HomeMy WebLinkAboutCAG2021-322 - Original - S.K. Consulting - Monitoring Services - Emergency Management Performance Grant No. E21-125 - 07/12/2021KENT
Agreement Routing Form
For Approvals, Signatures and Records Management
This form iombines & replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)WAsHrNoro*
?
oLce
Originator:
Robert Goehring
Department:
Finance
Date Sent:
0710912021
Date Required:
0712612021
Authorized to Sign:
EI Director or Designee [J Mayor
Date of Council Approval
NIA
Budget Account Number:
10009000.64190.2155
Budget? EYes ENo
Grant? E Yes El No
Type:
tro
iP
IE
ELora-
E
*tco
EooL
UI
Vendor Name:
S.K Consulting
category:
Contract
Vendor Number:
1251611
Sub-Category:
Original
proiect 11ur". Monitoring Services - Emergency Management Performance- Agreement No. E21-125)
Grant (Grant
^ .. The City is required to perform grant monitoring activities designed to ensure that
PrOJeCt lJetailS:met. The City does not have the pre-requisite knowledge or expertise to perform
EMPG grant requirements are
these monitoring services.
Agreement Amount: $ 1,500.00
srart Date; 0110112021
Basis for Selection of Contractor: Other - V/A
Termination Date: N/A
Local Business? EYes E No*
*!f meets requirements per KCC 3.70.100, ptease complete "Vendor Purchase-Local Exceptions" form on Cityspace.
Notice required prior to disclosure?
DYes E No
Contract Number:C\hzozl- 322
olc
{J)\ro
asagE,it!c
.9UI
Date Received by City Attorney:Comments:
Date Routed to the Mayor's Office:
Date Routed to the City Clerk's Office:t2 2l
adcw22l7l_l_?0 Visit Documents.KentwA.gov to obtain copies of all agreements
KENT
WA 5 H I N G T o N
CONSULTANT SERVICES AGREEM ENT
between the City of Kent and
S.K. Miller Consulting
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and S.K. Miller Consulting organized under the laws of the State of Washington,
located and doing business at 610 H Street Northeast, Auburn, WA 98002 (253) 293-578L (hereinafter
the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following
described plans and/or specifications:
The Consultant will perform subrecipient monitoring services as identified Exhibit A with
respect to the Cityis Emergency Management Performance Grant (hereafter "EMPG),
identified as Grant Agreement No. E21-125 which is attached as Exhibit B, both Exhibits
which are incorporated by this reference.
Consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement, Consultant shall complete the
work described in Section I and provide the monitoring reports to the City by forty-five (45) days each
time after the puget Sound Regional Fire Authority has submitted a reimbursement request to the
Washington State N4ilitary Department under Grant Agreement No. E21-125, effective January t,2021-
III. COMPENSATION.
The City shall pay the Consultant, based on time and materials, an amount not to exceed
$1,500, plus applicable Washington State sales tax, for the services described in this
Agreement. This is the maximum amount to be paid under this Agreement for the work
described in Section I above, and shall not be exceeded without the prior written
authorization of the City in the form of a negotiated and executed amendment to this
agreement. The Consultant agrees that the hourly or flat rate charged by it for its services
contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1)
year from the effective date of this Agreement. The Consultant's billing rates shall be as
delineated in Exhibit A.
The Consultant shall submit a written invoice to the City for the cost of the services
provided pursuant to this Agreement after each related monitoring report for the Grant
Agreement has been provided to the City, The City shall provide payment within forty-five
(4S) Oays of receipt of an invoice. If the City objects to all or any portion of an invoice, it
inait notify the Consultant and reserves the option to only pay that portion of the invoice
not in dispute. In that event, the parties will immediately make every effort to settle the
disputed portion,
A.
CONSULTANT SERVICES AGREEMENT - 1
($20,000 or Less)
B
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Consultant has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement,
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and earnings of
its business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement. After termination, the City may take possession of all records and data within the
Consultant's possession pertaining to this project, which may be used by the City without restriction. If
the City's use of Consultant's records or data is not related to this project, it shall be without liability or
legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age/ sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
person who is qualified and available to perform the work to which the employment relates. Consultant
shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with
City Administrative Policy !.2, and upon completion of the contract work, file the attached Compliance
Statement.
VII. INDEMNIFICATION, Consultant shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification'
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.tLs, then, in the event of liability for damages arising out of bodily injury to persons or damages to
property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers,
officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent
of the Consultant's negligence.
CONSULTANT SERVICES AGREEMENT - 2
($20,000 or Less)
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then-Consultant stratt pay att tne City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Consultant's Part.
The provisions of this section shall survive the expiration or termination of this Agreement'
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit C attached and incorporated by
this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the
work under this Agreement.
x. owNERsHIp AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings,
designs, reports, or any other records developed or created under this Agreement shall belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded
by the Consultant. Consultant shall make such data, documents, and files available to the City upon the
City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records
Act codified in Chapter 42.56 of the Revised Code of Washington, As such, the Consultant agrees to
cooperate fully wittr the City in satisfying the City's duties and obligations under the Public Records Act.
The City's use or reuse of any of the documents, data, and files created by Consultant for this project by
anyone other than Consultant on any other project shall be without liability or legal exposure to
Consultant.
xI. clTy's RIGHT OF INSPECTION. Even though consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion'
xII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work'
XIII. MISCELLANEOUS PROVISIONS.
A. Recvclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable' A price
preference may be available for any designated recycled product'
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C, Resolution of Disputes and Governinq Law. This Agreement shall be governed by and
construed in accordince with the laws of the State of Washington. If the parties are unable to settle any
CONSULTANT SERVICES AGREEMENT - 3
($20,000 or Less)
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, differenCe or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiition of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
partiel' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by lSwf provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section VII of this Agreement'
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary' Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void, If the non-assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be
made without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Consultant.
G. Entire Aqreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Comoliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those operations.
I. public Records Act. The Consultant acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents,
notes, emails, and other records prepared or gathered by the Consultant in its performance of this
Agreement may be subject to public review and disclosure, even if those records are not produced to or
possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act'
J. City Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code.
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CONSULTANT SERVICES AGREEMENT - 4
($20,000 or Less)
//
K. Counterparts and Siqnatures bv Fax or Email. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, and all of which will together constitute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that signature shall have the same force and effect as if the Agreement
bearing the original signature was received in person'
IN WITNESS, the padies below execute this Agreement, which shall become effective on
the last date entered below.
Un thls field, you may enter the eledronlc filepath where the contract has been savedl
CONSULTANT SERVICES AGREEMENT. 5
($20,000 or Less)
CONSULTANT:
By
Print
Its:
me:
f-o^l
(titte)
DATE
CITY OF KENT:
By
(signature)
Print Name
Its:
Paula Painter, CPA
Finance Director
IDATE:
NOTICES TO BE SENT TO:
CONSULTANT:
Sarah K. Miller
S.K. Miller Consulting
610 H Street Northeast
Auburn, WA 98002
(253) 293-57 Bt (telephone)
(facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Robert Goehring, City Auditor
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5262 (telephone)
(253) 856-6255 (facsimile)
3
DECLARATION
crw oF KENT EQUAL EMPLOYMENT OPPORTUNTTY POLTCY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
direciives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
Z. During the time of this Agreement I will not discriminate in employment on the basis of
sex, race, color, national origin, age, or the presence of all sensory, mental or physical
disability.
During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
By:
For:
Title:C)4^/(&
Date:
4
5
q
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: L2 EFFECTIVE DATE: JanuarY 1, 1998
SUBJECT:
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to g10,000 or more within any given year, must take the following affirmative steps:
1, Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer'
Z. Actively consider for promotion and advancement available minorities and women'
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the r.egulations and the City's equal employment opportunity
policy.
Z. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
MINORITY AND WOMEN
CONTRACTORS
SUPERSEDES: April 1, 1996
APPROVED BY Jim White, MaYor
EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNTW COMPLTANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date) between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
CONSULTANT SERVICES AGREEM ENT
Scope of Work and Price ProPosal
EMPG Grant Agreement Number E2l"'1'25
Consultant Services Agreement
S.K. Miller Consulting
May L9,2O2L
Robert A. Goehring
City Auditor
City of Kent
220 Fourth Ave. S
Kent, WA 98032
of nt
Mr. Goehring,
I'm pleased to submit this Scope of Work and Price Proposal pursuant to your
request for an EMPG grant subrecipient monitor'
My company proposes to do the following
Provide a qualified subject matter expert with previous experience as both an
EMPG Administrator and an EMPG Subrecipient Monitor.
Conduct grant monitoring of entities that the City of Kent passes EMPG
monies through to.
Verify that grant activities conform to laws, rules, and procedures that are
specific to the EMPG grant program. This will be done through:
o Review of performance rePorts
o Monitoring and documentation of completed agreement deliverables,
to include review of exercise after-action reports, training records,
funded event reports, purchases, personnel expenditures, and other
performance items listed in the grant agreement
o Review of documentation required to address all of the above,
including e-mails, documented phone calls, invoices, training and
exercise rosters, etc,
o On-site visits as necessary (and subject to COVID protocols) to view
equipment and other items that cannot be provided electronically.
Provide monitoring services no more than two (2) and not less than two (1)
times per EMPG grant cycle, to coincide with established EMPG reporting
requirements.
Create a report, to be delivered to the City of Kent, which details whether
grant provisions have been met. Please note that recommendations related
to the monitoring findings will not be made. If deficiencies are found, they
will be specifically noted, however no corrective action recommendations will
provided.
a
a
a
a
a
Il?ag,*
For these services, my company will charge a flat fee of $1500 for each EMPG
grant cycle, to be paid upon completion of the final monitoring report, This fee is
inclusive of all vehicle use, mileage, tolls, office space, supplies, and any other
costs that may be associated with carrying out the activities specified above'
Thank you forthe opportunity to submit this proposal. If you have any
questions, please contact me via e-mail at saral]@skmillercon".?ultinS,ctm or via
phone at253-293-5781.
Sincerely,
{?mxdeq
vilhrrah K.
Principal
217 *g*
EXHIBIT B
CONSULTANT SERVICES AGREEMENT
Grant Agreement
EMPG Grant Agreement Number E21''L25
Consultant Services Agreement
S.K. Miller Consulting
Washln gton State Mllltary Depafiment
AGREEMENT
3. Granl Agreement Numbet:
E21-125
2. Grant Agreement Amount:
$71,193
L Subrecipient Narne and Address:
Kenl, City of
Emergency Management Dlvision {EMD}
220 4th Ave S
Kent, WA 98032-5838
6. Grant Agresm€nt End Dale:
August 31,2021
5. Grant Agreement Start Date:
Juno 1, 2020
4. Subrecipiant Contact, phone/emait:
Paula Painter, 253{56-5260
ooalnier@kentwa.qov
9, UBI # (state revenue):
173.{t00-002
8, Data Universal Numbering System (DUNS):
020253813
7. Department Contact, phone/email
Gary Stumph, 253-512-7483
qa ry.stumph@mil.wa.gov
(DHS)10. Funding Aulhority:
(the "and the U.S. Deoartmont of HomelandWashlnoton Stats Military
s * (formerty CFDA)& Title:11. Federal Funding ldentification #:
EMS.2020.EP-00002€01 't6. EtN:
er{00t254
15. Program lndex# & OBJ/$UB-OBJ:703PT I'lZ
14. Total Federal Amounl:
37.550.758
1 9. Women/Minority-Owned, State
Certified:8Nte Druoil ves,oMWBE
18. Service Area by CountY(ies):
Klng
17. Service Districts:
(BY LEGISIATIVE DISTRICTI: 11, 33, 47
(BY CONGRESSI0NAL DISTRICT): 8,I
21. Contract TYPe (check all that
D Contract El Grant
I lntergovernmental {RCW
EI Agreementfl lnteragency ,39.34)
apply):20. Agreement Classification:
il Personal Services n Client
f] Research/Development
Services I Puolic/tocal Gov't
D rue E oiher'-
Subrecipient Type (check ell that apply):
I Private Organizationilndividual lJ For-Profit
X puUtlc organization/Jurisdiction D Non-Profitn corurRRbron El sueREclplENT n orHER
22. Subrecipient Selection Process:
I "To attwho apply & qualiff" il Competitive Biddingfl sote source fl rue ncw D nn
fl ribo w/oFM? [ Advertised? n YEs D tto
tho6e programs as described in the Work Plan.
The Department is the Reciplent and Pass-through
S01, which ls incorporated in and attached herelo
EMS-2020-EP40002-AwardDHS No.for GrantLettertheof2OEMPGEntlty
fundsaward lhetoandmadahassubawardaFederalofasFAttachment
ofu5e awardFederal fundstoaccountabletheforThsisDeparimentthistoSubrecipientpursuantAgreement.Subrecipient
funds.
or to bind hereto.
hereof,
Sheet;
of referencedallandtermsthisincludinglheAgreement,andrtment acknow'ledge acceptthBDepaIN
datethe below.executedhave this ofasandinmadeandAttachmenlssndarewhichhepartAgreementExhibitsrebyincorporated
PlanWorkConditionsTermsGeneralB);and&Terms Conditions {Attachment(Attachment A);This Face SpecialAgreement
allandEMS-2020-EP-00002-S0'lLetter F)l(AttachmentAwardTimelineE);20EMPG(Attachment BudgetD);(Attachmenic);(Attachment
the andallcontaintermstheconditionsandparlies govemandrefurencedhereinuponagreedbydocumentsotherincorporatedexpressly
ofmattertheororal lhisregardingothen'vise,subjectNootharlhistounderstandings,and lheof parties Agreement.the dghts obligations
ln the eveni of an incqnsistency in this Agreement, unless otherwise provided herein,
precedence in the following order:
l. Applicablo Federal and State Statutas and Regulations
2. DHSTFEMA Award and program documents
4. SpecialTerms and Conditions
5, General Terms and Conditions, and'
6- Other orovislons of the
the inconsistency shall be resolved by giving
incorooreted by rafsrcncs3. Work Plan. Tlmeline. and Budgat
hereto have
of Kent
THE
I
DateSignature
Date
on the day andyear
FOR THE
1212212020
Date
Anne Hesse, Chief Financial Ofiicer
Monis, Fire Chief, City of Kent
{if applicable);
Washington State Military Department
BOILERPLATE APPROVED AS TO FORM:
Brian E. Buchholz 4l23l2O2A
Sr. Assistant Attomey General
DHS-FEMA.EMPG.FY2O Page 1 of 34 City of Kent EMD, E21-125
Gary StumphNamePaul PainterName
CoordinatorTitleFlnance DlrectorTitle
gary.stumPh@mil.waE-MailE-Mail
253.512-7483Phone253{56-5260Phone
NameMorrisName
TitleFlre ChlefTitle
E-MailE-Mail
253-512-7456Phone253-8564311Phone
NameNameJeff DlDonato
TitleTitleEM Divislon C
E-MailE-Mail
Phone253.8564345Phone
Namenifer KeizerName
TitleTitleEMPCoordinator
E-MailE-Mail
PhonePhone253-8564342
Attachment A
SPECIAL TERMS AND CONDIT]ONS
ARTICLE I. KEY PERSONNEL
The indivldual* listed below shail be c*nnidered. key personnel fCIr point of contact under this.Agreement' -Any
substituticn cf teey personnet by either Ba*v-dtiil'bt 'iuo-,;
6v *'itie?-noiincation to the current kby personnel'
SUBRECIPIENT
ARTICLE II. ADMINISTRATIVE AND/OR FINANCIAL REQUIREMENTS
The subrecipient shall comply with all applicable state and federal laws, rules, regulations, requirements and
program guidance identilied or rafereneeo in ttris Agreem*nt.and the infonnatisnal dfi$trlrJentg pr*blished by
DHS/FEMA applicable to the zcFMpG irogru*, in'ctucing,*uul net limited to, all criteria' restrictian*, and
requirements of rhe'n*p*rr**ni of l-tomeiai* se*urity {Dn$i Notice of Funding sppartunity (Ns'Fo} Fi*cal
year {Fy}, ZSZ0 Fmergency Manag***oi t*o#ans's eranl 1eg3,9l,q1utrT:Jhe FEMA Fr*paredness
Granrs Manuar dscume*r, rhe DHs n**ie i;il; i;ibFnl'ry; HM$:2020-HP's00s2-s01' and th* federsl
regulations commonly applicabte to pH$fFiMA gi"ni", all of which are incorporated herein by reference' The
OfrS nward Letter is incbi'porated in this Agreernent as Aftachment F.
Th* $ubreciplent ackngwledg*r that $inas thi* Agreem**t involves faderal rward funding. the peformance
p*riod descrtbed n"r*i* nrav fegin priar t+ flre avaiii*irig at appropriated fotar*t funds" The $ubrecipient agrees
that tt will not rroru gre oepa*mint, the state of washingtan, or the lJnilad stales liable ftr any demages, claim
for reimbursement, or any type of payment whatsoever for serviees perfarrned. undor this Agre*ment pricr to
distribution of appropriatei rederat iunds, or if federal funds are not appropriated or in a particular amount'
A, STATEANDFEDERALREQuIREMENTSFoRDHSIFEMAPREPAREDNESSGRANTS:
The folowing ;quii**ents apply
-io ,l DHS/FEMA Preparedness Grants administered by the
Department.
1. SUBAWARDS & CONTRACTS BY SUBRECIPIENT
a. The Subrecipient must make a case-by-case determination whether each agreement it
makes for the Oisnursement of 20EMpG funds received under this Agreement casts the
party ie"eiuing the funds in the role of a subrecipient or contractor in accordance with 2
cFR 200.330.
b. lf the subrecipient becomes a pass-through entity by making a subaward to a non-federal
entity as its subreciPient:
i. The subrecipient must comply with allfederal laws and regulations applicable to
pass-through entities ot zoErupg funds, including, but not limited to' those
contained in 2 CFR 200.
DHS-FEMA-EMPG-Fy20 Page 2 of 34 Citv of Kent EMD' E21-125
ii. The Subrecipient shall require its subrecipient(s) to comply with all-appll":O]*
state and federal laws, rules, regulations, requirements, and program guldance
identified o, i"i*r"n"eO in ifris-ngreement and the informational documents
pubtished OV OiSffffVfA applicabl6 b the 26EMPG Program, including, but.not
limited to, all criteria, resirictions, and requirements of The Department of
Homeland security (DHS) Notice of Funding opportunity,uo^fo^) Fiscal Year
{Fy} 2020 emergendy Management Performince Grant (EMP-G) document, the
DHS Award leu6rfofCrant tio. EMS-2020-EP-00002-S01 in Attachment F, and
the federalregulations commonly applicable to DHS/FEMA grants'
iii. The Subreoipient shall be responsible to the Department for ensuring that all
29EMPG teOeiat award funds provided to its subrecipients, and associated
matching funds, are used in accordance with applicable federal and state
statutes and regulations, and the terme and canditions of the federal award set
forth in Attachment F of this Agreement'
2. BUDGET, REIMBURSEMENT, AND TIMELINE
a. Within the total Grant Agreement Amount, travel, subcontracts, salaries, benefits, printing,
equipment, and other dooOs and services or other budget categories will be reimbursed
on ai..' "ctu"l
cost basis"upon completion unless otherwise provided in this Agreement'
b, The maximum amount of all reimbursement requests permitted to be submitted under this
ngiee;ent, including the finat reimbursement iequest, is limited to and shall not exceed
the total Grant Agreement Amount'
c. lf the Subrecipient chooses to include indirect costs within the Budget (Attachment E),.an
indirect cost rate "g*urunf
n"gotint"U between the federal cognizant ry9ryJ 3ll ll"
suurdpi"nt establisning approriea indirect cost rate(s) as d*escribed in 2 CFR 200'414
anJ npienoix Vll to z drn 200 must be submitted to the Department Key Personnel'
xo**uur, under 2 crn zoo.+14 (0, if the subrecipient has never received a negotiated
indirect cost rate agreement estiniisning federally negotiated.rate(s),-the^subrecipient
may negotiate a rate with the Departmen[or chargb a d-e minimis rate of 10% of modified
total direct costs. The Sunr".ipldnfr actual indirect cost rate may vary from the approved
rate but must not **.*LJ th*'upprou"d negotiated indirect cost rate percentage for. the
time period of the expenditures. it a Sunreiipient chooses to charge the 10% de minimis
fr:;r#,$l*l:J}}:fi #:ti,i;f-ii#ffi
'rb'";:i?rTift .iF$:n"::rrr"'1*1
d
[T' Jfi,f,|:i;5ii::,'-ii,'J:SfJl.iTJl,ff#['1"X3'f -":&3?!'X'.1 #dH|q. iS':X
now existing or amenueJ,lno t"a*t"i maximum rates set forth at ht't$:{u4@*gsaggl' and
follow the most restrictive. lf travel costs exceed set state or federal limits' travel costs
shall not be reimbursed without written approval by Department Key Personnel'
e. Reimbursement requests will include a properly completed.State A-19 lnvoice Form and
Reimbursement SpreJsneet 1in the format p'r'ovided b.V fhe Department) detailing. the
"*p*nOitutts
tor whicn reimbursement is sought' Reimbursement requests must be
submitted to Reimbur.sements@mil.v{a.aav no iater than the due dates listed within the
Timeline (Attachment D).
