent unauthorized disclosures. The Grantee shall make the changes within the time period specified by COMMERCE. Upon request, the Grantee shall immediately return to COMMERCE any Confidential Information that COMMERCE reasonably determines has not been adequately protected by the Grantee against unauthorized disclosure. C. Unauthorized Use or Disclosure. The Grantee shall notify COMMERCE within 24- twenty-four Y ( ) hours of any unauthorized use or disclosure of any confidential information, and shall take necessary steps to mitigate the harmful effects of such use or disclosure. 6. COPYRIGHT Unless otherwise provided, all Materials produced under this Grant shall be considered "works for hire" as defined by the U.S. Copyright Act and shall be owned by COMMERCE. COMMERCE shall be considered the author of such Materials. In the event the Materials are not considered "works for hire" under the U.S. Copyright laws, the Grantee hereby irrevocably assigns all right, title, and interest in all Materials, including all Intellectual property rights, moral rights, and rights of publicity to COMMERCE effective from the moment of creation of such Materials. "Materials" means all items in any format and includes, but is not limited to, data, reports, documents pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films tapes, p, and/or sound reproductions. "Ownership" includes the right to copyright, patent, register and the ability to transfer these rights. g For Materials that are delivered under the Grant, but that incorporate pre-existing materials not produced under the Grant, the Grantee hereby grants to COMMERCE a nonexclusive, royalty -free, irrevocable license (with rights to sublicense to others i n such Materials to translate, reproduce, distribute, prepare derivative works, publicly perform, and publicly display. The Grantee warrants and represents that the Grantee has all rights and permissions, including intellectual property rights, moral g license to COMMERCE rights and rights of publicity, necessaryto rant such a lic g . The Grantee shall exert all reasonable effort to advise COMMERCE, at the time of deliver of Materials furnished under this Grant, of all known or potential invasions Y p asions of privacy contained therein and of any portion of such document which was not produced in the performance of this Grant. The Grantee shall provide COMMERCE with prompt written notice of each notice or claim of infringement received b the Grantee with respect to any Materials delivered under this Gran Y Grant. COMMERCE shall have the right to modify or remove any restrictive markings placed upon the Materials by the Grantee. 7. DISPUTES In the event that a dispute arises under this Grant, it shall be determined by a Dispute Board in the following manner: Each party to this Grant shall appoint one member to the Dispute Board. The members so appointed shall jointly appoint an additional member to the Dispute Board. The Dispute Board shall review the facts, Grant terms and applicable statutes p pp tes and rules and make a determination of the dispute. The Dispute Board shall thereafter decide the dispute with the Yp prevailing. revailin . The determination of the Dispute Board shall be final and binding on the parties hereto. As an alternative to this process, either of the parties may request intervention by the Governor, asrovided b RCW p y 43.17.330, in which event the Governor's process will control. 10 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS 8. GOVERNING LAW AND VENUE This Grant shall be construed and interpreted in accordance with the laws of the state of Washington, g n, and any applicable federal laws, and the venue of any action brought hereunder shall be in the Superior Court for Thurston County. p 9. INDEMNIFICATION Each party shall be solely responsible for the acts of its employees, officers, and agents. 10. LICENSING, ACCREDITATION AND REGISTRATION The Grantee shall comply with all applicable local, state, and federal licensing, accreditation and nd registration requirements or standards necessary for the performance of this Grant. 11. RECAPTURE In the event that the Grantee fails to perform this Grant in accordance with state laws federal laws, and/or the provisions of this Grant, COMMERCE reserves the right to recapture funds in an amount to compensate COMMERCE for the noncompliance in addition to any other remedies available at law or in equity. Repayment by the Grantee of funds under this recapture provision shall occur within the timeeri p od specified by COMMERCE. In the alternative, COMMERCE may recapture such funds froma ments due under this Grant. p Y 12. RECORDS MAINTENANCE The Grantee shall maintain books, records, documents, data and other evidence relatingto this Grant nt and performance of the services described herein, including but not limited to accountingprocedures and practices that sufficient) and properly reflect all Y p p y direct and Indirect costs of any nature expended in the performance of this Grant. The Grantee shall retain such records for a period of six (6) years following the date of finalmen a p y t. At no additional cost, these records, including materials generated under the Grant, shall be subject � at all reasonable times to inspection, review or audit by COMMERCE, personnel dui authorized Y by COMMERCE, the Office of the State Auditor, and federal and state officials so authorized by law, regulation or agreement. If any litigation, claim or audit is started before the expiration of the six (6) yeareriod, the records shall all be retained until all litigation, claims, or audit findings involving the records have been resolved. 13. SAVINGS In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in completion, any way after the effective date of this Grant and prior to normal p p etion, COMMERCE may suspend or terminate the Grant under the "Termination for Convenience" clause, without the ten(10) requirement. In lieu business day notice re q eu of termination, the Grant may be amended to reflect the new funding limitations and conditions. 14. SEVERABILITY The provisions of this Grant are intended to be severable. If any term or provision is illegal or invalid for or any reason whatsoever, such illegality or invalidity shall not affect the validity of the remainder of the Grant. 