HomeMy WebLinkAboutAgreements/Contracts - Juvenile (002)July Il t 2022
Board of. G ra n -t County CO. M issioners
PG.Box 37
Ephrata, WA 98823
BE: Signature for Contract #F19:6.3
1,219-476
Dear Board' of Cou.,pty Co.: M,...M:Iss,i::Qne:rs
:: :ra..,c and :approval,.
Please see attac.. ed: c: ont t fir
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Aims -of chip a...l.b.Usend . d n urpose: To provide services to vic
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I am requesting permission to Docu-Sign electronically with the cohtractor.,
Th.ank you : for g cownsidelr-in, refit.
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Clerk f the Boa d
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DocuSign Envelope ID -1 80827407-7045-4DF5-8FBB-B3712FA4AC4C
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For
.......... - .............
........... ............ ..... ........... .............. ............... .............
VOCA. Vittl'ms of child Abu.ste and Neglect Initiative
Start date: 07/01/2022
DocuSign Envelope ID: 8:C827407-7D4B-4DF8-8FB8-B3712FA4AC4C
BLANK
ONALO LUT
THIS. PAGE INTENTI.
DocuSlign Envelope ID: 8C827407-7D4B-4DF5-8FB8-B37l2FA4AC4:C
TABLE OF CONTENTS
FaceSheet ........................................................................ A 4 1 A 0.0 16 t. 4#.a
Special Terms and Conditions.
4 tow.. 4.1*.8 k . 4 o, .1 'R 1, A a j, A to a s a 4 0 at YPRAI14 It 4 *0 t.a 4 .0 a a t, a w4 4, S.. 1 6 a a .6 t W. 4. 4 a 9: q. ws :q 4' 0 ga,
#:rt.r YYA . -F W9 2.
1 Acknowledgement of Federal Fund ding.
1� a 44 4 i a P O. -P 4* i a iv�ol A:6 d, 64:'Ai ..4 A . t.o.A. W a.6: d a.. i. 91 a P. t.10 01 0 win P:
2. All subawards (".subgrants".) sp j* ..at auth t,
must. ave� ecificifeder oriza ion
3. A p i H y:of Part:20-0 Uhiform R :nt� i, ..i•i wr.e mik. wi 00 a 4 a §..Ia V ^.4,4 It 11 4 r @.A '1 .41 n� -0. 1:-a'4 4*
plicabi� ft equirome 2.,
4., Billing Procedures
is N 4t: •i.- a i x a 0 4 4: a a s P 61 1 a *.44 A .4 4 .6 6 0 # A 6 A 4.6 6. t A.. k. w:.. k* 4 A, a C 6 4 k� d: 0 6. 6 A a. A 4 V A A 0 0
._3
5. Compensation, 0 0 A 4 4 .4 4 6 0Y A:/r-4 4 4 s 4 a 6 o' A 't 0 1a 0, 1 10 a 4 A a 1 6 0 a a■mw . .4 a W. I w I A V . .4 0 1 a .0 P IN a OP. t 4 40 1 t, 36 it. *,*:t 0.3, 0 0 0 a *.,.a 6.11.t fA iWA A t, I a a . 0 . a . 6,0.* 1 . i a ..
3
6. Compliance with 41 U.S.C. 4712.(Inc101ding prohlbitionS.on rept :yees):..
itat noti-C-eto ernpfb
-P i's 4 is A*.'*. A. 4,
7. ComplianGGwIth applicable rules* regard"Ing approval, 'p: nning, an. reporting. otconference s
la
meetings, trainings, and other events.,.....
0 0 ;t. 4 a a 0 al a a 0 #64,466.4 ks-etts -.*#.19 too
ar 4
8., Compliance with DOJ Grants Financial Guide....,,,.,.
a .a 4 . 0 . 0 4 a a 0 0, 0 wi i A R q. V, R -.j � A 4 a 4 q,. R 0w a 4 w.s 0 vo 0 a *.A 4 0 6 a w &:1,- 4 4
4 Or k 0 4. at it
9. Compliance with QOJ regulations pertaining to civil rights and nondiscrimination nondis ri 28 C.F.R. Part .-38 5
c i
-10. Compliance With DQJ regulations pertaining to civil rights -and nondilsbrimi'natIon -.28 C
,F...R. Part 42 5
11, Compliance with DOJ regulations pertaining to civil rights and nondiscrimination, - 28 C.F.R. Part 5A* r-
:�
12, Compliance with general appropriations -law restrictions on the.use :of federal fonds s TY 201.9).1..
13. Compliance with O.JP Training Guiding Princj'ples
$#sas I to ►a $,a post,"o No* P.10 **.*.N No
14. Compute.r Networks 6
15. Complyin wl-th thesafe Streets.'Act.a.Ya»
q 9 W 4 0 19 Or 4 A. Ip - 0, 0 A:i Op 4 a v:a. 4. i 4 A If 0:9 ic 4 v V 0,10.9Vt 0 N.*:AA* 4 A:A*.0 W W t w&- 6 4.* O.S.4 4 A, 4, 44y,YY 0 4:4psw.
16. Demogra,phic Data,.,.,,,,
V.I.A.1 4 9A INV 0 0 0 41s, jt�r.*.,R Op *.4 tow* t AM 0 *'**.4 k*0 a i.*#C',$:,O*..4.:O.��lil�i,.*.i.*:4.i *'a ti.i. a�s,p to,ij 4 11 s;i4p %op 10 iw 6
t .4
ic p: nq,minor
n: erac W'14
17. Do ermin ation of su: ita,bil' (,y t4o i it iffil i�.' i t'
w *.Al 4. 4 VA,* 0 - a .4: 01 a 1 1*44-4 4 10: 0 01t 4 6 a 444 P-4 w.
Discrimination
a ,a 4:#,A.fj 0 A A:a 1( 44 6.0 A A *.t W44 60 *,A
19, Effect, of failure to address, audit 6
g I ,/ r. on fb* hir fig: under the award s. A a.* vs 4. *.,A. 7
2.0. Employme t e-11 Ibility-per. r 1
41 At 4. A PA
21. Encouragement of policles to ban text messe J
gingwhil dri i
Je IV] ng! .... P.10 0 0 00 4 A. 6 4 . 0 A 10 0 6 0 0 04. 0 A 6 0 . 4 it A, v M 0 F 4 *-.0 a 0 0.
22. Enforcing Civil Rights L aws . *:4 a is t -1 a a 0 0 a a q: or 0 * q 0 4,a * 4, 4.6 a 0 4 a o 4, a 0 a 'a * *.A f, 6 a 1 0 a 0. a at- A a a' 4 a � Is 0, . 0 4.4 4 a 4' 1W to de 1 .1: A: & a 1 4 6.4 * 1h t a I a. . a a 0 A 16 6 1 ..,*j..JA 4"'.4 # 0 w 4,
8
23. Ensuring Access to Federally Assisted Programs ..... a W P -F a a� 4 . . 4.0 a -*.a .4 . . a . 04*0 a 0 i's . -4 �q A * q,.*.,P,w 0 Vera . 4a j 0 0 4 .0 0.4 is i.* 10 a A is q, 1: 0,
*j a w t.
24. Ensuring the Compliance of Subrecipients.
W%V 01;* 4A A 0 a 4 4 - P #.a .100 .i. arYaa,PY.Rraa YPvaaa,P#r.ar.t.jl'Y N•4 Y4iPaAY4Y8,
25, Examination of'Records
.61,A, a 1 0.4 1 1 6 P. 4' M *.Ik.1 t.o.i *it s.a ps.t 0,44 X 1 0 W 0M q 0 0. 0 0- -1 0 0 4 0 . 41
I it IrAl 6 It S at 1, 4 A a a NA A Al MAI AVA, a *.:A 0 A. A 0 a: U A;kA0:4 O.P.. al 44 IL S Pis J. 0 4 A:'w,a
2.6. FFATA reporting: Subawards andexecutiveas i ..i V . a a i . A A 0, a. A:j j4;s �.01 I$:.:a
27. Federal Non0*011scrimination Requir n :ts 0 a a §A` 0 Aii, W'.* -*w k,& CAN *;A'0'4:4 0 Alk S a A:* A 4.4 4.
I eme. 61,640f*t'.9
9 A.04
28. Fraud Loss and Other Reportin
co a 0 Ik 's A f� O.A. t.4 44 4 J -t 0: 0. 4 1 .0 �i� 1'. #1 0 IK 41 1:94: ►6 $:*A.& a 0 614
w *.Ai #A ft: k 4: a a A. is
-d tions on the use offe-deral 10
28. General appropriationswo
I law rest C
29. G ra n t M,arl ageme n t. . f A. 0 j a 6 4 4 d, J� t 0 V. 44-0.1k k 0. 0.4 a A, vo 41 W w4A 4 6 *.A 0*
it f �r fa *.*,V
A�C . :v 4 is Ih a 41.1k.0r. 4� 0 A,* if C6:04 14 It 4:14.Ali'k
30, Grant Mod ificat.lon.. *.1#1.?A..r*#-*40 4* P'. As* *04.0 *4.10 W4,41. *400�* Vo q4.A:.a .*is,a.Aa-.j.AI4.* A -*Aa'* 0
311 InSUrrance.o of's 4.0 40, 0 0 0 f 0 N 4 R 4 Pa 4_4 4 -1.* 0 4 At is a a 4. , *.I a .46 A . 1. .
41 s 0 Ara j 0 sw 4 0 t. 41:4! 4.P 4 a 0 N P4 6 s Ij A. 6- 0. .0.0. a 4 . :0 A k 0 0 40itk-AS at A ww. 4 0 4 0 10
32. Meeting the EEOP Requi reme nt A 4.41.... %. . 4 4,.q . . . 4 4 4., 6 4, a A 0 4 . a a A 4 i* A -i a 0, . . .:a .1.4 . 4.'.a a . 0.. 0. A . . . ;.,*,a 44 a.:1: a A 's 4 rie 0. 0 a A v V:.w 1, 0: a t a a
33. Meeting the Requirement to -Submit Find f' `/y' of Discrtmin6tion 4 .4 A I a A, 4 4 i a. 0 . .0 . a 6 ..4 . a 0 .0 wi . i a . . A a -6 A.... ,
34. "Methods of Administration" monitoring compliance with civil rights laws and nonctiscriminad
I ton
provisions ...... i. w . 14 A 6 4 . 4'. 4 A 4 4 $ ... a. t . . . . . . . . Y' 6 0, wi 0 .0 04 . A A, . . at 6
•1 41* V.A.% O.qo*. O� . A, A, � V W, . 4A A
351 National Environmental Policy Ac t 6 W X 0 a T 0 A 0 A 4 It a 41 4 IA 1 6 0 11 0 A A 44.Y 6.4. a.0 a s a a a a a a a. ..a . wa . i. . .:A. 4 A A a 1 2'
36, National VOCA Training ...... ... . . . . . . . . . .
37. OJP Training Guiding Principles . . . . ... a 4 a . q a 0. , 0 a a 0 6 0 a4 1. V a4a 6 aa. is a a . . 0 a . 0 a 0, 1 .4 . a 4 4 &:k., 0 0 1'a; A a 4l 1, :41 0. 0 a 4 0 a 0 a
A:* 1#14
38. Non -supplanting
12.
39. Partnerships with Faith -Based and Other Neighborhood Organizatibnsti Ensuring :
g Equal Treatmentof
Faith -Based Organlzpflions and Sa, C nstitu .'I P' t ct: hs. Rehatod.to R611 J
feguak.ing b ti.p. a ro e io
n ic
glon
40. Potential imposition of -additional re-qu"rements
4 A..4,9: so .0 0 0, .9 4 44 b, A 0 Of 0 0 it v A... 13,
41, Providing Services to Limited English Proficiency (LE.P) ]n:divi'-d�u�a.:Is*,.,....,,, A . . A, . . . .
42, Quarterly Pe
rformance Reports A..* *A.*#. kv.4 4 A.A.4,** a*0 4:4 6 a 1, ii 0. 0 1: 4 *a wl'. as 0.... A i k a . A r. i's W 6.4 as am a. a ea.a'■ a a.. 4.s.&'. j, A a a..
