HomeMy WebLinkAboutCAG2023-596 - Original - Kent food Bank & Emergency Services - SLFRF Grant: Organizational Development - 11/28/2023 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form Dir Asst: _e/-
•4#4 For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. J
W A S H I N G T O N (Print on pink or cherry colored paper) (optional)
Originator: Department:
KateLynn Jennings for Christine Horn Parks, Recreation&Community Services
Date Sent: Date Required:
> 11/13/2023 11/20/2023
0
Q Authorized to Sign: Date of Council Approval:
QDirector or Designee Mayor N/A
Budqet Account Number: Grant?W]Yes E]No
B30021.64190.4792
Budget?91 Yes 171No Type: Federal
Vender Name Category:
Kent Food Bank Contract
Vend Sub-Category:
34225 Original
0 Organizational Development-SLFRF
Project Name:
E
0 Kent Food Bank is addressing the unique needs of their clients by improving and streamlined access to food,
Project Details:improving data tracking,and capacity for the food procurement process.
a+
C
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Agreement Amount: $30,000 Basis for Selection of Contractor: Other
*Memo to Mayor must be attached
i Start Date: Nov 2023 Termination Date: 6/30/20255
Q Local Business?r7esPINo* If meets requirements per KCC 3.70.7 00,please complete'Vendor Purchase-Local Exceptions'form on Cityspace.
Business License Verification:IZI Yes []In-Process Exempt(KCC 5.01.045)
Notice required prior to disclosure? Contract Number:
F—]YesrZNo CAG2023-596
Comments:
O VejA
41 N
•> i
Date Received by City Attorney: 11/20/23
C1 Date Routed to the Mayor's Office:
11/22/23
v1
Date Routed to the City Clerk's Office: 11/28/23
ad«W22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.200821
City of Kent - SURF - Grant Recipient Agreement
Grantee Kent Food Bank&Emergency Services
Program Title Organizational Development
Grant Amount$ $30,000
Agreement Period From: November 1,2023 To June 30,2025
SAM Identifying number: DSMXGMTL63E5
This Agreement is made by and between the City of Kent, a municipal corporation ("the City") and Grantee, a
Washington Non-Profit Corporation, located at 515 West Harrison Kent, Washington, 98032, to set forth the
terms and conditions under which the City will provide a grant to Grantee under the Program to be used for costs
incurred during the Agreement Period. Such grant is provided to Grantee as a beneficiary of the
City's Coronavirus State and Local Fiscal Recovery Funds.
1. Scope of Eligible Expenditures.Grant funds may only be used to pay or reimburse eligible expenditures as
described in the"Federal Terms" (Exhibit 1),and as detailed in the"Scope of Work"(Exhibit 2). No grant funds may
be used to pay or reimburse costs for which Grantee has received any other funding,whether state,federal or private
in nature,for that same cost.
2. Grantee Responsibilities.Grantee understands and agrees that funds provided under this Agreement may
only be used in compliance with section 603(c)of the Social Security Act("the Act"),as added by section 9901 of the
American Rescue Plan Act("ARPA"),the U.S. Department of Treasury's("Treasury's")regulations implementing that
section,guidance issued by Treasury regarding the foregoing,and any other applicable federal provisions, including
those described in the"Federal Terms" (Exhibit 1).
3. Grantee Certifications. Prior to any disbursement of funds authorized by this Agreement, Grantee shall
provide the City with: Cost Certification (Exhibit 3), Civil Rights Certification Form (Exhibit 4), the Lobbying
Certification Form (Exhibit 5), if applicable, the Lobbying Disclosure Form (Exhibit 6), the City EEO Compliance
Documents(Exhibit 7), and proof of meeting the Insurance Requirements(Exhibit 8).
4. Request for Payment. Grantee shall submit a quarterly invoice and Cost Certification (Exhibit 3) for the
expenses therein no later than fifteen (15) working days after the close of each calendar quarter throughout the
term of the Agreement.
S. Maintenance of and Access to Records.Grantee shall maintain all records and accounts with respect to all
matters covered by this Agreement, including personnel, property, financial, and programmatic records and
documents sufficient to evidence compliance with section 603(c) of the Act, Treasury's regulations implementing
that section,and guidance issued by Treasury regarding the foregoing.These records shall be maintained for a period
of six (6) years after all funds have been expended or returned to the City, whichever is later, to ensure proper
accounting for all funds and compliance with the Agreement.The City,the Treasury Office of Inspector General,and
the Government Accountability Office, or their authorized representatives,shall have the right of access to records
(electronic and otherwise)of Grantee in order to conduct audits or other investigations.Grantee acknowledges that
records may be subject to disclosure under the Public Records Act, Ch.42.56 RCW.
6. Publications. Any publications produced with funds from this Agreement must display the following
language:"This project[is being][was]supported,in whole or in part, by federal award number SLFRP3352 awarded
to the City of Kent,Washington by the U.S. Department of the Treasury."
7. Disclaimer by the City and United States. The United States has expressly disclaimed any and all
responsibility or liability to the City or third persons for the actions of the City or third persons resulting in death,
bodily injury,property damages,or any other losses resulting in any way from the performance of this award or any
other losses resulting in any way from the performance of the award of Federal funds to the City under section
Grant Beneficiary Agreement
Page 1 of 3
603(c) of the Act, or any contract or subcontract under such award. The City expressly disclaims any and all
responsibility or liability to Grantee or third persons for the actions of Grantee or third persons resulting in death,
bodily injury, property damages, or any other losses resulting in any way from the performance of this Agreement
or any other losses resulting in any way from the performance of the Agreement, or any subcontract thereto. This
Agreement does not in any way establish an agency relationship between or among the United States, the City,
and/or Grantee.
8. False Statements. Grantee understands that making false statements or claims in connection with this
Agreement may be a violation of federal law and may result in criminal, civil, or administrative sanctions, including
fines, imprisonment, civil damages and penalties, debarment from participating in federal or City awards or
contracts,and/or any other remedy available by law.
9. Debarment and Suspension Certification. Entities that are debarred, suspended, or proposed for
debarment, by the U.S. Government are excluded from receiving federal funds and contracting with the City.
Grantee, by signature to this Agreement, certifies that Grantee is not currently debarred, suspended, or proposed
for debarment, by any Federal department or agency. Grantee also agrees that it will not enter into a subcontract
with a person or entity that is debarred,suspended,or proposed for debarment. Grantee will notify the City if it, or
a subcontractor, is debarred, suspended, or proposed for debarment, by any Federal department or agency.
Debarment status may be verified at https://www.sam.gov/.
10. Termination. Upon thirty (30) days-notice, the City may terminate this agreement for convenience. Any
unspent grant proceeds shall be immediately returned to the City.
11. Repayment of Funds; Recoupment. If Grantee has unspent grant proceeds on hand as of June 30, 2025,
Grantee shall return all unspent grant proceeds to the City within ten (10) calendar days. If any funds provided to
Grantee were used in a manner that is not consistent or allowable as outlined in this Agreement or in the Federal
Terms, Grantee shall return funds to City in the amount determined to be ineligible. Grantee further agrees that it
is financially responsible for and will repay the City any and all indicated amounts following an audit exception which
occurs due to Grantee's failure,for any reason,to comply with the terms of this Agreement.This duty to repay the
City shall not be diminished or extinguished by the termination of the Agreement.
