HomeMy WebLinkAboutUSFS Agreement Modifaction 2-16-2016~ ~ USDA Forest Service OMB 0596 -02 17
FS-1500-19
I PAGE OF PA GES
MODIFICATION OF GRANT OR AGREEMENT I 1 I 9
l. [/.S. FOREST SERV ICE GRANT/AGREEf'.lENT NU~IBER : 2. RECIP I ENT/COOPERATO R GRA NT or 3. MOD IFIC ATION NUt\IBER:
I ~-LE -I I 06l720-0 11 (Kittitas L aw Enforcement) AG REEME T NUMBER. Jr-ANY: 002
4. NAME/ADDR ESS O F U .S. fO REST SE RVICE UN IT ADM IN ISTERING 5. NAME/ADDRESS OF U .S. FOREST SERVICE UNIT ADMINISTERING
GRA NT /AG REEMENT (linilnllmc . street . city. stale . and 7ip f-4): PR OJE CT /ACTIVITY (unit na me. street. city. state . and zip + 4):
De Ette Stot1eth Robert Moe lder, Patrol Captain
Okanogan-Wenatchee National Forest Okanogan -Wenatchee National Forest
215 Melody Lane 215 Melody Lane
Wenatc hee , W A 98801 Wenatchee , W A 98801
6. NAME/ADDR ESS OF REC II'I ENT/COO PER ATOR (stree t. ci ty. state . ami 71p + 7. RECI PIENT/COOPERATOR'S HHS SUB ACCOUNT NU MBER (Fo r HHS
4. county): pa yment usc on ly):
Kittitas County Sheriffs Office
307 W. Umptanum Road N/A
Ell ensburg. W A 98926
8. PURPOSE OF MODIFICATION
CHECK ALL This modification is issued pursuant to the modification pro v ision in the grant/agreement
THAT APPLY: referenced in item no. I , above .
D CHANGE IN PERFORMANCE PER.lOD:
~ CHANGE IN FUNDING: Add CY funding in the lllllount of $47,960.00
D ADMINISTR.A TIVE CHANGES:
~ OTHER. (Specify typ e of moditication ): See item no . 9, below.
Except as provided herein, all terms and conditions of the Grant/Agreement referenced in I , above, remai n unchanged a nd in full
force and effect.
9. ADDITIONAL SPAC E FOR DESCRlPTlON OF MODIFICATION (add add itional page s as needed):
The following pro visio ns are updated to reflect thi s modification :
I ) PA YMENTfREIMBURS EMENT . The U .. Fo re st Service sha ll reimburse Kittita s Counly Sheriffs Office for the U.S. Forest
Service's share of actua l expenses incurred . not to exc eed S47,960.00 , as sho wn in the Financial Plan. The U.S. Forest Service shall
make payment upon receipt of Kittita s Co unty Sh eriffs Office's monthl y in voi ce . Ea ch invoice trom Kittitas County SherifFs Office
snaH display the total project costs for the billin g per iod , se parat ed by U.S. Forest Service and Kittitas County Sheriffs Office share .
In-kind contribution s must be displayed as a separate line item and mu t not be included in the total project costs available for
reimbursement. The final invoice must displ ay Kittitas County Sheriff s Office's full match towards the project, as shown in the
financial plan, and be submitted no later than 90 day s from the ex piration date.
Each invoice must include , at a minimum :
I. Kittitas Coun ty Sheriffs Offices's name , addre ss, and telephone number
2. U.S. Forest Servic e agree ment number
3. Invoice date
4. Performance dates of the work co mpleted (start & end)
5. Total invoice amount for the bi ll ing period
6. Statement that the invoice is a request for payment by 'reimbursement'
7. If using SF-270 , a signature is required.
8. Invoice Number, if applicable
The invoice must be sent by one of three methods (email is preferred ):
EMAIL: asc _ga @ fs. fed. us
FAX : 877 -687-4894
POSTAL: USDA Forest Service
Albuquerque Service Center
2)
l'aymcnLi -Gwnr.; & Agr!cmcnl;
1018 Sun .. \-;.: S"E
Alhuqu.:rque.. ;-';:-1 < ., :0'1
Send a copy :0; Slllriey T utinu
Obnog;m ·Wcna tch cc ~aticD d! F<lrcsI
2 15 ..... !c!C<ly Lane
W ~na1ch .:c. W A 9830i
srutino@fs.fed . U~
02\lB ,)j')C·0 21' \
FS-15f:{)"i~ I
L!~UTATION OF Fl.;"};DS. Fore.:.i Scrvic~ tum!; in me :lmounc of S ./.7,690.00 are :urrcml y JV:lllabl:: tbr pcr.ormance oLhis
:lgre::m.:nr through Deci!nrber J I , 2018. The Forest SC;-/ice'i Jbilit"! iO provid e addi tio nal funding is contingent open ihe 3vailnbi!ity
of appropriated funds iTom which ?ay;neDt can be m:.Ide. There is no lcgalliabili'Y on the par: of the F or ~t Service io r my payment
above this amO llm until .hc COC perJlO r receives nonce or ilva il abilil:, confirmed in a \\TiI1cn modilicaiioo by the Fores1 Scr/i cc .
