HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SAM
Vilk IVA
4
new beginnings. better tomorrows.
July 26, 2022
Board of Grant County Commissioners
PO Box 37
Ephrata, WA 98823
RE: Signature for Contract #23-31310-165
Dear Board of County Commissioners:
Please see attached contract for review and approval.
JUL -2 6 2o22
Cgntractor: Depart me int of Commerce, Office of Crime Victims Advocacy
je,rmntract: Ire 1,2022 to 6.30.2023
Pprpos Annual contract for providing sexual assault services
Amouflt: $299,606
10 t
This contract is a regular grant New Hope receives every year. Funding varies slightly each
year based on a funding formula.
s Fede is requesting permission to Docu-Sign electronically with the contractor.
Thank you for your consideration,
Suzi Fode, Director
Kids Hope and New Hope
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
,60%Ik Washington State
If pIYllllerCet4soff Co
Grant Agreement with
New Hope
through
Office of Crime Victims Advocacy
Community Services and Housing Division
For
Core and Specialized Sexual Assault Services SFY 2023
Start date: 07/01 /2022
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
THIS PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
TABLE OF CONTENTS
FaceSheet....................................................................................................................................................1
Special Terms and Conditions...................................................................................................................... 2
1.
Billing Procedures and Payment...................................................................................................... 2
2.
Compensation.................................................................................................................................. 2
3.
Fraud and Loss Reporting............................................................................................................... 3
4.
Grant Management.......................................................................................................................... 3
5.
Grant Modification............................................................................................................................ 3
6.
Insurance......................................................................................................................................... 3
7.
Reporting.......................................................................................................................................... 4
8.
Subcontractor Data Collection......................................................................................................... 4
9.
Order of Precedence........................................................................................................................ 5
General Terms and Conditions..................................................................................................................... 6
1.
Definitions........................................................................................................................................
6
2.
Access to Data.................................................................................................................................
6
3.
Advance Payments Prohibited.........................................................................................................
6
4.
All Writings Contained Herein..........................................................................................................
6
5.
Amendments....................................................................................................................................
6
6.
Americans With Disabilities Act (ADA).............................................................................................
7
7.
Assignment...................................................................................................................................... 7
8.
Attorney's Fees................................................................................................................................ 7
9.
Confidentiality/Safeguarding of Information..................................................................................... 7
10.
Conflict of Interest............................................................................................................................ 7
11.
Copyright..........................................................................................................................................8
12.
Disputes............................................................................................................... .......................... 8
13.
Duplicate Payment........................................................................................................................... 9
14.
Governing Law and Venue.............................................................................................................. 9
15.
Indemnification................................................................................................................................. 9
16.
Independent Capacity of the Grantee.............................................................................................. 9
17.
Industrial Insurance Coverage.......................................................................................................10
18.
Laws..........................................................................................................................................10
19.
Licensing, Accreditation and Registration......................................................................................10
20.
Limitation of Authority.....................................................................................................................10
21.
Noncompliance With Nondiscrimination Laws...............................................................................10
22.
Pay Equity......................................................................................................................................10
23.
Political Activities............................................................................................................................11
24.
Publicity..........................................................................................................................................11
25.
Recapture.......................................................................................................................................11
26.
Records Maintenance....................................................................................................................11
27.
Registration With Department of Revenue....................................................................................11
28.
Right of Inspection.........................................................................................................................11
29.
Savings..........................................................................................................................................11
30.
Severability.....................................................................................................................................11
31.
Site Security...................................................................................................................................12
32.
Subgranting/Subcontracting...........................................................................................................12
33.
Survival..........................................................................................................................................12
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
34.
Taxes..........................................................................................................................................12
35.
Termination for Cause....................................................................................................................12
36.
Termination for Convenience.........................................................................................................12
37.
Termination Procedures.................................................................................................................13
38.
Treatment of Assets.......................................................................................................................13
39.
Waiver..........................................................................................................................................14
Attachment A - Scope of Work
Attachment B - Budget
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
1. 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 at least
quarterly, but not more often than monthly.
The Grantee shall submit all requests for reimbursement via COMMERCE's online invoicing system.
The invoice shall include the Invoice Documentation Form.
COMMERCE will pay Grantee upon acceptance of program activities provided and receipt of properly
completed invoices.
Payment shall be considered timely if made by COMMERCE within thirty (30) calendar days after
receipt of properly completed invoices. Payment shall be sent to the address designated by the
Grantee.
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.
Invoices and End of Fiscal Year
Invoices are due on the 20th of the month following the provision of services.
Final invoices for a state fiscal year may be due sooner than the 20th and Commerce will provide
notification of the end of fiscal year due date.
The grantee must invoice for all expenses from the beginning of the contract through June 30,
regardless of the contract start and end date.
Duplication of Billed Costs
The Grantee shall not bill COMMERCE for services performed under this Agreement, 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 subgrants/subcontracts.
COMMERCE may, in its sole discretion, withhold ten percent (10%) from each payment until
acceptance by COMMERCE of the final report or completion of the project, etc.
2. COMPENSATION
COMMERCE shall pay an amount not to exceed ($299,606.00) for the performance of all things
necessary for or incidental to the performance of work as set forth in Attachment A - Scope of Work.
Grantee's compensation for services rendered shall be based on the following rates or in accordance
with Attachment B — Budget.
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.
Travel expenses incurred or paid by 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
K
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
Regulations. Current travel rates may be accessed at:
https://ofm.wa.gov/sites/default/files/public/resources/travel/colormap. pdf
3. FRAUD AND OTHER LOSS REPORTING
Contractor/Grantee shall report in writing all known or suspected fraud or other loss of any funds or
other property furnished under this Contract immediately or as soon as practicable to the Commerce
Representative identified on the Face Sheet.
4. 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 grant 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.
5. GRANT MODIFICATION
Notwithstanding any provision of this grant to the contrary, at any time during the grant period,
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 grant period,
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.