43. Recipient: integrity and performance.mafters.i.- Re'qUiromentto report Inform ati-an on certain civil.,
criminal, and administrative proceedings to SAM and FAP lis
44. Reel assificatio n of various StafUtory provisions to a new Title 34 of the .Un ifed -States Code ....... %*o...14
45, Reporting .................................. P ............. ................ 6 ...... a Y P, 4 a a s a r a a A 14
46. Reporting Potential Fraud, Waste, and. Abuse, and Similar .......... 15
47. Requirements of the award; remedies for n.on-compliance or for materially false sat... ent!�Aw.Ar.,..t,,, 15
DocuSign Envelope ID: 8C827407-7lD4B-4DF5-8FB8-B3712FA4AC4C
48.
.~~~~--~~~~- - - --
44
15
49.
Required training for Point of Contact and all Finaincial Points. of
'
3.
5%
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��men�'���dfo"de m|nm�* ro� WA a
4.
5U.
Requirement �nda�onpn�ormenceand '
--'
'-q'--^-^ts ~'-'~~~~ System forAward Management a""Universal Identifier .~a/
6.AmedcanaVVb��sa�UUes
53.
�uin���d�����p|��d�m�"�����o�� '
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agencyuut�deofOOJ-.-^..-^~...~-----'-^~~-_~-- ~-,~-'~_a a 11 Ca' .1�
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54.
Requirement
9.
~".
Requirement "~reportnfo me,
10.
_
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11.24
57.
Restrictions and certifications ' -
12.
58.
Specific
13.IL
V:[Sions
contract that would exceed
14.
��
Suboon�ac�r - ' ' --�
15.
--'
~
18.
01.
Unreasonable re-s*trittions on competition 'Under the 'ard,, asao'..i.s, lo V
17.
_
Using ..�and �Conviction Records Makin E.+�.����~�A
18.
63.
84.
VOCAFunde'~..~,~..~---..~-.,...~,~,__. 0. a a ta sa 0: 0 & 0,0 4 t. 0: 1 * a 4 ..0to A.. a a a'.~~*.a. s... a�.__=��
hemen�.'.-'~'-_~^..,..,~�-_-,~.~~.,^~_,__.-�-�aw. ^, ' -
VO�� u0.
2:0.
85
Order of Precedence
20'
General Terms and Conditions _.~,~~~~~__,.,._
.~~~~--~~~~- - - --
44
2.
-'.111-1
3.
4.
All
- ----'------------
6.AmedcanaVVb��sa�UUes
4. _
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4i o
_
Attorneys'_�.ees 0 .4 4~...~~~4; a .4~ 4 61 1 0 0. ~~~~��WN. 4',*'t A.~"",23
9.
Audit ...... ................................ ~ ' ~ ^ -
10.
Certification Regarding Debarment, Suspension or Ineligibility and Volantary Excl'usi23
11.24
12.
Conflict [f|
13.IL
V:[Sions
14.
....... ~~~~~~~_~
15.
Duplicate P:ayM:eL t �.,�k ��~�~�0 W_��
18.
Governing Law AndV�nu�
17.
Indemnification.
18.
19,
__._,_..~~_,~... _ _~~~~__^`27
20'
"Industrial Insurance ��"=�w�-~°__'.__°°_
27.
21.
- '- -
Lawm.-.--.._~-~,_. _ ,.~_ .,_,,~,~,~_~_~ -
. .. .. . .. . . . ~.^~.___.°._~N*
22.
�n�.���A���n.,
~
23.
Limitation Of ..,,,_,,,_,^_,.,,,~.~,~,,,,,~,,_,,~.~.~,27
24.
Noncompliance With Nondiscrimination Laws ....................... _~_~_,~.0 6_~,___.,27
25,
Pay EquKy...-..---..-~_-.-''.~^~.~^-~-~--~^~~~~~'~_-_.~.�~28
26.
-
Political....................................... .,,__,..,._,,~~,,~_,~,~,~~~,,~~,.~,~~ 1
-'
27.
Procurement Standards For* -Federally Funded Programs `_~,_-_'`._~_~.q.* C 028
28.
PubUcl ty~...,.,O's ~-~,,~,,,~,,_~_,,__^0: 4t s.,~`,^,~
__
._
_
Records. Maintenance
31
Registration With Depaftment O'. -~.em a_,.cop ....~. ~~~-~~~
~~.
Right Of .~p~~~~.~`.-~...~~__.^=.~_^,.~.
DocuSign Envelope ID: 8CB2�7407-7D4B.4DF5-,aFB8-B37'(2FA4AC4C
34,Severab[lity.,...,.
.,,,, #**0 0 4tko* I#** do 1& 6 NO* *took $./:.k%
35.
a ?.A Ao-Y*A.' . . . . . . q s'. , ',W.0 ow . a 4 t. 0
Site Sew rity
30'
36.
Subgrintlnubcbntrac ing...4...
30
3T
. . . . V•10 0 1. P P, t 0. P. A 0 q:'*A..4m4 0. 0 0 ot 4..* 4. 0 0 0 4 . o O� a . . . rx
Survival
30
38.
'Taxes
............
39.
Termination' For Cause ....
..............................................................
34
40,
0..4 4 4.41 Co *A S 0*6 0 s c6_0 I *.A.1, 6 a .4 6: it
Termination For Convenlen�ce
....... ........... O -A 4 It
41.
Termination Prooredures
42
........... 1, •0 •4 1. -41 R 4 0! 1 M ♦. 1 4 . 0.6. 4 4 4:
Treatment Of Assets
.
............ 4 a*O go a Ott* 644ttki.. .4 k P .0 St.4 .4 M 4, N't VA 4 A WO, # s t: 0 t IC 0: o **o* .4 0 *111 1 OJI 'C#' lb 04 'NA 6! 04 *.4 0: t. 6 0 w svo.
4 3.
Waiver,.
. . ... . . . . . . . . . R• M. . . . a• . . . 0 0, 4. 4 a 0 k M i 11:0 6 a . 4 0. vo
Attachment. A - Scope of Work
d e
Attachment B - Bu: g t
�P:
Attachment C m Vfctims of Crime Act (VOGA) -M Ul I la ble bere).
rog, ra R e (AM: to o: o
DocuSign Envelope ID: 80827407-7D4B-4DF5-BFB8-83712FA4AC4Ci
FACE SHEET
Grant R.U.Mber.P
FT91-31219-476
Washington State Department of Commer.WU
C
ty -g 0M m u nil Ser -Al ces and Hous! n D ivfs n
.Offica -of Crime Victims: Advocacy
VOLA Vict-Ims. .0f child Abuse ani . (A. I liativ
1. Grantee
.. . .. ... ....... .. .
.2 Gsantee
. Dol -09, B.0-iM'ne i
s:s As.pti ane'}
GRANT, COUNTY OF
Gant. .our. .ty' uved'I ,.Grt
PO BOX 37
EPHRATA WA 98823-0037
3. Grantee Representative
COMMERCE RepresentatiVe
Suhail Palaclos
Vienna Osterman PO fax 425-25
Juvenile Court Administrator
Program Coordinator 9-8-504 83-0-4.
spa lados@grantcountywa.gov
Phone..� (360) 725-28:8-4
(509) 754-56900
jenna,osterman&o. M--!MerC--e.xa..�g.ov :., W
1.0411PIum.- Strut
A I" M"InIM,1.
FOR. GRANTEE PQM, COM RGE
Sid ire Diane Klontz, Assistant Director
Suhail Palados
Name Date
0
APPROWD-A81"
TO IM NLY
Titter jy
:E
ASSI TANT ATTORUEY:G N E.R.
APPROVAL 0:, 5
Date
I :
DocuSign Envelope ID: 80827407W7D4(3-4:[) 'S-8FB8-B3712FA AC4C
SPECIAL TERMS AN".D CONDli 1
G- ENER.A.,L GRANT
FERAL FUNDS
1. ACKNOWLEDGE M ENT OF FEDERAL FUNDING
Federal Award Date 9113/2019
Federal Award Period: 1011120-18-91301202.4
Federal Award 11denflification Number (FAIN): 201 -V2� -00`34.
TWO/ Amount of the Federal Award: 51 207.1272,
Av ardiri affici l De artment of Justice, office of , u fiic � l�"r rarns Office far tin of Crime:
Amount obligated- by thl:s actien:: 7, 000 0
The detail f the requiren nt far author'zatior ci` ar�y , sul aw �+� r� : �st�d �l� tie BJP W* b. sits at
htt .11c►`1furdin 1x lre1UwrdAtt Q '�wo
h r� atonitmAr ccnd�ton� SII ubwad..
e�ubrnt"): rnust hate specific::federal' authorization) and arencarprated by referee here
3
.. APPLI A �.N���"Y PAR'S" 200 Ul��F Ri .� L�ll��:l �`r
The Uniform Administr8 ive Re< uiren,ent ; , .
.. s .:. t Princtpl �:. n Au k + . ' ire ents,�n .F.:I -art
2004 as adopted and supplernente' key D .J ih. 2 C,F,R, Part. 20.00 �t��ether, th.e ��i=' rt 2 C� cif rm.
Requirements") apply to this FY 2019 award from +BJP,
The Part 200 Uniform Requirements were first adopted by DOJ on D15c mber 2 , 20 4. If this IFY 2 10
award supplements funds previously aw rded by CJJF' under the same award r�(Irnber (e.g,, fundi
awarded during or before. December 2014), the Part 200 Unifarn� l eq Ir e:nts apply with re pact to
all kinds under that award nulmber (req:ardless of the award date, and re rdl s. of wlieth r derived
from the initial award or a supplemental award). that are obiigated on... r after the acceptan. date o
this FY .201 9 award.
DocuSign Envelope ID: 8082.7407-7D4B-4DF'5-$.FB�8-B37l.2FA.4AC
40
S'PtCIALTERMS A
Ut1::.00N.-D1T10NS.
GENERAL DANT:
FEDERAL FUNDS
receipt COMMERCE will Grantee upon acceptance . of services provided and ece.1p f ld properl�.-'co m p
.111ed
invoices, which shall be subrnitted* to the (representative for CCDM( I 'E�RCE atilea s*t quarterly, but not
more often than monthly.
The Grantee shall sub -mit all requests for reimbursement via COM:ME R-CE1 s online Invoidn*:g system.
The Involce shall Include the Invoice Documentation Form.
e
COMMERCE, will pay Grantee upon acceptance of program :activities . prodded d and recelpt, of -Properly
completed invoices.
ti: P f'.
'�d b '" 'C MMERC, E, w- jo , I
Payment -shall be considered me Y I rade COM'
th[h:� thirty (3Q. c.a.e.n.d.' days -' after,
Y
receipt ofaddress.he,
property completed. Inv 1: 0$. Pa.yme.nt �hal.l o -e:n:.-dies-4g.
11 0 Invoice $. t' '
o. the
n_'t d. t
Grantee.
jon e, te he. Grai t `or h' by th:
COMMERCE may, in its solo d"IsOreti t rm ln.,a t h W t .1)Id
o,,, pa, me
n.. armed -e
Grantee for services rendered � if ffie!-.Gran: 0. : arty ..0
te fails to safisfacton1v comply with nterra t r r condit"
Rion of
this Grant.
No payments in advance or in anticipation of services or supplies to be. providedunder'this Grant shall
be made by COMMERCE.
Invoices and End of Fiscal Year
Invoices are due on the 20th of the month following: the provision ofse'rvlb."e's..
Final invoices for a state. fiscal, ye'ar. ay be, doe 5ooneir.th,n the Ot-h anW
CO*.'M*M rce mill pre. vide
notification -of the end of fiscal: year d.ue. clate,
The grantee iTiust invoice for, all ef m th e b0ginning o, xpenses ro the.: �-cob tr' 'ad t th:.r'o*ou':gh. J-1
June 3,0 of
regardless of the contract start and and date.
OunItcation of Bl:lled--C:o.sts
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 entitled
Disallowed Costs
The Grantee is responsible for any audit. exceptions or disallowed costs incurred bY.'Its-own organization
or that of its Subcontractors,
... . 1: : e om, .
COMMERCE may, in its sole discretion Withhold .tern percent (1.0%) from paym,
h ea ant untlil
c
accepta. n.ce by COMMERCE Of the final report (or n . corhplbtio of tl
e ie'pro'eC:
. t, ate
5. COMPENSAT1,0N.
COMMERCE shall pay an amount not to exceed ($75,000.00) for the pe - rformance of all th!
, ngs
necessary for or incidental to the performance of work as set forth. in Attachment A - Scope
M of Work.