15. SUBCONTRACTING/SUBGRANTING The Grantee may only subgrant work contemplated under this Grant if it obtains therior written approval of COMMERCE. p 11 DocuSign Envelope ID: D7797FDC-3021-48DE-AAF1-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS If COMMERCE approves subgranting, the Grantee shall maintain written procedures related to subgranting, as well as copies of all subgrants and records related to subgrants. For cause, COMMERCE in writing may: (a) require the Grantee to amend its subgranting procedures as they relate to this Grant; (b) prohibit the Grantee from subgranting with a particular person or entity; or (c) require the Grantee to rescind or amend a subgrant. Every subgrant shall bind the Subgrantee to follow all applicable terms of this Grant. The Grantee is responsible to COMMERCE if the Subgrantee fails to comply with any applicable term or condition of this Grant. The Grantee shall appropriately monitor the activities of the Subgrantee to assure fiscal conditions of this Grant. In no event shall the existence of a subgrant operate to release or reduce the liability of the Grantee to COMMERCE for any breach in the performance of the Grantee's duties. Every subgrant shall include a term that COMMERCE and the state of Washington are not liable for claims or damages arising from a Subgrantee's performance of the subgrant. 16. SURVIVAL The terms, conditions, and warranties contained in this Grant that by their sense and context are intended to survive the completion of the performance, cancellation or termination of this Grant shall so survive. 17. TERMINATION FOR CAUSE In the event COMMERCE determines the Grantee has failed to comply with the conditions of this Grant in a timely manner, COMMERCE has the right to suspend or terminate this Grant. Before suspending or terminating the Grant, COMMERCE shall notifythe Gran p g tee in writing of the need to take corrective action. If corrective action is not taken within thirty (30) calendar days, the Grant may be terminated or suspended. In the event of termination or suspension, the Grantee shall be liable for damages as authorized b law including, but not limited to, any cost difference between the Y original Grant and the replacement or cover grant and all administrative costs directly related to the replacement grant, e.g., cost of the competitive bidding, mailing, advertising and staff time. COMMERCE reserves the right to suspend all or part of the Grant, withhold furthera ments, or P Y prohibit the Grantee from incurring additional obligations of funds during investigation of the alleged compliance breach and pending corrective action b the Gran g Y� tee Or a decision by COMMERCE to terminate the Grant. A termination shall be deemed a Termination for Convenience" if it is determined that the Grantee: (1) was not in default; or (2) failure to perform was outside of his or her control fault or negligence. The rights and remedies of COMMERCE provided in this Grant are not exclusive and are in addition to any other rights and remedies provided by law. 18. TERMINATION FOR CONVENIENCE Except as otherwise provided in this Grant, COMMERCE may, by ten (10) business days written notice, , beginning on the second day after the mailing, terminate this Grant, in whole or inp art. If this Grant is so terminated, COMMERCE shall be liable only for payment required under the terms of this Grant for services rendered or goods delivered prior to the effective date of termination. 19. TERMINATION PROCEDURES Upon termination of this Grant, COMMERCE, in addition to any other rights provided in this Grant may require the Grantee to deliver to COMMERCE any property specifically produced or acquired for the performance of such part of this Grant as has been terminated. The provisions of the "Treatment of Assets" clause shall apply in such property transfer. M DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS COMMERCE shall pay to the Grantee the agreed upon price, if separately stated for completed ted work and services accepted by COMMERCE, and the amount agreed upon by the Grantee and COMMERCE for (i) completed work and services for which no separate price is stated,ii () partially completed p ted work and services, (iii) other property or services that are accepted by COMMERCE, and(iv) r ( ) the protection and preservation of property, unless the termination is for default, in which case the Authorized Representative shall determine the extent of the liability of COMMERCE. Failure to agree with determination shall be a dispute within the 9 th such p meaning of the Disputes clause of this Grant. COMMERCE may withhold from any amounts due the Grantee such sum as the Authorized Representative to protect COMMERCE p tive determines to be necessary p RCE against potential loss or liability. The rights and remedies of COMMERCE provided in this section shall not be exclusive and are in addition to any other rights and remedies provided by law or under this Grant. After receipt of a notice of termination, and except as otherwise directed by the Authorized Representative, the Grantee shall: A. Stop work under the Grant on the date, and to the extent specified, in the notice; B. Place no further orders or subcontracts for materials, services, or facilities except as may ay be necessary for completion of such portion of the work under the Grant that is not terminated; C. Assign to COMMERCE, in the manner, at the times, and to the extent directed b the Authorized horized Representative, all of the rights, title, and interest of the Grantee under the orders and subcontracts so terminated, in which case COMMERCE has the right, at its discretion, to settle ora p Y any or all claims arising out of the termination of such orders and subcontracts; D. Settle all outstanding liabilities and all claims arising out of such termination of orders and subcontracts, with the approval or ratification of the Authorized Representative to the extent the Authorized Representative may require, which approval or ratification shall be final for all the purposes of this clause; E. Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed by the Authorized Representative any property which, if the Grant had been completed, would have ave been required to be furnished to COMMERCE; F. Complete performance of such part of the work as shall not have been terminated by the Authorized Representative; and G. Take such action as may be necessary, or as the Authorized Representative may direct f y , or the protection and preservation of the property related to this Grant, which is in theossession of the Grantee and in which the Authorized Representative p p tative has or may acquire an interest. 