HomeMy WebLinkAboutRes-2021-125BOARD OF' COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTION
No. 2021- I &5
A RESOLUTION AUTHORIZING EXECUTION OF A CONTRACT WITH
COMPREHENSTVE HEALTHCARE RELATED TO CORONAVTRUS (CDBG-CV-2)
PROGRAM CONTRACT #20-622IC-115 AMENDMENT A
WHEREAS, Kittitas County applied for and was awarded a contract with the Department
of Commerce (Coronavirus (CDBG-CV-2) Program Contract #20-6221C-1 15); and
WHEREAS, Comprehensive Healthcare is prepared to provide the services outlined in
that contract denominated as subsistence payment and childcare services as a part of the
cou nty's coronavirus relief effort.
NOW, THEREFORE BE lT RESOLVED the Board of County Commissioners is
authorized to execute the attached contract with the Comprehensive Healthcare related to
Coronavirus (CDBG-CV-2) Program Contract #20-6221C-1 1 5 Amendment A.
DATED this 3'd day of August 2021, at Ellensburg, Washington.
BOARD OF COUNTY MMISSIONERS
KITTITAS CO ASHINGTON
ABSENT
Vice-Chair
Commissioner
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ATTACHMENT 18-C (1)
SU BRECIPIENT AGREEMENT
BETWEEN
KITTITAS COUNTY AND COMPREHENSIVE HEALTHCARE
This Agreement is made between KITTITAS COUNTY (herein called the Local Government) and
COMPREHENSIVE HEALTHCARE (herein called Subrecipient)forthe CDBG-CV2 Public Service
Subsistence Payments for Coordinated Crisis Response Comprehensive Healthcare (herein called the
Project).
As the Washington State Department of Commerce (Commerce) is authorized by the federal
Department of Housing and Urban Development (HUD)to provide funds to units of local government
selected to undertake and carry out projects under the Washington State Community Development
Block Grant (CDBG) Program in compliance with all applicable local, state, and federal laws, regulations
and policies; and
As the Local Government has applied for and received a CDBG award, contract number 2O-622LC-LI5
Amendment A (CFDA L4.228), to fund the Project with FederalAward ldentification Number (FAIN): B-
20-DW-53-0001; and
As it benefits the Local Government to engage the Subrecipient to accomplish the Scope of Work and
the objectives of the local CDBG project; for Activities to prevent, prepare for, and respond to
coronavirus in partnership with local service providers for the CDBG-CV2 consortium area.
Proiect Descri ion of Services
This project will fund two crisis case managers working on site at the KVH emergency department to
provide 8 - 16 hours of daily crisis response to behavioral health patients during peak volume times at
KVH ED. Focus will be on crisis stabilization, coordination of care, referrals to behavioral health
providers and resources to address social determinants of health deficits. Additionally, services will
include follow-up and coordination with patients'primary care. The service area includes all persons in
Kittitas County Washington in need of immediate emergency evaluation and/or care.
The parties agree that:
L. SCOPE OF SERVICES
A. LocalGovernmentResponsibilities
The Local Government is responsible for administration of the CDBG contract and ensuring CDBG
funds are used in accordance with all program requirements [(24 CFR 570.501(b)] and its CDBG
contract with Commerce referenced above. The Local Government will provide such assistance
and guidance to the Subrecipient as may be required to accomplish the objectives and conditions
set forth in this Agreement.
B. Subrecipient Responsibilities
The Subrecipient will complete in a satisfactory and proper manner as determined by the Local
Government the following tasks to accomplish the objectives of principally benefiting low- and
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ATTACHMENT 18-C (2)
moderate-income persons. The Subrecipient will periodically meet with the Local Government to
review the status of these tasks.
PrincipalTasks
Before providing CDBG Public Services - Mental Health
r Complete the environmental review and prepare an environmental review record in
compliance with NEPA requirements for CDBG.
. Develop and establish CDBG-CV program's policies and procedures, including, CDBG
income qualification, COVID-19 impact verification, prevent duplication of benefit, and
beneficiary reporting requirements.
o Deliver the direct services identified in the CDBG application through the local
community action program/local economic development council, etc.
o Allocate and manage public services funds as established in the approved
subrecipient /partnership agreement and budget and prevent duplication of
benefits.
o Meet the CDBG nationalobjective of principally benefiting low- and moderate-
income persons.
. Accomplish HUD's outcome of increasing the availability and accessibility of
services to achieve HUD's objective of creating suitable living environments.
2. TIME OF PERFORMANCE
3
The effective date of this Agreement is July L9,2O2L, and complete execution of this agreement
and will be in effect for the time period the contract expires June 30, 2023.
AGREEM ENT REPRESENTATIVES
Each party to this Agreement shall have a representative. Each party may change its
representative upon providing written notice to the other party. The parties' representatives are
as follows:
A. Subrecipient:
Name of Representative: Jodi Daly, Chief Executive Officer
Comprehensive Healthcare
Mailing Address: 402.South 4th Ave
City, State and Zip Code: Yakima, WA 98902-959
Telephone Number: 509-575-4024
E-mailAddress: jodi.daly@comphc.org
UBI#: 6OO3L22O6
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ATTACHMENT 18-C (3)
B. Local Government
Name of Representative
Title:
Mailing Address:
City, State and Zip Code:
Telephone Number:
Fax Number:
E-mailAddress:
Judy Pless
Budget & Finance Manager
205 W 5th Ave Suite 105
Ellensburg WA 98926
509-962-7502
509-962-7687
judy.pless@co.kittitas.wa.us
4 BUDGET
The Local Government will pass through to the Subrecipient no more than 5L54,766 in CDBG
funds for eligible incurred costs and expenses for the Project according to the following budget
lndirect Cost Rate if the Subrecipient chooses to charge lndirect under this grant, the
Subrecipient shall provide their indirect cost rate that has been negotiated between their entity
and the Federal Government. lf no such rate exists, a de minimis indirect cost rate of I0%of
Modified Total Direct Costs (MTDC)will be used.
"Modified Total Direct Costs " shall mean all direct salaries and wages, applicable fringe benefits,
materials and supplies, services, travel, and up to the first 525,000 of each subaward (regardless
of the period of performance of the subawards under the award). MTDC excludes equipment,
capital expenditures, and rental costs.
Any amendments to this Agreement's Budget must first be determined by the Local Government
as consistent with its CDBG contract with Commerce and then approved in writing by the Local
Government and the Subrecipient.
PAYMENT
The Local Government shall reimburse the Subrecipient in accordance with the payment
procedures outlined in the CDBG Management Handbook, Financial Management Section for all
allowable expenses agreed upon by the parties to complete the Scope of Service as approved in
the Exhibit B.
Reimbursement under this Agreement will be based on billings, supported by appropriate detail
documentation of costs actually incurred. lt is expressly understood that claims for
reimbursementwill not be submitted in excess of actual, immediate cash requirements necessary
to carry out the purposes of the agreement. Funds available under this Agreement will be
utilized to supplement rather than supplant funds otherwise available.
It is understood that this Agreement is funded in whole or in part with CDBG funds through the
Washington State CDBG Program as administered by Commerce and is subject to those
5
Project Budget Element Budgeted Amount
05 Public Services itsql66
lndirect Cost Rate: _% Federally Approved lndirect Rate, or LO%de
minimis rate, or fill out "N/A" declining to charge indirect 5o/o
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6
ATTACHMENT 18.C (4)
regulations and restrictions normally associated with federally-funded programs and any other
requirements that the State may prescribe.
The final request for reimbursement shall be June 15, 2023.
PERFORMANCE MON ITORI NG
The Local Government will monitor the performance of the Subrecipient by tracking project
progress, reviewing payment requests for applicable costs, managing the timely pass-through of
CDBG funds, overseeing compliance with CDBG requirements, and ensuring recordkeeping and
audit requirements are met. Substandard performance as determined by the Local Government
will constitute noncompliance with this Agreement.
lf action to correct such substandard performance is not taken by the Subrecipient within a
reasonable period of time after being notified by the Local Government, contract suspension or
termination procedures will be initiated.
SPECIAL CONDITIONS-
A. Prevent Duplication of Benefit
The CARES Act provides that there are adequate procedures in place to prevent any
duplication of benefit as required by section 3I2 of the Robert T. Stafford Disaster Relief
and Emergency Assistance Act (42 U.S.C. 5155), as amended by section 121-0 of the
Disaster Recovery Reform Act of 2018 (division D of Public Law 1-15-254; L32 Stat. 3442).
HUD requires each Grantee (and subrecipient) have procedures to prevent the
duplication of benefits when it provides financial assistance with CDBG-CV funds. Federal
disaster law prohibits the provision of federal assistance in excess of need. Before paying
a cost with federal disaster assistance, the Grantee (and subrecipient) must check to see
that the assistance will not cause a duplication of benefits, meaning that the cost has not
or will not be paid by another source. Any person or entity (including subrecipients)
receiving CDBG-CV assistance must agree to repay assistance that is determined to be
duplicative; and to assess whether the use of CDBG-CV funds will duplicate financial
assistance already received or is likely to be received by acting reasonably, Grantees (and
subrecipients) must have a method to evaluate need and the resources available to meet
that need. CDBG-CV funded activities will prevent, prepare for, and respond to the
coronavirus
GENERAL CONDITIONS
A. General Compliance
The Subrecipient agrees to comply with:
The requirements of Title 24 of the Code of Federal regulations, 570 (HUD regulations
concerning CDBG); and
7,
8
a
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B
c
D
E
F
ATTACHMENT 18.C (5)
. All other applicable Federal, State and Local laws, regulations, and policies, governing
the funds provided under this Agreement.
CDBG National Obiective
The Subrecipient certifies the activities carried out under this Agreement meet a CDBG
Program National Objective defined in 24 CFR 57O.2O8.
lndependent Contractor
Nothing contained in this Agreement is intended to, or will be construed in any manner, as
creating or establishing the relationship of employer/employee between the parties. The
Subrecipient will at all times remain an "independent contractor" with respect to the
services to be performed under this Agreement. The Local Government will be exempt
from payment of all Unemployment Compensation, FICA, retirement, life and/or medical
insurance and Workers' Compensation lnsurance, as the Subrecipient is an independent
contractor.
Hold Harmless
The Subrecipient will hold harmless, defend and indemnify the Local Government from any
and all claims, actions, suits, charges and judgments whatsoever that arise out of the
Subrecipient's performance or nonperformance of the services or subject matter called for
in this Agreement.
Workers' Com pensation
The Subrecipient will provide Workers' Compensation lnsurance Coverage for all of its
employees involved in the performance of this Agreement.
lnsurance and Bonding
The Subrecipient will carry sufficient insurance coverage to protect contract assets from loss
due to theft, fraud and/or undue physical damage, and as a minimum will purchase a
blanket fidelity bond covering all employees in an amount equal to cash advances from the
Local Government.
The Subrecipient shall furnish the Local Government with properly executed certificate of
insurance or a signed policy endorsement which shall clearly evidence all insurance required
in this section prior to commencement of services. The certificates will, at a minimum, list
limits of liability and coverage. The certificate will provide that the underlying insurance
contract will not be cancelled or allowed to expire except on thirty (30)days prior written
notice to the Local Government. Exhibit A includes the insurance requirements for the
Subrecipient
G. Fundine Source Recognition
The Subrecipient will insure recognition of the roles of Commerce, the WA State CDBG
program, and the Local Government in providing services through this Agreement. All
activities, facilities and items utilized pursuant to this Agreement will be prominently
labeled as to funding source. ln addition, the Subrecipient will include a reference to the
support provided herein in all publications made possible with funds made available under
this Agreement.
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ATTACHMENT 18-C (6)
H. Amendments
The Local Government or Subrecipient may amend this Agreement at any time provided
that such amendments make specific reference to this Agreement, and are executed in
writing, signed by a duly authorized representative of each organization, and approved by
the Local Government's governing body. Such amendments will not invalidate this
Agreement, nor relieve or release the Local Government or Subrecipient from its obligations
under this Agreement.
l. Suspension or Termination
ln accordance with 2 CFR 200.338-9, the Local Government may suspend or terminate this
Agreement if the Subrecipient materially fails to comply with any terms of this Agreement,
which include (but are not limited to) the following:
L. Failure to comply with any of the rules, regulations or provisions referred to herein, or
such statues, regulations, executive orders, and HUD guidelines, policies or directives as
may become applicable at any time;
2. Failure, for any reason, of the Subrecipient to fulfill in a timely and proper manner its
obligations under this Agreement.
3. lneffective or improper use of funds provided under this Agreement; or
4. Submission by the Subrecipient to the Local Government of reports that are incorrect or
incomplete in any material respect.
ln accordance with 2 CFR 200.339, this Agreement may also be terminated by either the
Local Government or the Subrecipient, in whole or in part, by setting forth the reasons for
such termination, the effective date, and, in the case of partial termination, the portion to
be terminated. However, if in the case of a partial termination, the Local Government
determines that the remaining portion of the award will not accomplish the purpose for
which the award was made, the Local Government may terminate the award in its entirety.