DocuSign Envelope ID. 80827407-7D4B�4DF5-8FB8-B3712FA4AC4C
.SPECIAL TERMS .A.M.D. CONDITIONS
GENERAL GRAN -T*
F.8-01
MAL FUNDS
Payment W1111be on a reirnbUrseMent basis :onlay.
6. COMPLIANCE WITH 41 -U.S,:Cqb 4:712-IINCLUDING PROMBITIONS
ON REPRISAL` NOTICE
:7 -TO
P; n W.,
P Fe
Threi�a 't, (.and-. any* �.S: b%reci.. - I �� �� . i W :. :: � %,:: I . .a. ,---
tp-lent :n -.d 'Is U 7141 - --t- I 1�
ia.. .1. �!, 1� .; :(" ' blo
P W x alVa .
6.. A., P
ff
a 0' * ed
'"t hi r
ionsi th jbft� under d e
IS
r
provisions of �41 U.S.Q. 471.21 including all c ble, 1p
ppl:i. a V,
p
MIP S*
e 1: d" -U.-r. o
I. - : i. , th -:
gaillost an em [o yee c: pr' I. f r -e e
cir*Gumstances, d1scrimina-forl .,a... foyee, disclosure
�W
infor-matijon related to� aross- m1smanage M--,e.`J71:tof` a. f deral g I'70h. -ti. ia..guraS�.
a,�
..ste of f e
deral h ark
abuse of authorit :e: li or --fo
,y relating to a fedeiral gra-11i.t, a substantia.1 and* speciflo d. Q, :r toplib ice health : -h:
sa I ty
or a Violation of law, rule, or regulation related to a fed era g-j*'a`jjLt..
The recipient also must inform. its employees, In writing (and in the predsoin-inant native I.a.n:,, Ua ., ge Of the
9:
workforce), of employee rights and remedies under 41 U,S,C, 4712,
Should a question arise as to the applicability of the provisions of 41 U.&C'. 471 to this, award., the
Grantee shall contact COMMERCE; COMMERCE is to contact the DQJ awarding agency (BJP' or
OVW, asOppropriate) for �uldanc.w,.
. g
7. COMPLIANCE WITH APPLIC.A.B.x F.IULJ�$-.
LE R REGARDING.. APPROVAL., P.-LANN11N
REPORTI,NQ'O.F CO.NFERE.N.C.:.E.,,S.,, MEETINGS.,, TRAI T Ate
,OTHER..:E-VENT$
4
DocuS!gn Envelope ID; BCS27407'-7D4B-4DFS-BF88-B3712FA4AC4C
S.P.ECIAL TERMS AND CONDITIONS
GENERAL GRANT
FEDERAL. FUNDS
- reqUirements of C.F.R. Part., 42,.:s ec"fically i:.n,c.l:rUd ng any:: p i: -bI ':b ft Eofin u pay: ro ram
1tCOMPLIANCE WITH DOJI AEGIUL NS `-R-TAIN NG - TO: �CIVIL RI IH :9
_ AND
B
DocuSign Envelope ID: 8C827407-7D4B44DF'5.8FB8-B3712FA4AC,,IC
SPECIAL TERMS AND: CONDITIONS
GENERAL GRANT
FEDERAL FUNDS
b.ttr)-s-//o.jo.v/f-un.di:ng:-/Ire- FYI :a :t
.Po ed by
9;A P. t HQIISRestrictio.. ,,,htm and are incor ra
reference hete.
14. COMPUTER -NETWORKS,
Grantee under tands and agrees that -it can -,not use: any f6d-'eral, funds to �al-n-tain:
or estab.]:Ish a
COMputer network unless U: 1 s: s uch: n�etw owniloading, and exvch:. an
: ork blocks the viewing; d:01
pornography.
:. :'
:
1 5,COMPLYING WITH. THE SAFE TRH ACT
to,
n
S.' limfhato-
cr !�:Pf-ovt'�-Jbns of
An organiz-ationl. th tsarecipteint of f1hancil,sable"t the nor
the Safe Streets Act,: u m_ 0
M st meet two oblifigatio'ns-1: (I) co_ :'I h the fe.,dara.]*: r I ing to
Mp ying Wit.. reg ti i! pefta.
the developmerit of an ESOP (see 28 C,F.R. p 42 SU:bpt U t i g. to the. 0.
E) and bmi
(2:):s.. - tin CR. ftndl -S
of discrimination (see 28 C.F.R.. §§ 42.204(c), 205
16. DEMOGRAPHIC DATA
to tY.
farma.'- ion :q �race n "o
The recipient assures that its subreciipie,nts witl collect and maJn't.aJn in: ,.:S..e A :.:al E na 1:
Y
origin, age, and disability of victifiis, receiving ing assistance, w: :here. such:inf6r a o.
m t*l �n. IS vo.1unta-11VILl hid.
thish
by the victim.
b e
The recipient, and any stolbrecipi'ent at any tier, MUSt m�a'ko*:(�i,e'�te'r'm,iha.'t'*i''on'8 of su]':'� b'** . ., be '
ce ..in
individuals may interact with participating millo�rs.T'hisrequ.i,.re:m.entap..p; s. of �du -Z5.
9 les, regarde �s a n, Indivi.. W.
employment status. .. ....
The de ai"Is of
:n -at
�t this requtre.-nie.n.t. are, posted the-- 0J.P web 'S"Ite''.
�D 'f t b 1
hUs -.//o p -gov/fLi.n.dM reAnteracto-Minors.fitm: (Awar co J,pon: rnnination of sui"�mfli
ty
Pla.. c1pating
1% rt':- ti nil.bors:) a n
roqUired in 8dvan It radt
cre pertain fn individuaJ's, Who may .4. with I
I i .
?l a e
incorporated' by reference here
18. DISC RWINATIO:N FINDINGS
The recipient assures that in the event that a Federal or..State court or Federal or State admin ist ra ative
agency makes a finding of discrimination after a due process hearing on the ground of race., religion,.
national origin, sex, or disability against a recipient of victirn assistance forML11a, funds Under this award
the recipient will foivard a copy of the findings to the Office for Civil Rights of OJP.
19, EFFECT OF FAILURE TO ADDRESS AUDIT ISSUES
13
DocuSign Envelope 10, 8C827407-7D4.B-4DF5-8F88-83712FA4AC4C
SPECIAL TERMS AND:CONDITIONS..
GENERAL GRANT
FE-.ERAL FUNDS.
Gy r
The recipient understands.and agrees �that the D -0J a di (Q).7:0 OVW, �-s a
W�mljn.g age.n
pp:r prig e}
nts - if
and COMMERCE may withhold award funds or ma impose tithe rr' related requireme
7ela, as
determined by the DOJ awarding agency) the recipient does not sa -fc I and pr mptly. add
fis Octorily a 0
reS.8
outstanding Issues from audits required by the Part 200 Un.1fdritRequire me . hts (or by the terns of this.
I......-
:
award), or other outstanding issues that arise In connection with aUdits 0 in . stg a Uions,, or reviews of
DOJ awards,
20. EMPLOYMENT ELIGIBILITY VER - IFI CATION F0 'ARD
As applimble.The -recipient (and any subre. at any tier} must
aA
The recipient's monitoring responsibilities include monitoring Of SUbreci p - I
int cornp4tance with th,...
condition.
To the extent.that such costs are not reimbursed: under any other- federal : program,, award funds may
be obligated for the reasonable., necessary, and.. allocable costs (If any of actions designed .to ensure
CoMpli.ance with this. condition,
DocuSign Envelope ID, 8C827407-7D:4B.4DF5-8FBB-B$712FA4A,C4C
SP ECIAL TERIM AND CONDIT] ONS
FEDERAL FUNDS:
Nothing in this condition, including in paragraph 4.8., shall be understood to :relieve any recipient, any
subreciPient at any tier, or any person or other entity, of: any obligation otherwise imposed by Jaw-,
including 8 U.S.C. 1324a(a):(l) and (.2).
-yvJ I
fo in-mbon abmtt &V the E-
QUestions about E -Verify. shoutd. be:. dkepted to DHS. For More in r . e rif S
Verify website (littp�:S,:]/Aww�g"y:erifviq:.Ov/`�`�p MM or e all E Verify- at�Ei--�Verif. dh ov. Ew V
sx m oyer
t eirlfv e P
agents cart' email E-Veri at E -V if
ify er I vE,m:Dj,-o,erg qentP
KI
0. IVING
21. ERCOURAGEMENT OF POLICIESTO. AN TEXT MESS:.. i-*G.IN.,:G WHILE � 'R .4
Ted'eral Leadership: on Reducih:g ess a
Pursuant to Executive girder 'l 351-3, Tex`t'M Pg- White Dr
J
74 Fed. Reg.. 51225 (October 1 2009:),., DOJ encourages recipients an subrectPlants Clsuk�grantoos"tt)
,e
to adopt and enforce policies banning employees from teffm
xessaghwhile H driving any vehicle during
i .
the course of perform]lng� work funded by this. @ward, and 'to establlsb workplace safety pofic::e S and
conduct education. awareness and other outreach to decrea
ecrashes oaS
ed by d'161tra-cI
ed drivers,,.
22. EWO.R.CING-CIVIL
R11:91ITS LAWS
23. E.N$URING ACCESS TO: FEDERALLY A SSISTED P_G. M-8,
:D sc.. fm 1.
Federal lags that app] to ect-pi nts. of nancialassis ance from: the OJ ro.. 11W di r t
y r le: t in an th
'bas: is of race, icolor, natl nit orig. h. igion. & u, -ed: ro rams dra-t., - -itt6s;
-o Y
to a I -re1i J ifity f ft, d�
ex or disa,b n n:
P 9. CtI.-.01 i 0 �04 not ton.I
in employ but ralso in the::d.efivery vices or be J A fb.d. ..ra aw�, 1 0 -hib fsire.
m of s Oef e 11
asp ro i ct bints
p
:
from discrimi-nating on the bas�is.o.f age in the de -:14v ery:..f
services of behe 1:
24. ENSURING THE COMPLIANCE 0,17 $UBREC41PIENTS
DocuSign Envelope ID: 8C827407-704B.4-C)F5.8F[38-63712FA4:AC4C
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
FEDER-AL FUND.&
0
g: gan z s g.
res. if i te.s... as
If the OCR can : assist you �in. any way in fUlfill n your' aff -in bvivaxb hts.
nst a
P
recipient. offederWfinancial sl 1..
t pfease: contact
25. EXAMINATIO NDIF R.E.CORDS:
The Grantee auth brizes'Offic e* for Vi'dims. OtOnime (OVC) and/or the..Offfitce of: the Chief Fiftancial Wiser
(OCFO)-, and its representatives, access: to and the right. to examine all records',bo.o..
k.s1. p. aper or
documents related to the VOCA. grant.
The State will further ensure' that all VOCA subgrantees Mill authorize representatives of, QVC and
OCFO access toand the right to examine all records, books,, paper or documents related to the VOCA
grant.
26. FFATA REPO RTING.;: SUBAWA ND EXECUTIVE COMPEN.S.A.TION
This condition, including Its reporting requirement, does not apply to:,#-- 1) an. award of1ess. th.a.n $25)000
or (2) an award made to an individual who received the award. as: a natural person (i,e., u;nreliltedto
any busih�e8s or nonprofit organization that he
or she may own: Gr . -Operate., in.his:. o :herna.m:
J. r q.)A
C
t OMM'.E�RCE��.-s:�ib,.m.j,ts.1Ait n I I
i torr .at Onb
: e. Wf
I. I of �11 -;Gi'ran pes
2
:E
C. NAT0I
:1NI ,R. -.:E -..M N 7. F E D E'R.A.,:L WDISCRfUlt
req,
: : 1 -.1.: Y de.
�lents,IG11 ME
pliz ble.ON 1 3
G, rantee will complyw.-Ith:;: an a,* a --fed;-barat.mo: -ds bo i wre
n 5 h �..
1... 1.-W
crlml:na,in., Ud
7789d):
'r Ac. 8 (42: US §.;X
the .Omnibus ; C rim'e C antrol Ac S Streets t of 196
0 the Victims of Crime Act (VO A) of IU4 (34 U. .C.
the Juvenile Justice and: Detinquency- Preventim Act, o -f'.200.2 (42* U.*&C. § 5 72(b)i
11.
t tWial go against
Grantee also ensures compliance with Federal law pro -hi -bit 'Ing grant rec'fol:etms-'from re .1n,:*
t
,r It -t
individl.lak taking action or partiCipa. ing-in action to SeCtIre i9l s protested oeoted., by.fedbra I. I aw lafornnation.
abo:L,it civil. rights obligations of Grantees can be found at �7/AVW-W.;ojP.(Lsd :j: .0V/0cl 1.