10 . ATTACHED DOC L1HEl'nATlO N (Ch ec k all that apply):
~U ! Rc·.tised Scope of Work
0 I Revised Finan cial Pla n
Q?] I Ot her: 20 16 Annual Operating and Fi na ncial Pl a n
11. SI GNATURES
A u'TIiO R1ZED RE?RESENT A1'lV E: By SIGN.\TURE BELOW, THE SIGNING PAil.TIES CERTIFY THAT THEY ,\RE THE OfF!CIAL Rf."RESENTATlVES Of
THEIR. RESPECT iVE MRTlES AND AUTHORlZED TO ACT IN nrElR RESPECTIVE >.REAS FOR :'-{"TTE!tS RELA,cl) TO THE ABOVE -REFER,,'1'CED
GRANT! AGREBIE."T.
IS i=rure-oi Sientcrv OU':oaJ)
I I.E. :-lAME (type 0 < prior):
GENE D Ai'l'A
11.13. DATE
S[G, ED
! l.H. TITLE (tYlle or print;:
11.0 . DATE
SIGNED
2.-. 17 · If.
Forest Supervisor, Okanogan-Wenatchee National Forest
1 LK. V.S. fOREST SERVICE SIQl.>\iVRE Il.L D.~.TE
11.N.NAME(ll'peorprim): ~
BRY fu'\f S. ROE1tIELING
! 1.1'. TITLE (type or print):
Special Agent in Charge, R6, Pacific NW
m USDA Forest Service
12. G&A REVIEW
12.A. The authority and format of this modification (U-LE-I 1061720-011 M2) have been reviewed and
appro d fOT signature by:
Burden Statement
OMB 0596-0217
FS-1500-19
I2.B. DATE
SIGNED
According to the PapelWOrk Reduction Ad of 1995, an agency may not condud or sponsor, and a person is not required to respond to a collection of in formation unless it displays a valid OMB
cxmtrol number. The valid OMS control number for this information collection is 05S6~217 . The time rllGuired to complete this information collection is estirnated to average 30 minutes per
response, including the time for reviewing instructions, searthing existing data sources, gathering and maintaining the data needed, and compteting 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, color, national origin , age, disability. and where applicable, sex. marital
status , !amnial status, parental status , religion , sexual orientation. genetic information, political beliefs, reprisal, or because all or part of an individuars income is derived 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 print audiotape.
etc.) should contad USDA's TARGET Center at 202-720-2600 (voice and TOO).
To file a complaint of discrimination, write USDA, Oiredor, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250·9410 or call toll free (866) 632-9992 (voice). TOO
users can conlad USDA through local relay or the Federal relay at (800) sn ~339 (TOO) or (S66) 377 ~642 (relay voice). USDA is an llGual opportunity provider and employer.
USDA. Forest Service OMB 0596·0217
FS·1500·8A
FS Agreement No . 14-LE-11 061720-0 11
Modi fication No . ---.::.....:.....:==-.:....:...:-=..:..:=~0702:-
EXHIBIT A
COOPERATIVE LAW ENFORCEMENT ANNUAL OPERATING PLAN &
FINANCIAL PLAN
Between The
KITTITAS COUNTY SHERIFF'S OFFICE
And the
USDA, FOREST SERVICE
OKANOGAN-WENA TCHEE NATIONAL FOREST
2016 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-II061720-011 executed on April 14, 2014 . This Annual Operating Plan is made and
agreed to as ofthe last date signed below and is for the estimated period beginning January I,
2016 and ending December 31, 2016.
Previous Year Carry-over: $6,888.75
Current 2016 Year Obligation: $ 47,960.00
Estimated CY 2016 Total Annual Operating Plan: $54,848.75*
(*Previous year carry-over funds reflect available funds as of December 7, 2015. If there are any
outstanding or unpaid invoices, this amount and total amount may nol be accurate. II is the responsibility
of the Cooperator to know the correct amount of previous year carry-over and total funds available.
Fiscal year 2015 funds may be usedfor calendar year 2016 expenditures, bUlfiscalyear 2016fwlds may
not be used to pay for calendar year 2015 expenses.)
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 Pro2ram Contact Cooperator Administrative Contact
Gene Dana, Sheriff Clay Myers, Undersheriff
Kittitas County Sheriffs Office Kittitas County Sheriff's Office
307 W. Umptanum Road 307 W. Umptanum Road
Ellensburg, W A 98926 Ellensburg, W A 98926
Telephone: (509) 962-7525 Telephone: (509) 962-7525
FAX: (509) 962-7599 FAX: (509) 962-7599
Email: gCl1c.dal1a({iko.kittila~. \\'a .ll~ Email: dav.nlvcrsrii'!':O.kittitas.\\'H.l1S
Page I of6
III USDA, Forest Service
Cooperator Administrative Contact
Heather Seibert, Chief Financial Manager
Kittitas County Sheriffs Office
307 W. Umptanum Road
Ellensburg, W A 98926
Telephone: (509) 962-7099
Email: heathl.r.~~inert.sh l (i..l.l..killi la~. \\;I.llS
Principal U.S. Forest Service Contacts:
OMS 0596-02171
FS-1500-SA
U.S. Forest Service U.S. Forest Service
Proe:ram Manae:er Contact Administrative Contact
Robert Moelder, Patrol Captain Shirley Tutino, LEI Program Assistant
Okanogan-Wenatchee National Forest Okanogan-Wenatchee National Forest
215 Melody Lane 215 Melody Lane
Wenatchee, W A 98801 Wenatchee, WA 98801
Telephone: (509) 664-9236 Telephone: (509) 664-9324
FAX: (509) 664-9283 FAX: (509) 664-9290
Email: rmodder·iils. fed. LIS Email: slutimJl{vfs.fcd .lI5
U.S. Forest Service
Grants and Agreements Contact
Kevin Worth, Grants Management Specialist
Okanogan-Wenatchee National Forest
215 Melody Lane
Wenatchee, WA 98801
Telephone: (509) 664-9220
FAX: (509) 664-9281
Email: k\\(lrlh ((ir~.red.lIs
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-l): Payments will be based on the rates
identified above or as dispatched on the fire incident.
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
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USDA. Forest Service OMB 0596-0217
FS-1500-SA
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 I, 2016 and December 31, 2016 provide patrol hours on Thursday,
Friday, Saturday and Sunday's. Between the months of May and October, patrols will
include holidays or as mutually agreed to in writing by the Cooperator and the 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 Forest Service representative. Patrols
will be conducted in the following heavy use areas:
I. 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 of2:00 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 of2:00
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:
Patrols should include personal contacts with the public as the opportunity occurs.
It should include campers, hunters, fishermen, firewood cutters, OR V / A TV
operators and other recreationists.
Total reimbursement for this category shall not exceed the amount of: $54,848.75.
Page 3 of6
USDA , Foresl Service
III. SPECIAL ENFORCEMENT SITUATIONS:
OMB 0596-0217
FS·15()()"8A
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 jointly 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 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 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.
IV. BILLING FREQUENCY:
See Cooperative Law Enforcement Agreement Provisions JJ-H and 111-B for additional
information.
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:
I. The billing Incident number with details of incident
2. Activity reports or patrol log with dates of service
Page 40f6
USDA, Forest Service OMS 0596-0217
FS-1S00-SA
C. Billing for Fire Emergencies: For reimbursement of services provided under Section V-
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 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
0/0
Patrol Activities $54,848.75 N/A
Fire Support As Needed N/A
Total $54,848.75 N/A
E. Any remaining funding in this Annual Operating Plan may be 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.
Page 5 of6
USDA. Forest Service
Burden Statement
OMB 0596-0217
FS·1S()()·8A
According to the PapetWork Reduction Ad. of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB conlrol number. The valid OMS control number for this information collection is 0596-0217. The time requiled to complete this
infomnatioo collection is estimated to average 3 hours per response, incfuding 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 AgriculbJre (USDA) prohibits disaimination in all its programs and activities 011 the basis of race, color, national origin, age, disabiUty, and
where appficab!e, sex, marital status. famifial status, parental status, religion, sexual orientation, genetic infonnation, political be6efs, reprisal, 0( because all or
part of an individuars income is derived from any public assistance. (Not all prohibited bases apply to all programs,) Persons with disabifities who require
a1temative means for communication of program information (Braille, large print audiotape, etc.) should contact USDA's TARGET Center at 202·720-2600 (voice
and TOO).
To file a complaint of disaimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250·9410 or can totl free
(866) 632·9992 (voice). TOD users can contact USDA 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.
Page 6of6