ADM IN ISTRATIVE REQUIREM ENTS
A. Financial Management
1. Accountins Standards
The Subrecipient agrees to comply with 2 CFR 200 and agrees to adhere to the
accounting principles and procedures required therein, utilize adequate internal
controls, and maintain necessary source documentation for all costs incurred.
2. Cost Principles
The Subrecipient will administer its program in conformance with 2 CFR 200. These
principles will be applied for all costs incurred whether charged on a direct or indirect
basis.
3. Duplication of Costs
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B.
ATTACHMENT 18.C (7)
The Subrecipient certifies that work to be performed under this Agreement does not
duplicate any work to be charged against any other contract, subcontract or other
source.
Documentation and Record Keeping
1. Records to Be Maintained
The Subrecipient will maintain all records required by the Federal regulations specified
in 24 CFR 570.506 that are pertinent to the activities to be funded under this Agreement
and those records described in the CDBG Management Handbook. Such records will
include but not be limited to:
a. Records providing a full description of each activity undertaken;
b. Records demonstrating that each activity undertaken meets one of the National
Objectives of the CDBG program;
c. Records required to determine the eligibility of activities;
d. Records required to document the acquisition, improvement, use or disposition of
real property acquired or improved with CDBG assistance;
e. Records documenting compliance with the civil rights components of the CDBG
program;
f. Financial records as required by 24 CFR 570.502, and 2 CFR 200.333;
g. Labor standards records required to document compliance with the Davis Bacon Act,
the provisions of the Contract Work Hours and Safety Standards Act, and all other
applicable Federal, State and Local laws and regulations applicable to CDBG-funded
construction projects; a nd
h. Other records necessary to document compliance with Subpart Kof 24 CFR 570.
2. Access to Records and Retention
The grantee, Commerce, and other authorized representatives of the state and federal
governments shall have access to any books, documents, papers and records ofthe
Subrecipient that are directly pertinent to this Agreement for the purposes of making
a ud it, examination, excerpts a nd tra nscriptions.
AII such records and all other records pertinent to this Agreement and work undertaken
under this Agreement will be retained by the Subrecipient for a period of six years after
finalaudit of the LocalGovernment's CDBG project, unless a longer period is required to
resolve audit findings or litigation. ln such cases, the Local Government will request a
longer period of record retention.
3. Audits and lnspections
All Subrecipient records with respect to any matters covered by this Agreement will be
made available to the Local Government, Commerce, and duly authorized officials of the
state and federal government, at any time during normal business hours, as often as
deemed necessary, to audit, examine, and make excerpts or transcripts of all relevant
data.
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c.
ATTACHMENT 18.C (8)
Any deficiencies noted in audit reports must be fully cleared by the Subrecipient within
30 days after receipt by the Subrecipient. Failure of the Subrecipient to comply with the
above audit requirements will constitute a violation of this Agreement and may result in
the withholding of future payments.
The Subrecipient that expends 5250,000 or more in a fiscal year in federal funds from all
sources hereby agrees to have an annual agency audit conducted in accordance with
current Local Government policy concerning Subrecipient audits and 2 CRF 200.501. The
Catalog of Federal Domestic Assistance (CFDA) number is L4.228.
Reporting
L Program lncome
The Subrecipient will report annually all program income (as defined at 24 CFR
570.500(a)) generated by activities carried out with CDBG funds made available under
this Agreement. The use of program income by the Subrecipient will comply with the
requirements set forth at 24 CFR 570.504.
2. Periodic Reports
The Subrecipient, at such times and in such forms as the Local Government may require,
will furnish the Local Government such periodic reports as it may request pertaining to
the work or services undertaken pursuant to this Agreement, the costs and obligations
incurred or to be incurred in connection therewith, and any other matters covered by
this Agreement.
Use and Reversion of Assets
The use and disposition of real property and equipment under this Agreement will be in
compliance with the requirements of 2 CFR 200.311and 313, 24 CFR 570.502,570.503,
570.504, as applicable, which include but are not limited to the following:
1. The Subrecipient will transfer to the Local Government any CDBG funds on hand and
any accounts receivable attributable to the use of funds under this Agreement at the
time of expiration, cancellation, or termination.
2. Real property under the Subrecipient's control that was acquired or improved, in whole
or in part, with funds under this Agreement in excess of 525,000 will be used to meet
one of the CDBG National Objectives pursuant to 24 CFR 570.208 untilten (10)years
after the contract between Commerce and the Local Government is closed. lf the
Subrecipient fails to use CDBG-assisted real property in a manner that meets a CDBG
National Objective for this 1-O-year period of time, the Subrecipient will pay the Local
Government an amount equal to the current fair market value of the property less any
portion of the value attributable to expenditures of non-CDBG funds for acquisition of,
or improvement to, the property after the CDBG program's approval. Such payment will
constitute program income to the Local Government. The Subrecipient may retain real
property acquired or improved under this Agreement after the expiration of the ten-
year period.
3. ln cases in which equipment acquired, in whole or in part, with funds under this
Agreement is sold, the proceeds will be program income. Equipment not needed by the
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D
ATTACHMENT 18.C (9)
Subrecipient for activities under this Agreement will be (a) transferred to the Local
Government for CDBG-eligible activities as approved by the CDBG program or (b)
retained after compensating the Local Government.
10. PERSONNEL AND PARTICIPANT CONDITIONS
A. Civil Rights
Title Vl of the Civil Riehts Act of 1964:
Under Title Vl of the Civil Rights Act of l-964, no person will, on the grounds of race, color,
creed, religion, sex or national origin, be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under any program or activity receiving
federal financial assistance.
Section 109 of the Housing and Communitv Development Actof L974:
No person in the United States will on the grounds of race, color, creed, religion, sex or
national origin be excluded from participation in, be denied benefits of, or be subjected to
discrimination under any program or activity funded in whole or in part with funds made
available under this title.
Ase Discrimination Act of 1975, as Amended
No person will be excluded from participation, denied program benefits, or subjected to
discrimination on the basis of age under any program or activity receiving federal funding
assistance. (42 U.S.C. 610 et. seq.)
Section 504 of the Rehabilitation Act of 1973. as Amended
No otherwise qualified individual will, solely by reason or his or her disability, be excluded
from participation (including employment), denied program benefits, or subjected to
discrimination under any program or activity receiving Federal funds. (29 U.S.C. 794)
Public Law 1-01-336. America ns with Disabilities Act of l-990
Subject to the provisions of this title, no qualified individual with a disability will, by reason
of such disability, be excluded from participation in or be denied the benefits of the
services, programs, or activities of a public entity, or be subjected to discrimination by any
such entity.
B. Section 3 of the Housing and Community Development Act of 1-968
Compliance in the Provision of Training, Employment, and Business Opportunities:
L. The work to be performed under this agreement is on a project assisted under a
program providing direct federalfinancial assistance from HUD and is subject to the
requirements of Section 3 of the Housing and Urban Development Act of 1-968, as
amended, 12 U.S.C. I7OLI. Section 3 requires that to the greatest extent feasible
opportunities for training and employment be given lower-income residents of the
project area; and contracts for work in connection with the project be awarded to
business concerns which are located in, or owned in substantial part, by persons
residing in the area of the project.
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c
ATTACHMENT 18.C (10)
2. The parties to this contract will comply with the provisions of said Section 3 and the
regulations set forth in 24 CFR 135, and all applicable rules and orders of HUD and
Commerce issued thereunder prior to the execution of this contract. The parties to this
contract certify and agree that they are under no contractual or other disability that
would prevent them from complying with these provisions.
3. The Subrecipient will send to each labor organization or representative of workers with
which he has a collective bargaining agreement or other contract or understanding, if
any, a notice advising the said labor organization or workers' representative of his
commitments under this Section 3 clause and will post copies of the notice in
conspicuous places available to employees and applicants for employment or training.
4. The Subrecipient will include this Section 3 clause in every subcontract for work in
connection with the project and will, at the direction of the applicant, or recipient of
federal financial assistance, take appropriate action pursuant to the subcontract upon a
finding that the subcontractor is in violation of regulations issued by the Secretary of
HUD,24 CFR 135. The Subrecipient will not subcontract with any subcontractor where it
has notice or knowledge that the latter has been found in violation of regulations under
24 CFR 135 and will not let any subcontract, unless the subcontractor has first provided
it with a preliminary statement of ability to comply with the requirements of these
regulations.
5. Compliance with the provisions of Section 3, the regulations set forth in 24 CFR 135, and
all applicable rules and orders of HUD and Commerce issued hereunder prior to the
execution of the contract, will be a condition of the federalfinancialassistance provided
to the project, binding upon the applicant or recipient for such assistance, its successors,
and assigns. Failure to fulfill these requirements will subject the applicant, or recipient,
its consultants and subcontractors, its successors and assigned to those sanctions
specified by the grant or loan agreement or contract through which federal assistance is
provided, and to such sanctions as are specified by 24 CFR L35.
Conduct
L. Assienabil itv
The Subrecipient will not assign or transfer any interest in this Agreement without the
prior written consent of the Local Government thereto; provided, however, that claims
for money due or to become due to the Subrecipient from the Local Government under
this contract may be assigned to a bank, trust company, or other financial institution
without such approval. Notice of any such assignment or transfer will be furnished
promptly to the Local Government and Commerce.
2. Conflict of lnterest
No member of the Local Government's governing body and no other public official of
such locality, who exercises any functions or responsibilities in connection with the
planning or carrying out of the project, will have any personal financial interest, direct or
indirect, in this Agreement; and the Subrecipient will take appropriate steps to assure
compliance.
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ATTACHMENT 18-C (11)
The Subrecipient agrees to abide by the provisions of 2 CFR 200.318 and 24 CFR
57O.6LL, which includes maintaining a written standard code of conduct that will govern
the performance of its officers, employees or agents engaged in the award and
administration of contracts supported by Federal funds.
The Subrecipient covenants that its employees have no interest and will not acquire
interest, direct or indirect, in the study area or any parcels therein or any other interest
which would conflict in any manner or degree with the performance of services
hereunder. The Subrecipient further covenants that in the performance of this
Agreement, no person having such interest will be employed.
3 Certification Resardins Debarment- Susoe n. lnelisibilitv and Voluntarv Exclusion -
Lower Tier Covered Transactions
a. The lower tier contractor certifies, by signing this contract that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency.
b. Where the lower tier contractor is unable to certify to any of the statements in this
contract, such contractor will attach an explanation to this contract.
Copvrieht
lf this Agreement results in any copyrightable material or inventions, the Local Government
and/or Commerce reserves the right to royalty-free, non-exclusive and irrevocable license
to reproduce, publish or otherwise use and to authorize others to use, the work or
materials for governmental purposes.
E. Relieious Activities
The Subrecipient agrees that funds provided under this Agreement will not be utilized for
inherently religious activities prohibited by 24 CFR 570.200(j), such as worship, religious
instruction, or proselytization.
]"1. SEVERABILITY
lf any provision of this Agreement is held invalid, the remainder of this Agreement will not be
affected thereby and allother parts of this Agreement will nevertheless be in fullforce and effect.
12. PERFORMANCE WAIVER
The Local Government's failure to act with respect to a breach by the Subrecipient does not
waive its right to act with respect to subsequent or similar breaches. The failure of the Local
Government to exercise or enforce any right or provision will not constitute a waiver of such right
or provision.
13. ENTIRE AGREEMENT
This Agreement constitutes the entire agreement between the Local Government and the
Subrecipient for the use of funds received under this Agreement and it supersedes all prior
communications and proposals, whether electronic, oral, or written between the Local
Government and the Subrecipient with respect to this Agreement.
D
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ATTACHMENT 18,C (12)
The attachments to this Agreement are identified as follows:
EXHIBIT A - lnsurance Requirements
EXHIBIT B - CDBG-CV lnteragency Grant Agreement between Commerce and the CDBG-
CV grantee, Kittitas County, which includes the Scope of Work and Budget for the
projects
EXHIBIT C - CDBG-CV lnteragency Grant Agreement-Amendment A between Commerce
and the CDBG-CV2, Kittitas County, which includes the Scope of Work and Budget
lN WITNESS WHEREOF, the Local Government and the Subrecipient have executed this Agreement as
of the date and year last written below.
KITTITAS COUNTY COM sstoNERs COMPREHENSIVE HEALTHCARE
K UNTY, W
Brett trman Jodi Executive Officer
ABSE},IT
Laura Vice Chairman
Wri Commissioner
illt/,Date 2-2s-A I.\\\\\\lll
I
.s$'-, coS':S'..""ss'.."