9
DocuSign Env -elope ID: 8:C827407-7.D4B-4IFS-8:FB;8-B3712FA4AC4C
FE IAL TERMS AND bN.01 TIONS
GENERAL GRANT
FEDERAL FUN DIS:
28. FRAUD AND OTHER LOSS REPORTIN.14
Grariteie shall report in writing all known or suspected fraud or othef[OSSan o f yfun d, I s or other property
: y
furnished Linder this Contract immedlately or as soon aspracticable to the: Commerce Represen;tat`
Ive
identified on the -Face.. Sheet,
29. GEN*ERAL. APPROPRIAT[ON --LAWRTRICTIONPIE�
IS ON'TH, L F UUM"'
E 8
I ..... E. :, O DERA,
e
The Grantee and a S b 'tee a t a ny filer, must cafe ly res: rildtions. b
any u� igr n p with. alf. plij.
an the use: of
Feder iI fu hd s sef out in
Feder alappropriations statutas,.PertheAt 'restrictionsstrictiOnS lud' fir
or ou
S:
general provi.slobs" in the Con.So;
J[dated Appropriations Aat, o1 are set
mgut:
're Ice
R -d dbyyr
ttltau// Ll dinq rictions.him
.P1L.,qOV/f n I _'JE. lore/FYI P ations: est
e: c q
p -ate
r
here.
S
ien. hould'a question arise as to Whether a Particular use of federal funds. by amci en (ora su, melple,
nt)
would or might faill within th.e scope: of an apprG riatiOns-law restriction: the recipient nt Is o contact.
tp:
COMMERCE for gUldan: 'ance, amay not proicead wltftout the express prior- wp ritten aval o.f
COMMERCE.
30. GRANI MANAGEMENT
-h re pan e for an anxi te 'an, c
;P hatl f --
The: Representative fdr eacb. of .'t �e 1' 8 -b'..e " * , *
and th 11 be C t� pers:
On.for
.
in s.- gard n e
-no,
81*11 COMMUnicad ns a - d bill' g the performa bf thip. brant,
b. n, f 1 .9 rle ran,
m "d 110fiedo' F
�i at e or r
Thi Re ' ' r .. .0 �r :.en I t h e fi�i a. b Sheet
Preser. t. M. f
_.o
of this Grant.
The Representative for the Granae and. ltheir -cantaot Iformatiion .are id n., i
fi6d, h the F 4: N
ee
of this Grant,
DoCUSign Envelope ID-,, 8C827407-70484DF5-8FBB-B371�2FA4AC4C:
SPECIAL TERMS
ANP!G0ND*lT1:.0N
GENERAL GRANT
FEDERAL FUNDS
-s u:
c i ns
.n
es a e. -ze ifi
insur
The Grantee shall provide:, COMMERCE. s..requ t c
opl: of in
-ce J tr m
n. s a rt. 0
from the insurance issuing agency. The
copies or Certifications shal-111 show the [neora:nce covi. -'ge :the
era,.
designated beneficiary, -that : COMME.RGIE
who is covered, the amounts, the period of coverage,,-an.d.
will be provided: thirty (30) days advance written notice of cancellation....
The Grantee shall provide insurance coverage that shall be maintained in full: force and effect. during:
the term of this Grant, as fellows:
C ro, I
Com,mercla] General Libb1:11[ty. 11risuranc"..e.. P1611. Y, P V -de- a (,onim.erd][W 'General� Li, bitity
�a i
C.U., fity
0
. . �.. v � -:6 ur adequate-
tnsuran.ce Po.fi ot. V8 ' uAl 11mollfit wrift,
y; in ot. �yl e.m.h.-an. cc rence:b SAI
q
tA lty-:
t sin a a p.cliv., -S
to Protec, agafilst leg
ll Out of �Gr t 16
$t 000
0 er
occurrance.. -AWti6nallh rar
eis
respoas.(�41fbr on-s'tj nIn that
any.
Ato
r Provide: acl:e,.* uate i. pr e a�.
,q nsurance Carer qqw:.tes S
ove, .. e:fi, the .9 0. t of
su:b�gra:n:.ts/SLI'bco.n:tra:cts,
An EEOPisa.,co.m1prefiensive d:ocu:iMent that analyses edp4:ed. re; vtia
n
t Lahr:..a:r4k0-e.t da a., a. Well
b 1C
I -o S 1. b, fe 140-n W a
as the reciplent's em:ployme:nt practices, identify
p
rs, to: the I Pat
Of' Won nd
V :1rQ0
.0 1
m q
minorities in all levels of a reciplent's workforce, As a recip.jent of D J ftMiding: e r
submit an ESOP Certification Report or an EEOP Uti[ization Report to the OCR.. der .rnp
re inform:atpon
e. s
on whether your organization IS su-bject. -to the E.EOP reqtlfrianleq sj ee
httos.-Hoia.goY/abqo ut/ocrleeolp Jitm.
Additionally, you may request technical' sist-aace from an: -t-:.EO.P specialist at OCR .by �te: eph on
mEe
at (202) 616-1771 or by e -ail atusdo
E0Pfq[rns@ ,,gov c t OP C -EECertifi:wti ri f ofm:
dee hime.ii
34. MEETING THE REQUIRWENT TO
SUB M R FMN - DISI G.SOF Ot CRI .0
. ... .. .. M ATI N
S P -e
If in the three year rjor to the. e grant ti: h s
date of the gra.R.-awa your or
gAniza o:n. a oe A an oidverse
.d
-fincling of :discrimination based on :race, Color, national oilgin., relig'i
on-orseg, r a die- process
atl' '.q.y. .
hearing, from a state or federal court, or from : a, state or federal admoinlst
r. Ive agency, your, 0r ar i ation
must send a copy of .the finding to the. OCA,
Grantees must also inform COMMERCE of this finding,
11
DocuSign Envelope ID. 80827407-7D4B-4DF5-8FB8-B3712.FA4AC4C
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT'
FED,ERAL FUNDS
COMMERCE is respom1ble for submitting MOA and for manito.ring: comaplimce of"G hteos...,
3:6. NAT11,9NALENVIRONIVI.E.NTAL POLICY ACT
37, NAIIONAL VOCA TRAINING
As applicable, The recipient agrees to ensure that at least One key':grantee rids off[cla: afte�'the annual
a [or
VOLA National Training Conference, Any recipient unable to. attend must g. t Pt approval by in
writing.
t
t
Gt.
COMMERCE attends this: tram .ng to meetbiis federal r ent ..6 0 h..,'LlI:d :,ho.,' n o tend
QqUirem h e*s s, 0
t
the training event, :attendance J, te.jj I...W...,
Isno. . 91bl''.
DocuSign Envelope ID: 8C827407-7D4B-4DF5-8FB8-B371.2FA4AC4C.
P' IAL TERMS: ANDC -NDITIONS:
OENERAL G.NT
RA
FED"ERARL FUNDS:
M
'E:
IN
41. POTENTIALIM.P0§1TION OF D:' -IT10N u*tRE
- - ---- A 1D AL, Rt*E TS
proceaures.
........................ . ...................... - .. ... ..................
. ........... . . .. . . ...................... ...
MID U $
PIROFICIENCY N -::0
42. PROVIDING SERVICES TO LIMITED, ENGLISH :
m
43. QUARTERLY PERFORMANCE REPORTS
(and, as, necessary :require. s ec mts- to SL .11)
As applicable, The recipient:agreea to submit
ub r jbhl
quarterly performance reports o.n the performance m; r
etrics Identified bv OVC, an.d in the manner
required by 0VC. FS N ii-iform.ation on the activities suppoftd ;ndmill .assist fn
e.. by -th e award fu
13
Docu.Sign Envelope IQ: 8C8.27407-7D4B-4DF5.8FBB-B3712FA4AC4C
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
FE RAL FUNDS
asses -sing the effects that VOCA. 'tic th Assistance funds have h.a:d. OR services to cr[me vie Ims. -within
the jurisdiction,
vi ft.s
Grantees� submit this1b.formation: to COWERCE '�i I f6 Net. COM
n MERCE
OW
If providi-ng direct services or outre
-u 1: the - trifo-Niet data
aoh-,. the :range shall s-bmitsdaw: quarterly. h e.
il'at' e
-and N:eg,.I:B:c I "t
d
collection system, relative to the: proviston of C.A. V'1*0:tJ+M&:o:f Chi: : abuse I � �i v.
services, Report data w1.11 be due in InfoN:e:t:no later then the fifteenth day following, the end of each
quarter,
The Grantee shall submit non -personally identifying demographic service and
compliance data
required by state funding SOUrces in the InfoNet data collection system. The -Grantee shall -maintain
dOCUMentation and records that support the data reported. in. 1.nfoNet.
The Grantee shall establish and maintain written: procedutes forth -s--4. -Y * f I f Net' L18-6 �.8t. its I site.
writ._6 h
it.Q.,
Procedures shal] include:
DocuSign Envelope !D. 8C827407-7048-4DF5.-8FBB-B 712FA4AC4C:
SPECIAL T ER AND ONDiT"
AGE'. RAS .RAT":
, REPORTINGPOTENTIAL FRAUD E NA�: �� SIMI MI� "
49. REQUIREMENTS PERTAINING TO PROHIBITED CONDUCT RELATED TO TRAFFICKING tT�
PERSONS INCL.UDIAIG REPORTING REQUlREMEFdTS' AND fiJP AUTHORITY TO T�RMtNATE
AWARp
15
oocusign Envelope ID: 8CB27407-7D48.-4DF5- FBa-B3712FA4AC C
EOIAL TERMS AND CONDITIONS
GENERAL GRANT`.
16
DocuSign Envelope ID, 8CB.274-07-7D4B4iDF5-8FB8-,33712�.FA 4AC4-C
SPECIAL TERMS AND CONDITIONS
GENERAL Q
RANT
MPERALFUINDS
. A
the Government Performance and Results Act (GPRA) and the GPRA Modem Ion Act
...,:& 21010 d
other applicable laws,
Grantees report data to their COMMERCE grant manager at.,I":enln.a.-oste:rman.@com:m::erce.,Wa,.,9�OV.. S60,
Special Term and Condition. COMMERCE will 1 1ill report: this data to, OJP,
CAE Ptd. 55. REQUIREMENT TO REPORT POTENTIALL' D UPLI TI �V UN DIN G
Y
COMMERCE. m,ust* notify the DOJ awarding agency (OJP: or O'V'A, as: appropriate In of �g
o
w n. f U-4
Potential duplication, and, if so requested by the
0J awarding age,cy., mist s
eel. a bU."d et,
modification or ch ange�of-proj e ct-s cope grant d.j "t -notice (GAN) to elIviinate:any fnappro te
duplication of funding, inappropriate.
17
DocuSign Envelope ID: 80827407-7D4B-4DF5-8F88-B3712FA4AC4C
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
FEPERAL. FUND,S
No recipient or subreciplent ("Subgrantee:") under this :award or entity,
that.reoeive'S a prptrenert
contract or subcontract with any funds unde'r this award, may roq-ulreahy em 'I 1-, 0 r t'
I ployee or c. ntra 0: �O
t
sign an internal .confldentiality agreement or statement that prohibits or. otherwise resfr* ts., or:purports
to
to prohibit or restrict, the reporting (in accordance with: [aw) of waste, fraud, or-.a.b0art :uS..e. t -Inve,
'st-k
a"Alve
or law enforcement representative of a f6deral department: or ag.emy authorlzod to roceive. -S'uc:h
in -formation,
The foregoing is not intended, and shall; not be undersjod:bye ageacy:Makingthis
awarcto
contravene requirements appHcable to Standarld Form; 312. (Which r fateS. to classified in -formation).,
*I s S'ifiedI
Form 4414 (which relates to sensitive compertItiented infb tinY other issued by a
t
rma lon), or
federal department or agency governing the nondisclosure of c.l.ass'ified:ltif-O.rmation..
