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HomeMy WebLinkAboutPW12-068 - Original - Public Health Seattle and King County - Local Hazardous Waste Management Program - 1/1/12 s Public Health Seattle & King County King County Contract No EHS2326 Federal Taxpayer ID No 91-1355875 This form is available in alternate formats for people with disabilities upon request. KING COUNTY CONTRACT FOR SERVICES WITH OTHER GOVERNMENT, INSTITUTION, OR JURISDICTION — 2012 Department Seattle-King County Dept of Public Health (a k a Public Health —Seattle & King Division County)/EHS Contractor City of Kent Project Title Local Hazardous Waste Management Program Contract Amount Thirty One Thousand One Hundred Twenty One Dollars and Fifty Five Cents Contract Period Start date 01/01/2012 End date 12/31/2012 THIS CONTRACT is entered into by KING COUNTY (the "County"), and City of Kent (the "Contractor'), whose address is 220 4th Ave S, Kent, WA 98032-5895 WHEREAS, the County has been advised that the following are the current funding sources, funding levels and effective dates FUNDING SOURCES FUNDING LEVELS EFFECTIVE DATES COUNTY HW- Incorporated Cities $31,121 55 1/1/2012 - 12/31/2012 TOTAL $31,121.55 111/2012 - 12/31/2012 and WHEREAS, the County desires to have certain services performed by the Contractor as described in this Contract, and as authorized by the 2012 Annual Budget NOW THEREFORE, in consideration of payments, covenants, and agreements hereinafter mentioned, to be made and performed by the parties hereto, the parties covenant and do mutually agree as follows I Incorporation of Exhibits The Contractor shall provide services and comply with the requirements set forth in the following attached exhibits, which are incorporated herein by reference A Program Exhibits and Requirements • Exhibit A Scope of Work • Exhibit B Budget • Exhibit C Invoice B King County Required Forms • Exhibit D Certificate of Insurance and Additional Insured Endorsement II Term and Termination A This Contract shall commence on 01/01/2012, and shall terminate on 12/3112012, unless extended or terminated earlier, pursuant to the terms and conditions of the Contract Contract 11 EHS2326 Page# 1 of 9 B This Contract may be terminated by the either party without cause, in whole or in part, prior to the date specified in Subsection II A above, by providing the other party thirty (30) days advance written notice of the termination C The County may terminate this Contract, in whole or in part, upon seven (7) days advance written notice in the event (1) the Contractor materially breaches any duty, obligation, or service required pursuant to this Contract, or(2) the duties, obligations, or services required herein become impossible, illegal, or not feasible If the Contract is terminated by the County pursuant to this Subsection II C (1), the Contractor shall be liable for damages, including any additional costs of procurement of similar services from another source If the termination results from acts or omissions of the Contractor, including but not limited to misappropriation, nonperformance of required services, or fiscal mismanagement, the Contractor shall return to the County immediately any funds, misappropriated or unexpended, which have been paid to the Contractor by the County D If County or other expected or actual funding is withdrawn, reduced, or limited in any way prior to the termination date set forth above in Subsection II A , the County may, upon written notification to the Contractor, terminate this Contract in whole or in part If the Contract is terminated as provided in this Subsection (1)the County will be liable only for payment in accordance with the terms of this Contract for services rendered prior to the effective date of termination, and (2) the Contractor shall be released from any obligation to provide such further services pursuant to the Contract as are affected by the termination Funding or obligation under this Contract beyond the current appropriation year is conditional upon appropriation by the County Council of sufficient funds to support the activities described in the Contract Should such appropriation not be approved, this Contract will terminate at the close of the current appropriation year E Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Contract or law that either party may have in the event that the obligations, terms, and conditions set forth in this Contract are breached by the other party III Compensation and Method of Payment A The County shall reimburse the Contractor for satisfactory completion of the services and requirements specified in this Contract, payable in the following manner Upon receipt and approval of a signed invoice as set forth in Exhibit C that complies with the budget in Exhibit B B The Contractor shall submit an invoice and all accompanying reports as specified in the attached exhibits not more than 60 working days after the close of each indicated reporting period The County will initiate authorization for payment after approval of corrected invoices and reports The County shall make payment to the Contractor