HomeMy WebLinkAboutR2026-072BOARD OF COT]NTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTION
NO.2026- o ?A
RESOLUTION TO AUTHORIZE CONTRACT AMENDMENT EXECUTION BETWEEN
KITTITAS COT]NTY VIA KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT AND THE
WASHINGTON STATE DEPARTMENT OF COMMERCE
WHEREAS, Kittitas County, through the Kittitas County Public Health Department (KCPHD) and the
Washington Siate Department of Commerce (Commerce) entered into a professional
services contract on luty t, 2025, which is affached and hereby incorporated by this
reference, and
WHEREAS, section 3 of the General Terms and Conditions of the contract authorizes modifications
that are in writing and signed by the parties; and
WHEREAS, both the County and the Commerce desire to amend the contract in the manner detailed in
the attached amendment that is hereby incorporated by this reference;
NOW THEREFORE, BE IT RESOLVED that the Board of county commissioners of Kittitas county'
Washington, authorizes execution of the contract amendment attached hereto and
incorporated herein.
DATED this 2lgf-day of 2026, at Ellensburg, Washington'
BOARD OF COLINTY COMMISSIONERS
KITTITAS COLINTY, WASHINGTON
ABSENT
C
of the
n Deputy Clerk of the Board
o
Kittitas County Public Health
Contract/Agreement Review Form
Kittitas County
Public Health
Deparimenl
Today's Date 0313012026 f Legat Request#12358
Fund/Department:116-Public Health f Agenda Date:
Contract/lnformation
Contract/Agreement Agency: Washington State Department of Commerce
COntfaCt/Agfeement Title: lnteragency Agreement with Kittitas County through Housing Division Homelessness Assistance Unit Amendment 1
Begin Date: 0710112025 End Date: OGl3Ol2O27
Contract/Agreement #: 26-46108-207 Amend'1Total S Amount: $666,189.00
Co ntract/Agreement Su mma ry:
The lnteragency agreement is established for document recording fee backfill funds for
"maintaining programs and investments" under local homeless housing plans and affordable
housing under RCW 36.22..178.
Amendment adds another $338,480.00 for a new contract total of $666,189.00.
Kittitas County Prosecutor and Auditor Review and Comment:
APP
hk / z'2Q
Si!-naturb of Prose\utb ls Offic{
/ ,i e,X I/ tut, (,/ccn (.-to)
Date
q, 3.ZL
Sisnatu \of Auditor's O#ic6 Date
lnformation
Revenue Code(s):114 - 3.334.04.20
HH1000-101t4101t4122Expense Code(s)
lZ Rgency is not suspended/disbarred Not Checked (reason)
Agency to Pass Through
Expense CodeAmount to Pass Through
Su b-Contract Approved Date
Pass Thro h lnformation
rsedes: 0 Date Ad t2lot/2024 Modified By: Katie Odiaga Approval By: Chelsey LoeffersADMINVersion: 0
3131126,10:05 AM
Unique Entity lD
K5CXYFV3DJAs
CAGE/NCAGE
3MGT1
GOMMERCE,
WASHINGTON STATE
DEPARTMENT OF
SAM.gov
Mailing Address
P. O. Box 42525
Olympia, Washington
98504-2525, United States
Entity lnformation
Active Registration
Explration Date
' Dec 1A,2026
PhysicalAddress
1011 Plum ST SE
Olympia, Washington
98501, United States
Purpose of Registration
AllAwards
Version
Current Record
BUSINESS INFORMATION
Registration Dates
Activation Date
Dec 11,2025
Submission
Date
Dec 10,2025
lnitial Registration
Date
Nov 24,2003
Owner CAGE Legal Business
Name
Doing Business As
(blank)
Division Name
Washington
Department Of
Commerce
Congressional
District
Washington 10
URL
http://www.commerc
e.wa.gov
Division Number
(blank)
StatelCountry of
lncorporation
(blank), {blank)
https://sam.gov/entities/view/K5CXYFV3DJA5/coreData?status=Active&emrKeyValue=2164842-1765309326452902®ld=16768374 1t3
3131126,10:05 AM
lmmediate
Owner
Highest Level
Owner
{blank}{blank)
{blank}{blank)
Entity Dates
Entity Start
Date
Mar 1,1994
FiscalYear End
Close Date
Jun 30
SAM.gov
Executive Compensation
Registrants in the System forAward Management (SAM) respond to the Executive Compensation
questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding
Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. lt is
sent to USAspending.gov for display in association with an eligible award. Maintaining an active
registration in SAM demonstrates the registrant responded to the questions.
SAM SEARCH AUTHORIZATION
I authorize my entity's non-sensitive information to be displayed in SAM public search results
!f Yes
ENTITY TYPES
Entity Type US State Government
Profit Structure (blank)
Organization
Factors
(blank)
Business Types
Entity Structure, U'S. Government
Entity
Socio-Economic Types
Check the registrant's Reps & Certs, if
present, under FAR 52.212-3 or FAR 52.219-1
to determine if the entity is an SBA-certified
HUBZone small business concern. Additional
small business information may be found in
the SBA's Dynamic Small Business Search if
the entity completed the SBA supplemental
pages during registration.
https://sam.gov/entities/view/K5CXYFV3DJAs/coreData?status=Active&emrKeyValue=21648 42-1765309326452902®ld=16768374 2t3
3131126,10:05 AM SAM.gov
Government Types
U.S. State Government
https://sam.gov/entities/view/K5CXYFV3DJA5/coreData?status=Active&emrKeyValue=2164842-1765309326452902®ld=1 6768374 3t3
Docusiin flnvetirpe tii A426B321-968A-8454-8297-FFA7442CB6A9,mendment
r' )r $'*1lli9t3.ili"^1"
tir:oiiimercc'
Contract Number: 26'46108-207
Amendment A
Washington State Department of Commerce
Housing Division
Homelessness Assistance Unit
COMMERCE, defined as the Department of Commerce, and the Contractor, as defured above, acknowledge and accept the terms
of this Conhact As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date
and year referenced above, The rights and obligations of both parties to this Contract As Amended are governed by this Contract
Amindment and the following other documentJ incorporated by reference: Contract Terms and Conditions including Attachment
.,B,'- Budget. A copy of this-Conhact Amendment shall be attached to and made a part of the griginal Contract between
COMMERCE and thi Contractor. Any reference in the original Contract to the "Contract" shall mean the "Contract as Amended".