1. In accepting this award, the redpient—
'
a. represents that it neither requires. nor has required internal confidentiality ag-reerrients or
statements from employees or contractors that currentl r prohibit or otherw1se GUrrently
restrict (or purport to prohibit or restrict) employees or contractors.
orn repo stir
fraud, or abuse as described above, and
b. certifles that, if it learns or is notified ed that It is or h been reqw ti. h , g its s. emp oyees. or
contractors to execute agreements or stat.eMe, r n.tS,that Prohibit or citherwise. restrict - (or
purport to prohibit or restrict), reporting of waste, fraud, or abuse as de$ri
o :b:ed above, itwill
18
DocuSign Envelope 10: 8C82:7407-.7D4B:-4:b:r5:-8-FB8-B3712FA4AC4C-
SP
N ECIALTEWS AND C0 D.-ITIOUS'
G:ENER-AL:G..R-'-AN.-T--.
FEDERALF U- :L.-Aj.F
. UnQ
60. SUBCONTRACTOR DATA COLLECTION
Grantee will submit reports, in a form and fori-nat to be provided by COMMER'CE. and at interval.sas
agreed by the parties, regarding work under this Grant performed by SUbcontractors and the port
, on of
Grant fUnds expended for work peiformed by subcontractors,, i:ncludi.ng: but, not necessarily limited to
a - tors U: c cto:.,,. sh:-
m1nority-owned, woman-own:od, and. veteran -owned bU,-s-Jnes�s..s.ub:co:ntr q "S b tract rs.
all
mean subcontractors cif any tier..
61. UB ANT AWARD REPRT' ISAR)
Ylt-. OVC.fi
A
-t (R h- -:SL(b t V
The reciptent. �m'ust sub.mita SLub;q'ra'.nt.AW' Awarddeport0 J I. �.0: each C
or
0..
ni
Victim assistance fu:nd'�, within n ety. (90.) drays Of awarding fUnds to l the sured Ient' R ed piqqts.. ' M .0St
submit. this Information thrOLIgh the aUtOM�a aced d* System,
Grantees SLIbmit this information to COMMERCE., who then . submits this 'hformat[on to OVC,
1:9
DocuSign Envelope 10: BC82.74.,0!7-7[)4�B-4:DFS-88FB8-B3712.FA4AC4C
SPECIAL TERMS AN17D CONDITIONS
GENERAL GRANT
FEDE.RAL FUND*$
63. USING. ARRESTA ND CONVICTION RECORDSIN MA.K.[-,-N:!G EM: LOYMENT DECI 10
P S NS
: �
While organizations may. take into account a person's recentcrit-niftal hist-ory in-fi Ing posi
:TO:ns that
I
have contact .with vulnerable populationpopulations,whIch-m.ayinciude children, people with S%:
evere. ment
al or
physical disabiliit ies, or survivors Of Sewa: -a :d other vioten,:t c;n"mos, reciple should' ssaul't an
ntss 0, d be
mind:fql
thatthe misuse of arrest. or conviction. rec -yrnent or em
-ords to screen. elth. I!- applicants for emg[o
e Ica
plolyees:
for retention or proMotion may ha Ive a cusp aIe in a.ct; . -
d on rice or na.00-nd origin, resufti
ig in
.2.0
DocuSign Envelope ID: 8CB27407-7D4B-4DF5-8FB8-.E33712FA4AC4C
PEG AL TERMS AND. CON DITIONS
GEN'ERAL GRANT
FEDERAL .FUNDS
unlawful employment discrimination. In light of the Advi.so'ry, re 1 1: nts ho Id c 'nsdit
c1p,e s W 0 u local: counsel In
reviewing their employment, practices. If warranted, rediplents should a1so incorporate an analysis of
the use of arrest and conviction records in their Equal Employment Opportu n ity Plan s (EEO $) (see
below).
64, VorCA FUNDS
As applicable, The Victims of Crime AcL(VOCA). of 1984 states that . VOCAfOods are ,available daring.
the federal fiscal year of the award, plus the following three 'll sca:[yearsp Atthe e.nd. of*-th* VOC
t '
'0 '
funds will be deobfigated. OVC:ha-s no discretion to permit ex-tansions'beyo.nd the 'Statuo ry period'}
(E.g., VOCA funds awarded in FY 017 are available until the end ooh. on.
e, s period -he .to. the:rant.Perlo.
COMMERCE maniag s, thireqw,J rement,.. Grantees Must d re.
the Grant Face Sheet
65. VOCA REQUIREMENTS
* Applicable federal and state of W,ash,ington statutes and requ'lations
* Special Terms and Conditions
• General Terms and Conditions
Attachment A — Scope of.*Work
► Attachment, B. —BUdget
Attachment C — V16tims of Crime Act (VOCA) Program Rule
• VOCA Victims of Child Abuse and Neglect Initiative Application for Funding as SLI and
approved by COMMERCE
21
DocuSign Envelope ID; 8C827407-7D4B-4DF5-8.FB*8-B3712FA4AC4c
GEN.ERAL TERMS AND CONOITIO.N.8
GENERAL GRANT
FEDERAL FUNDS
1. DEFINITIONS
As used throughout this Grant, the folloWing terms shall ha*ve the meaning set 11 forth below:
A. "Authorized Representative" shall 'mean the Director and/or the des1g:.nee authorized: in. writing. to.
act on the Director's behalf.
B. "CO MMERCE"sheill mean the Departmenf of Commerce.
G. "State" shall mean the state of Washington,
2. ACCESS TO DATA
In compliance with RCW 39.26.180, the Grantee shall provide access to dat this
g,en.e under thl
Grant, to COMMERCE., the Joint Legislative Audit and Review 0he tat:
Corer ant
. Offl e of the Stat
Auditor at. no.additional cost.. This inGfudes access to aill 1:
9
nfbrm. �ation that support the: ffndi.q S
conclusions, and recommendations Df the Grantee's reports i n CoMput'er; rnodo..J.' 'a 'e,
including Udtflq. .. h.d th
*
methodology for those m.odels..
3. ADVANCE PAYKENTS'P.110HIBITED
No payments in advance of or In anticipation of foods or services to be provided under this Grant shall
be made by COMMERCE,
22-
DocuSign Envelope ID: 8C827407-7D4B.,4DF5-8�FBB-B371.21-A4AC4C
GENERAL TERMS AND CONDITIONS
GE.N:E:RAL GRANT
FEDERAL FUNDS
4. ALL WRITINGS, CONTAINED H,,.EL.R,EIN
7. ASSIGNMENT
Neither this Grant, nor anyC1m
a I , 1 afl,s in under this Grant, shall: be t.-ra,..n:sfe:..rre:d -ora
:
signed b
y the
Grantee withou
A pilar wrIften dons at of'COMMERCE..
.2-3
DocuSign Envelope ID: 80827407-7D4.B.4DF5-8FB8-.B3712FA4AC4C.
-GENERAL TERM AND COND
GENERAL GRANT
FEDERAL FUNUS
3. Are. not presently indicted for or otherwise criminallyor Civilly- charged by a q'overnmental
entity (Federal, State, or local) with commission of any of . the offen$es enumerated in
paragraph (1)(b) of federal Executive Order 12549; and
4. Have not within a three-year period preceding the, signing of this brant had one ::or :more
public :transactions .(Federa-1, State, or local) terminated fol` of.defe
Where the.- Granteelts. unable t . c M-ff to, any
tsi -G,n this -t the.
a. of the statemen' grantee s,hail
attach an explanation
tc thtsbrant,
t -o v re
C. The Glrantee� agrees. by signing this Grant that. -it shol[not khowin �:Ontp rJer e'
gly .,.r into an,y,. w . e t4
transaction with, aperson who Is debarred, suspended,.:zdeclared' lndfl.,., 1-oryow
i: Bd b
from participation in this covered transact.10n unlesstou h r' z y COMMERCE.
D. The Grantee further agrees by signing this Grant. that it gill 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 cove -red transactions:
LOWER TIER COVERED TRANSACTIONS
11, CO.NFIDE,NT'[A:LITY/S:AFEGU: ,A-R.D,�,I:NG OF I.WGRIVIATIO
N
A. "Con-fidential [Morm-8tion' as tjs*e.d In this. section in"'M.,I - �-d:
P.
24
DocuSign Envelope ID; 88827407-7D48-4DF5-8FB8-83712f:A4AC4C
GENERALTERIVIS AND-:CONDIT10;NS
GENERAL GRANT
FEDERAL FUNDS*
Grantee shall make the changes.withJ
n. thei.. time ped pe. 16dbV. -CO M M ERGE. U n reqUett
period i s, qfi. pol.
the Grantee shallImmed[*tel :
a y return to COMMERCE -any 6.0tifid'ena Inform atio ;that
COMMERCE reasonably determines has not been adequately protected by the Grantee*a agatnst
unaLlthorized disclosure,
C. Unauthorized Use or Disclosure, The Grantee shall not 46ur h
notify C01VIUERCE within. twenty Ours
.fa I
(one day), of any unauthorized use or disclosure of any confidential in rmationj and shall take
necessary steps to mitigate the harmfu]: effects of such use ordisclosur.e..
12, COWLICT 01F.INTEREST
In the event this grant IS terminated as provided above, GOMMERGEshall be entitle to, put sue., the
same remedies against the,Grantee as it could Pursue In the event. of 4 breach of the;.,
contract by-.:th%--
,.-: 11 ,
Grantee., The rlqhts and remedies of COWERCE'Provided for th.thIs. clause. ' .sha not beeXclusive
and are in addition to any other rights acrd remedies provided by law. The ,.existence::of facts upon wh1ch
ha[
COMMERCE makes any determination under this cruse:s .1 be an. issue:and may be re'iewed as
provided in the "Disputes" clause ofthis, grant:, v
13. COPYRIGHT PROVISIONS
n' -id e. , f I '
Unless otherwise provided, all Materials produced under this. Grant shall be W sed rd W Irks ks r hire
as defined by the U.S.. Copyright Act and shall be owned by CWMER.., COMMERCE shall be
W
considered the author of such Materials. In the event the Mwaterlilal$ are -not consi- ered " ork's for hire"'
i:
under the U.S. Copyright laws.,, the Grantee hereby irrevocably asslans all r'ig.ght title, and inter tfln all
Materials, including all lntellectu�al property rights, moral rights- ad rights to'.0 00 M M ERGE
-.nhts:of:pubficit
effective from the mornent.of creati'n of such Mated is,,
Q . a
"Materials." means all items in any format and Includes, but, Is not H .,
Inlite.d.tof data, report s, documents,
pamphlets, advertisements, books, rnagaz*lnes, ..surveys, studies,. corn.puter pro,grarns, -ilms tapes,.
r
and/or sound reproductions. "Ownership"' includes the.right to capyrt fit, pa -tent. regi. . ster-and1he ability.9
to transfer these rights.
For Materials that are delivered under the Grant, but that incorpor6te - pr*exi tP.
. e Is Ing materials not
produced under the Grant, the Grantee hereby grants to COMMERCE a nonexclusive, royalty4ree,
irrevocable license (with rights to subliGenseto others) in :such Materials to translate,r eproducek.
distribute, prepare derivative works publicly perform, and pLibll y display.The Grantee warrants nd.
ra a
represents that the Grantee has all rights and perrnlsslons,� including pi. rt I
9 ope y rights moral
rights and rights of publicity, necessory to grant -such a -license:: to COMMERCE.
DocuSign Envelope 11): 80827407.7D4B-4DF6-8FB8-B3712FA4AC4C
GENERAL TERMS AND GONDITIONS.
GENERAL G
RANT
FEDERAL. FUNDS -
Except as otherwise provided in this Grant, when a dispute arises between the partles: and
I't-cannotbe
resolved by direct negotiation,. either party may request a dispute hearing with the., Director of.
e l
COMMERCE, who may designate:a neutral person to decide the
dIspute.
The request for a; dispute hearing m;u.s.t:,
be in writing.,
state the disputed iSSL(eS.`
state the relative positions of the parties;
state; the Grantee's name, address, andCo t:t ber:and
n rac nu rh
be mailed to the Director and the other partys (res-0.0ndent's.) Grant Repregentative. within three.
(3) working days after the parties agree that thieyc`an.; -not re -solve the dispute,
The respondent shall send,a written answer to the reque8to.rs statement to both th,e.::D irector or �the
Director's designee and therequestor Jwith e n fire � (5) workin d
.9.
temehm:.- e W ".6ft parties With[h
The Director,or designee shall' review th-o, written stat t 0 h':J i i 'b
9
-b
_1 epi ry ;y..
ten - (.10) working days. The Director. or designee may extend this . . .1 I � IT' ne S-� Ott the
S
P. .y ,
parties...
