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Fully Executed - DOE & KCPHD
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2025-04-15 10:00 AM - Commissioners' Agenda
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Fully Executed - DOE & KCPHD
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Last modified
6/25/2026 11:56:34 AM
Creation date
6/25/2026 11:56:19 AM
Metadata
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Template:
Meeting
Date
4/15/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Item
Request to Approve an Agreement between the Department of Ecology and the Kittitas County Public Health Department - Air Quality Grant
Order
8
Placement
Consent Agenda
Row ID
129782
Type
Agreement
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Docusign Envelope lD: D1AAAE83-FC'1 F-483D-BCEC-A848D08F9363 <br />State ofWashington Department of Ecology <br />Agreernent No: AQOBC-2024-KiCPHD-00010 <br />Project Title: Community-Led Air Quality Improvement for Ellensburg <br />RecipientName: Kittitas County - Public Health Department <br />Page 18 of28 <br />2. T1eRECIPIENT/CONTRACTOR shall provide immediate written notice to ECOLOGY if at any time the <br />RECIPIENT/CONTRACTOR learns that its certification was erroneous when submitted or had become erroneous by <br />reason of changed circumstances. <br />3. The terms covered transaction, debaned, suspended, ineligible, lower tier covered transaction, participan! person' <br />primary covered transaction, principal, proposal, and votuntarily excluded, as used in this clause, have the meaning set <br />out in the Definitions and Coverage sections of rules implementing Executive Ordet 12549. You may contact <br />ECOLOGY for assistance in obtaining a copy of those regulations. <br />4. The RECIPIENT/CONTRACTOR agrees it shall not knowingly enter into any lower tier covered transaction with a <br />person who is proposed for debarment under the applicable Code ofFederal Regulations, debarred, suspended, <br />declared ineligible, or voluntarily excluded from participation in this covered transaction. <br />5. The RECIPIENT/CONTRACTOR frrther agrees by signing this agreement, that it will include this clause titled <br />..CERTIFICATION REGARDING SUSPENSION, DEBARMENT,INELIGIBILITYORVOLUNTARY <br />EXCLUSION,, without modification in all lower tier covered transactions and in all solicitations for lower tier covered <br />transactions. <br />6. pursuant to 2CFRI g0.330, the RECIpIENTICONTRACTOR is responsible for ensuring that any lower tier covered <br />transaction complies with certification of suspension and debarment requirements. <br />7. RECIPIENT/CONTRACTOR acknowledges that failing to disclose the information required in the Code of Federal <br />Regulations may result in the delay or negation ofthis funding agreement, or pursuance of legal remedies, including <br />suspension and debarment. <br />8. RECIPIENT/CONTRACTOR agrees to keep proof in its agreement file, that it, and all lower tier recipients or <br />contractors, are not suspended or debarred, and will make this proof available to ECOLOGY before requests for <br />reimbursements will be approved for payment. RECIPIENT/CONTRACTOR must run a search in <br /><http://www.sam.gov> and print a copy of completed searches to document proof of compliance. <br />B. FEDER {L FUTNDINC f\CCOUNTABILITY AND TRANSPARENCY ACT (FFATA) REPORTINC <br />REOUIREMENTS: <br />CONTRACTOR/RECIPIENT must complete the FFATA Data Collection Form (ECY 070-395) and retum it with the <br />signed agreement to ECOLOGY. <br />Any CONTRACTOfuRECIPIENT that meets each of the criteria below must report compensation for its five <br />top executives using the FFATA Data Collection Form. <br />' Receives more than $30,000 in fedgral funds under this award. <br />. Receives more than 80 percent ofits annual gross revenues from federal funds' <br />' Receives more than $25,000,000 in annual federal funds. <br />Ecology will not pay any invoices until it has received a completed and signed FFATA Data Collection Form' Ecology is <br />required to report the FFATA informafion for federally funded agreements, including the required Unique Entity Identifier in <br />www.sam.gov <htp://www.sam.govl) within 30 days of agreement signature. The FFATA information will be available to <br />the public at www.usaspending'gov <http:/www.usaspending.g ' <br />For more details on FFATA requirements, see www.fsrs.go-L<http://www.fsrs.govF-. <br />SERVICES OR EOUIPMENT: <br />Template Version'l2l I 0/2020
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