6. INSURANCE
The Grantee shall provide insurance coverage as set out in this section. The intent of the required
insurance is to protect the state should there be any claims, suits, actions, costs, damages or
expenses arising from any loss, or negligent or intentional act or omission of the Grantee or
Subgrantee/subcontractor, or agents of either, while performing under the terms of this Grant.
The insurance required shall be issued by an insurance company authorized to do business within
the state of Washington. Except for Professional Liability or Errors and Omissions Insurance, the
insurance shall name the state of Washington, its agents, officers, and employees as additional
insureds under the insurance policy. All policies shall be primary to any other valid and collectable
insurance. The Grantee shall instruct the insurers to give COMMERCE thirty (30) calendar days
advance notice of any insurance cancellation, non -renewal or modification.
The Grantee shall submit to COMMERCE within fifteen (15) calendar days of a written request by
COMMERCE, a certificate of insurance which outlines the coverage and limits defined in this
insurance section. During the term of the Grant, the Grantee shall submit renewal certificates not less
than thirty (30) calendar days prior to expiration of each policy required under this section.
The Grantee shall provide insurance coverage that shall be maintained in full force and effect during
the term of this Grant, as follows:
Commercial General Liability Insurance Policy. Provide a Commercial General Liability Insurance
Policy, including contractual liability, written on an occurrence basis, in adequate quantity to protect
against legal liability arising out of Grant activity but no less than $1,000,000 per occurrence.
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
Additionally, the Grantee is responsible for ensuring that any Subgrantee/subcontractor provide
adequate insurance coverage for the activities arising out of subgrants/subcontracts.
Automobile Liability. In the event that performance pursuant to this Grant involves the use of
vehicles, owned or operated by the Grantee or its Subgrantee/subcontractor, automobile liability
insurance shall be required. The minimum limit for automobile liability is $1,000,000 per occurrence,
using a Combined Single Limit for bodily injury and property damage.
Professional Liability, Errors and Omissions Insurance. The Grantee shall maintain Professional
Liability or Errors and Omissions Insurance. The Grantee shall maintain minimum limits of no less
than $1,000,000 per occurrence to cover all activities by the Grantee and licensed staff employed or
under contract to the Grantee. The state of Washington, its agents, officers, and employees need not
be named as additional insureds under this policy.
7. REPORTING
Grantees must collect and maintain data that measure the performance and effectiveness of work
done under this grant.
If providing direct services or outreach the Grantee shall submit data quarterly in the InfoNet data
collection system, relative to the provision of Core and Specialized Sexual Assault Services SFY 2023
services. If providing direct services or outreach, the Grantee shall submit data quarterly in the InfoNet
data collection system, relative to the provision of Core and Specialized Sexual Assault Services SFY
2023 services. Report data will be due in InfoNet no later than 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 InfoNet.
The Grantee shall establish and maintain written procedures for the security of InfoNet use at its site.
Procedures shall include:
• Only authorized staff are provided access to the InfoNet data and files;
• Staff are informed of the need for security and confidentiality of data and files maintained in or
available through the InfoNet system; and
• That the Grantee shall notify the Department Program Coordinator for this grant when an
employee is no longer authorized to access the InfoNet system.
8. 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.
4
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
SPECIAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
9. ORDER OF PRECEDENCE
|nthe event of an inconsistency in this Grant, the inconsistency shall be resolved by giving
precedence inthe following order:
° Applicable federal and state ofWashington statutes and regulations
° Special Terms and Conditions
• General Terms and Conditions
• Attachment A—Scope ofWork
• AtbachmentB—Budget
• Core and Specialized Sexual Assault Services SFY 2023 Application for Funding as submitted
and approved byCOMMERCE
5
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE 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 Exhibits, documents, or materials incorporated by reference. E-mail or Fac-
simile transmission of a signed copy of this contract 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
of governmental services or other activities, addresses, telephone numbers, social security num-
bers, driver license numbers, other identifying numbers, and any financial identifiers.
F. "State" shall mean the state of Washington.
G. "Subgrantee/subcontractor" shall mean one not in the employment of the Grantee, who is perform-
ing all or part of those services under this Grant under a separate Grant with the Grantee. The
terms "subgrantee/subcontractor" refers to any tier.
H. "Subrecipient" shall mean a non-federal entity that expends federal awards received from a pass-
through entity to carry out a federal program, but does not include an individual that is a beneficiary
of such a program. It also excludes vendors that receive federal funds in exchange for goods and/or
services in the course of normal trade or commerce.
I. "Vendor" is an entity that agrees to provide the amount and kind of services requested by COM-
MERCE; provides services under the grant only to those beneficiaries individually determined to
be eligible by COMMERCE and, provides services on a fee-for-service or per-unit basis with con-
tractual penalties if the entity fails to meet program performance standards.
2. ACCESS TO DATA
In compliance with RCW 39.26.180, the Grantee shall provide access to data generated under this
Grant to COMMERCE, the Joint Legislative Audit and Review Committee, and the Office of the State
Auditor at no additional cost. This includes access to all information that supports the findings, conclu-
sions, and recommendations of the Grantee's reports, including computer models and the methodology
for those models.
3. ADVANCE PAYMENTS PROHIBITED
No payments in advance of or in anticipation of goods or services to be provided under this Grant shall
be made by COMMERCE.
4. 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.
5. AMENDMENTS
This Grant may be amended by mutual agreement of the parties. Such amendments shall not be bind-
ing unless they are in writing and signed by personnel authorized to bind each of the parties.
0
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
6. AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336, also referred to as
the "ADA" 28 CFR Part 35
The Grantee must comply with the ADA, which provides comprehensive civil rights protection to indi-
viduals with disabilities in the areas of employment, public accommodations, state and local govern-
ment services, and telecommunications.
__S1 Eel L1►�i7-
Neither this Grant, nor any claim arising under this Grant, shall be transferred or assigned by the
Grantee without prior written consent of COMMERCE.
