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Home My WebLink AboutAgreement State of Wa DOE and KCPHD Amend 30 Kittitas County Public Health Contract/Agreement Review Form Kittitas County Public Health Department Today's Date: 06/04/26 Legal Request #: 12536 Fund/Department: 116-Public Health Agenda Date: Contract/Agreement Information Contract/Agreement Agency: Department Of Ecolol Contract/Agreement Title: Agreement between Dept of Ecology and KCPHD (Air Quality) Amendment 3 (2) Begin Date: 02/01 /2025 End Date: 06/30/2027 Total $ Amount: $104,625.00 Contract/Agreement M AQOBC-2024-KiCPHD-00010 Contract/Agreement Summary: The agreement between the WA State Dept of Ecology and KCPHD allows the county to engage Ellensburg residents in designing community driven strategies to reduce air pollutants, improving air quality and health outcomes. Through outreach, data collection, and collaboration,the project will prioritize environmental justice and create sustainable emission reduction plans. (This is amendment 3- there was an amendment 2, but was canceled by DOE. DOEs contract system is unable to remove the canceled contract (that was not executed by KCPHD) making this amendment 3.) Kittitas County Prosecutor and Auditor Review and Comment: '"' " Signature of rosecut s Office Date . /•Z Signature o uditor's Office'J Date Rnelaat Infnrmatinn Revenue Code(s): 116 - 615.08.04.334.03.103 Expense Code(s): PH5500-101 0 Agency is not suspended/disbarred ❑ Not Checked (reason) Pass Through Information Agency to Pass Through Amount to Pass Through Expense Code: Sub -Contract Approved Date: ADM IN I Version: 0 1 Supersedes: 0 1 Date Adopted: 12/01/2024 1 Modified By: Katie Odiaga I Approval By: Chelsey Loeffers 6/9/26. 11:49 AM SAM.gov Entity Information STATE OF WAS H I N GTO N Active Registration Unique Entity ID CAGE/NCAGE N48GCZ2FJA47 OWP75 Physical Address 300 Desmond DR SE Lacey, Washington 98503-1274, United States Purpose of Registration All Awards Version Current Record BUSINESS INFORMATION Doing Business As URL Department of https://ecology.wa.g Ecology ov/ Division Name Division Number (blank) (blank) Congressional State/Country of District Incorporation Washington 10 (blank), (blank) Owner CAGE Legal Business Name Immediate (blank)(blank) Owner Highest Level (blank)(blank) Owner Expiration Date Mar 4, 2027 Mailing Address PO Box 47615 Olympia, Washington 98504-7615, United States Registration Dates Activation Date Mar 5, 2026 Submission Date Mar 4, 2026 Initial Registration Date Jan 3, 2002 Entity Dates https://sam.gov/entities/view/N48GCZ2FJA47/core Data ?status=Active&emrKeyVaIue=20166 22-1768488882701534&reg Id=16934982 1 /3 6/9/26, 11:49 AM SAM.gov Entity Start Date Jul 1, 1970 Fiscal Year End Close Date Jun 30 Executive Compensation Registrants in the System for Award 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. It 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 authorize my entity's non -sensitive information to be displayed in SAM public search results'. Yes ENTITY TYPES Business Types Entity Structure U.S. Government Entity Entity Type US State Government Profit Structure (blank) Organization (blank) Factors Government Types 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/N48GCZ2FJA47/core Data ?status=Active&emrKeyValue=20166 22-1768488882701534&regld=16934982 2/3 Docusign Envelope ID: CM5913A0-FEM-8324-81 13134A4C3E61297D DEPARTMENT OF ECOLOGY State of Washington AMENDMENT NO.3 TO AGREEMENT NO. AQOBC-2024-KiCPHD-00010 BETWEEN THE STATE OF WASHINGTON DEPARTMENT OF ECOLOGY AND KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT PURPOSE: To amend the above -referenced agreement (AGREEMENT) between the state of Washington Department of Ecology (ECOLOGY) and KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT (RECIPIENT) for the Community -Led Air Quality Improvement for Ellensburg (PROJECT). The purpose of amendment 3 is to update project timeline tasks and remove project deliverables that are no longer relevant. This is a no -cost amendment. IT IS MUTUALLY AGREED that the AGREEMENT is amended as follows: Project Long Description: Amended: Community -Led Air Quality Improvement for Ellensburg Kittitas County Public Health Department (KCPHD) proposes a six month- two year project depending upon funding availability, starting in Jan 2025, to reduce criteria air pollutants —carbon monoxide, lead, nitrogen dioxide, sulfur dioxide, ozone, and particulate matter —in Ellensburg, an overburdened community. The project emphasizes community involvement to design emissions reduction strategies that reflect local priorities. If funding is only available for six months the focus will be on the initial community engagement and data analysis needed for future projects when funding becomes available. Project Tasks and Deliverables The project will unfold in four phases: 1. Community Outreach and Engagement (April 2025 - Sept 2025): Conduct community engagement through meetings, focus groups, and surveys, diverse community input will be collected. Deliverable: Stakeholder group and initial outreach plan. 2. Data Collection and Needs Assessment (Oct 2025 - March 2026): Surveys, interviews, and focus groups will assess community air quality concerns. Outreach will target underrepresented groups to ensure equitable participation. Deliverable: Needs assessment report summarizing community input. 