HomeMy WebLinkAbout2021/04/05 - Briefing Packet Mason County Support Services Department Budget Management
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1814 Risk Management
MASON COUNTY COMMISSIONER BRIEFING ITEMS FROM SUPPORT SERVICES
April 5, 2021
• Specific Items for Review
o Superior Court staffing request— Frank
0 2021 CDBG Public Services Grant Public Hearing for 7/1/2021-6/30/2022 (annual grant) - Frank
o Continued review of process for replacement of Support Services Director— Frank
o Tax Title Parcel Order to sell parcels at on-line auction — Diane
o Commission meeting schedule—continue with every other Tuesday meetings?— Diane
o Final review of Commission Correspondence Policy- Diane
• Commissioner Discussion
o Letter regarding Resources to Address Homelessness in our Communities—Cmmr. Shutty
C:\Users\MSmith\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\B25G21ET\2021-04-05 -revised.docx
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Kelly Bergh for Frank Pinter
DEPARTMENT: Support Services EXT: 644
BRIEFING DATE: April 5, 2021
PREVIOUS BRIEFING DATES: n/a
If this is a follow-up briefing, please provide only new information
INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources
❑ Legal ❑ Other — please explain
ITEM: 2021 Department of Commerce Public Services Community Development Block Grant
Application for grant period 7/1/2021 — 6/30/2022.
EXECUTIVE SUMMARY: (If applicable, please include available options and potential
solutions):
Mason County coordinates with the Community Action Council of Lewis, Mason, &Thurston
Counties on an annual basis to apply for, receive, and provide services through a Public
Services Community Development Block Grant (PS-CDBG) administered by the Washington
State Department of Commerce (DOC). The DOC prefers that the actual service provision be
done by the local Community Action Council. The grant application, which is due May 27,
2021 requires a public hearing, input, and participation. The public hearing will serve as a
time to inform citizens of the availability of funds and eligible uses of the state Community
Development Block Grant and receive comments on proposed activities specifically funding
the Community Action Council of Lewis, Mason, &Thurston Counties (CAC), as well as
receive comments on the 2020 program.
BUDGET IMPACT: This project would be fully funded by the CDBG grant
PUBLIC OUTREACH:(Include any legal requirements, direct notice,website, community
meetings, etc.)
CDBG application requires Public Hearing notice in the official county newspaper for two
consecutive weeks prior to public hearing.
RECOMMENDED OR REQUESTED ACTION:
Approve the submission of the Public Hearing notice to the Shelton-Mason Journal on
Monday, April 26rd to be published on Thursday, April 261h and May 61h, in order to allow
adequate time for public notice to meet the CDBG application requirements. The proposed
public hearing date is Tuesday, May 18, 2021 and the CDBG application deadline is
Thursday, May 27, 2021.
ATTACHMENTS:
Eligible CDBG Public Service Activities
2021 Proposed CDBG Public Service Grant Amounts
Briefing Summary 3/26/2021
ELIGIBLE ACTIVITIES
CDBG eligible activities can be found in the Code of Federal Regulations: Title 24-Housing and Urban
Development, Chapter V, Part 570, C, Section 570.201 on page 40 of this guide. Further definitions
of CDBG eligible public services and specific guidance on housing-related services are also in this
guide.
To be CDBG eligible, the service must meet the following five criteria:
1. Be on HUD's list of public services, or be a substantially similar service and not on the list of
ineligible public services.
2. Be identified as a new service or an increased/improved level of service. See instructions to
this application's Project Description and LMI Benefit Table for definitions.
3. Be directly linked to delivery of a specific service to a client.
4. Principally benefit low- and moderate-income (LMI) persons. See instructions to this
application's Project Description and LMI Benefit Table for more information. The current
Income Limits chart is on the CDBG website under Guidance Materials and LMI is up to 80%
of median household income by family size.
5. Target residents of CDBG non-entitlement areas (outside of CDBG entitlement cities). The
state CDBG program cannot fund activities that benefit residents in CDBG entitlement cities,
since these cities receive CDBG funds directly from HUD. The ineligible CDBG entitlement
cities, located in eligible state CDBG counties are:
Anacortes Longview Walla Walla
Bellingham Mount Vernon Wenatchee
East Wenatchee Pasco Yakima
Kennewick Richland
INELIGIBLE ACTIVITIES
In general, any activity not described above is not eligible. Specifically, Public Services Grants cannot
fund:
1. Activities and administrative costs eligible under another CDBG fund, such as:
• Planning and community organization activities, not directly linked to the delivery of an
eligible public service to a client. Unlike CSBG, CDBG cannot fund general outreach
activities or partnership building activities, unless you can count and report on the clients
receiving a direct service from those activities.
• Housing rehabilitation, including weatherization
• Facility acquisition, construction or renovation
2. Administrative costs for the general management of the organization
3. Lobbying and political activities
4. Direct payments to individuals for their food, clothing, utilities or other income payments. (Income
payments or emergency vouchers paid to a third party for no more than three consecutive months
may be eligible.)
5. New housing construction costs, including administration of new housing development programs
Contact Jeff Hinckle at (360) 605-2402 or leff.hinckle(a'_)commerce.wa.gov if you have any questions.
Ver 1/21/2021
ELIGIBLE AND INELIGIBLE HOUSING RELATED SERVICES
CDBG can fund a wide range of public services for low- and moderate-income persons. This table summarizes HUD's guidance and the
state's policy on CDBG eligible public services for housing-related issues. To be eligible for Public Services Grant funding, the activity
must deliver a direct service to a client (column A). In general, activity and administrative costs eligible under another CDBG activity
category (column C) or for an ineligible CDBG activity (such as new housing construction) are not eligible as a CDBG public service.
A B C
Housing Issue Eligible CDBG service Ineligible CDBG service Activities eligible under another CDBG
Public Services Grant eligible category and CDBG fund, but
Not Public Services Grant eligible
• Housing counseling Housing rehabilitation CDBG Housing Rehabilitation: Labor,
Housing • Energy conservation counseling administration not related to an materials, and supplies required for the
Rehabilitation and testing eligible counseling, education or rehabilitation of property(including energy
(including . Screening for lead poisoning testing service efficiency improvements)
weatherization) . Client education and training CDBG Housing Rehabilitation Administration
and Services: All delivery costs (including staff,
If provided as an independent other direct costs, and professional service costs)
public service and not part of a directly related to carrying out housing
CDBG funded housing rehabilitation activities, including outreach,
rehabilitation activity rehabilitation counseling, applicant screening,
energy auditing, preparing work specs, loan
processing, inspections, and services related to
assisting program participants
• Fair housing services and
Tenant/Landlord counseling on housing
discrimination
• Counseling to prevent or settle
disputes between tenants and
landlords
A B C
Housing Issue Eligible CDBG service Ineligible CDBG service Activities eligible under another CDBG
Public Services Grant eligible category and CDBG fund,but
Not Public Services Grant eligible
• One-time or short-term(no • Ongoing grants or non-
Prevent Loss of more than three month) emergency payments(more
Housing emergency payments on behalf than 3 consecutive months)
of individuals or families,to • Direct payments
prevent loss of housing,
including utility payments and
rent/mortgage payments
• Legal services
Development,project management, CDBG Public/Community Facility: Acquisition,
Homelessness and Direct delivery of services for and administrative costs of shelters construction or rehabilitation of temporary
Transitional homeless persons and transitional housing activities shelters and transitional housing, including
Housing project management
Housing counseling for renters, Development,project management CDBG Acquisition or CDBG Public Facility:
Permanent homeowners, and potential new and administrative costs for new Acquisition and public off-site infrastructure in
Housing homebuyers provided as an housing activities support of housing development
independent public service
Housing counseling provided as an CDBG Homeownership Assistance: Provision
Homeownership independent public service and not of direct assistance to facilitate and expand
part of a CDBG funded down homeownership, including subsidized interest
payment assistance activity rates and mortgage principal amounts,down
payment assistance and closing costs
• Client planning services Planning to develop new services CDBG Planning-Only: Housing plans,
Planning • Program planning activities tied and community partnerships feasibility studies, strategies and action program
to the direct delivery of a client without the direct delivery of a planning
service client service
2/20119
ELIGIBLE CDBG PUBLIC SERVICES ACTIVITIES
FEDERAL REGULATION EXCERPT
TITLE 24--HOUSING AND URBAN DEVELOPMENT
CHAPTER V--OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND
DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
PART 570 COMMUNITY DEVELOPMENT BLOCK GRANTS
Subpart C_ Eligible Activities
Sec. 570.201 Basic eligible activities.
CDBG funds may be used for the following activities:
(e) Public services.
Provision of public services (including labor, supplies, and materials) including but not limited
to those concerned with employment, crime prevention, child care, health, drug abuse,
education, fair housing counseling, energy conservation (counseling and testing), welfare
(but excluding the provision of income payments identified under Sec. 570.207(b)(4)),
homebuyer down payment assistance, or recreational needs.
To be eligible for CDBG assistance, a public service must be either a new service or a
quantifiable increase in the level of an existing service above that which has been provided
by or on behalf of the unit of general local government (through funds raised by the unit or
received by the unit from the State in which it is located) in the 12 calendar months before
the submission of the action plan. (An exception to this requirement may be made if HUD
determines that any decrease in the level of a service was the result of events not within the
control of the unit of general local government.)
PUBLIC SERVICES DEFINITIONS AND CODES
Below are definitions and codes for public services. This excerpt from HUD's database manual
provides the most common types of CDBG funded services (in numeric, not alpha order), and not all
possible service types are listed.
Code Type of Services and Definition
05A Senior Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Services for the elderly. 05A may
be used for an activity that serves both the elderly and persons with disabilities provided it is
intended primarily to serve elderly. If the activity is intended primarily to serve persons with
disabilities, use 05B instead.
05B Services for Persons with Disabilities
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Services for the persons with
disabilities, regardless of age. If the activity is intended primarily for elderly persons, use 05A
instead.
Code Type of Services and Definition
05C Legal Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+24 CFR 570.482(c)(2) Services providing legal aid to
low-and moderate-income (LMI) persons. If the legal service is only provided for the settlement
of tenant/landlord disputes, use 05K.
05D Youth Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Services for young people age 13
to 19. For example, recreational services limited to teenagers and teen counseling programs. 05D
can also be used for counseling programs that target teens but include counseling for the family
as well. For services for children age 12 and under, use 05L;for services for abused and neglected
children, use 05N.
05E Transportation Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) General transportation services.
Transportation services for a specific client group should use the matrix code for that client
group. For example, use 05A for transportation services for the elderly.
05F Substance Abuse Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Substance abuse recovery
programs and substance abuse prevention/education activities. If the services are provided for a
specific client group, the matrix code for that client group may be used instead. For example,
substance abuse services that target teenagers may be coded either 05D or 05F.