8. ATTORNEYS' FEES
Unless expressly permitted under another provision of the Grant, in the event of litigation or other action
brought to enforce Grant terms, each party agrees to bear its own attorney's fees and costs.
9. CON FI DENTIALITYISAFEGUARDING 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. "Personal information" includes but is not limited to information related to a per-
son's name, health, finances, education, business, use of government services, addresses,
telephone numbers, social security number, driver's license number and other identifying num-
bers, and "Protected Health Information" under the federal Health Insurance Portability and
Accountability Act of 1996 (HIPAA).
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 Infor-
mation 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 safe-
guarded to prevent unauthorized use, sharing, transfer, sale or disclosure of Confidential Infor-
mation 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
changes to such policies and procedures as they apply to this Grant whenever COMMERCE rea-
sonably 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 one (1) day 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.
10. CONFLICT OF INTEREST
Notwithstanding any determination by the Executive Ethics Board or other tribunal, the COMMERCE
may, in its sole discretion, by written notice to the CONTRACTOR terminate this contract if it is found
after due notice and examination by COMMERCE that there is a violation of the Ethics in Public Service
Act, Chapters 42.52 RCW and 42.23 RCW; or any similar statute involving the CONTRACTOR in the
procurement of, or performance under this contract.
Specific restrictions apply to contracting with current or former state employees pursuant to chapter
42.52 of the Revised Code of Washington. The Grantee and their subcontractor(s) must identify any
person employed in any capacity by the state of Washington that worked on the Commerce program
N
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
administering this Grant, including but not limited to formulating or drafting the legislation, participating
in grant procurement planning and execution, awarding grants, and monitoring grants, during the 24
month period preceding the start date of this Grant. Identify the individual by name, the agency previ-
ously or currently employed by, job title or position held, and separation date. If it is determined by
COMMERCE that a conflict of interest exists, the Grantee may be disqualified from further considera-
tion for the award of a Grant.
In the event this contract is terminated as provided above, COMMERCE shall be entitled to pursue the
same remedies against the Grantee as it could pursue in the event of a breach of the contract by the
Grantee. The rights and remedies of COMMERCE provided for in this clause shall not be exclusive and
are in addition to any other rights and remedies provided by law. The existence of facts upon which
COMMERCE makes any determination under this clause shall be an issue and may be reviewed as
provided in the "Disputes" clause of this contract.
11. 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 con-
sidered 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,
and/or sound reproductions. "Ownership" includes the right to copyright, patent, register and the ability
to transfer these rights.
For Materials that are delivered under the Grant, but that incorporate pre-existing materials not pro-
duced under the Grant, the Grantee hereby grants to COMMERCE a nonexclusive, royalty -free, irrev-
ocable license (with rights to sublicense to others) in 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 rights and
rights of publicity, necessary to grant such a license to COMMERCE.
The Grantee shall exert all reasonable effort to advise COMMERCE, at the time of delivery of Materials
furnished under this Grant, of all known or potential invasions 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 by the
Grantee with respect to any Materials delivered under this Grant. COMMERCE shall have the right to
modify or remove any restrictive markings placed upon the Materials by the Grantee.
12. DISPUTES
Except as otherwise provided in this Grant, when a dispute arises between the parties and it cannot be
resolved by direct negotiation, either party may request a dispute hearing with the Director of COM-
MERCE, who may designate a neutral person to decide the dispute.
The request for a dispute hearing must:
• be in writing;
• state the disputed issues;
• state the relative positions of the parties;
• state the Grantee's name, address, and Contract number; and
• be mailed to the Director and the other party's (respondent's) Grant Representative within three
(3) working days after the parties agree that they cannot resolve the dispute.
The respondent shall send a written answer to the requestor's statement to both the Director or the
Director's designee and the requestor within five (5) working days.
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
The Director or designee shall review the written statements and reply in writing to both parties within
ten (10) working days. The Director or designee may extend this period if necessary by notifying the
parties.
The decision shall not be admissible in any succeeding judicial or quasi-judicial proceeding.
The parties agree that this dispute process shall precede any action in a judicial or quasi-judicial tribu-
nal.
Nothing in this Grant shall be construed to limit the parties' choice of a mutually acceptable alternate
dispute resolution (ADR) method in addition to the dispute hearing procedure outlined above.
13. DUPLICATE PAYMENT
COMMERCE shall not pay the Grantee, if the GRANTEE has charged or will charge the State of Wash-
ington or any other party under any other Grant, subgrant/subcontract, or agreement, for the same
services or expenses.
14. GOVERNING LAW AND VENUE
This Grant shall be construed and interpreted in accordance with the laws of the state of Washington,
and the venue of any action brought hereunder shall be in the Superior Court for Thurston County.
15. 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 state,
from and against all claims for injuries or death arising out of or resulting from the performance of the
contract. "Claim" as used in this contract, means any financial loss, claim, suit, action, damage, or
expense, including but not limited to attorneys' fees, attributable for bodily injury, sickness, disease, or
death, or injury to or the destruction of tangible property including loss of use resulting therefrom.
The Grantee's obligation to indemnify, defend, and hold harmless includes any claim by Grantee's
agents, employees, representatives, or any subgrantee/subcontractor or its employees.
The Grantee expressly agrees to indemnify, defend, and hold harmless the State for any claim arising
out of or incident to Grantee's or any subgrantee's/subcontractor's performance or failure to perform
the Grant. Grantee's obligation to indemnify, defend, and hold harmless the State shall not be elimi-
nated or reduced by any actual or alleged concurrent negligence of State or its agents, agencies, em-
ployees and officials.
The Grantee waives its immunity under Title 51 RCW to the extent it is required to indemnify, defend
and hold harmless the state and its agencies, officers, agents or employees.