Reimbursement request totals should be commensurate to the time spent processing by
the Subrecipient and the Department.
f. Receipts andlor backup documentation for any approved items that are authorized under
this Agreement must G maintained by the SuUrbbipient consistent with record retention
i*qritEt"nts of this dgieement and b-e made available upon request by the Department
and auditors.
g. The Subrecipient must request prioJ written approval from Department Key Personnelto
waive or extend a due daie in tl6Timeline lAtiachment D) and, once approved, submit
DHS-FEMA-EMpG-Fy20 Page 3 of 34 Citv of Kent EMD' E21'125
3.
those costs on the next scheduled reimbursement due date contained in the Timeline'
waiving or missing deadlines serves "t an indicator for assessing an agency's level of
risk of non*n*Ji"il"" *ittitni iegulations, requirements, and the tCrms and conditions of
the Agreemont and may increasugequired m-onitoring.activities' Any request for a waivar
or extension of a due date in tne firn'efine will be treited as a request for Amendment of
the Agreement. This request must be submitted to the Department Key Personnel
sufficiently in advance of the Oue Uaie to provide Sdequate time for Department review
andconsiderationandmaybegran;dordeniedwithintheDepartment'ssolediscretion'
h. All work under this Agreement must end on or before the Grant Agreement End Date' and
the final reimbursement request ruJ b* submitted to the Departmenl within 45days after
the Grant Agreement End Date, eicept as otherwise.authorized by either (1)written
amendment oi ini* Agreement or (2) written notification from the Depadment to the
subrecipient to piouiaJaooitionattimefor completion of the subrecipient's proiect(s)'
i. No costs for purchases of equipmenflsupplies will be reimbursed until the related
equipment/supplies have been received by the Subrecipient' its contrastcr' or any non-
federal entity tJwfri"f, tf," Subrecipient nraftes a subawald and is invoi*ed by the vendor'
j. Failure to submit timely, accura.te,.and complete reports and reimbursement rsq6*$t$ as
required ov tnis igre"i-'uniir.ruding, b,.,t not ti*it*b to, those reports in the Timeline) will
prohibit tfre SuUr[cipient from bein['reimbursed until such reports and reimbursement
requests are sunmitted and the Depirtment has had reasonable time to conduct its review'
k. Final reimbursement requests will not be approved for payment until the subrecipient is
current with all reporting requirements contained in this Agreement'
l. A written amendment will be required if the subrecipient expects cumulative transfers to
budgel.rr*Sor;,lt i;*ntiluJ ili th. Au*gX (Attachment E), to exceed 1070 of the Grant
Agreement emount. Any changeu in fu4?ut'catggsry totals not in compliance with this
p$r"graFt, willnct be reimburse} without approvalfrom the Department'
m. Subrecipients shall only use federal award funds under this Agreement to supplement
existing funds and wlll ntt use thsm ts {sslsc* {$ilpplant} narFfeder*t fundo that have been
budgnted tor tnl same purpo$€. Tf1e S*nrecibient may be reguired !o demcnstrate and
document tnui.a reauction'in ncn-f*deral r**+urccs asluned fot raatoRs other than the
receipt or expected receipt of federal funds'
REPORTINGa" with eaeh reimbursernent request, the subrecipient shall report how the expenditures' for
which reirnb-;;;;'; "oudnt,
tbiut. ro the work Plan (Attachment c) activities in the
format Provided bY the DePartment'
b. With the final reimbursement request, the Subrecipient shall submitto the Department Key
personnel a tinal report describing all completed activities under this Agreement'
c. ln conjunction with the final repofi, the subrecipient shallsubmit a separate report detailing
how the Erurpc iraining requirements were met for all personnel funded by federal or
maiching funds under this Agreement'
d. The subrecipient shall comply with the Federal Funding Accountability and Transparency
Act (FFATAI anJrefaieo Ofrrrg cuiO;nce consistentwith Public Law 109-282 as amended
by section G202(a) of Public l-aw t iO-ZSz lseu U !,S:c' 6101 note) and complete and
return to rn" o"pritt*ent an Audit Certificatior/FFATA Form' This form is required to be
completed once per calendar v""t, p", subrecipient, and not per agreement' The
Department', conir""t* office wirr reqriest ihe*subiecipient submit an updated form at the
beginning or eacn calendar year in *ni"n ilt* subrecipient has an active agreement'
e. The Subrecipient shall participate in the State's Stakeholder Preparedness Review (SPR)'
Threat and Hazard ldentification and Risk Assessment (THIRA)' core capabilities
assossments, and data calls'
DHS-FEMA.EMPG-FY2O Page 4 of 34 City of Kent EMD, E21'125
4. EQUIPMENT AND SUPPLY MANAGEMENT
a. itre Sunrecipient and any non-federal entity to which the Subrecipient makes a subaward
shall comply with 2 CFi 200.318 - 200.326 when procuring any equipmen-t
-or ilqplies
under thisAgreemant, 2 CFR 200.313 for management of equipment, and 2 CFR 200'314
for management of supplies, to include, but not limited to:
i. Upon successful completion of the terms of this Agreemenl, all equipment and
supplies purchased through this Agreement will be ovrned by the Subrecipient,
or a recognized non-fed-eral entity to which the Subrecipient has made a
subaward,-for which a contract, Subrecipient grant agreement, or other means
of legal transfer of ownership is in place.
ii. All equipment, and supplies as applicable, purchased under this Agreement will
be recorded and maintained in the subrecipient's inventory system.
iii. lnventory system records shall include:
A. descriPtion of the ProPertY
B. manufacturer's serial number, model number, or other identification
number
c. funding source for the equipment, including the Federal Award
ldentification Number {FAIN)
D. Assistance Listings Number (formerly CFDA Number)
E. who holds the title
F. acquisition date
G. cost of the equipment and the percentage of federal participation in the cost
H. location, use, and condition of the equipment at the date the information
was rePorted
L disposition data including the date of disposal and sale price of the
ProPertY.
iv. The $ubrecipient shall take a physical inventory of the equipment, and supplies
as applicabli, and reconcile the results with the property recordl at.leasl once
every two years. Any differences between quantities detarmined by the physical
inspection" and thoie shown in the records shall be investigated by the
SuLrecipient to determine the cause of the difference. The $ubrecipient shall, in
connection with the inventory, verify the existence, cunent utilization, and
continued need for the equiPment.
v. The Subrecipient shall be responsible for any and all operational ?nd
maintenance expenses and for the safe operation of their equipment and supplies
including all questions of liability. The Subrecipient shall develop appropriate
maintenance schedules and procedures to ensure the equipment, and supplies
as applicable, are well maintained and kept in good operating condition.
vi. The Subrecipient shall develop a control system to ensure adequate safeguards
to prevent loss, damage, and thefr of the property. Any loss, darnage, or theft
shall be investigated, ind a report generated and sent to the Department's Key
Personnel.
vii. The Subrecipient must obtain and maintain all necessary certifications and
licenses for the equiPment.
viii. lf the Subrecipient is authorized or required to sell the property, proper sales
procedures must be established and followed to ensure the highest pos_sible
return. For disposition, if upon termination or at the Grant Agreement End Date,
when original or replacement supplies or equipment acquired under a federal
DHS-FEMA-EMPG-FY20 Page 5 of 34 Citv of Kent EMD' E21-125
awardar€nolongerneededfortheoriginalprojegtorprogramorforother
activities ,urr*nitytt previously supportei by a iederal awarding agency' the
Subrecipient must comply with the following procedures:
A' For Supplies: lf there is a residual inventory of unused supplies exceeding
$5,000 i; total aggregate yalu* upon tennination sr cnmplelirn.ol. th6
project oi progr#;ni tnu sJppties are not needed far any other federal
award, ifraSuirecipicnt must re'tain *t* supplies for.use on othsr actlvljles
or sell them, but mu$t, in either G8sa, cs{T}pen**t* the federsl governrnent
for its snare. }n" "*ount
of compensation must be computed in the same
manner as for equiPment'
B. For EquiPment:
1) ltems with a current p*r-unit f*ir'market.value of $5'000 or less may
ne retaineO, ssld, or*therurise disposed of with no further obligation
to the federal awarding agency'
2) ltems with a current per-unit fair-market value in excess of $5,000
*iv o* retained or sold. The $ubre*ipient shall compensate the
fedlral awarding agency in accordance with the requirements of 2
cFR 200'313 (e)(2)'
ix. Records for equipment shall be retained by the Subrecipien! for.3 period of six
v*J* ir** trre'c6te of the dispasition, replacement, er transfcr' lf any litigation'
claim, er *ueii iili"*"; #-* the expiritiol gi-th?" *ix'vear ptriod, th.e reeards
shall be r*ain*aIy in" sun***ipient until all litigation, claims, or audit findings
involving the records have been resolved'
b. The S$bre*ipient shall comply with the Department's Purchase Review Process, which is
incorporated by reference inO maOe part of this Agreement. No reimbursement will be
pruil*O ,ntes! tre appropriate approval has been received-
c. Allowable eatsga1es for the EMPG Program are listed an the Authoriaed Equiprnentlist
(AHL) lonated cn the tEMt **b*it*
is important that the suUreeipient anO angfin-t*Cerat enii$ t* whi+h the $ubrecipient
makes a subaward 1.ug"ro tire AEL as an authorized purchasing list identifying items
allowed under the specific grant pr*gram and includes items that may not be-categorized
as equipment according to the {ederal, state, local, and tribal definitions of equipment'
The subrecipient is -"[ri- t""pon*ilr" for ensuring and documenting purchased items
under this Agreemeni are'authorized as allowed items by the AEL at time of purchase'
lf the item is not identified on the AEL as allowable under EMPG, the Subrecipient must
contact the Departm*nt r"v personner for assistance in seeking FEMA approval prior to
acquisition.
d. Unless expressly provided othgnruige, all equip_m9nt mu*t mest all mandatory regulatory
and/or DH9iFEMA "d;i;i;dncargs ta ui etigiote for purchase using fsderal award
funds.
e. The subrecipiertt must p8s$ on equipment and supply manesement requirements that
;;;i;;;!!$x in" ;;qffi;1ngnts iuilinac above ti any non-federal entitv to which the
SuUrecipient makes a subaward under this Agreement'
S.ENVIRoNMENTALANDHISToRICALPRESERVATIoNa. The Subrecipient,stratl en$ilre full c*mpliance wilh .tne DH$/FFMA fnvironrnental
planning and nistoric-pt***ution {EHpi ptogiam'. El"lP.program informat.ion ean b*
found at http$li&.iema.ao#environ{nenlAlplanninl'${'d-Fists. fic-nr.*-servati$-
**pri"n'u attotade a partof this Agreement.
b,Projectsthathavehistoricalimpactsorth*pctenli"|j?]Tt.?ttheenvironment,inclr.lding,
but not limited to, construction of eommunieation towers; modification *r rencvatiqn of
existing buildings, stiuctures and facillties; or new construction including replacement of
DHS-FEMA-EMPG-FY20 Page 6 of 34 Gitv of Kenl EMD' 821-125
6.
7
facilities, must participate in the DHS/FEMA EHP review process prior to initiation'
Modification of lxisting buildings, including minimally invasive improvements such as
attaching monitors to iiterior wills, and training or exercises occurring outside in areas
not considered previously disturbed, also require a DHS/FEMA EHP review before project
initiation.
c. The EHp review process involves the submission of a detailed project description that
includes the entire scCIpe of work, including any alternatives that may be under
consideration, along with supporting documentalion so FEMA may determine whether the
proposed prqect tias the i6tential to impact environmental resources and/or historic
ProPerties.
d. The Subrecipient agrees that to receive any federal preparedness funding, all EHP
comptiance ;"qriir-ri*nts outlined in applicable guidance must be met, The EHP review
pro"b*" must lire completed and FE[riR approval received by the Subrecipient before
any work is stirted for which reimbursement will be later requ€sted' Expenditures for
projects started before compleiion of the EHP review process and receipt of approval by
the Subrecipient will not be reimbursed-
PROCUREMENTa" The $ubrecipient shall comply with all procurement requirements of 2 CFR Part 200.318
through ZOO.326 and as "p*"ifi*O
in the General Terms and Conditions (Attachment B'
A.10).
b. For all sole source contracts expected to exceed $250,000, the $ubrecipient must submit
to the Department for pre-procurement review and approval the procurement documents,
such as ,*qr*.i* ioi pioposals, invitations for bids and independent cost estimates. This
requirement must be passed on to any non-federal entity to which the Subrecipient makes
a subaward, "t *hi"h point the $ubrecipient will be responsible for reviewing and
approving sole source justifications of any non-federal entity to which the Subrecipient
makes a subaward.
SUBRECIPIENT MONITORING
a. The Department will monitor the activities of the Subrecipient from award to closeout. The
goal of the Department's monitoring activities will _b.e to ensure that agencies receiving
iederal pass+niough funds are in cimpliance with this Agreement, federaland state audit
requirements, fedlral grant guidance, and applicable federal and state financial
regulations, as well as 2 CFR Part 200 Subpart F'
b" To document compliance with 2 CFR Part 200 Subpart F requirements, the Subrecipient
shall complete and return to the Department an Audit Cerlification/FFATA form This form
is required to be completed once per calendar.year, per subrecipienl and not per
agreement. fne nepariment's Contiacts Office will request the Subrecipient submit an
u[OateC form at the beginning of each ca]endar year in which the Subrecipient has an
active agreement.
c. Monitoring activities may include, but are not limited to:
Review of financial and performance reports
Monitoring and documenting the completion of Agreement deliverables
Documentation of phone calls, meetings {e.g. agendas, sign-in sheets, meeting
minutes), e-mails and correspondence
Review of reimbursement requests and supporting documentation to ensure
allowability and consistency with Agreement work plan, budget, and federal
requirements
Observation and documentation of Agreemant related activities, such as
exercises, training, events, and equipment demonstrations
l.
ii.
iii.
tv
DHS-FEMA.EMPG.FYzO Page 7 ol 34 City of Kent EMD, E21-125
8"
L
vil#d.JF$xix';i$isiHi'#iltJ::iJix.Tl''iH,*::"'L;"-'::li?Ji:;?;
d. The Subrecipient is required to meat or exceed the monitoring activities, as outlined
above, fot'
"nV
non+edeial entity to whieh the Subrecipient makes a subaward as a pass-
through entity under this Agreement'
e, Compliance will be monitored throughout the performance period to assess risk'
concerns will be addressed through a conective Action Plan'
LIMITEDENGusHPRoFIGIENCY(clvlLRIGHT$AcToF1964T|TLEvl}a. The Subrecipient must **ply r"itn the Title Vl of the Civil Rights Ac! 9f 1964 (Title Vl)
prohibition against discrimination on the basis of national origin, which requires that
Sunre"ipield of tederal financial assistance take reasonable steps to provide meaningful
"*.uu,
lo-per$ons with limited English proficiency {!f!)to their.programs and services'
providing -meaningfut access foi persons with LEP may entail providing language
assistance services, includinjoral interpretation and written translation' Executive Order
13166, iriii*iiig A""r*i to dervices foi Perscns with Limited English Proficiency (August
11, 200bi: *quir". federat igencies to issue guidance to recipients, assisting such
organizations ino entities in-inOersfanding their language-accesj obligations' DHS
published the requireO recipient goigan***in..April 2-011, DHS Guidance to Federal
Financiat Assistance Recipi|nts nigarding Title Vl Prohibition Against National Origin
Discrimination etrecting r-imiiJEngish Pioficient Persons, 76 Fed. Reg' 21755-21768'
(April 1,s, g011). The Guidan"u proiid"s helpful inform*ticn *uch as how a recipient can
oetermin+ tbe sxtent of its obllgation, io provide langu*ge gervicel, selecting language
seruices- dd-+lemente of an:e$etive pui on langudge aeslstanee for LEP p*rsons' For
additional assistance anO intoimation regarding tanguige access obligations, please refer
to tn"'-br-rt'- n".,pi"nt Guidance ai *ttiE:#rnnana,.cns.sov/suidanf*nqblis-hed-h*11
d*o*rtn:ent-sspaortqd-qropnie#tianp-provi6GAntnfi**'ascsss-seople*limited and
aooitionai resources on h"ttpll^{Mry-]eggay.
NlMs coMPLIANcE
,*m,,ni svstem f NIMS nd principles thata_ The National tncident Managsment $ystem (NIMS) identifies snn*sFt$ a
answer how to manags onrergencies from prepa.redness to recovsry regardless of their
cause, size, location, or "orfrr"iiiy.
NIMS provides a consistent, nationwide approach
ana vo"auuiary for multiple ,gi"-nririr or jurisdictions to work together to build, sustain, and
oetiver ihe core capabiliiies nleded to achieve a secure and resilient nation.
b. Consistent implementation of NIMS provides a sotid foundation across jurisdictions and
Oiscipflnes io "n"ur*
effective and intesrated preparedness, planning, and response'
NIMS empowers the compon*t* of the l\:alicnaiPreparedness -System,
a requiremenl of
presiCent-ial'Rotiry Directive g. to gulCe activities within the public and private sector and
describes the planning, org6niz;tional activities, equipping, training, and exercising
needed to build and sustain ih" ror" capabilities in support of the National Preparedness
Goal.
c. ln order to receive FY 2A?A federal preparedness funding, to include EMPG' the
Subrec]pient wiil-"nsure all NIMS objectives hav.e been initiated and/or are in progress
toward completion. f.f lnfS implementation Objectives are located at
https:ll$Urw. tgma.aovlm"e"$lia$bmndlR-s€gt#dqc$$enlel t 90743'
EMPG PROGRAM SPECIFIC REQUIREMENTS
The Department rdceiver Ertrpg funding from DHS/FEMA, to assist state, local, and tribalgovernments
to enhance and sustain all-hazards emergency management capabilitie: al rytlgrlred by Robert T'
stafford Disaster Retief and Emergency Aisistince Act, as amended (42 u-s.c. S$ 5121 et seq') and
S""tion 662 of the Post Kairina Emergency Management Act (6 U'S'C' $ 762)'
B.
DHS.FEMA.EMPG.FYzO Page I of 34 City of Kont EMD, E21-125
A portion of the 20EMpG is passed through to localjurisdictions and tribes with emergency management
prbgra** to supptement their tocalitribal operating budgets to help sustain and_ enhance emergency
it"i"g"**nt capabilities pursuant to Washington Administrative Code (WAC) 118-09'
1. The subrecipient shall use the EMPG funds authorized under this Agreement only to perform
tasks as described in the work plan of the subrecipient's application for funding, as approved by
the Departmenl and incorporated into this Agreement'
Z. Funding may not be used to replace or supplant existing local or tribal government funding of
emergency management programs'
3. The Subrecipient shall provide a fifty percent match of non-federal origin. The Federal share
applied toward the EMpG budget snail'not exceed fifty percent of the total budget as submitted
"ni "pprou*dintne
application-and documented in the-Budget (Attachment E).. ]o meet matching
requirements, the Subrecipient's cash matohing contributibns must be considered reasonable,
altowable, allocable, and necessary undor the grant program-and rTt 9glqly with all Federal
requiremenrs anc iegutations, inctlding, but nit.limiteO to,2 CFR Part 200. An appropriate
mechanism must be ii ptace to capture]track, and document matching funds. ln the final report,
the Subrecipient shall identifu how the match was met and documented'
4. lf funding is allocated to emergency communications, the $ubrecipient must ensure that all
projects .o*pfy *itf.t SnFgCOff,iGuidance on Emergency Communications Grants ensuring the
investments arl compatible, interoperable, resilient, and support nationalgoals and objectives for
improving emergency communications.
S. Subrecipients are encouraged to participate in the State's annual Training and Exercise Planning
Workshop FEpWjllntegraied Preparedness Planning Workshop (IPPW) or may conduct their
own locallregional TEPWIPPW.
6.
7
c.DHS TERMS AND CONOITIONS
n* - SuUr*cipient of 2OEMPG funding, the Subrecipient shall comply with all ap.plicable DHS terms and
conditions of the 2OEMPG Award Letter and its inccrporated documents for DHS Grant No' EMS-2020-
ip-ooooe-Sg1, which ire incorporated and made a part of this Agreement as Attachment F.
Countering Violent Extremism prior to attendance
All personnel funded in any part through federal award or matching funds under this Agreement
shall complete and record proof of completion of:
a. NIMS training requirements outlined in the NIMS Training Program located at
.
l$pst#v,rww.flma.csvipdfiemecaency/nimslninne traininil praeram'odf (to include ICS-
100, ICS+00JS-?00, and lS-800 for most personnel) and
b. Either {1)the FEMA Professional Development Series lS--120, lS-230, lS-235, lS-240, lS-
Z4i,ld-242,
"nO
ls-24a, or (2) the National Emergency Management Basic Academy'
The Subrecipientwill report training course completion by individual personnel along with the final
report.
