HomeMy WebLinkAboutUSFS 2017 Agreement SH17-008USDA Forest Service OMB 0596-0217
FS -1500-19
MODIFICATION OF GRANT OR AGREEMENT
PAGE OF PAGES
1 3
1. U.S. FOREST SERVICE GRANT/AGREEMENT NUMBER:
2. RECIPIENT/COOPERATOR GRANT or
3. MODIFICATION NUMBER:
14 -LE -11061720-011 (Kittitas County
AGREEMENT NUMBER, IF ANY:
003
Cooperative Law Enforcement)
4. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING
5. NAME/ADDRESS OF U.S. FOREST SERVICE UNIT ADMINISTERING
GRANT/AGREEMENT (unit name, street, city, state, and zip + 4):
PROJECT/ACTIVITY (unit name, street, city, state, and zip + 4):
Amy Verellen
Michael Kujala, Acting Patrol Captain
Okanogan -Wenatchee National Forest
Okanogan -Wenatchee National Forest
215 Melody Lane
215 Melody Lane
Wenatchee, WA 98801 -
Wenatchee, WA 98801
Telephone: (509) 664-9231
Telephone: (509) 668-5817
FAX: (509) 664-9281
FAX: (509) 664-9283
EMAIL: averellenfs.fed.us
EMAIL: mkujala(a,fs.fed.us
6. NAME/ADDRESS OF RECIPIENT/COOPERATOR (street, city, state, and zip +
7. RECIPIENT/COOPERATOR'S HHS SUB ACCOUNT NUMBER (For HHS
4, county):
payment use only):
Kittitas County Sheriff's Office
307 W. Umptanum Road
N/A
Ellensburg, WA 98926
8. PURPOSE OF MODIFICATION
CHECK ALL
This modification is issued pursuant to the modification provision in the grant/agreement
THAT APPLY:
referenced in item no. 1, above.
El
CHANGE IN PERFORMANCE PERIOD:
®
CHANGE IN FUNDING: Add CY funding in the amount of $47,960.00
®
ADMINISTRATIVE CHANGES: Update contacts from Moelder to Kujala (block 5) and Stofleth to Verellen (block 4)
®
OTHER (Specify type of modification): See item no. 9, below.
Except as provided herein, all terms and conditions of the Grant/Agreement referenced in 1, above, remain unchanged and in full
force and effect.
9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION (add additional pages as needed):
This modification is to add the 2017 Annual Operating and Financial Plan and update contacts.
The following provisions are updated to reflect this modification:
A. PAYMENT/REIMBURSEMENT. The U.S. Forest Service shall reimburse the Cooperator for the U.S. Forest Service's share of
actual expenses incurred, not to exceed $47,960.00, as shown in the Financial Plan for this modification. The U.S. Forest Service
shall make payment upon receipt of the Cooperator's monthly invoice. Each invoice from the Cooperator shall display the total
project costs for the billing period, separated by U.S. Forest Service and the Cooperator's share. In-kind contributions must be
displayed as a separate line item and must not be included in the total project costs available for reimbursement. The final invoice
must display the Cooperator's full match towards the project, as shown in the financial plan, and be submitted no later than 90 days
from the expiration date.
Each invoice must include, at a minimum:
1. Cooperator's name, address, and telephone number.
2. U.S. Forest Service agreement number.
3. Invoice date.
4. Performance dates of the work completed (start & end).
5. Total invoice amount for the billing period, separated by the U.S. Forest Service and Cooperator share with in-kind
contributions displayed as a separate line item.
6. Display all costs, both cumulative and for the billing period, by separate cost element as shown on the financial plan.
