HomeMy WebLinkAboutCAG2020-248 - Amendment - #A - Wa State Military Department - Emergency Management Performance Grant #E20-221 Covid-19 - 03/10/2021Agreement Routing Form
KENT
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor\ Signature and Contract Cover Sheet forms.
Print on pink or cherry colored paper)WasHt{GToN
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Originator:
Jennifer Keizer
Department:
Emergency Management
Date Sent:
2t9t21
Date Required:
2t23t21
Authorized to Sign:
D Director or Designee EI Mayor
Date of Council Approval:
Budget Account Number:
101 525 60 31 000&101 525 60 41 000
Budget? EYes E No
Grant? trYes ENo
Type: Federal
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Vendor Name:
Washington State Military Department
Category:
Grant: Non-Real Property
Vendor Number:
Emergency Management Performance Grant Amendment (EMPG-A) - E2O-221A,
rrorect'rame:
fuffi Ur,c s5.Kt l0 Mbwu @ r 6q,rtd
Funds awarded to assist local governments with public health and emergency managementactivitiesProjectDetails:"rooorting the prevention of, preparation for, response to, and recovery from the ongoing coronavirus
Disease 201 9 (Covid-1 9).
Agreement Amount; $3 for Selection of Contractor: Othef
srarr Dare: 0610112020 Termination Date:08/31 t2020
Local Business? EYes E No*
lf meets requirements per KCC 3.70.100, please complete "Vendor Purchase-Local Exception{'form on Cityspace.
Notice required prior to disclosure?
EYes E No
Contract Number:
E20-221A
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Date Received by City Attorney
02t09t2021
Comments:
Amendment needs to be physically signed, but can then be
scanned and emailed back to Jenny Keizer in Emergency
Management. JDKeizer@pugetsoundfire.org
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Date Ro ured ro the Mayor's office: ?t$tA[00 \t\
Date Routed to the City Clerk's Office:
ad(W22371_l_20 Visit Documents.KentwA.gov to obtain copies of all agreements
CAG2020-248
rcvd fully executed 12/7/21 - M.M.
3/10/2021
Washington State Military Department
Amendments to Agreement E20-221
1. The Grant Agreement End Date of December 31,2021 remains unchanged.
a. Agreement Face Sheet, Box 6.
2. Ghange the Grant Agreement Amount from $24,385 to $30,236, an increase of $5,851.
a. Agreement Face Sheet, Box 2-$24€€6 $30,326.
b. Original Budget, Attachment E; with Revised Budget, Attachment E.
3. Ghange the Total Match Amount from $24,385 to $30,236, an increase of $5,851.
a. Original Budget, Attachment E, with attached Revised Budget, Attachment E. $24385
30,326,
4. Replace the Original Budget, Attachment E.
a. Replace the Original Budget, Attachment E; with the attached Revised Budget, Attachment
E.
DHS-FEMA-EMPG-S-FY2O Page 2 of 3 City of Kent, E20-221 Amendment A
Aftachment E
REVISED BUDGET
FY 2020 Emergency Manaqement Performance Grant GOVID-19 Su pplemental
2OEMPG-S AWARD $
Modification S
s
Subtotal
s
24,385.00
5,851.00
EMPG-S AMOUNT
AMENDED
MODIFICATION EMPG.SAMOUNT
sotuiloN
AREA BUDGETCATEGORY
Salaries & Benefits
Overtime/Backfill
Consultants/Contractors
Goods & Services
Diem
Salaries & Benefits
Overtim e/Backfill
Consulta
Goods & Services
3dt!
a
z0EMPG-S Amended Award S 30,236.00
MATCH AMOUNT
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85s 5,851 5 30,2:o
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30,236s
s
2
s
s
Per Diem
Subtotal $24,385 s 1s 236 30,236
Salaries & Benefits
Overtim Backfill
Consu ntractors
Goods & Services
Diem
Subtotal
Equipment
subtotal S
Salaries & Benefits
Overtime/Backfill
d Consulta
Goods & Services
Travel/Per Diem
Subtotal
lndirect
lndirect Cost Rote on 0.0%
TOTAI Grant nt AMOUNT: $24,385 s
The Subrecipient will provide a match of at least $24#85 $30,326, 50% of the total project cost (local
budget plus EMPG-S award), of non-federal origin.
Cumulative transfers between budget categories in excess of 10% of the grant agreement amount
will not be reimbursed without prior written authorization from the Department.
Funding Source: U.S. Department of Homeland Security - Pl# 703PS - EMPG-S
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DHS.FEMA-EMPG-S-FY2O Page 3 of 3 City of Kent, E20-221 Amendment A