B
l. Conhactor
Kittitas CountY
205 W 5ft Ave Ste 105
Ellensburg, WA, 98926
2.Contractor Doing Business As (optional)
3. Contractor Representative
Kasey Knutson
BA, Human Services Manager
509.962.7090
Kasev.knutson@co.kitlitas.wa. us
4. COMMERCE Representative
Esmeralda Zav ala Montalvo
Compliance Manager
360-725-281 6 esmeralda.zavala-
montalvo@commerce.wa. gov
POBox42525
l0ll Plum St SE
Olympia, WA 98504-2525
5. Original Contract Amount
(and any previous amendments)
$327,709
6. Amendmcnt Amount
$338,4E0
7. New Contract Amount
$666,189
8. Amendment tr'unding Source
Federal: State: X Other:N/A:
9. Amendment Start Date
SFY26 funds: February 1,2026
SFY27 tunds: July 1,2026
10. Amendment End Date
SFY26 funds: June 30,2026
SFY27 firnds: June 30.2027
11. Federal Funds (as applicable):
N/A
Federal Agency:
N/A
CFDA Number:
N/A
12. Amendment Purpose:
. Adds SFY26 and SFY27 DRF Backfill Funds'
r Document Recording Fee Backfill funds are "for maintaining programs and investments" under local homeless
housing plans and aFordable housing under RCW 36,22,178, Funds must be prioritized for preserving and
mainhining existing programs and service levels, as reported to Commerce in the SFY 2024 Annual Expenditure
Report
Date
APPROVED ASTO FORM ONLY
BY ASSISTANT ATTORTTEY GEI\ERAL
APPROVAL ON FILE
F'OR COMMERCE
by:
@-hJd- k,Jlr*+,
611112026 | 2:29 PM PDT
Housing Division
Tedd , Interim Assistant Director
FORGRANTEE
b
Date
Department of Commerce
h-,{rri-- E-..-l--^ lh. EETAaEaA an.e 1A.A
Docusign Envelope lD: 44268321 -9684-8454-8297-FF A7 442CBOA9
Amendment
Thls Contract is amende4 as follows:
Budget
ALL OTHER TERMS AND COND]TIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT
Attachment B
Budget Categories Curent Contract
Amount
(and any previous
amendments and
revisionsl
Amendment NewTotal
DRF Backfill2026 i327.709 $9.366 s337-07s
DRF Backfill2027 9329-lt4 s329.1 14
TOTAL $327,709 s138,480 $666,189
2
BOARD OF COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASTIINGTON
RES
NO.2025-
RESOLUTION TO AUTHORIZE EXECUTION OF AN INTERLOCAL AGREEMENT
BETWEEN KITTITAS COUNTY AND THE WASHINGTON STATE DEPARTMENT
OF COMMERCE
WHER-EAS, RCW 39.34,the Interlocal Cooperation Act, provides the capability for public
agencies to cooperate for mutual advantage; and
WHEREAS, Kittitas County, through the Kittitas County Public Health Department (KCPHD),
is charged witir the preservation, promotion, and improvement of health in the
CountY;and
WHEREAS, one of the many ways KCPHD preserves and promotes health improvements is by
overseeing the homeless and affordable housing committee; and
WHEREAS, pursuant to State law, document recording fees are dedicated to funding homeless
and affordable housing programs; and
WHEREAS, as detailed in the attached interlocal agreement, the Washington State Department
of Commerce is providing funding to Kittitas County for the specific purposes
outlined in the agreement lelated to homeless and affordable housing programs.
NOW THEREFORE, BE IT RESOLVED that the Board of county commissioners of Kittitas
County, Washington, hereby authorizes execution of the attached interlocal agreement with the
State Department of Commerce.
9"."4 day of 2025, at Ellensburg, Washington'
BOARD OF COLINTY COMMISSIONERS
, WASHINGTON
Washington
DAI'ED this
rfrttnl Q
of the Board
a
Kittitar CoutltY
Kittitas County Public Health
Contract/Agreement Review Form
Public Health
Deprrtrnent
Today's Date 08ta112025 Legal Request #:1 1815
Fund/Department:1 16-Public Health -.I,i Agenda Date:
Contract/Agreement AgencY: Wash State Department of Commerce
Contract/Agreement UnitAssistanceessHomelessnDivisionKittitaswithHousingthroughCountyTitleAgreemenllnteragency
End Date: 0613012027Begin Date: 0710112025
Co ntract/Agreement #: 26461 08'2Q7Total S Amount: $327,709.00
Contract/Agreement Sum ma ry:
The lnteragency agreement is established for document recording fee backfill funds for
',maintaining progrims and investments" under local homeless housing plans and affordable
housing under RCW 36.22..178.
lnformation
lnformation
Pass lnformation
Agency to Pass Through
Amount to Pass Through Expense Code:
Sub-Contract Approved Date:
f
Kittitas County Prosecutor and Auditor Review and Comment:
t./z-.>f
DateOfficeSignature
/!4*^/)"*r-
DateSignature of Auditor's Office
Revenue Code(s):114 - 3.334.04.20
Expense Code(s)114 - 3.51001,52001 ,54101,54122
Agency is not suspended/disbarred Not Checked (reason)
ADMIN Version:0 Supersedes: 0 Date Adopted : L2l OL/ 2A24 Modified By: Katie 0diaga Approval By: ChelseY Loeffers
8/6125,'t1:11AM
Unique Entity lD
KSCXYFV3DJA5
CAGE/NCAGE
3MGT1
COMMERCE,
WASHINGTON STATE
DEPARTMENT OF
SAM.gov
Mailing Address
P. O. Box 42525
Olympia, Washington
985A4-2525, U n ited States
EntitY lnformation
Active Registration
Expiration Date
Feb 3, 2026
PhysicalAddress
1011 Plum ST SE
Olympia, Washington
98501 -l 530, United States
Purpose of Registration
AllAwards
Version
Current Record
BUSINESS INFORMATION
Registration Dates
Activation Date
Feb 5, 2025
Submission
Date
Feb 3, 2025
lnitial Registration
Date
Nov 24,2003
Owner CAGE Legal Business
Name
Doing Business As
(blank)
Division Name
Washington
Department Of
Commerce
Congressional
District
Washington 10
URL
http://www.commerc
e.wa.gov
Division Number
(blank)
State/Country of
lncorporation
{blank), (blank)
https://sam.gov/entities/view/KSCXYFV3DJAS/coreData?status=Active&emrKeyvalue=2164842-1738583606420534 1t3
816125, 11:11 AM SAM.gov
Government Types
U.S. Local Government, U.S. State Government
https:l/sam.gov/entilieslviewlK5CXYFV3DJASlcoreData?status=Active&emrKeyValue=2164842-1738583606420534 3/3
Docusign Envelope lD: F24ED3D0-D4Dil99A-9588-124694S365D1
{irffiffi*H
lnteragency Agreement with
Kittitas County
Through
Housing Division Homelessness Assistance Unit
Gontract Number:
26-46108-207
For
Document Recordlng Fee Backfill
Dated: July 1 ,2025
Docusign Envelope lD: F24ED3D0'D4D6499A-9588-1246949365D1
ra >r f
''.Y-11't 3",:l lFtlr gffilirrnlq
Table of Contents
4. BILLING PROCEDURESANDPAYT\4ENT.
5. SUBCONTRACTORDATACOLLECTION.....""..
7. FRAUDAND OTHER LOSS REPORTING
GENERAL TERMS AND COND|TIONS.......... """"""""'7
ALL WRIIlNGS CONIAINED H EREIN ...........
