HomeMy WebLinkAboutAgreements/Contracts - Sheriff & JailNO
Washington State Military Department, Contract Face Sheet
Agreement No. E23-044 �3-014
Date signed: (3-- , 2023
ATTEST:
0
Barbara J. asquez, ler of the Board
GRANT COUNTY BOARD
OF COUNTY COMMISSIONERS
Danny Ston ,Member
Washington State Military Department
CONTRACT FACE SHEET
I. Contractor Name and Address: 2. Con -tract Amount: 3.- Contract Number
Grant., County of dba Grant County, Sheriff's,
Office, Emergency Management Division $44,3601 E23-044
35 C Street NW
E i rata, WA 98823-1685,
4. Contractor's Contact Person, phone number, email- 5, Contract Start Date
6. Contract End; Date
Josh SainsbOry, (60q) 750-7306
isainsbuap,gran,tco�untybra. ,qov July I � 20:22 June 3%, 2023
T: MD Program Manager, phone number/, ern -ail'. 8. Unique Entity Identifier (GEI) # 9. UBI # (state revenue):
Steven. G. Williams, �509) 546-2030
iL6WM26K8KR5 1.32 004
steven.w,ill'iams@mi,l.wa.gov
10. Funding Authority'.
Washington. State Military Department (Departmerit)and the Energy Facility
Site Evaluation Council (EFSEC)
11 Funding Source Agreement 12, Program Index # & Obi/Subobj 13, CFDA # & Title:
14. TIN or SSN:
EMD — CGS — EP (2022-23) 7380NZ NA
91-600`1319
15. Service Districts: 16. Service Area by COUnty(ies):t
17. Wornen/M*nori.y-Owned, State
(BY LEGISLATIVE DISTRICT): 12f 13 'brant County Certified?: : X NIA U NO
(BY CONGRESSIONAL DISTRICT)- 4 0 YES, Q'MWBE,#
18. Contract Cfassification'. 19. Contract Type. (check all that appift.
0 Personal Services 0 Client Services X Public/Local Go V*st !
X Contract 0 Grant Agreement
0 Collaborative Research 0 A/E 0 Other 0 Intergovernmental (RGW39. A)
0 Interagency
20, Contractor Selection Process,
21., Contractor Type
check all that apply).
X "To all who apply & qualify" 0 Competitive Bidding 0 Private Organization/Individuai 0 For -Profit
0 Sole Source :0 A/E RCW 0 N/A X Public Organization/Jurisd'Iction X No-n-Profft
0: Filed MOM? 0 Advertised`? r -f YES ONO
0 VENDOR X SU'BR,ECiP1E'NT 0 OTHER
22, BRIEF DESCRIPTION:
To provide EFSEG pass-th,.rough:dollars (SFY 2023) for the courity to -conduct radiological emergiency preparedness
program duties relating to the 'COIUmbia Generating Station nuclear power Plant.
IN WITNESS 'WH EREOF, the. Department and Contractor acknowledge and accept the terms of this contract, including all
referenced exhibits and attacb-ments which are hereby incorporated in and made hereof,, and have executed this contract
as of the date and year written )., Terms.
below.. This Contract Face Sheet, Special Terms and Conditions:(Exhibi General
Exhibit A
and Conditions (Exhibit), Statement of Work (,Exhibit C), Budget (Exhibit. D), and all other documents, exhibits,and
attachments govern the .rights and obligations of the parties to this contract, No. other understandings, oral or other , wise,
regarding the subject matter of this contract shall be deemed to exist or to bind any of the partiesberetbri.
In the event of an inconsistency in this contract, Unless otherwise provided herein, the inconsistency shali be resolved by
giving precedence In the following, order*-,
(a) Applicable Fed arall and State Statutes and Regulations
(b) Statement of'Woar
k
(c) Special Terms and Conditions
(d) Ge -neral Terms, and Conditions, and if attached,
(e) EFSEG Award Document
M Any other provisions of the contract incorporated by reference..
This contract contains all the terms and conditions agreed upon by the pailies, 'No other understandings, oral or otherwise,
regarding the subject matter of this contract shall be deemed to exist or to bind any of the parties hereto.
WHEREAS, the parties hereto have executed this contract on the y and year st specified below.
F THE DEPA TMENT, FOR E C RA 0
y
E
7/12/2022
je // IZ/2
Puro
Sin re Date Signa d 'Date
l
aw,
Re h Anne Hesse, Chief Financial Officer Ryan Reenwald,
Washington Military Department
far
In e
BOILERPLATE APPROVED AS TO FORM:
Dierk Meierbachtol (signature on file) 6120/2022 Grant County Sheriffs Office
Assistant Attorney General
Form Date: 10/27/00
SFY 2023 (EFSEC) Page 1 of 15 Grant County Sheriff's Office, E23-044
Exhibit A
Washington Military, Department
SPECIA-L TERMS AND CONDITIONS
Energy Factifity Site Evaluation Council (EFSEG)
ARTICLE I -- COMPENSATION, SCHEDULE:
au .
This is a fixed price, reimbursement contract, Within the total Contract Amount, �' tho,rfzed travel, subcontracts.,
salaries and wages, benefit's; printin-gr equip-ment, and other goods and services, or other budge�t categories wifi
be reimbursed on an actual cost basis Unless otherwise provided in"this con -tract. Any travef or, subsistence
reimbursement allowed, under the contrac * t shall be paid in accordance with rates. set, pursuant to RCW43.01050
and RCW43,010,60 as, now existing or hereafter amended and in agreement with federal rates.,
Receipts. and/or
backup documentation fdr any approved.. Budget fine it -ern -s, in-cluding travel related expenses that are authorised
I:
under this contract, must be, maintained by the Contractor and made. arra upon the request, of the
Department.
Reimbursement under contract onfy be made consistent the contract Budget and authori edchanges
to the Budget. 1z
ARTICLE 11 -- REPORTS,-,,,
In addition to the reports as may be., required elsewhere in this: contract the Con -tractor shaft prepare and submilt
the following reports to the Department's 7 Key Personnel:
Financial riesf
a e;
Quarterly Invoices No Later than the 16th day following
the end of the Quarter
Final Invot
we July 30,1:2023
(shall not exceed overaff contract amount).
All contract work must end- on June 30, 2023. However, the, Contractor has up to 30, ,
date to submit all final billing. daysafter the Contract end
Technical
Quarterly Repo�rts
#/Copies Completion Date.
No Later than the the day foil-owi-Ing
the end of the Quarter
All contract work must end on June 30, 2023. However, the Contractor has up to 30 days after the expiration
date to submit all finnal reports and/or deliverables.
The individuals listed below shall be considered Key Personnel. The.. Key Personnel for each of the parties shall
be the contact person for all communications and billings regarding the performance of this Contract.
Any substitution of Contractor's Key Personnef must be made by written notification to the Military Department.
SFY 2023 (EFSEC) Page 2 of 15 Grant County Sheriffs Office, E23-044
CONTRACTOR: MILITARY DEPARTMENT.