The decision shall not be admissible in any SUCceed.1hg ju,;Idiclal'�Or kjudIda. P
qua : so k -f" 4 1 roqeedl. rl.9..
;
The parties agree that this dispute
process shall precede any action i n a 1:udI.i Cial or qu asiJudi
tribunal. I :
Nothing in this Grant shall be construed to limit the parties' choice of a:.mutually .-accepta;ble.:a,lt
ornate
dispute resolution (ADR) method in addition to. the dispute hearing procedure outlined above.
15. DUPLICATE PAYMENT
COMMERCE shall not pay the Grantee, if the Grantoe has -h, d ''r wit! fia -.0. the Mato: Of
c.ar e! 'o C. . r
9..
Washington or any other. arty under any other Grant subgrant/sqb-contn�ct a ornen't fb
P Or. gre
same services or expenses.
r the
16, GOYS RNING. LAW A.K0 VE.KUA__
This Grant shall be construed and Interpretedin accordanoe with the laws: of the.9
- state: Washington,.
.
and the venue of any action brought hereunder shall be in -the.:Superior JIor
Super" Court forThurston County:.
17. INDEMNIFICATION
To the fullest extent permitted by law, the Grantee shall indemnify, defend, and hold harmless the state
of Washington, COMMERCE, agencies of the state and all officials, agents and employees of the-sta•te
from and against all claims for injuries or death arising out of or resulting Vo
rn the .perf.. of the
airn su :8 . Ctl 1 0. n, J
contract. "Claim" as used in this contract means any financial loss,. . . damages o
ala r
expense, including but not limited to attorney's fees,attributable for bodily - ii�jtiryj suicknes - disease, or
death, Or injury to or the destruction of tangible property incadi g loss .,ofuse ro ulfiIng tl-
Qfr
M.
26
DocuSign Envelope ID: 8C827407-7D4B-4DF5-8FB8 B3712FA4AC4C
GENERAL. TE;US AND CONDITIONS
CaNERALGRANT
FEDERAL FUNDS
27
DocuSign Envelope 10; 8CB27407-7D4B-4DF5-8FB8.B3712FA4AC4C
GENERAL TERMS AND . CON DITI.O.N.S
GENERAL GRANT
FEDERAL FUNDS
refusal to comply with any nondiscrimination law, regulation or! policy, this Grant m dihded
ey be
res..
canceled or terminated In whole or in part, and the Grante*e be declare ineligible for fu he:r:Grah-t8
may rt.
with COMMERCE. The Grantee shall, however be. g "we I :n a' r nahle timeiwhich to
-cu
re this
noncompliance. Any dispute may b. e resolved in accordance
.wiffi'the-putes. -re yet is "�procedu -et f rt
herein.
W
i
The funds provided under this contract may not be used to fund re:119" S tmhlpl
ou _ V� exercise.. or.
instruction. No person. shall be required to particip ei.
at n any rI tirdi's or instruction
elgious Worship, ex
in order to have access to the facilities funded by this grant.
25. PAY FC)CITY
0
I
The Grantee agrees to ensure that "simflarly employed, individual 14 6: ts Wo rkf6-r{ce,:ca.r
Opimpen .
as equals,. consistent with the followl.
ing:.
011} A bona fide re. ional di'
evelimust. e.Co. business
.9 ff6r0ahc6 incoinpensa 1* b n Stent
.ty, :c': ':un
necessity; not based. on or derived from a- gende:r-b.-as.o.d.:,di-ff�b,rehti".a:[;
end :acc
entire .differential.
This Grant maybe terminated b the Depa '8irtmenVot,t] a D' d nt:� Of E, P
Y rtment, if the.Dep.. I - le
parer _nterrise
services determines that the Contractor is not In complian': 8: with this r
Q
j.pyisip.n.
26. POLITICAL .ACTIVITIES
:
Political activity of Grantee"s. employees anlrd officers are, I m a
J 'it �d by theZtate Campaign I : .nances and:
'Fi
Lobbying provisions of Chapter 42.17A RCW and the: Fed*eral. Hatch Act, USC '1 I
0
No funds -may be used for working for or,againsit ballot for br again'st -candid:
measures or t..: A acy of�lany
person for public office.
27. PROCUREMENT STANDARDS: FOR FEDERALLY FUNDED PROGRAMS
A Grantee which is a local government or Indian Tribal procu po
government�rnust.establljsh cerement I ;aQ
: � :
and procedures in accordanice with 2.C.FR Part 200, for all purchases kinded I by this Gront.
-
A Grantee which is a nonprofit organization shall establish procurement policJes in accordance: -with 2
CFR Part 200, for all purchases funded by this Contract.
The Grantee's procurement. system shOUld 'Include at.least:the fo
flowing'..
A. A code or standard of conduct that shall govern the Performance of its officers employeesi., or
agents engaged in the awarding of contracts using:fed.eral funds..
28
DocuSign Envelope ID: 80827407-7D4B-4DF5-8FB8-B3712FA4AC4C
G:.EN-ERAL TERMS ANOCONDITIONS
N:8:R'A-L GRANT'
FEUERALFUNDS .
B. Procedures that. ensure all procurement transactions sha.11. be conducted In a
manner to
provide, to the maximum extent practical, open and free. competition,
C. Minimum procedural requirements, as -follows:
1. Follow a procedure to assure the avoidance of purchas"ing unnecessary or OupticatiVe
items.
Repayment by the. Grantee of funds under- this recapture provi I haIVOC.Cur wit 'n*t e.;':
+ islon s h. i, tune :period
r tu :such f tids;- fro'm'
specified by COMMERCE. In the alternative COMMERC
may W.ao: res 0. payments
due Linder this Grant,
30. RECORDS MAINTENANCE
29
DocuSign Envelope ID: 8C8274Q7.7D4B-4DF5-8FB8-53.712FA4AC4C
GENERAL TERMS AN*D. CONDITION.8
GENERAL GRANT*
FIBIDERALFUNDS
31. REGISITRATIONWITH DEPAR-TIVI-ENT 0P. REVENUE
If required by law, the Grantee: shall complete re IstratJon w the W`6 sh6n:gt' Stae.D par mn of
Revenue,
32..RIGHT OF INSPE
The Grantee shall provide right of access to its facilities to:C0'MME-RGE of
Ony.,.p, i officers, orto'-Ariy
other authorized agent or official of the state, of: Washington or the federal *goVermP.ntt dflreasonable
.
..h. a.
times, In order to monitor and evaluate performance, compliance, and/or qualit
y assurahoe under this
Grant.
33. LAVINgLS
1'
In the event funding /turn state fedpral,� orother source is w.fth:d!r.aw.n:, red.:Ubb.d -limited :way.
or
M:- any
.after the effective date of -tand Grant prior to normat co.m...' 10 -tion C-1 t r inate: the
P: .0,1VIN,ERCE M Y OM
em-ent..
e without: the 410n. d,.-:.ar* da'ynoti el
Grant under ; the '7ermination for Convenience" Claus
ic e
uir
r
_q
In lieu of termination,.the Grant may :-be amen-cled to.refteotthe f d"' --.nd condf Jon,.&
new n ing,lim"tat'
JA -.1oas au.
34. §.EVERA81LITY
The provisions of this Grant are intended -to be Severable. I'f'.*any term or provision is iilegai or invalid for
any reason whatsoever, such illegality or invalidity shall not affect the validity of the remainder of the
Grant.
35. SITE SECURITY
While on COMMERCE premises, Grantee, its agents., employees,, or $ubQ.ontraJ:;`tors: shall conform in
n
all respects with, physical, fire or other security policies or regulations.
36. S US GRAN TINOMUSCONTRA.CTIN G
It
't warp contemplated this Grant if it obtains the.priorvr'
The grantee may only sub.Pontrac 0— en
approval of COMMERCE,
If COMMERCE approves subcontracting, the G-tantee shall main:�tn written Itte,
an procedures :re ated to
subcontracting, as well as copies of all stibcon1racts and r'c* r'd la ed to. subcontra.o.t.s: For. cause,
o o s re t
COMMERCE in writing may: (a) require the Gran -tee to amend its subcontrng procedures rocedure
8�c
s as they
relate to this Grant; (b) prohibit the Grantee from subcontracting with a, particular person .orentity; : or
(c) require the Grantee to rescind or arnend a Subcontract.
Every Subcontract shall bind the Subcontractor to follow all applicable terms of this Grant. The Grantee
is responsible to COMMERCE if the Subcontractor falls to comply with any applicablo term or condition�
:
of this Grant. The Grantee shall appropriately monitor the activities of the Subco'ntraGtbr to assurefisca[
....
30
DocuSign Envelope ID: 8C827407-7D4B-4DFS-8F[38-B3712FA4AC4C
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
FEDERAL FUNDS
conditions of this Grant. I _t
In no eve the�ex` ce ontra rwe I �,O
Isten of a su:bc A br, ejude
performancoWth,o Q
the liability of the Grante*e to COMMERCE for any breach Inthe : onee, s.: duties..
Ing: 0 TO 1711,
a a Wil a
Eve:rysubcon-t.ractshall.'Ihcldde' tetrn.th t COMMERCE�.�and the, state Wha-�*
.Jk* ble for.
Claims or damages arisin brman. e of the. subcontract.
g from a Subcontractor's per�f C
37. SURVIV'.
The terms, conditions, and warranties contolned In this Grant that by their Sense and context are:
intended to survive the completion of the performance, cancellation or termination of this
so su . rvive. S Grant shall
38. TAXES
All payments accrued on account of payroll taxes, unemployment contributions, the Grante.0. Mcome
or gross receipts, any other taxes, Insuranbe or ex-pe.115ess"1b staff -s-hall bo th spie
r: the grantee �:or"Jts
e
responsibility otth,.e Grantee,
31
[Docu,Sign Envelope ID: 8082,.7407-7D4B-4DFS-8F,E38-B3712FA4AC4C
GENER TERMS AND C. ONDITIONS
Q.ENERA-L GRANT
FEDERAL FVNDS
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 such
determination shall be a dispute within the meaning of the "Disputes" clause of thisGrant. COMMERCE
r
0 d
may withhold from any amounts due the. Grantee such sura as the Auth r!ZeReprelsenta tJve
determines to be necessary to protect COMMERCE against pot a: loss a j
potential s or liability,.
ll.-ty.i.
The -rights and. remedies of COMMERC—E provided' In this. section sh II obt: bo exclusive ah.
em je xc. Usive. and. e. In
addition to any other- rights and remedies provided by I-aw orunder this contraot..
After recelpt: of 8. notice of tOrmiloation, and except ..as.....:-affierwise. &-rected: by -th:e -Authbrized.
Represental.tive., the Gtahtee shall:
i
1. Stop work under the Grant on the date, and to the ext'nt spec"ified in -the lnotice-,
i
necessary, 0.•S t. " t
7. Take such action .,as may be ra the AUth.oflzed, R-:' ptesen',a, d':'
e
h4l.iye* rn� �y direct, for the
protection and presarvation of the properly retatedto:this. Grant which t isfn ..he. 00 S. sS S-0
.6f the
in*
Grantee and in Which COWERChas or -a tere.st.
r may acquire in
42, TR ,AT_ F.ASS:..E'TS
32
DocuSign Envelope ID; 80827407-7D46-4DF5-8FB8-$37-12FA4AC.4C
GENERAL. TERMSASID .CONDITIONS
GENERAL GRANT, -
FEDERAL FUNDS*
D. The Grantees hall surrender to COMMERCE all property of COMMERCE PtIor to.-.-settle.-ment ' u
completion., termination or canballatjoof this Grant pon
h
t
All reference to the Grantee under this clause. shall 81 -SO indUd*e �G.ran- ee.' dye.es agents o..,r
Subgrantees/Subco.ntractors. emp ..t.8
43. WAIVER
Waiver ofany e Wbuit 0 rbreac-h-sha.linot.be-de'm:edtobeawa. erofany. s�ibse:que.ntd-..ef.auIt,or- b.re.:ach,
iv:
Any waiver shall not be construed to be a modifli cation: -.Of' the terms of this Grant unless stated to be
SLIch in writing and signod, by Authorizad Representative of'COMMERCE.
33
DocuSign Envelope ID: 80827407-7D4B-4DF5-8FB8,B3712FA4AC4C
ATTACHMENT A.