CONFIDENTIATITY AND SAFEGUARDIN6 OF IN FORMATION"'"....".".."
GOVERNING LAW AND VEN UE.,...............,.
LICENSING, ACCREDITATION AND REGISTRATION"."...."..".
TERMINATION FOR CONVEN1ENCE................. """"""""""""""10
TERMINATION PROCEDURES. """"""""""""""'10
ATTACHMENTA: SOOPEOF 1,1IORK........'" """"""""L2
ATTACHMENT B: BUDGET.... """""""'13
ATTACHMENTC: G)MPIAINTPROCEDURE.. """""""14
4
4
4
4
5
5
6
6
L.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
74.
15.
16.
17.
18.
79.
20.
27.
7
7
7
7
7
8
8
8
9
9
9
9
9
9
9
Page 2 of 15
Docusign Envelope lD: F24ED3D0-04D6'499A-9588-124694936sD1
^aD^ i'ldJ' ilrJ-urr St.rttD I :ra,r'r',-.,nrr\rtrJ ('iiiiinreriie
Face Sheet
Gontract N umbe r: 26461 08-247
Washington State Department of Gommerce
Housing Division - Homelessness Assistance Unit (HAU)B
l. Contractor
Kittitas County
205 w 51i'Ave Ste 105
Ellensburg, WA,98926
2. Gontractor Doing Business As (as ap plicable)
3. Contractor RePresentative
Kasey Knutson
BA, Human Services Manager
509.962.7090
Kasev.kn u lson @co.kitUlas.wa.u s
4, COMMERCE RePresentative
Esmeral da Zavala Montralvo
Compliance Manager
360-725-2816
Esmeralda.zavala-
mon tal vo @commerce.wa.qov
5. GontractAmount
$327,709
6. Funding Source
Federal: n state: X other: n Hla: n
7. Start Date
July 1,2025
8. End Date
June30,2027
9. Federal Funds (as applicable)Federal AgencY:
N/A
ALN
N/A
N/A
10. Tax lD #
N1A
11. SWV #
001 0475-07
12. UBI f
192002673
13. UEI #
N/A
14. Award Method
Direct X Competitive: il
NOFO/RFX #
N/A
Proviso #
N/A
15. Contract Purpose
Document Recording
plans and affordable
programs and service
Fee Backfillfunds are "for maintaining prog rams and investments" under local homeless housing
housing under RCW 36.22.178' Funds must be prioritized for preserving and maintaining existirg
as to Commerce in the SFY 2024 Annual
COMMERCE, defined as the Department of Commerce, and the Contractor, as defined above, acknowledge and accept
the terms of this Contract and Attachments and have executed this Gontract on the date below and warrant they are
authorized to bind their respective agencies. The rights and obligations of both parties to this contract are governed by this
Contract and the following docu.enits incorporateJ by reference: ContractorTerms and Conditions including Attachment
"A'- Scope of work, Attachment "B" - Budget, and Attachment "c" - complaint Procedure.
FOR CONTRACTOR
Chelsey Loeffers Public Health Director
C h elsey Loeffers, Director
by,
b,fu4
91212025l l2:36 PM PDT
Date
FOR COMMERCE
Gbyi
-^^U- k lLt*-
er,m Assistant Director
Housing Division
Sl4l2o25l1:11 PM PDT
Date
APPROVED AS TO FORM ONIY
BY ASSISTANT ATTORNEY GENERAL
APPROVAL ON FIIE
Page 3 of 15
Docusign Envelope lD: F24ED3D0-D4D6499A-9588-1246949365D.t
^a D^'"!'ashino.or) gtate
a I r'a...i.-:1d,,tr\rl.Dt Ci)fimi;i'i;
Soecial Terms and Gonditions
1. AUTHORITY
COMMERCE and Contractor enler into this Contract pursuantto the authoritygranted by Chapter 39.34
RCW.
2. CONTRACTMANAGEMENT
The Representative for each of the parties shall be responsible forand shall be the contract person for all
communications and billings regarding the performance of this Contract'
The RepresentativeforCOMMERCE and theircontact information are identified on the Face Sheetof this
Confact,
The Representative forthe Contractor and theircontact information are identified on the Face Sheetof ttis
Contract.
3. COMPENSATION
COMMERCE shall pay an amou nt notto exceed $327,709 for the performance of all things necessary for
or incidental to the performance of work as set forth in the Scope of Work. Grantee's compensation shall
be based on the terms of the Scope of Work and Budget'
Exoenses
Grantee shall receive reimbursement for approved expenses as identified below or as authorized in
"Ou"nc"
byCOMMERCE as reimbursable.The maximum amountto be paid to the Grantee forauthorized
expenses ihall not exceed $327,709, which amount is included in the Grant total above.
lf lravel is requiredto completelhe scope of workand is approved in advancein writing, reimbursabletravd
expenses may include airfare (economy or coach class only), other transportation,lodging' and food
n ecessary during periods of required travel. Grantee shall be reimbursed ata rate notto exceed the current
stale rate and in accordance with the Slate of Washington Office of Financial Manaoement Travel
Reoulations.
4. BILLING PROCEDURES AND PAY.MENT
COMMERCEwiII pay Grantee upon acceptianceof deliverablesorservices provided and receiptof properly
completed invoices, whicir snail be subinitted to COMMERCE via the Contracts ManagemenlSystem
(cMS).
The invoicesshall describe and document, to COMMERCE's satisfaction, a description of the work
performed, the progress of the project, and anyexpensesto be reimbursed. The invoiceshallinclude Grant
Number 2646108-207.
lf applicable, Grantee must also include attachments that describe and document, to COMMERCEs
satisiaction. a detailed description of the work performed, progress of the project, andior receipts or other
p-of ot puyrent. Exceptfor ipproved indirectcosts, if any, oias olherwise authorized by COMMERCE in
triting, a receipt must accompany every expense in the amount of $50.00 or more to receive
reimbirsement.bOtvttUeRCE may requestaddilional documentation atanytime.
Any expense reimbursed underlhis Grant which is later determined to be unallowable mustbe repaid
according to the terms COMMERCE provides.
payment shall be considered timely if made by COMMERCE within. thirty (30) calendardays after receipt
oifi1gp"rf V completed invoices. Paymentshall be made electronically utilizing Grantee's Statewide Vendor
(SVW) number.