Name: Josh S*a[nsb-UaName, Steven G., Williams
Title: Chi-ef'Deputy Title: proc,
Email:— jsainsbury-&Urantc�ountpi�ta. ov, gra mm Mana er
Ernail-,- steven:,.w_J11'1aMS@M1I.wa, oar
Phone" (609) 760-730.6
L Phone. -(5091646-2030-
ARTICLE IV -- A.DDITIONAL SPECIAL CONDITIONIS AND MODIFICAT-10N TO GENERAL CONDITIONS-,
1 No funds received under this contract shall be used for any purp-ase other- than forperformance of tasks
described. in the Statement of Work (Exhibit C) and consistent with the., Budget (Exhibit D).
2. They Contractor shall provide a match of $0 of non-federal origin. Said matGh, may be, in the form of goods,
ser - services.
viCE.,s, and! in-kind -kind
3, This contract is contingent upon the receipt of Energy Facifity, Site Evaluaffon Council (EFSEC) funds
provided solelly for the purpose of supporting the development of, radiolliogical emergency preparedness
re1ating to. the Ca-fumbia, Generating Statlorl� nuclear power plant. The Contractor actino wled g'es that
since thi's contract involves, ET EC funding, the period of'Performance, described here -in will, 11'kely begin
;-nor to the. availability of funds. Contractor agrees that, it will not hold the Department or the State of
Was w hi-ington fiable., for -any damages, claims, for reimbursement, or any type of payment whatsoever for
services, performed under this contract prior to the provision d"
. and' of appropriated funds, or if
i,a ti
funds; are. not appropriated or provided by EFSEC to fund thi's cont.ract.
SFY 2023 (EFSEC) Page 3 of 15 Grant County Sheriffs Office, E23-044
Washington Military Department Exhibit B
GENERAL TERMS AND CONDITIONS
Energy Facility Site Evaluation. ComGlf (EFSEC)
DEF'INITIONS—As used throughout this contract, the following terms sha=ll` have the meanfing set forth below:
a.. "Department" shall: meati the Washington Military Department-7'as a s -tate, agency, any division, section,
office, unit or other entity of the Department, or any of ffie officers or other offi'ciafs lawfulfy re presenting
that Department.
b.- "The Adjutant, General" as it is used he -rein shall mean: the Director of the Washffngton M14itary Department,
The term "Authorized Depa'rtment Rep rese.ntatfv*e�' shall mean those persons who, have written
authorization to sign Department contracts and represent Departmen-t as signed and directed by The
A dju.-t.-a n t G e n e ra I .
G. "'Can.traGtor" shall mean that firm, organlzation,. grouip,,, iniidivildu;afl, or other entity performing services under
th,is contract, and shall inctude all employees of'the Contractor, lit shall include. any, subcontractor retained
by the, prime Contractor as permitted under the terms of t -h=is contract.
d"S.u.,bcon-tractor" shall mean one, not in the employment of the Contractor, who is performing all or part of
,.
those services under this contract,, through a separate contract with the, Contractor.' The terms
"subcontractor"' and "subcontractors" mean- subcontractor(s), in any tier.,
e, "W- A.C"is defined and Used herein to mean the Warsh.ington Adminifs-trat'ffe Code.
f. "RCW�` is defined and used herein to mean. the Revised Code, of WA ashirigton.
2. CONTRACTOR NOT EMPLOYEE OF AGENCY -- The Contractor, and1or empfoyees or agents perf6rminunder
this, contract are not employees or agents of the, Department i'a any. manner whatsog
ever. The Contractor will not be
presented as nor claim, to be. an officer or employee of the Department or, of the. State., of Washington by reason
hereof, nor wl'lf the Contractor make any cfbim, demand, or, application to or for any right, privilege or benefit
applicable, to an officer or employee of the, Department or ofthe State of WA.'ash"ngton , Including, but, not [imited to,
Workers Compensation coverage, unemployment insurance benefits,
, socia[ security benefits retirement
membershi,
p� or credit, or privilege or benefit which would accrue a civil service employee under Chapter 41.06
RCW, OFM'Reg:. 4.3.1.1.8.
It is understood that if the Contractor is another state department, state agency, state university, state colfege, state
Community college:, state board, or state commission, that the officers and employees, are, employed by the State
of Washington in their own: right.
If the Contractor is an individual currentl=y employed bya Washington State agency, the Department shall obtain
proper approval from the employing agency, or institution.. before entering into this contract. A statement of "
conflict ofinterest" -shall be submitted to the Department. no
3. COMPLIANCE WITH APPLICABLE LAW
The Contractor and all Subcontractors shall: comply, with,, and the Department is not, responsible for determining
compliance With, any and all applicablefederal, state, tribal government, and focal laws,, regUf@tions, and/or policies,,
This obligation Includes, but is, not limited to, Ethics in Public Servilce (RCW 42,52)- Covenant Against Contingent
�Fees (48 C.F.R. Sec, 5,2.203-5)- PUblic Records Act (RCW 42.5-6)- and safety and '
f health regulations.
In the, event of the Contractor's or a subcontractor's, noncompliance or refusal to comply with any law or policy, the
Department may rescind, cancel, or terminate the contract in whole or in, part. The Contractor is responsible for
any and all costs or liability arising from the Contractor's failure to. comply with applicable law.
4, NONUSCRIMI NATION -- During the performance of this contract, theContractor shall comply with all federal and
state nondiscrimination statutes an
d regulations. These requirements include, but are not limited to:
a. Nondiscrimination in Employment: The Con -tractor shall not discriminate against any employee or applicant
for employment because of race, color, sex, sexual orientation, religion, national origin , creed, marital
status, age, Vietnam era or disabled veterans status, or the presence of any sensory, mental, or physical
handicap. This requirement does not apply, however, to a religious corporation, association, educational
institution or society with respect to the employment of individuals of a particular religion to perform work
connected with the carrying on by such corporation, association, educational institution or society of its
activities.
b. The Contractor shall take action to ensure that employees are employed and treated during employment
without discrimination beGaUse of their race, color, sex, sexual orientation religion, national origin, creed,
SFY 2023(EFSEC) Page 4 of 15 Grant Count y Sheriffs Office, E23-044
marital Status, age, Vietnam era or disabled veterans statLIS, or the. presence of afly sensorymental, or
physical handicap. ,
Such action shall Include,, but not be limited to, the following:; Emp-toyment, upgrading, demotion, or transfer,
,Z:
recru itment or recruitment selection for training, incl uding appre ni-tice-ships and volunteers.
5. NONCOMPLIANCE WITH NON DISCRIM1,14ATION LAWS -- In the! event of the, Contractor's noncompliance or
refusal to comply with any nondiscrimination taw, regUlation, or policy,, this, contract may be rescinded, canceled or
terminated in whole or in part, and the Contractor may be dec[arecf, ineligMe for f I urther contracts with the.
Department. The Contractor shall, however, be given a reasonalatetfime, [n which to cure this noncompliance.. Any
dispute may be resolved in accordance with the "Msputes" procedure set forth. herein.