SCOPE. 0.17'WORK
VOCA Vitetilms of Child Abmse .'an.0'.Nefec' tIre -itib- t'
Ive
9:
07-1011202.2 0'. 02.3
Grant County Juvenile Court shall furnish goods and services necessary to alocomplieh the activities
under the VOLA Victims of Child Abuse and Neglect hitiative grant funding during, the gra ntperind.
This Grant is not a benefit or entitlement to the Grantee. It is. not to be used to aoqijire property or
services for the federal government's direct benefit. The principle i c4ple p:urpose of this Grant 'I'S to provide
funding for Grant County Juvenile Court to: accorripi.ish
I a puNl
c,�pQrpose..
Funding from this Grant must. inth
be.used to support the, services outlined and a,.pprov :a - e* VOLA.
e
If ..t*
VIGOMS of Ch[ld Abuse .and' Negladt� hittative fu"n',d1ng.:' p . ion,
a . p ica
DAT Q' .11REMENTS
.,A RE U
-e
Grantees will submit quarterly reports on VOCA Victims of Child A,bus and Neglect n 11- iti ti,
, a. V. activities
.to their grant manager. .
Report data w111 be due in InfoNet no later than the fifteenth da foll ing the -end: of each quarter,
Y ow ea
Grantees will also submit serni-annual narrative reports on VOLA Victims of Child Abuse and NeIect
Initiative activities. g
DELIVERABLES
I Reports — As desc.r[bed in Special Term's and Cond[lons
t
2. Vouchers — Must be submitted at 1ast qu.:-rt r y
P,ER.FQ R.M AN C E-MEASUR.E S,
Provision of the deliverables listed -above will be measured, using, the follo*,Wln.g: mbnoe,.�Me- s.u,res
pe.: Qr. a
1. 90% of required reports will be submitted on time
2. 100% of requiredauditswill be completed on time
DocuSign Envelope 10: 80827407-7D4B 4DF5-8FB8--B3TI2F.A4AC4C
ATTACHMENT .13
BUDGET
I m: f C VA u
Transfer of fundlt, betWeen'llne Item O�ud,get c.at.e: :st 'be approved by o I
doe .., -e
gor es U ... he 0: e
dr f 1
e ,c o e:.
Advocacy (CCVA) program, -staff, A cum: I tivb 6,1 - ..i nt f ffieso transfers �exoe.e datn,.g.t-en: .0 �.P.: r .ent.
a MOL :s:
f th
total program. bird et sh,aI I be subject to justification and ne �otiation etwe
entha Ganteea,n-d
OCV&
OCVS:.o. g:::
including approval from the grantee's signature authority an'd the re1ev
en A ectlh Man or.
Travel expenses incurred or paid by Grantee shall be rellrnburse,d-.at a. ratanot to exCee.d..thestate
current
rate and in accordance with the State of Washington Office of' Financla*:I M . ...n ge lent Travel Rgul. ti
e., a Ions.
a'
Current rates for rave, Y be rcess d
at
.��a.gp
hLtp f ri I v./.S.ite�s,"/+""defb:u�it/files/`��` -Dubli c/re o:urce.s/trav-e-1/colo:rm:.a.t...i.,�
§*//Q
W -.1 l-
C�O�Mfry.
E
Any purchase. over $5,000 must be pre -a -rovod. y --E
Pp b R.C.
DocuSign Envelope ID: aQ827407-7D4B.4DF5.8FBB-R3712FA4AC4C
1 A—Dee
ct on laratfon C101MIng Complate Exe.
from.
Mptio. Imment
n the EEOPReq..u...
Please check all the followihq boxes that apply:
t�Qn ' -rl' /I. th
Me
nt A,9:en-c.y.?. -0 Yes
No
AIA
(organiicit.IOn]..,
JOstice Programs, U.S. Departmentof Justice
Name and Title
Page. .,of --11
VOCA CERTI . FICATION I PACKET
Yellow m'and-atoryfield
B::Iue Optional. field
DocuSign Envelope ID: 8C827407*-7D4B-4DF5-8FB8-83712FA4AC4C
e
CartifiCation of Fedel a.] Aw..al.
d �u ments
Pj
funds, A I cants:-�Mu.-$,t; Meet:
Fundin-9 for this rant o8 c.=Prised of Fed-erat V1. CAM.S. OfQri'.. e. Act. (Y.'O;.CA:): fut. SO -M-1:
the followingconditions in order to receive grant funding:
1. Unique Entity Identifier (U'I) from SAM.qov sY stom.
A
To obtain a UEl (without full entity registration in SAM.gov), P1 visit the SAMgov. website
ease v e
0 See Quick Staft Guide for g±1,ttjng
Your. Unicl:Ue Entity.11D (SAMI
0 See SAM.gov I Flonle
This Is a free service
..................
. ...... ... . ....... ......
..... ....... ..... .
.. .... ...
.. ............ I
.........
Y. ldentifier p:
..... ..... .... .
Ur :Le E t
Ag.en.c,y�s.0 iq,U ntJ
EJ)'
......... . . . . . . .
..... . . . .... ..... .. ...
... ... .. .... .
.........
2
;. Audit Requ:freM en.
[e
:nx an.:ntf�a -e
Federal Grant Rm-ds S,Ll,b.recjp* nts-expend-1 ig mo. fe 1 r
$750 000-:o re"In brant rLt d
MY ar
required to secure an audit pursuanttoOMB Uniforni guidance 2: GFIR Part foo, Sdlbpa
. 1 rt F and: are
.
allowed tO UtfliZe federal grant fLlnds to budget .For the audit costs. See Sect": �0
n- 8000 of the:
Subrecipient Handbook for more detail,
Applicantiscertifying it.will comply with this audit requirement.
3. Executive Compensaflon Data
Ces recip:total
n :t MP
I n a S rt he
In certain cirCLIM.-Satan lents fed� Ifun.d: MUSt . .0 d-, o.- .. en t
na 5,
seto-
their:fiO-rri- sthi Irl cam..
z, Joh-s' de nin... A. Y -0 -Li
-qu
V 0: t Pensated exeMAIVOS�. An:s:.*.w..-:e.r::the,,FbI1 wing
have to sttbnlit th,isli:informbfi
a ion....
. . ......... ........... .. ......
. .......... ...... .... .. . ........... .............. .. ........ .. . ........ .. .
-.1 66 t
t r, niZa,r 101n,
agency dd'.`h-- t . . ....
III th-e a: y s precedif '0.' fiscal. year,
P
a) recelve 80 percent or more of its annual gross revenues in Uz-i.-federa-1 contracts,
subcontracts, loans,,
. ....... .. ... subgra*.nts, andlor cooperative, agreeme...nts:
..........
.. .......
b) and $25,000,000 or more in annUal gross revenues from U,8... federal contracts,,
SLO�contracts, loans, grants, subgrants and/or coo -eements.
.... ... ..... cooperative agr
. . . ..... .. ......
V.
. .. ... ... .
Did You answer "yes"A0,,both . 4,a) and :4
If YOU answered yes" to both : CJUestion.s please provide the n*arnes/q.n: s ea . t. io n o f i :. five:
Qrnpe e
(5) most highly compensated executives of the recipient of award funds:
P89.6 2 Of 11
VOCA CERTIFICATIONPACKET
mandatory field
Olue, = Option -al Reid
DocuSign Envelope ID: 8C827407-7D4B-4DF5-8FEB-B371.2F/4AC.4C
4. Internal Revents e Service (IRS) 501(q)(3) Detormlnat.for .Letter
5. Computer Netwo:rks
'0 'ant funds , to mal.. -Maj., or es abl s h:
The applical-ht Lind 'Aq-rsta�nds. and �'agrees that ltcan.not use V C
A iG nt
t n t J
Computer network Unless such network b ocks the viewl
.ring, down. 0. Wti ng: :a�: d ex h.
A, n.- changing of
pornography,
6. Non -Supplanting Certlficatlo:n
%W
The applicant Understands and agrees that no VOCA Grant f nds.w[l] be use*:d to U:PPll.a.: t ex's-tii
s; n f -ng
state, local, or other non-federal ki-nding already in Place to support -cu.: :
rent service.
VOCA.bra
nt
04 `011 of
:tfunds: victim funds will be used to increase the total amount of :- useid.forcrime 1M. al
s:sistance;., V.] latf,
:
the non-supplaritifl:g reqUIremen:t can: re:$Li.lt' in a range- of penafties
lficl.udIil, ng. SL 'A.penp
sn of
. : rut ire
l
.0 dAl an: /ol
thils. gra'nt and funds Ltnder this grant, recoupment of mon:lles pr vided under d rfl i :a:]
penalties.
7. ADA Reclutretnent (FOR NON -TRIBAL GRANTEES ONLY)
....... . .... ................. ......... .... .... .......
By signing this document below, the applicant c. rtifies.th �t that *n th! funds*.
e agency is qualified tb.:r' eine 1, e.- n: s,,,
W.4 -
ed represei t 11 e of th -wit I hereby:ac.'.k.nowliled�g:e�*t.,*.ha.t the a... "Ic
As the duly auth.oriz I at: P11c.,
V 0P,
PP i':sh' Ifl.
Comply with the a-bove requireents. This a,cknow
led. em,e t shall 'be treated Sa material representation
of fact upon with the Department of Commerce,. Office of :C
C ri:m:e Vifdtims Advocapy r wi1t]: -�1 , ety if a :rant Is
Issued,
S
Su1c'3iI.Pa.1-aci*os
,
JUVtn-,ij0
e
Name and Title of Authorized Repre .s.
entative
PagP.3 of 11
VOCA. GE RTlFl.0 -A C
ATION P --KET
e
Mat-ld-OW: Y- S Id
0t 0
P 10-01 ld
DocuS!gn Envelope ID: 80827407-7D4B-4DF5.-8FB8-83712FA4AC4C
CIVII R19:.h:ts:'COrtITICa4".
Tions
2. FederalNon-Discriminaflon Requirements
-s- ay
The applicant will comply with any applicablo federal non discr,iminaMeM
ion requi ,:whic.h
e;
include;
apt recipipats f
f6deral. law prohibiting g
The applIcal-at shall fu'.rflier co I
mp y w.itl Rr- 1 :1' r m.ran
.t Ii tj he
i a. a a .F:
A-
... ......... ... .
individuals ting actibn or pailicipaff ]I in, action .ire --d
Ing :c :cn'to sem :rIghts prolecte.dbyje
eral is
3. Civil Rfoftts Provision. - Prohibition of!:D*iscr:' In t f t Fund
ztfoh TQr R-0-Ciplen.ts o Fed . s:
em
Page 4 of 11
VOrCA GERTI FICATION PACKET
mand-atbr�;fleld
Rbe -
po
l�:.(. *1 o ' tin.81. field
DocuSign Envelope ID; 8C827407-7D48-4DF5.-8FB8-B3712-FA.4AC4c-.
mended, 20 U.S.C. 16-81-1683; and the Age, Discrimination Act of 1975, as amenlded�
c
42 U.S*C4
61011
4. Federal Civil Rights Training
�c. M:
Recipients of financial a sistan-ce m tli:.e De :0 a's VI: tfi S OUG 'Me.M.t.
$J fro Partment of Jim such
(VOCA.) funds, either awarded directly or through another rec'ipa�ie-oht* muo
C 0am
pl:y w.1thb
the.
kd
er
statutesand regulation6that proh,ibit d:Sseri b ' nntton hayed rt, corhon6for inere
JJ9,Jn
in. VOCA-4-unded program or �icfivitl
and disab Ity 4a..4.Q
age S
:&0.
OV u ocr/bGr tr.. n: nq id:
All six Civil Rights training programs. are avallab'I& at
Litta-1101 /abo t/ V S/vid
eo
OCrtrain.i`hg*.,,htri
A A
y tjfic-,atj:O-;n
,e:w the on e least cane e,\t:(, :t si ni, 1h
The. recipient MU -St. V.1 in . raining a
two
'S B: n is c r
-a
ng P V Igh-ts N n.7!Di:scn;mJn;ati�o:n tr i.intac
owled.. ez.ffi.e�, Wow! Of:OJ G1 1-1 RI
the appitcaM,ackn g
5. Motiffeat'lon of FindI �lln:c - of D' . Go
- i's is...01.m[n.ation or% Non:,*
M.P.P.111 OCO
(EEO
6. Equal Employme-nt Op.-portu.n1ty
P)
4 1
The Grantee Is required to ensure compliance with these requir I eme . J-1:
its bv any'fro guran
partner or
participant receiving funding Linder this grant,
p
Cage 51. of 1 .1
V CA ICATIONPACKET
CEIRTIF.,
m -d. U
fi
anda oty: eld
81U,
OPt 00a 1fie Id
DocuSign Envelope ID: 8C827407-7Q4B-4DF5.8FB'8.-B371-2FMA :4C,
C.