12. Conflict of Interest. Grantee designees, agents, members, officers, employees, consultants, and any other
public official who exercises or who has exercised any functions or responsibilities with respect to the Program
during his or her tenure,or who is in a position to participate in a decision-making process or gain inside information
with regard to the Program,are barred from any interest,direct or indirect,in any grant or proceeds of the Program,
or benefit there from,which is part of this Agreement at any time during or after such person's tenure.
13. Governing Laws. This Agreement shall be governed by and construed in accordance with the laws of the
State of Washington.The venue for any action hereunder shall be in the Superior Court for King County,Washington,
or the U.S. District Court for the Western District of Washington.
14. Indemnification.To the maximum extent permitted by law, Grantee shall,at its cost and expense, protect,
defend, indemnify, and hold harmless the City, its directors, officers, employees, and agents,from and against any
and all demands, liabilities, causes of action, costs and expenses (including attorneys' fees), claims,judgments, or
awards of damages,arising out of or in any way resulting from the acts or omissions of Grantee,its directors,officers,
employees, or agents, relating in any way to Grantee's performance or non-performance under the Agreement.
Grantee agrees that its obligations under this paragraph extend to any demands,liabilities,causes of action,or claims
brought by,or on behalf of,any of its employees or agents.For this purpose,Grantee,by mutual negotiation,hereby
waives, as respects the City only, any immunity that would otherwise be available against such claims under any
industrial insurance act, including Title 51 RCW, other Worker's Compensation act, disability benefit act, or other
employee benefit act of any jurisdiction which would otherwise be applicable in the case of such claim. These
indemnification obligations shall survive the termination of the Agreement.
Grant Beneficiary Agreement
Page 2 of 3
15. Insurance. The Recipient shall procure and maintain for the duration of this Agreement, insurance of the
types and in the amounts described in Exhibit 8 attached and incorporated by this reference.
16. Counterparts and Signatures by 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.
CITY OF KENT GRANTEE
Name: Dana Ralph Name: Jeniece Choate
Title: Mayor Title: Executive Director
7ehrece choate
Signature: Signature: P�P ,,_,,(N-11"1,„1,11P�T'
Date: 11/28/2023 Date: 11/15/2023
Exhibits
1—Federal Terms
2—Scope of Work
3—Cost Certification
4—Civil Rights Certification Form
5—Lobbying Certification Form
6—Lobbying Disclosure Form (if applicable)
7—City EEOC Compliance Documents
8—Insurance Requirements
Grant Beneficiary Agreement
Page 3 of 3
Grant Recipient Agreement— Exhibit 1
FEDERAL TERMS
In case of conflict between these Federal Terms and the Agreement, the following order
of priority shall be utilized: (1) Federal Terms, and (2) Agreement.
1. Grantee understands and agrees that funds provided under this Agreement may come
from a federal source and agrees to comply with any and all additional applicable terms.
A. Grantee Capacity. Grantee agrees and confirms that it has the institutional,
managerial and financial capacity to ensure proper planning, management and
completion of the work detailed in the Scope of Work (Exhibit 2).
B. Technical Assistance. If, at any time, Grantee believes its capacity is compromised
or Grantee otherwise needs any sort of assistance, it shall immediately notify the
City. The City will make best efforts to provide timely technical assistance to
Grantee to bring Grantee into compliance.
C. Compliance with Act. Grantee understands and agrees that funds provided under
the Agreement may only be used in compliance with section 603(c) of the Social
Security Act (the "Act"), as added by section 9901 of the American Rescue Plan Act
("ARPA"), the U.S. Department of Treasury's ("Treasury's") regulations
implementing that section, and guidance issued by Treasury regarding the
foregoing.
D. Definitions. The term "Grantee" shall refer to an individual or entity who receives
funds from the City, but shall not include a "Subrecipient," as defined in 2 C.F.R.
200.1 and as determined in the City's sole discretion.
2. Agreement Requirements and Incorporated Exhibits.
Grantee shall meet the requirements included in the Agreement and in the following
attached exhibits, each of which is incorporated into the Agreement by reference:
EXHIBIT NAME NUMBER
Federal Terms Exhibit 1
Scope of Work Exhibit 2
Cost Certification Exhibit 3
Civil Rights Certification Form Exhibit 4
Lobbying Certification Form Exhibit 5
Lobbying Disclosure Form (if activity occurs) Exhibit 6
City EEO Compliance Documents Exhibit 7
A. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse
eligible expenditures as described in the Agreement, these Federal Terms (Exhibit
1), and Scope of Work (Exhibit 2). No grant funds may be used to pay or reimburse
costs cannot be used for expenditures for which Grantee has received any other
funding, whether state, federal or private in nature, for that same expense.
B. Grantee Certifications. Prior to any disbursement of funds authorized by this
Agreement, Grantee shall provide the City with: Cost Certification (Exhibit 3), Civil
Rights Certification Form (Exhibit 4), the Lobbying Certification Form (Exhibit 5),
and, if activity occurs, the Lobbying Disclosure Form (Exhibit 6).
C. Reports. Grantee shall provide the City with additional information and
documentation upon request, including completing any reports deemed necessary
for the City to comply with documentation, reporting, or audit requirements.
3. Access to Records. The Treasury Office of Inspector General and the Government
Accountability Office, or their authorized representatives, shall have the right of access to
records (electronic and otherwise) of Grantee in order to conduct audits or other
investigations.
4. Uniform Guidance Compliance.
A. Remedial Actions. In the event of Grantee's noncompliance with section 603(c) of
the Act, Treasury's regulations implementing that section, guidance issued by
Treasury regarding the foregoing, or any other applicable federal laws or
regulations, Treasury may take available remedial actions as set forth in 2 C.F.R.
200.339.
B. Recoupment.
1. Grantee agrees that it is financially responsible for and will repay the City any
and all indicated amounts following an audit exception which occurs due to
Grantee's failure, for any reason, to comply with the terms of the Agreement.
This duty to repay the City shall not be diminished or extinguished by the
termination of the Agreement.
2. In the event of a violation of section 603(c) of the Act, the funds shall be
subject to recoupment by the City.
3. Any funds paid to Grantee (1) in excess of the amount to which Grantee is
authorized to retain under the terms of the Agreement; (2) that are determined
by the Treasury Office of Inspector General to have been misused; (3) are
determined by Treasury to be subject to a repayment obligation pursuant to
section 603(e) of the Act; or (4) are otherwise subject to recoupment by the
City, and have not been repaid by Grantee to the City shall constitute a debt to
the City.
4. Any debts determined to be owed the City must be paid promptly by Grantee.
A debt is delinquent if it has not been paid by the date specified in the City's
initial written demand for payment, unless other satisfactory arrangements
have been made or if the City knowingly or improperly retains funds that are a
debt. The City will take any actions available to it to collect such a debt.
C. Return of Unused Funds. If Grantee has any unspent funds on hand as of the
earlier of June 30, 2025, or the termination of this Agreement, Grantee shall return
all unspent funds to the City within ten (10) calendar days.
5. Disclaimer.
A. The United States expressly disclaims any and all responsibility or liability to
Grantee or third persons for the actions of Grantee or third persons resulting in
death, bodily injury, property damages, or any other losses resulting in any way from
the performance of this award or any other losses resulting in any way from the
performance of this grant or any contract, or subcontract under this grant.
B. The acceptance of this grant by Grantee does not in any way establish an agency
relationship between the United States and Grantee.