-r (_) ,'
.- \Ji
Clerk of the Board or
holz, Deputy Clerk of the Board
As To Form
Attorney
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ATTACHMENT 18-C (13)
EXHIBIT ''A''
The Contractor shall secure and maintain in effect at all times during performance of the Work such
insurance as will protect Contractor, its Support and the Additional lnsured's from all claims, losses,
harm, costs, Iiabilities, damages and expenses arising out of personal injury (including death) or property
damage that may result from performance of the work or this Agreement, whether such performance is
by Contractor or any of its Support.
All insurance shall be issued by companies admitted to do business in the State of Washington and
have a rating of A-, ClassVllor better in the most recently published edition of Best's Reports unless
otherwise approved by the County. lf an insurer is not admitted, all insurance policies and procedures
for issuing the insurance policies must comply with Chapter 48.1-5 RCW and 284-15 WAC.
The Contractor shall provide proof of insurance for
X Commercial General Liabilitv lnsurance
Coverage limits not less than:
o $5,000,000 per occurrence
o $1,000,000 per occurrence liquor liability
. S1,000,000 products & completed operations aggregate
. S1,000,000 personal and advertising injury, each offense
r Certificate Holder - Kittitas County
o The Certificate must name the County as additional insured
o Sixtv (60) days written notice to the County of cancellation of the insurance policy
X Commercial Automobile Liabilitv lnsurance
Automobile Liability for owned, non-owned, hired, and leased vehicles (MCS 90 endorsement
and a CA 9946 endorsement must be attached if 'pollutants' ore to be transported)
r Coverage limits not less than:
o $L,000,000 combined single limit
r Thirtv (30) days written notice to the County of cancellation
of the insurance policy.
X Workers' Compensation
Workers' Compensation in amounts required by law
f, Stop Gap/Emplovers Liabilitv
Coverage limits not less than:
o $1-,000,000 each accident
. S1,000,000 disease - policy limit
o $1,000,000 disease - each employee
Additionol Coverage Moy Be Required:
Page 13 of 14
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ATTACHMENT 18.C (14)
Thirty (30) days written notice to the County of cancellation
of the insurance policy.
I erofessional Liability
The Contractor and/or its Subcontractor and/or its consultant providing professional services
shall provide evidence of Professional Liability lnsurance covering professional errors and
omissions. Such policy must provide the following minimum limits:
r $L,000,000 per claim
o $2,000,000 annual aggregate. lf insurance is on a claims-made form, its retroactive date, and that of all subsequent
renewals, shall be no later than the effective date of this Contractor shallfurnish the County
a Certificate of lnsurance to include the Policy Endorsements/Exclusions as evidence that
policies providing insurance required by this Agreement are in full force and effect.
Contractor hereby waives all rights of recourse, including any right to which another may be
subrogated, against Kittitas County for personal injury, including death, and property
damage. Contractor's insurance policies required above shall be primary insurance and shall
be non-contributing with any other insurance maintained by Kittitas County.
The Contractor shall assume full responsibility for all loss or damage from any cause whatsoever to any
tools, Contractor's employee-owned tools, machinery, equipment, or motor vehicles owned or rented
by the Contractor, or the Contractor's agents, suppliers or contractors as well as to any temporary
structures, scaffolding and protective fences.
The Contractor shall have sole responsibility for ensuring the insurance coverage and limits required are
obtained by subcontractors.
NOTE: No contract shall form until and unless a copy of the Certificate of Insurance with
Endorsements/Exclusions, properly completed and in the amount required, is attached hereto.
Failure of the Contractor to fully comply with the above insurance requirements during the term of the
Agreement shall be considered a material breach of contract and cause for immediate termination of
the Agreement at the County's discretion. Alternatively, the County may procure and maintain, at the
Contractor's sole expense, insurance to the extent deemed proper up to the amount of the required
coverage(s). The County may offset the cost of such insurance against payment due to the Contractor
under this Agreement.
Page 14 of l4
Revised l/2512021
ftLtt Washington State
,* Department ofuonxrterce
Interagency Grant Agreement with
Kittitas County
through
For
Community Development Block Grant Program
CDBG - Coronavirus (CDBG-CVI)
Actlvlties to prevent, prepare for, and respond to coronavirus in
partnership with local service providers for the CDBG-CV1
consortium area.
Start date: 312712020
BOARD OF COUNTY COM MISSIONERS
COUNTY OF KITTITAS
STATE OF WASI{INGTON
A RESOLUTION AUTHORIZING THE EXECUTION OF AN
INTERAGENCV AGREEMENT WITH WASHINGTON STATE DEPARTMENT OF COMMERCE FOR
coM MUNTTY DEVETOPM ENT BLOCK G RANT -CORONAVTRUS (CDBG-CV-l! PROG RAM
co NTRACT #20-6221C-1 15
REsOLUTtoNNo.202l. t)3c
WHEREAS, Chapters 39.33 and 39.34 RCW, the lnterlocal Cooperation Act, authorizes
public agencies to enter into agreements for mutually advantageous joint or cooperative action;
and
WHERCAS, Kittitas County and Washington State Department of Commerce are public
agencies within the meaning of chapters 39.33 and 39.34 RCW; and
WHEREAS, Kittitas County and Washington State Department of Commerce will enter
into the aBreement to fund the Costs incurred for the Activities to prevent prepare for, and
respond to coronavirus in partnership wtth local servlce provlders for the CDBG-CVI consortium
area. in Kittltas County for the period of March 27,2020 thru January 31, 2023.
NOW, THEREFORE, BE lT RESOLVED, the Klttitas County Board of County Comrnissioners
authorizes the execution of the lnteragency Agreement with Washington State Department of
Commerce, attached hereto, and incorporated herein by thls reference.
APPROVED, this 2ND day of March 202!, at Ellensburg, Washlngton.
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY,
lrtu I Brett,mith, Chairman
ABSENT
Laura Vice-Cha'irman
Cory Wright, Commissioner
haLj
erk of the
TABLE OF CONTENTS
Special Terms and Condltions
Definitions
Authority.......
Acknowledgem ent ofFederal Funding.
Acquisition
Audit.........
And Disposition Of Assets
Billing Procedures and Payment.........,.,.,,....
Closeout.......
Compensatlon
10. Envlronmental Review
1'l lndirect Costs12. Grant Managament13. Historlcal Or CulturatArtifacts, Human Remains
14 lnsurance ..,
15.16. Performance Reporting17. Program Income..18. ProhibitiononCertalnFundsTranslers.,,.....,,,..,,,..19. SubcontraclorDataColleclion,..,............
1
1
2
2
3
2,
3
4
1.
2,
3.
4.
5.
o.
7.
E.
o Debarment
R
5
5
5
5
5
5
6
0
e
6
7
7
7
7
7IIIII
o
IIII
20. Subcontracts for Engineering Servicee21, Order of Precadence..
General Terms and Condltlons
1.
2.
3.
4.
5.
6.
7.
8.
9.
Definitions....
All Writings Conlained Herein..........
Amendments
and Safeguarding of lnformation,
Copyright......
Goveming Larv and Venue..
Dispules..,....
10. Licensing,AccreditationandReglstration......".........11. Recapture12" Records Maintenence.13. Savings........14. Severability.......15. Subcontracting..16. Suruival t0
18. Termlnatlon for Gonvenience........1018" Termination Procedures20. Treatment of Assets......,.....,,..',''.'..11
21,Waiver.......11
Attachment A, Scope of Work and Budget
Attachment B, Letterto lncur Costs
ti
FACE SHEET
lYeshington Stntc Department of Commerce
Locol Government Divlsion
Communlty Assistsnce and Research Unit
CDBG - Coronavlrus (CIIBG-CVI)
Conlrect Number: 20-6221 C-l 15
1. Grantec
Kittitas County
205 W sth Ave, Suite 108
Ellensburg, Washington 98926
2. Grrntee Dolng Business As (optional)
NA
3. Grantee Reprcsentative
Brctt Vy'aohsrnith, Kittitar County Commissioner, District #3
Phono: 509.962.7508
Email : brett.wachsmith.co@co.kittitas.wa,us
4. COMMERCE Represcntatlve
Genny Matteson, Project Manager
Phonc; (360) 725-3093
Fax: (360) 586-8440
Genny. matteson@commerce.wa.gov
Address:
PO Box 42525
101 I Plum Street SE
Olympia, WA 98504
5. Grant Amount
$292,364
6. Funding Source
Federrl: E State: E Ottrsr: E Xll: E
7. Start Date
312712020
t. End Date
u3tn023
9. Fodcral Funds (as rpplicablc) Federsl Agencyl
$292,364 U'S' Department of Housing
And Urban Development
(IIUD)
CFDA Number:
r4.228
lndirect Rrte (lf rppllcable);
N/A
10, Tax ID #
9l-6001 349
ll. swv #
00t0475-00
12. UBI #
192002673
13. DUNS #
0to202547
14. Grant Purpose
Activities to prevent, prepare for, and respond to coronavirus in partnership with local service providcrs for thc CDBG-CVI
consorlium area. A futl description of the project is in Attachment "A" Scope of Work and Budget.
15. Slgnlng Stntemcnt
COMMERCE, defined as the Department of Cornmerce, and the Grantee, as defined above, acknowledge and acceptlhe terms of this
Granl and Attachments and havE executed this Orant on the date below to start as ofthe date and year referenced above and wanant
they are authorized to bind their respectivo agencies. The rights and obligations ofbolh parties to this Grant are governed by this Grant
and the following documents hereby incorporated by reference: Grant Torms and Conditions including Attachment "A" - Scope of
Work snd Budget, Attachment "8" - Lefter to Incur Cocts (if applt te), and the following documents incorporated herein by
reference: Orantee's application for funding and the Communih, trcnt tslock Grant policies and procedures, prepared by
Commerce.
APPROVEI) AS TO FORM ONLY BY ASSISTAIIT
ATTORNE T GENERAL 07 N7 NO$.
APPROVAI-ON FILE.
.COMMERCE
JCAI twll
Date
Date
FORGRANTEE
Kittitas County Commirsioner, Dishict #3
Wachsmith,DirectorMark
Locnl
SPECIAL TERMS AND CONDITIONS
INTEMGENGY GRANT AGREEMENT
FEDERAL FUNDS
r. 9EFNlrLoNq
A. 'Contractoro and "Grantee" ln this Grant, and the term "subrecipient" found ln the federal
Community Development Block Grant (CDBG) rules and regulations, shall mean the same.B. Community Development Block Grant - Coronavirus Response (CDBG-CV) grants are funded by
the Coronavirus Aid, Relief, and Economic Security (CARES) Act,C. "Low- and moderate-income' shall mean a household lncome equal to or less than 80 percent of
area median income adjusled by family size.D. "Subgrantee/Subcontract" shall mean one not in the employment of the Grantee, who is
performing all or parl of lhose services under this Grant under a separate Grant wilh the Grantee,
The terms "subgrant6e" and "subcontractors" mean subcontractor(s) in any tier.E. "Subrecipient" shall mean a non-federal entity that expends federal awards received from a pass-
through entity to carry out a federal program, but does not include an individual that ls a
beneficiary of such a program, lt also excludes vendors that receive federal funds in exchange for
goods and/or services ln the course of normal trade or commerce.
2. AUTHORITJ
COMMERCE and Grantee enter into this Grant pursuant to the authority granted by the lnterlocal
Cooperation Ad, Chapter 39.34 RCW.
3, Ac KN owLEpqUENT _o_F_f EDEB4\LI:_UNDS
FederalAward Date: Juty 14,2020
Federal Award ldentilication N umber (FAt N): B-20-DW.53-000 1
Total amount ol the federal award: 97,720,383
Awarding official: John W. Peters, HUD CPD Director
The Grantee agrees that any publicalions (written, vlsual, or sound) but excluding press releases,
newsletters, and issue analyses, issued by the Granlee descrlbing prognms or projects funded in
whole or ln part with federal funds under this Contract, shall contain the following staternents:
"Thle project was supported by Grant No. B-20-DW-53-0001 awarded by the U.S.
Departmenl of Housing and Urban Development (HUD). Points of view in this document
are those of the author and do not necessarily ropresent the official posltion or policles of
HUD. Grant funds are sdmlnlstered by the Communig Devetopment Block Grant Program,
Washington State Department of Commerce".
4. Ag_qulstrlo_N A.UD_ qS poSIIpXlEAgs_E_Ts
The Grantee will account for any tangible personal property acquired or improved with ihis Grant.
The use and disposition of real property and equipment under this Grant will be in compliance wilh the
requirements of all applicable federal law and regulation, including but not limited to 24 CFR Part 84
and24 CFR Part 570,489,570.502,570.503,570.504, and 570.505 as applicable, which include bul are
not limited to the following:
Real property thal was acquired or improved, in whole or in part, with funds under lhls Grant ln €xcess
of $25,000 ehall be used to meet one of the CDBG national objectives for ten (10) years after the Grant
is closed. Any exception must be made with COMMERCE approval and the Grantee willbe responsible
to pay COMMERCE an amount equal to ths current fuir market value of the property less any portion
of the value attributable to expenditures of non-CDBG funds for acquisition of or improvement to the
property. Such payment from the disposition of real property acquired with thls Grant wilhln len (10)
years of closeout of the Grant shall be trealed as CDBG Program lncome.
ln cases in which equipment acquired in whole or in part with funds under lhis Grant is sold, lhe
proceeds will be CDBG Program lncome.