As the duly authorized representative of the grante6, .1 hereby certify that Grantee w:[:I,l compl.y
with the above Civil. Rights requirements Specified in this Certification
DocuSign Envelope ID: 808274-07-7D4B-4DF5-8FB8-B371.2FA4AC4C
ipan up
Certif
and V lu
.1cation Regardjmq Debarmentts m, no ig.: Ibility. ntary
EXCIU, s* ito n*
SUhall Palaclos
Juvenite... CourtAdministrat�'():r
............
Name and Tifle of Authorized Representative
S;jgr
Grant County nJuve IC'le .,' Court
of Oro..
1; M,
o
Nal an,za in
'-P0 BOX 37 EPHRATA, WA 98823-0037
Address of Organization
Datbou.
DocuSign Envelope ID.- BC827�407-7D4Br4DF5.8FB8-E33712FA4AC4C
Certification Regarding Lobbyihig
Sub it RalaclOS
an e
Juv 11 :C u t Ad m.- at. r
Name and Title of AuthoflzedRepre-senlatl Ve
ature Data
........... ............ ....... ....... ... . .................
Grant County Juvenile COUA
Name of,Orabga i
n z ion:
PO BOX 37 EPHRATA, WA 98.823-0037
Address of Organization
V CERT FIC
1 ATIONP tt K.
nianda:
loryfield
0 pti
on -al, fi-ald-
DocuSign Envelope ID, 8CS27407.7D4B-4,DFE>-8FB8.B3712FA4AC4C
C
'9 ertification of Suitability to Interact with Particip: t*.n MP
te,
To assist OCVA in monitoring new grant req,u:i'.rem,entsf-orf6,,d,.e..ralf.�t:,,.n-�.,..
las c�.Of this m
P
certify that your brganIzation.. has completed required be -ground -ground'! checks, forall a
.�, : .
.-v Vere
dindividual
"
that interact with any minor mthe Cour$e:oLggdtvjfiles Undory6Urcr employ ,a1d b the rant
s.
Volunteers used as. match under the grant,,: and vOluntee s.., su.pp:prt,[n:g grant -,cover d, it*:!
ddt
..a ti 1. . ep.:
Grantees are required to have documentation that the search. Was conducted,_ and this .s.houldbe
maintained in accordance with your dmlment retention poli.cfes.
Grantee llama: Grant County Juvenile Court
Grant R=ber: P19-31219 7' :
Oc ere
Form
. full list of requlreents.,.Clitk Heret VAPAQ
h
Background checks mustinclude:
q
:S.
0 Public sex offender and child a.bLI:Se:we.bsite;:..s.lr:eg:!,stri,.e.,...,
MI:
nal :0:
0 Criminal history registries and st lar reposi las: of criminal 'histpry records
tor
las cee'
0 An eligible fingerprint searchlback.g.
OUM fteck hay bncoy . P tetefeted.
If the applic@nt determines that no minors will be served by staff being directly charged or sta volu teers
a, :e :n
used as match -for this federally funded grant, the search is I not required.
. qui d.
Applicant hereby certifies that the recipient (arid any SLIbrecipients) h9ve. fed Frith th
COM -P-11 Wie above
regulations, as applicable.
Slignature of:Authori'zed Official
:ail
Name of Author-lized Officla SuhPalacioS
Date
........... ............... .. ...... ...
Pp.ge 9 Qf.1
VOCACERTIRCATION
mandatory
field
Rkb
Optional field
DocuSign Envelope ID: 80827407-704B-4DF5-8FB8-IS3712FA4AC4C
Re -quest for Volunteer Requirement WaIver
.,.*:
y
I ..: V
I am reqUesting a waiver 'fbr:th,.e use. of vofunteersr m pr rc M bOCA 0
P P
Page 10 -Of 11
VOCE. C.E.RTIFI-CATION PACKET
I a a ry
0
31. QOna P'j. .1 f* I'd
. to'.
DocuSign Envelope ID, 80827407-7D4B.4DF5.-8FB8-B3712FA4AC4C
:-1-1
.Pa. 1,1 .0.f.* I
0:.
N PA
VOCA CERTIFICATIO." CIVET
mand.a.toryfield
Bluff' opt -I
onal field
DocuSign Envelope ID-, BC827407-7D4B-4DF5-8FB8-B3712FA4AC4C
WER-Shingtor St
D
DocuSign Contract Review and Routing Form
Office of Crime Victims. Advocacy
ISIX
. . . . . . . . . . . . .
........... ...
Grant
1271 8::* '1 DT
G UFM.e'.M.-�
Jenna Osterman, Proofed di. C 2 2 3 AM P
Maniager
0b]JM Mr
rr
Matched approved Cab] SLy
Section
Nicky Gleason Me ni o end' Allocation spread -sheet
/271202�2 (� X19 PIS RCD.Manager
Reviewed entry and coding in CNIS
Correct template fr rorn IntraCOM. 11
as
(Assistant) been. used
Rick Torrance
ManagingOR 6/2-7/2.10212 j 4.-:381 PM: PDT
n"
0; d W.11-th:
Director CLJ:Me:nt� �ti: nh his- nt.:I q :d'e
: e,
reason or x Ction
Updated 5/25j20A-:)-2d..
Certificate Of Completion
Envelope Id: 8C8274077D4B4DF58FB8837-12F'A4,AC4C
Subject: Please DocuSignt. 0CVA VCAN Grant 1719-31219.476
Division:
Community Services and Housing
Program: QCVA
ContractNumber,*. 171.9-31,219476
DocumentType: Contract.
SOUrce Envelope:
Document Pages: 52 Sig -natures, 0
Certiflcate Pages,: 5 Initials: 0
AutoNay. Enabled
Envelope -td Stamping: Enabled
Time Zone: (UTC -08:00) Pacific Time (USA Canada)
Record Tracking
Status: Ori
. 9final
6/24/2022 8:13:38 AM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Signer I Events
Jenna Osterman
jetina,osterniocin@comm:erce.wa.gov
Security Level: Email, Account Authentication
(None)
Etectronic Record.and 81 :.
gnatwe Dtsclos:uret
Not Offered. via DocuS1gti
:
Nicky Gleason
nicky$gleasoncol-nmercb,.wa.gov
Washington State Department ol"Commerce
Security Level., Email, Account Authentication
(None)
Electronic Record and Signature DIISCIOSUM:
Not Offered via DocuSign
Rick. Torrance
rich ard.,forra nce.@,commerce. wa..gov
Washington State Department of Commerce
Security Level:: Err allAccount Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DOCLISigil
Status: - Sent.
Holder* K -411V Tf-LKY
On o -cu J'
Y, Jrac C ommeroe,wa.,,90v
P001:State-Lo.CW
CW
Pool'. Washington D..s
Stag a r merce
,P. atrn—ent of Com
:L .1 D *1 g] I I.
.01a on.A:ow
S19nature
Timestamp
Go to
Sen :L 6124/2022 8r25 32 AM
Viewed. .6/27/k.22 8:30:58- AM
Signed by link'sent to
Signed: KT/2-022-8.:3'1:6 2.AM
J . en'ti:a.osterma:tl.@comi-,nerce.wa,:go.v
Using: IP Address: 147,55 134 *26
COMP'leted
Signed by link sent to
nicky.plea son@ coin ir erc e,wa, gov
Using IP Address: 147,55.134,28
C .0
M leted,
Sighed 9 J.hk S to
richard.r
torrance@cornnie ce.wa..'gov
Using IP Address.- 198:. 39.; 1a,1 a8
n
!..:61'
:
:t 71 -20 "I.2BAN
VieweO.'a'60.
:PM
;$Jgnedl: - 612,7/2 2 2, 2 -* 9.2.4 M
7 PM
0.
iJ-.O.� p�lq
_ 2
[�cacuin
Signer Events
Suhall Palaclos .
spalacios@grantcoun-tywa.gov
Juvenile Court Administrator
Grant County Juvenile Court
Security Level: Email, Account Authentloation
(None)
Electronic R000rd and Signature Distiosur.M.
Accepted: 6/2712022 4:41:38
ID: dl 72f579-a6e9-420f-b979-3M 9e903b2c5
Jenna Osterman
Jenna.osterman@commerce,wa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Diane Klontz
diane.kiontz@commerce,wa.gov
Security Level: Email, Account Authentication
(None)
Electronic, Record and Signature Disclosure:
Not Offered via DocuSlgn
In Porson Sioner Events
Editor Deli verY Events
Agent Dolivery Events
Intermed ia#yDelivery Events
Certified -Dej.1very.. Events
Catbon. Cippy F -vents.
Witness Events
Notary Events
Signature
S1.9n,ature
Sig.nature
Envelope Summary Events Status
Envelope Sent Hashed/Encrypted
Payment Events Status
Electronic Record and Signature Disclosure
Timest.mp
Sent: 6/27/2022-4:38:12 . PM
Viewed,* 6/2,7/2.022 4:4.1*138: PM
Electronic Record and Signature Disclosure created on; 8/11/2020 4:44:1.2 PM
Parties agreed to: SOO Palaclos
ELECTRONIC RECORD AND r TUR .DI LOSURE
From time to time, Washington State Department of Coninierce (we,, us or CoMpany) maybe
required by law to provide to YOU, certain written, notices or disclosures. Described beloNv are the
terms and conditions for providing to you such notices and disclostiTes el ro*
.0,'Ct. nicaltyttiro-tigh the
DocuSign system. Please read the. information below care ftill-and thoroughly, as 1 d - *^ . .
Y u. oto
access this information electronically to yo,'tirsafi. Ii. R . r.d �and
isfactio,ri and. '
agree. bthfi�:Ele' C
'S ctrolll.. ec.0
Signature Disclosure (ERSD),I fint Your agreem Ji ik-box n...Xt.. to
p ease con
ent by swelecti*n the -C Q -C
e—
'I agree to use electron ic.re-cords and atur e -s:' b efore T TINUE
witthinth
e
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Getting paper copies
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If you decide to receive notices and disclosures from us electronically, you may at It-Inytitnei
change your mind and tell us that tbereafte YOU 'Walit to receive required, noticed dis, losures.
only ire paper form-at.How youtnust.in. forin
trs of ymir de.cision to. reoetv'e.fuft ..s
ptiCe -d
An..
.'
disclosure iII.Paper fon-.-nat and*, wi-thdraw your consent to re O,eive n.otiCe-
(1di clo:8l
electronicallv is described below.
Consequ,ences of changing. your mind
If you elect to receive required notices and disclosures onlyin. aver fol."mat it. will.slow the
speed,at which we can. com i lete certain steps in transactions with t'h you and deh.vering.. services to
you because we will need first to send the required notices o*.r disclosures to you in naoew. format
and then wait tintil we receive back, from you your acknowledgment of your receipt of such
paper notices or disclosures, Further, you will no longer be cable -to-use the DOCUS...'
90. Sy$t to
5,
receive required notices and consents electronically
froin us. from us of to si.gil e-Ilectroti..I:ca.'IIy�doci-i-im.:e-.Li,ts
All notices and disclosures will be sent to. You electromically
Unless you tellus other w'is -in a cordance 1
B C W'thth durs-efibehe
d rein, we: wtll. proviae
e proceesde
electronicalty to you througb the DocuSi
1 at
911-sys-te:m d re uired dikl
q no c OS11res:7
authorizations, acknowledgernentg,and o Od t. th. uired: to be prov' ed or ma
therA umen s at mreq. td_ de:
available to you dt.inng the course
of our relationship wi Nou. To .reduce theCh'aa
re q: you.
.inadvertently not receiving any .notice or diselosure we prefer pro id a u tr od
r 0 t: v �.:e: all of the
SS.!
notices and disclosures -to you by t1le same method and to th ad& I.tli��'a given
e.. same o ,
oto have
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e I ectronic ally from us.
HoN8, to con,tact Wash
Ington State Depart m...enf of Com.m.- ree:
O.U� 'e t.
You may contact us to 110 us know of your changes as to how- �we: m y W
4Y leafl.
. I y)
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receive notices and disclosures electronically as fbl.lows:
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