Page 4 of 15
Docusign Envelope lD: F24ED3D0-D4D6499A-9588-1246949365D1
'$lashinq:()rt SLate
len:'irenl.:f
Commen:tt
COMMERCE may, in its sole discretion, tenninate th is Grant or withhold payments if the Grantee fails to
satisfactorily comply with any term or condition of this Grant'
No paymentsin advanceorin anticipation of servicesor suppliesto be provided underthisAgreementshall
Ue fii'Oe 6V COfrlUenCE. No paymentsin advanceof orin'anticipation of anyexpensereimbursable under
this Grant shall be made by COMMERCE
lf subgranting andlorsubconfacting isauthorized byCOMMERCE,all Subgranteelsubconfactorpaymenb
are reimbursaUfeeipenses*itnintE"r""ningof thisAgreement.Graniee musthave,andmay be required
to demonstrate, the means to pay eacf, and every Subgrantee/Subcontractor. Failure to pay
SuOgrantees/Subconlractrrrs u= "gieed
may result in suspension ortermination of this Grant'
lnvoicgs and End otfl€calYegl
lnvoices are due on the 20th of the month following the provision of services'
Final invoicesfora state liscalyearmay be duesoonerthan the20th and Commerce will provide notificalion
of the end of fiscal Year due date.
The Contractormust invoiceforall expensesfromthe beginning of tfrecontractthrough June 30' regardless
of the contact start and end date.
Duplication of Billed Costs
The Contractorshall notbill COMMERCE forservices performed underthis Agreement,and COMMERCE
shall not paytne Contractor, if the Contractoris entitleci to paymentor has been orwill be paid by any other
sou rce, in clu di ng grants, for that service.
Disallowed Costs
The Grantee is responsibleforany auditexceptions ordisallowed costs incuned by its own organization or
that of its subgrantees.
Unless otherwise authorized by COMMERCE in writing, reimbursable payroll costs shall not indude
employee overtime norbonus PaY.
COMMERCE may, in its sole discretion, withhold ten percent (1070) from each payment until acceptance
by COMMERCe ot me final report (or completion of the projeci, etc')'
Cost Date
Allowable expenses paid by Grantee from July 1,2025 through the end date listed on the Face Sheet are
eligible for reimbursement under this Conbact subject to reimbursement requirements stated herein '
5. SUBCONTRACTORDATACOLLECTION
Contractorwill submitreports, in a form and formatto be provided by Commerce and atintervals as agreed
by the parties, r"S"iding-;otli underthis Confactperformed by subcontractors and the portion of Contact
funds expended-forwo-rk performed by subcontractors, including but not necessarily limited to minority-
owned, woman-owned, and veteran-owned business subcontractors. "subcontractors" shall mean
subcontractors of anY tier'
6. INSURANCE
Each party certifies that it is self-insured under ihe State's or local government self-insurance liabiliv
program ahd sfratl be responsible for losses for which it is found liable.
Additionally, the Contractor is responsible for ensuring that any *Subgrantees provide adequate
insurance coverage for the activities arising out of subgrants, as follows:
t{t?rf
Page 5 of 15
Docusign Envelope lD: F24ED3D0-D4D6499A-9588-1246949365D1
\ lashing:on Sla[e
DeF;r':rent.Jl
Commex:e
Commercial General Liabilitylnsurance Poticy. Provide a Commercial General Liability lnsurance
policy, including contractuat tilUitity, written on a-n occurrence basis, in adequate quantity to protect
agalrist legd li;bility arising out of Subgrant activity but no less than $1,000,000 per occurrence.
Automobile Liability. ln the event that performance pursuant.to this Grant involves the use of
vehicles, owned or oierated by the Subgrintee, automobile liabilityinsutance s.hall be required. The
minimum limitfor aut6moUile liiUility is $i,OOO,OOO per occurrence, using a Combined Single Limit for
bodily injury and ProPertY damage'
7. FRAUDAND OTHERLOSS REPORTING
Conlractor shall report in writing all known or suspected fraud or other loss of any funds orother property
furnished underthis Contract immediately or as soon as praclicable to lhe Commerce Representalive
identified on the Face Sheet.
8. ORDEROFPRECEDENCE
ln the event of an inconsistency in this Contract, the inconsistency shall be resolved by giving precedene
in the following order:
o Applicable federal and slate of Washington stiatutes and regulations Special Tenns and Conditions
r General Terms and Conditions
r AttachmentA- Scope of Work
r AttachmentB-Budgete CHG Guidelines, incorporated by reference on the Face Sheet'
r.h?tj
Page 5 of 15
Docusign Envelope lD: F24ED3D0-D4D6-4S9A-9588-1 246949365D1
^{ }^ Y./asl rifl ulor) Statea- |l rri r.::-.,nlr.'rrt Dt Ciffimi;i:f('
General Terms and Conditions
1. DEFINITIONS
As used throughoul ihis Contract, the following terms shall have the meaning set forth below:
A ?uthorized Representative"shall mean the Director and/orthe designeeauthorized in writingto act
on ihe Director's behalf.
B. "COMMERCE" shall mean the washington Department of commerce.
C. ,,Contract' or'Agreement' or "Granf' means the entire written agreemenl between COMMERCE
and the Contraclor, inctuOing any Atlachments, docu ments, or materials incorporated by reference'
E-mail or Facsimile Fanimis-sioiot a signed copy of this contract shall be the same as delivery of
an original.
D. "contracto/,or ,,Grantee" shall mean the entity identified on the face sheet performing service(s)
underthis Contract, and shatl include all empioyees and agents of the Conlractor.
E. ,personal lnformalion"shall mean information identifiableto any person, including,butnotlimited
to, intormationthatrelates}ip"oon'tname,heallh,finances,education,business'useorreceipt
oJ g.""rn;"ntat services or olher activities, addresses, telephone numbers, social securily
nu,iU"r", driver license nrrO"o, other iden1fyng numbers, and any.financial identiliers' and
,,protected Health lnformation" u nderthe federal Heilth lnsurance Portability and Accountability Act
of 1996 (HIPAA).
F. "State" shall mean the state of Washington'
G. ,subcontractoi'shall mean one not in the employment of the Contractor, who is performing.all or
pirt of ttor"
"ervices
underthis Confactund6ra separate contract with the Contractor' The terms
lsu bcon tracto/' and "su bcon tractors" mean su bcontracto(s) i n an y tier.
2, ALL WRITINGS CONTAINED HEREIN
This Confactcontiainsall theterms and conditionsagreed upon bythe parties. No otherunderstandings'
orat oiotterwise,regardingtn""ubj""t*atterof thiiContractshall bedeemedto existorto bindanyof
the Parties hereto.