05G Services for victims of domestic violence, dating violence, sexual assault or
stalking
24 CFR 570.201(e) or 42 USC 5305(a)(8) +24 CFR 570.482(c)(2) Services for victims of domestic
violence, dating violence, sexual assault or stalking. For services limited to abused and neglected
children, use 05N.
05H Employment Training
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Assistance to increase self-
sufficiency, including literacy, independent living skills, resume writing,job coaching, "how to get
and keep a job" training, or training students in a particular field on skill when there is no tie to a
specific position or business. For activities providing training for specific permanent jobs with
specific businesses, use 18A.
051 Crime Awareness/Prevention
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Promotion of crime awareness
and prevention, including crime prevention education programs, community-oriented policing
programs above and beyond normal staffing levels, installation of security cameras, and paying
for security guards.
051 Fair Housing Activities (subject to Public Services cap)
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Fair housing services (e.g.
counseling on housing discrimination) as public services.The activity needs to meet a national
objective. For fair housing services activities carried out as part of general program
administration (and thus not required to meet a national objective), use 21D.
05K Tenant/Landlord Counseling
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Counseling to help prevent or
settle disputes between tenants and landlords.
Code Type of Services and Definition
05L Child Care Services
24 CFR 570.201(e) or 42 USC 5305(a)(8) + 24 CFR 570.482(c)(2) Services that will benefit children
(generally under age 13), including parenting skills classes. For services exclusively for abused
and neglected children, use 05N.
05M Health Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Services addressing the physical
health needs of residents of the community. For mental health services, use 050.
05N Services for Abused and Neglected Children
24 CFR 570.201(e) or 42 USC 5305(a)(8)+24 CFR 570.482(c)(2) Daycare and other services
exclusively for abused and neglected children.
050 Mental Health Services
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Services addressing the mental
health needs of residents of the community.
05P Screening for Lead Poisoning
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Activities undertaken primarily to
provide screening for lead poisoning. Note: • Use 05P to test people for possible lead poising. •
Use 141 to test buildings/properties for presence of lead contamination.
05Q Subsistence Payments
24 CFR 570.207(b)(4) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) One-time or short-term (no
more than three months) emergency payments on behalf of individuals or families,generally for
the purpose of preventing homelessness. Examples include utility payments to prevent cutoff of
service, and rent/mortgage payments to prevent eviction.
05R Homebuyer Downpayment Assistance - Excluding Housing Counseling under 24
CFR 5.100
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Homebuyer downpayment
assistance provided as a PUBLIC SERVICE. If housing counseling (under 24 CFR 5.100) is provided
to in conjunction with downpayment assistance, report housing counseling separately under
matrix code 05Y. If referral services, homeownership education programs, or general
budget/financial counseling are provided to homebuyers in conjunction with downpayment
assistance as part of a package, then the services are considered activity delivery costs as a part
of an 05R activity.
• It is subject to the public service cap, unless the assistance is provided by a CBDO in an NRSA or
by a 105(a)(15) entity.
• Only report the number of households that received downpayment assistance as
accomplishments for 05R.
• For more extensive types of homeownership assistance provided under authority of the
National Affordable Housing Act, use code 13B.
05S Rental Housing Subsidies
24 CFR 570.204 or 42 USC 5305(a)(8) +24 CFR 570.482(c)(2)Tenant subsidies exclusively for
rental payments for more than three months. Activities providing this form of assistance must be
carried out by CBDOs or 105(a)(15) entities.
05T Security Deposits
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2)Tenant subsidies exclusively for
payment of security deposits.
Code Type of Services and Definition
05U Housing Counseling only, under 24 CFR 5.100
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2) Housing counseling, under 24 CFR
5.100, for renters, homeowners, and/or potential new homebuyers that is provided as an
independent public service (i.e., not as part of another eligible housing activity).
05V Neighborhood Cleanups
24 CFR 570.201(e) or 42 USC 5305(a)(8) + 24 CFR 570.482(c)(2) One-time or short-term efforts to
remove trash and debris from neighborhoods. Examples of legitimate uses of this code include
neighborhood cleanup campaigns and graffiti removal.
05W Food Banks
24 CFR 570.201(e) or 42 USC 5305(a)(8) +24 CFR 570.482(c)(2) Costs associated with the
operation of food banks, community kitchens, and food pantries, such as staff costs, supplies,
utilities, maintenance, and insurance.
05X Housing Information and Referral Services
24 CFR 570.201(e) or 42 USC 5305(a)(8) + 24 CFR 570.482(c)(2) An activity that provides housing
information, education, and referral services, or general budget/financial counseling that does
not meet the 24 CFR 5.100 definition of Housing Counseling.
05Y Housing Counseling under 24 CFR 5.100 Supporting Homebuyer Downpayment
Assistance (05R)
24 CFR 570.201(e) or 42 USC 5305(a)(8) +24 CFR 570.482(c)(2) Housing Counseling, under 24 CFR
5.100,that is provided to in conjunction with homebuyer downpayment assistance (05R) as a
public service.
05Z Other Public Services Not Listed in 03T and 05A-05Y
24 CFR 570.201(e) or 42 USC 5305(a)(8)+ 24 CFR 570.482(c)(2)This matrix code replaced matrix
code 05. Only use this matrix code when an activity does not fall under a more specific 05A-05Y
code. An example of a legitimate use of this code is when the CDBG funds are provided to a non-
profit organization that provides multiple types of social services for operating costs. In another
example, when a public service activity that does not have a more specific matrix code, provides
services to multiple groups of clients such as seniors, persons with disabilities, and homeless
persons. For instance, for a "meals on wheels" program for seniors and persons with disabilities,
use 05Z. If this program had only been available to seniors, the correct matrix code would have
been 05A.
2021 CDBG PUBLIC SERVICES GRANT AMOUNTS -proposed
COUNTY SUBRECIPIENT—SERVICE PROVIDER GRANT GRANT TOTAL
CONTRACT# COMMUNITY ACTION PROGRAM SERVICE AREA (including county
administration)
Asotin
Asotin 10-001 Community Action Partnership Asotin $38,900
Benton
Benton10-002 Benton Franklin Community Action Connections Benton, Franklin $66,330
Chelan
Chelan10-003 Chelan-Douglas Community Action Council Chelan, Douglas $61,580
Cowlitz
Cowlit 10-004 Lower Columbia Community Action Council Cowlitz, Wahkiakum $67,360
Grant
Opportunities Industrialization Center Adams, Grant $126,580
21-62210-005
Grays Harbor
Grays arbor Coastal Community Action Program Grays Harbor, Pacific $105,420
0-006
Jefferson
2 fferso0-007 Olympic Community Action Programs Clallam, Jefferson $109,240
Kittitas
21 titan -008 HopeSource Kittitas $85,070
Klickitat
21ckitat -009 Washington Gorge Action Programs Klickitat, Skamania $72,110
Mason
Mason 10-010 CAC of Lewis, Mason and Thurston Counties Lewis, Mason $100,080
Okanogan
Okano 10-011 Okanogan County Community Action Council Okanogan $84,140
Skagit
Skagit 10-012 Community Action of Skagit County Skagit $61,870
Stevens Ferry, Lincoln, Pend
21-62210-013 Rural Resources Community Action Oreille, Stevens $88,600
Walla Walla Blue Mountain Action Council Columbia, Garfield, $44,650
21-62210-014 Walla Walla
Whatcom Island, San Juan,
21-62210-015 Opportunity Council Whatcom $129,400
Whitman
Whitm 10-016 Community Action Center Whitman $102,210
Yakima
Yakim 10-017 Northwest Community Action Center Yakima $156,460
TOTAL $1,500,000
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: Board of Mason County Commissioners
FROM: Diane Zoren/McKenzie Smith
DEPARTMENT: Support Services EXT: 747
BRIEFING DATE: April 5, 2021
PREVIOUS BRIEFING DATES:
If this is a follow-up briefing, please provide only new information
ITEM:
Draft order for 2021 Tax Title Auction to sell parcels on Bid4Assets.com.
EXECUTIVE SUMMARY: (If applicable, please include available options and potential
solutions):
Pursuant to RCW 36.35.120, real property acquired by foreclosure of delinquent taxes may be sold by
order of the County legislative authority if it is deemed in the County's best interests to sell the real
property. The first step to begin the process is for the Commissioners to approve an Order of Sale.
The Treasurer will then arrange an online sale with Bid4Assets.
Part of the process is notifying the City of parcels within City limits foreclosed by the County. This has
been done September 17, 2019.
BUDGET IMPACT:
If all parcels sold for the minimum bid (excluding listing and recording fees) the total would be
$106,285.49. This amount would first go towards delinquent taxes, penalties, and any other fees
owed for the parcel. After the sale, these parcels will go back onto the tax roll. Should any parcels
not sell, they will be listed with Richard Beckman Realty, LLC.
• Recording fee: $106.50 per parcel (estimated two pages of recorded documents)
• Affidavit fee: $10.00 per parcel
PUBLIC OUTREACH:(Include any legal requirements, direct notice, website, community
meetings, etc.)
If approved, the notice will be emailed to any interested parties that have signed up for notification
along with notice on our website, Facebook page, and various postings by Bid4Assets.com.
RECOMMENDED OR REQUESTED ACTION:
Approval to place on the April 13, 2021 Action Agenda for approval.
ATTACHMENTS:
List of parcels with descriptions and total taxes owed.
Briefing Summary 4/1/2021
Parcel No. Address/Legal Taxes Due Other Fees Listing Fees Recording Fees Treasurer Total/Min Bid Assessed Value County Item No.