DHS.FEMA-EMPG-FYzO Page 9 of 34 Cig of Kent EMD, E21-125
A.1
A.2
4.3
A.4
A.6
Washington $tate Military Bepartment
GENERAL TERMS AND CONDITIONS
Department of Homeland Security (DHS[
Federal Emergency Management Agency (FEMA)
Grants
this Agreement, the terms will have the same meaning as defined in 2 CFR 200
o.orpo?x"a treiein by reference), except as otherwise set forth below:
a. "Agreement" means this Grant Agreernent'
b. ,,Department,,means the washington state Military Department, as a state agency, any division,
section, office, unit or other entity of the Department, or any of the-offrcers or other officials lawfully
representing tnJ oepartmeni. TheDepuil**ot is a recipient of a federal award directly from a
federat "*"rOing
;#^;t and is tne-pass-tnrough entity making a subaward to a Subrecipient
under this Agreement'
^.i*o.irrr,,earl rhrrrrn n rgfergnce to thec. ,.3ubr*cipienf'wh+n capitalized is primarily uye{.ltr1o1uhnut tlris Agr**ment i
non-foderal entity identified sn tr'r* f**u sieet of thi* sr*ement that has received a subaw*rd
frorn the oepartrne*t. However- tns deJinition ai"Su*toiipientr is ihe eame *s in 2 cFR ?n0"93
for all other Purposes
,,Monitoring Activities" means all administrative, financial, or other review activities that are
conducted to ensure ""*pii".i" *itn
"tt
staie and iederal laws, rules, regulations' authorities and
policies.
"lnvestrnenf,means the grant application submitted by the Subrecipient describing the project(s)
for which federat f";;id'-il silgnt and provided under.this this Agreement. such grant
,ppfi""tion is hereby incofoorated into this Agreement by reference.
Aa used thrcughout
Subpart A (which is i
d
e.
Attachment B
thal the $ubreciPient is not
or valu*tarilY excluded from
AOVAN#F PAYMEI'i-r$ FROHIBITES. .
Trre Department sr,*ttffiffi;Sffients in advance or iR antieipation of goods or servicas to be provided
under this Agreement. S;treciiieni $hall nol invoice the Separtmcnt in advance of delivery and invoicing
of such goods or services
the SubreciPient's Project(s)-
parties.
Th* Agraemed perfonnance period shall only be. extended by (1i writle*.notifieatinn sf DHSiFEMA
apprnvat a{the nward;#"{id;;e per:o*, tornweo up with a mutu'atty agreed written amendmsnt, sr {?}
writtan natificatisn fr*m the Departrr.rent to t#suntebipient to provide Jdditional lime for compl*ticn of
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** uuor".ipient must comply with the ADA, which provides comprohensivs,civil rights protection to
individuals with disabilities in the areas?',r*plov*ent, public'acscmmodations, state and local
government services, and telecommunication'
A$S...UFANf{F
The Departmext and $ubrecipient agree that all activity pursuant to this Agreement will be in accordance
*iih;llih; appticable currtnt feOetai, state and local laws, rules and regulations'
DHS-FEMA.EMPG-FY2O Page 10 of 34 CiV of Kent EMD, E21-125
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The Subrecipient shall complete, sign, and return a Cefiification Regarding Debarment, Suspension,
rneiigiuitity, ano Votuntary Exctusibn form located at hlipl#mi!.w9.+*yler.rersq,ficv.rnsng$glns&
eiyi$lnnlqi#r$*/pauk*qi+n*pntrq. Any such form completed by the Subrecipient for this Agreement
shall berilorporated into this Agreement by reference'
Further, the Subrecipient agrees to comply with all applicable federal regulations concerning the federal
debarment and suspension'system, inituoing 2 cii Part 180. The Subrecipient certifies that it will
ensure that potentiat contractors or subrecipi"-nts ot any of their principals are not debarred, suspended,
proposed for debarment, declared ineligibh, or voluntarily excluded from participation in "covered
transactions" by any federal department or agency. "covered transactions" include procurement
contracts for gobds or services awarded under a non-procurement transaction (e'g. grant or cooperative
agreement) tiat are expected to equal or exceed $-25,000, and subawards to Subrecipients for any
amount. With respect to covered iransactions, the Subrecipient may comply with this provision by
oUt"ining a certificaiion statement from the potential contractor or subrecipient or by checking the System
for Award Managementihttnsytsam.aovna*u) maintained by th9 federal government.. The $ubrecipient
also agrees not to enter into any atr"ng*ffits or contracis with any party on the Washington State
Oepart"ment of Labor anO lndustries' "Debaned Contractor List"
(fltils;llsscurs.lFi.wa-cpr/depafandstfikglcjq#factol0$b$,fLi$!.4$sx). The Subrecipient also agrees not
toenterintoanyagrodsandserviceswithanypartyontheDepartment of Enterprise services' Debarred vendor List
(hltp:l/w!yw.dss.\r$4.e0 )
.CTRTIFIOAT$N REG ei tnat to the best of its knowledge and
Oenef;'(1) no federatiy appropiiat*d funds have been paid or will be paid by or on behalf of the
Subrecipient to any pui*on for influencing or attempting lo influence an officer or employee of an agency,
a Member of Congress, an ofiicer or em-ptoyee of Congress, or-an employee of a Member of Congress
in connection with the awarding of any tiOerat contracl the making of any federal grant, the making of
any federal loan, the enterin{ into of any cooperative ag.reement, and the extension, continuation,
renewal, amendment, or modiication of any federal contraCt,.grant, loan, or cooperative agreemenl (2)
th;iif any runos other tnan federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress' an
officer or employee of Congress, or an employee oi a_-Member of Congress in connection with this
Agreement, gr"nt, loan, or cioperative agreement, the Subrecipient will complete and submit Standard
FJrm-LLL, ;,disclosure Form to Report Libbying," in accordance with its instructions; (3) and that, as
"p'pfi""nfl,
the Subrecipient will require tnat iniianguage of this certification be included in the award
dbcuments for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
ro"ni, and cooperatiu" ugi""*ents)and in"t alt sibrecipients shall certify and disclose accordingly' This
certification is a materialieptesentation of fact upon which reliance was placed when this transaction was
made or entered into and is a prerequisite for making or entering into this transaction imposed by section
1352, title 31, U.S. Code'
The Subrecipient and all its contractors and subreci pients shall comPlY with , and the Department is not
responsible for determini ng compliance with, anY and all applicable federal,state, and local laws,
regulations,executive orders, OMB Circulars, and/or policies.This obligation incl udes, but is not limited
to: nondiscrimination laws and/or policies,Energy Policy and Conservation Act (PL 94-163, as amended),
the Americans with Disabilities Act (ADA)' Age Discrimination Act of 1975 , Title Vl of the Civil Rights Act
of 1964, Civil Rights Act of 1968, the Robert T $tafford Disaster RBlief and Emergancy Assistance Act,
(PL 93-288, as amended), Ethics in Public Service (RCW 42.52), Covenant Against Contingent Fees (48
CFR Section 52.203-5'!, Public Records Act (RCW 42.56), Prevailing Wages on Public Works (RCW
39.12),$tate Environmental Policy Act (RCW 43.21C), Shoreline Management Act of 1971 (RCW 90.58),
State Building Code {RCW 19.27), EnergY Related Building Standards (RCW 1 9.27A), Provisions in
Buildings for Aged and Handicapped Persons (RCW 70.92), and safetY and health regulations.
ln the event of noncompliance or refusallo comply with any applicable law, regulation, executive order,
OMB Circularor PolicY bY the Subrecipient,its contractors or subreciPients , the Department maY rescind,
cancel, or terminate the Agreement in whole or in pa* in its sole discretion The SubreciPient is
DHS.FEMA.EMPG-FY2O Page 11 of34 City of Kent EMD, E21-125
responsible for all costs or liability arising from its failure, and that of its contractors and subrecipients' to
comply with applicante taws, regutations, executive orders, oMB Circulars or policies'
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settlement.
3)EqualEmploymentopportunity.Exceptas"otherwis:pr0Yjjedunder4lcFRPart60,all
contracts trat meeitt,i'aeRnition or "rel*r,atlyaesist*d ioneiructian contracf in 41 cFR Part
60-,t.3 must include the equal opportunity"-fa@ pravidsd undcr 41 Cfft,!il:I'4{b}. in
accordance witn rxeiutive brder'irz+s, ;tc1$l Empleymenl Opprrir'rnily' {3! FR 12319'
12935, 3 cFR Part' 1964-1965 Comp'' p' 3!g)' as amenrled by Executive order 11375'
,,Amending fxecutiu" Order 1fe+O fiiatin-g-'iq-ryual Employment Opportunity.'' and
implementing |'*du*i"tion* ,t +f CFn part^C"O: -?T-T^.{ Federal Contract CcmBliance
;;&;;, iir"f "e, pf oyment Opportu nity, Department of Labor."
4\Davis-BaconAct,asam+nded(40u.s.c.3141-3148).WhgnrequiredbyFederalprogram
legislation, all prime $nstruction conliacts in excess of $2,000 awarded by non-federal
entitie* muut i.'oiuJ* " pi--i;l"n t*t *o*ptiance wilh ihe trauis-*ne+n Act {4il U'S'C' 3141-
3144, and g14s-314s) as supplern*niut'ny n*purtmelt CIf Lab*r r*gulations (29 CFR Part
5, ,.Lahor *tan*Jr*s-Fi*visidns eppfiJffJ to Contracis Couering F*4*rally' Financed and
Assisted construction"). ln accordance with the statute, contractors must be required to pay
wages to laborers and mechanics at a Jte not less than the prevaiiing wages specified in a
wage deterrninat]on mrJ* OV tfre Secietary of Labor. tn iUdition, contra*tcrs must be
required to pay wages not less than once a week' The non'fed*ral'entity mu*t place a copy
of the current prevailing wage deter*i*iion issued by the Department o-f. Labor in each
solicitation. fne Jecisioi to iward a conhact or subcontract must be conditioned upon the
acceptance of tfre wa* Oetermination. iy." non-federal entity must report all suspected or
reported violatians to-the federal awafding asgncrl,-lf.e contracts mus't also ineiude a
provision tor *ofiipriin** *if, :qe. dop*ru-no iantl-xi*ttb"ck" Act {40 U'$'C" 3145)' as
supptemented by sepe*3*.11. of ;il; i;gotatiun* {29 .CFR Fert 3, "Contrsclsr$ and
$ubcsntractoo o'" p"fifii nuiginq ar Public frork Financed in Whole or in Fart by Loans or
0rants fiom tha united $tates"). rne nJipiovicos m* oach conrracror sr $ubredpient must
be prohibiteo trom inousing, by any meana, any per$on emplcycd in the con$truction'
esmptatisn, or ripaii oi*uffic urCIrt, io giuu:u;,"ny pttt of the cbmp6n$gtisn tt which he or
DHS-FEMA-EMPG-FY2O Page 12 of 34 City of Kent EMD, E21-125
she is othenrvise entiiled, The non-federal entity must report all suspected or reported
violations to the federal awarding agency-
5) Contract Work Hours and Safety Standards Act {40 U.S.C" 3701-3708}, Where.app]icable,
all contracts awarded Oy ttre non-federal entity in excess oJ $100,000 that involve-the
**pfoy1n*nt of mechanic! or laborers must include a provision for compliance with t9 9,S.C'
glAZ ina3704, as supplemented by Department of Labor regulations (29 CFR Part 5).1Jnder
40 u.s.c. 370? of the Act, each contractor must be required to compute the wages of every
mechanic and laborer on in" basis of a standard work week of 40 hours. Work in excess of
the standard work weeL is plrmissible provided that the worker is compensated at a rate of
not less than one and a haif times the basic rate of pay for all hours worked in excess of 40
hours in the work week. The requirements of 40 U.S.C" 3704 are applicable to construction
woik and provide that no laborer or mechanic must be required to work in surroundings or
unOei working conditions which are unsanitary, hazardous . or dangerous' These
requiremenis do not apply to the purchases of supplies or materials or arlicles ordinarily
available on the open *ur[et, or contracts for transportation or transmission of intelligence'
6) Rights to lnventions Made Under a Contract or Agreement. lf the federal award meets the
deiinition of ,,funding agreement" under 37 CFR $401-2 {a) and therecipient or Subrecipient
wishes to enter into a contract with a small business firm or nonprofit organization regarding
the substitution of pailies, assignment or pefformance of experimental, developmental, or
research work under that "funding agreement," the recipient or Subrecipient musl comply
with the requirements of 37 Cfn Fart 401: 'Rights to lnventions Made by Nonprofit
Organiiations and Small Business Firms Undei Government Grants, Contracts and
Colferative Agreements," and any implementing regulations issued by the awarding agency'
7) Clean Air Act (42 U.S.C. 74AF7671q.) and the Federal water Pollution control Act (33
u.s.c. 1251-13g7), as amended-cOntracts and subgrants of amounts in excess of
$tSO,OOO must contain a provision ihat requires the non-federal award to agree to comply
witn-ait applicable standards, orders or regulations issued pursuant to the Clean Air Act (42
U.S.C. iifu4oztq) and the Federal waler Pollution Control Act as amended (33 U'S'c'
1251-1g87). Violations *r.i n* reported to the federal awarding agency and the Regional
Office of the Environmental Protection Agency (EPA)'
S) Debarment and Suspension (Executive Orders 12549 and 12689FA contract award (see 2
CFR 1g0.220) must not ne
"iaO"
to parties listed on the government-wide exclusions in the
$ystem for Award lirtanagement (SAM), in accordance wft[ tne OMB guideline.s.{-{!lfj-so
ttrai implemenr ExecutivE-orJ"i" 12549 {3 cFR part 1986 c-oTq,,.p:189) and 12689 (3 cFR
part lggg Comp., p. 235), "Debarmeni and Suspension." SAM Exclusions contains the
num** of parties OebarreJ, suspended, or otherwise excluded by agencies, as well as padies
declared ineligible unOet it"trtbry or regulatory authority other than Executive Order 12549'
g) Byrd Anti,Lobbying Amendment (31 U.S.C. 1352)-Coniractors that apply or bid for an award
""..*oing $f ob,o-OO *u*iRl* the required certiiication. Each tier certifies to the tier above
that it will not and has not used federal appropriated funds to pay any Person or organization
for influencing or attemp,i* i; influence'an officer or employee 9f any agency, a member of
Oongress, officer or emplJyee of Congress, or an empioyee of.a member of Congress in
connection with obtaining lny federal contract, grant or any other award covered by 31
U.S.C. 1352. Each tier riust also disclose any tobOying with non-federal funds that takes
ptace in connection witn.oLiaining any federal award. Such disclosures are forwarded from
tier to tier up to the non-federal award'
10) procurement of recovered materials - As required by 2 CFR 200.322, a non-federal entity
that is a state agency oirg*n"y of a political subdivision of a state and its contractors must
"o,,'pty
with se|tion"6002;f the Solib Waste Disposal_Act, as^amended by the Resource
conservation and Recovery Act. The requiremenis of Section 6002 include procuring only
ite*s Ou*ignated in guidelines of the Enviionmental Protection Agency (EPA) at 40 CFR part
z+1 tnatcinain tnJrrighesi fercentage of recovered materials practicable, consistent with
mainiaining a satisfactdry f"uiiot com[etition, where the purchase.price of the item exceeds
$11i,000 oi tn" value of'the luantity acquired during ttte preceding. fiscal year exceeded
gf O,OOO; procuring solid waste *anigerent services in a manner that maximizes energy
DHS-FEMA-EMPG-FY20 Page 13 o{ 34 City of Kent EMD' E21-125
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and resource recovery; and establishing an affirmative procurement program for
p,o.u,**"ntofrecoveredmaterialsidentifiedintheEPAguidelines.
1 1) Notice of federal awarding agency requirements and regulations pertaining to reporting'
12) Federal awarding agency requirements and regulations pertaining to copyrights and rights in
data'
13) Access by the Department, the Subrecipient, the federal awarding agency, the Comptroller
General of the united states, oi"nv or'tneir duly authorized representatives to any books,
documenls,'pup*6, "ru
i*"oiui of ihe contractor which are directly pertin*nt to that specific
contract #fi;;";pose of making audit, examination, excerpts, and transcriptions-
14) Retention of all required records for six (6) years after the subracipient has made final
payments and all other pending matters are closed'
15}Mandatorystansardsandpoliciesrelatingtoenergyefficiencywhicharecontainedinthe
state energy s6n$ervation plan issued in compliance witn $re Energy Policy and
ConservatiJn Act {Pub' L' 94-163, 89 Stat' 871}'
16) Fursuant to Executive Order 13s58 "$tr*ngthening fiuy-Arn*ri*an Preferences for
Infrastructure projects," the Department encouragec Suhrecipionts to use, tc thn graatast
extentpracticableandconsistentwithtl'lelsw,theuse.ofgoade,prcducts'andmalerial*
produced-iir-'6,* t-lnit.o states i; ;";t *onto*t, +ubc*ntract, surchase srdsr, otr sub*award
thatischargeableagainstfederalfinancialassistanceawards.
b. The Department reserves the right to review the $ubrecipient's procurement plans and
documents "nJ
t"quit* tne sunreci"pient to Tqe c!?itg:s to biing its plans-and documents into
compliance with the requirement* lr i cFR Part 20031s through 200.326. The subrecipient
mugt ensure ?h*t its prc*urement process requires contractors and subcontractors to provide
adequat€ *ccumentarian wi{h uum*ilniJ*tail to support the costs of the project and to allow both
the $ubrecip#i;;a frepartment to rnak* a determination on eligibility of project costs'
c. All corrtracting agreements entered into pursuant to this Agreement shall incorporate this
Agreement bY reference'
OISCLQSURF -^:-a lr^^ r\^narlmonf {r.:
Tha use or disclosure by any party of any information conegrning the Depertment for any q.up3s6 ryj
direcuy eannaded with lhe adrninistration of itr* n"ra*ment's orihe subrecipientts respcneibiiitins wth
respect to services p*oiC*i uod*, firis ngie;**tjs ryoybited except by prior writt*n *onsent o1 lhe
Fepartment o,. "*
r*q,ii*l} "o*pr' wim ifre stata Public Records Act, other law or court order'
Sffirherwise provided in this Agreement, when a.1gtfid*"giseuJl:1isi:"?:t*u*n the parties
and it cannot Ue ,uJoU"J through Olicuiiion and negotiatlon. either p6fty. may. request a dispute
rssslutisn panal tr rssclw the dispute. A reque$t for. a uilpute resolutisn b*ard shall ba in writing, state
the dixButad i$su*$, *t*t* il.,J relaiive paslt-#* af the parties, *nd be s*nl ts all parties. The Banelsfrall
eoncist of a repreoentative appainted by the Depa{mer"rt, arepre$entative appointed by the $ubrecipient
and a third parry ,uti*ify *gi*** upoL ti *oti pu**.. rrt* panol *hall, by majority veie, resolve the
dispute. Each parry Jralini"r the cost toi iir panel rnemuer and its a$crney fee* and co*ts and shsre
equally the cost of the third panel member'
ffiagreedthatthisAgreementissolelyforthebenefitofthepartiestotheAgreement
and gives no right di;y other partyl No joint ventuie or partnership is formed as a r:es$!t of this
Agreement.
To the extent allowed by law, the subrecipient, its successors or assigns, will protect' save and hold
harmless the Department, the state of fi""ni"gton, and the. United $tat91-Government and their
aUlhorieed agents "nJ
**bnyees, from all claimJ, sotiofi$, *csl*' damsse6 or expet]$ss of any naturs
what$sever by reason of tf,e'"cts or omission= oi ihe $ubreeipienf its y-l-*11fgaro' subracipients'
assigns, agents, contractors, consultants, licensees, invite&g' emplOyees-sf Any per$sil urhgmsogvsr
arising out of or in connection with any acts or activities authorized by this Agreement'
DHS-FEMA-EMPG.FY2O Fage 14 of 34 City of Kent EMD, E21-125
To the extent allowed by law, the Subrecipient further agrees to defend the Department and the state of
Gstrington and their authorizec agents and emptoyeeJin any litigation; including payment of any costs
or attorieys, fees for
"ny "f"i*r or"action commented thereon arising out of or in connection with acts
or activities authorized by this Agreement-
This obligation shall not include such claims, costs, damages or expenses which may be caused by the
,oi" n"giig"nce of tnu-n"["rt*ent; provideO, tnat ii tne clJims or damages are caused by or result from
the concurrent negligence of (1) the'Department, and (2) the Subrecipient, its agents, or employees, this
inJ"n.,nitv provisio-n itrat ne vilic and enforceable only to the extent of the negligence of the subrecipient,
or the Subrecipient's agents or employees.
lnsofar as the funding source, the Deparlment of Homeland Securi$ (DH$)/Federal Emergency
frrtrn"g**"nt Agency (Fffrln), is an agency of the Federal government, lhe following shall apply:
49 li--HS 2.S$,g"',No4:li*3ititq. The Federal government shallnot be liable for any claim based upon the
ffi,orthefailuretiexerciseorperformadiscretionaryfunctionordutyonthe
part of a federal "g*n.y
or an ernployee of the Federal government in carrying out the provisions of the
Stafford Act.