61 MINORITY AND WOMEN -OWNED BUSINESS. MITERPRMES; -- fn accordance with the fegislative findings and,
po-ficies set forth in Chapter 39.19 RCW, the State of Washington encourages parti6pation in all its contracts by
MWBE firms certified by the Office of Minority and Women"'s Business Enterprises (OMME). To the extent
possible, the Contractor will solicit and. encoura-ge minority-owned and women -owned business enterprises, who
-are certified by the DIMWBE under the state of Wrash'fng ton certification, program to, apply and compete for work
under this contract.. Voluntary numericaf My BE participation goal!s have been established., and are. indicated
herein: Minority Bus[ness Enterprises: (MBE's): 10%. and'Mman's Business Enterprises, (WBE's): 6%.
7. SUBCONTRACTING -- All subcontracts entereclAtnto pursuant to thifs contract shall incorporate this contract in full
by reference, Neither the Contractor- nor any Subcontractor shall en -ter, into subcontracts for any of the work
contemplated under this contract and after original con -tract award, withoult obtaining prior written approval of the
Department. Contractor shall Use a competitive process in award of any contracts with Subcontractors that are
entered into after original contract award. The Millftary Department may request a copy of any andfor a1f
SUbcontracts that exist for work being completed Under this contraot!,. In no event shall the existence of the
subcontract operate to release or reduce the. 4abilifty of the Contractor to the Departmcant for any breach in the
performance of the Contractor's duties.,
This clause does not include Contracts of employment between the, Contrzactor andpersonnel assigned to work
under this Contract.
8. INDEMNIFICATION -- To the fullest extent permitted by the., law, the Contractor eXpressly agrees to and shall
indemnify, defend: and hold harmfess the State and its agencies, officials, agents and employees from, and against
alf cfairns, -actions,, costs, damages,, or expenses. of any nature ar I ising Out of or 'Incident to the Contractor's or any
subcontractor's performance or failure to perform the contract, The Contractor's obligation to in-demnify, defend
and hold' harmless also includes any claim, by the Contractor's agents., employeest representatives or any
subcontractor or its employees. The Contractor's obligation to defendincfudes. payment of any costs or attorneys'
fees..
The Contractor's obligation shall not, include such, cliaims, that may be., caused by the sole negligence of the State
and its agencies, officials, agents, and employees,, If the claims or damages are caused by or result from the
concurrent negligence of (a) the State, its agents or employees and (b) the Contractor, 'Its subcontractors, agents,
or employees, this indemnity provision shaft be valid and enforceable only, to the extent of the negligence of the
Contractor or its subcontractors, agents, or employees.
The i Contractor expressly agrees to waive its immunity, under Title 51 RCW (Industrial Insurance) to the extent
required to indemnify, defend, and hold harmless the State and its agencies, officials, agents or employees.
9. COVENANT AGAINST CONTINGENT MES — The Contractor warrants that no person or selling agency has been
employed or retained to solicit or seCUre this contract upon an agreement or understanding for a commission,
percentage, brokerage, or contingent fee, excepting bona fide employees or bona fide established commercial or
selling agency maintained by the Contractor for
:r the P:UrP,OSe Of SSCUring bUsiness.
The Department shall have the right, in the event of breach of this clause by the Contractor, to annUl this contract
without liability or, in its discretion, to deduct, from the. contract price or consideration or othenmise recover the full
amount of such commission, percentage, brokerage, or contingent fee.
10.. NONASSIGNABILITY -- Neither this contract, nor any clairn arising under this contract, nor the work, to be provided
Linder this contract, and any claim arising thereunder, shall be assigned or delegated by either party in whole or in
part, without the express prior written consent of the other party, which consent shall not be unreasonably withheld.
11, AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336,42 U,S.C. 12101 et seq. and its
implementing regulations, 28 CFR Part 35, The Contractor MUSt Comply with the ADA, which provides
comprehensive civil rights protection to individuals with disabilit[es in the areas of employment, public
accommodations, state and local government services, and telecommunication,
SFY 2023 (EFSEC) Page 5 of 15 Grant Count y Sheriff s Office, E23-044
12. RECORDS, MONITORING AND AUDIT ACCESS.
a. The Contractor shall perform under the terms of the. contract, and the Department has responsibility for
reason -able and necessary monitoring of the. Contractor's perf6rmance. The Department shall conduct
contract monitoring activities on a regular basis. Monitoring means any planned, ongoing-, or periodic.
activity that measures and ensures contractor com,pitiance wifh, the, terms ,, conditions, and requirements of
a contract. Monitoring involves prudent coll=ection of information about Contractor operations and is not
limited to site visits or the. completion. of formal reviews. Monftoring may include periodic contractor
reporting to the. Department, Department, revifeNiv of audit reports, invoice reviews, onsite reviews and
observations, and surveys. Adequate. documentation i's essential for effective contract monitoring and will.
include copies of letters, meeting: notes, and: records, of phone conversations as evidence that conscientious
monitoring has occurred during the period of the contract..
b. The Contractor shall maintain, books, records, docurnients, and' other evidence and accounting procedures
and practices that, sufficiently and properly reflect, 0 direct and indirect costs. of any nature expended in the
performance of this contract. These records sha.11 be subject at all reasonable times to inspectionr reviewl
or audit by personnel duly authorized bythe. Department, the, Office of the State Auditor, and federal officiats,
so authorized by law, rule., regulation, or contract. The Contractor will retain: all books, recordsdoc'urnents,
and other materials relevantt to, this contract for six (6) years from the date contract , final paymentis made
hereunder, and make there available for iinsp-ect*M by persons authorized under this.provision.
C. The Department or the, State. Auditor or any of their representatives and federal officials so, authorized by
law, rule, regulation, or contract shall have,, full access to and the right to examine during normal business
hours and as often as the Department or the State, Auditor may deem necessary, all of the Contractor ji S
records with respect to, all natters: covered in th%s conitract.Such representatives shall be permitted to and
examine, and make excerpts or transcri"pts, from such records and to make audits of a[ I contracts, invoices,
S � rights last for six (6) years from
materials, payroll , and records of matters covered by th-l's contract. SLI.ah rd
the date final payment is made hl�ereunder,
d'. The Contractor shall cooperate with-, and freely partf"'clipate in any other monitoring or evaluation activities
conducted by the Depailment that are., pertinent to the intent of this contract.
13" ACCESS TO PUBLIC REGORDS
a. The parties acknowledge that the Department is subject to the Public Records Act,, Chapter 42.56 RCW1
and that records prepared, owned, used or retained by the Department relating to the conduct of
government or the performance of any governmental' or proprietary function are available for pUblic
inspection or copying, except as, exempt under RCW 42,56 or, other statute which exempts or prohibits
disclosure of specific information or records.
b. The Contractor shall provide, access to data generated under this contract to the Department and the State,
AUd'itor at no additional cost., This includes access to all information that supports the findings, concIusions,
and recommendations of the Contractor's reports, including computer models and methodology forthose
models,
C. Access to Data,, The, contractor shalf provide access to all data generated under- the contract to the
Department, the Joint Legislative Audit and Review, Committee, and: the Office of the State Auditor at no
additional cost,. For, the purposes, of this requirement, "data" includes a[[ information that supports the
findings, conclusions and recommendationS of the contractor's reports, inGlUding Computer models and
methodology for those. models.