Affidavit Fee
Tr 6 of Survey 6/1 Section 29 Township 21 Range 2 140 E
22129-75-00060 $ 47,065.48 $ 20.00 $ $ 106.50 $ 10.00 $ 47,201.98 $ 69,875.00 1
Royce Rd Grapeview
22212-54-02006 Lakewood Plat E Blk 2 Lot 6-10 $ 1,944.30 $ 20.00 $ $ 106.50 $ 10.00 $ 2,080.80 $ 1,340.00 2
22213-50-10009 Lakewood Plat F Blk 10 Lot 9-10 $ 1,911.65 $ 20.00 $ $ 106.50 $ 10.00 $ 2,048.15 $ 130.00 3
31908-31-03010 W 10'Of S 209'Of E 1/2 E 1/2 NE SW $ 1,472.45 $ 20.00 $ $ 106.50 $ 10.00 $ 1,608.95 $ 9,885.00 4
32017-51-01010 Amended&Corrected Plat of Shelton BLK:1 LOTS:10-12 EX $ 961.61 $ 20.00 $ $ 106.50 $ 10.00 $ 1,098.11 $ 4,735.00 5
PTN TR 1
32017-51-31001 Amended&Corrected Plat of Shelton BLK:31 LOT:1 EX R/W $ 1,048.23 $ 20.00 $ $ 106.50 $ 10.00 $ 1,184.73 $ 8,115.00 6
32017-51-31002 Amended&Corrected Plat of Shelton BLK:31 LOT:2 EX R/W $ 1,048.23 $ 20.00 $ $ 106.50 $ 10.00 $ 1,184.73 $ 7,765.00 7
32017-51-31003 Amended&Corrected Plat of Shelton BLK:31 LOT:3 EX R/W $ 1,048.23 $ 20.00 $ $ 106.50 $ 10.00 $ 1,184.73 $ 8,285.00 8
32019-41-00320 TR 32 of NE SE Section 19 Township 20 Range 3 $ 2,802.92 $ 20.00 $ $ 106.50 $ 10.00 $ 2,939.42 $ 30,190.00 9
32019-56-19001 Needham&Days Blk 19 Lot 1-6 $ 3,420.63 $ 20.00 $ $ 106.50 $ 10.00 $ 3,557.13 $ 3,795.00 10
32019-56-24008 Needham&Days Blk E Lot 1-4 Int 3rd St&Kineo Ave $ 8,493.99 $ 20.00 $ $ 106.50 $ 10.00 $ 8,630.49 $ 34,350.00 11
32030-51-08026 2040 Lake Blvd Beverly Heights Blk 8 Lot 26-27 $ 783.50 $ 20.00 $ $ 106.50 $ 10.00 $ 920.00 $ 12,865.00 12
32105-50-33004 McReavy Rd Adj to Tsfr S Union-McReavy's 3rd Blk 33 Lot 4- $ 309.46 $ 20.00 $ $ 106.50 $ 10.00 $ 445.96 $ 75,155.00 13
16&All Blks 34-40 Inc
32106-50-11004 32 E St Rt 106 Union-Bayview Add Blk 11 Lot 4 $ 901.33 $ 20.00 $ $ 106.50 $ 10.00 $ 1,037.83 $ 17,450.00 14
Patricia Beach Tr 33 Exc Tr 33A Section 25 Township 22
32225-51-00035 $ 1,309.82 $ 20.00 $ - $ 106.50 $ 10.00 $ 1,446.32 $ 13,020.00 15
Range 3
32225-52-00900 Patricia Beach#2 Tr 4 A $ 2,627.34 $ 20.00 $ $ 106.50 $ 10.00 $ 2,763.84 $ 4,200.00 16
32232-50-04008 Next to 4841 E St Rt 106 Union Hood Canal Land&Imp Co $ 9.75 $ 20.00 $ $ 106.50 $ 10.00 $ 146.25 $ 16,000.00 17
Blk 4 Lot 7 W 1/2&Lot 8-11
32330-52-67008 Lilliwaup 1st Add Blk 67 Lot 8 $ 2,574.81 $ 20.00 $ $ 106.50 $ 10.00 $ 2,711.31 $ 4,815.00 18
32330-52-67009 Lilliwaup 1st Add Blk 67 Lot 9 $ 2,574.81 $ 20.00 $ $ 106.50 $ 10.00 $ 2,711.31 $ 4,815.00 19
Lilliwaup 1st Add Blk 67 Lot 10-12 Vac Troutman Ave Adj Lot
32330-52-67010 $ 3,015.75 $ 20.00 $ $ 106.50 $ 10.00 $ 3,152.25 $ 13,775.00 20 12
42012-56-00012 Correction Plat of Kneeland Plaza Lot LL $ 3,886.89 $ 20.00 $ $ 106.50 $ 10.00 $ 4,023.39 $ 634,325.00 21
Prop under 101 overpass behind Miles Sand&Gravel TR 48
42024-13-00480 $ 366.51 $ 20.00 $ $ 106.50 $ 10.00 $ 503.01 $ 17,875.00 22
OF NE
42110-41-00011 TR 1A Of SE Section 10 Township 21 Range 4 $ 1,427.46 $ 20.00 $ $ 106.50 $ 10.00 $ 1,563.96 $ 12,660.00 23
42212-50-01051 North Hill Rd Hoodsport Blk 1 Lot 51-55 Ex State R/W $ 39.22 $ 20.00 $ $ 106.50 $ 10.00 $ 175.72 $ 14,365.00 24
42212-51-10901 2300 Block of Hwy 101 Hoodsport-McReavy's Add Blk 10 TR $ 277.62 $ 20.00 $ $ 106.50 $ 10.00 $ 414.12 $ 2,200.00 25
4 1/2 I nt
42331-50-93164 lake Cushman Westside#1 Lot D Of SP#817 Ptn Blk 3 Lot $ 1,674.64 $ 20.00 $ $ 106.50 $ 10.00 $ 136.50 $ 30,655.00 26
42333-51-06045 Lake Cushman Eastside#1 Blk 6 Lot 45 $ 2,840.31 $ 20.00 $ $ 106.50 $ 10.00 $ 2,976.81 $ 43,480.00 27
52024-41-00040 Little Egypt Rd S1/2 N1/2 S1/2 NE SE See Survey 1/233 $ 1,093.68 $ 20.00 $ $ 106.50 $ 10.00 $ 1,230.18 $ 27,085.00 28
52024-41-00050 Litte Egypt Rd SI/2 S1/2 NE SE See Survey 1/233 $ 1,653.11 $ 20.00 $ $ 106.50 $ 10.00 $ 1,789.61 $ 36,610.00 29
61930-51-00005 River Haven TR 5 $ 1,926.63 $ 20.00 $ $ 106.50 $ 10.00 $ 2,063.13 $ 3,030.00 30
61930-51-00007 River Haven Tr 7 $ 3,218.27 $ 20.00 $ $ 106.50 $ 10.00 $ 3,354.77 $ 3,030.00 31
Mason County Commission Correspondence Policy
1) Purpose:
To establish guidelines and procedures for correspondence addressed to the Mason County
Commissioners.
2) Scope:
Applies to Mason County Commissioners.
3) Definitions:
Correspondence includes any written letter, note or e-mail, including all attachments, addressed
to one or more County Commissioner,that is related to county business. The correspondence
may be delivered by any means including but not limited to USPS, e-mail,facsimile transmission,
or hand delivered.
4) Policy:
4.1 Support Services staff are authorized to open and examine all correspondence received in
the Mason County Commissioners' Office. All correspondence received by staff will be
shared with the entire Commission and appropriate county staff, according to content of the
correspondence. Distribution will be notated on the correspondence.
4.2 Correspondence e-mailed directly to a Commissioner may be shared at the request of the
correspondent or Commissioner.
4.3 Correspondence relating to County business will be acknowledged in a Commission meeting
and logged into the record in summary form indicating the nature of the correspondence
and the name of the sender.
4.4 Correspondence will not be read aloud in its entirety at a Commission meeting unless
submitted as public comment or public testimony and the sender requests it be read in its
entirety.
4.5 During a Commission meeting, pictures, maps, etc.that relate to County business may be
held up to the camera for public viewing by either the presenter or a Commissioner. Every
effort should be made to submit documents by the Wednesday deadline to be included in
the meeting packet. A written copy shall be submitted to the Clerk of the Board for archive
purposes.
4.6 Anonymous correspondence will not be acknowledged in a Commission meeting.
4.7 All correspondence relating to County business is considered a public record and shall be
retained according to the Secretary of State Archives Retention Schedule.
5) Procedures:
5.1 Correspondence will be opened, date stamped, and logged into the record of a Commission
meeting or the internal correspondence log. If correspondence is addressed to an individual
Commissioner and identified as personal or confidential, it shall be distributed to the
Commissioner unopened. If the correspondence is found to not be personal or confidential
and it relates to County business,the Commissioner shall transmit the individual
correspondence to Support Services staff to be logged and retained.
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County Commission Correspondence Policy mckenzie.do. :`^"`9FiefiRg Ite^ s\2Q2! DiaRe'�
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5.2 Correspondence that is not related to the conduct of county business (i.e. various
notifications from outside agencies) or that is cc'd to the Commissioners is logged into an
internal correspondence log and a copy is provided to all Commissioners. This
correspondence is not typically acknowledged at a Commission meeting.
5.3 Inter-departmental correspondence is logged into an internal correspondence log and a
copy is provided to all Commissioners. This correspondence is not typically acknowledged at
a Commission meeting.
5.4 Response to correspondence is optional and at the discretion of the Commission. A
Commissioner may opt to respond personally to the correspondent and should be careful to
respond in a way that does not state or imply they speak for the County or the Commission
as a legislative body.
5.5 Any action taken by the Commission shall be taken in a Commission meeting.
5.6 In order for correspondence to be acknowledged in a Commission meeting, whether
summary form or in its entirety, it needs to be received by County staff in a timely matter.
The typical deadline for the summary correspondence log is the Wednesday prior to the
Commission meeting. Written public comment or testimony may be submitted to the Clerk
of the Board by close of business the Monday prior to the Commission meeting. In real time
public hearings, written testimony may be submitted during the hearing to the Clerk of the
Board. Copies will be provided,via e-mail, to the entire Commission.
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3/16/2021 Page 2 of 2
April X, 2021
Governor Jay Inslee Senator Andy Billig
Office of the Governor Senate Majority Leader
PO Box 40002 307 Legislative Building
Olympia, WA 98504-0002 PO Box 40403
Olympia, WA 98504
Representative Jinkins Senator Christine Rolfes
Speaker of the House Chair, Senate Ways and Means
339C Legislative Building Committee
PO Box 40600 303 John A. Cherberg Building
Olympia, WA 98504-0600 PO Box 40423
Representative Tim Ormsby Olympia, WA 98504
Chair, House Appropriations Committee Senator David Frockt
JLOB 315 Vice Chair, Capital Budget Ways
PO Box 40600 and Means Committee
Olympia WA 98504-0600 224 John A. Cherberg Building
PO Box 40446
Representative Steve Tharinger Olympia, WA 98504
Chair, House Capital Budget Committee
JLOB 314
PO Box 40600
Olympia, WA
98504-0600
RE: Resources to Address Homelessness in our Communities
Dear Governor Inslee, Majority Leader Billig, Speaker Jinkins, Chair Rolfes and Chair Ormsby,
Chair Tharinger:
We write to you as local officials who are the front lines of addressing the crisis of homelessness
in our communities. During the COVID-19 pandemic,homelessness including chronic
homelessness has magnified in every part of the state in our parks, highway rights of way, and
sidewalks, and to address this crisis, we must all use our collective resources to create more
shelters, long-term housing, and appropriate services such as behavioral health.
As each of you know, Washington State has seen one of the largest increases in the nation of
individuals experiencing homelessness, including a substantial number of children and families
living unsheltered. It is estimated that statewide there are approximately 2,000 families and
children living unsheltered, 2,000 homelessness youth unsheltered and at least 7,000 other
individuals living unsheltered based on the 2020 Point in Time Count. Cities and counties alone
cannot solve this crisis.