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The signatories to this represent that theY have the authority to bind their respective
organizations to this Agreement. OnlY the Department's Authorized Signature rePresentative and the
Authorized Sig nature rePresentative of the SubreciPient or Alternate for the SubreciPient, formallY
designated in writing, shall have the exPress'implied, or aPParent authoritY to alter, amend, rnodifY, or
waive any clause or condition of this Agreement.Any alteration, amendment,modification, or waiver of
any clause or condition of this Agreement is not effective or binding unless made in writing and signed
by both parties' Authorized Signature representatives , except as provided for time extensions in Article
A.3.
Further, only the Authorized Signature representative or Alternate for the Subrecipient shall have
signature authority to sign reimbUrsement reqUests, time extension requests' amendment and
modification requests, reqJests for changes to projects or work plans, and other requests, certifications
and documents authorized by or required under this Agreement.
LOSS OR REDUCTION OF FUNDlltg
l,orotherSourceSiswithdrawn,reduced,orlimitedinanyway
after the effective date of this Agreement and prior to normal completion or end date, the Department
may unilaterally reduce the workllan and budget or unilaterally terminate all or part of the Agreement as
a ,,Termination for Cause" without providing t6e Subrecipient an opportunity b gulg: Alternatively, the
purti*, *"v renegotiate the terms of this Alreement under "Amendments and Modifications" to comply
i,uiin ner fundinglimitations and conditions, althougtr the Deparlment has no obligation to do so"
NONASSIGNABILITY
Neither this Agreement, nor any claim arising under this Agreement, shall be transferred or assigned by
the Subrecipient.
NqND|SCRlMlNArloN
The subrecipient shaftomply with all applicable federal and state nan-discrimination laws, regulations,
and policies. No person shall, on the grounds of age, race, creed, color, sex, sexual orientation, religion,
national origin, maritat status, honorlnly discharfied veteran. or military status, or. disability (physical'
n.,*r,t"t, or iensory) be denied the benifits of, oi otherwise be subjected to discrimination under any
project, program, or activity, funded, in whole or in part, under this Agreement'
NOTICES
The Subrecipient shall comply with all public notices or notices to individuals required by applicable local,
state and federal laws and reguiations and shall maintain a record of this compliance'
(OSHF/WISHA)
The Subrecipieit represents and warrants that its work place does now orwill meet allapplicable federal
and state sat*iy ani health regulations that are in effect during the subrecipient's performance.under.this
nlieernent. fo 6re extent allofted by law, the Subrecipient fu*her agrees to indemnify and hold harmless
DHS-FEMA-EMpG-Fy20 Page 15 of 34 city of Kent EMD' E21-125
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the D*partffient 8nd its emplcy*as-and. agelts fraru af liability, damages and costs of any nature'
inctuding, but *ot UrntieO ;;,;;;t* of suits i:oA "euin*ys'
fees aisessed against the Depaftment' as a
i"urrt oiif,e failure sf the Subreciplent to sc comply'
ffiprovidedhereinshallbeusedforanypatiisanpolitiealactivityortofurtherthe
et*ctisn or defeat ot u"!l"n*l*Ge for pubtii office or influenci ihe approval or defeat of any ballot issue'
The assistance Provided this Agreement shal I not be used in PaYment of any bonus or commlssmnunder
for the purpos€of obtaining approval of the aPPlication for such assistance or any other aPProval or
concurrence under this Agreement provided, however,that reasonable fees or bona fide technical
consultant, managerial,or other such services, other than actual solicitation, are not herebY Prohibited if
otherwise eligible as project costs'
#Hffiipient agrea$ ts suhnllt ti) tl€ Depertment prior to issuance all advertising and publicity
$att*rs rerating to this Agrecment wher*in tirs *eeart*ent's.name is me'tioned, or ranguage used from
which the ccnnsstion *f the Department'* *u*J *uy, in the Department's iudgment' be inferred or
impried. Th* $uhrec;pie*iagr*ed not t* pu*fisrr ai use sucn advertising and pubricity matters without the
prior *r:iten eCIn$ent ;itrt* d*B*tr**ot. The subrecipien! Tr-v-iopvright original work it develops in the
cour$e ef or under this AgreerneRi; howsvei p'i*'r""'t t" Z Cf n.plrt fOO'gt S' FEMA reserves a royalty-
free, nonexclusive, .nOl**uo.anie ticense'i" *pt"O"ce, publish or othenruise use' and to authorize
others to use the work for government purposes'
publication resurting from work perfarmed under this Agreement shalr incrude an acknowledgement of
FEMA,s financiat support, by the As*istsnce-l;titJ; Nuilrber (formorly CFDANYT.buI)' and a statement
that the publication Obes not constitute an endorsJment by FEMA or reflect FEMA's views'
ffintfailstoexpendfundsunderthisAgroerysnrqaccarda1,cewithapplicable
federal, state, and tocai taws, regutatibns,-"nol* thi prcvisiCI*ns of the Agre€rnent, the ilepa*rn*nt
.eserues the right to recaplure funds ih *n r*ouni*quiveilent ta ths extsnt of non$amplianc*' such rigl':l
ef recapturc. s*atr oxrs? ior ths rrfe cf the #i--t;;ri.*ing Agroernent termin*tion. R*payrnent by the
subrecipient uf funds under this receplur* priol*ion shaubcJur witlrin $0 days of dernand' in tlre evenl
the $epartment is req*ired ts institUte: flgaj p*ceedings.. to enforce the recflpture provision' the
oepartment shsq be intiged ta its cssts*?ro'*p****i thereof, incruding attarney fees from the
SubreciPient.
Sry: subrecipient asrees to meintain all books' '3-t9'dLt 1"tti::l--l.f:ify;P' invoice$ and all
other electranlc or written reccrds t*t*t"w to sufficiently and properly reflect the $ubrecipionfs
contracts, subewards, gr*nt *o*iiiJi*troir,
-*od
paym'ents, including ell.direct and indirect
charges, and expenditures in ttre pe*crmance of thi's Agreement (the "records")'
b. The $ubrecipient,s reccrds related te this Agreernent and th* projeet* funded nray be inspeeted
and audited t;il b*parrm*t t "t
##*d#;lytn*.om"e oi *b stale Auditor' sHS' FEMA or
their design€es, by the Cornptrorrei sdlral of itt* united $tates ar its designee$, ot by ctfier
state or federal officials authorized ny-taw, for the.purposes of determining compliance by the
subrecipient *ip, ir",* terms of tnis ng'reemeni and to determine the appropriate level of funding
to be Paid under the Agreement'
DHS-FEMA.EMPG.FY2O Page 16 of 34 City of Kent EMD, E21-'125
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c. The records shall be made available by the Subrecipient for such inspection and audit, together
with suitable space for such prrpos*, at any and all times during the Subrecipieni's normal
working daY.
d. The Subrecipient shall retain and allow access to all records related to this Agreement and the
funded proi""tt"l for a period of at least six (6) years following final payment and closure of the
grant under this Agreement" Oespite tne rninimum federal ietention requirement of three (3)
!uar*, the more striigent State requirement of six (6) years must be followed'
Rrs.pqN$lBlLlrY" FQR F*SJECrl$1Ar*MHryT. OF !/VglltqffqRK Pl=Al\
WhiletheDepartmentrojecUstatementofworldworkplan
iproi".tl nV p?oviding federal award funds pursuant to ihis Agreement, the project itself rernains the sole
i"*eioniiuiiity ot 6e-suurlcipient. The Department undertakes no responsibility to the subrecipient, or
to any third party, other than as is expressly set out in this Agreement'
The responsibility for the design, development, construction, implementation, operation and maintenance
of the proiect, as tnese pno'!*! are applicable to this project, is solely that of the Subrecipient, as is
r"rponliUifity io, uny claim or suit of any nature by any third party related in any way to the project'
prior to the start of any cnnstruction activity, the subrecipient shall ensure that all applicable federal,
state, and local permits and clearances are oOtained, including, but not limited to, FEMA compliance with
the National Environmlntal Foncy Act, the National Historic Preservation Act, the Endangered Species
nct, anO all other environmental laws, regulations, and executive orders'
The Subrecipient shall defend, at its own cost, any and all claims or suits at law or in equity, which may
be brought against the Subrecipient in conn*ciion *ith the project. The Subrecipient shall not look to the
Department, or to any stat*'or federal agency, or.to any of their employees or agents' for any
p*ioir"n"", assistance, or any payment 6r indemnity, inciuding, but not limited to, cost of defense
lnaror attorneys, fees, in'conneition-with any claim or iawsuit brought b.y_uny third party related to any
design, development, tonstruction, implementation, operation andlor maintenance of a project'
SEVERABILIT\/
iT:ffirrl?"ghtfutjurisdiction holds any provision or condition under this Agreement or its application
io rriy proon or"circumstances invalid, this invatidity does not alf.ect other provlsions, terms or conditions
of the Agreement, which can be given effect without the invalid provision' To this end' the terms and
conditions of this Agreement are declared severable'
$lN$J.t*"unrr ACTSEQUTFEMFtIl$.{inp'tqdiqis St AMFNSJdlFlllT.$}'
TheSubrecipient5haditrequirementsinanysubawards.
Non-federal entities, as subrecipients of a federal award, that expend $?50,000 or more in one fiscal
year of federal funds from all sources, direct and indirect, are required to have-a single or a program-
specific audit conducted in accordance with 2 CFR Part 200 Subpart F. Non-federal entities that spend
less than $250,000 a year in federal awards are exempt from federal audit requirements for that year,
except as noted in z cFR part 200 subpart F. As defined in 2 cFR Paft 200, the term "non-federal entity"
means a state, local jovernment, lndian tribe, institution of higher education, or nonproflt organization
that carries out a fedeial award as a recipient or subrecipient.
subrecipients that are required to have an audit must ensure the audit is performed in accordance with
Generally Accepted Gou*rr,r*nt Auditing Standards {GAGAS) as found in the Government Auditing
$tandards {the Revised yellow Book) developed by the United states comptroller General and the oMB
compliance supptement. The subrecipient iras the responsibitity of notifying its auditor and requesting
an audit in compliance *itn Z CFR Part200 Subpart F, to includethe Washington State Auditor's Office,
a federal auditor, or a public accountant pe*orming work using GAGAS, as appropriate' Costs of the
"uJii
*"V be an allowable grant expenditure as authorized by 2 CFR Part 2AA'425'
The Subrecipient shall maintain auditable records and accounts so as to facilitate the audit requirement
and shall ensure that any subcontractors also maintain auditable records' The Subrecipient is
responsible for any audit exceptions incurred by its own organization or that of its
subcontractors, Responses to any unresolved management findings and disallowed or questioned costs
shalt be included wiln tf,e audit report. The Subreiipient must lespond to QgRartment requests for
information or corrective action concerning audit issues or findings within 30 days of the date of
DHS-FEMA.EMPG-FY2O Page 17 of 34 City of Kent EMO, E21-125
request. The Department reserves the right to recover fram the subrecipient all disallowed cosis
resulting from the audit.
After ihs singte ar:dit has been complete4 and if it includea *ny audit findings' the subfseipi*nt must
send a fullroBy;f tir; ftit "na
it. conective Action Plan ta the bepartment at the following address no
later than nlneigl ffi$nths after the end sf th* subreeipient's fis*al y*ar{s}:
Contracts Office
Washington Military DePartmert
FinancJDivision, Building #{ TA'20
CamP MurraY, WA 98430-5032
The Department retains the sole discretion to determine whether a valid claim for an ex*mption frorn the
auditrequirementsofthisprovisionhasbeenestablished.
condunting a single cr Brogram*specific audit in ccmplknce wlth 2 cFR Part 200 $ubpart F is a m*terial
r.equlremerrt of thie Asreement rn *l"*Gu*** *,t 1 v.t11 clairn *f exempti*n from tht a*rdit requirement$
of ? cFR eurt aoo-6u1;# F, tn* *ulrecipL$'s f*ilure to romply with.said audit requirements may result
in one or more of the following actioni in-tfiJoup"rt*unt-s sole dlscretion: a percentage of federal awards
being withheld untitthe auditls ccmpleted in accnrdance wiirr 2 cFR Part 200 subpart F;the withholding
or disagswine ;i ooerr,ead ccsts; il;';;#;-io* of federal awards until the audit is conducted and
submittsd; orlerminatian *f the federal a"tard'
A.2e SUBfiEC|PLENT-NOr EMPIOYEE
Thapartiesinffiente*ntrae1grrelstionshipwiltbecreatedbythisAgreem*nt,The
$ubrecipient, *ndlcr enrplOyees o3^
"U*-t*
p"*orgrngln6er this Agreament are nnt emplcye*s CIr ag6nts
of the Departm*nt in any rnanner *i*troiu*r. Trrisubrecipientlrilt not be presented &$, flsr clairn to
bp, an cfficer cr er*ployee or *e *ep#m-ent uy ,e**on or inii Agreem.ent,.nor luill the $ubro*ipisnt make
any elairn, dernand, nr *ppticatim ro o, ior *n1a right cr ptiuitugi applicable to an cffieer or employe* *f
the Depar.tment uiot ths stats rf wa*t'rington'by foason sf thi; Agreemunt' ineluding, but nut limited ta'
workmsn,s comp*nsation cnverai;,' u1-,u*fi"ymell insuran& $ensfits, socisl seeurity hsnefit*'
retirement membership or credit, oi?iuGg; or nenefit which would accrue to a civil service employee
under ChaPter 41'06 RCW'
It is understood that if the subreeipient is another state department, state.agency, state university' state
--rr-g-,;til- co*munity *cllege,!*te board, or stat* commission, that the officers and employees are
emBloyed uV rne *ate *i Washingtorf in in"ir own right and not by reason of this Agreemenl'
A.3O IAXF$; FEES ANil LICENSE$ ,r , ^..L---:^:^-r -r-ar !.o rsennnci*ra fnr nav an, mainl
urlloss otherwise provided in thi* Agreement, the subrecipienl"hltl?":::feasible for' pay and maintain
in current $aill aiitaxes, unemptoim"nt contrinumns, fees, licenses, as$essrnents, permit charges and
expenses of any other kind tor tne'sunrecipient or its staif required by statute or regulation that are
applicable to Agreement performance'
A.31 TqqMlil*Tl0$ roR +qHvsFilErycE
NEtwithstanding any provisions or ffis Agree.meTt, the. subrecipient may terminate this Agreement by
providing writt# noti"'e of such tsnninrtioi to tne ne-p-artment Key Personnel identified in the Agreement'
specifying the;ffo*tive date thareof, al les$t thirty i30) days prior to such date.
*xeepl aa oth*rwise provided in thls Agreement, the. Department, in its ssle dieeretion and in the hest
interesis cf the stat* of washingrt;; #t;*inite tt*s Agreeme*t'in whsle.6r ln ryt by providing ten
(,10) ealendar days written notice, ueginriinqon the,second"day att*r mailing t* the $ubrecipiCInt" upon
notice of t*nni*aticn fcr conueniencJ, ttre*separtrnent rsseffis the right to su*pend aflar part of thc
Agreement,;ihfi; turftrer puv**iir, ;ipil"riiniiihe $ubrecipient from incurring additional obligations
of funds. tn the event of termination, ine Sunrecipient snatl ob liable for all damages as authorized by
law. The rights and remedies or ti"'n*p*rt*eni 'prouiaeJ for in this section shall not be exclusive and
are in addition iouny other rights and remedies provided by law.
A.32 TSRMiNATi*N qF $tl$PEtt$l*:I rQR QAilqF rnr has faited ro frltf,il in a
ln the *yeni tffi $orc?scr€tfin, determines the $ubrecipie
timely and proper rnannsr its oblig*iions one*r this Agreenrent, is in an unsound financial conditicn so
as to endanger pedormance f,eriun**r. iu in violatlisn'*f any iaws or regulati*n* that rsnder lhe
Subrecipienl unable ta per{crm u*y'ut#.1-of the ;{gr*emefit, *r has fielated any cf ths csvsnaRts'
DHS-FEMA-EMpG-FY20 Page 1B of 34 Citv of Kent EMD' E21-125
A.33
agreements or stipulations af this Agreement, the Department has the right to immediately suspend or
terminate this Agreement in whole or in part'
The Department may notify the Subrecipient in writing of the need to take corrective action and provide
a period of time in which to cure. The Department is nit required to allow the Subrecipient an opportunity
to cure if it is not feaslble as determined solely within the Department's discretion' Any time allowed for
cure shall not diminish or etiminate the subrecipient's liability for damages or otherwise affect any other
remedies available to tfie Oepartment. lf the Department allows the Subrecipient an oppoftunity tocure'
the Department shall notify the Subrecipient in writing of the need to take corrective action' lf the
correc{ive action is not tat<en within ten (i0} calendar dJys or as_otherwise specified by the Department,
or if such corrective action is deemed by the Department to be insufficient, the Agreement may be
terminated in whole or in Part'
The Department reserves the right to suspend all or part of the Agreement, withhold further payments,
or prohibit the subrecipient from incuning additional obligations of funds during investigation of the
"ir.lg"d
.i*pli"nr" uiJa"rr, pending corrlective action oy tne Subrecipient, if allowed, or pending a
J".ilion by tire Department to terminate the Agreement in whole or in part'
ln the event of termination, the Subrecipient shall be liable for alldamages as authorized by law, including,
but not limited to, any cost difference between the original Agreement and the replacement or cover
Agreement and all aiminishative costs directly relatel to the replacement.Agreement, €'9', cost of
administering the competitive solicitation pro"es", mailing, advertising and other associated staff time'
The rights and remedies of the Department provided tor ii tnis section shall not be exclusive and are in
additiin to any other rights and remedies provided by law'
lf it is determined that the subrecipient: (1) was not in default or material breach, or (2) failure to perform
was outside of the suir""ipi*nt's'control,'fault or negligence, the termination shall be deemed to be a
"Termination for Convenience".
T ERM I $lATlPt\t PSQCFDU RE$
ln addition to the pr,oceOures set forth below, if the Department terminates this Agreement, the
Subrecipient shalt follow any procedures specifieO ,,n 1!" t^eimination notice' Upon termination of this
Agreement and in aooition t6 Lny other rights provided in this Agreement, the Departmeni may require
the Subrecipient to Jetiver to the Depart-meni any propedy spiciflcally produced or acquired for the
p"ttor*"n"" of such part of this Agreement as has been terminated.
lf the termination is for convenience, the Departmeni shall pay to the subrecipient 8s an agreed upon
price, if separately st"i"O, toi p*p"tiy authoiized and compleied work and services rendered or goods
delivered to and r.""piuO uy tne'Department prior to the iffective date of Agreement termination, the
amount agreed upon by the Subrecipient and the Department for (i) completed..wgrk and services and/or
equipment or suppliei pioviJeu for which no
"eparate
price is stated, (ii) partially completed work and
services and/or equipment or supplies provided which are accepted by the Department, (iii) other work'
services and/or equipment or supplies which are accepted by the Department, and (iv)the protection and
preservation of ProPertY.
Failure to agree with such amounts shall be a dispute within the meaning of the "Disputes" clause of this
Agreement. lf the termination is for cause, ine oepa*ment shalf dgt*rmine ihe extent af ths liability of
the Deparlment. The Department shall have no otn'er obligalian ts the $ubrecipient for terminetion" The
Department may withhold from any amounts due the-subreeipienl $u0h s.yT,..?s the ilepartment
determines to ne necesriw to proteit the Department againsi potential loss or liability'
The rights and remedies of the Department provided in this Agreement shall not be exclusive and are in
additioln to any other rights and remedies provided by law'
After receipt of a notice of termination, and except as othenrvise directed by the Department in writing'
the SubreciPient shall:
a. Stop work under the Agreement on the date, and to the extent specified' in the notice:
b. place no further orders or contracts for materials, services, supplies, equipment and/or facilities
in relation to this Agreement except as may be necessary for completion of such portion of the
work under lhe Agreement as is not terminated;
c. Assign to the Department, in the manner, at the times, and to the extent directed by the
Department, "il
ot ihe rights, tifle, and interest of the subrecipient under the orders and contracts
DHS-FEMA-EMPG-FY2O Page 19 of34 City of Kent EMD, E?1-125
d
e.