20. TREATMENT OF ASSETS Title to all property furnished by COMMERCE shall remain in COMMERCE. Title to all property furnished by the Grantee, for the cost of which the Grantee is entitled to be reimbursed as a direct item of cost under this Grant, shall pass to and vest in COMMERCE upon deliver property Y of such p p ert y by the Grantee. Title to other property, the cost of which is reimbursable to the Grantee under this Grant, shall pass to and vest in COMMERCE upon (i) issuance for use of such property in theerformance of this is Grant, or (ii) commencement of use of such property in the performance of this Grant COMM or (iii) reimbursement of the cost thereof by COMMERCE in whole or in part, whichever first occurs. A. Any property of COMMERCE furnished to the Grantee shall, unless otherwiserovided herein or y the performance of this GrantP approved by COMMERCE, be used only for . 13 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAFI-OFE857A57750 GENERAL TERMS AND CONDITIONS INTERAGENCY AGREEMENT FEDERAL FUNDS B. The Grantee shall be responsible for any loss or damage to propertyof COMMERCE from the negligence of the Grantee or that results which results from the failure on the part of the Grantee to maintain and administer that property in accordance with sound managementp ractices. C. If any COMMERCE property is lost, destroyed or damaged, the Grantee shall immediately notify COMMERCE and shall take all reasonable steps to protect the property from further damage. D. The Grantee shall surrender to COMMERCE all property of COMMERCErior to settlement menfi upon completion, termination or cancellation of this Grant All reference to the Grantee under this clause shall also include Grantee's employees, Subcontractors/Subgrantees. agents or 21. WAIVER Waiver of any default or breach shall not be deemed to be a waiver of an subsequent default Y q It or breach. Any waiver shall not be construed to be a modification of the terms of this Grant unless stated to be such in writing and signed by Authorized Representative of COMMERCE. 14 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT A CERTIFICATION OF COMPLIANCE WITH FEDERAL REGULATIONS All OVW award recipients, and any subrecipient ("subgrantee") at any tier, must comply with the requirements ements below. In addition, the general terms and conditions applicable to all OVW grants and cooperative agreements s://www.'ustice. p g ments are available at htt pgov/ovw/grantees#award-conditions. These do not supersede any specific conditions in this award document. 1. !Applicability of Part 200 Uniform Re uirements and DOJ Grants Financial Guide The recipient agrees to comply with the Uniform Administrative Requirements, Cost Principlesand Requirements in 2 C.F.R. Part 200, as adopted and supplemented p � Audit p pp mented by the Department of Justice (DOJ) in 2 C.F.R. Part 2800 (together, the Part 200 Uniform Requirements"), and the current edition of the DOJ Grants Financial Guide as posted on the OVW website, including any updated version that may p ibe posted during the period of performance. 2. Re uirements Pertaining to Prohibited Conduct Related to Trafficking in Persons (including reporting requirements and OVW authority to terminate award) The recipient, and any subrecipient ("subgrantee") at any tier, must comply with all applicable requirements ents(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 em to ees" of the recipient ( p p p Y p or of any subrecipient. The details of the recipient's obligations related to prohibited conduct related to traffickingin posted on the OVW web site at htt s://www.'ustice, ov/ovw/award-c persons are �nditi�ns (Award Condition: Prohibited conduct by recipients and subrecipients related to trafficking in persons (including reporting requirements y p reference here and OVW authority to terminate award)), and are incorporated b p g . 3. Employment Eligibility Verification for Hirinq Under the Award The recipient must 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 ) p p Y s g Y who is being hired, consistent with the provisions of 8 U.S.C. § 1324a(a)(1) and (2). The details of the recipients ibligations under this condition areosted on the O website at htt s://www.'ustice. ov/ovw/award-condition p � s (Award Condition. Employment eligibility verification for hiring under award), and are incorporated by reference here. 4. Determinations of Suitability to Interact with Participating Minors The recipient, and any subrecipient at any tier, must make determinations of suitabilitybefore cert in individuals may interact with participating minors. The requirement as' q applies regardless of an individuals' employment status. Details of this requirement are posted on the OVW website at httos://www.iustice.qov/ovw/award-conditions (Award condition: Determination of suitabilityrequired advance, for certain individuals who may interact with participating �n p p g minors), and are incorporated q orporated by reference here. 5. Com liance with DOJ Re ulations Pertaining to Civil Rights and Nondiscrimination - 28 C.F.R. Part 38 and 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 38. Pp 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 i religious practice. Part 38 also sets out rules and requirements that p p n a q 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 or anizations. The recipient, and any subrecipient ("subgrantee" at an tier, must comply g Y � p y with all applicable requirements of 28 C.F.R. Part 54, which relates to nondiscrimination on the basis of sex in certain "educationro rams." p 9 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 . ATTACHMENT A 6. General Appropriations — Law Restrictions on the use of Federal Funds 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, for each fiscalY ear are set out at ht,tps://www.jusfice.