The influx of federal dollars from the American Rescue Plan Act means unprecedented resources
are available to our state. While grant programs for homelessness are extremely limited, flexible
local and state direct funding must be used to address this crisis. While each of us will be
committing a significant portion of new one-time federal funding for homelessness and housing,
the scale and scope of this crisis requires all of our commitment. We call on you to commit at
least$500 million from one-time federal funding to meaningfully address homelessness in our
cities and counties. This should be in addition to the at least$225 million proposed across the
Governor, House, and Senate budgets for the Housing Trust Fund, Enhanced Shelter Capacity
grants, and Shelter Rapid Acquisition fund.
While these unprecedented federal resources are available,the real estate market downturn
resulting from the pandemic and associated reduction in rents has meant that multifamily
buildings at or near completion, building sites and hotels are available at a reasonable cost. These
buildings can be immediately turned into affordable homes or construction can begin
immediately, drastically reducing the time for buildings to come on-line. We cannot miss this
opportunity to act.
This past year, California invested$846 million in Homekey to quickly bring 6,000 units of
affordable housing and permanent shelters on-line for people experiencing homelessness in six
months and are expected to further expand this program with the American Rescue Act. Local
public entities including cities, counties and public housing authorities were granted funds to be
used to purchase and rehabilitate housing, including hotels,motels, vacant apartment buildings,
and other buildings and convert them into interim or permanent, long-term housing. The average
statewide cost to Homekey per unit is $123,987 and the average statewide local match is
$23,987,making the average total cost per unit$147,974. All units closed in less than six
months.
We believe Washington should make a similar historic investment at this critical moment.
Investing $500 million in a similar acquisition program as Homekey could create safe places for
more than 3,300 unsheltered individuals including many chronically homeless individuals,
families, and foster kids including LGBTQ youth.
We urge you to provide these resources and ensure they may be used flexibly to ensure each of
our communities is able to use the funds to address the unique needs of our jurisdictions to
provide temporary or intermediate spaces for individuals experiencing homelessness,permanent
affordable homes or permanent supportive housing.
With your commitment,we can capitalize on the work together to bring thousands of residents
experiencing homelessness inside to safe spaces.
Sincerely,
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Dave Windom / Todd Parker
DEPARTMENT: Community Services — Community EXT: 260
Health
BRIEFING DATE: 4/5/21
PREVIOUS BRIEFING DATES:
If this is a follow-up briefing, please provide only new information
INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources
❑ Legal ❑ Other — please explain
ITEM:
Consolidated Homeless Grant: Housing and Essential Needs Program
EXECUTIVE SUMMARY: (If applicable, please include available options and potential
solutions):
Community Action Council (CAC) is the subgrantee for the Housing and Essential Needs
(HEN) program. The HEN budget is underspent, and the Department of Commerce
requested agencies to de-obligate funds if they would not be used and send them to
other counties who cannot meet the current need. Equally as important, Commerce
wants to make sure we don't have to return any of these state general fund dollars
indicating the need for HEN eligible clients is met.
As of March 3, the budget balance was $694,004.17 and with approximately 69%
remaining available through June 30, 2021.
CAC developed a spending plan and de-obligated $50,000. The attached amendments
are for this de-obligation.
BUDGET IMPACT:
No impact to general fund.
PUBLIC OUTREACH:(include any legal requirements, direct notice, website,community
meetings, etc.)
Communication with CAC
RECOMMENDED OR REQUESTED ACTION:
Move to action agenda on April 13 to approve amendments.
ATTACHMENTS:
2 Contract Amendments
Briefmg Summary 3/30/2021
Amendment
Grant Number:20-46108-20
Amendment:B
Washington State Department of Commerce
Community Services and Housing Division
Housing Assistance Unit
Consolidated Homeless Grant(CHG)
1.Grantee 2.Grantee Doing Business As(optional)
Mason County Health Services N/A
415N6THST
SHELTON WA 98584
3.Grantee Representative 4.COMMERCE Representative
Casey Bingham Kathryn Dodge 1011 Plum Street SE
Fiscal Manager Grant Manager Olympia,Washington,98504-
360-427-9670 ext 562 (360)725-5072 2525
caseyb@co.mason.wa.us kathryn.dodge@commerce.wa.gov
5.Original Grant Amount 6.Amendment Amount 7.New Grant Amount
(and any previous amendments)
$2,146,997.00 -$50,000.00 $2,096,997.00
8.Amendment Funding Source 9.Amendment Start Date 10.Amendment End Date
Federal: State:X Other: N/A: July 1,2020 June 30,2021
11.Federal Funds(as applicable): Federal Agency: CFDA Number:
N/A N/A N/A
12.Amendment Purpose:
De-obligate HEN funds.No additional funding.
COMMERCE,defined as the Department of Commerce,and the Grantee,as defined above,acknowledge and accept the terms of
this Grant As Amended and attachments and have executed this Grant Amendment on the date below to start as of the date and year
referenced above. The rights and obligations of both parties to this Grant As Amended are governed by this Grant Amendment and
the following other documents incorporated by reference: 2019-2021 Homeless Housing Funding Application,CHG Guidelines(as
they may be revised from time to time),and Grant Terms and Conditions including Attachment"A"-Scope of Work,Attachment
"B"—Budget.A copy of this Grant Amendment shall be attached to and made a part of the original Grant between COMMERCE
and the Grantee. Any reference in the original Grant to the"Grant"shall mean the"Grant As Amended".
FOR GRANTEE FOR COMMERCE
Signature Diane Klontz,Assistant Director
Community Services and Housing Division
Print Name,Title Date
APPROVED AS TO FORM ONLY
Date
Sandra Adix
Assistant Attorney General
3/20/2014
Date
Department of Commerce
Amendment
This Grant is amended as follows:
Attachment B
Budget
Budget Categories Current Grant Amendment B New Total
Amount
(and any previous
amendments
CHG Standard
Admin $67,230 $0 $67,230
Rent/Fac Support Lease $110,790 $0 $110,790
Other Rent/Fac Support Lease and $102,624 $0 $102,624
Housing Costs
Operations $100,422 $0 $100,422
PSH CHF
PSH CHF Rent/Fac Support Lease $50,562 $0 $50,562
PSH CHF Operations $16,572 $0 $16,572
HEN SFY 2020 (July 2019-June 2020
HEN Admin 2020 $48,900 $0 $48,900
HEN Rent/Fac Support and Housing $468,192.66 $0 $468,192.66
Costs 2020
HEN Operations 2020 $182,668.34 $0 $182,668.34
HEN SFY 2021 (July 2020-June 2021
HEN Admin 2021 $59,375 $0 $59,375
HEN Rent/Fac Support and Housing $675,789 $0 $675,789
Costs 2021
HEN Operations 2021 $263,872 -$50,000 $213,872
Total
Total $2,146,997 -$50,000 $2,096,917
Contract Between
Mason County Community Services Department of Public Health and
Community Action Council Professional Services Contract number CAC:2019-2021.1
Amendment# 3
The purpose of this amendment is to de-obligate HEN funds.
IT IS MUTUALLY AGREED THEREFORE: That the Original Contract is hereby amended as follows:
1. SCOPE OF SERVICE:
Spending Plan: Community Action Council agrees to:
• Onboard and place all eligible homeless and housed HEN eligible clients.
• Enhance landlord outreach to find housing that is available, habitable, and within FMR
limits.
• Increase rents being paid to clients each month.
2. HEN BUDGET:
• $50,000 is de-obligated from the Operations budget category.
• NEW SFY 2021 Award: $919,349
ALL OTHER TERMS AND CONDITIONS of the original Contract and any subsequent amendments
hereto remain in full force and effect.
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof on the
day of 12021.
Community Action Council MASON COUNTY COMMISSIONERS
Signature Randy Neatherlin, Chair Date
Mason County Board of Commissioners
Title Date
1
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Alex Paysse
DEPARTMENT: Community Services, EXT: 279
Environmental Health
BRIEFING DATE: 4/5/2021
PREVIOUS BRIEFING DATES: 7/15/2019, 8/5/2019, 12/9/2019,
2/24/2020, 11/30/20, 1/25/21, 2/22/21, 3/8/21, 3/29/2021
If this is a follow-up briefing, please provide only new information
ITEM: Set public hearing on Tuesday, May 11, 2021 at 9:15 A.M. to consider
approval of an ordinance combining existing shellfish protection districts into a single
district model and establish a reliable funding mechanism. Ordinance includes
revisions to Mason County Code Titles 3 and 6, adding chapter 6.88 and revising
chapter 3.172
EXECUTIVE SUMMARY: (If applicable, please include available options and
potential solutions):
Mason County Board of County Commissioners are considering the combination of
existing shellfish protection districts into a single district model and establish a reliable
funding mechanism.
PUBLIC OUTREACH: (Include any legal requirements, direct notice,
website, community meetings, etc.)
BUDGET IMPACTS:
RECOMMENDED OR REQUESTED ACTION:
Approval to place Notice of Hearing on April 131h Action Agenda.
ATTACHMENTS:
Notice of Hearing
Draft Ordinance
Briefing Summary 3/24/2021
NOTICE OF HEARING
NOTICE IS HEREBY GIVEN that the Board of Mason County Commissioners will hold a
public hearing in Mason County Building I, Commission Chambers, 411 North Fifth Street,
Shelton, WA 98584 on May 110, 2021 at 9:15 A.M.
SAID HEARING will be to take public comment on the combination of existing shellfish
protection districts into a single district model and establish a reliable funding mechanism.
Ordinance includes revisions to Mason County Code Titles 3 and 6, adding chapter 6.88 and
revising chapter 3.172
Pursuant to Proclamation by the Governor 20-28.15, in-person attendance to
Commission meetings is temporarily restricted and during this time we will accept public
testimony using Zoom. The URL is available on the County website
https://www.co.mason.wa.us/ to sign into the meeting. Please use the "raise hand" feature to
be recognized by the Chair to provide your testimony. You can also email testimony to
msmith@co.mason.wa.us or mail to the Commissioners' Office, 411 N 5th St, Shelton, WA
98584; or call (360) 427-9670 ext. 230.
If special accommodations are needed, please contact the Commissioners' office, Shelton
(360) 427-9670, Belfair (360) 275-4467, or Elma (360) 482-5269, ext. 419.
DATED this 13 day of April, 2021.
BOARD OF COUNTY COMMISSIONERS
MASON COUNTY, WASHINGTON
McKenzie Smith, Clerk of the Board
Bill: Mason County Community Services
415 N. 6th Street, Shelton WA 98584
Cc: Commissioners
Shelton Journal: Publ. 2t: 4/29 & 5/6
ORDINANCE NO.
