Loading...
HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SA14 It w t 0 new, beginnings- better tomorrows. August 22, 2023 Board of Grant County Commissioners PO Box 37 Ephrata, WA 98823 RE: Docu-Sign Signature Permission Requested Agreement #F20-31213-401 Amendment B Dear Board of County Commissioners: Please see the attached agreement amendment for review and approval. VOLA Children's Advocacy Center Child Centered Services VOCA Initiative Contractor: Department of Commerce, Office of Crime Victims Advocacy Term of Contract: 7.01.2023 through 6.30.204 Pur ose: This agreement is to de -obligate year one services and add Year two funding to coordinate the multidisciplinary team response to the investigation of child abuse/neglect, child sexual abuse, and/child fatality cases in Grant and Adams Counties. Amount: $243,210.58 Suzi Fode is requesting permission to Docu-Sign electronically with the contractors. Thank you for your consideration, Suzi Fode, Director Kids Hope and New Hope APROPV�E� AUG p 7 2D13 CO-- N ENT DocuSigrl Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 Arilrot VY III j!jkV1 I :�Ltltt- 1W IVCoiiDepartnientof '40 imerce Amendment K23-213 Grant Number: F20-31219-401 Amendment Number: B Washington State Department of Commerce NSubrecipient Community Services Division 11 Contractor Office of Crime Victims Advocacy Children's Advocacv Center Child Centered Services VOLA Initiative 1. Grantee 2. Grantee Doing Business As (optional) GRANT, COUNTY OF New Hope PO BOX 37 - EPHRATA, WA 98823-0037 3. Grantee Representative (only if updated) 4. COMMERCE Representative (only if updated) 5. Original Grant Amount 6. Amendment Amount 7. New Grant Amount (and any previous amendments) $1187996.58 $243,210.58 $1247214.00 8. Amendment Funding Source 9. Amend. Effective Date 10. End Date Federal: 0 State: F-1 Other: 0 N/A: 0 8/1/2023 12:00:00 AM 06/30/2024 11. Federal Funds: Federal Agency: ALN Number: Indirect Rate: (as applicable): Department of Justice, Office of 16.575 (as applicable): $243210.58 Justice Programs, Office for Victims of Crime 12. SWV # 13. UBI # 14. UEI # SWV0002426-17 132001884 ZL6WM26K8KR5 15. Amendment Purpose To de -obligate Year 1 balance and add Year 2 funding. COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of this Grant and attachments and have executed this Grant on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Grant are governed by this Grant and the following other documents incorporated by reference: Grant Terms and Conditions including Attachment "A" — Scope of Work; Attachment "B" — Budget; Attachment "C" — Federal Funds Checklist, Attachment I'D" — Victims of Crime Act (VOLA) Rule, and Grantee's Application for funding. A copy of this Grant Amendment shall be attached to and made a part of the original Grant between COMMERCE and the Grantee. Any reference in the original Grant to the "Grant" shall mean the "Grant as Amended". FOR GRANTEE FOR COMMERCE SuziFode Director Cindy Guertin -Anderson, Assistant Director Date Name, Title Signature APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL APPROVAL ON FILE Date DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 1p Washington Mate o Department of This Grant is amended as follows: Special Terms and Conditions 1. ACKNOWLEDGEMENT OF FEDERAL FUNDING Federal Award Date: 9/16/21 Federal Award Identification Number (FAIN): 15POVC-21-GG-00605-ASSI Total amount of the federal award: $23,924,343 Awarding official: Department of Justice, Office of Justice Programs, Office for Victims of Crime Additional amount obligated by this action: $$118,996.58 The Grantee agrees that any publications (written, visual, or sound) but excluding press releases, newsletters, and issue analyses, issued by the Grantee describing programs or projects funded in whole or in part with federal funds under this Grant, shall contain the following statements: "This project was supported by Grant No. 15POVC-21-GG-00605-ASSI awarded by Office for Victims of Crime, US Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the Office for Victims of Crime, US Department of Justice. Grant funds are administered by the Office of Crime Victims Advocacy, Washington State Department of Commerce." In the event a correction is required to the Acknowledgement of Federal Funding, an administrative change will be processed. A change to the Acknowledgement of Federal Funding will not affect your budget or scope of work and notice will be provided. This subaward may not be used for research and development purposes. 