6. Protection for Whistleblowers.
A. In accordance with 41 U.S.C. § 4712, Grantee may not discharge, demote, or
otherwise discriminate against an employee in reprisal for disclosing to any of the
list of persons or entities provided below, information that the employee reasonably
believes is evidence of gross mismanagement of a federal contract or grant, a gross
waste of federal funds, an abuse of authority relating to a federal contract or grant,
a substantial and specific danger to public health or safety, or a violation of law,
rule, or regulation related to a federal contract (including the competition for or
negotiation of a contract) or grant.
B. The list of persons and entities referenced in the paragraph above includes the
following:
1. A member of Congress or a representative of a committee of Congress;
2. An Inspector General;
3. The Government Accountability Office;
4. A Treasury employee responsible for contract or grant oversight or
management;
5. An authorized official of the Department of Justice or other law enforcement
agency;
6. A court or grand jury; or
7. A management official or other employee of Grantee, contractor, or
subcontractor who has the responsibility to investigate, discover, or address
misconduct.
C. Grantee shall inform its employees in writing of the rights and remedies provided
under this section, in the predominant native language of the workforce.
7. Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043, 62
FR 19217 (Apr. 18, 1997), Grantee is encouraged to adopt and enforce on-the-job seat
belt policies and programs for its their employees when operating company-owned, rented
or personally owned vehicles.
8. Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74 FR
51225 (October 6, 2009), Grantee is encouraged to adopt and enforce policies that ban
text messaging while driving, and to establish workplace safety policies to decrease
accidents caused by distracted drivers
9. False Statements. Grantee understands that making false statements or claims in
connection with this Agreement may be a violation of federal law and may result in
criminal, civil, or administrative sanctions, including fines, imprisonment, civil damages
and penalties, debarment from participating in federal or City awards or contracts, and/or
any other remedy available by law.
10. Applicable Laws.
A. The Agreement shall be governed by and construed in accordance with the laws of
the State of Washington.
B. Grantee agrees to comply with the requirements of section 603 of the Act, the
Treasury's regulations implementing that section, and guidance issued by Treasury
regarding the foregoing. Grantee also agrees to comply with all other applicable
federal laws, regulations, and executive orders, and Grantee shall provide for such
compliance by other parties in any agreements it enters into with other parties
relating to this Agreement.
C. Federal regulations applicable to this grant may include, without limitation, the
following:
1. Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards, 2 C.F.R. Part 200, including the following:
a. Subpart A, Acronyms and Definitions;
b. Subpart B, General Provisions;
C. Subpart C, Pre-Federal Award Requirements and Contents of Federal
Awards;
d. Subpart D, Post-Federal Award Requirements;
e. Subpart E, Cost Principles; and
f. Subpart F, Audit Requirements.
2. Universal Identifier and System for Award Management (SAM), 2 C.F.R. Part
25, pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part
25 is hereby incorporated by reference.
3. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part
170, pursuant to which the award term set forth in Appendix A to 2 C.F.R.
Part 170 is hereby incorporated by reference.
4. OMB Guidelines to Agencies on Governmentwide Debarment and
Suspension (Nonprocurement), 2 C.F.R. Part 180, including the requirement
to include a term or condition in all lower tier covered transactions (contracts
and subcontracts described in 2 C.F.R. Part 180, subpart B) that the award is
subject to 2 C.F.R. Part 180 and Treasury's implementing regulation at 31
C.F.R. Part 19.
5. Grantee Integrity and Performance Matters, pursuant to which the award term
set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated
by reference.
6. Governmentwide Requirements for Drug-Free Workplace, 31 C.F.R. Part 20.
7. New Restrictions on Lobbying, 31 C.F.R. Part 21.
8. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970
(42 U.S.C. §§ 4601-4655) and implementing regulations.
9. Generally applicable federal environmental laws and regulations.
C. Statutes and regulations prohibiting discrimination applicable to this award include,
without limitation, the following:
1. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.) and
Treasury's Implementing regulations at 31 C.F.R. Part 22, which prohibit
discrimination on the basis of race, color, or national origin under programs
or activities receiving federal financial assistance;
2. The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§
3601 et seq.), which prohibits discrimination in housing on the basis of race,
color, religion, national origin, sex, familial status, or disability;
3. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794),
which prohibits discrimination on the basis of disability under any program or
activity receiving federal financial assistance;
4. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 et
seq.), and Treasury's implementing regulations at 31 C.F.R. Part 23, which
prohibit discrimination on the basis of age in programs or activities receiving
federal financial assistance; and
5. Title II of the Americans with Disabilities Act of 1990, as amended (42 U.S.C.
§§ 12101 et seq.), which prohibits discrimination on the basis of disability
under programs, activities, and services provided or made available by state
and local governments or instrumentalities or agencies thereto.
D. Hatch Act. Grantee agrees to comply, as applicable, with requirements of the
Hatch Act (5 U.S.C.§§ 1501-1508 and 7324-7328), which limits certain political
activities of federal employees, as well as certain other employees who work in
connection with federally funded programs.
E. Grantee agrees to comply with the Prohibition on Providing Funds to the Enemy (2
C.F.R. 183).
4^
Exhibit 2
KENT 2023-2025
w o 5 N N.—I 0 N
PARKS, RECREATION S
COMMUNITY 5ERVICES Scope and Schedule of Work
Agency: Kent Food Bank & Emergency Services
Program: Organizational Development
Contact: Program Contact:Jeniece Choate, Executive Director
Email: kentfoodbank@gmail.com
Phone: 253-520-3550
Project The Kent Food Bank is a non-profit organization that serves residents within the
Description Kent School District prioritizing access to food distribution while removing barriers
and that make it difficult for residents to access food. Kent Food Bank faced significant
Outcomes: challenges due to the pandemic's increased demand for services and
changing operational needs, as well as declines in food resources.
Through this Scope of Work, Kent Food Bank is addressing the unique needs of their
clients by improving and streamlined access to food, improving data tracking, and
capacity for the food procurement process.
To be able to address increased demand for services and operational needs brought
on by the pandemic, the grant funds will allow for the acquisition and
implementation of hardware and software necessary to streamline access to
services, data collection, as well as improve future procurement of food. The Kent
Food Bank has asssesd the need to improve 3 areas:
• Client intake.
• Data collection.
• Food procurement and software needs.
OUTCOMES
1. Increased access to and use of available resources;
2. Preparedness and ease of access related to intake, data collection, and other
services.
3. Improved access and delivery of food resources, support, and programs.
Consultant shall provide the following deliverables during the Agreement:
Deliverables
Completion Date
Purchase of hardware, computers, and other technology June 2024
Training for staff and volunteers November 2024
Acquisition and implementation of PantrySOFT and subscription cost June 2025
Proposed Costs and Payment Terms
Software and subscription $6,000
Hardware $20,000
Installation & staff and volunteer training $4,000
Payment Terms —
Administration and operations of software and annual subscription invoiced up to twice annually.
Equipment and supplies invoiced upon incurring them; copies of receipts attached to invoice.
Workshops and training invoiced as costs are incurred, but no more than monthly.
Contract Administration
- The Consultant shall notify the City, in writing, within ten (10) days of any changes in agency
leadership.
- The Consultant shall provide the City with a current list of its board of directors, general or limited
partners, as applicable.
- The Consultant shall maintain a City of Kent Business License.
- In addition to quarterly reporting, staff may perform desktop and at least 2 onsite monitoring visits
to ensure contract compliance. Any onsite monitoring will be scheduled with adequate time to
prepare for the visit. The Contractor can request a copy of the monitoring form at any time by
contacting City of Kent staff.
- All records related to the Agreement must be retained for six (6) years plus the current year.