AN ORDINANCE COMBINING ALL EXISTING SHELLFISH PROTECTION
DISTRICTS AND AMENDING MASON COUNTY CODE TITLES 3 AND 6
WHEREAS, Mason County is home to over 200 miles of marine shoreline and 25,000
acres of commercial shellfish harvest area; and
WHEREAS, Mason County has experienced many historic commercial shellfish harvest
downgrades from Washington State Department of Health due to bacterial pollution from
non-point pollution sources; and
WHEREAS, State law (Chapter 90.72 RCW) directs a county having shellfish tidelands
within its boundaries to establish a Shellfish Protection District and to establish a Clean
Water Program with elements intended to improve water quality by eliminating or reducing
nonpoint pollution sources; and
WHEREAS, Mason County has established historic Shellfish Protection Districts in
response to previous downgrades per Chapter 90.72 RCW including (but not limited to)
Oakland Bay Clean Water District, Annas Bay Shellfish Protection District, North Bay
Shellfish Protection District, Totten Little Skookum Shellfish Protection District, McLane
Cove Shellfish Protection District and Big Bend Shellfish Protection District increasing
administrative requirements in management of said districts; and
WHEREAS, this County's legislative authority recognizes commercial, recreational, tribal,
and private shellfish harvest as a vital aspect to Mason County and requires protection
from nonpoint pollution sources; and
WHEREAS, this County's legislative authority further recognizes maintaining the highest
levels of water quality is paramount to sustaining the livelihood of Mason County, this
Puget Sound region, and to the greater environment; and
WHEREAS, Mason County is encouraged by the legislature to: "establish shellfish
protection district(s) and programs designed to prevent any further degradation and
contamination and to allow for restoration and reopening of closed shellfish areas" by
Chapter 90.72 RCW.
NOW, THEREFORE, BE IT ORDAINED BY THE MASON COUNTY BOARD OF
COUNTY COMMISSIONERS that a Shellfish Protection District be established
encompassing the area within the boundaries shown on "Attachment A" and be called the
"Mason County Clean Water District"; and
BE IT FURTHER ORDAINED that past shellfish protection districts and/or clean water
districts within the boundaries of this new Mason County Clean Water District be
abolished per Chapter 90.72.040(1) RCW; and
BE IT FURTHER ORDAINED that a financing mechanism be established, specifically an
annual parcel fee of five dollars and six cents ($5.06) for parcels or lands specified in the
chapter below, with a five (5) year sunset requiring review and re-authorization of said fee
and programs.
BE IT FURTHER ORDAINED the Mason County Board of Commissioners hereby
approves and adopts revisions to Mason County Code Title 6, adding Chapter 6.88 which
is to read:
Chapter 6.88
MASON COUNTY CLEAN WATER DISTRICT
Sections:
6.88.010 Establishment
6.88.020 Purpose
6.88.030 Definitions
6.88.040 Clean Water Program Creation and Authority
6.88.050 District Boundaries
6.88.060 Assignment of a lead department
6.88.070 Advisory Committee
6.88.080 Program Evaluation
6.88.090 Annual Fee
6.88.100 Parcels Exempt from Fee
6.88.010 - Establishment
Pursuant to Chapter 90.72 RCW there is hereby established a shellfish protection
district, which shall be called the Mason County Clean Water District.
6.88.020 - Purpose
The purpose of the Mason County Clean Water District is to accomplish the mandates
of Chapter 90.72 RCW to protect and improve the water quality in shellfish growing
areas. This will include, but not limited to, establishing programs and projects to reduce
non-point pollution threatening surface water quality in Mason County
Nothing within this chapter is intended to supersede, limit or reduce development rights
on parcels within the district and any such development will continue to be regulated
under Mason County development regulations, shoreline master program and
other applicable building and land use codes.
6.88.030 - Definitions
Reserved
6.88.040 - Clean Water Program Creation and Authority
Mason County, pursuant to Chapter 90.72 RCW hereby creates a Clean Water Program
to implement a comprehensive, countywide water quality plan.
6.88.050 - District Boundaries
The legal boundaries of the Mason County Clean Water District include all lands within
Mason County with surface water drainage connection to a marine body of water as
described by the Oakland Bay, Case Inlet, Hood Canal, Totten Little Skookum
watersheds.
6.88.060 - Assignment of a lead department
The Mason County board of commissioners hereby directs Mason County Community
Services to serve as the county department responsible for administering the Clean
Water District (in coordination with the Washington State Department of Health, the
Washington State Department of Ecology, the Puget Sound Partnership, Mason
Conservation District, Skokomish Tribe, Squaxin Tribe, and other appropriate entities).
6.88.070 - Advisory Committee
The Mason County board of commissioners will, through written resolution, create a
local advisory committee to assist in implementing the purposes and goals of this clean
water district.
6.88.090 - Annual Fee
A fee of five dollars and six cents ($5.06) per year per tax parcel within the Mason
County Clean Water District as described in 6.88.050, except for tax parcels or lands
described in 6.88.100 is hereby established.
All tax parcels subject to fees shall be assessed annually beginning in 2022. Billinq
shall be included on the annual property tax statements and collected by the Mason
County Treasurer consistent with Chapter 84.56 RCW.
A re-occurring sunset of 5 years thereafter 2022 shall remain in effect unless said fees
are re-authorized by Mason County Board of County Commissioners.
Changes to annual fee will be subject to review and approval by the Mason County
Board of Commissioners.
6.88.100 - Fee Exemption
The following described parcels or lands shall not be subject to said annual fees
described in 6.88.090:
a. Tax parcels classified as forest land under Chapter 84.36 RCW and timber land
under Chapter 84.34 RCW.
b. Tax parcels within the boundaries of City of Shelton.
c. Tax parcels connected to a Wastewater Treatment Facility or which fees are
imposed under Chapter 36.94 RCW for substantially the same programs and
services.
d. Tax parcels determined by the county assessor to qualify for a senior citizen or
disabled_persons property tax exemption under RCW 84.36.381 on January 1 st
of the tax year shall not be subject to said fee.
e. All other exemptions outlined within Chapter 90.72.070 RCW.
If_aportion of a real property parcel does not satisfy any exemption criteria specified in
this section, then the parcel shall be subject to said fee.
BE IT FURTHER ORDAINED the Mason County Board of Commissioners hereby
approves and adopts revisions to Mason County Code Title 3, Chapter 3.172 which is to
read:
Chapter 3.172
OAK AND nnv SHELLFISH PROTECTION MASON COUNTY CLEAN WATER
VT��TL-7T
DISTRICT FUND
3.172.010 - Established.
The Mason County board of county commissioners does hereby establish the Gakland
Bay shellfish PFGteG Mason County Clean Water District fund (145-000-000) to
receive resources and to pay the costs of the Mason
County Clean Water District.
3.172.020 - Administration.
The director of publiG health Mason County Community Services will administer this
fund and pay proper expenses from this fund as approved by the Mason County board
of county commissioners.
DATED this day of 2021.
BOARD OF COUNTY COMMISSIONERS
MASON COUNTY, WASHINGTON
ATTEST:
Randy, Neatherlin, Chair
McKenzie Smith, Clerk of the Board
Sharon Trask, Commissioner
APPROVED AS TO FORM:
Tim Whitehead Kevin Shutty, Commissioner
Chief Deputy Prosecuting Attorney
OON COfir
Mason County Clean Water District
Attachment A -
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ISCLAIMFR AND IIIMITATION OF LIABILIT
1 O the Jam t f. to make [his map have been tested for , time,
' v urJ every effort hna been made to eonue that these d1, are timely
wale end reliable_}louever,Maven County makes no guamnlec or a aM
im a,.cwxy as b labeling, dimensions, or placement or locatio
t any map(nees eonwined heroin.The boundaries depicted by there dew
appro<imate, and w not n.—&—Iv xcwate w arm'eyutg o
ngmeenng stmdard..These data are intended for informational purpose,and
Wd not le conodered aothonwive fa ing engmee , rwrigatioml,
eg.] end other site-specific uses. Mason Coway does not aswane am'
r egal liability or re p..ibdity nsing Gam the use of this map in a mamter trot
�f1U mended by Mason County.In no event shall Mason Cowry be liable for direct,
ndbcct,incidental,mnseyuential,special,or tort damages of wry kin4 meluling,
ul not limited to.low of mnicipatod pmlib or benefits wising from� of or n1 w
.r Mile �, n the iefomution conmined herein. ILe burden for defe-ming fin to
tx liesmmthely with the user tied the user is sorely responsible for-dena-dinE
- I m itm.. of the infmmation contain.{ in this map
n
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Casey Bingham
DEPARTMENT: Public Health EXT: 562
BRIEFING DATE: 04/05/2021
PREVIOUS BRIEFING DATES:
If this is a follow-up briefing, please provide only new information
ITEM: Consolidated Contract CLH18253 Amendment 19
Amends Statement of Work for:
1. COVID-19 Coordinated Response: Adds 1,131,353 in funding for Covid-19
support.
2. Division of Emergency Preparedness & Response: Extends the usage dates
of the funding sources, we have already expended them.
3. Office of Drinking Water: Adds 24,400 for Group A sanitary surveys and
technical assistance.
BUDGET IMPACTS: The Drinking water funding was budgeted for 2021. The covid
funding was not budgeted for 2021 and the Health departments budget will need to
be amended to accommodate this funding.
RECOMMENDED OR REQUESTED ACTION: Move Amendment 20 CLH18253
Consolidated Contract to the Action Agenda.
Briefing Summary 3/31/2021
MASON COUNTY PUBLIC HEALTH
2018—2021 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH18253 AMENDMENT NUMBER: 20
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH",and MASON COUNTY PUBLIC HEALTH,a Local Health Jurisdiction,hereinafter referred to as"LHJ",
pursuant to the Modifications/Waivers clause,and to make necessary changes within the scope of this contract and any
subsequent amendments thereto.
IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:
1. Exhibit A Statements of Work,attached and incorporated by this reference,are amended as follows:
❑ Adds Statements of Work for the following programs:
® Amends Statements of Work for the following programs:
• COVID-19 Coordinated Response-Effective July 1,2020
• Division of Emergency Preparedness&Response COVID-19-Effective January 20,2020
• Office of Drinking Water Group A Program -Effective January 1,2018
❑ Deletes Statements of Work for the following programs:
2. Exhibit B-20 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-19 Allocations
as follows:
® Increase of$1,155,753 for a revised maximum consideration of$5,029,797.
❑ Decrease of for a revised maximum consideration of
❑ No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
3. Exhibit C-16 Schedule of Federal Awards,attached and incorporated by this reference,amends and replaces
Exhibit C-15.
Unless designated otherwise herein,the effective date of this amendment is the date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force
and effect.
IN WITNESS WHEREOF,the undersigned has affixed his/her signature in execution thereof.