14, DISCLOSURE -- The use or disclosure by any party of any, information concerning the Department for any purpose
not directly connected with the administration of the Department's or the Contractor's responsibilities with respect
to services provided un his contract is prohibited except by prior written consent of the Department or as required
to comply with the Public Records Act or court order.
Contractor acknowledges that the Department is subject to Chapter 42.56 RCW, the Public Records Act, and that
this Contract shall be a public. record as -defined in RGW 42,56.0. 10. Any specific information that is claimed by the
Contractor to be confidential or proprietary must be cl'early identified as such by the Contractor. To the extent
consistent with, Chapter 42.56 RCW, the Depa rtment shall maintain the confidentiality of all such information marked
confidential or proprietary, If a request Is made to view the Contractor's information, the Department will notify the
Contractor of the request and the date that such recordswill be released to the requester Unless Contractor obtains
a court order enjoining that disclosure. If the Contractor fails too the COUrt order enjoining disclosure, the
Department will release the requested -information on the date specified.
154 RIGHTS IN IDATA -- The parties hereto agree that all works originating from this contract shall be 'I works for hire"
as defined by the U.S. Copyright Act of 1976 and shall be owned by the Department and/or the State of Washington.
SFY 2023 (EFSEC) Page 6 of 15 Grant Count y Sheriffs Office, E23-044
Unless otherwise provided, this contractual term applies to all, works in-cluding, but not lim[ted' to,, reports, graphic
de -sign and logos, documents, files, Pamphlets, advert is emeni-ts., pUblica.fion.s books, magazines, surveys, studies,
computer programs, films, tapes, and/or SOLInd reproductions prepared bly an employee. within the scope of
employment, and also to all works specially ordered, or commissionedfor use, as a contribUtiOn to a Collective work
as a, part of a motion picture or other audiovisual work, as a translation, as a supplementary work, as a compilation,'
as. an instructional text, as a test,- as answer material: for a test, or, as an aflas.
Ownership includes the right to copyright, patent, register, and; the abi1ity to transfer these rights. Work delivered
under the. contract., but which does not originate therefrom, sha,[[ be transferred. to the Department with a
nonexclusi've, royalty -free, irrevocable license to pubfish, translate, reproduce. defiverperform,, disp ose, of, and to
aLtthorize others to do so;, provided, that such license shoal:[ be mit,,
ed to the extent which the Contractor has a right
to grant SLic.h- a license. The Contractor shall exert reasonable effi-ort to adv
diso the Department, at the firne ofdelivery of works under this contractv of aft known or potent�`af invasions of privacy contained therein and
of any portion of such document which was not produ=ced ; in the performance of this contract. The Department shall,
receive prompt written notice of each notice. or clairn or copyrfght iinfringernent'received by the Contractor with,
respect to any works created under this contract.
The Contractor shall not affix any! res-trictive markings upon any works, and if such markings. are affixed, the
Department shall have the right at any time, to modiff-y-, remove,. obfiterat% or ignore such: marking.s.
16. PUB CITY -- The Contractor agrees. to Submit to the Departrhent all advertising and Pubficity matters relating to
this contract wherein the Department's name is mentioned or language used from which the connection of the
Dep-aftment's name may, in the Department's judgment, befinf6rred or fimplied. The, Contractor agrees not to publish
or. use such advertising and publicity matters without the prior w6tten consent of the Department.
17. PRIVACY -- Personal information colfected, used, or aoquired in connection with this contract shall be used solely
for the, purposes of this contract. Contract.or and its subcontraCt,,,ors agree., not to release, divulge, publish, transfer,
sell or otherwise make known to U n.authortzed persons personal* information without the express written consent of
the Department or as provided by law. Contractor agrees to implement physical, electronic and managerial
safeguards to prevent unauthorized access, to personal information..
The: Department reserves the right to Monitor, audit, orinvestigate the use Gf.'persona[i information collected, used
cr acquired by the Contractor through this contract.. Thernon,itorin
It g, audifting or investigating may include but is not
limited to salting" by the Department.. Contractor shaft certify: return. or destruction of all personal Mformation- upon
expfratlon of this contract, Salting is the act ofplacing a record conta."ng unique but false information in a database
that can be used, later to identify inappropriate disclosure of data contained In the database.
Any breach of this provision may result in termination, of contract and the. deman
inford for return of all personal
information. The Contractor agrees to Indemnify and hold harmless: the Department for any damages related to -the
Contractor's unauthorized use of personal information.
For purposes of this provision, personal information inCllUdes-, but is not limited to 1"Wormation I'dentifiabte to an:
individual that relates to a natural person's heafth, finances., edUcation, business, use or receipt of governmental
services, or other activities, names, addresses, telephone numbers, sociall security nUmbers, driver license
numbers, financial profiles, credit card nUmbers, financial 'Identifiers and other identifying numbers.
18. TREATMENT OF ASSETS
a. Title to all property furnished by the Department shall remain with the Department. Title to all property
purchased by the Contractor, for the. cost of which the Contractor is entitled to be reimbursed as a direct
item of cost under this contract, shall pass to and vest in the Department Upon delivery of such property by
the vendor. Title to other property, the cost of which is reimbursable to the Contractor under the contract,
shall pass to and vest in the Department upon (i) issuance for use of suchproperty In the performance of
this contract, or (iii) commencement of use of such property in the performance of this contract, or (iii)
reimbursement of the cost thereof by the Department in whole or inpart, whichever first occurs,
b. Any property of the Department furnished to the 'Contractor shall, unless otherwise provided herein, or
approved by the Department, be used onfy for theperformance ofthis contract,
C. The Contractor shall be responsible for any loss or damage to property of the Department that resultsfrom
the negligence of the Contractor or which results from the failure on the part of the Contractor to maintain
and administer that property In accordance with sound managementpractices.
d. Upon the happening of loss or destruction of or damage to, any Department property, the Contractor shall
notify the Department thereof and shall take all reasonable steps to protect that property from further
damage.
SFY 2023 (EFSEC) Page 7 of 15 Grant Count
y Sheriffs Office, E23-044
e.
The Contractor shall surrender to the Department all property of the Departmentprior to settlement Upon
completion, termination, or cancellation of this con -tract.
All referen.ce to the Contractor under this. clause shall include any of the Contractor's empl;oyees or agents
or Subcontractors.
19. SITE SECURITY — While on Department premises, Contractor, its agents, employees, or Subcontractors shalt
ini all respects with, physical, fire or- other SeCUrity regulations.
20. ATTORNEY'S, FEES — In the event of litigation or other action brought, to enforce contract terms or alternate dispute
resolution process, each; party agreesto be-ar its own attorney's fees and costs.
21. TAXES — All payments accrued on, aCCOU.nt of' payroll, taxes, uriemptoyment contributions.,, any other taxes,
insurance or other expenses. for, the. Contractor or its staff shall be. the sole responsibility of the Contractor,
22. TRAVEL AND SUBS- fSTENCE RE11VIBURSEMENT — Unl*ess the contract specificaffy provides for dfft,"brent rates,,
I
any travel or subsistence reirnbUrsement expressly authorized under, the contract, shall be paid in accordance with,
rates set pUrsuant to RCW 43.03.050., and R.CW 43.03.060 and the State Administrati'Ve and., ACCOUnting Manual
(SAAM) Chapter 10,90 --- Travel' Rates
!lt-tP://WWN.ofm.wa.qov/octicv/10.90.htm as now ex.f.sting or, amended,
Receipts, and documentation for, travel or Subsistence expenses that are authorized under this contract must be
maintained by the Contractor and be made, avaifab-le to the Department upon., request.