16. INDEPENDENT CAPACITY OF THE CONTRACTOR
The parties intend that an independent contractor relationship will be created by this Grant. The Con-
tractor and its employees or agents performing under this Contract are not employees or agents of the
state of Washington or COMMERCE. The Contractor will not hold itself out as or claim to be an officer
or employee of COMMERCE or of the state of Washington by reason hereof, nor will the Contractor
make any claim of right, privilege or benefit which would accrue to such officer or employee under law.
Conduct and control of the work will be solely with the Contractor.
17. INDUSTRIAL INSURANCE COVERAGE
The Grantee shall comply with all applicable provisions of Title 51 RCW, Industrial Insurance. If the
Grantee fails to provide industrial insurance coverage or fails to pay premiums or penalties on behalf
of its employees as may be required by law, COMMERCE may collect from the Grantee the full amount
payable to the Industrial Insurance Accident Fund. COMMERCE may deduct the amount owed by the
Grantee to the accident fund from the amount payable to the Grantee by COMMERCE under this Con-
tract, and transmit the deducted amount to the Department of Labor and Industries, (L&I) Division of
Insurance Services. This provision does not waive any of L&I's rights to collect from the Grantee.
9
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
18. Le
The Grantee shall comply with all applicable laws, ordinances, codes, regulations and policies of local,
state, and federal governments, as now or hereafter amended.
19. LICENSING, ACCREDITATION AND REGISTRATION
The Grantee shall comply with all applicable local, state, and federal licensing, accreditation and reg-
istration requirements or standards necessary for the performance of this Contract.
20. LIMITATION OF AUTHORITY
Only the Authorized Representative or Authorized Representative's delegate by writing (delegation to
be made prior to action) shall have the express, implied, or apparent authority to alter, amend, modify,
or waive any clause or condition of this Contract. Furthermore, any alteration, amendment, modification,
or waiver or any clause or condition of this contract is not effective or binding unless made in writing
and signed by the Authorized Representative.
21. NONCOMPLIANCE WITH NONDISCRIMINATION LAWS
During the performance of this Grant, the Grantee shall comply with all federal, state, and local nondis-
crimination 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 with COM-
MERCE. 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.
The funds provided under this contract may not be used to fund religious worship, exercise, or instruc-
tion. No person shall be required to participate in any religious worship, exercise, or instruction in order
to have access to the facilities funded by this grant.
22. PAY EQUITY
The Grantee agrees to ensure that "similarly employed" individuals in its workforce are compensated
as equals, consistent with the following:
a. Employees are "similarly employed" if the individuals work for the same employer, the perfor-
mance of the job requires comparable skill, effort, and responsibility, and the jobs are per-
formed under similar working conditions. Job titles alone are not determinative of whether em-
ployees are similarly employed;
b. Grantee may allow differentials in compensation for its workers if the differentials are based in
good faith and on any of the following:
(i) A seniority system; a merit system; a system that measures earnings by quantity or
quality of production; a bona fide job-related factor or factors; or a bona fide regional dif-
ference in compensation levels.
(ii) A bona fide job-related factor or factors may include, but not be limited to, education,
training, or experience that is: Consistent with business necessity; not based on or derived
from a gender-based differential; and accounts for the entire differential.
(iii) A bona fide regional difference in compensation level must be: Consistent with business
necessity; not based on or derived from a gender-based differential; and account for the
entire differential.
This Grant may be terminated by the Department, if the Department or the Department of Enterprise
services determines that the Grantee is not in compliance with this provision.
23. POLITICAL ACTIVITIES
Political activity of Contractor employees and officers are limited by the State Campaign Finances and
Lobbying provisions of Chapter 42.17A RCW and the Federal Hatch Act, 5 USC 1501 - 1508.
10
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
No funds may be used for working for or against ballot measures or for or against the candidacy of any
person for public office.
24. PUBLICITY
The Grantee agrees not to publish or use any advertising or publicity materials in which the state of
Washington or COMMERCE's name is mentioned, or language used from which the connection with
the state of Washington's or COMMERCE's name may reasonably be inferred or implied, without the
prior written consent of COMMERCE.
25. 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 time period
specified by COMMERCE. In the alternative, COMMERCE may recapture such funds from payments
due under this Grant.
26. RECORDS MAINTENANCE
The Grantee shall maintain books, records, documents, data and other evidence relating to this Grant
and performance of the services described herein, including but not limited to accounting procedures
and practices that sufficiently and properly reflect all 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 years following the date of final payment. 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 duly authorized by COM-
MERCE, 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) year period, the records shall
be retained until all litigation, claims, or audit findings involving the records have been resolved.
27. REGISTRATION WITH DEPARTMENT OF REVENUE
If required by law, the Grantee shall complete registration with the Washington State Department of
Revenue.
28. RIGHT OF INSPECTION
The Grantee shall provide right of access to its facilities to COMMERCE, or any of its officers, or to any
other authorized agent or official of the state of Washington or the federal government, at all reasonable
times, in order to monitor and evaluate performance, compliance, and/or quality assurance under this
Grant.
29. SAVINGS
In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way
after the effective date of this Grant and prior to normal completion, COMMERCE may suspend or
terminate the Grant under the "Termination for Convenience" clause, without the ten calendar day no-
tice requirement. In lieu of termination, the Grant may be amended to reflect the new funding limitations
and conditions.
30. SEVERABILITY
The provisions of this Grant are intended to be severable. If any term or provision is illegal or invalid for
any reason whatsoever, such illegality or invalidity shall not affect the validity of the remainder of the
Grant.
31. SITE SECURITY
11
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
While on COMMERCE premises, Grantee, its agents, employees, or subcontractors shall conform in
all respects with physical, fire or other security policies or regulations.
32. SUBGRANTING/SUBCONTRACTING
The Grantee may only subcontract work contemplated under this Grant if it obtains the prior written
approval of COMMERCE.