Eo terminated, in which case the Department has the right, at its discretion, to settle or pay any
or all claims arising out of the termination of such orders and contracts;
setile all outstanding liabilities and all claims arising out of such termination of orders and
contracts, with the "dpi"""r
o.ratification of the Department to the extent the Department may
*quir", which
"pprourl
or ratiflcation shall be final for all the purposes of this clause;
Transfer tige to the Department and deliver in the manner, at the times' and to the extent directed
by the Department "ff;r;p6ttv
which, if the AEreement had been compteted, would have been
required to be furnished to the Department;
complete performance of such part of the work as shall not have been terminated by the
O"pJrt**nt in compliance with allcontractual requirements; and
Take such action as may be neCessary, Or as the Department may require, for the protection and
preservation of the pi6p"rty _t"tateO to this AgreemeT .ylilh is in the possession of the
buOrecipient and in wnici'' tn6 Department has or may acquire an interest'
T
g
A.34
A.3s
A.36
The SubreciPient is encouraged to util busineso firms that are eertified a*minority-owned and/or
women-owned ln carrying out the purposes of this Agreement-The SubreciP ient may set utilization
standards, based upon lccal conditions or may utilize the state of Washingto nMW BE goals, as identified
in WAC 326-30'041,
VEN.UE
ffitsr***ent shall be construed and enforced in *ccordanc* *rith, and the validity and p€rfsrnasnce
shall be govarnad by, the laws of the state of washingtcn. vsnue of any sui? between thc partias edsing
out of this Agreement shalt be the Superioi Court otitrur$lsn Ceunty, Wa$hingtsn' .The Subrocipient'
;t;;;ilti""? tnis n'gieemunt, "rtno*tedges
the jurisdiction of the courts of the state of washington'
WAIVERS
No conditions or provisions of this Agreement can be waived unless approve-d in advance by the
sap*sment in writing. ir,* b*prrtmenls. failure to insist upon *trist perlnrmanco of any provision of the
Agreement u, to *ruJoi"* *Gilghib*uud upan a breach.thereefo $r th* ecceptanoe of any performance
i'iii*i -*ei1 hreach, shall ntf cinstiiute a waiver cf any right under this Asrssrnen1
DHS.FEMA-EMPG-FY2O Page 20 of 34 City of Kent EMD, E21-125
Attachment G
WORK PLAN
FY 2020 Performance Grantncy
nt DivisionManof Kent E
The purpos e of EMPG is to assist with th e enhancement, sustainment and improvement of state, local, and
tribal emergency management programs'Activities conducted using EMPG funding should relate directly to
the five elements of emergency management: preventi on, protection, response, recovery' and mitigation
Washingto n State does not require a specific number of activities to receive EMPG funding' However, there
are required capabilities that must be sustained in order to remain eligible for EMPG funding, including but
not limited to the ability to communicate and warn, educate the public, train and exercise, plan, and be
NIMS comp liant. The Work Plan delineates the Emergency M anagement Organization's emergency
management program planning and priority focus for this grant cycle (to include EMPG grant and local
Meeting Refreshments
4.l1EmergencY Public lnformation and Education
CommunitY Resilience
RESULT OF THE WORK
- Larget number of CERT trained
members in the cornmunitY'
- CERT graduates become volunteers
in other emergency management
teams.
- The communitY is better PrePared
to respond to and be more resilient
after a disaster.
- More youth and adults interested in
Participate in multiple community
events throughout the Year such as
Cornucopia DaYs, Covington DaYs,
National Night Out, Kids SafetY DaY
and multiple other City/School
events.
Focus is on building communitY
safety and emergency preparedness
for both adults and Youth.
emergency preparedness and having
the knowledge of how to PrePare for
and respond during a disaster'
- An engaged communitY who feel
involved and have a better
understanding of their role in the
event of a disaster
lnk CartridgesSatellite Phones
esOfflcePhoto Copier LeaseWebsite Fees
Program Area-Susteinment
T-*ffiiiarr Corg Caprbillty_
:; ..: , . , r I *
;-- c---ri.rr tans frnrlrilllU Mass Search and Rescue OPerations
WHV THE WORK IS BEING DONE
A known gap is that there are not
enough responders to helP the
community when a maior incident
happens. With continued trainings
being offered each Year, the CitY is
building the volunteer database and
becoming a more resilient
community.
Deliver in-Person FEMA CommunitY
Emergency ResPonse Team (CERT)
courses and/or online training
modules at least once a Year to the
City of Kent, Covington, Puget Sound
Fire Response Area and
Kent/Covington. Major Purchases
coutd include rnanuals, suPPlies,
sustenance for trainings, and OT for
WORI( PTANNED
instructors.
- A more resilient communitY
prepared for and able to respond to a
disaster, and that is educated in all
aspects of disaster preparedness so
that they can help mitigate loss and
assist the community in rebuilding
after a disaster.
A known gap is that the cornmunity is
not self-reliant; and for the
community to rebuild theY must be
educated on how to be PrePared and
how to take care of themselves and
others around them.
Conduct sPecialized
CERT/Preparedness classes for local
businesses, neighborhoods, and
schools.
Program Area #tr
DH8-FEMA-EMPG.FY2O Page 21 of 34 City of Kent EMD, E21-125
Core CaPabllltY
WHY T}IE \ITORK IS SEING
to enhance the CitY's
capabilities through testing,
activation, exercise, and training'
To continue
DONE
Participate in the design, co
and evaluation of a minimum of one
virtual exercise or real activations
during the Performance Period to
test parts of the COOP/COG Plans as
well as the CitY's CEMP.
nduct,
WORK PIANNET}
Test Kent's EmergencY
Center {ECC) systems (electronics,
displays, forms, c0mPuter systems'
etc.I on a quarterly basis as part of
Coordination
the ECC in Service
Fro6ram.Area 82 4.10 Exercises, Evaluations,and Carrective Actions
ope rational Caordination
Planning
gaps that maY arise from the test in
order to fullY maximize ECC
capabilities.
identified gaPs in communication
sharing and the need for uPdated
eguipment.
RESULT OF THE WORK
Successful Partici pation, comPleted
AAR's identifYing areas for
improvement, and for participants to
be able ts better resPond to an
ine ident/event.
electronics, communications, forms,
software that is able to operate
effectively in an incident/ disaster'
functionality increase in situational
awareness between tCC, DOCs and
regional Partners during and
To find and correct anY issues an dlor An ECC that is uP to date with
Purchase items to enhance
functionalitY and caPabilitY for
situational awareness for the Kent
ECC and DePartment OPerating
Centers
WORK PLANNED
Conduct trainings an d/or send EM
Staff/CitY Staff/Fire Staff and EM
Volunteers to career develoPment
workshoPs, seminars, conferences,
and training for emergencY
ma nt.
\N'ORK PIANNED
Acquire MREs and emergencY
drinking water. (ltems are tracked
and updated per expiration date on a
re-!agt&b9si$l
Dritls, exere ises, and activations have Greater communication a nd
activatisn/exercise
4.9 Training
CommunitY Resilience
Operat isnal Coordination
IJT'HYTIIE WORK 15 BEIN6 DONE RESUIT OF THE WORK
owledge Fully trained staff and v olunteersTo increase job skills and kn
in EmergencY Management
functions.
who are better able to respond to the
Kent ECCIDOCs in an incident/event'
4.4 Operati onal Planning and Proce dures
Long-te rm Vulnerability Reduction
WHY THE WORK IS BEING DONE RCSULT OF THI WORK
i;support staff in the event ofa Provides sustainable
0perational Coordination
major incident/event'
foad and water
for all staff working during major
i ncidentsfevents'
PdmarYCore CapabllitY
Secondary Core CapabilltY
Program Area S3
PrimarY Core CaPabilltY
hondsryCore Capability
Prograrn Area S4
DHS-FEMA-EMPG.FY2O Page 22 of 34 City of Kent EMD, E21-125
Attachment D
TIMELINE
FV 2020 Emergency M Peformance Grant
DATE TASK
June 1,2020 Grant Agreement Start Date
January 31,2A21 Submit reimbursement request
April30, 2021 Submit reimbursement request
August 31,2A21 Grant Agreement End Date
October 15, 2021 Submit final reimbursement request, final report, training
requirement report, and/or other deliverables.
DHS.FEMA-EMPG.FY2O Page 23 of 34 City of Kent EMD, E21-1?5
Attachment E
BUDGET
Ma Pedormance GrantFY 2020
2OEMPG
SOLUTION
AREA SUDGETCATEGORY
Salaries & Benefits('
?Overti
s
EMPG AMOUNT MATCH AMOUNT
(7Ug3
5
13,893 $
$
71,193
3,500
50,500
13
(
q
$
5
$
s
btotat5u
a
z,otr
Nz
uEo
zz
J
ulgu&
tr,lXlll
Consu
& Services
Diem
Salaries & Beneiits
Consu Contractors
Goods & Services
Diem
Salaries &Benefits
Goods & Services
Diem
&
Overti
Consu ractors
s & Services
Diem
ent
)
$
5
5
(9
=z
ag
$
5
s
$
5
$
$
5
$Su
d.
3(t
gJ
5
5Subtotal
Salaries & Benefits
{d
E
Consu
Goods & Services
TraveUPer Diem
lndirect
lndirect Cost Rate an file
TOTAL GfANt AMOUNT: $71,193 $
r The subrecipient will provide a match of $71,193 of non-federal origin, 50% of the total proiect cost (local
budget Plus EMPG award).
r cumulative transfers to budget categories in excess of 10% of the Grant Agreement Amount will not be
reimbursed without prior wriftLn authorization from the Department'
Funding source: u.s. Department of Homeland security - Pl# 703PT * EMPG
DH5-FEMA-EMp6-Fy20 Page 24 ot 34 City of Kent EMD' E21-125
$
$
s
$
$
$
0%
ckfill
$
Itttachment F
2OEMPG Award l-etter
Enfi s-2CI20-EF-00002-s0 t
Axcr{ Latbr
U $ Dopartment 0f Homeland SecuriSi
\iVashin gttn , D.C 2il47?
Brct DsughPfiY
Washington,lvlilitary il opta ilme nt
Building 20
Camp Murray,1A/AgS4S - 51?2
Re: Grarrl No FMS"202fi-EP-9000?
Dear Srei BaughertY.
congrairlalions, on behaliof the Depadmen.l of Hsmeland Security, y0ur aFplicatinn forfinancial assistance submilted under
the Fiscal year {Fy} 2020 Emergenry Management Performance OrEnts has been epprov-e--d-i1-t!1i€mouill r:f $7,558,75S 00'
Asa condition cf this a,,varJ,yo,i*.*i*quir*ita conlribute a cosl matuh in the ernouniof ff7$53139'0il of rron-Federe lfunds,
ar 5fl percent ofthe total appioved pr0jsct ccct$ of $15,104,497'0fi'
B*fore you request ani1 receive any of the Fe.derslfunds awarcled 10 you, you mufi Pslabiish acceptance of ihe av'rard' By
urruptiig this ar,vald, yuu *.[no"rtJ,lge that the tenns ef 'lhe fnllowing docum*nte ar* incotpotat*d inlo tlre 1€rme 0f yfi{lr
*r,Vaf d:
. A$rsement Artir:les {attached to this AtrianJ l-eti*t)
" Obligating [ocument iatiachod lo this Award L*tterJ
. f y fpg Em*,g*n.y Management Perfcrmancp Gronts Nstics of Funding Cpplrtunity'
lileasa make $,,,r€ you rearJ, und*rsiand, and maintain a cnpy nf these dccumsnts in y,-rur olficisl filt for this awatd'
ln q,rderto **tablieh acc€ptancs r,f the award and ils terms, please followlhess instructions:
Step 1 : Flease log in to lhg: hlS Grants $yslern at htlpsl/porlal fema'gov
Step Z:After logging in,you will see lhe Home paga with a PendirrgTseks.mentt. Ciiuk r:n the PendingTssks ntenu, selerl the
Application sub-rnenu, *no tnun rii* trr* link far "&ward Ofi'er Hevi*er,v" tasks. This link wiil navigate yul tc Avrard Fackagee
lhet arE periding review.
Btep 3: *lick the Review-qvdard Package ican (rnrrcnch) to review the Award Fackag* and accept or ducline the award' Pleasa
sav e fir p rint lhe A.ward Facka ge fo i' yo ur r accrds'
Systsm for Arrdard Managament {SAhrl}: Grani recipients are io kaep ail sf their inf*tmatinn up la date in SAM, in pertbular,
your nrganizalin n,s name,-ad Oreis, UUtIS numbei, FIN and ba nking irrforrnatio n. Please en sura that th s OUhIS n unrb er used
in SAh{ isthe same on* gr*Ulo *ppiy forall Ff;MA ain;ards. Future
*payments
wiil be contingenl nn the informatian provided
in the SAM; th erefore, lt is-imp eraiive that th€ in fomiitiort is cer rre ct.'The Systff fi l'o r ,Alvfi rd Mana gem ant is locate d at htlp:/1
wlws.$am.gsv
lf you have any questianeorhav* updated your information in 5Alvt. please let yourSranle.M*nag.ement $peeialist {SMSi
t*ri* *u *oon is pnssirte. itris vritf netp usi': make the ne.e$,$Fry updales and qvoid any intsrruplions in ths $aymrnt
procE$s.
FATRICK GERARD MARCHAil4
DHS-FEMA-EMPG-FYzO Fage 25 ol 34 Gity cf Kent EMD, E?l-125
AgFcrndA*&tt
Tue Oct0l ffi:0n:00 GMT ffig
U,$. Department 0f Homeland $ecurity
Washingtan, O't.2n472
GRAtiTEET
PRSGRAMT
A6RTTUEilT IIU}IBTR:
tutide I
A*icl* ll
A.ftide lll
.Articte lV
Adicle V
Article Vl
Artic,le Vll
Arlicle Vlll
Articls lX
Aficle X
Arlicte X I
Article Xll
AGREEME}IT ARTICLES
E merg ancy ilara gemenl Parforman*e Grants
Waehington Milit* rY De Parlffient
Ernerganty Mana g ement Pe dorrn*n ce
Grcnts
rMs-202["rF-nfl0il?'s1
TABLE OF CONTENTS
Acliv iiies C s ndu t{e d Abro ad
Reporling of MEttsrc R*lated t0 R€cipient lntegrily tnd
Petfsrrn a nce
Americens with Disabilities Act of 1W0
Trafficking Vrclims Pratection Acf of 2U00 [\#AJ
Federel Leaderlhip on Reducing Text Messaging while
Drivittg
Debarmenl end $usPe noian
Fly Arnerica Act qf 1974
Acceptanr.n sf F'lst Award Changas
SuPlicatic n uf fle$efits
CoPYright
ivil Rights Act of 1968
Best Fraclices for Cslledion and Use ol F*rsonally
ldentifi able I n{armatir n {Fll)
DHS.FEMA-EMPG.FYzO Page ?6 of 34 City of Kent EMD, 821-125
Article xlil
Article XIV
Artiele )l/
Aticle )0/l
Article XVll
Article XVlll
Article XIX
Articte )fr
Article X{l
Ariide )Ctll
Article )C{lll
Article XXIV
A*icle XXV
Article )C{Vl
Aticb nul
Aftiole xxvlll
Article XXIX
Article S(X
Article )CtXl
Article )C(Xli
Article XXXlll
Article )O(XIV
Artiele )OfiV
Limited Fnglieh Froficiency {Civil Rights Aci of 1964, Title Vl}
Hstel and Motel Fire Safety Act of 1990
Dispositian of Equipment Acquired Under the Federal Award
Patents and lntellectual Property Rigltts
DHS Specific Acknoruledgements and Assurances
Proeurerrent of Reeovered Mateilals
Tenorist Finanaing
Civil Right* Act of 1964 'Title Vl
Prior Approvalfor Modification af Approved Budget
Acknowledgement of Federal Funding from DH$
Rehabiliiation Act of 1973
False Clalms Act and Program Fraud Civil Remedies
N.)ndiscrimination in Maiters Rrtaining to Faith-Ba$ed
Organhations
Lob&ing Prahibitions
Edrioatlon Amendments of 1972 (EqualOppoitunity in
Education Act) - Trtle lx
Age Discriminatisn Act of 19?5
National Erwirenmental Pelicy Act
Assuranoes, Administrative Requirements, Cost Frinci$es,
Representations and Certifications
USA PATRIOT Act cf 2001
N0n-supplanting Requir€rnent
Drug-Fr*e Workplace Regulations
Univereal lder*ifier and System of Award Management
Reporting Subawards and Execuiive Campensation
DHS-FEMA-EMPG-FY2g Fage 27 ol 34 Ci$ of Kent EMD, 821-125
Article )Q(XVI
Article )OQO/ll
Article XXXVlll
Article XXXIX
Article XL
Article X-l
Article XLll
Article I - Ac'tivities Conducted &broad
gnergy Policy and Canservation Act
Wristle$ower Pratectian Act
Federai Debt Status
Use sf DH$ Seal- Loga and Flags
Notice of Funcling Qppodunity Requirements
SAFHCOM
Arnendment required ts release remaining funds
Recipients r,flfigt en:Eure ihai projest ectivitres carried on ouxnide the United $ta{ss $re coordintsted as rccessary with
appropriate g*rrernrn*d autiicriiies snd tf6t app*priate licenses, permits' or esprssals are obtained'
Article ll - Reporting of Maters Related to Recipient lntegrity and Perturmance
lfthetotatvsllleofanyc,urrentlyac'tivegra*ts.cooperatrveagrcer*r{s'andFrc!0urarfiefilcontrfrcl$tmrnallfeders|awarding
aseno€$exueed*gloi*na.i#raianyierio*"rr**aunngT1ppencdof perf*r*tnn*eef thiefederal at'ard thentlffi
reclFieffs musi 6{?rnpty *iih th; nuqi,i***nt*-*et r*inln id gou**rn*nt*idr Awarel T*rm and eo*Jlti*n fi:r Reaipe*?
lr{efiritu and trsrtsfrnance Matle€ t+mted *t 2 C F.*' &; ?dg Appendix Xll' the fuli t€xt of whieh ic in'.orporated here b7
refeien,:e in the award t€rms and conditione
Artlcle lll - Amerlcans wlth Disahilltles Act of t980
ft*erpenls*rualennrplyrvithlherequrrer"rrent aflilesi, ll aryJ llt orllisAr'rerrcansl"viilrsisebrl'itiesAct. Pr"rh' L. hj*'
1g1-as6 {1sss} {cod6ied "u
,n*ncis ar 4? U s.c ;;;;;;;ac*ro,r::ret, whinh prchrbi$ rucipi*nt* frarn Ejis*nrninating
oir the haei* of di*atility rn the opErattcn ct po,gfio *iili*", e'*'* u#e*ateiransp'o*atiotl $'Tslei1€' places af puyie
accomrnodalion, and certain testing entities
Aftlcle lv - Tralflcking vlctlms Prot€etlsn Act o12000 (wFAl
Rasi$r;*ts fi{Jsl ffmply wilh ih0 fequ.I*fi1}nt$ Of tne g*v€rmlfll{t':Iry"ft$6*cial B$sf stance sr'tdrs tenrl which implement$
$e+rion 1*s{g} of rN}* Traff*bilg vicii,.yrs rygygi i.Jioie*eg 6'vpAl, eo*rtreg n$ ameRded ar ?? r.J:s.c section 7104' The
aydefd t4rrfi is lscate{, at tcr-ft. se$ticn 1?5 15, the fut: ?eXl et v/hie} is ififrofp*iatsei hsre ry referer*'a'
ArticleV-FederalLeaelershiponReducingTextl/|essagingvrtrileoriving
ft€$iFierlt$.€rceacouragedt*adrrptandenfcr**..poticiesthothntextmessagingwhi{edrivingasdeecribedinF.O.lSS,lS'
inr:ltdinc ccnduotingrr$fiatlves descrlbed ilr Se*ion ilaiJn* Ota"t*ten oi ofriciat govemment business or when
n-;r.*i"*;* utoti fot or *n behsif af lhe federal governmerrt
Artlcle Vl - Debarment and $uspenslon
Fiecipi*nts are subject to rhe nsn-Brccur€Jrierir debarme*l and *uspeRsion regurariare imprementrng Exerutive olders {E Q')
1?34$ ar.ad 1?6S$, whicn ir* nia c.r.n p*rt rea ul*d6pt*d *y si{s at 3 c F.fi. Pad 3009. Tf*se regirlal}ona reslfist
f*deral financial assistance soeards, **uawards, anJ *rrir*t* silh uertarn partiec that are deba*cd' $u$$)end€d' or sthsfwise
excluded From or inerigisl-i; pa'ti"ip"tion in federal aEsistance prograrns or activities.