23. LICENSING Ai A. ACCREDITATION STANDARDS -- Unless exempt from registration by law, the Contractor shall,
compl'ete registration with- the, Department of Revenue, Lie, and be responsible for payment of alf, taxes, due on payments
c��
made under this. Contra 1". WAC 458:20-101 .
The Contractor shaff comply with all applicable local I
state,, and federat licensing and' accrediting
requiret-n,ent,s/s-t.and-arcf�'s,, necessary in, the performance of this, contract. (See RCW' 19,.02r s
fotate Hcensi:n'g
reqL!ii,e.ment,sicl-,:*efinitions.,) The Contractor shall provide to the Department all identification aodes/nung burs th.,at
apply to the business as reqUired in the state and federal revenue ImAls and regulations.
Identifications, such as the State Department of Re -venue nUmber., federal em.plioyee identification nuarriber, state
certification number of a min-ority/wornen-owned business enterprise, and., any other ap.pfftcabfe registration
identification. that may, exist should be provided. The Contractor shall be responsible forpayment of all related
licensing, accreditation.., and other related fees and charges.
24, CERTIFICATION REGARDING DEBARMENT,, SUSPENSION OR INELIGIBILITY — If federal funds are the bast's
for this contract the Contractor certifies, that the Contractor is not presently debarred,, suspended, proposed for
debarment, declared ared fneligibte, or, vo[untarilyr excluded from participating in, this contract by any federal department
or agency,
If requested., by Washfbgton Mititary Department, the Contractor shall complete and' sign a Certific,ation Regarding
Debarment, SLIspension, Ineligibility, and Votuntary Exclusion form. Any SLIch form completed by the Contractor
for this Contract shall be. incorporated into this Contract by reference.
Further,. the Contractor agrees not to enter into any arrangements or f contracts related to this, contract with, any party
that is debarred, suspended, proposed' for debarment, declared inellgible, or VOILintarily eXCIUded from participating
in this contract by any federal department or agency.
In addition, the state debarment laws shall apply: RCW 39.19.0,90;, RCW 39.12..065 (3).
25. ADVANCE 'PAYMENTS PROHIBITED — The Department shall make no payments in advance or in anticipation of
services or supplies to be provided under this contract. Contractor shall not invoice the Department in advance oil
delivery of such goods or services. RCW 43-88,160; Washington State Constitution= Article VIII
x § 5
26. LOSS OR REDUCTION OF FUNDING -- In the event funding from state, federal, or other sources is withdrawn,
reduced, or limited in any way after the effective date of this contract and prior to normal completion, the Department
may immediately terminate the contract in its sole discretion under the "Termination for Convenience" clause,
without the ten (10) day notice requirement. Alternatively, the parties may renegotiate the terms of this contract.
�M. I
under the CONTRACT :� ODIF1 CATIONS" provision to comply with new funding limitations and conditions,
although the Department has no obligation to do so.
27. WAIVER OF DEFAULT -- Waiver of any default shall not be deemed to be a waiver of any Subsequent default.
Waiver of .breach of any prov Ision of the contract shall not be deemed to be a waiver of any other or subsequent
i
breach and -shall not be construed to be a modification of the terms of the contract unless stated to be such in
writing, signed by the Director and attached to the original contract,
28. CONTRACT MODIFICATIONS — This contract contains all the terms and conditions agreed upon by the parties,
No other understandings, oral or otherwise, regarding the subject matter of this contract shall be deemed to exist
SFY 2023 (EFSEC) Page 8 of 15 Grant County Sheriff's office, E23-044
I
or bind the Parties hereto unless made in writing and signed by the parties. The Department and the Contractor
may, from time to time, request changes, to the contract. Any such changes that are mUtually agreed upon by the
parties to this, contract shall be incorporated' herein by written amen-c[ment to this contract. It is, Mutually agreed and
understood that no alteration or variation of the terms of this contract shall be valid unless made in writing.- and
signed by the parties hereto, and that any other understanding- or contracts, oral or otherwise, are not incorporated
herein and shall not be binding unless made in writing and Signed by the parties hereto.
29. LIMITATION OF AUTHORITY -- "Authorized Signature" Only the assigned Authorized Signature for the
Department or the assigned dele.g*at,,e by writf-rig (,delegation to be made prior to action) shalt have the express
implied, or apparent, authority to afte-r,. amend, modify., or waive any clause or condition of this,
contract. Furthermore,
any alteration, amendment, modification, or waiver of any clause or condition of this contract is. not effectfive or
binding unless. made in writing and signed by the authorized person.
30. DISPUTES -- Except as otherwise. provided [n this, contract, when a bona fide dispute, arises between the -parties
and it cannot be resolved through discussion and inegotiation, either party may request a disputeresolutionboard
to: resolve the d'istpute. -A request for a dispute. resolut[on, board shall be in wrftfong, state the di'sputed issues., state
the relative positions of the parties, and be 'sent to, all' parties. The board shall consist of a representative appointed
by the Department, a representative appointed by the Contractor and a third party mutually a;reedupon by both
parties. The determination of 'the, diSpLlte resolution board shall- be final and binding on the parties hereto. Each,
party shall bear the cost for its member of the dispute res-olLition board and its attorney fees and costs,, and share
equally the cost of the third board member.
31. RECAPTURE OF FUNDS -- In the, event that, the Contractor fails to expend fUnds, under this, Contract in accordance
with state laws and/or the Provisions of this. Contract, the Department reserves the, right to recapture state funds in
an amount equivalent to the extent of the, nancompf4ance in, addition to any other remedies, available at law or in
equity.
Such: right of recapture shall exist for a period not, to exceed six (6) years following Contract termination. Repayment
by the Contractor of funds under this recapture provision shalf OCCUr within 30 days of dernand. In the event that
the. Department is required to institute legal' proceedings to enforce the recapture provision, the Department shalt',
be entitled to- its costs thereof, including reasonable attorneys' fees.
32. CONFLICT OF INT..EST-- The Department may, by written notice to the Contractor, terminate this contract if It
is found after due notice and examination by The Adjutant General or the ALIthoriz,%ad Departrnent Representative
that there is a violation of Chapter 4,2,..5-2 RCW, Ethics in Public Service, or any similar statute involving the
Contractor in the procurement of, ' or, performance under, this, contract.
33, TERMINATION FOR CONVENJEN.CE -- Notwithstanding any provisions of this contract, the. Contractor may
terminate this con i tract by providing writ -ten notice of such termination, specifying the effective date thereof, at least
thirty (30) days prior to such date.
Notwithstanding any other provisions. of this contract, the Department may, by ten (10) days written notice,
beginning on the seconder after, the mailing of the written. notice, terminate this contract, in whole -or in part. If
this contract is so terminated, the Department shall be liable only for payment required under the terms of this
contract for services rendered or goods delivered prior to the effective date of termination. - Upon notice of
termination for convenience, the Department reserves the. right to suspend all or part of the con�tract, withhold further
payments, and prohibit the Contractor from incurring additional obligations of funds.