State of Washlngton
D€partment of Comrprce
lnleragency Grant Agreement
Page 1
SPECIAL TERMS AND COND]TIONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
1. AUDIT
lf the Grantee is a subrecipient and expends $750,000 or more in federal awards from any and/or all
sources in any flscal year, the Grantee shall procure and pay for a single audit or a program-specific
audit for that flscal year. Upon completion of each audil, the Grantee shall:
A. Submit to COMMERCE the reporting package specified ln OMB Super Circular 2 CFR 200,501,
reports required by the program-specific audit guide (if applicable), and a copy of any rnanagement
letters issued by the auditor.B. Submit to COMMERCE follow-up and developed corrective action plans for all audil findings.
lf the Grantee is a subrccipient and expends less than $750,000 in federal awards from any and/or all
sources in any fiscal year, the Grantee shall notiff COMMERCE they did not meet the slngle audit
requirement.
The Grantee shall send all single audit documentation to quditrgyiqy'@commerce.wa.gqy.
2. FI,LLIN,G PR9qE.D-!JRES AND PAYMENT
COMMERCE will pay Grantee upon acceptance of services provided and receipt of properly completed
invoices, which shall be submilted to the Representative for COMMERCE Representative on a
Washington State lnvoice Voucher form not more often than monthly.
The lnvoices shall describe and document, to COMMERCE's satisfaction, a description of the work
performed, the progress of the proJect, and fees. The invoice shall include the Contract Number
ldentified on the Face Sheet of this Grant. lf expenses are invoiced, provlde a detailed breakdown of
each type.
Payment shall be considered timely if made by COMMERCE within thirty (30) calendar days after
receipt of properly completed invoices. Payment shall be sent to the address designated by the
Grantee.
COMMERCE may, in its sole discretion, terminate the Grant or withhold payments claimed by the
Grantee for services rendered if the Grantee fails to salisfactorily comply with any term or condition of
this Grant, including completion of the Environmental Review and the release of funds (if applicable).
No payments in advance or in anticipation of services or supplies to be plovided under thls Grant shall
be made by COMMERCE.
COMMERCE shall not release the final five (5) percent of the total grant amount until acceptance by
COMMERCE of proJect completion.
lnvoices and End of Fls,qalY-ea,!.
The grantee must invoice end of state fiscal year final invoices for all expenses from the beginning of
the contract through June 30, regardless of the conlract start and end date. Commerce will provido
notification of the end of fiscal year due date.
Qup_lication sf Bi !le.d_Cqstg
The Grantee shall not bill COMMERCE forservices performed under lhis Agreement, and COMMERCE
shall not pay the Grantee, if the Grantee is entitled to paynent or has been or will be pald by any other
source, including grants, for that service.
Prs_v-ent,8UBt isetlon pf B enetlt
The CARES Act provides that there are adequale procedures in place to prevent any duplication of
benefit as required by seclion 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance
Act (42 U.S.C, 5155), as amended by section 1210 of ihe Disaster Recovery Reform Act of 2018
(division D of Public Law 115-254; 132 Stat. 3442). HUD rsquires each Grantee (and subrecipient)
have procedures to prevent lhe duplication of benofits when lt provides financial assistance with CDBG-
CV funds. Federal dlsasler law prohiblts lhe provision of federal assistance in excess of need. Before
paying a cost with federal disaster assistance, the Grantee (and subrecipient) must check to see that
the assistance will not cause a duplication of benefits, meaning that the cost has not or will not be paid
Slate of Washington
Deparlment of Commerce
lnterag€ncy Granl Agrsernent
P84e 2
SPECIAL TERMS AND CONOITIONS
INTERAGENCY GRANT AGREEIIIENT
FEDERAL FUNDS
by another source. Any person or entity (including subrecipienls) receiving CDBG-CV assistance must
agree lo repay assistance that is determined to be duplicative; and to assess whether the use of CDBG-cV funds will duplicate f,nancial assistiance already received or is likely to be received by acting
reasonably. Grantees (and subrecipients) must have a method to evaluate need and lhe resources
available to meet that need,
Pls3lqued_Ae$!
The Grantee ls responsible for any audit exceptions or disallowed costs incurred by lts own organlzation
or that of its subcontrac,torsy'subrecipient.
3. qLosEguT
COMMERCE wlll advise the Grantae to initiate closaout procedures when there are no impediments to
closing and the following critaria have been met or soon will be met:
A. All costs have been incurred with the exception of closeout costs and any unsettled third-party
claims against lhe Grantee. Costs are incurred when goods and eervices are received or contraCt
work is performed.
B. Tho Grantee has held a publlc hearlng to review program performance,
C. The Grantee has submitted the Conlract Closeout Report. Failure to submit a report will not
preclude COMMERCE from effecting closeout if it is deemed to be in the state's interest. Any
excess grant amount in the Grantee's possession shall be returned in the event of failure to finish
or update the report.
D. Other responsibilitles of the Grantee under this Grant and applicable laws and regulatlons app€ar
to have been carried out satisfactorily or here is no further state lnterest in keeping thia Grant open
for the purpose of eecuring performance.
4. GoMPEN9aT!9N
COMMERCE shall pay an amount not to exceed he amount ldentllied on lhe Face Sheet of ihis Grant
for the performance of all things necessary for or incldental to the performance of work as set forth ln
AttachmEnt A, Scope of Work and Budget incorporated herein, and by reference the Grantee's
application for funding.
Grantee shall recelve reimbursement for travel and other expenses as aulhorized in advance by
COMMERCE as reimbursable. Grantee shall receive compensation for travel exp€nses at current state
travel reimbursement rates
5. DEBARMENT
A. Grantee, defined as the primary participant and it principals, certifies by signing these General
Tems and Gonditions that to the best of its knowledge and belief that they:
i. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
volunlarily excluded from covered transactions by any Federal deparlment or agency,
li. Have not within a lhree-year period preceding this Grant, been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense ln
connection with obtainlng, attempting to obtain, or performing a publlc or private agreement
or transaction, violation of Federal or State antilrust statutes or commission of
embezzlement, theft, forgery, bribery, falsiflcalion or destruclion of records, making false
statements, tax evaslon, receiving stolen property, making false claims, or obstruction of
justice;
iii. Are not presently indic,ted for or otherwise criminally or civilly charged by a governmental
entity (Federal, Stale, or local) with commission of any of the offenses enumerated in
paragraph (1Xb) of federal Executive Order 12549; and
iv. Have not wlthin a three-year perlod preceding the signlng of thls Grant had on€ or more
public transac{ions (Federal, State, or local} terrninated for cause of default.
State of Weshlnglon
Dgpartmenl of Gomrnorce
lnteragency Grant Agreemont
Page 3
SPECIAL TERMS AND CONDITIONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
B. \Mere the Granlee is unable to certify to any of the statements in this Grant, the Grantee shall
attach an explanation lo this Grant.
C. The Grantee agrees by signing this crant lhat it shall not knowingly enter into any lower tier covered
transaction wlth a person who is debarred, suspended, declared ineligible, or voluntarily excluded
from participation in this covered transaction, unless authorized by COMMERCE.
D. The Grantee further agrees by signing this Grant that it will include ihe clause titled "Certification
Regarding Debarment, Suspension, lneligibility and Voluntary Exclusion-Lower Tier Covered
Transaction," as follows, wlthout modification, in all laler tier covered transactions and in all
solicitations for lower tier covered transactions:
LOWER TIER COVERED TRANSACTIONS
a. The lower tier Grantee certifies, by signing this Grant that neither it nor its principals is
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded lrom participation ln this transaction by any Federal department or agency.b. Where the lower tier Grantee is unable to certify to any of the statements in this Grant,
such contractor shall attach an explanation to thls Grant.
E. The terms covered transaction, debarred, suspended, lneligible, lower tler covered
transactlon, po6on, prlmary covered transaction, principal, and voluntarily excluded, as
used in this section, have the meanings set out in the Definitions and Coverage sections of the
rules lmplementing Executive Order 12549- You may contact COMMERCE for assistance in
obtaining a copy of these regulations.
6. ENVTRONMFNTAL REVI_EW
General Purpose,.flous!4S qlth"11119jmsUt,.e_nd Ecgnomlq Qpportqpl-ty Gfants
Funding in excess of the amount stipulated in Attachment B, Letter to lncur GosF, shall not be
released lo a Grantee by COMMERCE until the following conditions implernenting 24 CFR part 5E are
met:
A. The Grantee must complete an environmental review of the project and make a linding of
environmental irnpact. A notice of this finding must be published along with a notice of the Grantee's
intent to request release of funds for the project unless the project is exempt from the publlcation
requirements as described. The Grantee must allow a seven (7) or fifteen (1 5) day period for public
review and comment following publication of the nolices unless exempt under the National
Environmentat Policy Act (NEPA) and the Washington State Environmental Policy Act (SEPA).
When this review and corilment period expires, the Grantee may, afler considering any comments
received, submit a request for release of funds to COMMERCE. Upon receipt of the request,
COMMERCE must allow a fifteen (15) day period for public review and comment. When
COMMERCE'e public review and comment period expires, COMMERCE may, efter considering
any comments received, formally notiff the Grantee in writing of the release of federal funds for the
project.
B. This special condition is satistied when the Grantee completes the environmental review and
request for release of funds from COMMERCE. The special condition is effectively removed on the
date COMMERCE provides the Grantee wilh written notice of relegse of funds.
Mlcrpe[tqfprige Agqlqlang*e. Plen1ing.Qqly and Pub[c -Servlce.s Aclivitlgg
Funding shall not be released to a Planning-Only Activities or Public Services Activltles reclpient until
the following conditions are met: The Grantee assures that assisted ac{ivities are exempt under NEPA
(24 CFR 58.34) and categorically exempt under SEPA (RCW 43.21C.110). The Grantee further
assures ihat the activities do not come under the purview of any other federal, state, and known local
environmental laws, stalutes, regulations or executive orders. ln addition, the Grantee assures it will
document, in writing, its determination that each activity or prolect is exempt and meets the conditions
specified for such exemption under NEPA (24 CFR 58.34(3) (br Planning-Only) or 58.34(4) (for Public
Services) and (SEPA) WAC 197-11-800.
Stale of Waehington
Deparlment of Commeroe
lnteragency Grant Agreemenl
Page 4
SPECIAL TERMS AND CONDITIONS
INTEMGENCY GRANT AGREEIIIENT
FEDERAL FUNDS
7. l!{Dl&Ecrcgsrg
The Grantee shall provide thoir indirect cost rate thal has been negotiated between their entity and the
federal governmeni. lf no such rate exists a de minimis indirect oost rate of 1oo/o of modified t6tal direct
costs (MTDC) will be used.
8, CEAX-T_UANAgEUENI
The Representalive for each of the parties shall be responsible for and shall be the contact person for
all communications and billings regarding the performance of this Grant.
The Representative for GOMMERCE and thsir contact information are idEntified on lhe Face Sheel
of this Grant.
The Representative for the Grantee and their contact information are ldenlified on lhe Face Sheet
of this Grant,
9. II-I$I"9NICAL qB 9ULTUnAL l8IEAqIq, HUMAN REMAIN-S
ln the event that historical or cultural artifacts are discovered at the proiect site during congtruction or
rehabilitation, the Grantee shall immediately stop construction and noUfy the local historlcal
preservation officer and the state hisloric preservation officer at the Department of Archaeology and
Historic Preservation (DAHP) at (360) 6S6-3065. lf human remains are discovered, the Grantee shall
stop work, report the presence and location of the remains io the coroner and local law enforcement
immedlately, and contact DAHP and the concerned tribe's cultural staffor committee.
10. uquIuN"QE
Each party certjfies that it is self-insured under lhe Slate's or local governmenl self^insurance liability
program, and shall be responsibls for losses for which it is found liable.
11, LAWS
The Granteo shall comply with all applicable laws, ordinances, codes, regulations, and policies of local,
state, and federal governmenls, as now or hereafter amended, including,
. Housing and Community Development (HCD)Act of 1974.r CDBG regulations in 24 CFR Part 570.r 2 CFR 200.. Goronavirus Ald, Relief, and Economic Security Act (CARES Act), Public Law pL 116-136.r Notice of Program Rules, Walvers, and Alternative Requirements Under the CARES Acl for
Community Development Block Grant Program Coronavirus Response Grant, Fiscal Year
2019 and 2020 Community Development Block Grants, and for other Fonnula Programs,
Docket No, FR-621 8-N-01.