If COMMERCE approves subcontracting, the Grantee shall maintain written procedures related to sub-
contracting, as well as copies of all subcontracts and records related to subcontracts. For cause, COM-
MERCE in writing may: (a) require the Grantee to amend its subcontracting procedures as they relate
to this Grant; (b) prohibit the Grantee from subcontracting with a particular person or entity; or (c) require
the Grantee to rescind or amend 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 fails to comply with any applicable term or condition
of this Grant. The Grantee shall appropriately monitor the activities of the Subcontractor to assure fiscal
conditions of this Grant. In no event shall the existence of a subcontract operate to release or reduce
the liability of the Grantee to COMMERCE for any breach in the performance of the Grantee's duties.
Every subcontract shall include a term that COMMERCE and the State of Washington are not liable for
claims or damages arising from a Subcontractor's performance of the subcontract.
33. SURVIVAL
The terms, conditions, and warranties contained in this Grant that by their sense and context are in-
tended to survive the completion of the performance, cancellation or termination of this Grant shall so
survive.
34. TAXES
All payments accrued on account of payroll taxes, unemployment contributions, the Grantee's income
or gross receipts, any other taxes, insurance or expenses for the Grantee or its staff shall be the sole
responsibility of the Grantee.
35. 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 notify the Grantee in writing of the need to take corrective
action. If corrective action is not taken within 30 calendar days, the Grant may be terminated or sus-
pended.
In the event of termination or suspension, the Grantee shall be liable for damages as authorized by law
including, but not limited to, any cost difference between the 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 further payments, or pro-
hibit the Grantee from incurring additional obligations of funds during investigation of the alleged com-
pliance breach and pending corrective action by the Grantee 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 negli-
gence.
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.
36. 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 in part. 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.
12
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
37. 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.
COMMERCE shall pay to the Grantee the agreed upon price, if separately stated, for completed 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 work
and services, (iii) other property or services that are accepted by COMMERCE, and (iv) the protection
and preservation of property, unless the termination is for default, in which case the Authorized Repre-
sentative shall determine the extent of the liability of COMMERCE. Failure to agree with such deter-
mination shall be a dispute within the meaning of the "Disputes" clause of this Grant. COMMERCE
may withhold from any amounts due the Grantee such sum as the Authorized Representative deter-
mines to be necessary to protect COMMERCE 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 contract.
After receipt of a notice of termination, and except as otherwise directed by the Authorized Representa-
tive, the Grantee shall:
1. Stop work under the Grant on the date, and to the extent specified, in the notice;
2. Place no further orders or subgrants/subcontracts for materials, services, or facilities except as
may be necessary for completion of such portion of the work under the Grant that is not terminated;
3. Assign to COMMERCE, in the manner, at the times, and to the extent directed by the Authorized
Representative, all of the rights, title, and interest of the Grantee under the orders and sub-
grants/subcontracts so terminated, in which case COMMERCE has the right, at its discretion, to
settle or pay any or all claims arising out of the termination of such orders and subgrants/subcon-
tracts;
4. Settle all outstanding liabilities and all claims arising out of such termination of orders and subcon-
tracts, 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;
5. 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
been required to be furnished to COMMERCE;
6. Complete performance of such part of the work as shall not have been terminated by the Authorized
Representative; and
7. Take such action as may be necessary, or as the Authorized Representative may direct, for the
protection and preservation of the property related to this Grant, which is in the possession of the
Grantee and in which COMMERCE has or may acquire an interest.
38. TREATMENT OF ASSETS
Title to all property furnished by COMMERCE shall remain in COMMERCE. Title to all property fur-
nished 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 delivery of such property 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 the performance of this
Grant, or (ii) commencement of use of such property in the performance of this Grant, or (iii) reimburse-
ment of the cost thereof by COMMERCE in whole or in part, whichever first occurs.
13
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
GENERAL TERMS AND CONDITIONS
GENERAL GRANT
STATE FUNDS
A. Any property of COMMERCE furnished to the Grantee shall, unless otherwise provided herein or
approved by COMMERCE, be used only for the performance of this Grant.
B. The Grantee shall be responsible for any loss or damage to property of COMMERCE that results
from the negligence of the Grantee or which results from the failure on the part of the Grantee to
maintain and administer that property in accordance with sound management practices.
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 COMMERCE prior to settlement upon
completion, termination or cancellation of this Grant
All reference to the Grantee under this clause shall also include Grantee's employees, agents or
Subgrantees/Subcontractors.
39. WAIVER
Waiver of any default or breach shall not be deemed to be a waiver of any subsequent default 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: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
ATTACHMENT A
SCOPE OF WORK
Core and Specialized Sexual Assault Services SFY 2023
07/01/2022 through 06/30/2023
New Hope shall furnish goods and services necessary to accomplish the activities under the Core
and Specialized Sexual Assault Services SFY 2023 grant funding 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 federal 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 services outlined and approved in the Core and
Specialized Sexual Assault Services SFY 2023 funding application.
DATA REQUIREMENTS
Grantees will submit quarterly reports on Core and Specialized Sexual Assault Services SFY 2023
activities to their grant manager.
Report data will be due in InfoNet no later than the fifteenth day following the end of each quarter.
DELIVERABLES
1. Reports — As described in Special Terms and Conditions
2. Vouchers — Must be submitted at least quarterly
PERFORMANCE MEASURES
Provision of the deliverables listed above will be measured using the following performance
measures:
1. 90% of required reports will be submitted on time
2. 100% of required audits will be completed on time
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Budget
ATTACHMENT B
Budget
Core
Prevention
Specialized
Total
Salaries
$10%358.00
$15,315.00
$46,282.00
$1709955.00
Benefits
$41,620.00
$502.00
$16,309.00
$63,791.00
Subcontracted
Services
$0.00
$0.00
$89500.00
$89500.00
Goods and
Services
$249382.00
$39385.00
$289593.00
$56,360.00
[Total
$175,360.00
$249562.00
$999684.00
$2999606.00
Transfer of funds between line item budget categories must be approved by the Office of Crime Victims
Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) percent of
the total program budget shall be subject to justification and negotiation between the Grantee and OCVA,
including approval from the Grantee's signature authority and the relevant OCVA Section Manager.
