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Docusign Envelope lD: A5CA6F04-D7 84441 1-8288-E622CE565EF7 <br />Exnrslr B <br />PavunNr RpQurnnvrnNrs <br />Each request for reimbursement submitted to DNR by the Kittitas County Public Health Department <br />will clearly reference DNR # - 93-109538. <br />1. DNR will reimburse Kittitas County Public Health Department for actual costs incurred <br />for fire suppression services, when services are requested by DNR- DNR agrees to <br />reimburse fittitur County Public Health Department for all personnel cost and travel <br />cost for resources dispatched under this agreement' <br />2. Kittitas County Public Health Department will track the cost for fire suppresslon <br />resources provided. Within 120 days of providing hre suppression services, Kittitas <br />County Public Health Department will submit an invoice to DNR. DNR will make <br />payment upon receipt of the invoice in accordance with the payment procedures <br />established by the Office of Financial Management. <br />3. All resources dispatched under this agreement must be ordered through IROC and have <br />a resource order number for the incident they are assigned to. All resources are required <br />to show up to each incident with a current copy of this plan and provide it to the incident <br />management team upon checking into the incident. <br />4. Employee time will be tracked on Crew Time Reports (CTRs). All time shall be <br />approved by the appropriate personnel at the incident, and submitted daily to the <br />finance unit at the incident. When demobilizing from the incident, resources shall <br />obtain an original signed Emergency Fire Time Report (OF 288)' <br />5. Transportation cost to and from incident are reimbursable. Privately Owned Vehicle <br />(pOV) and rental vehicles must be authorized on the resource order in order to be <br />reimbursed. <br />a) Rental vehicles that are for non-fire line use will be rented by Kittitas County <br />Public Health Department through their state contract, and will be reimbursed <br />by DNR. Itemized receipts or invoices for rental vehicle and fuel are required- <br />b) POV and Agency Owned Vehicle (AOV) mileage shall be documented daily <br />on a shift ticket, and signed by the resource's incident supervisor. <br />6. Travel cost will be reimbursed for any cost incurred while resources are traveling to <br />and from an incident, and for any period an incident does not provide meals. <br />a) Reimbursement for meals will be at the Office of Financial Management Per <br />Diem Rates. <br />b) Reimbursement for meals and lodging once arriving at an incident require <br />written approval from the incident or documentation on the resoufce order. <br />Page 10 of I I <br />Form update date: 22.06.15 <br />Agreement No. 93-109538