3. AMENDMENTS
This Contractmay be amended by mutual agreementof the parties. Such amendmentsshall notbebinding
untessfhey are in writing and signed by pJrsonnel authorized to bind each of the parties'
4. ASSIGNMENT
Neitherthis Contract, work thereunder, nor any claim arising 9nd91t!r9-Contract, shall be transfened or
assignedbytheContractorwithoutpriorwrittenconsentofcoMMERcE'
5.
A..'Confidentiallnformation,'asusedinthissectionincludes:
l. All material provided to the Conlractor by GOMMERCE that is designated as "confidential" by
COMMERCE;
ii. All material produced by the Contractor that is designated as "confidenlial'by COMMERCE;
and
iii. All Personal lnformation in lhe possession of the Contractor that may not be disclosed under
state orfederal law.
Page 7 of 15
Docusign Envelope lD: F24ED3D0-D4D5499A-9588-1 246949365D'l
l'l J J'iitr{l :rx r tld{a
f.qt-13.!Fqnl :lf
Comnrt't't:e
B. The Contractor shall complywith all state and federal laws related to the use, sharing, transfer, sale,
or disclosure of ConfiOential lnformation, The Contractor shall use Confidential lnformation solely
for tne purpoies of this Conlract and shall not use, sh are, transfer, sell or disclose any Confidenlial
lnformation to any third party except with the prior written consentof GOMMERCE or as may be
requireo ny llw. ftre Contra*orshailtakeall necessarystepsto assurethatConfidential lnformalion
is safeguardeJto prevent unauthorized use, sharing, trangler, sale or disclosure of Confidenlial
lnformation or violition of any slate or federal laws related thereto. Upon reque-st, lh-e Contractor
shall provide COMMER6E wit its policies and procedures on confidentiality. COMMERCE may
require changes to such policies and procedures as they apply to.this contract whenetrer
COMMERC-"reasonably determines ttiat changes are necessary to prevent unauthorized
disclosures. The Contraclor shall make the ctianges within the time period spectlted by
COMMERCE. Upon request, the Conbactor shall immediately retum to COMMERCE any
Confidential lnformation that COMMERCE reasonably determines has not been adequately
protected by the Contractor against unauthorized disclosure'
C. Unauthorized Use or Disclosure.The Contractor shall notify COMMERCE within five (5) working
days of anyunauthorized useordisclosure of anyconlidentialinformation, and shalltake necessary
steps to mitigate the harmful effectrs of such use or disclosure'
6. COPYRIGHT
Unless otherwise provided, all Materials produced underthis Conlractshall be considered "wortsforhild'
as defined by thi U.S. iopyrlght Act and shall be owned by COMMERCE. COMMERCE shall be
considered the author of such Materials. ln the event the Mateiials are not considercd "works for hire'
underthe U.S. Copy6ghtlaws, the Contractor hereby inevocably assigns all right, tifle, and jnterest in all
Materials, incluOing aii intellectual property rights, moral righls, and rights of publicity to COMMERCE
effective from th e moment of creation of su ch Materials'
',Materials" means all items in any format and includes, but is not limited to, data, reports, documenb,
pampfrt.ts, aOvertisements, books, magazines, surveys, studies, compuler programs, films, tapes, and/or
sound reproductions. "Ownenhip" inchidesthe rightto copyright, patent, register and the abilityto transler
these rights.
For Materials thatare delivered underthe contract, butthatincorporatepre-existing materialsnotproduced
u nderthe Contraci, ttre iontractor hereby grants to COMMERCE a nonexclusive, royalty-free, inevocaUe
llcense (with rights to sublicense to otneri) in such Materials to fanslate, reproduce, distribute, prepare
derivative works, publicly perform, anO pu Ulicty Oisplay. The Contractor wanants and represents that the
Confactor fras atirlgnts and permissions, inctirOinb intetteduat property rights, moral rightrs and rights of
publicity, necessary to grant such a license to COMMERCE'
The Contractorshatl exert all reasonable effortto advise COMMERCE, at the time of d.elivery of Materials
fumishedunderlhisContract,of all known orpotential invasionsof privacycontainedthereinandof any
portion of such documentwhicfr wasnotproduced in the performanceof this Contract. The Contractorshall
broviOe COMMERCE with prompt written notice of eacir notice or claim of infringement received by the
Contractorwitn r"spe-cito a'ny Mit"tiuts O"livered underthis Contract. COMMERCE shallhave the rightb
modify or remove any restriciive markings placed upon the Materials by the Contractor.
7. DISPUTES
ln theeventthata disputearises underlhisAgreement,itshall be determinedbyaDisputeBoard in the
following manner: Each party to this Agreement shall appoint one member to the Dispute Board' The
members
"o "ppoipt"O
shall.!ointly appointan additional memberto the Dispute Board. The Dispute Boad
shall reviewthe facts, Agreementterms and applicable statutes and rules and make a determination of tre
dispute. The Dispuie board shall thereaftei decide the dispute with the majority prevailing. The
determination of the Dispute Board shall befinal and binding on theparties hereto. As an altemative to this
process, eitherof the parties may request intervention bythe Govemor, as provided by RCW 43'17'330'
in which event the Govemo/s process will control'
8. GOYERNING LAWAND VEI'IUE
ThisContractshall beconstruedandinterpretedin accordancewiththelawsof thestrate of Washin@n'
and the venue of any action brought herzundershall be in the Superior Court for Thurston County'
Page I of 15
Docusign Envelope lD: F24ED3DGD4D6-499A-9588-1 246949365D,|
'/, i{'Jl"i tllQ :{JI I 5l;,Jlt:
$trot':.",elttl -ri
Commet'ce9. INDEMNIFICATION
Each party shall be solely responsible for the acts of its employees, officers, and agents"
10. lJcENslNG. ACCREDITATION ANp REGISTRATION
The Confiactor shall comply with all applicable local, state, and federal licensing, accreditation and
registration requ irements or itandards nebessary for th e performance of th is Conlract.
11. RECAPTURE
ln the eventthaflhe Contractorfailsto perform thisContractin accordancewith state laws, federal laws,
and/ortheprovisionsof thisContract, iOfUUgnCEreseryes therightto recapturefundsinan amountto
compensaie COMMERGE forthe noncompliance in addition to any other remedies available at law or in
equ ity.
Repayment by the Contractor of funds under this recapture provision shall occur within the time period
spticified oy iotilvencE. ln the altemative, CoMMEnbe miy recaplure such funds from payments due
underthis Contract.