MASON COUNTY PUBLIC HEALTH STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Date Date
APPROVED AS TO FORM ONLY
Assistant Attorney General
Page 1 of 30
AMENDMENT#20
2018-2021 CONSOLIDATED CONTRACT
EXHIBIT A
STATEMENTS OF WORK
TABLE OF CONTENTS
DOH Program Name or Title: COVID-19 Coordinated Response-Effective July 1,2020...............................................................................................................3
DOH Program Name or Title: Division of Emergency Preparedness&Response-COVID-19-Effective January 20,2020......................................................... 16
DOH Program Name or Title: Office of Drinking Water Group A Program-Effective January 1,2018 .......................................................................................26
Exhibit A,Statements of Work Page 2 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Exhibit A
Statement of Work
Contract Term: 2018-2021
DOH Program Name or Title: COVID-19 Coordinated Response- Local Health Jurisdiction Name: Mason County Public Health
Effective July 1,2020
Contract Number: CLH18253
SOW Type: Revision Revision#(for this SOW) 2 Funding Source Federal Compliance Rpe of Payment
®Federal Subrecipient (check if applicable) Reimbursement
Period of Performance: July 1,2020 through December 31,2021 ❑State ❑Other ®FFATA(Transparency Act) ❑Fixed Price
®Federal*Contractor ❑Research&Development
Statement of Work Purpose: The purpose of this statement of work is to provide supplemental funding for the LHJ to ensure adequate culturally and linguistically responsive
testing,investigation and contact tracing resources to limit the spread of COVID-19
NOTE: Pending execution of a new consolidated contract term or an extension to the 2018-2021 consolidated contracts which currently end December 31,2021,DOH plans to
continue the task activities and funding as noted in the task(s)below in a new or revised statement of work effective January 1,2022.
Revision Purpose: The purpose of this revision is to extend the period of performance from June 30,2021 to December 31,2021;add funding and extend end date for Task 3
FFY21 COVID19 VACCINE SERVICES-CARES through December 31,2021;remove FFY21 COVID GFS LHJ REGIONAL funding;add FFY20 ELC EDE LHJ
ALLOCATION and FFY19 ELC COVID ED LHJ ALLOCATION funding and revise language for Tasks 1 and 2;add Task 4 and funding information for MASS
VACCINATION FEMA 100%and add Program Specific Requirements and DOH program and fiscal contact information.
Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total
Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration
Code Code Start Date End Date
BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/30/21 351,672 0 351,672
FEMA-75 COVID LHJ ALLOCATION 97.036 333.97.03 1897129W 07/01/20 12/30/20 0 0 0
FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.96.26 74310209 07/01/20 12/31/21 14,582 354,803 369,385
FFY21 COVID GFS LHJ REGIONAL N/A 334.04.92 189721 IG 12/31/20 06/30/21 175,000 -175,000 0
FFY20 ELC EDE LHJ ALLOCATION 93.323 333.93.32 1897120D 01/15/21 12/31/21 0 657,521 657,521
FFY19 ELC COVID ED LHJ ALLOCATION 93.323 333.93.32 1897129G 01/01/21 12/31/21 0 294,029 294,029
*MASS VACCINATION FEMA 100% 1 97.036 333.97.03 934VO200 01/21/21 04/20/21 0 0 0
TOTALS 541,254 1,131,353 1,672,607
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
Participate in public health emergency preparedness and response activities for COVID-19.This may include surveillance,epidemiology,laboratory capacity,infection control,
mitigation,communications and or other preparedness and response activities for COVID-19.
Examples of key activities include:
• Incident management for the response
• Testing
Exhibit A,Statements of Work Page 3 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
• Case Investigation/Contact Tracing
• Sustainable isolation and quarantine
• Care coordination
• Surge management
• Data reporting
Previous funding provided by DOH for COVID response(federal Crisis Cooperative Agreement funding,state Disaster Recovery Account funding)must be fully utilized before
these funds can be accessed.The total state funding consideration is for the period of December 31,2020 through June 30,2021.
NOTE:The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance, epidemiology,case investigations&contact tracing,
laboratory capacity,infection control,mitigation,communications,community engagement,and other public health preparedness and response activities for COVID-19.
DCHS COVID-19 Response-Tasks 1 and 2
1 Establish a budget plan and narrative to be submitted to the Submit the budget plan Within 30 days of Reimbursement of
Department of Health(DOH)Contract Manager. DOH will and narrative using the receiving any new actual costs
send the"Budget narrative Template","Budget Guidance" template provided. award for DCHS incurred,not to
and any other applicable documents that may be identified. COVID-19 Response exceed$1,303,222
tasks. total.
DOH does recognize the public health response goes
beyond December 2028 2021 and authorizes local health $351,672 BITV-
jurisdictions the ability to maximize funding streams COVID ED LHJ
available to them by using short term funding first to ALLOCATION-
have longer term funding available to continue to CARES Funding
support the local health jurisdiction response activities (MI 1897129V)
beyond December 2028 2021 as applicable.
Q r�c ncv�r
2 1) LHJ Active monitoring activities.In partnership with Data collected and Enter performance 8i 0 0 F r u r
WA DOH and neighboring Tribes,the LHJ must ensure reported into DOH metrics daily into DOH RE46
adequate culturally and linguistically responsive testing, systems daily. identified systems
investigation and contact tracing resources to limit the Fun
,, ,fl,,,,,,,,,
spread disease.LHJs must conduct the following
activities in accordance with the guidance to be provided $657,521 FFY20
by DOH. ELC EDE LHJ
a. Allocate enough funding to ensure the following Enter all contact tracing Quarterly performance ALLOCATION
Contact Tracing and Case Investigation Support: data in CREST following reporting updates Funding
Hire a minimum of 1.0 data entry FTE to assure guidance from-DOH. (MI 1897120D)
system requirements for task 2.l.a.
$294,029 FFYI9
i. Contact tracing
ELC COVID
1. Strive to maintain the capacity to surge a
minimum of five(5)contact tracers for LON
every 100,000 people in the jurisdiction,as Funding CATTI
1897129G
Exhibit A,Statements of Work Page 4 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
needed,based on disease rates. DOH
centralized investigations will count
towards this minimum.
2. Have staff that reflect the demographic
makeup of the jurisdiction and who can
provide culturally and linguistically
competent and responsive services. In
addition,or alternatively,enter into an
agreement(s)with Tribal, community-
based and/or culturally-specific
organizations to provide such services.
DOH centralized investigations will count
towards this minimum.
3. Ensure all contact tracing staff are trained
in accordance with DOH investigative
guidelines and data entry protocols.
4. Coordinate with Tribal partners in
conducting contact tracing for Tribal
members.
5. °
be medified and adapted based on
6. Ensure contact tracing and case
investigations activities meet DOH case
and Contact Tracing Metrics. (Metrics to
be determined collaboratively by DOH,
LHJs and Tribes.) Work with DOH to
develop a corrective action plan if unable
to meet metrics.
7. Perform daily monitoring for symptoms
during quarantine period of contacts
Exhibit A,Statements of Work Page 5 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standsrds/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
ii. Case investigation Enter all case
1. Strive to maintain the capacity to surge a investigation data in
minimum of five(5)case investigators and WDRS-following
contact tracers for every 100,000 people in guidance from-DOH.
the jurisdiction,as needed,based on
disease rates.DOH centralized
investigation will count toward this
minimum.
2. Enter all case investigation and outbreak
data in WDRS following DOH guidance.
a) Strive to enter all case investigation
and outbreak data into CREST as
directed by DOH.
b) Ensure all staff designated to utilize
WDRS have access and are trained in
the system.
c) Include if new positive cases are tied
to a known existing positive case or
indicate community spread.
d) Conduct case investigation and
monitor outbreaks.
e) Coordinate with Tribal partners in
conducting case investigations for
tribal members.
3. Ensure contact tracing and case
investigation activities meet DOH Case
and Contact Tracing Metrics. (Metrics to
be determined collaboratively by DOH,
LILA, and Tribes.) Work with DOH to
develop a corrective action plan if unable
to meet metrics.
b. Testing
i. Work with partners and Tribes to ensure Maintain a current list of
testing is available to every person within the entities providing
jurisdiction meeting current DOH criteria for COVID-19 testing and at
testing and other local testing needs. what volume.Provide
reports to DOH Contract
Exhibit A,Statements of Work Page 6 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
ii. Work with partners and Tribes to ensure manager on testing
testing is provided in a culturally and locations and volume as
linguistically responsive manner with an requested.
emphasis on making testing available to
disproportionately impacted communities and
as a part of the jurisdiction's contact tracing
strategy.
iii. Maintain a current list of entities providing
COVID-19 testing and at what volume.
Provide reports to DOH on testing locations
and volume as requested.
c. Surveillance FTE support at a minimum of.5 FTE
Epidemiologist to support daily reporting needs
below.
i. Ensure all COVID positive lab test results from
LHJ are entered in to WDRS by 1)entering data
directly in to WDRS,2)sending test results to
DOH to enter,or 3)working with DOH and
entities conducting tests to implement an
electronic method for test result submission.
ii. Maintain records of all COVID negative lab test
results from the LHJ and enter into WDRS when
resources permit or send test results to DOH.
iii. Collaborate with Tribes to ensure Tribal entities
with appropriate public health authority have
read/write access to WDRS and CREST to
ensure that all COVID lab results from their
jurisdictions are entered in WDRS or shared
with the LHJ or DOHfor entry.
d. Tribal Support. Ensure alignment of contact tracing Quarterly performance
and support for patients and family by coordinating updates related to
with local tribes if a patient identified as American culturally and linguistic
Indian/Alaska Native and/or a member of a WA competency and
tribe, ' responsiveness,tribal
support,infection
e. Support Infection Prevention and control for high- prevention and control for
risk populations high-risk populations,
i. Migrant and seasonal farmworker support. community education and
Partner with farmers,agriculture sector and regional active monitoring
farmworker service organizations to develop activities. Performance
Exhibit A,Statements of Work Page 7 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
and execute plans for testing,quarantine and update should include
isolation,and social service needs for migrant status of all projects
and seasonal farmworkers. listed.
ii. Congregate care facilities: In collaboration
with the state licensing agency(DSHS),
support infection prevention assessments,
testing.Infection control and isolation and
quarantine protocols in congregate care
facilities.
iii. High risk businesses or community-based
operations. In collaboration with state
licensing agencies and Labor and Industries,
partner with food processing and
manufacturing businesses to ensure adequate
practices to prevent COVID-19 exposure,
conduct testing and respond to outbreaks.
iv. Healthcare: Support infection prevention and
control assessments,testing,cohorting,and
isolation procedures.Provide educational
resources to a variety of healthcare setting
types(e.g.,nursing homes,hospitals,dental,
dialysis).
v. Non-healthcare settings that house vulnerable
populations:In collaboration with state
corrections agency(DOC)and other state
partners,support testing,infection control,
isolation and quarantine and social services
and wraparound supports for individuals living
or temporarily residing in congregate living
settings,including detention centers,prisons,
jails,transition housing,homeless shelters,
and other vulnerable populations.
vi. Schools:In collaboration with OSPI and local
health jurisdictions,support infection
prevention and control and outbreak response
in K-12 and university school settings.
f. Ensure adequate resources are directed towards
h28 housing facilities within communities,fishing
industries and long-term care facilities to prevent
and control disease transmission. Funds can be
used to hire support staff,provide incentives or
Exhibit A,Statements of Work Page 8 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
facility-based finding for onsite infection
prevention efforts, etc.
g. Community education. Work with Tribes and
partners to provide culturally and linguistically
responsive community outreach and education
related to COVID-19.
h. Establish sustainable isolation and quarantine Quarterly performance
measures. updates to include name,
i. Have at least one(1)location identified and address and capacity of
confirmed through contract/formal agreement identified location that
that can support isolation and quarantine can support isolation and
adequate to the population for your jurisdiction quarantine,date of
with the ability to expand;alternatively, exercise to be conducted
establish with an adjacent jurisdiction a formal and confirmation of
agreement to provide the isolation and appropriate planning and
quarantine capacity adequate to the population coordination as required.
for your jurisdiction with the ability to expand.
ii. Conduct at least one(1)exercise per year with
the identified isolation and quarantine site to
include a minimum of:confirmation of wrap
around services(food service/delivery,laundry
service,water/septic,garbage,ambulance
service,cleaning/sanitation),facility intake and
discharge procedures,transport procedures,
and staffing.
iii. Planning must incorporate transfer or receipt of
isolation and quarantine patients to from
adjacent jurisdictions or state facilities in the
event of localized increased need.
iv. Planning must incorporate triggers and
coordination to request state isolation and
quarantine support either through mobile teams
or the state facility to include site identification
and access
Exhibit A,Statements of Work Page 9 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
COVID-19 Vaccine Services-Task 3—will be extended through June 30,2022 in new contract term effective Januarj, 1,2022.Any unspent funds may be carried forward.