34. TERMINATION OR SUSPENSION FCR CAUSE -- In the event the Department determines the Contractor has
failed to comply with the conditions of this contract in an acceptable and timely manner, the Department has the
right to suspend or terminate this contract. The Department shall notify the Contractor in writing of the need to take
corrective action.
If the default or violations not corrected after ten (10) days or within a reasonable timeframe as determined by the
Department, the contract shall :be deemed terminated. The Department reserves the right to suspend all or part of
the contract, withhold further payments, or prohibit the Contractor from incurring additional obligations Of fund
during investigation of the alleged compliance breach and pending corrective action by the Contractor or a decision
by the Department to terminate the contract.
In the event this contract Is terminated as provided above, the Department shall be entitled topursue the same
remedies against the Contractor as it could pursue in the event of a breach of the contract by the Contractor. The
rights and remedies of the Department 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 The Adjutant General or the
Authorized Department Representative makes any determination Linder this clause shall be an issue and may be
reviewed as provided in the "Disputes" Clause of this contract.
SFY 2023 (EFSEC) Page 0 of 15 Grant County Sheriff's Office, E23-044
The termination shall be deemed to be a "Termination for Convenience" if it is determined that the Contractor: (1 )
was not in default, or (2) failure to perform: was outside of the Contractor's control, fault or negligence. The rights
and remedies of the Department provided in this contract are not exclusive and are in addition to any other rights
and remedies provided by law.
35. TERMINATION PROCEDURE -- Upon termination of this contract, the Department, in addition to any, other rights
provided in this contract, may require the Contractor to deliver to the Department any property specifically produced
or acquired for, the performance of such part of this. contract as has been terminated.
The ' Department shall pay to the Contractor the agreed upon price,, if separately stated, for completed work and
services accepted by the Department, and the amount agreed, upon by the Contractor and the Department for (i)
completed work and services for which no separate price. its stated, (ii) partiall'y completed work and' services (iii)
other property or services which are accepted, by the Department, and (iv) the protection and preservation, of
property; provided, that if the termination is dueto default, The Adjutant Litant General or the Authorized- Department
Representative shall determine the extent of't . hel 1,iabffity of the. Department. Failure to agree with such determination
shall be a d'i'spute 'within the meaning of the "'Disputes" clause of this contract. The Department may withhold frorn
any amounts due the Contractor such; sum as The Adjutant Generaf or the Authorized Drepartment Representative
determines to be necessary to protect the Department against potential loss or liability.
The rights and remedies of the Department provided in this section shall not be exclusive and are in addition to any
other rights and remedies provided by taw or, under this contract,
After receipt of a. notice of term nation, and except. as otherwise directed by the Department, the Contractor shall -
a. Stop work Linder the contract on the date, and, to the extent specified, in the notice;
b. Place no further orders or subcontracts. for material's, services, or facilities except as may be necessary for
completion of such portion, of the. wark. underthe contract as is not, terminated;
C. Assign to the Departme',nt in, the manner, at the times, and to the extent directed by The Adjutant Genera[
or the authorized Department Representative, all of the rights, title, and interest of the Contracto'r, under -the
orders and Subcontracts so. terminated, in which case, the, Department has the right, at its discretion, to
settle or pay any or all claims artsing, out of the termination of such orders and subcontracts.
d. Settle all outstanding liabilities and all claims arising Out of such termination of orders and subcontracts,
with the approval or ratification of the Department to, the extent The Adjutant General or the Authorized
Department Representative may require, which approval or ratification shall be final for all the pUrposes of'
this clause;.
e. Transfer title to the Department and deliver in the manner, at the firnes, and to the extent directed by the
Department any property which,, ff the contract had been completed, would have been required to be
furnished to the Department;
f; Complete performance of such part of the. work as shall not have been terminated by the Department; and
91 Take such action as may be necessary, or as the Department may require, for theprotection and
preservation of the property related' to this contract which is in the possessiop, of the Contractor- and in which
the Department has or may acquire an, interest.,
36. GOVERNING LAW AND VENUF. This contract shall be construed and enforced in accordance with, and the
validity and performance hereof shaill be governed by, the laws of the state of Washington, In the event of a lawsuit
involving this contract, venue shall 'be proper only in, Thurston County. The Contractor, by execution of this contract,
acknowledges the jurisdiction of the courts of the state of Washington in this matter.
37. SEVERABILITY -- If any provision of this contract or any provision of any document incorporated by reference shall
be held invalid, Such invalidity shall not affect the other provisions of this contract which can be given effect without
.I
the invalid provision, and to this end the provisions of this contract are declared to be severable.
38. DATE COMPLIANCE — If applicable to this, contract, the Contractor is responsible for ensuCing that all materials
and equipment installed as part of this contract shali accurately process date/time data between year calculations,
to the extent that other information technology, used in combination with the information technology being acquired,
properly exchanges dateltime data with it,
39. HISTORICAL AND CULTURAL ARTIFACTS — The Conti -actor agrees that if historical, archaeological data, or
cultural artifacts, relics or specimens are discovered during and as the result of contract activities such as
construction, the Contractor shat] immediately stop those specific activities and notify the local historical
preservation officer, the state's historical preservation officer at the Washington State Department of Archeology
and Historic Preservation, and the Department's contact person for this contract.
SFY 2023 (EFSEC) Page 10 of 15 Grant County Sheriff's Office, E23-044
40, INDUSTRIAL INSURANCE -- If Vendor has operations in Washington,this section shall al
operations in Washington, this section shall NOT apply. ppy. If Vendor has no
I
a. Contractor employments excluded; from mandatory coverage are listed in RGW 51.12.020 and include sole
proprietors, partners, corporate, officers and certain others. The Contractor may elect optional coverage for
these employments.
b. Prior to performing work under this contract, the Contractor shall provide orpUrchase industrial insurance
coverage f0 r the Contractor's employees, as may be, reqUired of an employer" as definediin. Title 51 RCW
(Industrial Insurance), and shall maintain full compliance with Title 51 RCV\/ during� the course of this
contract,
To protect the State's interest, if e[ther : the Contractor or someone employed by the Contractor is injured
whife, performing work under the contract, the Contractor I- s employees should be covered by industrial,
insurance. The Contractor, shall comply with the provisions of Title 51 RCW' (Indlistrial InSU,ra:
Contractor fails to. prov' e ind'u-s-tri 1! � nce). If the
W al: insurance coverage or fails to pay, prem.[ums or penalties on behal'of
its. employees as may be required: by law, the Department may collect from the Contractor the full amo'
unt
payable to the ln&-s�trial Insurance accident fund. The Department may deduct the amount owed, by the
Contractor to the accident fund from the amount payable to the Contractor by the Department under this,
contract, and transmit the deducted a mount to the Department of Labor and Industries(
L&1). This provis o;
does not waive any of Lel'"s rights to collect from the Contractor, RCW 51.04.060. No employer or worker
shafl exempt himself or herself from the burden, or waive the benefits of this title.