12. RECORDSMAINTENANCE
The Contractorshall maintain books, records, documents, dala and otherevidence relating to this contrac{
and performance of lhe services described herein, including but notlimited to accounting procedures and
practices that sutficienflV
"nJ
prop"tfy reflect all direct andindirect costs of any nature expended in he
performance of this Contract.
TheContractorshall retainsuchrecordsforaperiodof sixyearsfollowingthedateof final payment. Atno
additional cost, ttrese records, including matertals generated underthe Conkact, shall be subject at all
reasonable times to inspecton, reviJw or auoii uy COMMERCE, personnel duly authorized by
COMMERcE,tne Oiiice oftheStaie Auditor,andfederaland state officialssoauthorized bylaw' regulalion
or agreement.
tf any litigation, claim oraudit is started before the expiration of.the six (6) year period, the records shall be
retained until all fitigation, claims, orauditfindings ihvolving the records have been resolved'
13. SAVINGS
ln the eventfunding from state, federal, or other sources iswithdrawn, reduced, orlimited in anywayafter
the effective d"tu oitnir Contractand prior to normal completion, COMMERCE may suspend orterminab
the Contract unOer me "Termination for Convenience'i clause, without lhe ten calendar day notice
requirement, ln lieu of termination, the Contractmay be amended to rellectthe new funding limitations and
condilions.
14. SEVERABILITY
The provisions of this Contraclare intended to be severable.lf any term or provision.is illegal orinvalid for
any reason whatsoever, such illegality or invalidity shall not aff6ct the validity of the remainder of the
Contracl
15- SUBCONTRACTING
The Contractor may only subconlractwork contemplated underthis Contract if it obtains the prior wriften
approval of COMMERCE.
lf COMMERCE approves subcontracting, the Contractor shall maintjain written procedures related to
subcontracting, aj;e[ as copies of all tubcontracts and records related to subcontracts' For cause,
COMMERCE in wrli'ng *"Vr tll require the Contractor to amend its subcontracting procedures as ihey
relate to tirisContraa;iUl piotriUittni Coniractorfrom subcontractingwith a particularperson orenlity; or
(c) require the Contractor to rescind or amend a subconfact'
Every subcontact shall bind the Subcontractor to follow all applicable terms of this Contract' The
contractor is responsible to CoMMERCE if the subconlractorfails to comply with any applicable term or
condition of his Conkact. The Contractorshall appropriately monitorthe activities of the Subcontractorto
assure fiscal conditions of this Contract. tn no eventsirall the existenceof a su bcontract operate to release
a{}alrrl
Page 9 of 15
Docusign Envelope lD: F24ED3D0-D4D64994-9588-1 246949365D1
^{}- ili,J' Ml.(r:r 5l.ll(a l n.,..'--.nr.,lr1f 1 iffin1[i1!1'
or reduce the liability of the Coniractor to COMMERCE for any breach in the performance of the
Contractofs duties.
Every subcontractshall include a term that COMMERCE and lhe Strate of Washington are not liable for
claims or damages arising from a Subcontractor's performance of the subcontract.
16. SURVIVAL
The terms, conditions, and warnnties contained in his Contract thal by their sense and context are
intended to survive the completion of the performance, cancellation ortermination of this Contractshall so
su rvive.
17. TERMINATION FORCAUSE
ln the event COMMERCE determines the Contractor has failed to comply with the conditions of ihis
Contract in a timely manner, COMMERCE has the right to suspend or terminate lhis Contract. Before
ru"p"nOingorterminatingthe Conkact, COMMERCEshaII notifytheContractorinwritingof the need.to
take conective action. lf conective acdon is not taken within30 calendardays, the Contractmay be
terminated or susPended.
ln the eventof termination orsuspension, the Contractorshall be liable for damages as authorized by lavr
including,butnotlimitedto, anycbstdifferencebetweentheoriginal.contractandthereplacementorc-over
contract-and all administratiJecosts direcfiy related to the replacement conlract, e.9., cost of the
competitive bidding, mailing, advertising and slaff time'
COMMERCE reserveslhe rightto suspend allorpart of the Conlract,withhold furtherpayments,orprohibit
the Contractorfrom incu ning additional obligations of fu nds during investigation-of the alleged compliance
breach and pending corrective jction by th-e Contractor or a deiision by COMMERCE to terminate the
Contact. A termination shall be OeemeO a "Termination for Convenience" if it is determined that the
Contracior: 1tl wjs not in default; or (2) failureto perform was outrside of his or her control, fault or
negligence.
The rights and remedies of COMMERCE provided in th is Contract are not exclusive and are, in addition lr
any other rights and remedies, provided by law'
,l8. TERMINATION FOR CONVENIENCE
Exceptas otherwise provided in this Confact,COMMERCE may, by ten (10) businessdays'written notice,
beginning on the second day after the mailing, terminate th is Contract, in whole or in part. lf this Contract
is so teiriinated, C9MMER|E shall be liabld only for payment required unde.rthe terms of this Contract
for services rendered or goods delivered priorto the effective date of termination.
1e. TERMINATION PROCEDURES
Upon termination of this Contract, COMMERCE, in a_ddition to any other-ri.ghts provided in this Contract,
may require the Contractor fo deliver to COMMERCE any property specifically produced or acquired for
the performance of such part oitfri" Contractas has been terminated. The provisions of the "Treatment of
Assets" clause shall apply in such property kansfer'
COMMERCE shallpay to the Contractorthe agreed upon price, if separately stated, for coryn-t9!9{-yg{
anO
"ervices
a"""pieO oy COtrltrarnCe, and th6 amountagl'eed upon oyt!.9 Contractorand COMMERCE
for (i)iompleted worx ario services for which no separate lrice'rs st?tli.(ii) partially gompleted wok and
services, iliil other property or services that are accepted by COMIMERCE, and (iv) the protection and
preservation of properly, unless the termination is ford6fault, in which case the Authorized Representalive
shall determinethe extenlof he liabilityof COMMERCE. Failureto agree ryl.t!.such determination shall
o"
"
J"pri"*itnin tte m""ning ofih" "bisputes" clause of this ContraCt. coMvERCE maywithholdflom
any amounls due the Contract& such su m as the Authorized Representatlve determines to be necessary
to protect GOMMERCE against potential loss or liability'
The rights and remedies of COMMERCE provided in this section shall notbe exclusive and are in additon
to an/other rights and remedies provided by law or underthis Contract.