7. Cumulative amount of the U.S. Forest Service payments to date.
8. Statement that the invoice is a request for payment by 'reimbursement'.
USDA Forest Service OMB 0596-0217
FS -1500-19
9. If using SF -270, a signature is required.
10. Invoice Number, if applicable.
The invoice shall be forwarded to:
EMAIL: asc �4a(a,fs.fed.us
FAX: 877-687-4894
POSTAL: USDA Forest Service
Albuquerque Service Center
Payments — Grants & Agreements
101B Sun Ave NE
Albuquerque, NM 87109
Send a copy to:
Shirley Tutino
Okanogan -Wenatchee National Forest
215 Melody Lane
Wenatchee, WA 98801
stutinogfs.fed.us
B. LIMITATION OF FUNDS. U.S. Forest Service funds in the amount of $47,960.00 are currently available for performance of this
agreement through December 31, 2018. The U.S. Forest Service's ability to provide additional funding is contingent upon the
availability of appropriated funds from which payment can be made. There is no legal liability on the part of the U.S. Forest Service
for any payment above this amount until the Cooperator receives notice of availability confirmed in a written modification by the U.S.
Forest Service.
The following provisions are added to section IV of LE Agreement per this modification:
A. PROHIBITION AGAINST INTERNAL CONFIDENTIAL AGREEMENTS: All non federal government entities working on this
agreement will adhere to the below provisions found in the Consolidated Prohibition Act, 2016, Pub. L. 114-113, relating to reporting
fraud, waste and abuse to authorities:
(a) The recipient may not require its employees, contractors, or subrecipients seeking to report fraud, waste, or abuse to sign
or comply With internal confidentiality agreements or statements prohibiting or otherwise restricting them from
lawfully reporting that waste, fraud, or abuse to a designated investigative or law enforcement representative of a
Federal department or agency authorized to receive such information.
(b) The recipient must notify its employees, contractors, or subrecipients that the prohibitions and restrictions of any internal
confidentiality agreements inconsistent with paragraph (a) of this award provision are no longer in effect.
(c) The prohibition in paragraph (a) of this award provision does not contravene requirements applicable to any other form
issued by a Federal department or agency governing the nondisclosure of classified information.
(d) If the Government determines that the recipient is not in compliance with this award provision, it:
(1) Will prohibit the recipient's use of funds under this award, in accordance with sections 743, 744 of Division E of the
Consolidated Appropriations Act, 2016, (Pub. L. 114-113) or any successor provision of law; and
(2) May pursue other remedies available for the recipient's material failure to comply with award terms and conditions.
B. SYSTEM FOR AWARD MANAGEMENT REGISTRATION REQUIREMENT (SAM). Cooperator shall maintain current
information in the System for Award Management (SAM) until receipt of final payment. This requires review and update to the
information at least annually after the initial registration, and more frequently if required by changes in information or agreement
term(s). For purposes of this agreement, System for Award Management (SAM) means the Federal repository into which an
entity must provide information required for the conduct of business as a Cooperative. Additional information about registration
procedures may be found at the SAM Internet site at www.sam.gov.
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10. ATTACHED DOCUMENTATION (Check all that apply):
Revised Scope of Work
Revised Financial Plan
Other. 2017 Annual Operating and Financial Flan Exhibit A.
II, SIGNATURES
AMHORT ED R.EPRESEN'I`A'1`Ii1E: By STGNATTJRE BELOW, THE SIGNING PARTIES CERTIFYTHATTLIEY ARE TBE OFFICIAL REPRESEINTATIVES OF
THEM RESPECTIVE PA1xTIES AND AUTHORIZED TO ACT IN T1IEIR RESPECTIVE AREAS FOR iVIATTERS RELATED TO THE ABOVE -RE FERENCI D
GRAN`I ;/AGREEMENI'.
Y SIG 'TtJRE
11. A, IITfrf .AS CO17t
I I B. DATE
11. C. U,S, FOREST SERVICE SIGNATURE 11. D. DATE
SIGNED SIGNED
SIGKFD
-
........................
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(SignatLIW of Signator' Official)
(Signature of Signato _-Ufficial)