12. PERFORMANCF REPOgrll{g
The Grantee, at such times and in such forms as COMMERCE may require, shall furnish periodic
progress and performance reports pertalnlng to the aclivities undertaken pursuant to this Grant. These
reports may include environmenlal review r6cords, publicalion affidavits, procurement and contrading
re@rds, documentation of compliane wilh federal civil rights requirements, job creation records,
program income reports, reports of the costs and obligations lncurred in connection therewlth, the linal
closeout report, and any other matters covered by this Grant. Activities funded by this Grant providing
incomeaualified direct assistance or direct services under the limited clientele, hdusing, or job creation
CDBG National Objeclives, must submit quartorly beneficiary reports as furnished bt COMMERCE.
Fallure to submit these reports may result in CoMMERCE withholding payment or terminating this
Grant.
,t3. P&Q9BAtltJXep-_mE
Program income, ae defined ln 24 CFR 570.489(e), retains federal identity and will be used in
accordance with CDBG-CV requirements. The Grantee must maintain records of program income
received and expended, and annually report program income received aft€r closeout of this Grant.
Stale olWashington
C,epenmert of Cornmerce
lnteragency Granl Agr€€nrcnt
Page 5
SPECIAL TERMS AND GONDITIONS
INTERAGENCY GMNT AGREEMENT
FEDERAL FUNDS
Program lncome shall be used to conlinue lhe same activities to benelit low- and moderate-income
persons or, with COMMERCE approval, for other activities to benefit low- and moderate-income
persons. lnterest earned in excess of 9100 on CDBG funds received to reimburse incuned costs must
be remltted to GOMMERGE for return to lhe U.S. Treasury.
14. PROHIETTTO=N qN C_EBJAIN FUNDS TBANSFERS
The Grantee that directly or indirectly recaives CDBG-CV funds may not sell, lrade, or othenrise
lransfer all or any such potion of such funds to another such entlty in exchange for any other funds,
credits or non-Federal consideralion, but must use such funds for activities eliglble under title I of the
HCD Act or permitted by waiver and alternative requirements that apply to the use of CDBG-CV funds.
15. SUBCONTRACTOR DATA COLLEGTION
Grantee will submit reports, in a form and format to be provided by Commerce and at intervals as
agreed by the parties, regarding work under lhis Grant performed by subcontractors and the portion of
funds expended for work perbrmed by subcontractors, including but not necessarily limited to minority-
owned, woman-owned, and veteran-owned business subcontraclorc. 'Subcontractors" shall mean
subcontractors of any tier,
16. SUBCONTRACTS FOR ENGTNEERil{G S_E_8VI9ES
Engineering firms must certity that they are authorized to do business in the state of Washington and
are in full compliance with the requiremenls of the Board of Professional Registration. The Grantee
shall require lhat engineering services providers be covered by errors and omissions insurance. The
engineering lirm shall maintain minimum limits of no less than $1 ,000,000 per occurrence to cover all
activities by the engineering firm and licsnsed staff employed or under contract to the engineering firm,
The state of Washington, its agents, officers, and employees need not be named as additional insureds
under this policy.
17. ORDEROF PRECEDENCE
ln lhe evenl of an inconsistency in lhis Grant, the inconsistency shall be resolved by giving
precedence in the following order:
. Applicable federal and state of Washington stalutes and regulationsr Special Terms and Conditions. General Terms and Conditionsr Attachment A - Scope of Work and Budget. Attachment B - Letter to lncur Cosl, if applicable. Grantee's applicalion for funding and the Community Development Block Grant policies and
procedures, prepared by Commerce as incorporated by reference on the Face Sheet
State of Washington
Department of Commerce
lntoragency Gro nt Ag.eement
Page 6
GENERAL TERMS AND GONDMONS
II.ITERAGENCY GMNT AGREEMENT
FEDERAL FUNDS
1. DEFINIII-O,NQ
Ae used throughout this Grant, the following terms shall have the meanlng set forth below:
A. "Authorized Representalive' shall mean lhe Director and/or the designee authorized in writing to
act on the Director's behalf.
B. "COMMERCE" shall rnean the Deparlment of Commerce.
C. "Grant" or "Agreement" means the enlire written agreement between COMMERCE and the
Granlee, including any altachments, documents, or materials incorporated by reference. E-mail or
facsimile lransmission of a signed copy of this Grant shall be the same as delivery of an original.
D. "Grantee" shall mean the entity identified on the face sheet performing service(s) underthis Grant,
and shall include all employees and agents of the Grantee.
E. "Personal lnformation' shall mean information identifiable to any person, including, but not limited
lo, information that relates to a person's nama, health, finances, education, business, use or receipt
of governmental services or other activities, addrssses, lelephone numbers, social security
numbers, driver license numbers, other identlfying numbers, and any flnancial identifiers.
F. 'Slate" shall mean the state of Washington.
G, "Subgrantee/Subcontrac{" shall mean one not in the ernployment of the Grant, who is performing
all or part of those services under this Grant under a separate Grant with the Contractor, The termi
"subgrantee" and "subcontractors" mean subcontractor(s) in any iler.
2. AL_l= WRIT|NGS CONTATNEO HERETN
This Grant contains all the terms and conditions agreed upon by the parties. No other understandings,
oral or olherwise, regarding the subject matter of this Grant shall be deemed to exist or to bind any of
the parties hereto,
3. AMENDMENTS
This Grant may be amended by muiual agreement of the parlies. Such amendments shall not bo
binding unless they are in writing and signed by personnel authorized to bind each of the parties.
4. ASSIGN|ENT
Neither this Grant, work thereunder, nor any claim arising under this Grant, shall be transferred or
assigned by the Grantee without prior written consent of COMMERCE.
5. cOtrlFlD,ENf nLlTY Allp $AFSG U-ARp$q OF I N FoRMATtOttt
A. "Confidential lnformation" as used in lhis secflon includes:
i. All material provided to the Grantee by COMMERCE that is designated as "confidenlial" by
COMMERCE;
ll. All material produced by the Grantee that is designated as "confidential" by COMMERCE; and
iii, All personal information in lhe possession of the Grantee that may not be disclosed under slate
or federal law.
B. The Grantee shall comply with all state and federal laws related to the use, sharing, transfer, sale,
or disclosure of Confidential lnformation, The Grantee shall use Confidential lnformation solely for
the purposes of thls Grant and shall not use, share, transfer, sell or disclose any Conlideniial
lnformation to any third party except with the prior written consent of COMMERCE or as may be
required by law. The Grantee shalltake all necessary steps to assure lhat Confidential lnformation
is safeguarded to prevent unauthorized use, sharing, transfer, sale or disclosure of Confidential
lnformation or violation of any state or federal laws related thereto. Upon request, the Grantee shall
provide COMMERCE wlth llg policies and procedures on oonfidentiality. GOMMERCE may require
changes to such policies and procedures as lhey apply lo this Grant whenever COMMERCE
reasonably determines that changes are nocessary to prevent unauthorized disclosures. The
State of Washington
DepBrlment of Comrnerce
lnteragency Gronl Agr€ement
Page 7
GENERAL TERMS AND CONDITIONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
Grantee shall make the changes within the lime period specified by GOMMERGE. Upon request,
the Grantee shall immediately return to COMMERCE any Confidential lnformation lhat
COMMERCE reasonably determines has not been adequately protected by the Grantee against
unauthorized disclosure,
C. Unauthorized Use or Disclosure. The Grantee shall notifl COMMERCE within five (5) working days
of any unauthorized use or disclosure of any confidential information, and shall take necessary
steps to mitigate the harmlul effecls of such use or disclosure.
6. GOPYRIGHT
Unless othenruise provided, all Materials produced under this Grant shall be considered "works for hire"
as defined by the U,S. Gopyright Act and shall be owned by COMMERCE. COMMERCE shall be
considered the author of such Materials. ln the event the Materials are not considered 'works for hire"
under the U.S. Copyright laws, the Grantee hereby irrevocably assigns all right, title, and interest in all
Materials, including all intellectual property rights, moral ilghts, and rights of publicity to COMMERCE
effective from the moment of creation of such Materials.
"Materials" means all items in any format and includes, but ls not limited to, data, reports, documents,
pamphlets, adverlisements, books, magazines, surveys, studies, compuler programs, films, tapes,
and/or sound reproductione. "Ownership" includes the right to copyright, patent, register and the ability
to transler these rights.
For Materlals that are dellvered under the Grant, but that incorporate pre-existing materials not
produced under the Grant, the Grantee hereby grants to COMMERCE a nonexclusive, royalty-free,
lrrevocabla license (with rights to sublicense to others) in such Materials to translate, reproduce,
distribute, prepare derivative works, publicly perform, and publicly display. The Grantee warrants and
represenls that the Grantee has all rights and permissions, including intellectual property righls, moral
rlghts and rights of publicity, necessary to grant such a license to COMMERCE^
The Grantee shall exert all reasonable effort to advise COMMERCE, at the time of delivery of Materials
fumished under this Grantee, of all known or potential invasions of privacy contained therein and of any
portion of such document which was not produced in the performance of this Grant. The Grantee shall
provide COMMERCE wlth prompt written notice of each notice or claim of infiingement received by the
Grantee with respect to any Materials delivered under this Grant. COMMERCE shall have the right to
modifr or remove any restrictive markings placed upon the Materials by the Grantee.
7. DISPUTES
ln the event that a dispute arlses under this Agreement, it shall be determined by a Dispute Board in
lhe following manner; Each party to this Agreement shall appoinl one member to the Dispute Board.
The members so appoinled shall jointly appoint an additional member to the Dispute Board. The
Dispute Board shall review lhe facts, Agreement terms and applicable statutes and rules and make a
determination of the dispute. The Disput€ Board shall thereafter decide the dispute with the majority
prevailing, The determinatlon of the Dispute Board shall be flnal and bindlng on the parties hereto. As
an alternative to this process, either of the parties may request inlervention by the Governor, as
provided by RCW 43.17.330, in which event the Govemor's process will control.
8. ,G*:OVERNTNG LAWA,ND VENUE
Thls Grant shall be construed and interpreted in accordance wilh the laws of the state of Washington,
and any applicable federal laws, and the venue of any action brought hereunder shall be in the Superior
Court for Thurston County,
9- lNDErlltlrlJ:LC_ATTON
Each party shall be solely responslble for the acts of its employeas, officers, and agents.
1 O. LI9-EN_qNGI\C C R E D I TAT I OJ.I ANT} REGI STR ATIO N
The Grantee shall comply with all applicable local, state, and federal licensing, accreditation and
regisiration requirements or etandards necessary for the performance of this Grant.
Stst€ of Washington
Oeparlmenl ol Commerce
lnteragency Gra nt Agroemenl
Page I
GENERAL TERMS AND CONDITIONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
{1. RECAPTURE
ln the event that the Grantee fails to perform this Grant ln accordance with state laws, federal laws,
and/or the provisions of this Grant, COMMERCE reserv€s the right to recapture funds in an amount to
compensate COMMERCE for the noncompliance ln addition to any other remedles avaitable et law or
in equily.
Repayment by the Grantee of funds under this recaplure provision shall occur wilhin lhe time period
specified by COMMERCE. ln the altemative, COMMERCE may recapture such funds from payments
due under this Grantee.
1 2. 8_EgeB89_ ll tAlNrEN-AN*c*E
The Grantee shall maintaln books, records, documents, data and other evidence relating to this Grant
and performance of lhe services descrlbed herein, including but not limited to accounting procedures
and prac'tices that sufficiently and properly reflect all direct and indirec.t costs of any nalure expended
in lhe performance of this Grantea.
The Grantee shall retain such records for a period of six (6) yoars following the date of final payment.
At no additional cost, these records, including materials generated under the Grant, shall be sud,Ject at
all reasonable times to lnspeclion, review or audit by COMMERCE, personnel duly authodzed by
COMMERCE, the Office of the State Ar.rditor, and federal and state officials so authorized by law,
regulation or agreernent.
lf any litigation, claim or audit is started before the expiration of lhe six (6) year period, the records shall
be relained until all litigation, claims, or audit findings involving the recordl have been resolved.
13.9j_v!!fcs
In the event funOing from state, federal, or other sources is withdrawn, reduced, or limited in any way
after lhe effective date of this Grant and prior to normal completion, COMMERCE may suspenO or
terminate the Grant under the "Termination for Convenience" clause, without the ten calendar day
nolice reguirement, ln lieu of terminatlon, the Grant may be amended to reflect the new fundin!
limitations and conditions.
14. S"E-V,EFU|B|L|TJ
Tho provisions of this Grant are intended to be severable. lf any term or provislon is lllegal or invalid for
any reason whatsoever, such illegality or lnvalidity shall not affect the validity of lhe remainder of the
Grant,
I 5. SUBG nAN Tf I{ grsU-Bgo-xIBAgM g
The Granlee may only subcontract work contemplated under this Grant lf il obtains lhe prlor writt€n
approvalof COMMERCE.
lf COMMERCE approves subconlracting, the Grantee shall maintain wriften procedures related to
subcontracling, as well as copies of all subcontracts and records related to subcontracts. For cause,
COMMERCE in writlng may: (a) require the Grantee to amend its subcontracting procedures as they
relate to this Grant; (b) prohibit the Grantee ftom subcontrac{ing with a particula} person or entity; oi
(c) require the Grantee to rescind or arnend a subcontract.