3. Design of Emission Reduction Projects (April 2026 - Dec 2026): KCPHD will collaborate with the community to design emissions reduction strategies based on collected data. Workshops and technical analysis will guide the design process. Template Version 10/30/2015 Docusign Envelope ID: C3A59BA0-FE3D-8324-81 BB-4A4C3E61297D State of Washington Department of Ecology KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Community -Led Air Quality Improvement for Ellensburg Project Agreement No. AQOBC-2024-KiCPHD-00010 Amendment No. 3 Deliverable: Draft plans for emissions reduction strategies. 4. Finalization and Reporting (Jan 2027 - June 2027): Final project designs will be completed, and a report will be prepared for the community and fenders. Deliverable: Finalized project plans and a comprehensive report. Expected Outcomes The project will result in actionable, community -designed emissions reduction plans that target key air quality concerns. It will improve air quality, health, and awareness among Ellensburg residents, particularly vulnerable groups. Organizational Capacity KCPHD has extensive experience in community health and environmental projects. We have partnered with organizations like HopeSource and FISH Food Bank on initiatives such as the cold weather shelter program and COVID-19 quarantine services. We track milestones and report progress using EAGL, as demonstrated in our Local Solid Waste Financial Assistance (LSWFA) grant. Our department manages multiple grants and revenue streams, with dedicated staff overseeing financial management, ensuring responsible fund allocation and reporting. Environmental Justice The project prioritizes environmental justice by ensuring meaningful involvement of all Ellensburg residents, regardless of race, income, or background. Community input will guide the distribution of resources and development of air quality solutions, targeting those disproportionately impacted by air pollution. This approach will help reduce health disparities and environmental burdens. Community Engagement KCPHD's Health Promotions division will lead outreach through email, phone, social media, and in -person meetings. We also advertise events via radio, newspapers, and web platforms. Surveys, focus groups, and interviews will gather community input, supported by our Assessment Coordinator and Epidemiologist, who have experience leading public health assessments. In -person events will be held at ADA-accessible venues, like libraries and community centers, and will be supplemented with virtual options to ensure inclusivity. Through these collaborative efforts, KCPHD will empower Ellensburg residents to take an active role in improving local air quality, leading to long-term health and environmental benefits. CHANGES TO SCOPE OF WORK Task Number: 1 Task Cost: $37,000.00 Task Title: Community outreach and engagement Task Description: Under this task, the RECIPIENT will conduct community outreach and engagement through workshops, surveys, and focus groups to gather Ellensburg residents' input on criteria air pollution concerns and potential solutions. RECIPIENT must adhere to all requirements outlined in the grant guidelines for this program. Eligible costs must be directly related to and necessary for the purpose of the grant, which is to conduct community engagement, develop, and Template Version 10/30/2015 Page 2 of 6 Docusign Envelope ID: C3A59BA0-FE3D-8324-81 BB4A4C3E61297D State of Washington Department of Ecology KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Community -Led Air Quality Improvement for Ellensburg Project Agreement No. AQOBC-2024-KiCPHD-00010 Amendment No. 3 implement projects to reduce criteria air pollution. See page 15 of the grant guidelines for more information. overhead/indirect costs may not exceed 25% of salaries and benefits. Administrative costs are eligible for reimbursement under this grant agreement. All administrative costs must be necessary for and directly related to the purpose of the grant, which is to conduct community engagement, develop, and implement projects to reduce criteria air pollution. Reimbursement requests for administrative costs must include staff name, position, hourly rate, hours worked, and work completed. The RECIPIENT must have a standard procurement process and follow current Washington State procurement laws for the solicitation of bids and the selection of vendors and contractors for the performance of any grant assisted work. RECIPIENT must provide documentation confirming procurement requirements are followed. Documentation for both equipment and services must include: • method of vendor notification of bid opportunity • how many bidders were notified • evaluation summary of bids received • award letter or notice of contract award • awarded contractor name, contract number, date contract was executed This agreement is supported with funding from Washington's Climate Commitment Act and funded must satisfy the requirements of directive 24-01, detailed in the Agreement Specific Terms and Conditions. Task Goal 5t4tement: Conduct community outreach and engagement through workshops, surveys, and interviews to gather Ellensburg residents' input on criteria air pollution concerns and potential solutions Task Expected Outcome: Community feedback, key concerns, and proposed solutions to reduce local criteria air pollution concerns Recipient Task Coordinator: Recipient Grant Manager Deliverables Page 3 of 6 Number Description Due Date 1.1 RECIPIENT will submit documentation of the procurement process used to procure equipment and services. This may be included in the quarterly PRPR. Documentation must include: • method of vendor notification of bid opportunity • how many bidders were notified • evaluation summary of bids received • award letter or notice of contract award • awarded contractor name, contract number, date contract was executed Template Version 10/30/2015 Docusign Envelope ID: C3A59BA0-FE3D-8324-81BB-4A4C3E61297D State of Washington Department of Ecology KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Community -Led Air Quality Improvement for Ellensburg Project Agreement No. AQOBC-2024-KiCPHD-00010 Amendment No. 3 Page 4 of 6 1.2 RECIPIENT will submit an outreach and engagement plan including key audience, methods of outreach and engagement. and timeline. 