1 L E. NANTE (type or print).
11. F. 7AME (type or print):
GENE D.A .A
MICHAEL R. WILLIAMS
I I. G. TTME (type or print):
11. TT. `I'I'T`L.E (type or grin#);
heiiff, Kiftitas County
Forest Supervisor, 0kano - enatehee National forest
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11. L. TITLE (type or print): Special Agent in Charge
12. G&A REVIEW
12, A. The authority and format of thi's modification (14 -LE -. 11161' 211-011-NI3) have been reviewed :ind
12. B. DATE
approved for signatitr by:
SIGNED
01/13/2017
for
DE ETTE M. STOFLETH
U,S..1 or•est Service Gm, nts Managernent Specialist
Burden Statement
According to the Paperviork Reduction Act of 1995. an agency may not conduct or sponsor, and a person is not required to respond to a colleckn of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this informagon collection is estimated to average 30 minutes per
response, including lire dme for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, dolor, national origin, age, disability, and where applicable, sex, marital
status, familial status, parental status, felicgion, sexual vrientaflon, genetic information, polilfcal beliefs, reprisal, or because all or part of an individual's income is derived from any public
assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities Lajho require aitematiue means for communicafion of program information (Braille, large print, audiotape,
etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TDD),
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DD 20250-9410 or call toll free (866) 632-9992 (noire). TDD
users can contact U SDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer,
USDA, Forest Service OMB 0596-0217
FS -1500-8A
FS Agreement No.
Modification No.
EXHIBIT A
14 -LE -1 1061720-011
003
COOPERATIVE LAW ENFORCEMENT ANNUAL OPERATING PLAN &
FINANCIAL PLAN
Between The
KITTITAS COUNTY SHERIFF'S OFFICE
And the
USDA, FOREST SERVICE
OKANOGAN-WENATCHEE NATIONAL FOREST
2017 ANNUAL OPERATING AND FINANCIAL PLAN
This Annual Financial and Operating Plan (Annual Operating Plan), is hereby made and entered
into by and between Kittitas County Sheriffs Office, hereinafter referred to as the "Cooperator,"
and the USDA, Forest Service, Okanogan -Wenatchee National Forest, hereinafter referred to as
the "U.S. Forest Service," under the provisions of Cooperative Law Enforcement Agreement
#14 -LE -11061720-011 executed on April 14, 2014. This Annual Operating Plan is made and
agreed to as of the last date signed below and is for the estimated period beginning January 1,
2017 and ending December 31, 2017.
Previous Year Carry-over: $0
Current 2017 Year Obligation: $47,960.00
CY 2017 Total Annual Operating Plan: $47,960.00
( *Previous year carry-over funds reflect available funds as of Decemberl, 2016 If there are any
outstanding or unpaid invoices, this amount and total amount may not be accurate. It is the responsibility
of the Cooperator to know the correct amount of previous year carry-over and total funds available.
Carry-over funds may be used to pay for calendar year 2017 expenditures.)
I. GENERAL:
A. The following individuals shall be the designated and alternate representative(s) of each
party, so designated to make or receive requests for special enforcement activities.
Principal Cooperator Contacts:
Cooperator Program Contact Cooperator Administrative Contact
Gene Dana, Sheriff Clay Myers, Undersheriff
Kittitas County Sheriff's Office Kittitas County Sheriff's Office
307 W. Umptanum Road 307 W. Umptanum Road
Ellensburg, WA 98926 Ellensburg, WA 98926
Telephone: (509) 962-7525 Telephone: (509) 962-7525
FAX: (509) 962-7599 FAX: (509) 962-7599
Email: gene. dana a,co.kittitas.wa.us Email: clay.myersAco.kittitas.wa.us
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Cooperator Administrative
Contact
Heather Seibert, Chief Financial Manager
Kittitas County Sheriff's Office
307 W. Umptanum Road
Ellensburg, WA 98926
Telephone: (509) 962-7099
Email: heather. seibert. sh(&co.kittitas.wa.us
Principal U.S. Forest Service Contacts:
U.S. Forest Service
Program Manager Contact
U.S. Forest Service
Administrative Contact
Michael Kuj ala, Acting Patrol Captain
Shirley Tutino, LEI Program Assistant
Okanogan -Wenatchee National Forest
Okanogan -Wenatchee National Forest
215 Melody Lane
215 Melody Lane
Wenatchee, WA 98801
Wenatchee, WA 98801
Telephone: (509) 668-5817
Telephone: (509) 664-9324
FAX: (509) 664-9283
FAX: (509) 664-9290
Email: mku'a� laAfs.fed.us
Email: stutino _,fs.fed.us
U.S. Forest Service
Grants and Agreements Contact
Amy Verellen, Grants Management Specialist
Okanogan -Wenatchee National Forest
215 Melody Lane
Wenatchee, WA 98801
Telephone: (509) 664-9231
FAX: (509) 664-9281
Email: averellenAfs.fed.us
B. Reimbursement for all types of enforcement activities shall be at the following
rates unless specifically stated otherwise.
