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HomeMy WebLinkAboutAmendment for CV-2Amendment Face Sheet Contract Number: 20-6221C-115 Amendment Number: A Washington State Department of Commerce Local Government Division Community Development Block Grant Program CDBG-CV1 and CDBG-CV2 1. Grantee 2. Grantee Doing Business As (optional) Kittitas County 205 W 5th Ave Suite 108 Ellensburg, WA 98926 N/A 3. Grantee Representative (only if updated) 4. COMMERCE Representative (only if updated) Brett Wachsmith, Chair Kittitas County Commissioner Phone: 509.962.7508 Email: brett.wachsmith.co@co.kittitas.wa.us Genny Matteson, Project Manager Phone: (360) 725-3093 Fax: (360) 586-8440 genny.matteson@commerce.wa.gov PO Box 42525 1011 Plum St SE Olympia, WA 98504-2525 5. Original Grant Amount (and any previous amendments) 6. Amendment Amount 7. New Grant Amount $292,364 $154,766 $447,130 8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date Federal: X State: Other: N/A: Date of Execution June 30, 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-CV1 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 - $38,217,218. 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”. FOR GRANTEE FOR COMMERCE The Honorable Brett Wachsmith, Chair Kittitas County Board of Commissioners Kittitas County Date Mark K. Barkley, Assistant Director Local Government Division Date APPROVED AS TO FORM ONLY Sandra Adix Assistant Attorney General 3/20/2014 Date DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE 7/19/2021 | 10:56 AM PDT 7/19/2021 | 12:07 PM PDT Attachment A ATTACHMENT A ▬ SCOPE OF WORK AND BUDGET Grantee: Kittitas County Contract No. 20-6221C-115 Amendment A Section A: Project Description / Deliverable Kittitas County is awarded a $154,766 CDBG-CV2 Grant. The County will make CDBG-CV funds available to the following nonprofits: Comprehensive Health Care; Kittitas Valley Healthcare; Kittitas County Chamber of Commerce; HopeSource; Cle Elum Downtown Association; Ellensburg Downtown Association, and the Ellensburg Business Development Authority, as grant subrecipients. These funds will result in new and increased CDBG eligi ble public services and microenterprise assistance for the Kittitas County CDBG-CV consortium service area. The project will provide essential assistance to stabilize eligible households and microenterpri ses impacted by COVID-19 and create economic opportunities. Combined with the County’s CDBG-CV1 award, total project costs are estimated at $447,130. For eligible public services, the project will benefit approximately 5,176 persons annually and target services to limited cl ientele with principally low-and moderate-incomes (LMI), based on a LMI household qualification process. For eligible microenterprise businesses, the project will benefit app roximately 13 - 20 LMI microenterprise businesses based on a LMI qualification process. CDBG-CV funded activities will prevent, prepare for, and respond to the coronavirus. Section B: Project Activities, Milestones and Budget CDBG Budget Code Budget Amount Project Activities *Must complete each bulleted project activity to meet the corresponding milestone. Performance Milestones 21A General Admin. $0  Execute grant contract with Commerce.  Verify subrecipient does not have an active exclusion record in the federal award system (SAM.gov), include documentation in the CDBG file, and submit a copy to Commerce.  Establish a subrecipient agreement that includes the quarterly beneficiary reporting requirement. Submit a signed copy to Commerce.  Establish administrative, financial, reporting, and record keeping systems, including a system to prevent duplication of benefit. Before first payment request Payment requests:  Review subrecipient reimbursement requests and project costs and invoices against project budget and contract 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. Not more than monthly First payment request within 270 days from contract execution  Submit a CDBG Beneficiary Report within 30 days of end of each calendar quarter. By Jan 31, April 30, July 30, Oct 31. DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE Attachment A  Complete applicable civil rights requirements.  Conduct an on-site monitoring of the subrecipient to verify the grant is used according to CDBG requirements and all costs reimbursed are allowable. Prior to Commerce’s on- site monitoring  Resolve all monitoring issues with CDBG.  Accomplish all grant activities.  Conduct a final public hearing to review project performance.  Submit a CDBG Contract Closeout Report. Before requesting final 5% of CDBG award  List CDBG expenditures in your annual Schedule of Expenditures of Federal Awards and arrange an audit with the State Auditor’s Office to meet the Uniform Guidance (2 CFR Part 200). Before audit Section B: Project Activities, Milestones and Budget (continued) CDBG Budget Code Budget Amount Project Activities *Must complete each bulleted project activity to meet the corresponding milestone. Performance Milestones 05 Public Service s $372,130  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 benefits, and beneficiary reporting requirements.  