not more than 30 days after a complete and accurate invoice is received C The Contractor shall submit its final invoice and all outstanding reports within 90 days of the date this Contract terminates If the Contractor's final invoice and reports are not submitted by the day specified in this subsection, the County will be relieved of all liability for payment to the Contractor of the amounts set forth in said invoice or any subsequent invoice D When a budget is attached hereto as an exhibit, the Contractor shall apply the funds received from the County under this Contract in accordance with said budget The contract may contain separate budgets for separate program components The Contractor shall request prior approval from the County for an amendment to this Contract when the cumulative amount of transfers among the budget categories is expected to exceed 10% of the Contract amount in any Contract Contract# EHS2326 Page # 2 of 9 budget Supporting documents necessary to explain fully the nature and purpose of the amendment must accompany each request for an amendment E If travel costs are contained in the attached budget, reimbursement of Contractor travel, lodging, and meal expenses are limited to the eligible costs based on the following rates and criteria 1 The mileage rate allowed by King County shall not exceed the current Internal Revenue Service (IRS) rates per mile as allowed for business related travel The IRS mileage rate shall be paid for the operation, maintenance and depreciation of individually owned vehicles for that time which the vehicle is used during work hours Parking shall be the actual cost When rental vehicles are authorized, government rates shall be requested If the Contractor does not request government rates, the Contractor shall be personally responsible for the difference Please reference the federal web site for current rates http I/www gsa gov 2 Reimbursement for meals shall be limited to the per diem rates established by federal travel requisitions for the host city in the Code of Federal Regulations, 41 CFR § 301, App A 3 Accommodation rates shall not exceed the federal lodging limit plus host city taxes The Contractor shall always request government rates 4 Air travel shall be by coach class at the lowest possible price available at the time the County requests a particular trip In general, a trip is associated with a particular work activity of limited duration and only one round-trip ticket, per person, shall be billed per trip IV Internal Control and Accounting System The Contractor shall establish and maintain a system of accounting and internal controls which complies with applicable, generally accepted accounting principles, and governmental accounting and financial reporting standards V Debarment and Suspension Certification Agencies receiving federal funds that are debarred, suspended, or proposed for debarment are excluded from contracting with the County The Contractor, by signature to this Contract, certifies that the Contractor is not presently debarred, suspended, or proposed for debarment by any Federal department or agency The Contractor also agrees that it will not enter into a subcontract with a contractor that is debarred, suspended, or proposed for debarment The Contractor agrees to notify King County in the event it, or a subcontractor, is debarred, suspended, or proposed for debarment by any Federal department or agency For more information on suspension and debarment, see Federal Acquisition Regulation 9 4 VI Maintenance of Records/Evaluations and Inspections A The Contractor shall maintain accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County to ensure proper accounting for all Contract funds and compliance with this Contract B In accordance with the nondiscrimination and equal employment opportunity requirements set forth in Section XIV below, the Contractor shall maintain the following 1 Records of employment, employment advertisements, application forms, and other pertinent data, records and information related to employment, applications for employment or the administration or delivery of services or any other benefits under this Contract, and 2 Records, including written quotes, bids, estimates or proposals submitted to the Contractor by all businesses seeking to participate on this Contract, and any other information necessary to document the actual use of and payments to subcontractors and suppliers in this Contract, including employment records The County may visit, at any mutually agreeable time, the site of the work and the Contractor's office to review the foregoing records The Contractor shall provide every assistance requested by the County during such visits In all other respects, the Contractor shall make the foregoing Contract# EHS2326 Page# 3 of 9 records available to the County for inspection and copying upon request If this Contract involves federal funds, the Contractor shall comply with all record keeping requirements set forth in any federal rules, regulations or statutes included or referenced in the contract documents C Except as provided in Section VII