Article Vll - FlyAmerica Act qf 1974
RecipierrismustcomplywithPrefele*cefarU'$.FtagAir-Caniers{aircarriers.holdingcertificatesrrnder49U,S.C,
section 411o2) firr international air tJanspprtscion or teople ano property to the extenithat such servioe is availabie' in
DHS-FEMA-EMPG-FYzO Page 28 of 34 Cig of Kent EMD, F?1'125
acaordance with the tnternationdl Air Transportation Fair Competitive Practices Aot af 1S174, 4S U S C. section 40'1 18, and
the interprektive guidelines issued by the iomptroller General of the United States in tf€ Maroh 3'1, 1981, anrendment to
Comptroller General Decision B'1 38942.
Article Vlll - Aceeptance of Fost Arvard Changes
ln the eveni FEMA determine6 that changeG are neoessary to the award document after an award has been made. including
"nung""
to pedod of performance sr terris and condiiions, recipients wilt be notified of ihe changes in writing. Once
notification has been made, atry subFequant reguest for funds will indicate recipient acceplancs of the changes to the awald
please call the FEMA/GMD Cail Centerat is66i s27-5€46 or via e-mail to AsK$.lvlD(QdIrs.So! if you have any questions.
Adlcle lX - Duplicatlon of Benefits
Any cost allocable to a particular federal financial assi$tance award provided for in 2 C'F R. PaIt 200, $ubpart E may not
be charggd ts other federal financial a$$istance awards to overcome fund deficiencle$, to avoid restrictions imposed by
federal it"tut**, regulations, or federal financial assistanc€ atvard terms and corditiorn; or for other rea$ons. Howev'er, these
prohibitions would iot preclude reclpier*s fram shitting costs that are allowable under twa or more alqards in accordance with
exisung federal statutes. regulations, or the federal flnancial assistanoe awatd ierms ard conditions.
Article X - Copyright
Recipients must affix the applicable copyright notice$ of 17 U.s.C. seclions 401 or 402 and an acknowledgement of U S.
Government sg:neorship {inclr:ding tne
'award
number) to any work first produced under federal financial assistanOe awards,
Artlele Xl - Cicll Rlghts Aet of 1988
Reciptents mu$t comply with Title Vlll of the Civil Rights Ast of 1968, Pub. L No. S0-?84, as amended through Pub' L 113"4'
wnich proniuits recipients frgm discriminating in the iale, rental, financing, and advedising of diivelling$, or in the provision of
services in connection therewith, on lhe basis ol race. color, national origin, religi*n, disability, familial status, and sex (see
42 U.S.C section 3601 et seq.},'as impiemented by he U.$. Departmenl af Housing and Urban Development at ?4 C.F'R,
p*rr roo The prohibition on dieability discrimination includes the requirement that new multifamily housing with fsur or more
dweiling units-i.e., the pilblic and comrran use areas aild individual aparlment units (all units in buildings with ele.vators and
trounu-"Roo, units in buildings without elevators)-be designed and conskucted with ceriain accessible features, {$ee 24 C.F R
Part 100, Subpart D.i
Article Xll - Best Prac.tices lor Collection and Use Ef Fersonally ldentifiable lnformation {Pll}
Recipients who collect pll are requireel io have a p.rblicly available privacy-polisy that describes standards on the usage and
nninienarce of the pll they colleit. DH$ defiries personally identifiable information (Pll) ae any information that permits the
iU*nt'q, oi en individual to-be directly or indirectly inferred, including any irformation that is linked or linkable to that individual'
Recipiente may also hnd the DHS privacy hpact Assessments: Privacy Guidance and trrivacy Template as useiul .esources
respectivelY.
Article xill . Limited English Proticiency {civil Rights Act of 198f, Title vl}
Recipients must comply with Title Vl of the Civil Righte Act of 1964, (42 U"S.C. section 2000d et seq.i prohibtition against
di$riminstion on the hasis ol national origin. whiclirequire$ that recipients of lederal financial essistance t6he reasonable
steps to provide meaninglul acce6$ to persons with timited English proficie-ncy {LEP) to their ptogra-ne and services
For additional assistanee and irformatisn regarding larrguagd access abligations, please refer io the OHS Reciptient
Guidance: idta6 itircvw dh6goviquida$'"f-lv$t$Lqdlt€tp'ds$$,try4frit-2f&Sllel*Gr*qfli;,Sti*n6-fifovid?:rae$fiin$ful-Ecse$s:
f;gg*,gjitrieg and additlcnal resr)urce$ on hltp$.*sJep,ggy.
Article XIV - Hoteland nfiotel Flre SafetyAct o11990
tn aocordance with g6c'tion 6 of the Hotel and Motel Fire Safety Act of 1990, 15 U.S.C. $ection 22254. recipients must ensLlre
that all conference, meeting, convention, or traimng spce furded in wlnle or in part with federal funrls complies with tne fire
prevention and corrtrol guidelines of the Federal Flre Preventton and Control Act of 1974, (cadified ac ametrded et 15 U'S'C'
section 2225.)
Article XV - Disposition of Equipment Acquired ljnder the Federal Annrd
DHS-FEMA.EMPG-FYzO Page 29 of 34 City of Kent EMD, E21-125
ffi*r *rglnal or r€ss$€$r€fl| equipffient acqurred.uff er tlro award by tlre recipient or its $ufi"raslpients is no longer needed
forthe otigifial prqe*t or pf*g[am ilr ftlr ofhef actrvnies eulrentty erprau'lcusly supported by D1*|$/FEMA' you must request
iltsrructton$ rfom nngraudto m*t4& F *p*r d$po$iti*n cf rhe'equlpment pursuant to 2 C.F'R. Section 200 313"
Article XVI - Patentr and lntetlectusl Property Rights
Reaip*erds ar* $rjttisci to ths Bayh-ilele Act, 35 U.S C s*ctiaE ?0s et seq' unleas oih*ftr'iee pr*vrdud bry law ft*cipter*a are
susJeet to rhe sgeairi* reqoil#*iJs;t*ttilgin" ceu*{apmsnl, reryrtilu a1i tiiapcnrtrm af:*ghls ?a lnrsn*ont end p*tents
res'dting ircm f*derst iirranelsl **u*i*r*u awlrds ro""t*i it e; 'c r g pi* aot lan* the stand*tJ Fatsni rishlq *h$se i$ratsd
at 37 C.F.R. $eotion &1.14'
Artlcle X\tll " El{S $peclflc Acknowtadg€tn€nts and Asssrances
Ali reap,*nts, subr*eiprent$, succes$or$, transfelees, and assignees mllst act(nowledge and agree to efimply wtth applicable
provis*sn$go\rstningDH$aecesstoreecrrds,accounts,docurnents,information,facilities'and$taft'
1. Recipients must cooperate viiith any campliance reviews or eompliance investigations condustcd by DHS
2- Reoipients mLst give DH$ ac*ess to, and the rigl"rt to examine and ccpy, records, accounts, and other docurnenis and
ssurces oi information relat*d to the ferleral financialassistanse award arid Srermit aceess to facilities, personnel' and athet
individuals and infarmation as may iie necessary, as required by DH$ regulations and qther applicaHe laws qr prngram
guidance
3. Recipients must submit tinrely, eomplete, and accurate teports to the appropriate DH$ officiaie and maintain appropriate
backup dooumentation to support the repcrls'
4. Recipient€ must comply with all other special reporting, data collection. and evaluaticn requiremeilts' as pre$cfibed by iaw
or dehiled in Program guidance
3. Recrpenta cf f*d*rsl:fineficial assistafice frcm Llris ffru$t cofiplets the oH'$ civil Rlshts fivauatier: T+a] wt?'rrn lhit$ {3s}
deys sf receis cl ifle Nslrce at Aqt'ard or, lor Satu Ae*Jefut'ry'Agercl9€' thi&' (30i days from rec€ipl ot tl€ gHS Civil
Rights Evaruegoft To*r r** *us cr its awareling "nn-rBon*nta#nJy,
enar tf'te initiel subfiissisfl tsr tr€ fir$t a+rariJ und€t
whrc* fria lerm aFpltB6, ,ecipient€ affi requireci s,mvrde tt'ri* lksrmetiun ar*e every lws (?) years as lo'rg as lney fBVe $rf
active award, not every ti# an award is maoe neJJe;;;fu lurm'{tlrl compl-eted tool, inuluding suppnrtlng materials,
to givil,RigfilaFlEle$Jirn&-hfl dls.qfrrr. This lcal "turiti*"
fi-e civil rights obligations and i"elated reporting requirenents
contained in tl"e Dll$ $em;T;;;a a*eJ Csnditirns'
-suUrecipiJnts
are iot required to compiete and 'submit this tool to
DH$. The evaluation tool can be fcund at flttss]lfr'ri#,dh6'd{}YfpiJHir:a@
6. The DH$ office for civil Rights and civii Libertiee r,rrill consider, in its diecrctir:n, granting an extension il the recipient
icJentifies stepe and a ti;iin;*f;r;nrpleting tne toal. Recipionis should request extensions by emailing the request
t"-c,*rg|shrre,ral!atio_{:!@h-s,.gj-h,$.gov- prior to expiration of the 30-day dearlline.
Article XVlll - Procurcrn€nt of Recovered fulaterials
States, political subdivisions of states, and thsir oontractcrs rnust comply with $eotion s002 af the $olid waste Disposal Aot'
pub, L. No. 89-272 (1965), (codiiied as amended b^/ th" a;-ilt* cornervation and Recovery Act, 42 U'S'C section 6962 )
TiE f$qulrcffients ol s#i;ifi sQ+? irrsir.ide pru*,rriit] ontlr iretnr e*signated in guidelines of the Environmental Frotection
Asensy {Ep&) st 40 c F,,ft p&# z6i lhat csnt*in tne"tugi;.t ryro*ntJg* of recovered materials practioable, consistent with
*iinttiting a satisfaclary lsvei crf competilron
Article XIX . Terrorist Flnancing
Recipierrts must cornply with E.o. 13224 and u.s. laws that prohibit traRsactiotrs with, and the pr*visions of resources and
support to, individual$ and organiaation$ assoctated with teriori*m. lteclplefits arc legally reswnsihle lo ensure compliance
wlth the Order and laws.
Arttele xx - civil Rights Ac{ of 1964 ' Title vl
Recipients rnust comply with the requirements of Title vl of ihe civil Rights Act of 1 964 {eodified as anended at 42 U $'c'
section 2000d et seq.), which provides that no purron in the United $taies will, on the groun& of taoe' color' sr national origin'
be exciuded from participation in, be denied the nenetiii Lr, or * su$ected to discrimination under any program or activify
DHS-FEMA-EMPG-FYZO Page 30 ot 34 eiiy of Kent EM0, E21-125
receivi1g fetleral 1inancial assrstanee. DH$ impienrenting regulatians for the Acl are found al 6 C f R' Part 21 and 44 C'F R'
Fart 7.
Article XXI - Prior Appraval for Modification of Approved Budget
Befcre making arry change to the DHSJFEMA approved budget for this aw-ard, you must reqwst prior written approval from
DHSIFEMA rvhere required b/ 2 c.F.H. .Section i00 so8. DHJS/FFMA is aleo uiilizing its discreticn to impose an addiiional
restriction under ? c.F.R. SeJtion 200.3CIs{ei regareling ihe tran6fer of funds among direct eost eategories. programs,
functions, or aotivities. rnereicre, for awa*switi an alnroved lrudget where the Fbderal share is greater than the simplified
ioqulsition threshold (or.rrrenily slSo,ooOl, your*y noi transfer funds among direct cost categoriee, programs' functions'
or activitiee without pior writttin appiovaf'trorn OHsnf ug tqhere the cumulitive amour* of sr-ch transfer* exceeds or is
expected to €xceed ien p*rount iiO'*) artne total budget CIHSIFEMA last_approvec. You must report any deviations from
your DHSIFEM4 oppr*ui ulogltl-in- rint Feoerar Financial Report (sF-425) ysu submit following any budget deviation'
iegarArces of whether lle UuAget deviatian requires prior written approval'
Article XXll . Acknowledgentni of Federal Funding from DHS
Recipientr must acknowledge their use of federal funciing when issuing staternents. pr€ss releases, request6 for proposal, bid
invitations, and other docurients desuibing projects or prograrns funded in wl$le ar in part wiih federal funds
Article XXlll - Rehabilitation Act of {973
Reci6ientsmustcomplyuriththereguirementsof SectisnS04of theRehabilitatinnActof 1973, Pub L. No' 93-112{i973)'
(codified as amended at zS U"S.C, eeotion 7g4.) which provides that no otherwise qualified handicapped individuals in
the United Staies will, uof*fy q/fuu*on of the handicap,' be excluded from participatian in, be denied the befiefits of' or be
subjected t0 discrimination under ar$l program or activhy* reoeiving lederal financial assistance'
Afticle XXIV - False claims Act and Frogram Fraud Civil Remedies
Recipients must comply with the requirements otthe False Claims Act, 31 U.$.C. seetions 372s-3733, which prohibits the
submission of lalse or lraudulerit claim$ For payment io ihe lederal government. (See 31 U.$.S' sectians 3801-38'12' which
details the adminislralive remedies fDr false claims ancl staiement$ rnade )
Article XXV - Nandiscriminallon in [llattess Pertaining to F*iih€ased Organirations
It is DHS policy to ensure the equal treatment ol failh-basecl orgarrizations in.socisl service programs administered or
supp,orted bi DHs or it* *o*poiunt ilencies, enalling lhose Jrganizations fa participate in providing important social
services to beneficiaries. Reriipient* riust cornply r,,sitlrihe equal ireatment policies and requirements contained in 6 C F R'
part 19 and other applicable $tatues, regulatiore, ana guioance governing ihe participations of faith'baserl olganizatior$ in
individual DH$ Progranrs.
Artlcla XXvl " Lobbylng Frohlbitlons
R*cipients r-nust comply with 31 u.S.C. section 1352, Which provides that none ol the fund6 pravided under a f€deral financial
assistiar*€ award may ue experded by the recipientio pay any person to tnfluence, or aitempt to influence an ofiiceI or
emf,oyee ol arry agenOy, a Membe r ei Congress, an offtcer or employeo of Congress ot an employee. of a Member ol
congrass in conilection witfr any ieoeral aciion relatEd to a federai award or contract, including any extension' cantinuation'
i'enewal, amendrnent, or rrrodification
Article XXVII . Education Amendments of t9?? (Equal Opportunity ia Education Act) 'Title lX
Recipients must comply vrith the requirements olTitle X of the Eduoation Amendmer*s of 1972, Pub L No' 3?-318 (1S72)
(codified as amended at ZO U.S.C. section 1681 et r*q.), *ni"f, previde that no per3on in the United States uill, on the basis
of sex, be excluded from pB*icipation in, be denied the'nenefits ol or be subjected lo discrimination under any educational
program or activity receiuinl fe&ral financiat as$i$tance DH$ impernentingj regulatlans are codified at 6 C'F.R' Part 17 and
44 C.F-R" Part 1S.
Adaele xxvlll - Age Discrimlnatlon Ad of 197S
ftecipiente must compty with the requirernents o'f the Age Discrirnination. Ac'i. of 1975, Pub. L, Ns' 94-135 {'l 975) (codified as
anended at Title 42, u.s. co<le, section 6101 et seq.;,ivhich piohibits diectimination on the hsis af age in any program or
activity receiving federal financial assistance,
DHS-FEMA'EMPS.FYzO Page 31 af 34 City of Kent EMD, E21-12$
Article XXIX - National Environmental Policy Aet
Rsoip{ent$ rrlusl c*rnpfy waih the requirefil$flt$ cf the seironal f;m/ironmenlal Policy Act of 1969 (NEPAI Pub' L' No' 91-190
t1g?si (md;fiec a* annn*d *tja u.s.c" *ec4i*rr *ii?**q,i"nd the council on Environmental oualitv {cEo} Regulations
fsr lmp€mg#lng the frns€Juiil trrnvisi*rs sf SI€FA, whisn r*qr:lre recipie-nts to use all practicable means wtthin lheir
agthslly, and csfisist*nt'w,tlr cgle, e$*entiel ffi*$tdsrcti;s of rratlonal poticy, to create arld malntain conditjilra Hl$ef which
F€epls sr'd *attJre eafl exiei in pnu*,io* t,errnony afid tilttill tlte social, economic, and other needs of prasent and future
generations of Americans-
Article XXX - Assurances, Administrative Requirements, cost Principles, Representations and Certifications
DHS financial assisbnce recipients must complete either ihe c:,ffice of Management and Budget (oMB) sitandard Fam 4?cs
Assuranc*s - Non4onstruction progranrs, ar ourg sianou.c ror* 424D Asiurances - canstiuction Programs, as appicable"
Cafnirrassr:r3f}sgsinthesedoaurn*{isfieynstb*a*plisab}*t*yourplaglaffigndthe#H$finar:cialasslstaftceoffice(DH$
fAg) may reqitirg apgicerts l* {*rtily a*lrtionaf asrurarrs&8. Applirqnts-qgregr.rired t* fill orrt ihe assuran*e* applicable to
thsir pro$rafi as instrust€d by the awar,Jrr* ag*n$y, Fl*a*e *ritlg l;.g DltS FAO if you hcve any questions
DHS financial assistance recipients are required to follow the applicabl€ pravisi*ne af the Unilorm Aciministrative
Requirements, cost pwrcrples, ano Audrt Requrrern"nr" to, Federal Awar{,c lwttss at fiile ?" *ode af Federal Regulahons
tc.r n I Part 200, ard agase* by DHS ai ? c F R rutt 3002'
Article XXXI - USA PATRIOT Act of 200{
Recipi€nt$ mu$t compy with requirements of seqtion 817 of the uniting and strenstils*iug Ameritlb'Y Providing Appopriate
Tools Requrred to tntercept and Obstruct Tenorism Act of 2001 {USA FnfRnf nc4. fu*' L' No 107-56' wh6$arneniJs 1B
U.$.C. sectlons 175-17Sc.
Article XXXI - ilon-Supplantlng Requirement
Recipients receiving federal financial assistance awarcb made under programs that prohibit supplanting bv law must ensure
that federal lunds ds nd ;il"; i;pphnt) funds tnai 6au* neen UuOget6C for the same purpose thri:ugh non-federal
sources.
Article XXXtll - Drug-Free Workplace Regulations
Reclpients must oomply wiih drug-free worlplaee r*quirennnts in subpart B (or Subpart c, if the recipient is an individr-nt) oi 2
c.F.R, part 3001 , which adopfs the Goverfinrenl,wi;8:imftementafion (2 C.F.R. Pad 1s2) of sec. 5152'5158 of the Dtqg-Free
Workplace Act of 1988 i41 U'S G sections S101-8106)'
Adiclexxxlv.UniversalldentifierandSystemofAvuardlVlanagement
Rocipienta ar* reguired to rcrfil}'y wiih tl1e tsquiretnents set fotth in the go:r*rnrnenl'wide financial sssistance award ierm
renardino the syeJem for Aryard Managen*nt *nd universal ldentifier Riqulr*menls located et 3 c'p R Pad 25' Apperdix A
tf6 turr tixt of wirish i$ ir*illpsrated here by reference'
A,rticle XXXV - Repo*ing Subawards and Exectrtive Compensation
Recipientsarereqr-tlredtocomplywiththSisg{relenFsetforthinl.hegovernment.wideawardtermonReportingSubawards
and Executive compensation tocated at ? c.F.R p"tt izo, npp"ndix A."the full text of which is incorporated here by reference
in lhe award terms and conditions'
Articb XXXVI - Energy Policy and Conservation Act
RecipientsmustcomprywiththerequirementsoftheEnergyPolicyand cornervationAet,Pub L'No 94-163(1s75){codified
as amended at 42 u.s c section 5?01 et seq,), wi,i6h co,#in pottiu* relating to cnergy efficiency that are defined in the state
energy ccnservation plan issued in compiianoe with this Act'
Artlcle XXXVII - Whistleblorner Protec'tion Act
Recipients must comply with the $latutory requirer$ents for whistleblawer protectiom (if applicable) at 10 u $ c section 2409'
41 U.S.C. section 4712, and 10 U $,C. sectioh 23?4, 41 U.S'C. sections 430'4 and 4310'
Article XXXVlll - Federal Debt $tatus
DHS-FEMA.EMPG-FY20 Page 32 of 34 City of Kent EMD, E21-125
All recipients are required to be non-delinquent in their repayment-sf any lederal deht' Examples of relevant debt inolude
delinquent payroll and othei taxes, audit disallorvances, anO bunefit overpaYments' ($ee OMB Circular A-12S')
Article XXXIX - Use sf DHS 6eal, Logo and Flags
Recifienta rnust obtain permission from their DHS FAO prior ta using the oH$ seal{*}, logoe, crests or reproductiors of flags
or likenesses of DHS agerny officiats, including use of the United SiJtes soast Guard seal, loga, crests or reproductions of
flags or likenesses of Coast Guard sfficials.