Afterreceipt of a noticeof termination, andexcept as otherwisedirected by theAuthorized Representative'
the Contractor shall:
Page 10 of 15
Docusign Envelope lD: F24ED3D0-D4D6'499A-9588-1 246949365D1
f{ lt v, fj }11-s..?ll"s,, :,f*trrt criiiiririiirle
A.stop work under the contract on the date, and to the extent specified, in the notice;
Place no furtherorders or subconlracts for materials, services, or facilities except as may.be
n""li""w iot comptetion of "rir, portion of the work underthe contract thal is not terminated;
Assign to GoMMERCE, in the manner, at the times, and to the-extentdirecled by the Authorized-Cepiesentative,
all of ini,-rlgftG, tiile, and_inter""t ot lhe Contractor underthe orders and
subconbacts so terminated, iriwnicn case COMMERCE has the right, at its discretion, to settle or
pay
"nV
oi"f f daims arising out of the termination of such orders and subcontracts;
setfle all outstanding liabilities and all claims arising eut of.such tenninalion of orders and
subcontracts, with the d;il;t;i rititication of tne Aithorized Representative to the extent the
nufnorizeO n"pr""entatiu'" t"y t"qrlt", which approval or ratification shall be final for all the
purposes of this clause;
Transfertitleto COMMERCEanddeliverin themanner,atthetimes' andto theextentdirected by
theAuthorized Representaiiu""nvptop"rtywhich, if theContracthad been compleled,wouldhave
been required to be fumished to COMMERCE;
Completeperformanceof such partof theworkas shall nothavebeenterminated bytheAuthorized
Representative; and
Take such action as may be necessary, or as the Authorized Representative may direct' for-the
p.i""rion
"no
prr"u*atln otit'e proprirty r"lated to this Contract, wh ich is in the possession of he
bontractor and in which COMMERCE has or may acquire an inlerest.
20. TREATMENTOFASSETS
Tile to all property furnished byCOMMERCEshall remain in COMMERCE.Tit|e to all property fumished
by the Contractor, for the cost 5f which the Conhactoris entitled to be reimbursed as a direct item of cost
under this conlract shall pass to and vest in CoMMERCE upon delivery of such property by the
Conkactor. Tifletootherpriperry,thecostofwhichisreimbursabietotheContractorunderthisContrad'
shall pass to and vest in cotvturence u pon (i) issu ancefor u.se.of such prop,erty in ih: t"I"^T:nce of his
Contract, or (ii) commencementof use of 'Juch property in the performance of this Contract' or (iii)
reimbursemeniot tne cost thereof by COMMERCE in whole or in part, whichever first occu rs'
A. Any property of coMMERCE fumished to the contractorshall, unless otherwise provided herein or
apiroveO Oy COtrlUgnCE, be used onlyforthe performance of this Contract'
B. TheContractorshall beresponsibleforanylossordamageto properly of CoMMERCEthatresulb
from the negiigen; otthe bontractoror w-hich results froh the failure on the part of the contaclor
to maintain irid administerthat property in accordance with sound management practices'
C. lf any COMMERCE property is lost, destroyed or damaged, the Contractorshall immediately nolihT
COMMERCE anO snaljtaX6 all reasonable steps to protect lhe property from furlher damage'
D. The Contractorshallsunenderto COMMERCE all properly of COMMERCE priorto setdement upon
completion, termination or cancellalion of this Contract'
E. All reference to the Contractor underthis clause shall also include Confacto/s employees, agenb
or Subcontractors.
21. WAIVER
Waiver of any default or breach shall not be deemed to be a waiverof an y subsequentdefaultor breach'
Any waivershall not be construed to be a modification of the terms of ihis Contracl unless slated to be
","h in writing and signed by Authorized Representative of CoMMERCE.
B.
c.
D.
E.
F
G.
Page 11 of 15
Docusign Envelope lD: F24ED3DGD4D649SA-958&1246S49365D1
{};.$#itri}:[
Attachment A: Scope of Work
Document Recording Fees (DRF) Backflll must be priorltized for preserving and maint'alning exisung
program levets and ""ril"}*uif
i,- Rt6waUte u."i"foi inete funds are- for lny allowable Consolidated
Homeress Grant activity'I"i j.J, i6i""i;r#tilty piiiii"ritJuies of local iocument recordlng fees'
LeadandsubgranteesmustcommittoreportingqualityandtimelyHMlsdataforprojectsfundedwith
DRF Backfill.
Page 12 of 15
Docuslgn Envelope lD: F24ED3DGD4D6-499A-958&1 24694s3tt5Dl
{3;ffiffi#
Attachment B: Budqet
$327.709.00
$:vr?.?00,00Total
Page 13 of 15
Docusign Envelope lD: F24ED3D0-D4D6-499A-9588-1 246349365D1
ttlrf }1idsl'tilq:clr SlJte
D€oiJ'1rent i)t(krmnretce
Attachment G: Comolaint Procedure
Leadlsubgrantees must have a complaint procedure for:
/ all households seeking or receiving services,
'/ employees and volunteers, and/ public upon request
The Complaint Procedure must include:
{ contaci information for who is responsible for handling complaints
{ A description of how to submit a complaint
r The submission process must allow for submission of anonymous complainls. An
anonymous complaint and/or a comptainl submitted using an alias must be identifled
as such for records Purposes./ Timelines, including expected follow-up response times' ,/ A descripiion of hoil complaints will be addiessed at the lead/subgrantee level.
The complaint procedure must:
/ Be in written form using plain talk language, including how to request translation services
or other accommodatidns and assis6nce needed to complete the complaint'
./ Be posted at facilities and on websites'
'/ Be available to the public upon request.,/ Be accessible to ali households seeking or receiving services.
. Be communicated and provided to households, including within all materials, such as
client handbooks and signatory paperwork, and discussed/verbalized during intake.
,/ Be provided to all employees upon hiring.
o Must prohibit any'form of reialiation via fines, fees, or other strictly enforced
contractual terms.r' Explain how to escalate the complaintfor external review if the issue has been
uniatisfactorily resolved with the lead/subgrantee, or if the person is fearing retaliation,
including:. How to escalate the complaint to the lead grantee, if applicable
r How to escalate the complaint to Commerce, including sl'bmitting anonymously, via
the Commerce CHG Program Manager or Commerce's Quality Assurance Manager-
The lead/subgrantee's internal complaint procedure must be implemented firsl before escalating it
to the external process of the lead grantee or Commerce, unless lhe person filing a complaint
fears retaliation working with the internal complaint process'
Lead/subgrantees are required to maintain a complaint log. The complaint log will indicate the
complainiand actions taken to resolve the complaint. The complaint log may be reviewed during
monitoring or upon request by Commerce'
The complaint procedure does not replace landlord-tenant law or established processes such as
Medicaid fair hearings processes.
Note; Some federal funding sources also require that the U.S. Department of Housing and Urban
Development (HUD) also be listed for complaint submission if all other avenues have been
exhausted.