-gov/ovw/award-conditions (Award Condition: General appropriations -law restrictions on use of federal award funds), and are incorporated by reference here. 7. Unreasonable Restrictions on Competition Under the Award; Association with Federal Government No recipient (or subrecipient, at any tier) may (in any procurement transaction) discriminate an against person or entity on the basis of such person or entity's status as an "associate of the federal government" Y Y (or on the basis of such person or entity's status as a parent, affiliate, or subsidiary of such an associate except as expressly set out in 2 C.F.R. 200.319(a) or as specifically authorized by DOJ. The details of the recipient's obligations under this condition are posted on the OVW website at https://www.'ustice.gov/ovw/award-conditions (Award Condition: Unreasonable restrictions on competition under the award; association with federal government), and are incorporated p p by reference here. 8. Restrictions on "Lobbying" and Policy Development In general, as a matter of federal law, federal funds may not be used by the recipient, or any subrecipient ient ("subgrantee") at any tier, either directly or indirectly, in support of the enactment, repeal, modification or adoption of any law, regulation or policy, at any level of government, in order to avoid violation of 18 U.S.C. § 1913. The recipient, or any subrecipient ("subgrantee") may, however, use federal funds to collaborate with and provide information to federal, state, local, tribal and territorial public officials and agencies to develop and implement policies and developand promote state local, g p I, or tribal legislation or model codes designed to reduce or eliminate domestic violence, dating violence, sexual assault, and stalkingas those terms are defined in 34 U.S.C. 12291 a when ( § ()) n such collaboration and provision of information is consistent with the activities otherwise authorized under this Grant program. Another federal law generally prohibits federal funds awarded by OVW from being used by the recipient, or any subrecipient at any tier, to pay any person to influence (or attempt to influence) a federal any agency, a Member of Congress, or Congress (or an official or employee of of them) p y y em) 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 an such award. Se p Y g Y e 31 U.S.C. § 1352. Certain exceptions to this law apply, including an exception that applies to Indian tribes and tribal organizations. 9. 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 applicablep rovisions 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 toross mismanagement of a federal grant, a gross waste of federal funds an abuse of g 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. g 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 10. 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 findingof discrimination after a due process hearing on the basis of actual or perceived p d race, color, religion, national origin, sex, gender identity, sexual orientation, age, or disability against the recipient, or a program partner or participant receiving contract funds, the recipient will forward a co g P 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 recipient, and any subrecipient ("subgrantee") at any tier, shall include a statement clear) statin whether or not the finding is related to an contract activity supported Y g Y y pp rted with a contract in which U.S. Department of Justice funds are involved, and identify all open contracts utilizing U.S. Department of Justice funding by contract number and program title. DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT A 11. Confidentiality and Information Sharing The recipient agrees to comply with the provisions of 34 U.S.C. § 12291(b)(2), non -disclosure of confidential or private information, which includes creating and maintaining documentation of compliance, such as policies and procedures for release of victim information. The recipient also agrees to comply with the regulations implementing this provision at 28 CFR 90.4(b) and "Frequently Asked Questions (FAQs) on the VAWA ConfidentialityProvision 3 ) (4 U.S.C. 12291(b)(2))" on the OVW website at https://www.justice.gov/ovw/resources-and-faqs-grantees. The recipient also agrees to ensure that all subrecipients ("subgrantees") at any tier meet these requirements. 12. Policv for Response to Workp lace -related. Incidents of Sexual Misconduct Domestic Violence and Dating Violence The recipient, and any subrecipient at any tier, must have a policy, or issue a policy within 270 days of award date, to address workplace -related incidents of sexual misconduct, domestic violence, and dating violence involving an employee, volunteer, consultant, or contractor. The details of this requirement are posted on the OVW website at https://www.justice.clov/ovw/award-conditi.ons (Award Condition: Policy for response to work place related sexual misconduct domestic violence, and dating violence), and are incorporated b reference here. Y 13. Copyrighted Works Pursuant to 2 C. F.R. 200.315(b): the recipient may copyright any work that is subject to copyright and was developed, or for which ownership was acquired, under this award. The Office on Violence Against Women reserves a royalty -free, nonexclusive, and irrevocable right to reproduce, publish, or otherwise use the work, in whole or in part (including in the creation of derivative works), for federal purposes, and to authorize others to do so. OVW also reserves a royalty -free, nonexclusive, and irrevocable right to reproduce, publish, or otherwise use, in whole so. or in part (including in the creation of derivative works), any work developed by a subrecipient ( subgrantee) of this award, for federal purposes, and to authorize others to do p In addition, the recipient (or subrecipient, contractor, or subcontractor of this award at any tier) must obtain advance written approval from the Office on Violence Against Women program manager assigned to this award, and must comply with all conditions specified by the program manager in connection with that approval, before: 1) using award funds to purchase ownership of, or a license to use, a copyrighted work; or 2) incorporating any copyrighted work, or portion thereof, into a new work developed under this award. It is the responsibility of the recipient (and of each subrecipient, contractor, or subcontractor as applicable) pP ) to ensure that this condition is included in any subaward, contract, or subcontract under this award. As the duly Authorized Representative of the Grantee, I hereby certify that the Grantee (and any 9 sub rantees) will comply with the above regulations, as applicable New Hope Agency Name Cindv Carter Board of County Commissioners Chair Name of Authorized Official Title of Authorized Official --11 Docuftne t . �^ I d b Signature o uthorized Official 12/15/2021 11:51 PM PST Date DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT B U.S. DEPARTMENT OF JUSTICE CERTIFIED STANDARD ASSURANCES On behalf of the Applicant, and in support of this application for a grant or cooperative agreement, I certify under penalty of perjury to the U.S. Department of Justice ("Department"), that all of the following are true and correct: I. I have the authority to make the following representations on behalf of myself and the Applicant. I understand that these representations will be relied upon as material in any Department decision to make an award to the Applicant based on its application. 