3.A Identify activity/activities to support COVID vaccine Summary of the January 31,2424 Reimbursement of
response in your community,using the examples below as a engagement strategies to Annually actual costs
guideline. be used with health care incurred,not to
Example 1:Develop and implement communication providers and other exceed:
strategies with health care providers,community,and/or partners,and the locally
other partners to help build vaccine confidence broadly and identified population to be $14382,$369,385
among groups anticipated to receive early vaccination,as reached. FFY21 COVIDI9
well as dispel vaccine misinformation.Document and VACCINE
provide a plan that shows the communication strategies used SERVICES-CARES
with health care providers and other partners and the locally Funding
identified population anticipated to reach. (MI 74310209)
Example 2:Engage in other vaccination planning activities
such as partnership development,provider education,
vaccination point of dispensing(POD)planning,tabletop
exercises,engagement with communities,leaders,non-
traditional provider,or vulnerable populations to develop
strategies to ensure equitable access to vaccination services
3.13 Implement the communication strategies or other activities, Mid-term written report March 31,2#2—
working with health care providers and other partners to describing Annually
reach the locally identified population,support providers in activity/activities and
vaccination plans,and support equitable access to progress made to-date and
vaccination services. strategies used(template
to be provided
3.0 Catalog activities and conduct an evaluation of the strategies Final written report, June 30,2A24-Annually
used showing the strategies
used and the final
progress of the reach
(template to be provided)
Exhibit A,Statements of Work Page 10 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT 420
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
Regional Incident Management Team(IMT)Mass Vaccination Clinics—Task 4
*NOTE. Task 4 activities for Mass Vaccination Clinics in *Reimbursement oj'
this statement of work are NOT CONSIDERED eligible costs.
SUBRECIPIENT but are as a CONTRACTOR of DOH.
MASS
DOH reimbursement provided for local mass vaccination VACCINATION
clinic(see definition below)planning,implementation and FEMA 100%
operations in coordination between Unified Command and Funding
the Regional IMT to administer the vaccine as efficiently, (MI 934V0200)
quickly,equitably,and safely in all regions of Washington
State. State Supported,Regionally Coordinated,Locally (See Program
Implemented. Specific
Requirements for
Definition:Mass vaccination clinics defined as those Mass Vaccination
outside of the usual healthcare delivery. method such as Task 4 below)
pop-up clinics, mobile clinics, non-clinical facility
(fairgrounds, arenas, etc.).
Leaders Intent about this work from DOH is included as an
attachment.
Guidance on vaccination protocols must be followed as
provided by DOH and CDC.
4.A Local health jurisdiction(LHJ)will coordinate planning Submit to DOH a mass Within 30 days of
and implementation of mass vaccination clinics/sites vaccination plan contract amendment
provided within the county(s)with a regional incident including: execution.
management team/organization as approved by DOH. • type of site,
• site locations,
Request for regional IMT should be submitted through the • throughput,
normal process through WebEOC • considerations
made to ensure
Local health jurisdiction is the coordinating agency for the equity to
mass vaccination plan within the county. historically
marginalized
Regional IMT will be under the delegation authority of populations,
DOH and they are to provide support and coordination for • and to the extent
all efforts around vaccine planning, resource support and possible a
general guidance and information sharing in order to regional map of
regionally coordinate efforts. Local jurisdictions will sitesllocations.
Exhibit A,Statements of Work Page I 1 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
maintain all decisional authority around vaccination
planning and execution within their jurisdiction/district.
Provide any information as requested by the regional IMT.
4.a Funding for eligible Mass Vaccination activities are Submit estimated budget Within 30 days of
reimbursed on actual costs as outlined in the DOH guidance for the mass vaccination contract amendment
to provide the services and to carry out the mission. plan. execution.
Funding will be dependent on full participation in the LHJ
and IMT processes and all documentation will be required Monthly Cost Summary Monthly
to be provided to fully close out funding requests by the end Spreadsheet to the
of the mission period of performance. IMT/IMO by the fifth of
the following month.
Allowable costs include expenses such as facility rentals,
staff to conduct planning, management, support and
operation of the site, medical personnel for vaccinations,
site security personnel,wrap around services for staff
(meals, travel, lodging), equipment(which must be pre-
approved by IMT/DOH if it exceeds$S,000 each),supplies
for vaccinations and site operation. LHJs should provide
narratives to help assist IMT and DOH finance know what
expenditures were necessary to carry out the mission.
4.C Vaccination data—will be maintained according to current Submission of vaccine use Daily
state and federal requirements. into WA IIS database
within 24hrs of use.
Vaccine Registration Systems—If a local jurisdiction or Jurisdiction/Regions will
region does not have a registration system(s)the include ensure a fair and
internet based,phone option and other methods to ensure equitable process for
equitable registration, the state PrepMod system and tools registration of eligible
will be available for use. Washingtonians across all
available modalities.
4.D Regularly report on vaccinations sites and operational Provide monthly situation Monthly
activities(number of vaccinations,personnel to operate the report to IMT/IMO on
site, challenges,successes to share for learning across the status of implementation
public health system). of mass vaccination plan,
or more frequently if that
is the LHJprocedure.
Sites operating for the
time period, vaccines
administered by site for
the time period, estimated
Exhibit A,Statements of Work Page 12 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task *May Support PHAB Payment
Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or
Amount
costs for the time period,
any challenges/successes
of note, including
assistance requested
*For Information Only:
Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a
Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at:
bM://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-l.O.pdf
Special Requirements
Federal Fundine Accountability and Transparency Act(FFATA)
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act).
The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number.
Information about the LHJ and this statement of work will be made available on USASpendine.eov by DOH as required by P.L. 109-282.
Program Specific Requirements/Narrative
DCHS COVID-19 Response- Tasks I and 2
Restrictions on Funds:Indirects are NOT allowable for CARES funding from September 2,2020 forward—LHJ can charge administrative activities as direct costs but not
incur indirects from September 2,2020 through December 30,2020 for activities funded with CARES funds(COVID LOCAL CARES -COVID LHJ OFM
ALLOCATION-CARES,BITV-COVID ED LHJ ALLOCATION-CARES,FEMA-75 COVID LHJ ALLOCATION)
o Since the federal guidance was not updated until September 2,2020,DOH understands that indirects could be charged from March—August 2020.
Payment: Upon approval of deliverables and receipt of an invoice voucher,DOH will reimburse for actual allowable costs incurred. Billings for services on a monthly fraction of
the budget will not be accepted or approved.
Submission of Invoice Vouchers: The LHJ shall submit correct monthly A19-1 A invoice vouchers for amounts billable under this statement of work to DOH by the 25th of the
following month or on a frequency no less often than quarterly.
Mass Vaccination—Task 4
Program Manual,Handbook,Policy References
Emergency Response Plan(or equivalent)
Medical Countermeasure/Mass Vaccination Plan
Restrictions on Funds(what funds can be used for which activities,not direct payments,etc.):
Non-mass vaccination efforts are not allowable through this funding stream.
Duplication of billing(sending request for reimbursement)to entities outside of this agreement is prohibited.
Indirect rates are not applicable to these funds.
Exhibit A,Statements of Work Page 13 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Special References(RCWs, WACs,etc.)
County Health Emergency Documentation if applicable
Monitoring Visits(frequency,type):
Occasional visits from DOH or IMT/IMO personnel for the purpose of monitoring and surveillance of mass vaccination activities may be expected.
Definitions
Mass vaccination clinic are those outside of the usual healthcare delivery methods such as pop-up clinics, mobile clinics, non-clinical facility clinics(i.e.,fairgrounds, arenas,
etc.).
Special Billing Requirements:
Monthly invoices must be submitted timely to the regional IMT/Organization for review/approval prior to submission to DOHfor reimbursement.
Contract(MI)Code: 934V0200 General Mass Vaccination
BARS Revenue Code:333.97.03 Mass Vaccination Reimbursement
Special Instructions:
The LHJ is considered a CONTRACTOR of DOH not a subrecipient for this portion of the statement of work.An allocation of funds is not provided as these FEMA funds are only
available as reimbursement of costs associated with implementation of the mass vaccination plan.
Detailed documentation must be maintained as directed by the regional IMT/Organization and DOH to substantiate costs associated with these activities for submission to FEMA
upon request by DOH.
Eligible costs from the timeframe of January 21, 2021 through April 20,2021 include facility rentals, medical and support staff for planning management, support, and
operations;as well as wrap-around services for staff(i.e., meals, travel, lodging). Regular and overtime pay associated with this project is allowable for all staf'working under
this project and must be billed as a direct charge; timesheets are required documentation and must be available upon request by DOH. Indirect rates are not applicable to these
funds. Eligible equipment includes facility infection control measures,personal protective equipment(PPE),storage equipment, coolers,freezers, temperature monitoring devices,
portable vaccine units for transportation, supplies such as emergency medical supplies(for emergency medical care needs that may arise in the administration of the vaccine),
containers for medical waste, as well as proper storage as needed for canisters of liquid nitrogen or dry ice. Eligible equipment purchase costs should not exceed$5,000 per piece.
Equipment over$5,000 a piece must be preapproved by the IMT and should be leased rather than purchased.Any diversion from the list of pre-approved expenses will require a
narrative on the purchase rationale and will be subject to IMT approval prior to reimbursement. Timesheets are required documentation for all activities related to this project.