of this Contract, the records listed in A and B above shall be maintained for a period of six (6) years after termination hereof unless permission to destroy them is granted by the Office of the Archivist in accordance with Revised Code of Washington (RCW) Chapter 40 14 D Medical records shall be maintained and preserved by the Contractor in accordance with state and federal medical records statutes, including but not limited to RCW 70 41 190, 70 02 160, and standard medical records practice If the Contractor ceases operations under this Contract, the Contractor shall be responsible for the disposition and maintenance of such medical records E The Contractor agrees to cooperate with the County or its agent in the evaluation of the Contractor's performance under this Contract and to make available all information reasonably required by any such evaluation process The results and records of said evaluations shall be maintained and disclosed in accordance with RCW Chapter 42 56 F The Contractor agrees that all information, records, and data collected in connection with this Contract shall be protected from unauthorized disclosure in accordance with applicable state and federal law VII Compliance with the Health Insurance Portability Accountability Act of 1996 (HIPAA) The Contractor shall not use protected health information created or shared under this Contract in any manner that would constitute a violation of HIPAA and any regulations enacted pursuant to its provisions Contractor shall read and certify compliance with all HIPAA requirements at http//www kingcounty gov/healthservices/health/partnerships/contracts VIII Audits A If the Contractor or subcontractor is a municipal entity or other government institution or jurisdiction, or is a non-profit organization as defined in OMB Circular A-133, and expends a total of$500,000 or more in federal financial assistance and has received federal financial assistance from the County during its fiscal year, then the Contractor or subcontractor shall meet the respective A-133 requirements described in subsections VIII B and VIII C B If the Contractor is a non-profit organization, it shall have an independent audit conducted of its financial statement and condition, which shall comply with the requirements of GAAS (generally accepted auditing standards), GAO's Standards for Audits of Governmental Organizations, Programs, Activities, and Functions, and OMB Circular A-133, as amended, and as applicable The Contractor shall provide a copy of the audit report to each County division providing financial assistance to the Contractor no later than six (6) months subsequent to the end of the Contractor's fiscal year The Contractor shall provide to the County its response and corrective action plan for all findings and reportable conditions contained in its audit When reference is made in its audit to a "Management Letter" or other correspondence made by the auditor, the Contractor shall provide copies of those communications and the Contractor's response and corrective action plan Submittal of these documents shall constitute compliance with subsection VIII A C If the Contractor is a municipal entity or other government institution or jurisdiction, it shall submit to the County a copy of its annual report of examination/audit, conducted by the Washington State Auditor, within thirty (30) days of receipt, which submittal shall constitute compliance with subsection VIII A D If the Contractor, for-profit or non-profit, receives in excess of$100,000 in funds during its fiscal year from the County, it shall provide a fiscal year financial statement prepared by an independent Certified Public Accountant or Accounting Firm within six (6) months subsequent to the close of the Contractor's fiscal year Contract# EHS2326 Page#4 of 9 E Additional audit or review requirements which may be imposed on the County will be passed on to the Contractor and the Contractor will be required to comply with any such requirements IX Corrective Action If the County determines that a breach of contract has occurred, that is, the Contractor has faded to comply with any terms or conditions of this Contract or the Contractor has failed to provide in any manner the work or services agreed to herein, and if the County deems said breach to warrant corrective action, the following sequential procedure will apply A The County will notify the Contractor in writing of the nature of the breach, The Contractor shall respond in writing within three (3) working days of its receipt of such notification, which response shall indicate the steps being taken to correct the specified deficiencies The corrective action plan shall specify the proposed completion date for bringing the Contract into compliance, which date shall not be more than ten (10) days from the date of the Contractor's response, unless the County, at its sole discretion, specifies in writing an extension in the number of days to complete the corrective actions, B The County will notify the Contractor in writing of the County's determination as to the sufficiency of the Contractor's corrective