Page 14 of 15
Docusign Envelope lD: F24ED3D0-D4D64994-9588-1246949365D,t
-aDr \ lashinu:or) StdLel- -l r-^"i-..r rftrrtcoiiimiifi
Page 15 of 15
Certificate S GomPletion
Envelope ld : F24ED3D0'D4D6-499A-9588-1 246949365D1
Subject: Complete with Docusign: Kittitas- DRF Backfill SFY 2026 Contract 'pdf
Division:
Community Services and Housing
Program: chg
ContractN umber i 26-461 O8'2O7
DocumentType: Contract
Source EnveloPe:
Document Pages: 15 Signatures:2
Certificate Pages: 5 lnitials:2
AuloNav: Enabled
Envelopeld StamPing: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
dl docusign
Status: Completed
Envelope Originator:
Esmeralda Zavala-Montalvo
10'll Plum Street SE
MS 42525
Olympia, WA 98504-2525
esmeralda.zava la-montalvo@commerce.wa. gov
lP Address: 198.238.75.163
Location: DocuSign
Location: Docusign
Timestamp
Sent: 8/4/2025 1:58:10 PM
Viev,red: II412A25 3:30:23 PM
Signed: 814i2025 3:30:42 PM
Sent: 8/4/2025 3:30:43 PM
Viewed: 8t4 12025 4:05:41 PM
Signed: 8/4/2025 4:06:39 PM
Sent: 8/512025 8:01:20 AM
Viewed: 81512025 8:07:46 AM
Signed: 9/2/2025 12:36:43 PM
Record Tracking
Status: Original
81412025 '1:49:01 PM
Security Appliance Status: Connected
Storage Appliance Status: Connected
Signer Events
Julie Montgomery
julie.montgomery@commerce.wa-gov
Washington State Department of Commerce
Security L€vel: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Kathy Kinard
Kathy. Kinard@commerce'wa. gov
Managing Director
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Ghelsey Loeffers
Chelsey.loeffers@co. kittitas.wa. us
Public Health Direcior
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Dlsclosure:
Accepled: 81512025 8:07:46 AM
lD: e4927969-daff-46e1 -bb20-2dcc2geaca78
Holdet: Esmeralda Zavala'Montalvo
esmeralda.zavala-montalvo@commerce-wa.gov
Pool: Statelocal
Pool: Washington Siate Department of Commerce
Signatum
Signalure Adoption: Pre-selected Style
Using lP Address: 147.55'149.237
Signature Adoption: Pre-selected Style
Using lP Address: 147.55.149.143
Signature Adoption: Pre-selected Style
Using lP Address: 66.243.254.,l8
B
g
ffi,,s^
Signer Events
Tedd Kelleher
tedd. kelleher@commerce.wa. gov
Acting Assistant Director
Washington State Department of Commerce
Security Level: Ernail, Account Authentication
(None)
Agent Dellvery Events
lntermediary Dellvery Events
Signature Adoption: Pre-selected Style
Using lP Address: 67 .168.97.32
VIEWED
Timestamp
Sent: 9/2/2025 12:36:45 PM
Viewed:91412O25 1:1 1:38 PM
Signed: 9/4/2025 l:11:52 PM
Timesiamp
Timestamp
Tlmestamp
Timestamp
Timestamp
Sent: 8/4/2025 4:06;40 PM
Viewed: 815/2025 8:01:19 AM
Tlmestamp
Tlmestamp
Timestamp
Timestamps
81412025 'l:58:10 PM
91412025 1:11:38 PM
Sl4l2O25 1:1 1:52 PM
91412025 1:11:52 PM
Timestamps
Slgnalure
W,y
Electronic Record and Signature Disclosure:
Not Offered via Docusign
ln Person Slgner Events Slgnature
Status
Status
Status
Status
Edltor DellverY Events
Certifted Delivery Events
Kasey Knutson
kasey. knutson@co.kittilas.wa' us
Security Level: Email, Account Authentication
(None)Using lP Address: 66.243.254.18
Electronic Record and Signature Disclosur€:
Accepted: 81512025 8;01 :19 AM
lD: 3d3aab89-9a47-4e3$b58&c3 1b3t4abd7 8
Carbon Gopy Events Statss
Wtness Events Slgnature
Notary Events Signature
Envelope Summary Events Status
Envelope Sent Hashed/EncryPted
Certified Delivered Security Checked
Signing Complete Security Checked
Completed Security Checked
Payment Events Status
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 8l11l2Q2Q 4:44:12 PM
Parties agreed io: Chelsey Loeffers, Kasey Knutson
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 ceftaitwritten notices or disclosures. Described below are the
terms and tonditions for providing to you such notices and disclosures electronically through the
DocuSign system. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to this Electronic Record and
Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to
'I igree to use electronic records and signatures' before clicking 'CONTINUE' within the
DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electrtnically to you-by us. You will have ihe ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
eiect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after zuch documents are first sent to you. After such time, if you wish for us to
serd you puper copi". of any such documents from our offtce to you, you will be charged a
$0.1i per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in iaper format. How you must inform us of your decision to receive future notices and
Aisctosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
ybu because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
iec"irr" required notices and consents electronically from us or to sigl electronically documents
from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSigtl system all required notices, disclosures,
authorizations, aiknowledlements, anO Jtrei 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 recei-ving any notice or disclosure, we prefer to provide all of the required
notices and disclosures tolrou,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
desiriled below. pleaie ulro r." the paragraph immediately above that describes the
consequences ofyour electing not to receive delivery ofthe notices and disclosures
electronically from us.
To advise Washington State Department of Commerce of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, yori*nti send an email message to us at docusign@commerce'wa'gov and
in the body of *,rttr request you must state: your previous email address, your new email
address. We do not require any other information from you to change your email address'
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
How to contact Washington State Department of Commerce:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: docusign@commerce'wa'gov
To request paper copies from washington state Department of commerce
To request delivery from us of paper copies of the notices and disclosures previously provided
by us io you electronically, you must send us an email to docusign@commerce'wa'gov and in
the bodyof such request you must state your email address, full name, mailing address, and
telephone number. we will bill you for any fees at that time, if any.
To withdraw your consent with Washington State Department of Commerce
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us.an email to docusign@cornmerce.wa.gov and in the body of such request you must
state your email, full name, t*iting address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process"
Required hardware and software
The minimum system requirements for using the DocuSign system may over time. The
current system requirements are found here
s i snin g-systern-requ irctnents.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
*h"ru you will be able to print on paper or save it for your future reference and access. Further,
if you ionsent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to 'I agree to use electronic records and signatures' before
clicking'CONTINUE' within the DocuSign system'
By selecting the check-box next to 'I agree to use electronic records and signatures', you confirm
that:
r you can access and read this Elecffonic Record and Signature Disclosure; and
. you can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
. Until or unless you notiff Washington State Department of Commerce as described
above, you conient to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Washington State Department of Commerce
during the course of your relationship with Washington State Department of Commerce.