C, The, Contractor shall be prepared, upon request, to provide dOCLImentati.on of industrial insurance coverage
for any workers employed by the Con -tractor, The Department will, not be. responsible. fdr, Payment of'
industriaf, insurance premfu-ms or for any other claim or benefit for this Contractor, Or any subcontractior or
employee of the Contractor, which might arise, Linder the industrial insurance laws ClUring performance of
duties and services under this contract..
41. RESPONSIBILITIES OF THE PART[ES —
Each party to this contract hereby assurnes responsibility for claims and/or damages to persons and/or property
resulting from any negligent act or omissions on the, part of itself, its employees, its officers, and its agents;. Neither
party assumes, any responsibility to the other party for the consequences of any negligent claim, act., or, ornision of
any person, agency, firm, or corporation not, a part to this contract. s
42. EXECUTIVE ORDER 18-03 -WORKERS" R[GHTS
The Contractor represents and warrants that the Contractor does not require. its employees, as, a condi" of
employment, to sign or agree to mandlatory -individual arbitration Cl'aLlSe& or class or collective action waivers. The
Contractor further represents and-, warrants that, during the term of this contract, the Contractor shall not, as a
condition of employment, require. its employees to '
class or collective action waivers., I- - sign or agree to mandatory individual arbitration clauses or
SFY 2023 (EFSEC) Page 11 of '15 Grant CoLinty Sheriffs Office, E23-044
STATEAAENT OF WORK Exhibit C
Energy Facility Site Evaluation Council (EFSEC)
SFY23 Grant County Radiological Emergency Preparedness (REP) Program
INTRODUCTI.ON: The Washington State Military Department (the Department), Emergency Management
Division (EMD), coordinates emergency management activities and implements the Washington State Fixed
NLIcfear Facility Plan. Through an interagency agreement, the Energy Facility Site Evaluation Council(EFSEC)
of the Utilities and Transportation Commission (UTC) provild'es fund's, for emergency preparedness services in
support of Energy Northwest's Columbia Generating, Station Emergency Response Man. The Department is
authorized through this interagency agreement to subcontract with certain WashIngton, counties for emergency
preparedness (EP) services including coordination of response roles, p[ans, exercises, and other details. The,
foilowing Scope of Work outlines the responsibilities of Grant: County She-riff"s Office, under this, contract.
SFY 2023 (EFSEC) Page 12 of 15 Grant County Sheriffs Office, E23-044
Piro ram Activity
Frequency
A.
UPDATE OF PLANS AND LETTERS OFAGREEMENTS
1 Grant County Chemical and Radio -logical plan;. revise as necessary to incorporate
1,
Annually or as
any needed updates to the plan and procedures for training, drills, exercises,. and
needed
changes in the notification process.
Annually or as
2.
I Provide draft revisions for annual review and" comment, to Energy Northwest,. WA
- ------- __
State EMD and local organizations for any Updates or carrections.
Conduct periodic review of letters of agreement or memoranda of underst@ndi'ng:
needed
3.
Annuatly or as
with entities, Jurisdictions, and: disciplines that may be involved during a
needed
radiological incident.
4.
Attend planning meetings (issues) related to Energy Northwest, for coordination,
As Schedule d
planning, and training that may impact Grant COUnitys preparedness efforts.
PUBLIC EDUCATION AND INFORMATION
Participate in Community Outreach Programs. (e,g.,. schools, civicgroups)
Make available program emergency, preparedness information to ingestion zone
B4
1.
As Requested
2,
Annually
residents and businesses
C.,
'RADIOLOGICAL EMERGENCY RESPONSE TRAINING
Ensure initial and annual training is provided for Emergency Coordination Center
I
Annually or as
(E.CC) personnel and first responders (e.g..., elected officials, [aw enforcement, fire.
needed
service, public works, dispatchers, emergency workers, volunteers) Involved in the
Fixed Nuclear Facility (FNF) plan. Training may be done in cooperation with the
Washington Department of Health (WDOH), Washington Department of
Agriculture (WSDA), WA State EMD and Energy North-west.
Attend and participate in other REP program training or training pertinent for
2.
As SchedLIfed
Emergency Management to include but not limited to: CC, RPPR, REEL, RPPP,
REP-DIR, HSEEP, PIO, IS (100, 2007 700,800) ICS (3800, 400), G-235 (Planning)
Quarterly
3.
Maintain training attendance records and Outlines of training Subject. matter.
Provide copies to FEMA Region X, Energy Northwest, and WA State EMD as
F
re�q uested.
Submit to FEMA training calendar for future calendaryear.
4.
Annually
D*
DRILLS
Participate in scheduled off year drills, dressed rehearsals, and evaluated
I
As Scheduled
exercises (2024 ingestion). Work with the Energy Northwest Emergency Planner
to include ;Grant County in their drills and exercises when the exercise scenario
SFY 2023 (EFSEC) Page 12 of 15 Grant County Sheriffs Office, E23-044
Program Activi
--j ire gBanc
�
identifies a risk to Grant County. Seek, al COILImbia Generating Station
representative to participate at the Emergency Coordination Center on behalf of
the Facility exercises and Drills as necessary,
2. Participate in JIS/JIC, Food Control drills,, or exercises/drills. related to the REP As Scheduled
program.
3.Participate in the exercise development process, for, evaluated exercises, attend As Scheduled
exercise planning team meetings and develop required ei(ercise documents
_., ... ........
E. 24+10UR STAFFING
1 Emergency Management will adequately train, and staflhe Emergency Ongoing
Coordination Center and w'f,.I,[* maintain 24-hour staffing f6r protracted
operations
F. EMERGENCY'FACILITIES . AND, EQUIPMENT
Emergency Management will maintain an operational Emergency Coordination: Ongoing
(ECC) Center at 35 C Street NK Ephrata, Washington. The ECC wilt maintain
current wall charts and maps for the Chemical and Radiological Plan and program.
Periodic reviews, will aid in identifying needed changes and improvements for
efficient and effective coordination capability.
2. Emergency Management maintains and, tiests the CEM ET radio, a Weekly
communications capability to communicate with the State EOC, This radio will be
tested when staff is available to assure connectivity is made with the State EOC.
3, Maintain Emergency Worker Kits for WSP by inspecting OSL dosimeters
rechargeireplace 0-20R DRD,, ensure. KVis. current, and procedures are
current.
4 Maintain radiological detection iinstruments for calibration in accordance with the
1
manufacturers recommendations. Grant County, Emergency Management has
Canberra MCB2's which do not require ire calibration and Canberra Ultra Radiac
Plus detectors which: require annual calibr*a'tian.
5, Maintain Emergency Alert System (EAS) and, ensure equipment is functional, at all
times
G. ALERT AND NOTIFICATION
I Maintain an updated Alert & Notification list for SLIspected changes, wi�th
the Multi -Agency Commu-nication Center; Grant County's single point
dispatch center.
H. ADMINISTRATIVE
1. Review and Update as needed annual budget and workplan, Submit to EFSEC for
approval,
2. Submit performance reports to WA State EMD to document program activities.
Semi -Annually
Annual
Quarterly
Quarterly
Annually
Quarterly
1 3. I Provide sufficient information and documentation to WA State EMD to assist in the Annually
development of the Annual Letter of' Certification.