Article XL - Notlce of Funding Opportunity Requiremenb
Ail the instructions, guidanoe, limitaiions, and other conditions set forth in the Nalioe of Funding Oppr:rtunity (NoFo) for this
program are incorporat"c n"i* by reference in the award tenns and conditiorx AII recipients muFt coffiply with any suth
re{uiremenb set forth in the prograrn NOFO'
Article XLI -SAFECOM
Recipents receiving ft&ral finanoial assistance awards macie under programs that provide emergersy communication
equiprneflt and its related activities must comply with the 5AFEOOM duidanee fqr Emergency communication Granxg'
*ii joing provisions an technicai standards that ensure and enhance intenperable communisatians
Article XLll . Amendment required to release remaining fu$ds
The reoipient will have immediate aocess to i0% of the Federal shafe, or s3,775,379' The recipient agrees not to obligate'
expend or drawdown thu t;;;id;0% of the Feoerat share, or $3,775,379 until a detailed budget and workplan, to ir$lude
the exerci$e end training dah tables, have been reviewed and approved by the FHtulA Regianal Program Maflager, and an
official notice has been issued rcmoving this special condition. The oetailed budget and workplan needs to be suhmitted by
Seplember 30, 2S20.
Parsonnel
Fringe Benefits
TravBl
EquiPment
$upplies
Cortractual
Coretruction
lndirect Charges
Other
BUDGHT COST CATEGORIES
$4,031,487.m
$1,470,S61.00
$s 695"00
$1,921.00
$8,900"00
$s,186,9S0,40
$0.00
$3S4,643.00
$0.00
DHS.FEMA-EMPG.FY2O Page 33 cl 34 6ity of Kent EMD, E?1-125
Obfigrring Ooolnrcnl for Award/Aelc$d$en'
la. ACREEMENTNl}.T. AMENDMENTNG
6MS-2020-EP-0(XX}2-s0l &**
6. RECIPIENTNAME AND 7' ISSL'INC FEMA OFFICE A1\'lS
ADDRESS ADDRESS
Wnshinglon Mititary F€tulA-CPD
Deparlrncnl {tt{} C Slrc:ct' $W' 3rd fioor
Buil,ting:o Washingtoq DC ?0't?2-36'15
Camp triurnry. WA. 9813$ - POC: 866-9??--i646
il22
3, +.TY?ECIF ACTION
RECIFIENT AWARD
No"
9l6tlur0956
5. CCINTROL NO,
FYli)2{}R.li}EMPC
9. NAMEOT'RECiPIENT
PROJECTOFFICER
Tir*rh Kinchclac
II. EFFECTIVE DATS OF
T1{I5 ACT1ON
ltlnl/?019
PROSRAM
NAME
ACRONYIVI
CFDA NO.
lint*grn11'
lvlarrlgeltuot
Pcrfonttgnc*
Cnmls
q7.$,li
PIIOTE NO.
?5-3"r t2?.[56
12.
METHOP
OF
PAYMEHT
PARS
ACCOUN"TINC DA'TA
{ACCS CODE)
XXXX-XXX.XXXXXX-
X1{XhT.)CXKX-X,\fiX.X
2010-r.\"(i,\o I J( l0?" -41 ?{}'ll
IO. NAME CIF FEMA PROJEE"T COCIRDINATOR
L'entral Scledtrting and infonnation Sesk
Phone : 8(X)-36114"998
Enra i I : Ashc.gidi.ri:dhs. gor'
I]. ASSISTANCE ARRANTJEfu1ENT
Cost Rcinthtrscr€nt
8. PAYMENT OFFI{E AND ADDRSSI;
FEMA Finanec Ccnter
430 L'tarkct Strcct
Winchcstcr. VA 3?fdi-1
I.{, PERFORh,IAN{E PERION
From:
10/01/2019
Budget Pcrinrl
10/r)1/:01C
Ttl:
0s/301302?
I,5. DESCRIPTION OF ACTIOh'
ir. (trrdicatc funding data lorarvards sr finarrial cltnngcsi
$o.(xi 5?.5i0,?58 0ll s?.55t!.?-{8 0t}
cft$o $?,5,{0.7$L{l$ $?.s1175&00
09t3012a22
CTJMULATIVE NON"
FNDERAL COMMITMENT
Sc+'l otolt
5?.5&1.?39.i10
DATF
FriM.ry 08 l5:53:0* GMT
?{i}{)
PATE
Tlrrr Apr 30 l7;-15: t5 0MT
20?0
b. To describc clurngcs orlrer lhiu furxling dala or tina:r0iul clungcs. alt$ch sshcdulc and cbcc'k l*re'
NIA
I{i A. FOR HON-DIS.ASTER FROGRAMS: RECIPIENT IS REQI.NRED TO $ICN AND RETURN THREE (3} COPIES OF THIS
DOCUMENTT0 FEMA (Sec Block 7 forrrddtt"'ss;
Enrergerrr. Mauagenlert performarre cranrs recipienls are fot reqrrired tc sigu arrd reluir copies ol llljs docume$l' l{orver'er' recipienls
shouli print arxl kce p a csp.v of lhis {lsclrnrcttt fcr ihcir rceords
iai. rOn niS,-{SrER pRiiGRAMS: RECtptEN'l'tS NOT REQUIRED'rCI $lGN
Tlds irssi$runce is subjeet ro [oo, o*,r "o*lirlcrr
aitarhea ra tt ii aruaro notice of bl incorpocrted mfertrce in prcgrafir legielalion cited
abor"e.
17. RECIFIENT $lGl'IATORY OFFICIAL {Nnrne and Titlc}
Tirr.rlh Kincheloe, hfrs
18. FE&IA SISNATORY OFFTCIAL {Name nnd "l'itle}
PRIOR
TOTAL
A!VARt}
AMOUl.l.l.
AWARDED
THl$
ACTION
+ oR (-)
{]URREFT
TOTAL
AWARD
KIMBERLY EFIH PENFOLI} - Assistarce Officer
DHS-FEMA-EMPG-FY2O Page 34 ol 34 City of Kent EMD. E21-125
SIG NATU RE AUTII ORIZATIO N FORh'I
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Piease read instrucflons on reverse side before completins this form.
NAME OF ORGANIZATION
City of Kent - Emergency Management
DATE SUBMITTED
1112512A20
PROJECT DESCRIPTION
Emergency Management Performance Grant
CONTRACT NUMBER
E21-125
1. AUTHORIZINGAUTHORITY
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Dana Ralph Mayor
Matthew Morris Fire Chief
I
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIG TURE PRINT OR TYPE NAME TITLE
Dana Ralph Mayor
Matthew Morris Fire Chief
{-
3, AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE PRINT OR TYPE NAME TITLE
,)rr,*{taq Jennifer Keizer EM Specialist
?m DtDona-b Jeff DiDonato EM- Division Chief
I\NAC-1\VOLt\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03
INsTRUcTIoNsFoRSIGNATUREAUTHoRIZATIoNFoRM
This form identifies the persons who have the authority to sign contracts' amendments'
and requests for reimbuisement' lt is required for the managbment of your contract with
the Military Department (MD), Please complete all sections. one copy with original
signatures is to be i*nt to' Md with tre iigned contract, and the other shourd be kept with
your coPY of the contract'
when a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file. The payment can be delayed if the request is
presented wittrouifir* prop", signature.
-rt
is important that the signatures in MD's files
are current. CftangeJ in stafling or responsibilities will require a new signature
authorization form'
1. Authorizing Authority. Generally, the person(s) signing in this box heads
the governing no-OV oi'tn" otgunization, such as the board chair or mayor' ln
some .rr"rl tne'cnief exeiutive officer may have been delegated this
authoritY'
2. Authorized to sign Gontractslcontract Amendments. The person(s)with
this autnoriif *ioufO sign in this space. Usually, it is the county
commissioner, mayor, executive director, city clerki etc'
3. Authorized tO sign Requests for Reimbursement. often the executive
director, city clerk, treasurer, or administrative assistant have this authority'
It- L adviiahle io have more than one person authorized to sign
reimbursemJil-requests. This will help prevent delays in processing a
request if one psrson is temporarily unavailable'
lf you have any questions regarding this form or to request new forms' please call your
MD Program Manager'
Doing business as (DBA)
Kent Office of Emergency Management
NAME
Jeff DiDonato
WA Uniform Business
ldentifier (UBl)
1 73-000-002
Federal Employer Tax
ldentification #:
Applicable Procurement
or Solicitation #, if any:
ADDRESS
400 West Gowe Street #414 Kenl, WA 98032
This certification is submifted as ofa to contract.
Washington Military Department Contract prt5"t' E121-125
Debarment, Suspension, lneligibility or Voluntary Exclusion Certification Form
lnstructions For Certification Regarding Debarment, Suspension, lneligibility and Voluntary Exclusion:Lower
Tier Covered Transactions
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out
below.2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. lf it is later determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal Government the department or agency
with which this transaction originated may pursue available remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the department, institution or office to
wnicn this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person,
primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning
set out in the Definitions and bouerage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicabte CfR, debarred, suspended, declared ineligible, or voluntarily excluded
irom participation in this covered transaction, unless authorized by the department or agency with which this
transaction orig inated.
6. The prospectirTe lower tier participant further agrees by submitting this proposal that it will include this clause titled
"Certification Regarding bebarment, Suspension, lneligibility and Voluntary Exclusion-Lower Tier Covered
Transaction," with6ut mddification, in all lower tier covered transactions and in all solicitations for lower tier covered
transactions.7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debirment under applicable CFR, debarred, suspended, ineligible, or voluntarily
excluded from covered iransactions, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non-procurement Programs.
g. Nothing contained in the foregoing shall be construed to require establishment of a system of records.in order to
render-in good faith the certification required by this clause. The knowledge and information of a participant is not
required to-exceed that which is normally possessed by a prudent person in the ordinary course of business activity.
g. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered tranJaction with a person who is proposed for debarment under applicable
CFR, siipended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment'
Certification Regarding Debarment, Suspension, lneligibility and Voluntary Exclusion--Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal or contract, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily.excluded
irom participation in this transaction by any Federal department or agency. Where the prospective lower tier
participant is unable to certify to any of tne statements in this certification, such prospective participant shall
attach an explanation to this form.
Bidder or Contractor Signature.DaDanab
READ CAREFULLY BEFORE SIGNING THE
abide by the terms of this certification,
involvi federal funds.
I regulations require contractors and bidders to sign and
order to participate in certain transactions directly or
CERTIFICATION. Federa
without modification, in
Print Name and Title:Jeff Di Division Chief - EM
Date:12t21t2020
Washington Military Department Contract Number E121-125
FEDERAL DEBARMENT, SUSPENSION
lNEL|GlBlL|TY and VOLUNTARY EXCLUSION
(FREQUENTLY ASKED QUESTIONS)
What is "Debarment. Suspension. lneliqibilitv. and Voluntarv Exclusion"?
ompanythatcannotcontractwithorreceivegrantsfromafederalagency'
ln order to be debarred, suspended, ineligible, or voluntarily excluded, you must have:
. had a contract or grant with a federal agency, and
r gofle through some process where the federal agency notified or attempted to notify you that you could not contract
with the federal agency.
. Generally, this process occurs where you, the contractor, are not qualified or are not adequately performing under a
contract, or have violated a regulation or law pertaining to the contract.
Whv am I required to siqn this certification?
WashingtonMilitaryDepartment.Federallaw(Executiveorder12549)
requires Washington Military Department ensure that persons or companies that contract with Washington Military
Department are not prohibited from having federalcontracts.
What is Executive Order 12549?
FederalExecutiveorderNumber12549'Theexecutiveorderwassignedbythe
president and directed federal agencies to ensure that federal agencies, and any state or other agency receiving federal
funds were not contracting or awarding grants to persons, organizations, or companies who have been excluded from
participating in federal coitracts or granG. Federal agencies have codified this requirement in their individual agency
Code of Federal Regulations (CFRs).
What is the purpose of this certification?
totellWashingtonMilitaryDepartmentinwritingthatyouhavenotbeen
prohibited by federal agencies from entering into a federal contract.
What cloes the word "proposal" mean when referred to in this certification?
est,invitationtoconsiderorsimilarcommunicationfrom
you to Washington Military Department.
What or who is a "lower tier participant"?
io*er tter filtc'pants means a person or organization that submits a proposal, enters into contracts with, or receives a
grant from Washington Military Department, OR any subcontractor of a contract with Washington Military Department. lf
fou hire subcontractors, you should require them to sign a certification and keep it with your subcontract.
what is a covered transaction when referred to in this certification?
nagreement,grant,oranyotherarrangementwhereyoucontract
with or receive money from Washington Military Department. Covered Transaction does not include mandatory
entitlements and individual benefits.
sample Debarment, suspension, lneligibility, voluntary Exclusion Contract ston
Debarment Gertification. The Contractor certifies that the Contractor is not presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participating in this Contract by any
FeOerat department or agency. lf requested by Washington Military Department, the Contractor shall complete
a Certification Regarding OeOarment, Suspension, lneligibility, and Voluntary Exclusion form. Any such form
completed by the bontractor for this Contract shall be incorporated into this Contract by reference.
EXHIBIT C
TNSURANCE REQUTREMENTS FOR
CONSU LTANT SERVICES AGREEM ENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to pro.perty which
may irise fiom or in connection with the performance, of the work hereunder
ny tne Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum ScoPe of Insurance
Consultant shall obtain insurance of the types described below:
1. Automobile Liabilitv insurance covering all owned,.non-
owned, hiied and leased vehicles. Coverage shall be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide
contractual liabilitY coverage'
commercial General Liabilitv insurance shall be written on
ISO occurrence form CG 00 01' The City shall be named as
an Additional Insured under the Consultant's Commercial
General Liability insurance policy with respect to the work
performed for fhe City using ISO additional insured
endorsement cG 20 10 11 85 0r a substitute endorsement
providing equivalent coverage.
2. Workers'Compensation coverage as required by the
Industr'tal Insurance laws of the State of Washington.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined
aingle' l'lrn'rt foi noOity injury and property damage of
$1,000,000 Per accident.
2. Commercial General Liability insurance shall be written with
ffi,000,000 each occurrence, $4,000,000
general aggregate.
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Consultant's insurance coverage shall be primary insurance as
respect the City. Any Insurance, self-insurance, or insurance pool.
coverage maintained by the City shall be excess of the Consultant's
insurance and shall not contribute with it'
2. The Consultant's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior
written notice by certified mail, return receipt requested, has been given
to the City.
3, The City of Kent shall be named as an additional insured on all polic.ies
(except Professional Liability) as respects work performed PV o_f on behalf
df tne Consultant and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance. The
City reserves the right to receive a certified copy of all required insurance
policies. The Consultant's Commercial General Liability insurance shall
blso contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than A:VII.
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Consultant before commencement of the work.
EXHIBIT C (Continued)
C. Other Insurance Provisions
F. Subcontractors
Consultant shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Consultant'
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$sGrfoN , - fixrFt'lplosg pf s.g?f;sAeE;.-t*itr *r rlgg{rFAryfiF " sA.cri pEsE*rBqp pRr&lsE$ .- , ,.
'fhe coverages and corr.espc*d.ing {lmtls lrr8yl} qglgw apply separataty tCIeach descrlb€d prennises ghswn in theseseelaration*. unless iildlcated by-'-see schsdule." rt a c'ileragri goei ;di il";'J;orresponding timtt stuown bsloy*,but has "includod" indicatad, piease-r"tiit';irtii'pnijJv-tir.i"iilion lor a* explanarlsn of that coverage.
#S1IfiRAfiE
Accour"rls ftercivable
C* Fremiaes
Sff Frernis**
Arssn fteward
Back-*p Of $ewer 0r *rain
Coliapse
Samage Ts Nrx-fr*rr*d Buiie3i*ga Fr*m Theft, Surglary *r R*bbery
**i:ris ftem*val
fiquipme*t Erealcd&w*
Fir* Depa$menf Serui*e Ch*r6*
Fire Fxtinguishar $ystems fieuh*rg* Hxpen,**
Forgery Or <*ratisrr
Giass Ixpenses
lnffeassd Co*t Of C*n$lrueti*r1 An* ilsrn*litio* Ssst$ iapp{ies *n}y wh*n br:ilding* *r*insured on a r*placomcrll *{}s1 basisl
M**oy And $ecuritic* {Oif prerrris**}
M*nay And $ecuritr*s {*n frcminas}
{vlaney *rdors A*d cs*rrtertcit Mo*sy
I?*Jy Actlired Birsrn*ss Fersonal Property {appires oirly if this p*ticy provid*sCoverage B - Business porsonal eropeity; '
Itlcwly Acquired or constructed sultdings {appliss oniy if this policy providesCovera$e A " Buildings)
Prepared
D*C 2l t$z*
c'\jp-4.**fr
tr1S$94 '1}|r4
E.
qi *ofvti{irt $t*t* fsis* ltiiraiei A$irrs-:i:b;l* }!*ura$e * f tnrFa+y. f$rg
rlri*rlsr i;oFr/ri{i*isd nrltsri*i i:l iq.Blrrarr;9 $eryici}s 0{firv, i:rs., yvitk itt pxrmis*ir:n.
***tinu*d ** Rsverse $ide *i Fage Pag* 3 at 7
R[t{gwAL ogslAfr ATiof{s {cosTi tttjH*}
Sfrice Fallcy for llfrlll€ft, S$44SJISTHRYF|Ht!& Nii{ti*si es-Bs-44?7'o
Srdinanc* *r lew - tu*sipm**z**t*rag*
0utd*ar Pr*PertY
personal Ff{ects {appiies o*1y tt ths$e $xs{Tlic*s pr*vid*# ccv*tage s' Busine*s
Personal Prop€rty)
Persanal ProPartY *if Prarxiaes
Pollul.a*t Cle** UP And RersovaN
Frnservati*tt Cf Ft*Pe*Y
*rp#*tly *{ Others
Pets*aal Fr*Pe*Y]
{erppliss ***y t* tl'r*se premi*e* plcvidnd C*vor*ge S - *usiness
$i6ns
Ufiac.ith*rized $u'$i*ess Car# *J*e
V*luable FaP*rs A*d See*rd*
{}n Premisss
S{f Prcrnisas
Wa1*r Oarna$*, Sther L*qui$*, Powdsr *r ld*lta* hdaterial Sa$lags
lnctud*tJ
$,#ilfr
$*,sss
$15,000
$1s,0**
3* Dayc
sr,5##
$2,6**
S*,*fiil
$5*,**{it1 q, nfin
lncli-r*Jad
OF E:eFl -p €n
Thecoveragssandcorrespo*d"lngllmitsshownbelowarsthsrnogtwewil|payiUiciitiil p."l*lses J*own ln ths$e oeclaratiot'ts'
regardb$* of the r*$rabar of
covrnAsE
Sep*nde*t Pr*p*rty' L*ss CIl l*came
Empl*yea Sisl't*nestY
{Jtility l*t*rupti** - L*ss Of i*r*ne
l-oss fi{ 1n***a And f;xtra fxPens*
Lt$#? oF
tllgURAlil0E
$s,0**
$1t)*s**
S1#.ft**
Aetr-ral L*$$ Su$lais*4 - i2 M*fiths
Prepared
Dtc21282A
cMP-4S00
01s034
ri) trpyrialrt tlst* f*rin M*t*alArrtcr**:i:il* lltgurait;i* 0smr:sn?' ?fi0$
lnr:l*dsr co{ryri$lrXsli n:ar*r:al +f i**ur*nr:* SstuJi*cs fllli;e' lflr'' !'ilh it* permit*i*tt"
Conlinusd on Next Fage ?ag* 4 *t 7
&ilrt 1ss3*
rgsEWAL s[cLAnAT$r*s {csilTtf.{{Jf s}
pftl.ce f-ol8cy lor Mllt-Eft, $ARAh{ KATHHY{{Po$cy HurnDsr gf-Bg-A4ZI-S
ffi
&
ts CfVTSAGE
*rv*ra6e L " Su*ine*s Lr**iiity
**verage M - MeSi*alIxpenses {A*y *n* Fers**i
***rag* Tc Pr*mi**s Rsnl*cJ T* y;:r"t
AGGHf;ffiATT #A{ry$
ProductsiCcmptctecl Sperations A0 g r*gate
Generai ASgr*$als
{-t?6rQr
{$lSuRAt{cE
$?,0$$,t]0s
s5,0*s
s30s,**0
ffnir &F
'fd$uRAHsg
S4.sOs,fiofl
$4,S*S.#*S
Eanh paid slaifi for liability correrage f6oil{:es tfis &m*ljnl *f ire*urgnce wc pr*vide riL,uirrg the *ppli*ablean;rualpnriod' Flease ro{ei to $*cri*n *i 'Litbr$ry-;* itr; $&r"e#'Fotrir [*rf'*]ry *irX}ri* e*oornsrne*r$
Y**r policy cs$$ist$ al thsso Dsclarati*ilff, {ho SLJsll{e $$owrurns c*vfiftA#r F*,lM sh*w$ bet*w, and a*y *t**rlormc and end*rsemenl$ lhsl apply, inciu*t,':g rl'r**e s.ho#i-diljil"ae turelt a* ihJ*e i$$$ld $$*$sqfi$fil t* #.lei$suance of this pclicy.