Every subcontract shall bind the Subgrantee lo follow all applicable terms of this Grant. The Grantee is
responsible to COMMERCE if the Subgrantee falls to comply with any applicable term or condition of
this Grant, The Gnanlee shall appropriately monltor lhe activities of the SubglanteB to assure fiscal
conditions of this grant. ln no event shall the existence of a subconlract operate to release or reduce
ihe liability of the Grantee to COMMERCE for any breach in lhe performance of the Grantee's duties.
Every subcontract shall include a term that COMMERCE and the Strate of Washington are not liable for
clalms or damages arislng from a Subgrantee's perlormance of the subcontract.
State of Washlngton
Deparlment of Comm€rce
lnteragency Grant Agruemenl
Page I
GENERAL TERMS AND CONDITIONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
16, SURWNL
The terms, conditions, and warranties contained in this Grant that by their sense and context are
intended to survive the completion of the performance, cancellation or termination of this Grantee shall
so survlve.
1 7. T-E*BTUNAIIO trrqR CAUS E
ln the event COMMERCE determines the Grantee has tailed to comply with the conditions of this Grant
in a timely manner, COMMERGE has the right to suspend or terminate this Grant. Before suspending
or terminating the Grant, COMMERCE shall notiff the Grantee ln wrfting of the need to take corrective
action. ll corrective action is not taken within 30 calendar days, lhe Grant may be lerminated or
suspended.
ln the event of termination or suspension, the Grantee shall be liable for damages as authorized by law
including, but not limited to, any cost difference between the original Grant and the replacement or
cover Grant and all administrative cosis directly related to the replacement contract, e,9., cost of the
competitive bidding, mailing, advertising and staff Ume.
COMMERCE resery€s the right to suspend all or part of the Grant, withhold further payments, or
prohlbit the Grantee from incurring additional obligations of funds during investigation of the alleged
compliance breach and pending conective action by the GMNTEE or a decision by COMMERGE to
terminate the granl. A lerminalion shall be deemed a "Termination for Convenience" if it is determined
that the Grantee: (1) was not ln default; 0r (2) failure io perform was outside of his or her control, faull
or negligence.
The rights and remedies of COMMERCE provided in this Grant are not exclusive and are in addition to
any other rights and remedies provided by law,
1 8. TEB.U! NAf lo,N FoR co NvEl'{ _Eltc_E
Except as otherwise provided in this Grant, COMMERCE may, by ten (10) business days written notice,
beginning on the second day afler the mailing, terminate this Grant, in whole or in part. lf this Grant is
so terminated, COMMERCE shall be liable only for payment required under the terms of this Grant for
services rendered or goods delivered prior lo the effective date of termination.
I e. rERllllllAltolt PRocEquEE$
Upon termination of this Grant, COMMERCE, in addition to any other rights provided in this contract,
rnay require the Grantee to deliver to COMMERCE any property specifically produced or acquired for
the performance of such part of this Grant as has been terminated. The provisions of the "Treatment of
Assets" clause shall apply in such property transfer.
COMMERCE shall pay to the Grantee the agreed upon price, if separately stated, for completed work
and services accepted by COMMERCE, and lhe amount agreed upon by the Grantee and COMMERCE
for (i) completed work and services for which no separate price is stated, (ii) partially completed work
and services, (iil) other properly or services that are accepted by COMMERCE, and (iv) the protection
and preservation of property, unless the termination is for default, in whlch case the Authorized
Represenlative shall determino the extent ol the liability of COMMERCE, Failure to agree with such
datermination shell be a dispute within the meaning of the "Disputes" clause of this Grant. COMMERCE
may withhold from any amounts due the Granlee such sum as the Authorized Representative
determines to be necessary to protect COMMERCE agalnst potential loss or liability.
The rights and remedies of COMMERCE provided in this section shall not be exclusive and are in
addltion to any other rights and remedies provided by law or under this Grant.
After receipt of a notice of termination, and except as otheruise directed by the Authorized
Representative, the Grantee shall :
A, Stop work under the Grant on ihe date, and to the extent specifled, in the notice;
B. Place no further orders or subgrants/subcontracts for materials, services, or facilities except as
may be necessary for completion of such portion of the work under the Grant that is not terminated;
State of Washinglon lnteragency Grant Agreement
Departmsnt of Commerce Page 10
GENEML TERMS AI{D CONDMONS
INTERAGENCY GRANT AGREEMENT
FEDERAL FUNDS
C. Assign to COMMERCE, ln the manner, al the times, and to the extent direclett by the Authorized
Representative, all of the rights, litle, and interest of the Grantee under the orders and
subgrants/subcontracts so termineted, in which case COMMERCE has the right, at its discretion,to settle or pay any or all claims arising out of lhe termination of such orders and
subg rants/subcontra cts ;
D' Setile all outstanding liabilities and all claims arising out of such terminatlon of orders and
subcontracts, with the approval or ratification of the Authorized Representatlve to the extent the
Authorized Representative may require, whlch approval or ratilicalion shall be final for all the
purposeE of lhis clause;
E. Transfer title to COMMERGE and deliver in the manner, at the times, and lo the extent directed by
the Authorized Representative any property which, if the Grant had been completed, would hav6
been reguired to be furnished to COMMERCE;
F. Complete performance of such part of the work as shall not haye been lerminated by the Authorizcd
Representative; and
G. Take such acton as may be necessary, or as the Aulhorized Reprssentetive may direct, for the
proleclion and preservation of the properly related to this Grant, whicfr is in the possession of the
Granlee and in which the Authorized Representative has or may acquire an interest.
20. TREATIIIENT gF ASSETS
Tltle to all propeny furnished by COMMERCE shall remain in COMMERCE. Title to all property
furnished by the Grantee, for the cost of which the Grantee is entitled to be reimbursed as a direct item
of cost under this Grant, shall pass to and vest ln COMMERCE upon delivery of such property by the
Grantee. Title to other pruperty, the cost of which is reimbursable to the Grantee under tnis'Graht,
-snatt
pass to and vest in COMMERCE upon (i) lssuance for use of such propedy in the performance of this
Grant, or (ii) commencement of use of such property ln the performance of this Grant, or (iii)
reimbursement of the cost lhereof by COMMERCE in whole or in parl, whichever first occurs.
A. Any properly of COMMERCE furnished to the Grantee shall, unless otherwise provided herein or
approved by COMMERCE, be used only for lhe performance of thls Grant.
B. The Grantee shall be responsibte for any loss or damage to property of COMMERCE lhat results
from lhe negligence of the Grantee or which results from the lailure on the part of the Grantee to
maintain and administer that propefi in accordance wlth sound management practices.
C. lf any COMMERCE property is lost, destroyed or damaged, the Grantee shall immediately nolifr7
COMMERCE and shall take all reasonable steps to protect the properly from further damage.
D. The Grantee shall surrender to COMMERCE all property of GOMMERCE prior to settlement upon
completion, termination or cancellation of this Grant.
All relerence to the Grantee under this clause shall also include Grantee's employees, agents or
Subgrantees/S ubcn ntractors,
21. WATVER
Waiver of any default or breach shail not be deemed to be a waiver of any subsequent default or breach,
Any waiver shall nol be construed to be a modification of lhe terms of thie Grant unless stated lo be
such in writing and signed by Authorized Representative of COMMERCE.
State of Washington
I,,epartmenl of CommBrcs
I nteragenry Grant Agreement
Page I I
ATTACHMENT A - SCOPE OF WORK AND BUDGETGrantee: Kittitas CountyContract No. 20-5221C-115Section A: Project Description / DeliverableKittitasCountyisawarded aSZ92,364CDBG-CV1 Grant. TheCountywill maketheseCDBG{I/1 fundsavailable to the following five nonprofits: Kittitas County Chamberof Commerce; HopeSource; Cle Elum Downtown Arsociation; Ellensburg Downtown Association, and the Ellensburg Business DevelopmentAuthority, as grantsubrecipients. These funds will result in new and increased CDBG eligible public services and microenterprise assistance for the Kittitas County CDBG-CVI consortiumTotal project costs are estimated at5292,3&.based on a LMI household qualification process. For eligible microenterprise businesses, the project will benefit approximately 13 - 20 low-and moderate-incomemicroenterorisebusinesses based on a LMICDwill prevent prepare for, and respond to the coronavirusdualifiretirrn Drrtcp<qEt?J1, f, rn/ad atirritiacSection B: Project Activities, Milestones and BudgetPerformanceMilestonesBefore first paymentrequestNot more thanmonthlyFirst payment requestwithin 270 days fromcontract executionBy Jan 3t April 30,lulv 30, Oct 31.Prior to C.ommerce'son-site monitoringBefore requestingfinal 5% of CDB6awardBefore auditProject Activities*Must complete each bulleted proiect actlvtU to meet the correspondlng mllestone.Execute grant contract with Commerce.Verifo subrecipients do not have an active oclusion record in the federal award system (SAM.gov),include documentation in the CDBG file, and submit a copy to Commerce.tstablish subrecipient agreernents that include a quarterly beneficiary reporting requirement, Submit asigned copy to Commerce.Establish administrativg financial, reporting, and record keeping s.lrstems, including a system toorevent duolication of benefit.Payment requests:. Review subrecipient reirnbursement requests ond project costs and invoices against project budget andcontract start date.. Once costs are approved, prepare and submit payment request and project status report to Commerce.. Document receipt of grant funds and reimbursement of eligible costs.Submit a CDBG Beneficiary Report within 30 days of end of each calendar quarter-II Complete applicable civil rights requirements.I Conduct an on-site monitoring of subrecipients to verifo the grant is used according to CDBGrequirements and all costs reimbursed are allowable.- Resolve all monitoring issues with CDBG.' Accomplish all grant activities.. Conduct a final public hearing to review project performance,r Submit a CDBG-CV C-ontract Closeout Report.List CDBG expenditures in your annual Schedule of Expenditures of Federal Awards and arrange an auditwith the state Auditor's Offrce to meet the Uniform Guidance (Z CFR Part 200).BudgetAmountsoCDBG BudgetCode21A GeneralAdmin.
PerformanceMilestonesApprox.76 LMtpersons receivedirect services byu3Ll2a23Before prwidingmicroenterprisetechnical andfinancialassistanceBefore executing amicroenterpriseassistanceComplete eachmicroenterpriseass'stanceApprox. 13-20 LMtmicroenterpriseowners receiveassistance bymilestone.each bulleted*MustProject Activitiesto meet theand prepare an envlronmental review record in complianceDevelop and establish CDBG{/ program's policies and procedures, including CDBG incornequalification, COVID-19 impaet verification, prevent duplication of benefitg and beneficiaryreporting requirements.Deliver the direct services identified in the CDBG application through the subrecipients.Allocate and rnanage public services funds as established in the approved subrecipientsagreement and budget, and prevent duplication ofbenefrt.Meet the CDBG national objective of principally benefiting low- and moderate-income persons.Accomplish HUD's outcome of increasing the availability and accessibility of services to achieveIIIIIComplete the environmental reviewwith NEPA requirements for CD86.environments.suitableHUD,ISofComplete the environmental review and prepare an environmental review record in compliancewith NEPA requirements for CDBGDevelop and establish CDBG microenterprise assistance program's policies and procedures,including grant/loan terms, CDBG income qualification, COVID-19 impact verification, duplicationof benefrt prevention, and beneficiary reporting requirements.Conduct outreach and market the microenterprise assistance programs.Develop and establish financial management systems for tracking microenterprisefor massistance.andaIaassistance,Review and process applications for rnicroenterprise assistance; confirm CDBG eligibilityComplete second tier environmental review for activities as needed.Provide m icroenterprise training and technical assistance.IIIInts.assistancemExecute microenterprise assistance agreements to approved CDBG eligible microenterprises.Monitor program progress, contractor performance, and compliance with applicable federal andstate regulations.Iassistancerecord for eachMaintain a com: Meet the CDBG national objective of principally benefiting low- and moderate-income persons.r Accomplish HUD's outcome of increasing the availability/accessibility of microenterprisetechnical and financial assistance to create economic opportunities and respond to COVID-19economic impacts.BudgetAmount$277,3ils7sp00Section B: Project Activities, Milestones andBudget (continued)CDBG BudgetCode05 PublicServlces:0sQSubsistencePayments051ChildcareServices18C Micro.enterpriseAssistanceTOTAL: sZ9Z36q
STATE OF WASHINGTON
DEPARTMENT OF COMMERCE
101 1 Plum Street SE , PO Box 42525 ' Olympia, Washington 98504-2525 . (360) 725-4000
www.commerco,wa.gov
October 22,2A20
The I-lonorable Brett Wachsmith
Kittitas County Commissjoner, Distriot #3
205 W 5th Ave, Suite 108
Ellensburg, WA 98926
Dear Commissioner Wachsmith:
I anr pleased to infolm you that Commerce has awalded Kittitas County up$292,364 in federal
Comrnunity Development Block Grant - Coronavirus (CDBG-CV) funds. 'fhis awzu'd is based
on the jurisdiction's CDBC-CVI application for activities to prevent, pr'epar€ for, and respond to
coronavints in partnership with lt-rcal service prcviders for the CDBG-CVI consol'tium area.