action plan The determination of sufficiency of the Contractor's corrective action plan shall be at the sole discretion of the County, C In the event that the Contractor does not respond within the appropriate time with a corrective action plan, or the Contractor's corrective action plan is determined by the County to be insufficient, the County may commence termination of this Contract in whole or in part pursuant to Section 11 C , D In addition, the County may withhold any payment owed the Contractor or prohibit the Contractor from incurring additional obligations of funds until the County is satisfied that corrective action has been taken or completed, and E Nothing herein shall be deemed to affect or waive any rights the parties may have pursuant to Section 11 Subsections B, C, D, and E X Dispute Resolution The parties shall use their best, good-faith efforts to cooperatively resolve disputes and problems that arise in connection with this Contract Both parties will make a good faith effort to continue without delay to carry out their respective responsibilities under this Contract while attempting to resolve the dispute under this section XI Hold Harmless and Indemnification A In providing services under this Contract, the Contractor is an independent Contractor, and neither it nor its officers, agents, employees, or subcontractors are employees of the County for any purpose The Contractor shall be responsible for all federal and/or state tax, industrial insurance, and Social Security liability that may result from the performance of and compensation for these services and shall make no claim of career service or civil service rights which may accrue to a County employee under state or local law The County assumes no responsibility for the payment of any compensation, wages, benefits, or taxes by, or on behalf of the Contractor, its employees, subcontractors and/or others by reason of this Contract The Contractor shall protect, indemnify, and save harmless the County, its officers, agents, and employees from and against any and all claims, costs, and/or losses whatsoever occurring or resulting from (1) the Contractor's failure to pay any such compensation, wages, benefits, or taxes, and/or (2) the supplying to the Contractor of work, services, materials, or supplies by Contractor employees or other suppliers in connection with or support of the performance of this Contract B The Contractor further agrees that it is financially responsible for and will repay the County all indicated amounts following an audit exception which occurs due to the negligence, intentional act, Contract# EHS2326 Page# 5 of 9 and/or failure, for any reason, to comply with the terms of this Contract by the Contractor, its officers, employees, agents, or subcontractors This duty to repay the County shall not be diminished or extinguished by the prior termination of the Contract pursuant to the Duration of Contract or the Termination section C The Contractor shall defend, indemnify, and hold harmless the County, its officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of the Contractor, its officers, employees, subcontractors and/or agents in its performance or non-performance of its obligations under this Contract In the event the County incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the Contractor D The County shall defend, indemnify, and hold harmless the Contractor, its officers, employees, and agents from any and all costs claims,judgments, and/or awards of damages, arise out of, or in any way result from, the negligent acts or omissions of the County, its officers, employees, or agents in its performance or non-performance of its obligations under this Contract In the event the Contractor incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the County E Claims shall include, but not be limited to, assertions that use or transfer of software, book, document, report, film, tape, or sound reproduction or material of any kind, delivered hereunder, constitutes an infringement of any copyright, patent, trademark, trade name, and/or otherwise results in unfair trade practice F Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Contract G The indemnification, protection, defense and save harmless obligations contained herein shall survive the expiration, abandonment or termination of this Agreement XII Insurance Requirements By the date of execution of this Contract, the Contractor shall procure and maintain for the duration of this Contract, insurance against claims for injuries to persons or damages to property which may arise from, or in connection with, the performance of work hereunder by the Contractor, its agents, representatives, employees, and/or subcontractors The costs of such insurance shall be paid by the Contractor or subcontractor The Contractor may furnish separate certificates of insurance and policy endorsements for each subcontractor as evidence of compliance with the insurance requirements of this Contract The Contractor is responsible for ensuring compliance with all of the insurance requirements stated herein Failure by