Performance Measures
The City uses a variety of measures as indicators of satisfactory contract performance. The Consultant will
be expected to meet 100% of the performance measures as set forth in the Scope of Work. If the
Consultant fails to fulfill the performance measures, payment for services rendered under this Agreement
will be reduced by the rate calculated for each measure.
Exceptions may be made if circumstances beyond the Consultant's control impact its ability to fulfill the
required units of service and if the Consultant has shown reasonable effort to overcome those
circumstances. Exceptions are made at the sole discretion of the City's Human Services Manager.
Reporting Requirements and Timeline
All data and required forms shall be submitted electronically. Please use Attachment A for reporting.
Deliverable and Progress Report — from this form will be used to track progress toward meeting the goals
stipulated in the Scope of Work. The Progress Report should include updates regarding deliverables, any
successes and challenges the organization is experiencing, or any significant changes to the program model
or budget. It shall be submitted monthly/quarterly, no later than the 15th of the month following the end
of the month/quarter (i.e. April 15, July 15, Oct 15, Jan 30), along with the Reimbursement Request.
Reimbursement Request — This form will be filled out electronically and serve as the invoicing mechanism
for payment to your agency/program. It shall be submitted monthly/quarterly, no later than the 15th of the
month following the end of the month/quarter (i.e. April 15, July 15, Oct 15, Jan 10), unless otherwise
specified.
Report Due Date
Service Unit Report and Reimbursement 15t" day following each month/quarter
Request
Final Reimbursement Request July 30, 2025
40 • Attachment A ARPA
KENT
WASH IN G T O N
PARKS, RECREATION & Request for Payment & Progress Report
COMMUNITY SERVICES
From: Agency Contact
To: Christine Horn Agency:
Email: CHORN@kentwa.gov Address:
Phone: (253) 856-5063 Email:
Phone:
Program Reporting Period
Program name Costs incurred from to
Reimbursement Request
Award Amount Request This Quarter Total Requested to Date Balance Remaining
PERFORMANCE MEASURES —KENT FUNDED SERVICE UNITS
Deliverable Description Target Actual Completion
Completion Date Date
Purchase of hardware, computers, and other technology June 2024
Training for staff and volunteers November 2024
Acquisition and implementation of PantrySOFT and June 2025
subscription cost
Sec. 5: NARRATIVE
The narrative should include progress on deliverables and describe how funds were utilized.
Please include information about your successes and/or any challenges or barriers you are facing
in meeting the deliverables.
Page 1 of 3
By signing this report, I certify to the best of my knowledge and belief that the report is true, complete,
and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives
set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or
fraudulent information, or the omission of any material fact, may subject me to criminal, civil
or administrative penalties for fraud, false statements, false claims or otherwise, (U.S. Code Title
18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).
Agency Authorized Signature Date
Print Name
Payment Authorization this section to be completed by City of Kent only)
Contractual Obligations Met?
YES NO Circle one
Page 2 of 3
Enter notes if Agency underperformed:
Authorized
Date:By:
Page 3 of 3
Grant Recipient Agreement— Exhibit 3
COST CERTIFICATION
certify that:
1. 1 have authority and approval from the governing body on behalf of Kent Food Bank and
Emergency Services ("Grantee")to accept proceeds from the City of Kent (the "City") per the
Agreement by and between the City and Grantee from the City's allocation of the Coronavirus
State Local Fiscal Recovery Fund ("CLFR") as created by the American Rescue Plan Act of
2021, Section 9901 ("ARPA") for eligible expenditures included on the corresponding invoice
voucher for report period November 1,2023 through June 30, 2025.
2. 1 understand that as additional federal guidance becomes available, an amendment to the Contract
between the City and Grantee may become necessary and agree to execute necessary amendments.
3. 1 understand the City will rely on this certification as a material representation in
processing reimbursements or payment requests.
4. 1 understand the Grantee receiving funds pursuant to this certification shall retain documentation of
all uses of the funds,including but not limited to invoices and/or sales receipts in a manner consistent
with §200.333 Retention requirements for records of 2 CFR 200 Uniform
Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards(Uniform
Guidance). Such documentation shall be produced to the City upon request and may be subject to
audit by the State Auditor.
5. 1 understand any funds provided pursuant to this certification cannot be used for expenditures for
which Grantee has received any other funding whether state, federal or private in nature,for that
same expense.
I hereby certify that I have read the above certification, and that the information and my statements
provided herein by me are true and correct to the best of my knowledge, and by my signature on this
document, acknowledge my understanding that any intentional or negligent misrepresentation or
falsification of any of the information in this document could subject me to punishment under federal
and/or civil liability and/or in criminal penalties,including but not limited to fine or imprisonment or both
under Title 18, United States Code, Sec. 1001, et seq. and punishment under federal law.
Jeniece Choate ;Jiiiece Choate
Printed Name Signature
Executive Director 11/15/2023
Title Date
Grant Recipient Agreement— Exhibit 4
CIVIL RIGHTS CERTIFICATION FORM
The funds provided to the grantee named below (hereinafter referred to as the "Grantee") are available
under section 603 of the Social Security Act, as added by section 9901 of the American Rescue Plan Act.
Grantee understands and acknowledges that:
As a condition of receipt of federal financial assistance from the Department of the Treasury, with
monies distributed through the City of Kent, Grantee provides the assurances stated herein.The
federal financial assistance may include federal grants, loans and contracts to provide assistance to
Grantee,the use or rent of Federal land or property at below market value, Federal training, a loan
of Federal personnel, subsidies, and other arrangements with the intention of providing assistance.
Federal financial assistance does not encompass contracts of guarantee or insurance, regulated
programs, licenses, procurement contracts by the Federal government at market value, or programs
that provide direct benefits.
The Civil Rights Restoration Act of 1987 provides that the provisions of the assurances apply to all of
the operations of Grantee's program(s) and activity(ies), so long as any portion of Grantee's
program(s) or activity(ies) is federally assisted in the manner prescribed above
Grantee certifies the following:
1. Grantee ensures its current and future compliance with Title VI of the Civil Rights Act of 1964, as
amended,which prohibits exclusion from participation, denial of the benefits of, or subjection
to discrimination under programs and activities receiving federal financial assistance, of any
person in the United States on the ground of race, color, or national origin (42 U.S.C. § 2000d et
seq.), as implemented by the Department of the Treasury Title VI regulations at 31 CFR Part 22
and other pertinent executive orders such as Executive Order 13166,directives, circulars,
policies, memoranda, and/or guidance documents.
2. Grantee acknowledges that Executive Order 13166, "Improving Access to Services for Persons
with Limited English Proficiency," seeks to improve access to federally assisted programs and
activities for individuals who, because of national origin, have Limited English proficiency(LEP).
Grantee understands that denying a person access to its programs,services, and activities
because of LEP is a form of national origin discrimination prohibited under Title VI of the Civil
Rights Act of 1964 and the Department of the Treasury's implementing regulations.Accordingly,
Grantee shall initiate reasonable steps, or comply with the Department of the Treasury's
directives,to ensure that LEP persons have meaningful access to its programs, services, and
activities. Grantee understands and agrees that meaningful access may entail providing
language assistance services, including oral interpretation and written translation where
necessary,to ensure effective communication in Grantee's programs, services, and activities.
3. Grantee agrees to consider the need for language services for LEP persons when Grantee
develops applicable budgets and conducts programs,services, and activities.As a resource,the
Department of the Treasury has published its LEP guidance at 70 FIR 6067. For more information
on taking reasonable steps to provide meaningful access for LEP persons, please visit
http://www.lep.gov.
4. Grantee acknowledges and agrees that compliance with the assurances constitutes a condition
of continued receipt of federal financial assistance and is binding upon Grantee and its
successors,transferees, and assignees for the period in which such assistance is provided.
5. Grantee shall comply with Title VI of the Civil Rights Act of 1964,which prohibits Grantees of
federal financial assistance from excluding from a program or activity, denying benefits of, or
otherwise discriminating against a person on the basis of race, color, or national origin (42 U.S.C.
§ 2000d et seq.), as implemented by the Department of the Treasury's Title VI regulations, 31
CFR Part 22, which are herein incorporated by reference and made a part of this contract (or
agreement).Title VI also includes protection to persons with "Limited English Proficiency" in any
program or activity receiving federal financial assistance,42 U.S.C. §2000d et seq., as
implemented by the Department of the Treasury's Title VI regulations, 31 CFR Part 22, and
herein incorporated by reference and made a part of this contract or agreement.
6. Grantee understands and agrees that if any real property or structure is provided or improved
with the aid of federal financial assistance by the Department of the Treasury,this assurance
obligates Grantee, or in the case of a subsequent transfer,the transferee,for the period during
which the real property or structure is used for a purpose for which the federal financial
assistance is extended or for another purpose involving the provision of similar services or
benefits. If any personal property is provided,this assurance obligates the Contractor for the
period during which it retains ownership or possession of the property.
7. Grantee shall cooperate in any enforcement or compliance review activities by the Department
of the Treasury of the aforementioned obligations. Enforcement may include investigation,
arbitration, mediation, litigation, and monitoring of any settlement agreements that may result
from these actions. Grantee shall comply with information requests, on-site compliance reviews
and reporting requirements.
8. Grantee shall maintain a complaint log and inform the Department of the Treasury of any
complaints of discrimination on the grounds of race, color, or national origin, and limited English
proficiency covered by Title VI of the Civil Rights Act of 1964 and implementing regulations and
provide, upon request, a list of all such reviews or proceedings based on the complaint, pending
or completed, including outcome. Grantee also must inform the Department of the Treasury if
Contractor has received no complaints under Title VI.
9. Grantee must provide documentation of an administrative agency's or court's findings of non-
compliance of Title VI and efforts to address the non-compliance, including any voluntary
compliance or other agreements between the Contractor and the administrative agency that
made the finding. If Grantee settles a case or matter alleging such discrimination, Grantee must
provide documentation of the settlement. If Grantee has not been the subject of any court or
administrative agency finding of discrimination, please so state.
10. The United States of America has the right to seek judicial enforcement of the terms of this
assurances document and nothing in this document alters or limits the federal enforcement
measures that the United States may take in order to address violations of this document or
applicable federal law.
I hereby certify that I have read and understood the obligations described above,that Grantee is in
compliance with the above-described nondiscrimination requirements, and by my signature on this
document, acknowledge my understanding that any intentional or negligent misrepresentation or
falsification of any information submitted in conjunction with this document could subject me to
punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine
or imprisonment or both under Title 18, United States Code, Sec. 1001, et seq. and punishment under
federal law.
Jeniece Choate ;Jii ece Choate
Printed Name Signature
Executive Director 11/15/2023
Title Date
Grant Recipient Agreement— Exhibit 5
LOBBYING CERTIFICATION FORM
The undersigned certifies,to the best of the undersigned's knowledge and belief,that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to
any person for influencing or attempting to influence an officer or employee of an agency, a Member
of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
with the awarding of any Federal contract,the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract,grant, loan, or cooperative agreement.
(2) If any funds other than 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 of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions, as
attached.
(3)The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file
the required certification shall be subject to a civil penalty of not less than$10,000 and not more than
$100,000 for each such failure.
I hereby certify that I have read the above certification, and that the information and my statements
provided herein by me are true and correct to the best of my knowledge, and by my signature on this
document, acknowledge my understanding that any intentional or negligent misrepresentation or
falsification of any of the information in this document could subject me to punishment under federal
and/or civil liability and/or in criminal penalties,including but not limited to fine or imprisonment or both
under Title 18, United States Code,Sec. 1001, et seq. and punishment under federal law.
Jeniece Choate Choate
Printed Name Signature
Executive Director 11/15/2023
Title Date
Exhibit 6
Pt. 21, App. B 31 CFR Subtitle A (7-1-06 Edition)
APPENDIX B TO PART 21—DISCLOSURE FORM TO DEPORT LOBBYING
DISCLOSURE OF LOBBYING ACTIVITIES Approved by 0M8
0348-0046
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
(See reverse for public burden disclosure.)
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
❑ a. contract El contract bid/offer/application ❑a. initial filing
b.grant b.material change
c. cooperative agreement b.initial award
d.loan c. post-award For Material Change Only:
e.loan guarantee year quarter
I. loan insurance date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is Subawardee,Enter Name
❑ Prime ❑ Subawardee and Address of Prime:
Tier ,if known:
Congressional District,if known: Congressional District,if known:
6. Federal DepartmentfAgency: 7. Federal Program Name/Description:
CFDA Number,if applicable:
8. Federal Action Number,if known: 9. Award Amount,if known:
10. a. Name and Address of Lobbying Entity b.Individuals Performing Services(including address if
(if individual,last name,first name,Ml): -different from No./0aJ
(last name,first name,MI):
attach Connnvarion sheers SF-LLL-A if necessa.
11. Amount of Payment(check all that apply): 13. Type of Payment(check all that apply):
$ ❑actual ❑planned ❑ a. retainer
❑ b.one-time fee
12. Form of Payment(check all that apply): ❑ c. commission
❑ a.cash ❑ d.contingent fee
❑ b.in-kind;specify: nature ❑ e.deferred
p value ❑ f. other;specify:
P N
14. Brief Description of Services Performed or to be Performed and Date(s)of Service,including officer(s),employee(s),
or Member(s)contacted,for Payment Indicated in Item 11:
attach Conrinuafion Sheets SF-ul- if necess
15. Continuation Sheet(s)SF-LLL-A attached: ❑Yes ❑No
16. in at --ad thm%h thn fours b authorized by ti i.31 u.s.c.
1s3.rho:di:<lp3e,.of lobbym, t a .t. r.pr.un.t Signature:
d f. upon whkh sO' .was placed b,1h.t r above when this
sactkn.as made«_n mo.Thia d'ddosuren p„m,ant m Print Name;
31 U.S.C.135I.This idom 1m will be reported to the Conartsa semi-
annvdly and.11 b.a.ai"1«p,blk inrp lw.any —who ail.m Title:
lik the reQuired dmcb shall be wbject to a cW pendty d not kss than
s+o.aao arse�t Thor.than 61M.000 fo..,<h,rrth f,i.- Telephone No.: Date:
. Authorized for Lord Reproduction
Standard Fwm-LLL
262
Office of the Secretary of the Treasury Pt. 21, App. B
INSTRUCTIONS FOR COMPLETION OF SF-LLL,DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure forth shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the
initiation or receipt of a covered Federal action,or a material change to a previous filing,pursuant to title 31 U.S.C.
section 1352.The filing of a form is required for each payment or agreement to make payment to any lobbying entity 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 of a Member of Congress in connection with a covered Federal action.Use the
SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate.Complete all items that
apply for both the initial filing and material change report.Refer to the implementing guidance published by the Office of
Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the
information previously reported,enter the year and quarter in which the change occurred.Enter the date of the last
previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address,city, state and zip code of the reporting entity. Include Congressional District, if
known.Check the appropriate classification of the reporting entity that designates if if is,or expects to be,a prime
or subaward recipient.Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the 1st tier.