4. Conduct administrative functions such as correspondence, financial monitoring Quarterly
and tracking, submission/requests for reimbursements, monitor compliance for
State and Federal audit requirements, etc,,
SFY 2023 (EFSEC) Page 13 of 15 Grant COUnty Sheriffs Office, E23-044
SFS' 2023 (EFSEC) Page 14 of 15 Grant County Sheriffs Office, E23-044
Exhibit 0
BUDGET SHEET
Energy, Facility Site Evaluation COTUnCII (EF SEC)
Contract expenditUres sh;alf be documented according to the following cate-gories. when appropriate:
ITEM DESCRIPTION
COS -T
A. Salaries and Wages
271.253
B, Benefits
$
11 24.8
C. Personal Contracts
$
0
E. Goods & Services
$
600
G. Travel
5T500
J. Capital Outlay
$
0 -
TOTAL
$
44.601
Up to 10 percent of each budget category amount may be. shifted between approved budget
object codes.
Final signed invoice voucher (A-19) to besubmitted with, final performlance report and
deliverables. A_19's not to exceed total aMOU.nt of contract award.
NOTE: Maintain, expenditUres within the listed budget categories.
SFY 2023 (EEFSEC) Page 15 of 15 Grant County Sheriffs Office, E23-044
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before completing this form.
NAME OF ORGANIZATION DATE SUBMITTED
Grant County Sheriffs Office, Emergency Managment
12/13/2022
PROJECT DESCRIPTION CONTRACT NUMBER
To provide pass-through dollars (SFY 2023) for the county to conduct
E23-044
radiological emergency preparedness program duties.
1. AUTHORIZING AUTHORITY
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Joe Kriete
Sheriff/ 2022
Josh Sainsbury
John McMillan
Undersheriff/2022
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATQRE
PRINT OR TYPE NAME
TITLE
Joe Kriete
Sheriff
Josh Sainsbury
John McMillan
Undersheriff
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE
PRINT OR TYPE NAME
TITLE
Josh Sainsbury
Chief Deputy
Mireya Garcia
Emergency Management Special
N\NAC-I1VOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03
This form identifies the persons who have the authority to sign contracts, amendments,
and requests for reimbursement. It is required for the management of your contract with
the Military Department (MD). Please complete all sections. One copy with original
signatures is to be sent to MD with the signed contract, and the other should be kept with
your copy of the contract.
When a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file. The payment can be delayed if the request is
presented without the proper signature. It is important that the signatures in MD's files
are current. Changes in staffing or responsibilities will require a new signature
authorization form.
Authorizing Authority. Generally, the person(s) signing in this box heads
the governing body of the organization, such as the board chair or mayor. In
some cases, the chief executive officer may have been delegated this
authority.
2. Authorized to Sign Contracts/Contract Amendments. The person(s) with
this authority should sign in this space. Usually, it is the county
commissioner, mayor, executive director, city clerk, etc.
3. Authorized to Sign Requests for Reimbursement. Often the executive
.director, city clerk, treasurer, or administrative assistant have this authority.
It is advisable to have more than one person authorized to sign
reimbursement requests. This will help prevent delays in processing a
request if one person is temporarily unavailable.
If you have any questions regarding this form or to request new forms, please call your
IVID Program Manager.
NATURE AU10HORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before, completing this form.,
NAME OF ORGANIZATION DATE SUBMITTED
Grant County Sheriffs Office, Emergency Management Division
0.7/12/2022
PROJECT DESCRIPTION: CONTRACT NUMBER
To provide EFSEC pass-through dollars, (SF 2023) for the COUnty to E23-044
conduct radiological emergency prepared nliess program, duties
1. AUTHORIZING AUTHORITY'
SIGNATR,E
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Josh Sainsbury
Ryan Rectenwald
Sheriff (2022)
Josh Sainsbury
Chief Deputy of Emergency Oper
Mireya Garcia
Emergency Management Special
2, AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS,
,` NATUR
PRINT OR TYPE NAME
TITLE.
Josh Sainsbury
Ryan, Rectenwald
Sheriff
Josh Sainsbury
Chief Deputy of Emergency Oper
Mireya Garcia
Emergency Management Special
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
S. IIG NAT U RE,_,,
PRINT OR TYPE NAME
TITLE
Josh Sainsbury
Chief Deputy of Emergency Oper
Mireya Garcia
Emergency Management Special
\�NAC-IWOLI\FIOME\KARENB\....\WP\SIGNAUTH Revised 3/03
Washington Military Department Contract Number: E23-044
Debarment, S,..uspenslon, Inefig!"bility or Voluntary Exclusion Certif ication Form
NAME
Doing business as (DBA)
Grant County Sheriffs Office, Emergency Management Division
ADDRESS
Applicable Procurement
WA Uniform Business
Federal Employer Tax
PO Box 37
or Solicitation #, if any:
Identifier (UBI)
Identification #:
Ephrata,WA 98823
136000784
91-6001,319
This certification. is. submitted as part of a request to contract.
Instructions For Certification Regarding Debarment, Suspension, Ineligibility an,d Voluntary Exclusion --Lower
Tier Covered Transactions
READ CAREFULLY BEFORE SIGNING THE CERTIFECATION.- Federal regulations require contractors and bidders to sign and
abide by the terms of thi's certification., without modification, in order to participate, in certain transacttons directly or
indirectly involving federal funds.
1 By signing and submitting this proposal,. the prospective lower tier participant is providing the certification set out
below.
2. The certification [Irn this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal Government the department or agency
with. which this transaction originated may pursue available remedies, including suspension and/ , or debarment.
3. Tli.e prospective lower tier participant shall provide immediate written. notice to the department, institution or office to
which this proposal is subt-n-itted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous, by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible,: lower tier covered transaction, participant, person,
primary covered transaction, principal, proposal, and voluntarily excluded,, as used in this clause,, have the meaning
set out in the:Definitions and. Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this Proposai-I! is Submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by SUbmitting this proposal." that, should the proposed covered
transaction be entered into,, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicable CFR, debarred, suspended, declared ineligible, or voluntarily
excluded
from participation in this covered transaction, unless authorized by the department or agency, with which this,
transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will Include this clause titled,
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," without modification, In, all lower tier covered transactions and in all solicitations for lower tier covered
transactions.
7. A participant in a covered transaction may rely Upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debarment under applicable CFR, debarred, suspended, ineligible, or voluntarily
excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals, Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non -procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a systern of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is not
required to exceed that which is normally possessed by a prudent person in the ordinary course of business activity.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under applicable
CFR, suspended, debarred, ineligible, or voluntarily excluded from participation h this transaction, in addition to other
remedies available to the Federal Government the department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Inellgiblilty and Voluntary Exclusion—Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal or contract, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency. Where the prospective lower tier
itt,
participant is unable to certify toy of the st.- ements in this certification, such prospective participant shall
attach an explanation to this form. y Lm e r,, /
-actor Signature, Date: 07/12/22
Bidder or Conti I )<
V —tr
Print Name and Title: Ryan Rectenwald, Sheriff