the Contractor, its agents, employees, officers, subcontractors, providers, and/or provider subcontractors to comply with the insurance requirements stated herein shall constitute a material breach of this Contract Specific coverages and requirements are at http//www kmgcounty gov/healthservices/health/partnerships/contracts, contractors shall read and certify compliance XIII Assignment/Subcontractinq A The Contractor shall not assign or subcontract any portion of this Contract or transfer or assign any claim arising pursuant to this Contract without the written consent of the County Said consent must be sought in writing by the Contractor not less than fifteen (15) days prior to the date of any proposed assignment B "Subcontract" shall mean any agreement between the Contractor and a subcontractor or between subcontractors that is based on this Contract, provided that the term "subcontract" does not include the purchase of(1) support services not related to the subject matter of this Contract, or (2) supplies Contract# EHS2326 Page# 6 of 9 C The Contractor shall include Sections III D , IV, V, VI, VII, VIII, XI, XII, XIV, XV, XXI, and XXV, in every subcontract or purchase agreement for seances that relate to the subject matter of this Contract D The Contractor agrees to include the following language verbatim in every subcontract, provider agreement, or purchase agreement for services which relate to the subject matter of this Contract "Subcontractor shall protect, defend, indemnify, and hold harmless King County, its officers, employees and agents from any and all costs, claims, judgments, and/or awards of damages arising out of, or in any way resulting from the negligent act or omissions of subcontractor, its officers, employees, and/or agents in connection with or in support of this Contract Subcontractor expressly agrees and understands that King County is a third party beneficiary to this Contract and shall have the right to bring an action against subcontractor to enforce the provisions of this paragraph " XIV Nondiscrimination and Equal Employment OpportunitY The Contractor shall comply with all applicable federal, state and local laws regarding discrimination, including those set forth in this Section During performance of the Contract, the Contractor agrees that it will not discriminate against any employee or applicant for employment because of the employee or applicant's sex, race, color, marital status, national origin, religious affiliation, disability, sexual orientation, gender identity or expression or age except by minimum age and retirement provisions, unless based upon a bona fide occupational qualification The Contractor will make equal employment opportunity efforts to ensure that applicants and employees are treated, without regard to their sex, race, color, marital status, national origin, religious affiliation, disability, sexual orientation, gender identity or expression or age Additional requirements are at http //www kingcounty gov/healthservices/health/partnerships/contracts, contractors shall read and certify compliance XV Conflict of Interest A The Contractor agrees to comply with applicable provisions of K C C 3 04 Failure to comply with such requirements shall be a material breach of this contract, and may result in termination of this Contract pursuant to Section I I and subject the Contractor to the remedies stated therein, or otherwise available to the County at law or in equity B The Contractor agrees, pursuant to KCC 3 04 060, that it will not willfully attempt to secure preferential treatment in its dealings with the County by offering any valuable consideration, thing of value or gift, whether in the form of services, loan, thing or promise, in any form to any county official or employee The Contractor acknowledges that if it is found to have violated the prohibition found in this paragraph, its current contracts with the county will be cancelled and it shall not be able to bid on any county contract for a period of two years C The Contractor acknowledges that for one year after leaving County employment, a former county employee may not have a financial or beneficial interest in a contract or grant that was planned, authorized, or funded by a county action in which the former county employee participated during county employment Contractor shall identify at the time of offer current or former County employees involved in the preparation of proposals or the anticipated performance of Work if awarded the Contract Failure to identify current or former County employees involved in this transaction may result in the County's denying or terminating this Contract After Contract award, the Contractor is responsible for notifying the County's Project Manager of current or former County employees who may become involved in the Contract any time during the term of the Contract XVI Equipment Purchase, Maintenance, and Ownership A The Contractor agrees that any equipment purchased, in whole or in part, with Contract funds at a cost of$5,000 per item or more, when the purchase of such equipment is reimbursable as a