2. 1 certify that the Applicant has the legal authority to apply for the federal assistance sought b the g Y application, and that It has the institutional, managerial, and financial capability (including funds sufficient to pay any required non-federal share of project costs) to plan, manage, and complete the project described In the application properly. 3. 1 assure that, throughout the period of performance for the award (if any) made by the Department based on the application-- A. the Applicant will comply with all award requirements and all federal statutes and regulations applicable to the award; B. the Applicant will require all subrecipients to comply with all applicable award requirements and all applicable federal statutes and regulations; and C. the Applicant will maintain safeguards to address and prevent any organizational conflict of interest and also to prohibit employees from using their positions in any manner that poses, or appears to pose, a personal or financial conflict of interest. 4. The Applicant understands that the federal statutes and regulations applicable to the award (if any) made by the Department based on the application specifically include statutes and regulations pertaining to civil rights and nondiscrimination, and, in addition -- A. the Applicant understands that the applicable statutes pertaining to civil rights will include section 601 of the Civil Rights Act of 1964 (42 U.S.C. § 2000d); section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794); section 901 of the Education Amendments of 1972 (20 U.S.C. § 1681); and section 303 of the Age Discrimination Act of 1975 (42 U.S.C. § 6102); B. the Applicant understands that the applicable statutes pertaining to nondiscrimination may include section 809(c) of Title I of the Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. § 10228(c)); section 1407(e) of the Victims of Crime Act of 1984 (34 U.S.C. § 20110(e)); section 299A(b) of the Juvenile Justice and Delinquency Prevention Act of 2002 (34 U.S.C. § 11182(b)); and that the grant condition set out at section 40002(b)(13) of the Violence Against Women Act (34 U.S.C. § 12291(b)(13)),which will apply to all awards made by the Office on Violence Against Women, also may apply to an award made otherwise; C. the Applicant understands that it must require any subrecipient to comply with all such applicable statutes (and associated regulations); and D. on behalf of the Applicant, I make the specific assurances set out in 28 C.F.R. §§ 42.105 and 42.204. 5. The Applicant also understands that (in addition to any applicable program -specific regulations and to applicable federal regulations that pertain to civil rights and nondiscrimination) the federal regulations applicable to the award (if any) made by the Department based on the application may include, but are not limited to, 2 C.F.R. Part 2800 (the DOJ "Part 200 Uniform Requirements") and 28 C.F.R. Parts 22 (confidentiality -research and statistical information), 23 (criminal intelligence systems), 38 (regarding faith -based or religious organizations participating in federal financial assistance programs), and 46 (human subjects protection). OMB APPROVAL NO. 1121-0140 DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT B 6. 1 assure that the Applicant will assist the Department as necessary (and will require subreci ie q p nts and contractors to assist as necessary) with the Department's compliance with section 106 of the National Historic Preservation Act of 1966 (54 U.S.C. § 306108), the Archeological and Historical Preservation Act of 1974 (54 U.S.C. §§ 312501-312508), and the National Environmental PolicyAct of 1969 (42 U.S.C. §§ 4321-4335), and 28 C.F.R. Parts 61 (NEPA) and 63 (floodplains and wetlands). 7. 1 assure that the Applicant will give the Department and the Government AccountabilityOffice through roug h any Authorized Representative, access to, and opportunity to examine, all paper or electronic records related to the award (if any) made by the Department based on the application. 8. 1 assure that, if the Applicant is a governmental entity, with respect to the awardif any) y) made by the Department based on the application A. it will comply with the requirements of the Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C. §§ 4601-4655), which govern the treatment of persons displaced as a result of federal and federal) -assisted programs; Y p g ms, and B. it will comply with requirements of 5 U.S.C. §§ 1501-1508 and 7324-7328, which limit certain political activities of State or local government employees whose employment principal is in p connection with an activity financed in whole or in part by federal assistance. 9. If the Applicant applies for and receives an award from the Office of CommunityOriented Policing olicing Services (COPS Office), I assure that as required by 34 U.S.C. § 10382 c 11 , it will to the ex O( ) tent practicable and consistent with applicable law --including, but not limited to, the Indian Self - Determination and Education Assistance Act --seek, recruit, and hire qualified members of racial and ethnic minority groups and qualified women in order to further effective law enforcement b increasing their ranks within the sworn positions, as provided under y ng p 34 U.S.C. § 10382(c}(11). 