Prior to grant contract execution, this letter allows you to begin inctrrring costs not to exceed ten
percent of your award as of March 27,2020, for only the lbllowing activities:
r Adrninistration including docunented staffilg, travel and training. Ple-application costs, such as public hearing notices and documented staffing and time
for the CDBG-CVl consortium building and application
" Review of environmental laws and autholities, including Section 106 of the National
I-Iistolic preselation Act of 1996
r Preliminary engineering design wotk anci consultations needed for the environmental
review
. Sttbrecipient agreements or professional service contlacts for any ofthe above activities
A CDBG subrecipient agteement, for use if you pass these funds through to a servioe provider to
implement the grant, is availabie in Seotion l8 of the CDBG Management Handbook, which is
available electronically at www.comnerce,wa.gov/cdbg and helg.
CDBG pl'ocurernent requirements rnust be tbllowed belbre hiring prolbssional servioes or
contmctors to be fi.mded by this CDBG award, 'I'hese requirements are in Sections 5 and 7 of the
CDBG Management Handbook.
CDBG-specific complianc€ with the National Environmental Policy Act (I.trUPA) must be
completed before any construction bid advprlising or plopefiy acquisition activity can occur'.
These plocedures are described in Section 6 of the CDBG Management Handbook.
The Honorable Brett Wachsmith
October 22,2020
Page2
Eligible costs will be reimbursed by Commerce after your grant cbnbact with Commerce is
executed and the NBPA environmental review is complete (see enclosure for further
explanation).
All costs to be reimbrused must comply with applicable state and federal requirements.
Additional CDBG-CVI implcmentation guidance is available on the CDBG-CV website here
and forthooming.
The jurisdiction must have an active and unexpired Dun and Bradstreet Numbering Sysiem
(DUNS) in the System for Awatd Management (SAM) to avoid delays in the disbursiment of
flrnds. Grantees are required to maintain an active SAM regishation for the dulation of their
contmct by re-activating their DUNS number anmrally at the following website:
h ttps ;//www. sanr.sovlSAM/.
Ifyour project is not ready to proceed, resulting in the contact's execution being delayed over
90 days from the date of this letter, the CDBG-CVI award may be rescinded,
Your contract manager will be contacting you to develop the grant oontract. Until then, ifyou have any
questions, please contact Kaaren Roe at 360,725,3018 or kanrcn.ruc(dcomnrerce.. a.gpY,
I congratulate you and others for your cfforts thus far, We look forward to working with you to address
the impacts of COVID-I9 in your communities.
W,rn
MnrK K.. l3nrktey /
Assistant J)irecto/
Enclosure
of CDtsG FUNDING and NEPARESTRICTIONS
Costs incuned prior to the CDBG award lettel cannot be reimbursed by CDBG. Eligible costs
will be reimbursed by Commerce after a grant contract has been formally execnted and the
CDBG-specific ptacedures under NEPA and SEPA are completed. Executing the grant
contract and completing the environmental review can occur concurrently.
Unless the activily is exempt or categorically excluded and not subject to 24 CFR 58.5 under
NEPA, the local government grantee, subreoipients, contractors and all other padicipants may
not coninrit CDBG lupn.a-DB-9 fi,uids if the activity would have an adverse environmental
impacl or limit the choice of reasonable alternatives. This restriction applies to activities as of
the date the CDBG program ISSCI_vS,iLbC.Srrnt rlrglk;irtiul. Portions of pLeliminary design
work needed for completion of the environrnental review are allowable,
T'itle 1 of the Housing and Community Development Act of 1974 as amended and the
environmental teview procedures found in 24 CFR 58.22 apply to any activities as part of a
CDBG project, The environmcntal review activities cornpleted for other federal or state
funding can coutribute towards but rot entirely meet the CDBG-spocific procedure ,tor NEPA
and SEPA. fjecliotr (r ol'thc (ll)l](i-lVlggg$:nrerrt ilrtrrelboqk plovides further detail and the
necessary CDBG forms,
Project Phase Restrictions on Activities
Before CDBG
contract is
executed and
environmcntal
review is
complete
With the award letter; the grantee can begin to incur costs up to l0% of
award for the following activities which don't require an envirorunental
review IF the grant application requested CDBG funding of these costs:
Administration: Executing the CDBG contract, Establishing
administrative, financiai, reporting, and record keeping systems, including
staffing, travel and training.
Environmental Review:
Review of environmental laws and authorities, including 24 CFR 58,5 and
Section I06 of the National Historic Preselvation Act of I 996, such as:
o Consultation letters to affected tribes
. Cultural resource suffey
o Floodplainlwetland determination
Preliminary engineering feasibility studies for the environmental assessment,
such as surveying and geotechnical or geophysical analysis (excluding
ground-disturbing activity of over one cubic aq. ft.).
Subcontracting: Subrecipient agreements or professional service contracts
for any of the above activities,
After CDBG
contract
cxccution
While
completing
the
enyironrnental
rerriew
All eligible costs will be reimbruscd aften
I, The applicable level of environmental review is documented and
complete, and funds have been lelea.sed (see environmental r.eview
guidance below);
2. The subrecipient agreement is executed, if applicable;
3. Procufement requirements arc nret; and
4. Adequate back-up documentation is subnritted with the payment
request,
To be eligible for CDBG funding, all costs must be allowable under federal
cost principles and CDBG regulations, and identified in grant application's
project budget as to be funded by CDBG,
The local goverrunent grzurtee must complete the applicable environmental
review procedures depending on the type ofproject:
l. Activities dgSllrlClttqd by the grantee, ar:d confirmed by Commerce, as
exempt or Categodcally Excluded and Wjllrqutjupac! to 24 CFR 58,5
laws, historical structures or cuiturally sensitive land may proceed with
commitment of CDBG and non-CDBG funds.
2, Activities that are Categorically Excluded and impaot 24 CFR 58.5 laws,
or activities requiring an environmental assessrnent and a Finding of
Non-Significance (FONSI), rnust be dggwcntEd appropriately with a
request for relEasc of CDBG lunds submitted to Commerce.
Only after the Commerce comment period is ended rnd lhntl$ nre
t'elcnsed, may CDBG and non-CDBG funds be committed for activities
such as:
c Finalizing design and bid specificationsr Advertising for construction bids. Property acquisition, including sales and purchase agreements. Site Prepuation
r Demolition
Scelion 6 of lhc (lllll$ Mnrr:rgurncnt I lrtrrdlroolt provides further detail
and the necessnry CDISG forms to complete thc environmental review.
ATTACHMENT 6.G(1)
NEPA
Determination of Exemption &
Deterrnination of Categorical Exclusion (not subject to Section 58.5)
Deterrnination of activities per 24 CFR 58.34(a) and 58.35(b)
Local Government Name: Kittitas County
Address: 205 W sth Ave Suite 105 Ellensburg WA 98926
: Contract Number: 2O-622LC-LL5
v
tr
tr
n
n
tr
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tr
tr
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{
ProJect Description and Location:
Kittitas County as a consortiurn with all cities applying to fund CDBC public services and local microenterprise assistance
progralns; rcntal and rnottgage assistaucc and dayoare cxpensss for people who have lost inconre due to COVID- I 9 impaots.
All CDtsG funded activities must benetjt low-and nroderate-incone persons or mcct the CDBG urgent need national objective
critelia,
Fundin8 Source: WA State CDB6 Other Funding Sources:
The activlty falls lnto the checked category below, and listed at 24 CFR 583a(al as [xempt.
t. Environmental and other studies, resource identification, and development of plans and strategies
2, lnformation and financial services
3, Administrative and management activities
4. Public services that will not have a physical impact or result in any physical changes including but not limited to seryices
concerned withlr Employment I Recreation needs r Energy conservationI Crime prevention . Drug abuse r Welfarer Child care r Education r Otherr Health r Counseling
5, lnspections and testing of properties for hazards or defects
6. Purchase of lnsurance
7. Purchase oftools
8. Engineering ordesign costs
9. Technical assistance and training
10. Ternporary or permanent improvements that do not alter environmental conditions and are limited to activities to
protect, repair or arrest the effects of disasters or imminent threats to public safety, including those resulting from
physical deterioration.
11. Payment of prlncipal and interest on loans made or obligations guaranteed by HUD
The actlvlty falls into the checked category llsted below, and ls llsted at 24 CFR 58.35(bl as a Categorlcally Excluded
aclivity @! subJect to Sectlon 58,5.
1. Tenant-based rental assistance
2, Supportive Services (including but not limited to)i
I Health care t Nutritional services. Housing services r Short term payments for rent/mortgage/utility costsr Permanent housing placement . Assistance in gaining access to government benefits/servicesr Day care
3. Operating Costs:r Maintenance r Utilities r Supplies, Security r Furnishings . Staff training and recruitment, Operation r Equipment
tr
K.Atsl
u
n
ATTACHMENT 6.c(2)
NEPA
a
: 4, Economic Development Actlvities:I I Equipment purchase r lnterest subsldyI lnventory financing . Operating costs', ' Other expense,s no_t-assgcpled ulith _co_nstruction or expansion
' 5. Activities to assist homeownership of existint or dwelling units under construction, lncluding:r Closing costs and down payment assistance to homebuyers
-r-_, lnterest buy downs or other actions resulting in transfer of title
5, Affordable housing predevelopment costs. Legal consultingr Developer and othersite-option costsI Projectfinancingr Admlnqlrqtlve costs for loan commitrr're_nts, zoning approvals, and other activities which don't have a physical impact
7. Approval ofsupplemental asslstance (including insurance or guarantee) to a project previously approved under Part 58, if:
the same responsible entlty conducted the envlronmental revlew on the origina I project and re-eval uation of the
environmental finding;s is not required under Section 58.47
Section 1. Flood Dlsaster Protectlon Act
Section 58.5 requlres compliance with the Flood Disaster Protection Act, However, under 24 cFR 5s.1 (b)(r) the prohibitions are
notappllcabletoHUDfinancialassistanceundertheState-administeredCOBGProgram(24CFRpart570,subpartl). Therefore,the
Act does not apply.
section 2. Aarport Runway clear Zones (civil) and Accident potential Zones (Militaryf
(Check as dppropriote)
Does the project lnvolve HUD asslstance, subsidy or insurance for the purchase or sale of
an existing property?flvss
Contlnue
ls the project located within 2,500 feet of a civil airport or 15,000 feet of a military airfield?Dno
Document & proceed to
Sectlon 3-regulatlon
ls the project located within an FAA-designated civilian airport Runway ClearZone (RCA) or
Runway Protection Zone, or within the military Airfield clear Zone (cZ) or Accident
Potential zone/Approach Protection Zone (ApZ), based upon information from the alrport
or military airfield administrator identifying the boundaries of such zones?
Ivrs
Contlnue
8no
Proceed to Section 3-
regulation does not apply.
Eruo
Document & proceed to
Section 3-regulation
does not apply.
Comply with 24 CFR Part 51, Subpart D which may include providing a written notice to a prospective buyer or leaser of the
potential hazards lrom airplane accidents and the potential that an airport or airfield operator may wish to purchase the property
at some point in the future as part of a clear zone acquisition program. Maintain copies of the signed notice. For properties
located in a military clear zone, make and document a determination of whether the use of the property is generally consistent
with DOD guidelines. Notice Sarnple:
Section 3. Coastal Earrier Resources Act.
Section 58.6 also requires compliance with the Coastal Barrier Resources Act. There are no Coastal Barrier Resource Areas in
slqlelTh,eref_olej-tlq-A-c!does!.rg!?ppl.y_..
NEPA CERTIFICATION
A Request for Release of Funds (RROF) is not requlred for this project, The activity may be initiated without further environmental
review beyond 24 CFR Part 58.6.