Contract budget item, is upon its purchase or receipt the property of the County and/or Contract# EHS2326 Page# 7 of 9 federal/state government The Contractor shall be responsible for all such property, including the proper care and maintenance of the equipment B The Contractor shall ensure that all such equipment will be returned to the County or federal/state government upon termination of this Contract unless otherwise agreed upon by the parties XVII Proprietary Rights The parties to this Contract hereby mutually agree that if any patentable or copyrightable material or article should result from the work described herein, all rights accruing from such material or article shall be the sole property of the party that produces such material or article If any patentable or copyrightable material or article should result from the work described herein and is jointly produced by both parties, all rights accruing from such material or article shall be owned in accordance with US Patent Law Each party agrees to and does hereby grant to the other party, irrevocable, nonexclusive, and royalty-free license to use, according to law, any material or article and use any method that may be developed as part of the work under this Contract The foregoing products license shall not apply to existing training materials, consulting aids, checklists, and other materials and documents of the Contractor which are modified for use in the performance of this Contract The foregoing provisions of this section shall not apply to existing training materials, consulting aids, checklists, and other materials and documents of the Contractor that are not modified for use in the performance of this Contract XVIII Political Activity Prohibited None of the funds, materials, property, or services provided directly or indirectly under this Contract shall be used for any partisan political activity or to further the election or defeat of any candidate for public office XIX King County Recycled Product Procurement Policy In accordance with King County Code 10 16, the Contractor shall use recycled paper for the production of all printed and photocopied documents related to the fulfillment of this Contract In addition, the Contractor shall use both sides of paper sheets for copying and printing and shall use recycled/recyclable products wherever practical in the fulfillment of this Contract XX Future Support The County makes no commitment to support the services contracted for herein and assumes no obligation for future support of the activity contracted herein except as expressly set forth in this Contract XXI Entire Contract/Waiver of Default The parties agree that this Contract is the complete expression of the terms hereto and any oral or written representations or understandings not incorporated herein are excluded Both parties recognize that time is of the essence in the performance of the provisions of this Contract Waiver of any default shall not be deemed to be a waiver of any subsequent default Waiver or breach of any provision of the Contract shall not be deemed to be a waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of the Contract unless stated to be such through written approval by the County, which shall be attached to the original Contract XXII Contract Amendments Either party may request changes to this Contract Proposed changes which are mutually agreed upon shall be incorporated by written amendments to this Contract XXIII Notices Whenever this Contract provides for notice to be provided by one party to another, such notice shall be in writing and directed to the chief executive office of the Contractor and the project representative of the Contract# EHS2326 Page#8 of 9 County department specified on page one of this Contract Any time within which a party must take some action shall be computed from the date that the notice is received by said party XXIV Services Provided in Accordance with Law and Rule and Regulation The Contractor and any subcontractor agree to abide by the laws of the state of Washington, rules and regulations promulgated thereunder, and regulations of the state and federal governments, as applicable, which control disposition of funds granted under this Contract, all of which are incorporated herein by reference In the event that there is a conflict between any of the language contained in any exhibit or attachment to this Contract, the language in the Contract shall have control over the language contained in the exhibit or the attachment, unless the parties affirmatively agree in writing to the contrary XXV Applicable Law This contract shall be construed and interpreted in accordance with the laws of the State of Washington The venue for any action hereunder shall be in the Superior Court for King County, Washington XXVI No Third Party Beneficiaries Except for the parties to whom this contract is assigned in compliance with the terms of this contract, there are no third party beneficiaries to this contract, and this contract shall not impart any rights enforceable by any person or entity that is not a party hereto IN WITNESS HEREOF, the