10. If the Applicant applies for and receives a DOJ award under the STOP School Violence Actro a 3 that p gram, assure as required by 34 U.S.C.10552 ( )( ), at it will maintain and report such data, records, and information (programmatic and financial) as DOJ may reasonably require. I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a material fact) in this certification, or in the application that it supports, may be the subject of criminal 1 nal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34 U.S.C. §§ 10271-10273), and also may subject me and the Applicant to civil penalties -and administrative remedies for false claims or otherwise (including under 31 U.S.C. §§ 3729-3730 and 3801-3812). 1 also acknowledge that the Department's g awards, including certifications provided in connection with such awards, are subject to review by the Department, including by its Office of the Inspector General. New Hope Agency Name Cindy Carter Board of Countv Commissioners Chair Name of Authorized Official Title of Authorized Official DaouSigned by: Signa 'ure4o`'Authorized Official OMB APPROVAL NO. 1121-0140 12/15/2021 1 1 -.51 Pnn r qT Date DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT C DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 s ATTACHMENT D RESTRICTIONS AND CERTIFICATIONS REGARDING NON -DISCLOSURE AGREEMENTS AND RELATED MATTERS No recipient or subrecipient ("subgrantee") under this award, or entity that receives ap rocurement contract or subcontract with any funds under this award, may require any employee or contractor to sign an internal confidentiality agreement or statement that prohibits or otherwise restricts, or purports to prohibit or restrict the reporting (in accordance with law) of waste, fraud, or abuse to an investigative or law enforcement representative of a federal department or agency authorized to receive such information. The foregoing is not intended, and shall not be understood by the agency making this award, to contravene requirements applicable to Standard Form 312 (which relates to classified information), Form 4414(which relates to sensitive compartmented information), or any other form issued by a federal department or agency governing the non -disclosure of classified information. 1. 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 (orur ort to P P prohibit or restrict) employees or contractors from reporting waste, fraud, or abuse as described above; and 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 -- 1) it has determined that no other entity that the recipient's application proposes may or will receive award funds whether through a su " Y ( g baward (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 2) 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. New Hope Agency Name Cindv Carter Board of County Commissioners Chair Name of Authorized Official QacuSigned by* Title of Authorized Official 12/15/2021 1:51 PM PST Signature of Authorized Official Date DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT E SCOPE OF WORK January 1, 2022 through December 31, 2022 New Hope shall provide staff and furnish goods and services necessary to accomplish the activities under the STOP Violence Against Women Formula Grant Program during the Grant period. This Grant is not a Benefit or Entitlement to the Grantee. It is not to be used to acquire property or services for the state government's direct benefit. The principle purpose of this Grant is to provide funding for New Hope to accomplish a public purpose. Funding from this Grant must be used to support the Grantee's STOP Violence Against Women Formula Grant Program. Grantee must ensure that activities funded under this Grant program are available to adult or youth victims (ages 11 or older) of domestic violence, sexual assault, stalking or dating violence during Grantee's regular business hours and shall include, but not be limited to: • Active advocacy, medical advocacy and/or legal advocacy on behalf of the client; • ensuring that crisis intervention and assistance in the development of individual safety plans are available; • assistance with obtaining orders of protection and court accompaniment; • ensuring outreach is provided to inform victims of existing services; • assistance in accessing Crime Victims Compensation benefits; • ensuring funding for training is focused on topics or issues related to adult or youth victims of domestic violence, sexual assault, dating violence, and/or stalking; • active collaboration with law enforcement and prosecution to ensure a supportive and strong coordinated response for victims of domestic violence; sexual assault, dating violence, and stalking; and • ensuring that goods and services, supplies or direct costs supported by this Grant program are related to issues involving adult or youth victims of domestic violence, sexual assault, dating violence or stalking. Services provided must be consistent with current state and federal laws and mandates. Domestic Violence Advocacy: Provision of services to domestic violence clients must comply with the service model indicated in WAC- 61A- 1015. Sexual Assault Advocacy: Sexual assault services provided shall meet the requirements set forth by Washington State RCW 70.125 and by the standards defined by the state of Washington Sexual Abuse/Assault Services Standards. Outreach, Public Awareness and Education Activities: Grant funds may only be used to support, inform, and provide outreach to victims about available services. Grantee agrees grant funds will not be used to conduct public awareness or community education campaigns or related activities. Coordinated Community Response Team: The Grantee and Subgrantees, if applicable, shall participate at least quarterly, In the county's Coordinated Community Response Team to increase the safety of victims of domestic violence, sexual assault, dating violence and/or stalking and hold offenders accountable. OCVA Program Staff may conduct periodic checks for compliance with participation in the CCR. Noncompliance may result in suspension of payments to Grantee under this Grant. Victim Safety and Recovery: The Grantee and Subgrantees, if applicable, agree that these funds will not support activities that compromise victim safety and recovery and undermine offender accountability, such as. 1. Procedures or policies that exclude victims from receiving safe shelter, advocacy services, counseling and other assistance based on their actual or perceived sex, age, immigration status, race, religion,, DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 ATTACHMENT E sexual orientation, gender identity, mental health condition, physical health condition, criminal record, work in the sex industry, Income or lack of income, or the age and/or sex of their children. 