Travel expenses incurred or paid by 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.
Current rates for travel may be accessed at
htfi s://ofm.wa. ov/sites/default/files/ ublic/resources/travel/Colorma df.
Any purchase over $5,000 must be pre -approved by COMMERCE.
The Grantee must bill activities to the appropriate funding category (e.g. Specialized services must be
billed to that funding category). Transfer of funds between the Core, Prevention, Specialized and/or
Community Organizing and Responding categories is not allowed.
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
EEOP CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read carefully the instructions (see below) and then complete Section A or Section B or Section Q not all three.
Page 1 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Certification of Federal Award Requirements
Funding for this grant is comprised of Federal Victims of Crime Act (VOCA) funds. Applicants must meet
the following conditions in order to receive grant funding:
1. Unique Entity Identifier (UEI) from SAM.gov system
This number is required to receive federal funds. According to the Department of Justice Grants
Financial Guide, unless an exception applies, all applicants and recipients must have a unique entity
identifer when applying for Federal awards and cooperative agreements (initial or supplemental
awards) (2 C.F.R. Part 25 - Universal Identifier and System of Award Management).
In April of 2022 the federal government stopped using the DUNS number and switched to UEI's
assigned via the SAM.gov system.
If your entity was already registered in SAM.gov, your UEI has already been assigned. This number is
currently visible on your entity registration record.
Please note that SAM.gov registration is not required to obtain an UEI and OCVA is no longer
requiring SAM.gov registration for our grantees.
To obtain a UEI (without full entity registration in SAM.gov), please visit the SAM.gov website.
• See Quick Start Guide for Getting Your Unique Entity ID (SAM)
• See SAM.gov (Home
• This is a free service
Agency's Unique Entity Identifier (UEI): ZL6WM26K8KR5
2. Audit Requirements
Federal Grant Funds Subrecipients expending $750,000 or more in federal grant funds annually are
required to secure an audit pursuant to OMB Uniform Guidance 2 CFR Part 200, Subpart F and are
allowed to utilize federal grant funds to budget for the audit costs. See Section 8000 of the
Subrecipient Handbook for more detail.
Applicant is certifying it will comply with this audit requirement.
3. Executive Compensation Data
In certain circumstances recipients of federal funds must report the names and total compensation of
their five most highly compensated executives. Answer the following questions to determine if you
have to submit this information.
In the agency's preceding fiscal year, did the organization
a) receive 80 percent or more of its annual gross revenues in U.S. federal contracts,
subcontracts, loans, grants, subgrants, and/or cooperative agreements:
Yes ❑ No ❑
b) and $25,000,000 or more in annual gross revenues from U.S. federal contracts,
subcontracts, loans, grants, subgrants, and/or cooperative agreements:
Yes ❑ No ❑
Did you answer "yes" to both 4.a) and 4.b)?
Yes ❑ No ❑
If you answered "yes" to both questions please provide the names/compensation of the five
(5) most highly compensated executives of the recipient of award funds:
Page 2 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
4. Internal Revenue Service (IRS) 501(c)(3) Determination Letter
VOCA funding requires that nonprofit organizations verify their nonprofit status by providing a copy of
their Internal Revenue Service (IRS) 501(c)(3) determination letter. A nonprofit organization is as
described in section 501 (c)(3) of the Internal Revenue Code of 1986 and is exempt from taxation
under section 501(a) of that Code. See 42 U.S.0 § 13925(b)(1 6)(B).
Unless submitted previously, nonprofit organizations applying for funding must submit a copy
of Internal Revenue Service to OCVA with this application.
5. Computer Networks
The applicant understands and agrees that it cannot use VOCA Grant funds to maintain or establish a
computer network unless such network blocks the viewing, downloading, and exchanging of
pornography.
6. Non -Supplanting Certification
The applicant understands and agrees that no VOCA Grant funds will be used to supplant existing
state, local, or other non-federal funding already in place to support current services. VOCA Grant
funds will be used to increase the total amount of funds used for crime victim assistance. Violation of
the non -supplanting requirement can result in a range of penalties, including suspension of future
funds under this grant, recoupment of monies provided under this grant, and civil and/or criminal
penalties.
7. ADA Requirement (FOR NON -TRIBAL GRANTEES ONLY)
Does the location where services are primarily provided comply with ADA requirements for
accessibility?
Yes ❑ No ❑
If no, provide information on how this is addressed:
By signing this document below, the applicant certifies that that agency is qualified to receive the funds.
As the duly authorized representative of the applicant, I hereby acknowledge that the applicant will
comply with the above requirements. This acknowledgement shall be treated as a material representation
of fact upon with the Department of Commerce, Office of Crime Victims Advocacy will rely if a grant is
issued.
Signature
Suzi Fode
Name and Title of Authorized Representative
Director
Date
Page 3 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Civil Rights Certifications
The applicant herby assures and certifies compliance with all applicable Federal statutes, regulations,
policies, guidelines, requirements, and any conditions of the recipient's grant. If a grant is made, the
grantee and subgrantees, if any, will be subject to statutory prohibitions on discrimination.
1. Discrimination on the Basis of National Origin — Limited English Proficient (LEP) Individuals
To ensure compliance with the Omnibus Crime control and Safe Streets Act of 1968 and Title VI of
the Civil Rights Act of 1964, applicants must take reasonable steps to ensure that persons with
Limited English Proficiency (LEP) have meaningful access to services and legal protections.
Meaningful access may entail providing language assistance services, including oral and written
translation, where necessary. Assistance in understanding grant recipient's obligations under the law
may be found in the Department of Justice's Guidance to Federal Financial Assistance Regarding
Title VI Prohibition Against National Origin Discrimination Affecting Limited English Proficiency
Persons (LEP Guidance), which can be found at 67 Fed. Reg. 41455 (June 18, 2002). Additional
assistance regarding LEP obligations and information may be found at www.lep.gov.