FOft1'!r ai$l' FlIrrnRaF
cMP-410*
rE-$9S9.3
ordF4810..t
c{up-4247.f
0s{p4705.2
cMp-471S
*M?-4789
cMP-4706
cMp-4704"1
cMp-4703.1
CI&,lp-4713.{
cMP{78$
CS'iP-4779
Businsss*wners *oa*rag* f*r*nTerfo*sst !ns*lacse *ov Ngiic*
Unauihorizsd Biisiness Carci Use
Am*ndatory ****rseft*fi t
Ls**q ol {n*sn* & Extra Sxp*se
Er*playee Dish*nerty
M**ey an* Se*irriliss
ftack"Up af $ewcr cr fia!*
D*pa*dent Prap Loss *{ t*corrre
UXiliXy lnterruption Loss ln*m
Ex*l Testi*g fr*r:**tting f&*
Addiinsd CIwners Lessse $**e#
Srcpl*yers l-iai:iiity
Fr*porud
DECfI 2020
cMP-4SS0
fi1$S35 2s4
*.
S ikryrigilt, $teis lei*'r s3rrglr*l,q$tcnrbile lnsgr€nce fu*1rony, ?.|?flli
ll*lutir:rr*pyrrglrrcdry:atrri$l $llfi$tir$nrs$*rvice$.n#ii:s,in*.,lgithtrltrm.:*rior,
t**lini";Ecj r:* Rev*rse $id* r:f pag*PaSe $ *1 7
n3$tswAl SscLARATISf'*s tcsruxNtjtDl
o*ice Pollcv lor MlLl-EH, $A14H-K$THRYI'C
Fit!6 Nlid6r;i" - sd'es-neil'o
ftr-af;d{'l
*MP'457?
#MP-4S$1.1
f9-s$*7
Aetual Saslt Vslue f rr**rs*m*nt
Amsndme*l oi Fremi*m **nd
P*li*y fndorsemex?
inNa*d fdari*c Attash Dee
" $*w Form Atta*hed
OF
lntsrest Tvpe: Addl lnuured-Sectrofi ll
Lioors€nfint #: CMP4786
Loan Humher: N/A
KTFJG CSUSTY. 1T$ OFFIOEN$. AT'IS
EI*PLOYEHg
4*1 $TH A r
*Lnrlr-r wa 981s41*1s
tcrtc(sst ?ype:
Endorsem€nt #:
Loan l{unnbar:
TITY *F KEf{T
'?S
4TH AVf; $
KFNT WA
Addl 1r*sured-$**ti*ri $l
si\fp478S
f{lA
gs#32$S*S
Tilla p*licy i* iasued by t1':* *tste F*rr* Fire and Caaualty Scrnpa*y
Fa*icipating F*licY
you ars entillsd ta particlpate in a ciistributi*n of the eal*iilgs *l llt* **rnpa*y es d*lermin*d hy *ur **ard cf slre*tor* in
acccrdancc wiih tha d;;i#;f; Ar*it*o oi tr**orp*rali*n, as ani*nde*.
ls !?ittsrs li&rsrecf, tlr* $tatc far*.r Fire and casu*liy scnrpany has cauced ttris peticy to ba *$ned by ita Frosident and
ixittJt"w at Bloomingbn- lllinois'
tYvLSt*,it- tr-*qy.:*t{t u Frsside*rSecreary
Frcpared
*ECy 2a2fi
sMP-4*$s
$1s0e5
& C*pfri$hr, #t*t* lar$ ffitilqalAjj*rr]lrbris itl$*{*ncs Cs$lpsny' ?ffifl
lnei*det *u*,nnt*O m*t$rial Bf lnssr*nte Sstrrices Sf{ice' lne ." witk itc t?stlt*acina'
Ca*iinusti ** l"lext Paga Fago * n{ ?
&
ffii
REH€W&L STCLAfi &r$OS* {COr{TtNijgD}
Qff.tce Pclicy for il!$LLf;S_ SAfiAI* KA?NIRYF{Psilcy Nurllbsr 9S-BB-A4TZ-$
E
1l
14
3
iloTrc€ T0 FoltcYHot_OEfi :
F*r e eomprehsri*iva das*ription *t c$rier?ges a*d f*rms, please relar to y**r p:ulicy.
Policy change* requested bal*re th* 'ilatJ pr*pared,,, wnir.lr app,:a, *oif.,l* il"ti--, are elfsctive c* the flsnswal Dat6 of thi$pollcy unless #thenryise lnriiceted by a seprir*te'*ndsrsei'ileirt. tilircer. *r arnen*eg'cJecl*rati*ns Any coverari-'i##- -"tt*-l-**to this n*tic* are aiso eftsclivs &ri the periawal n*te *f i*ilt g"riii'p-*ljil *,{:an49.1 r*que*tcd a*t**' l}re "'Dat* Pr*-parsd". wili be *er:t tg. y*r} fis &* a*l*ncled do*i*rsti*n* *r a* aft *nci&rse;::*nt t*y*ur p*li*y" *lll*i'lg f*r *ny nd*iti**al pr*r*i*m for srrch olu,rgeu lviii bb mal6* at Jiai*r a*t*.
ff' during i'he past y**Lf.?3-Y?-acq*lr*d any vr+iu*bl* prc,perty*it**ts,rnafe any improvernenls t* i*:sured pr*pes.iy. *l lav* anyquesfloirs abcul your iniliran+s r:ovorago, icn{ect y*rir $iat*'Fairu *g*ot,
Flear* keep Sris wi*l y*ur p*fl*y,
Yor.lr coverags amauna".
ft i* r.:p ?o y{}u t* choos* tl're covaragc and lirxit*.tirat l:.xset f*'.tf 6sods. W* re*o*.:r.r.r*sd t{*t y*u puruhess a $auerass ,iftltaqual t* the estimatsd replacen':ant ibsi ol yc*i o*iu*u*r*. ngsf,i.;*n:eilt cssi *iri,riJmJ *r* avaita*td lr*-r* gulrcr,g c*ntra6t#rsand replacentent c*ef apprnisers. av. your au*nican provioilan estjmate i*"r x*tri.id ri*11ffifg"fiio#iuon you provideabou? your s8ucture. S::rlf -*-."_*,?t
the type"ot eiiim&e yoo *iiaoso as ions as it provide$ a reason&bie levef cf dehil aboutyour s8ucture $bte Farrn "cJcee nc't guariritee that any estrn:ate will be ure SciJui fituia cost to reuuelJ fcr.ri structt,re Higherlienits arc available at l'rlghor prent**ms L*wer tir:':itd are ii** *vaitabts, a$ i*ng a*-t[;-,arir;;i'*"f tJ#arage
Greets *$runderwriting requirenlentd- lve encoutag* yot, t* pari**lcaity-re,il*v* your c*ver&g** and lir*its rv$s,l yeur- ag*nt gnd tu no$$ urof a*y changes or additions io your struit.rfe
Pr*pared
sEc 21 2S2*
*M?-4**8
0jfi$3s ?s4
F:
fJ t*nyr;glrt, $int* f*rin lu4rrt*al Afitr$u:|:ils ln$vrqncs C*inFarr?, l$$$
lncllrtl*s e rpyrrglrted lna?*riel $f 1r+urancs $ervilt* $ffire" lnr,, rqlt! it* per*{rair.::i.
# 1S03:; i :
?aE* 7 af 7
lnsured:
JONATHAN C MILLER
SARI\H K MILLER
610 H ST NE
AUBURN WA 98002
MUTUAL OF
E,NUIVICLA,\iI/
TN.fL'RdNCfi
Mutual of Enumclaw lnsuranee Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
Agent:
HBT.LEAVITT GROUP NORTHWEST
201 AUBURN WAY N STE C
AUBURN, WA 98002
(253)833-5140 #00001250
Please visit www.thoughtfulcoverage.com to
learn more about why we are so proud to work
exclusively with independent insurance agents.
Agency Ghange Personal Auto Policy
Declarations
Policy Number:
AA80041624
Policy Period:
From: OGlO6l2021To: 0610612022
At 12:01AM Standard Time.
Policy is continuous until cancelled
Effective Date:
06to6t2021
Total Premium for the Policy Period (This is not a bill. Do not pay this amount.)
Total Premium for allAuto(s) $2,269.28
Your premium reflects the following discounts (on applicable coverages):
o AtM. Account
Claims Services:
Claims Response Center
24 Hours: 1 -877 -425-2580
. Anti-Theft. Loyalty
. Multi-Car
Billing Services:
Customer Service: 1 -800-456-7750
CrediUDebit Card Payments: 1 -888-475-2823
You may also report a claim or make a payment online by going to mutualofenumclaw.com c0
Page 1 of8
AA8004162405117t2021
PA5001 0316
lnsured Copy
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: OGl06l2O21
YourAgent: HBT-LEAVITTGROUPNORTHWEST
Driver(s) in Household:
Jonathan C Miller
Sarah K Miller
Description of Auto(s)
2001 Pontiac Firebird Fo
2007 lnfinitiG35
2005 Chevrolet Silverado K
2006 Honda Chf50
2010 Trailer Floan
05t17t2021
PA5001 0316
Vehicle lD Number
2G2FV22G312137908
JNKBVol F37M802608
2GCEK1 98751179627
JH2AF60086K405422
1 KgBF1826A5284122
lnsured Copy Page 2 of 8
I'4UTUAL OF
H,NUMCLA\trr
lN5'ffIlA'VCg
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: 06/06/2021
Your Agent: HBT-LEAVITT GROUP NORTHWEST
2001 Pontiac Firebird Fo
Vehicle f D Number 2G2FV22G31 21 37908
Goverage
Comprehensive
Limits
$100 Deductible
Premium
$120.32
Total Premium for 2001 Pontiac Firebird Fo 9120.32
lnsuranre is provided only for those coverages showing a premium or limit of liability. Deductibles apply per
Higher Limits of liability may be available. Please contiact your agent.
0511712021
PA5001 0316
lnsured Copy Page 3 of 8
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: 0610612021
YourAgent: HBT-LEAVITTGROUPNORTHWEST
2007 lnfiniti G35
Vehicle lD Number JNKBV6I F37M802608
Coverage
Bodily lnjury
Each Person
Each Accident
Limits
$250,000
$500,000
Premium
$259.88
Property Damage
Each Occurrence
$92.14
$100,000
Personal lnjury Protection
Medical/Hospital Benefits
Within 3 yea(s) of the accident.
lncome Continuation Benefits $700.00 weekly max.
$154.14
$35,000
Underinsured Motorist Bodily lnjury
Each Person
Each Accident
$138.22
$250,000
$500,000
Underinsured Motorist Property Damage
Each Occurrence
$47.46
$100,000
Comprehensive $100 Deductible $114.80
Collision $250 Deductible $166.76
Towing and Roadside Coverage Refer to Policy $11.56
$1,000 $15.42TransporURental
$40 DAY/$1000 MAX
Total Premium for 2007 lnfiniti G35 $1,000.38
lnsumnce is provided only br those
@cu;renoe. Htgher Limits of liability
coverages showing a prem tum or limit of liability.Deductibles apply per
may be available Please contact your agent
05t17t2021
PA5001 0316
lnsured Copy Page 4 of 8
MUTUAL OT
H,NUMCLAI/II
tNs{JftANf,;8'
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: 0610612021
Your Agent: HBT-LEAVITT GROUP NORTHWEST
2005 Chevrolet Silverado K
Vehicle lD Number 2GCEKl9B7 51179627
Coverage
Bodily lnjury
Each Person
Each Accident
Limits
$250,000
$500,000
Premium
$259.88
Property Damage
Each Occurrence
$92.14
$100,000
Personal lnjury Protection
Medical/Hospital Benefits
Within 3 year(s) of the accident.
lncome Continuation Benefits $700.00 weekly max
$123.32
$3s,000
Underinsured Motorist Bodily lnjury
Each Person
Each Accident
$116.38
$250,000
$500,000
Underinsured Motorist Property Damage
Each Occurrence
$47.46
$100,000
Comprehensive $100 Deductible $76.58
Collision $250 Deductible $129.66
Towing and Roadside Coverage Refer to Policy $11.56
TransporURental
$40 DAY/$1000 MAX
$1,000 $15.42
Total Premium for 2005 Chevrolet Silverado K $872.40
lnaurance is pmvided only ior those coverages showing a premium or limit of liability. Deductibles apply per
o66uren€. Higher Limits of liability may be available. Pleese oontact your agent.
05t17t2021
PA 500't 0316
lnsured Copy Page 5 of B
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: 0610612021
Your Agent: HBT-LEAVITT GROUP NORTHWEST
2006 Honda Ghf50
Vehicle f D Number JH2AF60086K4O5422
Coverage
Bodily lnjury
Each Person
Each Accident
Limits
$250,000
$500,000
Premium
$91.38
Property Damage
Each Occurrence
$37.12
$100,000
Underinsured Motorist Bodily lnjury
Each Person
Each Accident
$120.54
$250,000
$500,000
Total Premium for 2006 Honda Chf50 $249.04
lnsurance is provided only for those coverages shorving a premium or limit of liability.
occt rence. Higher Limits of liability may be available. Please contact your agent.
Deductibles apply per
0511712021
PA5001 0316
lnsured Copy Page 6 of B
I.4UTUAL CIF
HNUMCLA\^/lN5'tiR,t\rcs
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
mutualofenumclaw.com
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date: 0610612021
Your Agent: HBT-LEAVITT GROUP NORTHWEST
2010 Trailer Floan
Vehicle lD Number 1 K9BFI 826 A5284122
Goverage
Comprehensive
Limits
$100 Deductible
Premium
$7.88
Collision $250 Deductible $19.26
Total Premium for 2010 Trailer Floan $27.14
lnsurance i* provided onty for those coverages showing a premium or limit of liability. Deductibles apply per
o6urence. Higher Limits of liability may be available. Please contact your agent.
05t17t2021
PA5001 0316
lnsured Copy Page 7 of 8
Mutual of Enumclaw lnsurance Gompany
1460 Wells Street, Enumclaw WA 98022
mutualofenumclawcom
lnsured:
JONATHAN C MILLER
SARAH K MILLER
Policy Number: AA80041 624
Effective Date= 0610612021
Your Agent: HBT-LEAVITT GROUP NORTHWEST
Forms and Endorsements
Washington Auto PolicYPA0146 0106
Auto EnhancementPAO149 1215
Mutual Policy ConditionsME0001 1015
Amendment Of Policy ProvisionsPAMOOSWA 0212
PersonalVehicle Sharing Exclusion - WaPA0148WA 0713
Towing And Roadside CoveragePA0147 0413
Single DeductibleP1161 0815
Policg PA 0146 (0t08), Fcrms, Endorsements and Optional Coverageswith your Auto
AuioPorsonal Folicy.your
you may pay your premium in full or installments. lf you pay your premium in installments you may be subject to an
additionii cnarge for each installment. Additional charges may also be due if your payment is not received by the due date
or is not honored by your financial institution. All charges are shown on your billing statements and are subject to change.
05t17t2021
PA5001 0316
lnsured Copy Page 8 of 8
Mutual of Enumclaw lnsurance
Gompany NAIC #14761
1460 Wells Street, Enumclaw WA 98022
wwwMutualofEnumclaw.com
Mutual of Enumclaw Insurance
Gompany NAIC #14761
1460 Wells Street, Enumclaw, WA 98022
www.MutualofEnumclaw.com
AAB 004 1 62 4 a6/a6l2J2r
2OC? T.NF'IN;TT G35 JNKB\'61 F3 ?M8 O2 5 O B
HBT_-j,EAVrTT GROUp NOR'I1iI,{BST (253)433-5140
201 AUB{IRN WAY },i STE C, AIIRIIRN, WA 98002
06/a6/2422 AA8 00 4162 4 06ia6/242r c6/a6/2022
J?NATHAN C MILnEit
SARAI] K MTi,LER
61C i{ ST NX
AUBUI{N WA 98002
Mutual of Enumclaw lnsurance
Gompany NAIC #14761
1460 Wells Street, Enumclaw WA 98022
www.Mutualof Enumclaw.com
AABO041 6?.4 061a612.021 06/a6i2.02.2.
2006 i1ONDA CliF',50 .Ji-{2Ai' 5 0 0 B 6K. 4 0 5 422
HBT-iTJAVITT GROIJP NORTIiWEST (253) 83'3'5!40
201 AUEUIIN l?AY N STE C, AUBUITN/ tdA 98002
JCNATHIN C MILLIR
SATiAH K MILLER
610 ;{ ST NE
AUBURN I'iA 9BOO2
1.,,A80041624 o6/a61202:. a6/06/2022
:i007;t!llrNiri G:l:i .lNXEv6ili3]M8C2608
IiBT-lnAvlTT GROUP aiORTliriqEST, (2 53 ) 633- 5140
2Ci AUBURT'I wAY N iiTE C' AUBIJRN. ldA 980C2
2005 cl{llvF.ol,llT siTLVERADO K 2GCE'{.79R15I17 96?'1
'lBT-],fiAVl
rr GRCIIP l\iORTtlwES? (253) 833-51 40
201 AUAIIRN WAl: N ,'llTrl c, AiJlSiittN, wA 98002
JOI'.jA'{'UAI';i {l MTLLER
SAI]AI1 K l,liLl,iill
610 H 51' NE
AUBUI1N i'{A 9BOO2
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EBT-'CAVITT (;ROUP NORTII!]EST, (253) B33-5140
20L AUBIIRN tiAY N STE C, lluBtlRl'l' wA 98002
.]ONATITIAN C M:;,LEIi
SAR?rll K t'1Il,i.ER
610 H ST NE
AU1TURN i.iA 980C2
JONATiIAN C MIAI,NR
SARA,II !i MILLEA
610 It 3T NE
AUBURN tilA 98002
irutuai 0f Enumclaw lnsurance Company NAIC #14761
1460 lvells Street
Enumclaw, WA 58022
1.'"480041624 i)6/c{)i2021. c6/t6/2122
2006 iloNDA citrso Ji12Af6AAe5K405422
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.]OI'iATHAN C MlLLEli
SA:IAH K I'{TI,LEIi
610 H S'i NE
AUBUli.l'r i{A 9800:
Mulual ofEnumclaw ln$ilrance Company NAIC #14761
1460 Wells 6tre€t
Enumclaw, fVA 9802?
Mutual ol fnumciaw lnsutance Compary NAIC #14761
1460 wells Strcet
fnumclaw, WA 98022
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Enumclaw Property & Gasualty lnsurance Gompany
1460 Wells Street, Enumclaw, WA 98022
M UTUAL O F
ENUh,{CLAIT/
INTURdNCfl
mutualofenumclaw.com
1-800-366-5551
lnsured:
JONATHAN C MILLER
SARAH K MILLER
610 H ST NE
AUBURN WA 98002
Agent:
HBT.LEAVITT GROU P NORTHWEST
201 AUBURN WAY N STE C
AUBURN, WA 98002
(253)833-5140 #00001250
Agency Change Excess LiabilitY
Policy Declarations
Policy Number:
PE30002496
Policy Period:
From: 0610612021
To: 0610O12022
At 12:01 AM Standard Time.
Policy is continuous until cancelled
Effective Date
0610612021
Item 1.
Item 2.
Item 3.
Limit of Liability $1,000,000 Per Occurrence
Policy Premium $200.00 (This is not a bill. Do not pay this amount.)
Schedule of UnderlYing lnsurance:
The insured agrees:
1) that insurance policies providing the coverages specffied below, if applicable, are in force and will
be maintained in force as colleCtible insuranie for at least the required minimum limits stated;
2) to insure all motor vehicles owned, leased by or used by the insured;
3j to insure all residence premises owned, leased by or leased to the insured;
ii to insure all recreational vehicles owned, leased by or used by the insured;
5i to insure all watercraft owned by the insured'
poticy Forms and Endorsements attached at inception: PE0006 02O7;PE 0O02WA 0113; ME 00 01 1015
These Declarations, together with the personal Excess Liability Policy provisions and endorsements, issued to form a
part thereof, complete the above policy.
you may pay your premium in full or installments. lf you pay your premium in installments you may be subject to an
additional charge for each installment. Additional chirges miy atso be due if your payment is not received by the due date
or is not honored by your financial institution. All charges are iho*n on your billing statements and are subject to change'
Type of Policy
Automobile and Licensed Recreational Vehicle
Comprehensive Personal Liability
Premises LiabilitY
Unlicensed Recreational Vehicle Liability
Watercraft Liability
o511712021
PE0005 0316
Required Minimum Limits
Bodily lnjury
And
Property Damage
OR
Single Limit
- 250,000 each Person/
- 500,000 each occurrence
- 100,000 each occurrence
- 300,000 each occurrence
Page I of 1
PE30002496lnsured Copy