2. Procedures or policies that compromise the confidentiality of information and/or privacy ofP ersons receiving services. 3. Procedures or policies that require victims to take certain actions (e.g., seek an order of protection receive counseling, participate in couples counseling or mediation, report to law enforcement, seek civil or criminal remedies) in order to receive services. 4. Procedures or policies that fail to include conducting safety planning with victims. 5. Project designs, products, services, and/or budgets that fail to account for the unique needs of individuals with disabilities, with limited English proficiency, or who are Deaf or hard of hearing, including accessibility for such individuals. The Office on Violence Against Women (OVW) does not fund activities that jeopardize victim safety, deter or prevent physical or emotional healing for victims, or allow offenders to escape responsibility for their actions. DELIVERABLES The Grantee shall be responsible for the following deliverables: 1. Participation in coordinated community response meetings at least quarterly — As detailed above 2. Reports — As described in Section 17 of the Special Terms and Conditions 3. Vouchers — Must be submitted at least quarterly PERFORMANCE MEASURES Provision of the deliverables listed above will be measured using the following performance measures: 1. Participation in at least 75% of coordinated community response meetings 2. 100% of required reports will be submitted on time 3. 90% of vouchers will be completed on time ATTACHMENT BUDGET January 1.2022through December 31,2022 Adams Grant County Cou Tota. Salaries: $97425.00 $10.809.00 $20.284.00 Benefits: $3,064.00 $4'386.00 $8.050.00 Goods and Services: $27327.00 $27507.00 $4,834.00 rotal Grant Amount: $157416.00 $17,762.00 $337178.00 Transfer of funds between line item budget categories must be approved by the Office of Crime Victims Advocacy (UCWA)program staff. Acumulative amount of these transfers exceeding ten (1O)�����o total program budget oh8U be subject to justification and negotiation(� ` '0n between the e and (]CVA including approval from the Grantee's signature authority and the relevant OCVA Section Manager. ~ The cost of allowable equipment purchased with these funds must be prorated to Grant activity uoogo' unless items are used QD96ornmoreon<�rentactivities. Equipment outhohzedbobepurchased vvwith Grant funds must be documented in an inventory system indicating, at a minimum, date of purchase, quantity ` '' Printing of Materials: DCVA must forward requests to print broohunas, billboards, and other publications to the Office on Violence Against Women not less than twenty (20) days prior to public release of the materials. If approved, the printing must be completed within the first three (3) months of the Grant. Food and Beverage Coate: The Grantee agrees Grant funds will not be used to purchase food end/or beverages for any meeting' conference, tnaining, or other event' with the exception of support groups or training volunteers. Additional information may befound inthe Frequently Asked Questions (FAQs)About STOP Fomnu|aGrants available at: own Consultant fees may not exceed $650 per day (excluding travel and subsistence costs) for an eight-hour day ormay not exceed $81.25per hour for less than eneight-hour day. ' No Grant funds may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. However, this does not apply to law enforcement agencies orany other entity carrying outohmina/invuotigoUono.prooacution,oradiudicaUonaotivitiem. ' DocuSign Envelope ID: D7797FDC-3C21-48DE-AAF1-OFE857A57750 . t .�109 4 rIZ Wash ngton State Department of C DocuSign Contract Review and Routing Form Office of Crime Victims Advocacy d�e. r e. Ashley Storey Grant Manaer g Proof ed documents 12/8/2021 11:27 PM PST Section Matched approved Obligation Summary Jodi Honeysett Manager Memo and Allocation Spreadsheet 2/8/2021 12:00 PM PST Reviewed entry and coding in CMS Correct template from IntraCOM has Managing been used Rick Torrance OR 12/8/2021 12:14 PM PST Director Documentation has been included with reason for exception Updated 10/27/2021 Certificate Of Completion Envelope Id: D7797FDC3C2148DEAAF10FE857A57750 _ Status: Completed Subject: Please DocuSign: OCVA STOP Grant - New Hope Division: Community Services and Housing Program: OCVA ContractNumber: F21-31103-062 DocumentType: Contract Source Envelope: Document Pages: 29 Signatures: 6 Envelope Originator: Certificate Pages: 5 Initials: 0 Mia Davidson AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone: (UTC -08:00) Pacific Time (US & Canada) Olympia, WA 98504-2525 mia.davidson@commerce.wa.gov IP Address: 198.239.10.242 Re cord Track! n g Status: Original Holder: Mia Davidson Location: DocuSign 12/7/2021 11:23:53 AM mia.davidson@commerce.wa.gov Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign Sli ner. E�rent. g _ Signature T irn s, estamp Ashley Storey Completed Sent: 12/7/2021 11:33:50 AM Ashley-Nicole.Storey@commerce.wa. g ov Viewed: 12/7/2021 11:36:31 AM Security Level: Email, Account Authentication Signed: 12/8/2021 1:27:43 PM (None) Using IP Address: 198.180.5.100 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jodi Honeysett jodine.honeysett@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Torrance richard.torrance@commerce.wa.gov Washington State Department of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Cindy Carter ccarter@grantcountywa.gov Cindy Carter BOCC Chairperson Grant county, Washington Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 12/15/2021 1:50:39 PM ID: de9a55c7-3dee-4aeb-907b-d5126dd501cd Using IP Address: 198.180.5.101 Using IP Address: 198.239.10.171 Docuftned b 1- F1447A5130634CB... Signature Adoption: Drawn on Device Using IP Address: 207.32.196.133 Signed using mobile Sent: 12/8/2021 1:27:45 PM Viewed: 12/8/2021 1:57:31 PM Signed: 12/8/2021 2:00:43 PM Sent: 12/8/2021 2:00:45 PM Viewed: 12/8/2021 2:14:49 PM Signed: 12/8/2021 2:14:54 PM Sent: 12/14/2021 3:57:46 PM Resent: 12/15/2021 12:02:02 PM Viewed: 12/15/2021 1:50:39 PM Signed: 12/15/2021 1:51:22 PM Signer Events Signature Timestam p Diane Klontz DaauSigned by: Sent: 12/15/2021 1:51:27 PM diane.klontz@commerce.wa.gov ViaU,(, khVjy� Viewed: 12/16/2021 6:42:21 AM Assistant Director 96!]D7776cA2E4F8... Signed: 