2. Federal Non -Discrimination Requirements
The applicant will comply with any applicable federal nondiscrimination requirements, which may
include:
• the Omnibus Crime Control Act and Safe Streets Act of 1968 (42 U.S.C. § 3789d);
• the Victims of Crime Act (42 U.S.C. § 10604(e));
• the Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b));
• the Civil Rights Act of 1964 (42 U.S.C. § 2000(d));
• the Rehabilitation Act of 1973 (29 U.S.C. § 794);
• the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12131-34);
• the Education Amendments of 1972 (20 U.S.C. §§ 1681,1683,1685-86);
• the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07);
• 28 C.F.R. Part 42 (U.S. Department of Justice Regulations — Nondiscrimination, Equal
Employment Opportunity, Policies and Procedures);
Executive Order 13279 (equal protection of the law for -faith based and community organizations);
and
• 28 C.F.R. Part 38 ((U.S. Department of Justice Regulations — Equal Treatment for Faith Based
Organizations).
The applicant shall further comply with federal law prohibiting grant recipients from retaliating against
individuals taking action or participating in action to secure rights protected by federal law.
3. Civil Rights Provision - Prohibition of Discrimination for Recipients of Federal Funds
The applicant assures compliance of all applicable nondiscrimination requirements of the Victims of
Crime Act. No person in any state shall, on the grounds of race, color, religion, national origin, sex,
age, or disability be excluded from participation in, be denied the benefits of, be subjected to
discrimination under, or denied employment in connection with any program or activity receiving
federal financial assistance, pursuant to the following statutes and regulations: Section 809(c),
Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 U.S.C. 3789d, and
Department of Justice Nondiscrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; Title
VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d, et sea.; Section 504 of the
Rehabilitation Act of 1973, as amended, 29 U.S.C. 794; Subtitle A, Title II of the Americans with
Disabilities Act of 1990, 42 U.S.C. 121017 et seq. and Department of Justice regulations on disability
discrimination, 28 CFR Part 35 and Part 39; Title IX of the Education Amendments of 1972, as
Page 4 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
amended, 20 U.S.C. 1681-1683; and the Age Discrimination Act of 1975, as amended, 42 U.S.C.
61017 et seq.
4. Federal Civil Rights Training
Recipients of financial assistance from the Department of Justice, such as Victims of Crime Act
(VOCA) funds, either awarded directly or through another recipient, must comply with the federal
statutes and regulations that prohibit discrimination based on race, color, national origin, sex, religion
age, and disability in VOCA-funded programs or activities.
As part of its training efforts, the Office for Civil Rights at the Office of Justice Programs has
developed an online civil rights training curriculum for recipients. This training, which consist of six
segments and accompanying self -tests, is designed to provide recipients with an overview of
applicable nondiscrimination laws and the general civil rights obligations that are tied to grants
awarded by the Department of Justice. The OCR offers this online version of its training program to
ensure that recipients who are unable to participate in an in-person training session can still receive
valuable technical assistance.
All six Civil Rights training programs are available at http://oip qov/about/ocr/ocr-traininq-videos/video-
ocr-traininc . tm
The recipient must view the online training at least once every two years. By signing this certification,
the applicant acknowledges the viewing of OJP Civil Rights Non -Discrimination training.
5. Notification of Findings of Discrimination or Non -Compliance
In the event a state or federal court or a state or federal administrative agency makes a finding of
discrimination after a due process hearing on the grounds of race, color, religion, national origin, age,
disability, or sex against the Grantee or a program partner or participant receiving grant funds, the
Grantee will forward a copy of the finding to the U.S. Department of Justice, Office of Justice
Programs, Office of Civil Rights (OCR), and the Department of Commerce (COMMERCE).
The Grantee shall include a statement clearly stating whether or not the finding is related to any grant
activity supported with a grant in which U.S. Department of Justice funds are involved, and identify all
open grants utilizing U.S. Department of Justice funding by grant number and program title.
6. Equal Employment Opportunity Program (ESOP)
The Grantee will determine whether it is required to formulate an Equal Employment Opportunity
Program (EEOP), in accordance with 28 C.F.R. 42.301 et. seq. If the Grantee is not required to
formulate an EEOP, it will submit a certificate form to the Washington State Department of Commerce
(COMMERCE) indicating that it is not required to develop an EEOP. If the Grantee is required to
develop an EEOP but not required to submit the EEOP to the OCR, the Grantee will submit a
certification to COMMERCE certifying that it has an EEOP on file which meets the applicable
requirements. If the Grantee is awarded a grant of $500,000 or more and has 50 or more employees,
it will submit a copy of its EEOP to the OCR and COMMERCE. Non-profit organizations, federally
recognized Indian Tribes, and medical and educational institutions are exempt from the EEOP
requirement, but are required to submit a certification form to COMMERCE to claim the exemption.
Information about civil rights obligations of Grantees can be found at htto://www.00p.usdoi.gov/ocr/.
7. Grantee Duty to Ensure Subcontractor Compliance
The Grantee is required to ensure compliance with these requirements by any program partner or
participant receiving funding under this grant.
Page 5 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
As the duly authorized representative of the grantee, I hereby certify that the Grantee will comply
with the above Civil Rights requirements specified in this Certification
Signature Date
Suzi Fode Director
Name and Title of Authorized Representative
New Hope
Name of Agency
Name and Title of person who completed OJP Civil Rights Non -Discrimination Training (see #4)
Most recent date online training was completed
Recipients must view the online training at a minimum of every two years for the duration
VOCA funding is received.
Page 6 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 28 CFR Part 67, Section 67.510, Participants' responsibilities. The regulations were published
as Part VII of the May 26, 1988 Federal Register (pages 19160-19211).