Deliver the direct services identified in the CDBG application through the local community action program/local economic development council, etc.  Allocate and manage public services funds as established in the approved subrecipient /partnership agreement and budget, and prevent duplication of benefits.  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’s objective of creating suitable living environments. Approx. 5,176 persons receive direct services by 6/30/2023 18C Micro- enterpr ise Assista nce $75,000  Complete the environmental review and prepare an environmental review record in compliance with NEPA 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, prevent duplication 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. Before providing microenterprise technical and financial assistance DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE Attachment A  Review and process applications for microenterprise assistance; confirm CDBG eligibility.  Complete second tier environmental review for activities as needed.  Provide microenterprise training and technical assistance.  Approve microenterprise assistance agreements. Before each microenterprise assistance agreement is finalized/executed  Execute microenterprise assistance agreements for approved CDBG eligible microenterprises.  Monitor program progress, contractor performance, and compliance with applicable federal and state regulations.  Maintain a complete record for each microenterprise assistance agreement. Complete each microenterprise assistance  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 and financial assistance to create economic opportunities and respond to COVID-19 economic impacts. Approx.13 -20 LMI microenterprise owners receive assistance by 6/30/2023 TOTAL: $447,130 DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE DocuSign Routing Form Local Government Division Contract Number: 20-6221C-115 Amendment A Contract End Date: 6/30/23 Grantee Name: Kittitas County Project Name: CDBG-CV CV2 Contract Total: $447,130 The amendment has been approved by the CV2 Project Manager and the CDBG-CV Section Manager. Review by (Title): Name: Date: Initials: Managing Director Tina Hochwender Operations/Budget Manager (before AD signature) Tony Hanson *** 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. *** ** This document is set up to be merged out of CMS, if you choose to use it as is. Click here for How to Merge Documents from CMS Instructions. ** Updated February 2021 DocuSign Envelope ID: AB551410-E673-49BA-99CD-6E49493F64AE 7/19/2021 | 11:09 AM PDT 7/19/2021 | 12:05 PM PDT Certificate Of Completion Envelope Id: AB551410E67349BA99CD6E49493F64AE Status: Completed Subject: Please DocuSign: Amendment A Kittitas County CV2 Division: Local Government Program: CDBG-CV CV2 ContractNumber: 20-6221C-115 A Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 2 Josh Woodson AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 1011 Plum Street SE MS 42525 Olympia, WA 98504-2525 josh.woodson@commerce.wa.gov IP Address: 147.55.149.155 Record Tracking Status: Original 7/16/2021 10:09:01 AM Holder: Josh Woodson josh.woodson@commerce.wa.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign Signer Events Signature Timestamp Brett Wachsmith brett.wachsmith.co@co.kittitas.wa.us Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 66.243.254.18 Sent: 7/16/2021 10:15:46 AM Viewed: 7/19/2021 10:55:41 AM Signed: 7/19/2021 10:56:08 AM Electronic Record and Signature Disclosure: Accepted: 7/19/2021 10:55:41 AM ID: d791a012-4526-4190-ada7-ad03fc201d8a Tina Hochwender tina.hochwender@commerce.wa.gov Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 147.55.134.79 Sent: 7/16/2021 10:15:46 AM Resent: 7/19/2021 10:56:10 AM Viewed: 7/19/2021 11:07:53 AM Signed: 7/19/2021 11:09:18 AM 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)Signature Adoption: Pre-selected Style Using IP Address: 147.55.134.11 Sent: 7/16/2021 10:15:46 AM Resent: 7/19/2021 11:09:20 AM Viewed: 7/19/2021 12:05:17 PM Signed: 7/19/2021 12:05:34 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Signer Events Signature Timestamp Mark Barkley mark.barkley@commerce.wa.gov Assistant Director Washington State Department of Commerce Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.239.10.153 Sent: 7/16/2021 10:15:47 AM Resent: 7/19/2021 12:05:36 PM Viewed: 7/19/2021 12:07:11 PM Signed: 7/19/2021 12:07:16 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/16/2021 10:15:47 AM Certified Delivered Security Checked 7/19/2021 12:07:11 PM Signing Complete Security Checked 7/19/2021 12:07:16 PM Completed Security Checked 7/19/2021 12:07:16 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM Parties agreed to: Brett Wachsmith Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. 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