12/16/2021 6:42:27 AM Washington State Department of Commerce Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 147.55.149.208 Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Si ner Evens g Si Ona _ g to re -_ Timestam p di or.Del ove vents ry . Status . T _ mes am en, �l t;Delive Events :. Times tamp . n erme is a ive Events _ �/ ry Status T Ames amp Certified. se elive Events : � Status Tim Suzi Fode Sent. 12/8/2021 2.14:57 PM sfode@grantcountywa.gov I E W E Viewed: 12/9/2021 1:39:18 PM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/22/2021 9:54:00 AM ID: f9391c86-59314a2b-9328-a83d20f3b27c BOCC Consent Group commissioners@grantcountywa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 12/14/2021 3:57:46 PM ID: b5762725-ac01-499b-b380-06d8016e2666 Using IP Address: 216.215.12.67 Using IP Address: 216.215.12.48 Viewed using mobile Sent: 12/9/2021 1:39:19 PM Viewed: 12/14/2021 3:57:46 PM Envelope Sent Hashed/Encrypted 12/7/2021 11:33:50 AM Certified Delivered Security Checked 12/16/2021 6:42:21 AM Signing Complete Security Checked 12/16/2021 6:42:27 AM Completed Security Checked 12/16/2021 6:42:27 AM taPayment Events Status Times m s Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM Parties agreed to: Cindy Carter, Suzi Fode, BOCC Consent Group ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be p Y required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through h the DocuSign system. Please read the information below carefully and thoroughly,and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selectingthe check -box next to I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and if you . g g elect to create a DocuSign account, you may access the documents for a limitederiod of time p(usually 3 0 days) after such documents are first sent to you. After such time, ifou wish for us to send Y you paper copies of any such documents from our office to you, you will be charged a $0.15 per -page fee. You may request delivery of such paper copies from us b following the p y g procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us may you electronically, Y Y any time Y change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format . Y pp and then wait until we receive back from you your acknowledgment ofour receipt of such Y p paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to g Y receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein we willp rovide electronically to you through the DocuSign system all required notices disclosures authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance ofY ou inadvertently not receiving any notice or disclosure, we prefer torovide all of the required p q notices and disclosures to you by the same method and to the same address that ou have given Y us. Thus, you can receive all the disclosures and notices electronically or in paper format through p g the paper mail delivery system. If you do not agree with thisp rocess, lease let us know as p described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Washington State Department of Commerce: You may contact us to let us know of your changes as to how we may contact electronically, Y you y, to request paper copies of certain information from us, and to withdraw yourp rior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: docusign@commerce.wa.gov To advise Washington State Department of Commerce of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at docusi n commerce.wa. ov an g � g d in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through o g your account preferences. To request paper copies from Washington State Department of Commerce To request delivery from us of paper copies of the notices and disclosuresY reviousl provided p by us to you electronically, you must send us an email to docusi n commerce.wa. ov and i g @ g n the body of such request you must state your email address, full name mailing address and telephone number. We will bill you for any fees at that time, if any. Y To withdraw your consent with Washington State Department of Commerce To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent a q page, select the check -box indicating you wish to withdraw your consent, orou may; Y; ii, send us an email to docusign@com.merce.wa.gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of our withdrawing con . Y g sent for online documents will be that transactions may take a longer time top rocess.. Required hardware and software The minimum system requirements for using the DocuSign may change system over time Y Y g .The current system requirements are found here: b.ttps://stii)i)ort.doctisign.com ides/si ner- uide- si nib► _s stem -re uirements. Acknowledging your access and consent to receive and sign documents electronically y To confirm to us that you can access this information electronically, which will be similar t other Y ° electronic notices and disclosures that we will provide to you, lease confirm that you h Y p y ave read this ERSD, and (i) that you are able to print on paper or electronicallysave this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further if you consent to receiving notices and disclosures exclusive) in electronic format as described scribed herein, then select the check -box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. By selecting the check -box next to I agree to use electronic records and signatures', ou con . y firm that. • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure or save or send this Electronic Record and Disclosure to a location wherecan ou print it, for future Y p reference and access; and • Until or unless you notify Washington State Department of Commerce as described above, you consent to receive exclusively through electronic means all notices disclosures, authorizations, acknowledgements, and other documents that are required t q o be provided or made available to you by Washington State Department of Commerce p during the course of your relationship with Washington State Department of Commerce. ce. GRANT COUNTY Deposit Transmittal REVENUE SOURCE ERAP 2.0 FUND DEPT PROG PROJ ACCT 190 001 00 0000 333210000 By: Janice Fivnn, Administrative Services Coordinator AMOUNT $151185292.52 TOTAL DISTRIBUTED $1,904.12 Deposit Verification — Treasurer' s Office and Administrative Services Coordinator: Checks: Cash: E -Deposit $ Treasurer's Office initials: ASC Initials: Dated: