HomeMy WebLinkAboutMod 004~ ~ USD,-\ Forest Sc:rvice OMB 0596-0217
FS -1500-19
I P,-\GE OF PAGES
MODIFICATION OF GRANT OR AGREEMENT I 1 I 3
I. u.s. FOREST SER\/[CE GRANT 'AGREEMENT NUMBER! 2. REC IPIENT.·C OOPERATOR GRANTor 3. tv lODlFIC A nON NU MBER:
14-LE-I1061720-011 (Kittitas County AGREEMENT NUMBER. IF ANY: 004
Cooperative Law Enforcement)
4. NA..tvlE,'AODR ESS OF U S. FORES T SERVICE UNIT ADMINISTERIN G 5 NAlvIE/ADDR ESS OF U.S. FORE ST SERVICE UN IT AD M IN IS TERfNG
GRANT/AGR EE MENT (unit name, street, city, state, and zip + 4): PROJ ECT/ACTIVITY (unit name, street, city, state , and zip + 4):
Amy Verellen Laurence Olson, 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) 664-9236
FAX: (509) 664-9281 FAX: (509) 664-9283
EMAIL: 8ve re ll cnut fs.h:d.us EMAIL : iwo ison (ct1fs.feci.us
6. NAME /ADDRESS OF RECIPIEN T/C OOPERATOR (street. city, state, and zip + 7. RE C IPI ENT/COOPERATOR'S HHS SUB ACCOUNT NUMB ER (F or HHS
4, county): payment use only):
Kittitas County Sheriff's Office
N /A 307 W. Umptanum Road
Ellensburg, W A 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. 1j above.
D CHANGE IN PERFORMANCE PERIOD:
C8J CHANGE IN FUNDING: Add CY funding in the amount of$47,960.00
C8J ADMINISTRATIVE CHANGES: Update contacts from Michael Kujala to Laurence Olson (block 5)
C8J 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 2018 Annual Operating and Financial Plan with attached marine rates and update contacts .
The following provisions are updated to reflect this modification:
A. PA YMENTIREIMBURSEMENT. 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 'reimburs ement'.
e USDA Fo resl Service
9 . If using SF-nO. a signature is required.
10. Invoice NUlllber. if appl icable .
The invoice shall be forwarded to :
Send a cop y to:
Shirley Tutino
EMAIL: ilsc .!!Dlw t5.(tU.1I5
FAX: 877-687-4894
POSTAL : USDA Forest Service
Albuquerque Service Center
Payments -Grants & Agreements
10 IB Sun Ave NE
Albuquerque , NM 87109
Okanogan-Wenatchee National Forest
215 Melody Lane
Wenatchee. W A 98801
.5 lUl ino @ts .tcc Lus
OMR OS90-0117
FS-ISOO-19
B. LI M ITAT IO N O F FUN DS . U.S. Forest Service funds in the amount 0[$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 pa yment above this amount until the Cooperator receives notice of availability confirmed in a written moditication by the U.S .
Forest Service.
10. ATTACHED DOCUMENTATION (Check all that apply):
[ ] [ Revised Scope of Work
J ] Revised Financial Plan
~ Other: 2018 Annual Operating and Financial Plan
11. SIGNATURES
A UTHORIZf,O R EI)R ESE.,\I"r A'flv E : By SIGNATUR E BELOW, THE SIGNING PARTIES CERTIfY THAT THEY ARE THE OFFICIAL REPRES ENTATIVES OF
THEIR RESPECTIVE PARTIES AND AU THORIZED TO ACT IN THEIR RESPECTIVE AR EA S FOR MATT ERS RELATED TO THE ABOVE-REFERENCED
GRANT! AGRE EME NT .
II. A. KITIITAS COU NTY SI GNAT URE
ISl!.tmllll I'C of 'iigml1 o,y Ollidlll )
1'-E. NAME (type or print):
GENE DA1"'JA
II. G. nTlE (lYPC or prim):
Sheriff. Kittitas County
II .B. DAT E
SIGNED
11. D. DATE
SIGNED
~-(4-18
t. u.'. F. NAME (lype or print):
~ rrv nCHAEL R. WILLIAMS
-T ........
.~~,
II H. TrT LE (lype or print):
Forest Supervisor. Okanogan-Wenatchee National forest
II.7JllU.s.F 1T SE IC E SlGN .\TU RE 11.1. DATE
SrG . 'ED
/I'~ --.:.. 'r:r.. & III /(j) I f
(SrgnalutC nfSignatory ~mci~l)
II. K. NAME ltYJll: or prim): MICHAEL L. LOUDEIUAlLK
II. P. TITL E (t y(lC or print ): Special Agent in Charge R6
12. G&A REVIEW
l i SD.-\ hm:sl S~rvic-:
12. G&A REVIEW
12. A . The a uthority and format of this modification (I4-LE-11 061720-0 II-M-4) have been reviewed and
approved for signature by:
~C'4 iJ f/~(C~
Aiv'lY !Y. VERELLEN
u.s. For<!st Service GraTlls Management Spccialist
6urden Statement
U"IO 0596-0217
FS-1500-19
I:!_ B DArE
SIGNED
I :'.f''-f(i 7
According to the PapelWork Reduction Act af 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
control number The valid OMB control number for this informatiolT collection is 0596~217 The time required to complete this information collection is estimated to average 30 minules 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 discrimination in all ils programs and activities on the bas is of race, color. national origin, age, disability. and where applicabfe, sex . marital
sta tus. familial status, parental status , religion. sexua~ orientation . genetic information. political beliefs. reprisal, or because aU or part of an individuars income is dertve<l from any public
assistance . (Not aU prohibite<l bases apply to all programs .) Persons with disabilities who require ai!emative means for communication of program information (Brailfe, targe print. audiotape,
etc .) should contact USDA's TARGET Center at 202·720·2600 (voice and TDO).
To me a complaint of discrimination. wrile USDA, Director . OffICe of Civil Rights, 1400 Independence Avenue, SW, Washington , DC 20250·9410 or call tolt free (aSS) &32-9992 (voice). TDD
users can contact USDA through local relay or the Federal relay at (800) 677-8339 (TO D) or (866) 377 -8642 (relay ~oice). USDA is an equal opportunity provider and emptlyer.
USDA, Forest Service
EXHIBIT A
OMB 0596-0217
FS-1500-8.-\
FS Agreement No . 14-LE-II 061720-0 II ----~~~~~~~
Moditication No . 004
COOPERATIVE LAW ENFORCEMENT ANNUAL OPERATING PLAN &
FINANCIAL PLAN
Between The
KITTITAS COUNTY SHERIFF'S OFFICE
And the
USDA, FOREST SERVICE
OKANOGAN-WENATCHEE NATIONAL FOREST
2018 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-ll061720-011 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,
2018 and ending December 31, 2018.
Previous Year Carry-over: $2,695.00
Current 2018 Year Obligation: $47,960.00
CY 2018 Total Annual Operating Plan: $50,655.00
(*Previous year carry-over funds reflect available fimds as of December 1, 2017. 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 fimds available.
Carry-over fimds may be used to pay for calendar year 2018 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, W A 98926
Telephone: (509) 962-7525 Telephone: (509) 962-7525
FAX: (509) 962-7599 FAX: (509) 962-7599
Email: gen~.dana@co.kinilas_ wa _us Email: cl<!.v-tn't~l~l£co .kiltila!!c.\V~.us
Page I of6
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: heatber.seibert.sh(wcQ .ki ltiltl S. \Vtl.lIS
Principal U.S. Forest Service Contacts:
U.S. Forest Service
Program Manager Contact
Laurence Olson, Patrol Captain
Okanogan-Wenatchee National Forest
215 Melody Lane
Wenatchee, WA 98801
Telephone: (509) 664-9236
FAX: (509) 664-9283
EMAIL: twolson ktJ rsJed .us
U.S. Forest Service
Grants and Agreements Contact
Amy Verellen
Okanogan-Wenatchee National Forest
215 Melody Lane
Wenatchee, W A 98801
Telephone: (509) 664-9231
FAX: (509) 664-9281
EMAIL: avereIJem'W ls .fed.us
OMS 0596-0217
FS-1500-8A
U.S. Forest Service
Administrative Contact
Shirley Tutino, LEI Program Assistant
Okanogan-Wenatchee National Forest
215 Melody Lane
Wenatchee, WA 98801
Telephone: (509) 664-9324
FAX: (509) 664-9290
Email: SlU li llo (t/Jfs.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-l): Payments will be based on the rates
identified above or as dispatched on the fire incident. Marine rates are
included as Attachment A to this Annual Operating Plan.
Page 2 of6
USDA, Forest Service
II. PATROL ACTIVITIES:
OMB 0596-0217
FS-1500-8.-\
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, 2018 and December 31, 2018 provide patrol hours on Thursday,
Friday, Saturday and Sundays. 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 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, ORV/ATV
operators and other recreationists .
Page 3 of6
USDA, Forest Service OMB 0596-0" 17
FS-1500-8.-\
Total reimbursement for this category shall not exceed the amount of: $50,655.00.
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 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 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 JJ-H and IIJ-B for additional
information.
A. The Cooperator will submit invoices for reimbursement of services provided under
Section II of this agreement monthly.
Page 4 of6
USDA. Forest Service OMS 0596-0217
FS-1500-8,~
B. Supponi.n!! DocumenratLon: 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 Pire Emergenci'es: 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
0/0
Patrol Activities $50,655.00 N/A
Fire Support As Needed N/A
Total $50,655.00 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 S~rvice OMB 0596-0217
FS-1500-S.'\.
F. By signature below, each party certifies 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 Annual Operating Plan as of the
last date written below.
SEE SIGNATURES ON MODIFICATION #4 FORM
Burden Statement
According to the Paperwork Reduction Act 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 control number. The valid OMB control number for this information collection is 0596-0217 _ The time 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 discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic infonmation, political 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 who require
altemative 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 discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free
(866) 632-9992 (voice). TOO users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TOO) or (866) 377-8642 (relay voice). USDA
is an equal opportunity ~rovider and employer.
Page 6 of6
2018 Annual Operating Plan (Exhibit A)
Specialized Equipment and Rates
14-LE-11061720-011
MARINE 1 W/TRLR • 0212
2003 CUSTOMWElD COBRA SE 20 ' W/1
OUTBOARD MOTOR VIN# WFE01831283
De put ies~R eg Time
Deput ies-DT
Maintenance
Insurance or other costs
MARINE 2 W/TRLR -0613
2007 ROGUE SCRAMBLER VIN # URG01451H607
Deputies-Reg TIme
Dep uties-OT
M ai ntenance
Insurance or other costs
MARINE 3 W/TRLR -1009
2010 EMERSON lET BOAT
VIN # EBW-PD18001512010
Deputies-Reg Time
Deputies-OT
Maintenance
Insurance or other costs
SEADOOS W/TRlRS
·1
Cost Quantity I Rate Total
Base Hourly = $84.74/0T Hourly = $112.74
$54.00 1 Hourly $ 54.00
$82.00 1 Hourly $ 82.00
$20.00 1 Hourly $ 20.00
$10.74 Hourly $ 10.74
Total Hourly $See Above
PLUS FUEl COSTS
Cost Rate r Total
Base Hourly = $84.74/0T Hourly = $112.74
$54.00 1 Hourly $ 54 .00
$82.00 1 Hourly $ 82.00
$20 ,00 1 Hourly $ 20.00
$10.74 Hourly $10.74
Total Hourly $See Above
PLUS FUEL COSTS
Rate Total
Base Hourly = $84.74/0T Hourly = $112 .74 "
$54.00 1 Hourly $ 54.00
$82.00 1 Hourly $82.00
$20.00 1 Hourly $20.00
$10.74 1 Hourly $10.74
Total Hourly $ See Above
PLUS FUEl COSTS
Cost Rate I Total
(2) 2014 00023EGOO Personal Watercraft w/trlrs Base Hourly = $66.15/0T Hourty = $94.15
Deputies-Reg Time $54.00 1 Hourly $ 54.00
Deputies-OT $82.00 1 Hourly $82.00
Maintenance $10.00 1 Hourly I $10.00
Insurance or other costs S2.15 1 Hourly $2.15
Total Hourly $ See Above
PLUS FUEl COSTS
1
2018 Annual Operating Plan (Exhibit A)
Specialized Equipment and Rates
For all rentals:
In the event of a bona fide emergency, the Sheriff may alter the assigned work shifts by giving as
prompt as possible notification to the affected employees. Said employees shall not receive overtime
for working said rescheduled work shift. The Sheriff shall not reschedule assigned work shifts for
purposes of avoiding payment of overtime, per compliance with the Collective Bargaining Agreement.
Other components of the hourly rate will be charged on actual usage.
Any portion of an hour used will be rounded up to the nearest quarter-hour increment.
2