1. Officer Wages: At the prevailing rate of $55.00/hour (includes salary and
fringe benefits).
2. Equipment and Training: Reimbursement for any equipment or training for
fire emergencies is not authorized without prior written approval from the U.S.
Forest Service.
3. Fire Emergencies (Section III -B-1): Payments will be based on the rates
identified above or as dispatched on the fire incident.
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II. PATROL ACTIVITIES:
A. Time schedules for patrols will be flexible to allow for emergencies, other priorities, and
day-to-day needs of both Cooperator and the U.S. Forest Service. Ample time will be
spent in each area to make residents and visitors aware that law enforcement officers are
in the vicinity.
B. Cooperator will assign a uniformed Officer(s) in a marked vehicle to provide
investigative patrols and enforcement of State and/or County Statutes for the protection
of the National Forest visitors and their property on the Cle Elum Ranger District.
C. Between January 1, 2017 and December 31, 2017 provide patrol hours on Thursday,
Friday, Saturday and Sunday. Between the months of May and October, patrols will
include holidays or as mutually agreed to in writing by the Cooperator and the U.S.
Forest Service. Patrols should generally occur during the afternoon and evening hours.
The Cooperator has the authority to request adjustment of the patrol hours when
unforeseen circumstances or emergency situations occur. Any changes to the schedule of
services requested may be made with prior approval of the U.S. Forest Service
representative. Patrols will be conducted in the following heavy use areas:
1. Developed campground:
Coverage should be at varied times with both day and night patrols, visible to the
public with no set pattern. Some emphasis patrols should occur between the
hours of 2: 00 p.m. and 10: 00 p.m. The objective is to provide security for the
forest visitor and to establish a visible presence to discourage vandalism,
harassment and other unacceptable behavior in the campgrounds.
2. Trailheads :
Coverage will be provided at various times of day and night with no set pattern.
The objective of this coverage is to establish a visible presence, provide security
to forest visitors and prevention of vandalism, harassment and other unacceptable
behavior.
3. Dispersed and Undeveloped Campsites and Use Areas:
These sites are numerous and patrols should provide coverage at varied times with
no set pattern. Some emphasis patrols should occur between the hours of 2:00
p.m. and 10:00 p.m. The objective is to establish a presence, prevent vandalism
and provide for public safety and order.
4. Forest User Contacts:
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Patrols should include personal contacts with the public as the opportunity occurs.
It should include campers, hunters, fishermen, firewood cutters, ORV/ATV
operators and other recreationists.
Total reimbursement for this category shall not exceed the amount of: $47,960.00.
III. SPECIAL ENFORCEMENT SITUATIONS:
A. Special Enforcement Situations include but are not limited to: Fire Emergencies and
certain Group Gatherings.
B. Funds available for special enforcement situations vary greatly from year to year and
must be specifically requested and approved prior to any reimbursement being
authorized. Requests for funds should be made to the U.S. Forest Service designated
representative listed in Item I -A of this Annual Operating Plan. The designated
representative will then notify Cooperator whether funds will be authorized for
reimbursement. If funds are authorized, the parties will then j ointly prepare a revised
Annual Operating Plan.
1. Fire Emergency: During emergency fire suppression situations and upon request
by the Forest Service pursuant to an incident resource order, the Cooperator agrees
to provide special services beyond those provided under Section II -A, within the
Cooperator's resource capabilities, for the enforcement of State and local laws
related to the protection of persons and their property. The Cooperator will be
compensated at the rate specified in Section I -B; the U.S. Forest Service will
specify times and schedules. Upon concurrence of the local patrol Captain or their
designated representative, an official from the Incident Management Team
managing the incident, Cooperator personnel assigned to an incident where meals
are provided will be entitled to such meals.
2. Group Gatherings: This includes but is not limited to situations which are
normally unanticipated or which typically include very short notices, large group
gatherings such as rock concerts, demonstrations, and organization rendezvous.