Subawards include but are not limited to subcontracts,subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks"Subawardee",then enter the full name,address,city,stale and
zip code of the prime Federal recipient.Include Congressional District,if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational
level below agency name,if known. For example,Department of Transportation,United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action(item 1). If known,enter the full
Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan
commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1(e.g.,
Request for Proposal(RFP)number;Invitation for Bid(IFB)number;grant announcement number;the contract,
grant,or loan award number;the application/proposal control number assigned by the Federal agency). Include
prefixes,e.g.,"RFP.DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the
Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a)Enter the full name,address,city,state and zip code of the lobbying entity engaged by the reporting entity
identified in item 4 to influence the covered Federal action.
(b)Enter the full names of the individual(s)performing services,and include full address if different from 10(a).
Enter Last Name,First Name,and Middle Initial(MI).
11. Enter the amount of compensation paid or reasonably expected to be paid.by the reporting entity(item 4)to the
lobbying entity(item 10). Indicate whether the payment has been made(actual)or will be made(p!anned). Check
all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned
to be made.
12. Check the appropriate box(es).Check all boxes that apply. If payment is made through an in-kind contribution,
specify the nature and value of the in-kind payment.
13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature.
14. Provide a specific and detailed description of the services that the lobbyist has performed,or will be expected to
perform,and the date(s)of any services rendered.Include all preparatory and related activity,not just time spent in
actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s),
employee(s),or Member(s)of Congress that were contacted.
15. Check whether or not a SF-LLL-A Continuation Sheet(s)is attached.
16. The certifying official shall sign and date the form,print his/her name,title,and telephone number.
Public reporting burden for this collection of information is estimated to average 30 mintues per response,including time for reviewing
instructions,searching existing daU sources,gathering and maintaining the data needed,and completing and reviewing the collection of
information.Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions
for reducing this burden.to the Office of Management and Budget,Paperwork Reduction Project(0348-0046).Washington,D.C.20503.
263
Pt. 21, App. B 31 CFR Subtitle A (7-1-06 Edition)
DISCLOSURE OF LOBBYING ACTIVITIES 0App 348-0 4 by OMB
348-0046
CONTINUATION SHEET
Reporting Entity: Page of
Authorized for Loaf Reprado io
Standard form-LLL•A
264
EXHIBIT 7
DECLARATION
CITY OF KENT NON-DISCRIMINATION POLICY
The City of Kent (City) is committed to conform to Federal and State laws regarding equal
opportunity. As such all contractors, subcontractors, consultants, vendors, and suppliers who
perform work with relation to this Agreement shall comply with the regulations of the City's equal
employment opportunity policies.
The City of Kent and its contractors are subject to and will comply with the following:
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat.
252), (prohibits discrimination on the basis of race, color, national origin);
• 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs
Of The Department Of Transportation-Effectuation Of Title VI Of The Civil
Rights Act Of 1964);
• 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement
of Title VI of the Civil Rights Act of 1964).
• Ch. 49.60 RCW (Washington Law Against Discrimination)
The preceding statutory and regulatory cites hereinafter are referred to as "the Acts and
Regulations".
The following statements specifically identify the requirements the City deems necessary for any
contractor, subcontractor, or supplier on this specific Agreement to adhere to. An affirmation of
all of the following is required for this Agreement to be valid and binding. If any contractor,
subcontractor, or supplier willfully misrepresents themselves with regard to the directives outlined
below, 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 statements are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. 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.
3. During the time of this Agreement I, the prime contractor, will provide a written statement
to all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. During the performance of this contract, the contractor, for itself, its assignees, and
successors in interest (hereinafter referred to as the "contractor") agrees as follows:
EEO COMPLIANCE DOCUMENTS - 1 of 5
A. Compliance with Regulations: The contractor, subcontractor, consultant,
vendor, and supplier (hereinafter "Contractor") will comply with all Acts and the
Regulations relative to non-discrimination, including those applicable to Federally-
assisted programs of the U.S. Department of Transportation, State-assisted
programs through the Washington State Department of Transportation, and
generally under Washington's Law Against Discrimination, Ch. 49.60 RCW, as they
may be amended from time to time, which are herein incorporated by reference
and made a part of this contract.
B. Non-discrimination: The contractor, with regard to the work performed by it
during the contract, will not discriminate on the grounds of race, color, or national
origin in the selection and retention of subcontractors, including procurements of
materials and leases of equipment. The contractor will not participate directly or
indirectly in the discrimination prohibited by the Acts and the Regulations, including
employment practices when the contract covers any activity, project, or program
set forth in Appendix B of 49 CFR Part 21.
C. Solicitations for Subcontracts, Including Procurements of Materials and
Equipment: In all solicitations, either by competitive bidding, or negotiation made
by the contractor for work to be performed under a subcontract, including
procurements of materials, or leases of equipment, each potential subcontractor or
supplier will be notified by the contractor of the contractor's obligations under this
contract and the Acts and the Regulations relative to non-discrimination on the
grounds of race, color, or national origin.
D. Information and Reports: The contractor will provide all information and reports
required by the Acts and Regulations and directives issued pursuant thereto and will
permit access to its books, records, accounts, other sources of information, and its
facilities as may be determined applicable to contractor's contract by the City or the
Washington State Department of Transportation to be pertinent to ascertain
compliance with such Acts and Regulations and instructions. Where any information
required of a contractor is in the exclusive possession of another who fails or
refuses to furnish the information, the contractor will so certify to the City or the
Washington State Department of Transportation, as appropriate, and will set forth
what efforts it has made to obtain the information.
E. Sanctions for Noncompliance: In the event of a contractor's noncompliance with
the non-discrimination provisions of this contract, the City will impose such contract
sanctions as it or the Washington State Department of Transportation may
determine to be appropriate, including, but not limited to:
a. withholding payments to the contractor under the contract until the
contractor complies; and/or
b. cancelling, terminating, or suspending a contract, in whole or in part.
F. Incorporation of Provisions: The contractor will include the provisions of
paragraphs (A) through (F) above in every subcontract, including procurements of
materials and leases of equipment, unless exempt by the Acts and Regulations and
directives issued pursuant thereto. The contractor will take action with respect to
any subcontract or procurement as the City or the Washington State Department of
Transportation may direct as a means of enforcing such provisions including
sanctions for noncompliance. Provided, that if the contractor becomes involved in,
or is threatened with litigation by a subcontractor, or supplier because of such
EEO COMPLIANCE DOCUMENTS - 2 of 5
direction, the contractor may request the City to enter into any litigation to protect
the interests of the City. In addition, the contractor may request the United States
to enter into the litigation to protect the interests of the United States.
6. During the performance of this contract, the contractor, for itself, its assignees, and
successors in interest agrees to comply with the following non-discrimination statutes and
authorities; including but not limited to:
Pertinent Non-Discrimination Authorities:
i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252),
(prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part
21.
ii. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,
(42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose
property has been acquired because of Federal or Federal-aid programs and
projects);
iii. Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination
on the basis of sex);
iv. Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended,
(prohibits discrimination on the basis of disability); and 49 CFR Part 27;
V. The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.),
(prohibits discrimination on the basis of age);
vi. Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as
amended, (prohibits discrimination based on race, creed, color, national origin, or
sex);
vii. The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope,
coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age
Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by
expanding the definition of the terms "programs or activities" to include all of the
programs or activities of the Federal-aid recipients, sub-recipients and contractors,
whether such programs or activities are Federally funded or not);
viii. Titles II and III of the Americans with Disabilities Act, which prohibit discrimination
on the basis of disability in the operation of public entities, public and private
transportation systems, places of public accommodation, and certain testing entities
(42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation
regulations at 49 C.F.R. parts 37 and 38;
ix. The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. § 47123)
(prohibits discrimination on the basis of race, color, national origin, and sex);
X. Executive Order 12898, Federal Actions to Address Environmental Justice in Minority
Populations and Low-Income Populations, which ensures Non-discrimination against
minority populations by discouraging programs, policies, and activities with
disproportionately high and adverse human health or environmental effects on
minority and low-income populations;
xi. Executive Order 13166, Improving Access to Services for Persons with Limited
English Proficiency, and resulting agency guidance, national origin discrimination
includes discrimination because of Limited English proficiency (LEP). To ensure
EEO COMPLIANCE DOCUMENTS - 3 of 5
compliance with Title VI, you must take reasonable steps to ensure that LEP persons
have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100);
xii. Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because of sex in education programs or activities (20 U.S.C. 1681 et
seq).
xiii. Washington Law Against Discrimination (Ch. 49.60 RCW)
7. The submission of the final invoice for this contract will constitute a reaffirmation that the
preceding statements were complied with during the course of the contract's performance.
By signing below, I agree to fulfill the five requirements referenced above.
,niece Choate
By: 1PnIPrP C'hnata(Nov 11),?n)'�1�-1 0 PST)
For: Kent Food Bank and Emergency Services
Title: Executive Director
Date: 11/15/2023
EEO COMPLIANCE DOCUMENTS - 4 of 5
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: October 20, 2022
SUBJECT: INCLUSIVE CONTRACTING SUPERSEDES: January 1, 1998
APPROVED BY Dana Ralph, Mayor
POLICY:
Equal employment opportunity and non-discrimination in contracting 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 $10,000 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.
2. Actively consider for promotion and advancement available minorities and women.
Further, all contractors, subcontractors, consultants, suppliers, grantees, or subgrantees of the
City, regardless of the value of the Agreement, are required to sign the City's Non-Discrimination
Policy Declaration, prior to commencing performance.
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 coordinate with the City's Title VI coordinator, and perform the following
duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 5 of 5
Exhibit 8
Insurance Requirements
Insurance
The Contractor shall procure and maintain for the duration of the
Agreement, insurance against claims for injuries to persons or damage to
property which may arise from or in connection with the performance of the
work hereunder by the Contractor, their agents, representatives, employees,
or subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
Commercial General Liability insurance shall be written on Insurance
Services Office (ISO) occurrence form CG 00 01 and shall cover
liability arising from premises, operations, independent contractors,
products-completed operations, personal injury and advertising injury,
and liability assumed under an insured contract. The Commercial
General Liability insurance shall be endorsed to provide the Aggregate
Per Project Endorsement ISO form CG 25 03 11 85. The City shall be
named as an insured under the Contractor's Commercial General
Liability insurance policy with respect to the work performed for the
City using ISO additional insured endorsement CG 20 10 11 85 or a
substitute endorsement providing equivalent coverage. If a general
aggregate limit applies, either the general aggregate limit shall apply
separately to this project/location or the general aggregate limit shall
be twice the required occurrence limit.
The Contractor may use Umbrella or Excess Policies to provide the
liability limits as required in this Agreement. This form of insurance will
be acceptable if all the Primary and Umbrella or Excess Policies shall
provide all the insurance coverages herein required. The Umbrella or
Excess policies shall be provided on a true "following form" or broader
coverage basis, with coverage at least as broad as provided on the
underlying Commercial General Liability insurance.
Automobile Liability insurance providing bodily injury and property
damage liability coverage for all automobiles/vehicles used in the
performance of this Agreement. This coverage must be on a primary
and non-contributory basis only. Coverage shall be written on 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.
Workers' Compensation coverage for the employees of Contractor and
subcontractors as required by the Industrial Insurance laws of the
State of Washington.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
Commercial General Liability insurance shall be written with limits no
less than $1,000,000 per occurrence, $2,000,000 general aggregate.
Stop Gap Liability - $1,000,000/$1,000,000/$1,000,000
Primary Non-Contributory Additional Insured coverage for the City of
Kent, et. al.
Waiver of Subrogation
Automobile Liability insurance with a minimum combined single limit
for bodily injury and property damage of $1,000,000 per occurrence.
If the Contractor maintains broader coverage and/or higher limits than the
minimums shown above, the City requires and shall be entitled to the
broader coverage and/or the higher limits maintained by the Contractor. Any
available insurance proceeds in excess of the specified minimum limits of
insurance and coverage shall be available to the City. The above policy
limits may be obtained with excess liability (umbrella) insurance.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the
following provisions:
1. The Contractor's insurance coverage shall be primary insurance
with respect to the City. Any insurance, self-insurance, or
insurance pool coverage maintained by the City shall be in
excess of the Contractor's insurance policies and shall not
contribute to the Contractor's insurance policies.
2. Contractor's insurer must deliver or mail written notice of
cancellation to the named insured at least forty-five (45) days
before the effective date of the cancellation. The Contractor's
insurance policy shall include an endorsement that provides the
City with written notice of cancellation forty-five (45) days
before the effective date of the cancellation. If Contractor's
insurer fails to provide the City with a copy of the notice of
cancellation endorsement, the Contractor must notify the City of
any cancellation, nonrenewal or termination within two (2)
business days of their receipt of such notice.
3. The City of Kent shall be named as an additional insured on all
policies (except Professional Liability) with respect to work
performed by or on behalf of the Contractor and a copy of the
endorsement naming the City as an 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 Contractor's Commercial General Liability insurance shall
also contain a clause stating that coverage shall apply separately
to each insured against whom claims are made or suit is
brought, except with respect 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
Contractor 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 Contractor before commencement of the work. The City waives no
rights, and the Contractor is not excused from performance if Contractor
fails to provide the City with a copy of the endorsement naming the City as a
Primary Non-Contributory Additional Insured.
F. Subcontractors
Contractor shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverage for subcontractors shall be subject to all the same insurance
requirements as stated herein for the Contractor.
Issue Date 5/23/2023 Cert#:0000024273
Non Profit Insurance Program
Certificate of Coverage
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVEYS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES
NOTAMEND,EXTEND ORALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT
BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed If SUBROGRATION IS WAIVED,subject to the terms and conditions of
the policy,certain coverage may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER COMPANIES AFFORDING COVERAGE
Clear Risk Solutions GENERAL LIABILITY
451 Diamond Drive American Alternative Insurance Corporation,et al.
Ephrata,WA 98823
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation,et al.
INSURED PROPERTY
American Alternative Insurance Corporation,et al.
Kent Food Bank&Emergency Services
MISCELLANEOUS PROFESSIONAL LIABILITY
515 West Harrison Princeton Excess and Surplus Lines Insurance Company
Kent,WA 98032
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP DESCRIPTION LIMITS
DATE DATE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-14 6/1/2023 6/1/2024 PER OCCURRENCE $5,000,000
OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000
INCLUDES STOP GAP PRODUCT-COMP/OP $5,000,000
PERSONAL&ADV.INJURY $5,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-14 6/1/2023 6/1/2024 COMBINED SINGLE LIMIT $5,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE
PROPERTY
N1-A2-RL-0000013-14 6/1/2023 6/1/2024 ALL RISK PER OCC EXCL EQ&FL $75,000,000
EARTHQUAKE PER OCC Excluded
FLOOD PER OCC Excluded
(PROPERTY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-14 6/1/2023 6/1/2024 PER CLAIM $5,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
City of Kent is named as an Additional Insured regarding services provided only and is subject to policy terms,conditions,andexclusions. Additional Insured endoresment is
attached.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE
City of Kent
220 4th Ave.S.