1.3 RECIPEINT will submit materials from all community engagement and outreach activities, such as agendas, notes, and presentations, including proof that CCA branding requirements under directive 24-01 are satisfied. 1.4 RECIPIENT will submit a copy of any survey(s) conducted related to this agreement and a summary of responses received. 1.5 RECIPIENT will submit a summary of community engagement that summarizes input received from all outreach and engagement activities and includes: • Estimated number of people engaged • Description of events or activities • Community priorities to address criteria air pollution emissions • Lessons learned CHANGES TO THE BUDGET Funding Distribution EG250243 Funding Title: Improving Air Quality in Overburdened Communities Funding Type: Funding Effective Date: Funding Source: Title: Fund: Type: Funding Source %: Description: Grant 02/01 /2025 Improving AQ Overb Comm FD Funding Expiration Date: 06/30/2027 State 100% Improving Air Quality in Overburdened Communities Approved Indirect Costs Rate: Approved State Indirect: 25 % Recipient Match %: 0% InKind Interlocal Allowed: No InKind Other Allowed: No Is this Funding Distribution used to match a federal grant? No Template Version 10/30/2015 Docusign Envelope ID: C3A59BA0-FE3D-8324-81BB-4A4C3E61297D State of Washington Department of Ecology KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Community -Led Air Quality Improvement for Ellensburg Project Agreement No. AQOBC-2024-KiCPHD-00010 Amendment No. 3 Improving Air Quality in Overburdened Communities Task Total Community outreach and engagement $ 37,000.00 Identify priority criteria air pollutant emission $ 22,000.00 Design criteria air pollutant reduction strategies $ 23,000.00 Improve Communication $ 20,000.00 Grant Management $ 2,625.00 Total: $ 104,625.00 Template Version 10/30/2015 Page 5 of 6 Docusign Envelope ID: MA59BA0-FEM-8324-81 BB4A4C3E61297D State of Washington Department of Ecology KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT Community -Led Air Quality Improvement for Ellensburg Project Agreement No. AQOBC-2024-KiCPHD-00010 Amendment No. 3 AUTHORIZING SIGNATURES All other terms and conditions of the original Agreement including any Amendments remain in full force and effect, except as expressly provided by this Amendment. The signatories to this Amendment represent that they have the authority to execute this Amendment and bind their respective organizations to this Amendment. This amendment will be effective 02/01/2025. IN WITNESS WHEREOF: the parties hereto, having read this Amendment in its entirety, including all attachments, do agree in each and every particular and have thus set their hands hereunto. Washington State Department of Ecology 0 Kathy Taylor Air Quality Program Manager Template Approved to Form by Attorney General's Office Template Version 10/30/2015 KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT M Date Chelsey Loeffers Director Page 6 of 6 Date 0 docusign_ Certificate Of Completion Envelope Id: C3A59BA0-FE3D-8324-81BB-4A4C3E61297D Status: Sent Subject: Amendment 3 for agreement AQOBC-2024-KiCPHD-00010 is ready for signature Source Envelope: Document Pages: 6 Signatures: 0 Envelope Originator: Certificate Pages: 2 Initials: 0 Sare Webster AutoNav: Enabled P.O. Box 47600 Envelopeld Stamping: Enabled Olympia, WA 98504 Time Zone: (UTC-08:00) Pacific Time (US & Canada) sweb461 @ecy.wa.gov IP Address: 162.10.9.31 Record Tracking Status: Original Holder: Sare Webster Location: DocuSign 6/3/2026 4:40:45 PM sweb461 @ecy.wa.gov Security Appliance Status: Connected Pool: Statel-ocal Signer Events Signature Timestamp Chelsey Loeffers Sent: 6/3/2026 4:47:09 PM chelsey.loeffers@co.kiftitas.wa.us PH Director Kittitas County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Kathy Taylor ktay461 @ECY.WA.GOV Security Level: Email, Account Authentication (None) 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 Kaitlyn Kelly COPIED Sent: 6/3/2026 4:47:08 PM kake461 @ECY.WA.GOV Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Audelia Martinez COPIED C D Sent: 6/3/2026 4:47:09 PM audelia.martinez@co.kittitas.wa.us i G Viewed: 6/4/2026 8:28:40 AM HP Manager Kittitas County Security Level: Email, Account Authentication (None) Carbon Copy Events Status Timestamp Electronic Record and Signature Disclosure: Not Offered via Docusign Marilyn Turnbow matu461@ecy.wa.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Katie Odiaga katie.odiaga@co.kiffitas.wa.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign AQP Community Grants AQcommunitygrants@ECY. WA.GOV Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign AQP Financial Unit aqpfinancialunit@ECY.WA.GOV Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/3/2026 4:47:08 PM Payment Events Status Timestamps