1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
Suzi Fode Director
Name and Title of Authorized Representative
Signature Date
New Hope
Name of Organization
PO BOX 37 E P H RATA, WA 98823-0037
Address of Organization
Page 7 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Certification Regarding Lobbying
Each person shall file the most current edition of this certification and disclosure form, if applicable, with
each submission that initiates agency consideration of such person for an award of a federal contract, grant,
or cooperative agreement of $100,000 or more; or Federal loan of $150,000 or more.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 or not more than $100,000 for each
such failure.
The undersigned certifies, to the best of their knowledge and belief, that;
A. No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting
to influence an officer of employee of any Federal agency, a Member of Congress, an officer or
employee of Congress, or any employee of a member of Congress, in connection with the awarding of
any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan or cooperative agreement.
B. If any non -Federal funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee
of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant,
loan, or cooperative agreement, the undersigned shall initial here and complete and
submit "Disclosure of Lobbing Activities", in accordance with its instructions. OCVA will provide this
form, if needed.
C. The undersigned shall require that the language of this certification be included in the award documents
for all sub -awards at all tiers and that all sub -recipients shall certify and disclose accordingly.
Suzi Fode Director
Name and Title of Authorized Representative
Signature Date
New Hope
Name of Organization
PO BOX 37 E P H RATA, WA 98823-0037
Address of Organization
Page 8 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Certification of Suitability to Interact with Participating Minors
To assist OCVA in monitoring new grant requirements for federal funds, please complete this form to
certify that your organization has completed the required background checks for all covered individuals
that interact with any minor in the course of activities under your grant (employees paid by the grant,
volunteers used as match under the grant, and volunteers supporting grant -covered activities).
Grantees are required to have documentation that the search was conducted, and this should be
maintained in accordance with your document retention policies.
Grantee Name: New Hope
Grant Number: 23-31310-165
For full list of requirements, Click H® I OCVA FACS is here
Background checks must include:
• Public sex offender and child abuse websites/registries
• Criminal history registries and similar repositories of criminal history records
• An eligible fingerprint search/background check has been completed
If the applicant determines that no minors will be served by staff being directly charged or staff/volunteers
used as match for this federally funded grant, the search is not required.
Applicant hereby certifies that the recipient (and any subrecipients) have complied with the above
regulations, as applicable.
Signature of Authorized Official
Name of Authorized Official Suzi Fode
Date
Page 9 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue. = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Request for Volunteer Requirement Waiver
Current VOCA program guidelines requires that grant recipients must use volunteers as a condition of
receiving funds unless the state administrator determines there is a compelling reason to waive this
requirement. A "compelling reason" may be a statutory or contractual provision concerning liability or
confidentiality of counselor/victim information, which bars using volunteers for certain positions, or the
inability to recruit and maintain volunteers after a sustained and aggressive effort.
If an applicant requests a waiver of the volunteer requirement, the section below must be completed
providing a compelling reason why the use of volunteers is not feasible for the agency.
I am requesting a waiver for the use of volunteers for my VOLA project/program:
Yes ❑ No ❑
If you are requesting a volunteer waiver, provide detailed explanation for your request in the
following section. Waivers may only be requested in the following situations:
1. In the case of statutory or contractual provisions that prohibits the use of volunteers. (Attach a
copy of the applicable statute or contract.)
2. In the case of a lack of volunteers. If you list this as a reason for the waiver request, you must
document the efforts made to recruit volunteers.
Our agency is requesting a waiver for the following reason/s:
Page 10 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue: = optional field
DocuSign Envelope ID: 6115BFE7-93A3-4A30-B208-B7533E63D3CB
Subgrant Award Report (SAR)
Complete the information below, this will be used by OCVA to complete the federal Subgrant Award
Report (SAR) which collects basic information on subgrant recipients and program activities that will be
implemented with VOCA plus match funds.
How to video is here: https://vimeo.com/365156967
1. Organization Name: New Hope
2. VOCA Crime Victim Assistance Funds Awarded in this grant: $
3. Sub -Grant Number (number assigned to your contract): 23-31310-165
4. Budget and Staffing
Indicate below the requested information based on the subrecipient's current fiscal year. Report the
total budget available to the victim services program, by source of funding. Do not report the entire
agency budget, unless the entire budget is devoted to victim services programs. For example, if
VOCA funds are awarded to support a victim advocate unit in a prosecutor's office, only report the
budget for the victim advocate unit.
Information Requested
Response
Explanation (as required
A. Total budget for all victimization
The amount reported is for the
programs and services
$
current fiscal year. Include the
subaward amount for this
contract/grant.
B. Annual funding amounts allocated
State funds:
Identify by source the amount of
to all victimization programs
$
funds allocated to the victimization
and/or services for the current
Local funds:
programs/services budget of the
fiscal year
$
subgrantee agency.
DO NOT COUNT FUNDS IN
Other federal funds:
MORE THAN ONE CATEGORY
OTHER FEDERAL includes all
Other non-federal:
federal funding except the
subaward amount reported in
Question 2.
C. Total number of paid staff for
Total Paid Staff:
Count each staff member once.
all subgrantee victimization
Enter Whole Number
Both full and part time staff
program and/or services
should be counted as one staff
member. DO NOT prorate based
on FTE.
D. Number of staff hours funded
Number of Hours:
through this VOCA award
Total COUNT of hours to work by
(plus match) for subgrantee's
all staff supporting the work of this
victimization programs and/or
VOCA subaward plus match.
services
E. Number of volunteerstaff
Volunteer Staff:
supporting the work of this
Enter Whole Number
COUNT each volunteer staff
VOCA award (plus match) for
once. DO NOT prorate based on
subgrantee's victimization
FTE.
programs and/or services
F. Number of volunteer hours
Number of Hours:
supporting the work of this
Total count of hours to work byall
VOCA award (plus match) for
volunteers supporting the work of
subgrantee's victimization
this VOCA subaward plus match.
programs
Page 11 of 11
VOCA CERTIFICATION PACKET
Yellow = mandatory field
Blue. = optional field