parties hereby agree to the terms and conditions of this Contract KING COUNTY City of Kent F FOR King CaMty Executive na re I 0�--,/a Date NAM (Pleas type or print) apoi-OL� Date/ Approved as to Form OFFICE OF THE KING COUNTY PROSECUTING ATTORNEY PHSKC Contract# - Local Hazardous Waste Management Program RECENED Contract# EHS2326 FEB 2 2 2612 Page# 9 of 9 Grant & Contract Services EXHIBIT A CITY OF KENT 2012 SCOPE OF WORK The Local Hazardous Waste Management Plan (hereafter referred to as the "Plan") as updated in 1997 and 2010, was adopted by the partner agencies (King County Solid Waste Division, Seattle Public Utilities, King County Water and Land Resources Division and the Seattle-King County Department of Public Health) and cities located in King County The Washington State Department of Ecology in accordance with RC W 70 105.220 subsequently approved the Plan. The City is an active and valued partner in the regional Local Hazardous Waste Management Program (hereafter referred to as the "Program"). The purpose of this Exhibit is to define the terms and conditions associated with the Program's funding of City activities performed under the auspices of the Plan and as approved by the Program's Management Coordination Committee (hereinafter referred to as the"MCC"). This Agreement further defines the responsibilities of the City and Seattle-King County Department of Public Health with respect to the transfer of Program monies. Scope of Work The City of Kent will organize three citywide household hazardous waste collection and recycling events At these events the following materials will be collected and recycled motor oil, motor oil filters,petroleum based products, antifreeze, batteries, CFCs and other materials if determined to be cost effective. Responsibilities of the Parties The responsibilities of the parties to this Contract shall be as follows: A. The City 1. The City shall develop and submit project proposals and budget requests to the Program's Contract Administrator. Funds provided to the City by the Local Hazardous Waste Management Program pursuant to this Contract shall be used to implement hazardous waste programs and/or services as approved by the MCC. 2. For reimbursement the City shall submit the following to the Fund Manager: a) An invoice (see Exhibit C). Invoices should be sent to the Fund Manager for approval and payment. b) A brief description of activity accomplished and funds expended in accordance with the scope of work. c) Copies of invoices for expenditures or a financial statement prepared by the City's finance department. The financial statements should include vendor names, a description of services provided, date paid and a check or warrant number. EHS2326—City of Kent Page I of 3 ne 3. The City shall notify the Fund Manager no later than December 15a'regarding the amount of outstanding expenditures for which the City has not yet submitted a reimbursement request. 4. It is the responsibility of the City to comply with all applicable county, state and/or federal reporting requirements with respect to the collection and transfer of moderate risk wastes. The City shall report to the Contract Administrator the quantity, by type, of moderate risk waste collected using Program funds. The City shall also provide the Contract Administrator with copies of EPA's Non-Hazardous Waste Manifest or similar form, associated with the transport of moderate risk waste collected through Program-funded events. 5. The City is solely responsible for any and all spills, leaks or other emergencies arising at the facilities associated with the City's events or in any other way associated with activities conducted within the scope of this Contract. In the event of a spill or other emergency,the City is responsible for complying with all applicable laws and regulations 6. The City agrees to appropriately acknowledge the Program in all media produced— in part or in whole—with Program funds The intent of this provision is to further strengthen this regional partnership in the public's mind 7. The City agrees to provide the Program with copies of all media material produced for local hazardous waste management events or activities that have been funded by the Program. The City also agrees to allow the Program to reproduce media materials created with Program money provided that the Program credits the City as the originator of that material. 8. This project shall be administered by Gina Hungerford at the City of Kent, 220 Fourth Ave. S, Kent, at(253) 856-5549, (ghungerford@kentwa.gov) or her designee. 9. Questions or concerns regarding any issue associated with this Exhibit that cannot be handled by the Contract Administrator or Fund Manager should be referred to the LHWMP Program Administrator for resolution. B Seattle-King County Department of Public Health 1. Seattle-King County Department of Public Health shall administer,via the attached Contract, the transfer of Program funds to the City for hazardous waste management events and activities. 