Kent,WA 98032
AMERICAN ALTERNATIVE
INSURANCE COMPANY
ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profit Insurance Program (NPIP)
Policy Number Endorsement Effective
N 1-A2-RL-0000013-14 6/1/2023
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILITY COVERAGE PART
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above.
Schedule
Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator
City of Kent
220 4th Ave.S.
Kent,WA 98032
City of Kent is named as an Additional Insured regarding services provided only and is subject to policy terms,
conditions,andexclusions. Additional Insured endoresment is attached.
A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions and Exclusions
section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule.Such Person or
Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury
caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In performance of your ongoing operations;or
2. In connection with your premises owned or rented to you.
B. The Limits of Insurance applicable to the additional Insured are those specified in either the:
1. Written contract or written agreement;or
2. Declarations for this policy,
whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations.
All other terms and conditions remain unchanged.
Form:RL 212410 21
Includes copyrighted material of the Insurance Services Office,Inc.,with its permission
Lust updated by Jeniece Choate on May 17,2023 at 12:06 PM KENT FOOL)BANK AND EMERGENCY SERVICES
11 SAM,GOV°
KENT FOOD BANK AND EMERGENCY SERVICES
Unique Entity ID CAGE/NCAGE Purpose of Registration
DSMXGMTL63E5 918Q6 Federal Assistance Awards Only
Registration Status Expiration Date
Active Registration May 16,2024
Physical Address Mailing Address
515 W Harrison ST 22805 136TH AVE SE
STE 107 Kent,Washington 98042
Kent,Washington 98032-4403 United States
United States
Doing Business as Division Name Division Number
KENT FOOD BANK Kent Food Bank (blank)
Congressional District State/Country of Incorporation URL
Washington 09 Washington/United States www.kentfoodbank.org
Registration Dates
Activation Date Submission Date Initial Registration Date
May 19,2023 May 17,2023 May 20,2021
Entity Dates
Entity Start Date Fiscal Year End Close Date
Apr 1,1974 Dec 31
Immediate Owner
CAGE Legal Business Name
(blank) (blank)
Highest Level Owner
CAGE Legal Business Name
(blank) (blank)
Executive Compensation
Registrants in the System for Award Management(SAM)respond to the Executive Compensation questions in accordance with Section 6202 of
P.L.110-252,amending the Federal Funding Accountability and Transparency Act(P.L.109-282).This information is not displayed in SAM.It is
sent to USAspending.gov for display in association with an eligible award.Maintaining an active registration in SAM demonstrates the registrant
responded to the questions.
Proceedings Questions
Registrants in the System for Award Management(SAM.gov)respond to proceedings questions in accordance with FAR 62.209-7,FAR 52.209-9,
or 2.C.F.R.200 Appendix XII.Their responses are displayed in the responsibility/qualification section of SAM.gov.Maintaining an active
registration in SAM.gov demonstrates the registrant responded to the proceedings questions.
Active Exclusions Records?
No
I authorize my entity's non-sensitive information to be displayed in SAM public search results:
Yes
Business Types
Entity Structure Entity Type Organization Factors
Corporate Entity(Tax Exempt) Business or Organization (blank)
Profit Structure
Non-Profit Organization
Aug 30,2023 01.49:05 PM GMT
https:llsam.govlentityIDSMXGMTL63E51coi cData?status=Active Page I of 2
Last updated by Jeniece Choate on May 17,2023 at 12:06 PM KENT FOOD BANK AND EMERGENCYSERVICES
Socio-Economic Types
Check the registrant's Reps&Certs,if present,under FAR 62.212-3 or FAR 62.219-1 to determine if the entity is an SBA-certified HUBZone small
business concern.Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the
SBA supplemental pages during registration.
Accepts Credit Card Payments Debt Subject To Offset
No No
EFT Indicator CAGE Code
0000 918Q6
Electronic Business
515 W Harrison ST STE 107
Jeniece M Choate Kent,Washington 98032
United States
Government Business
1. 515 W Harrison ST STE 107
Jeniece M Choate,Exectutive Director Kent,Washington 98032
United States
NAICS Codes
Primary NAICS Codes NAICS Title
This entity does not appear in the disaster response registry.
Aug 30,2023 01.49:05 PM GMT
https://sam.govlcntityIDSMXGMTL63EJlcorcData?status=Active Page 2 of2
Signature: Menna�anssoon( oov 13,202 0:20 PST) Signature:
Email: mhanson@kentwa.gov Email: rlashley@kentwa.gov
Signature:
Juli arascondola(Nov 15,202313:19 PST)
Email: jparascondola@kentwa.gov
H HS_KentFood Ban k_OrganizationaIDevSLFRF
_11132023
Final Audit Report 2023-11-15
Created: 2023-11-13
By: KateLynn Jennings(kjennings@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAApV5F-EgJ6FPQS7nkvtkASR4PFSCWGVzM
"HHS_KentFood Ban k_OrganizationalDevSLFRF_11132023" His
tory
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2023-11-13-6:11:22 PM GMT-IP address: 146.129.252.126
Document emailed to mhanson@kentwa.gov for signature
2023-11-13-6:14:15 PM GMT
Email viewed by mhanson@kentwa.gov
2023-11-13-6:19:29 PM GMT-IP address:73.11.236.7
Signer mhanson@kentwa.gov entered name at signing as Merina Hanson
2023-11-13-6:20:02 PM GMT-IP address:73.11.236.7
-: Document e-signed by Merina Hanson (mhanson@kentwa.gov)
Signature Date:2023-11-13-6:20:04 PM GMT-Time Source:server-IP address:73.11.236.7
Document emailed to Ronald Lashley (rlashley@kentwa.gov)for signature
2023-11-13-6:20:06 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2023-11-15-6:27:54 PM GMT-IP address: 104.47.64.254
�$ Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date:2023-11-15-6:28:03 PM GMT-Time Source:server-IP address: 146.129.252.126
'-► Document emailed to kentfoodbank@gmail.com for signature
2023-11-15-6:28:05 PM GMT
Email viewed by kentfoodbank@gmail.com
2023-11-15-9:07:11 PM GMT-IP address:67.182.148.103
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f Signer kentfoodbank@gmail.com entered name at signing as Jeniece Choate
2023-11-15-9:10:46 PM GMT-IP address:67.182.148.103
Document e-signed by Jeniece Choate (kentfoodbank@gmail.com)
Signature Date:2023-11-15-9:10:48 PM GMT-Time Source:server-IP address:67.182.148.103
Document emailed to Julie Parascondola (jparascondola@kentwa.gov)for signature
2023-11-15-9:10:51 PM GMT
s Email viewed by Julie Parascondola (jparascondola@kentwa.gov)
2023-11-15-9:19:23 PM GMT-IP address: 104.47.64.254
E Document e-signed by Julie Parascondola Qparascondola@kentwa.gov)
Signature Date:2023-11-15-9:19:35 PM GMT-Time Source:server-IP address: 146.129.252.126
Agreement completed.
2023-11-15-9:19:35 PM GMT
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