5. COMPENSATION COMMERCE shall pay an amount not to exceed $243,210.58 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 in accordance with Attachment B — Budget. The Grantee shall provide a non-federal match for the Victims of Crime Act portion of this Grant. The total match to be provided shall be at least $0.00. All funds designated as match are restricted to the same uses as VOCA federal funds. Match funds may be expended in a greater proportion to grant funds, however, all match funds must be expended prior to the close of this Grant. Expenditures of match funds must be identified on the invoice voucher form. Transfer of funds between line item budget categories must be approved by the Office of Crime Victims Advocacy (OCVA) program staff. A cumulative amount of these transfers exceeding ten (10) percent of the total program budget shall be subject to justification and negotiation between the Grantee and OCVA, including approval from the Grantee's signature authority and the relevant OCVA Section Manager. Payment will be on a reimbursement basis only. Consultant fees may not exceed $650 per day or $81.25 per hour for the Victims of Crime Act portion of this Grant (excluding travel and subsistence costs). 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 travel rates may be accessed at: 2 DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 Washington State Department of *40 cC�:1.�.m+C`.ilee https://ofm.wa.gov/sites/default/files/public/resources/travel/colormar). r)df The Grantee agrees to comply with the financial and administrative requirements set forth in the current edition of the Office of Justice Programs Financial Guide, which can be found at httr)s:Hoip.gov/financialguide/doi/r)dfs/DOJ FinancialGuide.pdf. Funds payable under this Grant include federal Victims of Crime Act (VOCA) victim assistance grant funds (CFDA Number 16.575). In performance of the services, requirements, and activities set forth herein, the Grantee shall comply with all applicable federal requirements of the Victims of Crime Act Rule htt s://www.federalre ister. ov/documents/2016/07/08/2016-16085/victims-of-crime-act-victim- assistance-program. "METHODS OF ADMINISTRATION" - MONITORING COMPLIANCE WITH CIVIL RIGHTS LAWS AND NONDISCRIMINATION PROVISIONS COMMERCE's monitoring responsibilities include monitoring of subrecipient compliance with applicable federal civil rights laws and nondiscrimination provisions. Within 90 days of the date of award acceptance, COMMERCE must submit to OJP's Office for Civil Rights (at Civil Rig htsMOA@usdoj.gov) written Methods of Administration ("MOA") for subrecipient monitoring with respect to civil rights requirements. In addition, upon request by OJP (or by another authorized federal agency), the recipient must make associated documentation available for review. The details of the recipient's obligations related to Methods of Administration are posted on the OJP web site at https:Hoip.,gov/fundin_ /g Explore/StateMethodsAdmin-FY2017up,date.htm (Award condition: "Methods of Administration" - Requirements applicable to States (FY 2017 Update), and are incorporated by reference here. The recipient agrees to promptly provide, upon request, financial or programmatic -related documentation related to this award, including documentation of expenditures and achievements. The recipient understands that it will be subject to additional financial and programmatic in-depth or on-site monitoring, which may be on short notice, and agrees that it will cooperate with any such monitoring. The recipient agrees to develop or maintain effective internal controls to manage federal awards (see 2 C.F.R. 200.303) and effective financial management policies and procedures to manage federal awards (see 2 C.F.R. 200.302). DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 Washington