SEPACERTIFICATION
The Grantee certifies that the proposed CDBG project complies with the provisions of the State Environmental protection Act (SEpA,
Chapter 43.21C RCW) and has determined:
I vrs
Continue
ATTACHMET{T 0.G(31
NEPA
E The project ls Categorlcally Exempt under SEPA WAC 197.11.800
OR
tr The project does not have a probable adverse lmpact on the environment (WAC 197-11-970) and an envlronmental impact
statement ls not requlred. Documentatlon supportlng the Determination of Non-signlficance ls contained in the Envlronmental
Revlew Record,
Prepar"r lIame lprlntl: Judy Pless
nile: Budget & Finance Manager
Dat€: 03.{12-2021
Slgnaturet
|,,"r
Date: 02-26-2021
Chlef Admlnlstratlve Officlal (prlntf : Brett Wacfismlth
Tltle Chalrman, Boqrd of County
DocuSign Envelope lD: A855141 0-E673-498A-99CD-6E49493F64AE
Amendment Face Sheet
Contract Number : 20-6221C-l I 5
Amendment Number: A
Washington State Department of Commerce
Local Government Division
Community Development Block Grant Program
CDBG-CVI and CDBG-CV2
l. Grantee
Kittitas County
205 W 5th Ave Suite 108
Ellensburg, WA 98926
2. Grantee Doing Business As (optional)
N/A
3. Grantee Representative (only if updated)
Brett Wachsmith, Chair
Kittitas County Commissioner
Phone: 509.962.7508
Email : brett.wachsmith.co@co.kittitas.wa.us
4. COMMERCE Representative (only if updated)
Genny Matteson, Project Manager pO Box 42525
Phone: (360) 725-3093 10ll plum St SE
Fax:(360) 586-8440 Olympia, WA 99504-2525
genny.matteson@commerce.wa. gov
5. Original Grant Amount
(and any previous amendments)
$292,364 $1s4,766
6. Amendment Amount 7. New Grant Amount
$447,130
8. Amendment Funding Source
Federal: X State: Other: N/A:
9. Amendment Start Date
Date of Execution
10. Amendment End Date
June30,2023
11. Federal Funds (as applicable):
$447,130
Federal Agency:
U.S. Department of Housing and Urban Development
CFDA Number:
14.228
12. Amendment Purpose:
To add the CDBG-CV2 grant amount to the CDBG-CVl grant amount; to revise the scope of work for the additional funds; and
to increase activities that prevent, prepare for, and respond to coronavirus in the CDBG-CV consortium area. To update Special
Terms & Conditions, 3. Acknowledgement of Federal Funds to Washington State: CDBG-CV Federal Award Date - February
11,2021; CDBG-CV Total Federal Award Amount -538,217,218.
COMMERCE, defined as the Department of Commerce, and the Grantee, as defined above, acknowledge and accept the terms of
this Grant As Amended and attachments and have executed this Grant Amendment on the date below to start as of the date and year
referenced above. The rights and obligations of both parties to this Grant As Amended are governed by this Grant Amendment and
the following other documents incorporated by reference: Grant Terms and Conditions including Attachment "A" - Scope of Work
and Budget. A copy of this Grant Amendment shall be attached to and made a part of the original Grant between COMMERCE and
the Grantee. Any reference in the original Grant to the "Grant" shall mean the "Grant as Amended".
by:
tult lltuLs^,tL
The Honorable Brett Wachsmith, Chair
Kittitas County Board of Commissioners
Kittitas County
7/L9/202L I 10:56 AM PDr
Date
FOR GRANTEE FORCOMMERCE
f-DocuSigned
by:
I l^NL h^yLlu,
\-*n"r ronr"a^"r^^ I
Mark K. Barkley, Assistant Director
Local Government Division
7/I9/202L I L2:07 PM PDr
Date
APPROVED AS TO FORM ONLY
Sandra Adix
Assistant Attorney General
3/20120t4
Date
DocuSign Envelope lD: A8551410-E673-4984-99CD-6E49493F64A8Attachment AAfiACHMENT A - SCOPE OF WORK AND BUDGETGrantee: Kittitas Countycontract No. 20-522LC-LL5 Amendment ASection A: Project Description / DeliverableKittitas County is awarded a 5154,766 CDBG-CV2 Grant. The County will make CDBG-CV funds available to the following nonprofits: ComprehensiveHealth Care; KittitasValley Healthcare; Kittitas County Chamber of Commerce; HopeSource; Cle Elum Downtown Association; Ellensburg Downtown Association, and the Ellensburg BusinessDevelopmentAuthority,asgrantsubrecipients. Thesefundswill resultinnewandincreasedCDBGeligiblepublicservicesandmicroenterpriseassistancefortheKittitasCounty CDBG-CV consortium service area. The project will provide essential assistance to stabilize eligible households and microenterprises impacted by COVID-19 andcreate economic opportunities. Combined with the County's CDBG-CV1 award, total project costs are estimated at 5447,130.(LMl),basedonaLMl householdqualificationprocess. Foreligiblemicroenterprisebusinesses,theprojectwill benefitapproximately13-20LMl microenterprisebusinesses based on a LMI qualification process. CDBG-CV funded activities willprevent, prepare for, and respond to the coronavirus.Section B: Project Activities, Milestones and BudgetPerformanceMilestonesBefore first paymentreq uestNot more than monthlyFirst payment requestwithin 270 days fromcontract executionBy Jan 31, April 30, July30, Oct 31.Project Activities*Must complete each bulleted project activity to meet the corresponding milestone.Execute grant contract with Commerce.Verify subrecipient does not have an active exclusion record in the federal award system (SAM.gov), includedocumentation in the CDBG file, and submit a copy to Commerce.Establish a subrecipient agreement that includes the quarterly beneficiary reporting requirement. Submit asigned copy to Commerce.Establish administrative, financial, reporting, and record keeping systems, including a system to preventduplication of benefit.Payment requests:. Review subrecipient reimbursement requests and project costs and invoices against project budget and contractstart date.r Once costs are approved, prepare and submit payment request and project status report to Commerce.r Document receipt of grant funds and reimbursement of eligible costs.Submit a CDBG Beneficiary Report within 30 days of end of each calendar quarterIBudgetAmountCDBGBudgetCode2rAGeneralAdmin.5o
DocuSign Envelope lD: 48551410-E673498A-99CD-6E49493F64AEAttachment APrior to Commerce's on-site monitoringBefore requesting final5% of CDBG awardBefore auditComplete applicable civil rights requirements.Conduct an on-site monitoring of the subrecipient to verify the grant is used according to CDBG requirements andall costs reimbursed are allowable.Resolve all monitoring issues with CDBG.Accomplish all grant activities.Conduct a final public hearing to review project performance.IIIIract Closeout Report.Submit a CDBG ContList CDBG expenditures in your annual Schedule of Expenditures of Federal Awards and arrange an audit with thee to meet the Uniform Guidance (2 CFR Part 200)State Auditor's OfficSection B: Project Activities, Milestones and Budget (continued)Performance MilestonesApprox.5,176 personsreceive direct services by6/30/2023Before providingmicroenterprise technicaland financial assistanceProject Activities*Must complete each bulleted project activity to meet the corresponding milestone.r Complete the environmental review and prepare an environmental review record in compliance withNEPA requirements for CDBG.r Develop and establish CDBG-CV program's policies and procedures, including CDBG incomequalification, COVID-19 impact verification, prevent duplication of benefits, and beneficiary reportingrequirements.r Deliver the direct services identified in the CDBG application through the local community actionprogram/local economic development council, etc.r Allocate and manage public services funds as established in the approved subrecipient /partnershipagreement and budget, and prevent duplication of benefits.r Meet the CDBG national objective of principally benefiting low- and moderate-income persons.. Accomplish HUD's outcome of increasing the availability and accessibility of services to achieve HUD'sobjective of creating suitable living environments.Complete the environmental review and prepare an environmental review record in compliance withNEPA requirements for CDBG.Develop and establish CDBG-CV microenterprise assistance program's policies and procedures,including grant/loan terms; CDBG income qualification, COVID-19 impact verification, preventduplication of benefits, and beneficiary reporting requirements.Conduct outreach and market the microenterprise assistance programs.Develop and establish financial management systems for tracking microenterprise assistance, training,grant receipts, and repayments for microenterprise assistance.BudgetAmount5372,t30CDBGBudgetCode05PublicServices1_8CMicro-enterpriseAssistanceS75,ooo
DocuSign Envelope lD: 4855141 0-E673-498A-99CD-6E49493F64AEAttachment ABefore eachmicroenterpriseassistance agreement isfinalized/executedComplete eachmicroenterpriseassistanceApprox.13 -20 LMImicroenterprise ownersreceive assistance by6/30/2023TOTAL: $qqt J3Or Review and process applications for microenterprise assistance; confirm CDBG eligibility.r Complete second tier environmental review for activities as needed.. Provide microenterprise training and technical assistance.. Approve microenterprise assistance agreements.Execute microenterprise assistance agreements for approved CDBG eligible microenterprises.Monitor program progress, contractor performance, and compliance with applicable federal and stateregulations.Maintain a complete record for each microenterprise assistance agreement.! Meet the CDBG national objective of principally benefiting low- and moderate-income persons.. Accomplish HUD's outcome of increasing the availability/accessibility of microenterprise technical andfinancial assistance to create economic opportunities and respond to COVID-19 economic impacts.
DocuSign Envelope lD: A8551410-E673-49BA-99CD-6E49493F64AE
{3[hffiffiffir DocuSign Routing Form
Local Government Division
Contract Number: 20-5221C-L1-5 Amendment A
Grantee Name: Kittitas Countv
Project Name: CDBG-CV CV2
Contract Total:
'qry,BO
Contract End Date: 6130/23
The amendment has been approved by the CV2 Project Manager and the CDBG-CV Section
Manager.
*'r"* This form is completely customizable. You can edit or remove the information above. Note: this
is for DocuSign recipients with the Recipient action of NEEDS TO SIGN can initial that they have
reviewed and approved the document in DocuSign. This is the only way they will be able to void
(stop) the DocuSign envelope if an error is found. x**
** This document is set up to be merged out of CMS, if you choose to use it as is. Click here for lqu
to Merge Documents from CMS lnstructions. **
Review bv Fitlel:Name:Date:lnitials:
Managing Director
Tina Hochwender
7/L9/202L I L:oe AM ,o&.
Operations/Budget
Manager
(before AD signature)
Tony Hanson
7/Le/202L I L',
t-1;05 PM pot-
Updated February 2O2L
D'ocuSign
Gertificate Of Completion
Envelope ld : 48551 41 08673498A99CD0E49493F64AE
Subject: Please DocuSign: Amendment A Kittitas County CV2
Division:
Local Government
Program: CDBG-CV CV2
ContractNumber: 20-622'l C-| I 5 A
Source Envelope:
Document Pages: 5 Signatures: 2
Certificate Pages: 5 lnitials: 2
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Record Tracking
Status: Original
711612021 l0:09:01 AM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Holder: Josh Woodson
josh.woodson@commerce.wa.gov
Pool: StateLocal
Pool: Washington Stale Department of Commerce
Signature
Status: Completed
Envelope Originator:
Josh Woodson
1011 Plum Street SE
MS 42525
Olympia, WA 98504-2525
josh.woodson@commerce.wa.gov
lP Address: 147.55.149.155
Location: DocuSign
Location: DocuSign
Timestamp
Senl: 7 /162021 1 0: 1 5:46 AM
Viewed: 711912021 10:55:41 AM
Signed: 719/2021 10:56:08 AM
Sent 7 11612021 1 0:1 5:46 AM
Resent: 7/19/2021 10:56:10 AM
Viewed: 711912021 11:07:53 AM
Signed: 7/19/2021 1 1 :09:18 AM
Sent: 7 11612021 1 0: 15:46 AM
Resent: 7/19/2021 1 1 :09:20 AM
Viewed: 7l1Sl2O2'l 12:05:17 PM
Signed: 7/1 9/2021 12:05:34 PM
Signer Events
Brett Wachsmith
brett.wachsmith.co@co. kift itas.wa.us
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 711912021 10:55:41 AM
lD: d7 91 a012-4526-4'l 90-ada7-ad03fc201 d8a
Tina Hochwender
tina. hochwender@commerce.wa. gov
Security Level: Email, Account Authenlication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Tony Hnason
tony.hanson@commerce.wa.gov
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signature Adoption: Pre-selected Style
Using lP Address: 66.243.254.18
Gi"sk*
e
Signature Adoption: Pre-selected Style
Using lP Address: 147.55.134.79
Signature Adoption: Pre-selected Style
Using lP Address: 147.55.'134.'11
@
Signer Events
Mark Barkley
mark. barkley@commerce.wa. gov
Assistant Director
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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Using lP Address: 198.239.1 0.153
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Timestamp
Senl: 7 I 1612021 1 0: 1 5:47 AM
Resent: 7/19/2021 12:05:36 PM
Viewed: 711912021 12:07:11 PM
Signed: 7/19/2021 12:07 .16 PM
Timestamp
Timestamp
Timestamp
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Timestamp
Timestamp
Timestamps
71161202'1 10:15:47 AM
711912021 12:07:11 PM
711912021 12:07:16 PM
71191202'1 12:07:16 PM
Timestamps
Signature
Wi;*q
Payment Events Status
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 811112020 4:44:12 PM
Parties agreed to: Brett Wachsmith
ELECTRONIC RECORD AND SIGNATURI, DISCLOSURE
From time to time, Washington State Department of Commerce (we, us or Company) may be
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