2 Within ten(10) working days of receiving a request for reimbursement from the City, the Fund Manager shall either notify the City of any exceptions to the request which have been identified or shall process the request for payment. If any exceptions to the request are made. this shall be done by written notification to the City providing the reason for such exception. The Fund Manager will not authorize payment for activities and/or expenditures that are not included in the scope of work, unless the scope has been amended. The Fund Manager retains the right to withhold all or partial payment if the City's invoices are incomplete (e g. they do not include proper documentation of expenditures for which reimbursement is being requested) or are not consistent with the submitted scope of work. C. Program Contacts Jay Watson Madelaine Yuri EHS2326—City of Kent Page 2 of 3 LHWMP Program Administrator LHWMP Fund Manager 150 Nickerson Street. Suite 100 150 Nickerson Street, Suite 100 Seattle WA 98109 Seattle WA 98109 206-352-8163 206-352-7128 lay watson2km county_gov madelame.yunnkingcounty gov Paul Shallow LHWMP Contract Administrator Seattle, WA 98104 206-263-8487 paul.shallow(a kingcounty gov_ EHS2326—City of Kent Page 3 of 3 EXHIBIT B 2012 BUDGET LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM The City of Kent 220 Fourth Ave S Kent, WA 98032 Component Description Budget Household Hazardous Waste Education Household Hazardous Waste Collection $31,121.55 TOTAL $31,121.55 EHS2326—City of Kent EXHIBIT C 2012 INVOICE LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM From- The City of Kent 220 Fourth Ave S Kent, WA 98032 To Madelame Yuri,LHWMP Fund Manager Local Hazardous Waste Management Program in King County Seattle-King County Department of Public Health 150 Nickerson St, Suite 100 Seattle, WA 98109 Contract#EHS2326 Period of time ,2012 to 12012. In performance of a signed Contract between King County and the City of Kent, I hereby certify that the following expenses were incurred during the above-mentioned period of time. Signature Date Component Budget Current Expenses Previous Charges Balance Description Household Hazardous Waste Education Household Hazardous $31,121.55 Waste Collection TOTAL $31,121 55 For Health Department Use Only Local Hazardous Waste Management Program Approval: Madelame Yun Date EHS2326—City of Kent EXHIBIT D ® CERTIFICATE OF LIABILITY INSURANCE 12/30/ 011(MMIDDATE2011/YYYV) ACORO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER CONTACT NAME Alliant Insurance Services, Inc AHONNo Ext1206-204-9140 205 720 Olive Way, Suite 1700 E-MAIL Seattle WA 98101 ADDRESS cscottQ a ilia nti naUraan Conn — 7INSURERS)AFFORDING COVERAGE NAIC# INSURER Princeton_Excess&Sur Dlus__ 1 786_ INSURED KE583802 INSURER B City of Kent INSURERC 220 Fourth Avenue South INSURER D Kent WA 98032-5895 -- INSURER E INSURER F COVERAGES CERTIFICATE NUMBER'535564288 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YVYV MMOD/YYYY A GENERAL LIABILITY N1-A3-RL-0000069-01 1/1/2012 11/2013 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES Ea occurrence $ CLAIMS MADE LJ OCCUR ME_D EXP(Any one person) $ PERSONAL B ADV INJURY $ -GENERA' AGGREGATE $ GEN'LAGGREGATE LIMITAPPL_IESPER PRODUCTS-COMP/OP AGG $ POLICY PR0. -I LOC g A AUTOMOBILE LIABILITY N143-RL-0000069-01 1/1/2012 11112013 COMBINE _Eaac dent' $5000000 X ANY AUTO BODILY INJURY(Perperson) $ -'ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accidenn $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per acadent g UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- I ER AND EMPLOYERS LIABILITY Y/N T RV ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICERIMEMEER EXCLUDED ❑ NIA (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes describe finder - -- DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Proof of insurance against claims for injuries to persons or damages to property which may arise from or in connection with performance of work pursuant to this agreement by the City, its agents, representatives, employees, and/or subcontractors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Seattle-King County Health Dept Local Haz Waste Mgmt ACCORDANCE WITH THE POLICY PROVISIONS Prog Attn Gloria Kemp-Boyd AUTHORIZED REPRESE TIVE 401 5th Avenue, Suite 1300 Seattle WA 98101 ,ram" ...�:�..." ©1988-2010 ACORD CORPORATION All rights reserved ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD REQUEST FOR MAYOR'S SIGNATURE KENT Please FIII In All Applicable Boxes WASHINGTON Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator �� ��;,� ,r - � -:� Phone (Originator) Date Sent: J Date Required Retui n Signed Document to CONTRACT TERMINATION DATE: VENDOR NAME: /` �� V DATE OF COUNCIL APPROVAL: -y_ Brief Explanation of Document- C S/cCc �� �`�c / SIC 1il2( YG r RECEIVED All Contracts Must Be Routed Through the Law Department Com Meted Gv the La Department) ;[4' Kent Received: ( ve of the Mayor Altoj Approval of Law Dept.: FEB a 3 2012 4WAI Law Dept Comments KENT LAW DEPT Date Forwarded to Mayor: Shaded Areas to Be Completed by Administration Staff Received: Recommendations & Comments: ' �" L -J Disposition: TI IL rrtt Date Returned: yZ Iage`3870 i/OS