Stite Departmlent of rc Attachment B: Budaet Budget CAC Total Salaries $1459666.43 $14506.43 Benefits $439466.38 $439466.38 Goods and Services $549077.77 $545077.77 Total $2435210.58 $2439210.58 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 htt s:Hofm.wa. ov/sites/default/files/ ublic/resources/travel/colorma . df. Any purchase over $5,000 must be pre -approved by COMMERCE. ALL OTHER TERMS AND CONDITIONS OF THIS GRANT REMAIN IN FULL FORCE AND EFFECT. rd DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 'A'ashincgton State Department of Attachment C: Federal Funds Checklist (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Subaward Budget Period Start and End Date; (vii) Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient; (viii) Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current obligation; (ix) Total Amount of the Federal Award committed to the subrecipient by the pass-through entity; (x) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); GRANT, COUNTY OF ZL6WM26K8KR5 15POVC-21-GG-00605-ASSI 9/16/21 07/01/2022 to 06/30/2024 07/01/2022 to 06/30/2024 $1181996.58 Subrecipient— reference your records. Subrecipient— reference your records. Direct services for victims of crime. Federal awarding agency: Department of Justice, Office of Justice Programs, Office for Victims of (A) Name of Federal awarding agency, pass-through Crime entity, and contact information for awarding official of the Pass-through entity: WA State Department of Pass-through entity; Commerce, Office of Crime Victims Advocacy Contact Information: sherina.james@commerce.wa.gov (xii) Assistance Listings number and Title; the pass- through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement; (xiii) Identification of whether the award is R&D; (xiv) Indirect cost rate for the Federal award (including if the de minimis rate is charged) per §200.414. 16.575 Crime Victim Assistance Not for research and development purposes. 5 DocuSign Envelope ID: 5F075DEE-5E97-4319-BCBD-6A7DD49643A7 ISk- fiu-r- W� 'V�'�shingt�n tete W� C�►m�ne�Departm,eof r+� DocuSign Contract Review and Routing Form Office of Crime Victims Advocacy ./ /r• •/l• ,. ,.. 1• // /-. / :r, �/ /xr,// /.! / r i, .r l.� // / ,u /.: rr / r / ,. rr. r / r/,/ /r ./ / / / / / ///. /J [r it /r,. l r'l. // / /, /r / / 'Fr N�ui! „/ r./ J rr 1✓ ,./. i'. fir. / / / i ./ �/;' // it , / /, , / // ,/ � 1. / ,. /•i ! r � r� / .�i� ///G'v•,/ i r /r• / r, f, iYr / '�, ,� r r /. / / /// L / /- .,,, ,,:,,/i �/ �, . , , , /,, /, //..,,r / G /,,,y/, r / r / r / S,,/ r1 r / r, r r / �rY / 1. / ,/./ /, / / r , � , ,,:.,/!, !,,; //�r �r/ /,., /,, !./,. /,/ t.r.r//.,,, t r / •. r ,/ . z / r ,r/ vee x r / /,3., / � 7i. /i /�'/, , / !rr �r:. Y• /:,!, r / ,r:, .,,..�%•� // !,/r /r % / /,• ,/ r �6/I: / "/' // r r � /a r. . /: !,//, ✓F /, /.,,,, ./, ,,./l / !„ / r / / / r. / ,.!/r � / r./. // / /, .,,/1.., ./.,/. /. / /� /''rIr !,! �/r,,,,,,./r,/�,/i/.,/,r✓�/.e,:/.<.�/,/,,,G/r�l,.r,/,..,///L..11�ii,//,,,.v n/�/u,/rll,/z//. ../„i ,/„ i, ,. a./�i. ,.!! / ,/ � // � /r,./., ,/,�//r.�.,.,,_.///..,G�'..,.,ri,,sl�i/rr,s�,.ti✓i,,.r,r�,_N,/,;/ �i• 1, /r: ! /,. /,r / l / //i r/ /, / / i, //1/ /ia',/G i„/✓!.,//, r/ r!/l<li.,/�,vh,,:h�,/,G�Hy//,G,,.,/c//„S//r,,.G/h/./,�,,.N,l//�,l„�.,r/,/„i//��/ih/i/.,/,,.,/�;o,/„/r/,,,lir/,//�/�,,1,'u�G///„s�!,,. Grant Sherina James proofed documents Manager 8/16/2023 15:11 PM PDT Matched approved Obligation Summary Section Mikah Semrow Memo and Allocation Spreadsheet Manager g 8/16/2023 5:18 PM PDT Reviewed entry and coding in CMS Correct template from IntraCOM has (Assistant) been used Richard Torrance Managing OR 8/17/2023 17:08 AM PDT Director Documentation has been included with reason for exception Updated 5/25/2422 Reviewed by: Title: I verify that I have: Date: Grant Manager Checked that Grantee has completed all required certifications and/or forms Updated 5/25/2422 DocuSign Certificate Of Completion Envelope Id: 5F075DEE5E974319BCBD6A7DD49643A7 Status: Sent Subject: Please DocuSign: OCVA VOCA CAC Amendment F20-31219-401 8/16/2023 4:25:05 PM Division: Community Services and Housing Pool: StateLocal Program: OCVA Storage Appliance Status: Connected ContractNumber: F20-31219-401 Location: DocuSign DocumentType: :- _:Si _nature , _ _,, _ Contract Amendment Sherina James Source Envelope: Sent: 8/16/2023 4:30:42 PM Document Pages: 6 Signatures: 0 Envelope Originator: Certificate Pages: 5 Initials: 0 Kelly Tracy AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone: (UTC -08:00) Pacific Time (US & Canada) Olympia, WA 98504-2525 kelly.tracy@commerce.wa.gov IP Address: 198.239.106.246 Recard Tracking Status: Original Holder: Kelly Tracy Location: DocuSign 8/16/2023 4:25:05 PM kelly.tracy@commerce.wa.gov Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign n Sa ner Eve _ts _ . _ _ . :- _:Si _nature , _ _,, _ Ti mestam - Sherina James Completed Sent: 8/16/2023 4:30:42 PM sherina.james@commerce.wa.gov Viewed: 8/16/2023 5:10:55 PM Security Level: Email, Account Authentication Signed: 8/16/2023 5:11:28 PM (None) Using IP Address: 147.55.134.29 Electronic Record and Signature Disclosure: Not Offered via DocuSign Mikah Semrow mikah.semrow@commerce.wa.gov Sexual Assault Services Section Manager Washington State Department of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Torrance richard.torrance@commerce.wa.gov Washington State Department of Commerce Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Suzi Fode sfode@granteountywa.gov Director Grant County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Completed Using IP Address: 147.55.134.12 Completed Using IP Address: 147.55.149.172 Sent: 8/16/2023 5:11:29 PM Viewed: 8/16/2023 5:17:37 PM Signed: 8/16/2023 5:18:43 PM Sent: 8/16/2023 5:18:45 PM Viewed: 8/17/2023 7:08:20 AM Signed: 8/17/2023 7:08:22 AM Sent: 8/17/2023 7:08:24 AM Viewed: 8/17/2023 10:27:55 AM Signer Events SignatureTimestamp` " Accepted: 7/22/2021 9:54:00 AM ID: f9391 c86-5931-4a2b-9328-a83d20f3b27c Cindy Guertin -Anderson cindy.guertin-anderson@commerce.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Irk Person Si ner. Events _J - Sr nature , _ 9 , T�mestam p Editor Delwe Events . St _, atus tam TimesP-1 A n I v e t De eve E en is 9 rY Status _ = .Trmestam ` p i nterm i D iv ed a el a Events rY _ rY Status` ■ - T'im estamp it Iv cert f ed Dew .e Events rY - Status -': i Ti e m sta in car on, b Co Events - : . .. ..........: pY Status . - Timestar� Wane s 'Events s " Si nature Ti mestam p N ;Ev n ota a is Si na ur Trmestam En-4-6166"e'__--Summary.-I=v ens Status - _ _ Timestam s p Envelope Sent Hashed/Encrypted 8/16/2023 4:30:42 PM Pa men Events Status Timpstam s Elec ranic:Record anSit _ d S nature Disclosure a Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM , Parties agreed to: Suzi Fode ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check -box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.15 per -page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Washington State Department of Commerce: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: docusign@commerce.wa.gov To advise Washington State Department of Commerce of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at docusign@commerce.wa.gov and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Washington State Department of Commerce To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to docusign@commerce.wa.gov and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Washington State Department of Commerce To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check -box indicating you wish to withdraw your consent, or you may; ii. send us an email to docusign@commerce.wa.gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://sLipport.docusim.com/guides/signer- uide- si _ning^system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check -box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. By selecting the check -box next to `I agree to use electronic records and signatures', you confirm that: You can access and read this Electronic Record and Signature Disclosure; and You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and Until or unless you notify Washington State Department of Commerce as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Washington State Department of Commerce during the course of your relationship with Washington State Department of Commerce.