Upon authorization by a U.S Forest Service representative listed in Section I -A for
requested services of this nature, reimbursement shall be made at the rates
specified in Section I -B. Deputies assigned to this type of incident will normally
coordinate their activities with the designated officer in charge of the incident.
This includes but is not limited to situations which are normally unanticipated or which
typically include very short notice, large group gatherings such as rock concerts,
demonstrations, and organizational rendezvous.
IV. BILLING FREQUENCY:
See Cooperative Law Enforcement Agreement Provisions II -Hand III -B for additional
information.
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A. The Cooperator will submit invoices for reimbursement of services provided under
Section II of this agreement monthly.
B. Supporting Documentation: The supporting documentation shall provide sufficient detail
to allow the U.S. Forest Service to identify reimbursable expenditures authorized under
Sections II and III of the Operating Plan and shall include the following:
1. The billing Incident number with details of incident
2. Activity reports or patrol log with dates of service
C. Billing for Fire Emergencies: For reimbursement of services provided under Section III -
B -1 of this AOP, the following billing procedure will be used:
1. The billing for each incident shall include individual employee times and their
agreement rate. Such times will be documented on Crew Time Reports, shift
tickets or other agreed upon form, and must be approved by incident management
personnel.
2. Incident management personnel will prepare an Emergency Use Invoice and,
upon concurrence of the Cooperator, will submit the invoice for payment along
with all required documentation using normal incident business procedures.
3. The designated representative, IMT official, or a designated Forest Incident
Business official will approve the invoice and submit to the Albuquerque Service
Center, Incident Finance, for payment along with a copy of the current Operating
Plan.
Original billing documentation will be maintained by the U.S Forest Service in the
appropriate fire documentation boxes or with appropriate incident management
personnel. The Cooperator will maintain copies of all such documentation.
D. The following is a breakdown of the total estimated costs associated with this Annual
Operating Plan.
Category
Estimated Costs
Not to Exceed by
Patrol Activities
$47,960.00
N/A
Fire Support
As Needed
N/A
Total
$47,960.00
N/A
E. Any remaining funding in this Annual Operating Plan maybe carried forward to the next
calendar year and will be available to spend through the term of the Cooperative Law
Enforcement Agreement, or deobligated at the request of the U.S. Forest Service. See
Cooperative Law Enforcement Agreement Provision IV -D.
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USDA, Forest Service 0141301413 0596-0217
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F. By signature below, each party ceA fles that the individuals listed in this document as
representatives of the individual parties are authorized to act in their respective areas for
matters related to this agreement.
In witness whereof, the parties hereto have executed this Anneal Operating Plan as of the
last date written below.
ENE DANA, Sheriff
.ittltas County Sheriff s office
't� S>/ ?.* (
Date
MICHAEL IC ii i.L L R. WILLIAMS,
ILLIA S, Forest Supervisor is r
ate
U.S. Forest Service, Okanogan --Wenatchee National Forest
MICHAEL L. LOUDERNffLK, Special Ageint 1 Charge
Date
U.S. Forest Service, Pacific Northwest Region
The authority and format or this agreement (14 -LE --11061 720-011, Mod 3) have been
reviewed and ap-proved for signa.tt re.
W r �
for
01/ 13/2017
DE E TE M. SToFLETH
Date
11S. Forest Service Grants Management Specialist
................ _ Burden Statement
According to the Paperwork Deduction Act of 1995, an agency may not conduct or sponsor, and a peTson is not required to respond to a coll:ecdon of information
Unless it displays a valid 0M8 control number. The valid OMB control € umber for this information collection is 0596-0217. The tittle required to complete this
information collection is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discriminabon in all its programs and acUvi as on the basis of race, color, nakfonal aright, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, poliiioat beliefs, reprisal, or because all or
part of an individual's income is delved from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require
alternative means for communication of program information (Braille, large pj1nt, audiotape, etc.) should contact USDA's TARGET Center at 202-720-2600 (voice
and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll f€ee
(866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (000) 877-8339 DD) or (366) 377-8642 (relay voice), USDA
is an equal oppWun4 provider and employer.
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