Staff time-in/time-out must be recorded, as well as a brief description of their activities.A general description of activities is acceptable for those working at the vaccine site;
more detailed/specific description is required for those not working at the vaccine site.
DOH Program Contact
Kasey Wabke Alyssa Lavin, LHJ Contract Manager
DOH,PHOCIS
1610 NE 1501 St,Shoreline,WA 98155
alvssa.lavinna doh.wa.gov/360-236-3273
DOH BITV-COVID ED LHJ Allocation-CARES Fiscal Contact(Tasks 1 and 2)
Sheri Spezze
DOH,Office of Program Financial Management
PO Box 47840,Olympia,WA 98504-7841
Ph:360-236-4447/Fax:360-664-2216/sheri.spezze@doh.wa.eov
Exhibit A,Statements of Work Page 14 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
DOH GFS ELC Allocation Fiscal Contact(Tasks 1 and 2)
Christie Durkin
DOH,Office of Program Financial Management
PO Box 47840,Olympia,WA 98504-7841
Ph:360-236-4235/christie.durkin@doh.wa.gov
DOH COVIDI9 Vaccine Services Program Contacts(Task 3)
Tawney Harper,MPA Misty Ellis,Project Manager Sonja Morris,Program Manager
Deputy Director I Operations Manager CDC Public Health Advisor Enhanced Influenza and COVID-19 Response
Office of Immunization and Child Profile Office of Immunization and Child Profile Office of Immunization and Child Profile
Department of Health Department of Health Department of Health
PO Box 47843,Olympia WA 98504-7843 PO Box 47843,Olympia WA 98504-7843 PO Box 47843,Olympia,WA 98504-7843
tawney.harper@doh.wa.cov/360-236-3525 mistyellis_,doh.wa.&ov//360-236-3675 sonia.morrisna,doh.wa.gov//360-236-3545
DOH General Mass Vaccination Program and Fiscal Contact(Task 4)
Patrick Plumb Janice Baumgardt
COVID FEMA Project Management Analyst Financial Operations Manager
Washington State Department of Health Washington State Department of Health
Office of Financial Services Office of Financial Services
I I I Israel Road SE, Tumwater, WA 98501 111 Israel Road SE, Tumwater, WA 98501
Patrick plumbQdoh.wa.gov/(360)236-4291 Janice.baumgardtna,doh.wa.,gov/(360)236-4505
Exhibit A,Statements of Work Page 15 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Exhibit A
Statement of Work
Contract Term: 2018-2021
DOH Program Name or Title: Division of Emergency Preparedness&Response- Local Health Jurisdiction Name: Mason County Public Health
COVID-19-Effective January 20,2020
Contract Number: CLH18253
SOW Type: Revision Revision#(for this SOW) 2 Funding Source Federal Compliance T pe of Payment
®Federal Subrecipient (check if applicable) Reimbursement
Period of Performance: January 20,2020 through December 31,2021 ® State ®FFATA(Transparency Act) ®One-Time
❑Other ❑Research&Development Distribution
Statement of Work Purpose: The purpose of this statement of work is to establish funding and tasks for LHJs to prevent,prepare for,and respond to the COVID-19 disease
outbreak.
Revision Purpose: The purpose of this revision is to extend the period of performance from June 30,2021 to December 31,2021,extend the funding period for federal
COVID-19 funds,and add report deliverables and due dates.The funding period end date for the state Disaster Response funds remains June 30,2021.
NOTE: Pending execution of a new contract or an extension to the 2018-2021 consolidated contracts which currently end December 31,2021,program plans to extend the period
of performance and funding in this statement of work through March 15,2022.Deliverable due dates after December 31,2021 are referenced for informational purposes only and
will be updated in a new or revised statement of work effective January 1,2022.
Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total
Revenue Index (LHJ Use Only) Consideration None Consideration
Code Code Start Date End Date
FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe 93.354 333.93.35 31104102 01/20/20 12/31/21 130,871 0 130.871
FY20/21 COVID-19 Disaster Response N/A 334.04.92 934A0101 01/20/20 06/30/21 119,129 0 119,129
TOTALS 250,000 0 250,000
Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information
Number Standards/Measures Frame and/or Amount
1 Federal Funds Activity report(s)on template June 30,2020 Reimbursement for actual
Participate in public health emergency preparedness to be provided DOH. December 31,2020 costs not to exceed total
and response activities for COVID-19.This may a,.,._,G '5 02- funding consideration
include surveillance,epidemiology,laboratory June 30, 2021 amount
capacity,infection control,mitigation, December 31, 2021
communications,and or other preparedness and March 15, 2022 Note:Per Federal
response activities for COVID-19. funding requirements,
Frequency and due prior approval from
Activities must address one or more of the following dates of reports may DOH is required for
six domains: change based on reimbursement of
federal requirements. expenses incurred on or
Exhibit A,Statements of Work Page 16 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information
Number Standards/Measures Frame and/or Amount
• Incident management for early crisis DOH will notify LHJ after January 20,2020
response of any changes via through March 4,2020.
• Jurisdictional recovery email.
• Information management
• Countermeasures and mitigation A final activity report After approval is
• Surge management is required prior to received from DOH,
DOH releasing the LHJ must submit a
• Biosurveillance final amount of separate invoice for
DOH will provide additional guidance and technical funding. reimbursement of these
assistance. expenses.
Note:The total federal funding consideration is for
the period of January 20,2020 through March 15,
2424 2022.Any unspent funds, tasks and deliverables
with due dates after December 31, 2021 will be
included in a new statement of work under the new
consolidated contract term beginning January 1,
2022.
2 State Funds Activity report(s)on template July 15,2020 LHJ has already received
Participate in public health emergency preparedness to be provided DOH. October 15,2020 these funds as a one-time
and response activities for COVID-19.This may January 15,2021 distribution.
include surveillance,epidemiology,laboratory April 15,2021
capacity,infection control,mitigation, June 30,2021
communications,and or other preparedness and
response activities for COVID-19.
Activities must address one or more of the following
six domains:
• Incident management for early crisis
response
• Jurisdictional recovery
• Information management
• Countermeasures and mitigation
• Surge management
• Biosurveillance
DOH will provide additional guidance and technical
assistance.
Note:The total state funding consideration is for the
period of January 20,2020 through June 30,2021.
Exhibit A,Statements of Work Page 17 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
*For Information Only:
Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a
Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at:
http://www.phaboard.org/wp-content/uploads/PH AB-Standards-and-Measures-Version-1.O.pdf
Program Specific Requirements/Narrative
Any subcontract/s must be approved by DOH prior to executing the contracts.
Deliverables are to be submitted to the ConCon deliverables mailbox at concondeliverablesaa�doh.wa.gov
Special Requirements
Federal Fundine Accountability and Transparency Act(FFATA)
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act).
The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number.
Information about the LHJ and this statement of work will be made available on USASpendin,,jeov by DOH as required by P.L. 109-282.
Restrictions on Funds(what funds can be used for which activities,not direct payments,etc)
Please reference the Code of Federal Regulations:
hgps://www.ecfr.2ov/c2i-bin/retrieveECFR?gp=1&SID=58ffddb5363a27f26e9d l2ccec462549&iy=HTML&h=L&mc--true&r=PART&n=pt2.1.200#se2.1.200 1439
Allowable Activities-See list of allowable activities below,Appendix 2 from COVID-19 Crisis Response Cooperative Agreement—Components A and B Supplemental Funding,
Interim Guidance,March 15,2020.
Costs that are NOT allowable
• Facility purchases—May be if prior approval received from the feds and state. Send those requests to Amy.Ferris—doh.wa.gov
• Research
• Clinical care except as provided for individuals while under state or federal quarantine and isolation orders that are not eligible for payment by another source.
• Publicity and propaganda(lobbying):
• Other than for normal and recognized executive-legislative relationships,no funds may be used for:
o publicity or propaganda purposes,for the preparation,distribution,or use of any material designed to support or defeat the enactment of legislation before any
legislative body
o the salary or expenses of any grant or contract recipient,or agent acting for such recipient,related to any activity designed to influence the enactment of
legislation,appropriations,regulation,administrative action,or Executive order proposed or pending before any legislative body
o See Additional Requirement(AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients:
https://www.cdc.gov/grants/documents/Anti-Lobbying Restrictions for CDC Grantees July 2012.12df
• Funds cannot be used to supplant existing federal funds awarded by other federal sources
• Funds cannot be used to match funding on other federal awards.
DOH Program Contact
Tory Henderson,Contracts&Finance Specialist
Department of Health
P O Box 47960,Olympia,WA 98504-7960
Office: 360-236-4596 Mobile:360-789-7262/tory.henderson n doh.wa.2gov
Exhibit A,Statements of Work Page 18 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Appendix 2. Allowable ActivitiQa
Incident Management Emergency operations Examples of allowable activities:
for Early Crisis Response and Coordination _ Conduct jurisdictional COVID-19 risk assessment.
• Identify and prioritize risk-reduction strategies and risk-mitigation efforts In
coordination with community partners and stakeholders.
• Implement publk-health actions designed to mitigate risks In accordance with CDC
guidance.
Implement public health response plans based on CDC COVID-19 Preparedness and
Response Planning Guidance for state,Local,Territorial, and Tribal Public Health Agencies.
Provide technical assistance to local and tribal health departments on development of
COViD-19 response plains and respond to requests for public health assistance.
Activate the jurisdic"on's emergency operations center(EOC)at a level appropriate to meet
the needs of the response.
• Staff the EOC with the numbers and skills necessary to support the response,
assure worker safety,and continually monitor absenteeism,
• use established systems to ensure continurty of operations (COOP)and
Implement COOP plans as needed.
Establish call centers or Other communication capacity for information sharing, public
Information, and directing resldents to available resources.
Activate emergency hiring auThorities and experined contracting processes.
,assess the jurisdiction's public health and healthcare system training needs,
•Provide materials and facilitate training designed to improve the jurisdiction's putAic
health and heafth"re system response. Focus on infection prevention and control
strategies and implementation/triggers for crisis/contingency standards of care.
• Implement procedures to notify relevant personnel and participate in CDC national
calls and Clinician Outreach and Communication Activity (COCA)calls.
Ensure plans and jurisdictional response actions incorporate the latest CDC guidance and
direction.
Domain
Responder Safety and Examples of allowable activities:
Health Assure the health and safety of the jurisdiction's workforce, including but not limited to
Impremeritatlon of staff resiliency programs,occupational health/safety programs,and
responder mental health support-Determine gaps and implement corrective actions.
o Implement personal protective equipment(PPE)-sparing strategies for public
health/hoalthcara system workforce in accordanca with fadaral guidolinas-
n Develop an occupational safety and health strike team to ensure workers are protected.
Implement corrective actions, and gather lessons learned.
o Establish.a team of communicators who can interpret CDC guidance and assist with
im plementation of worker safety and health strategies.
v Create tools to assist and anticipate supply chain shortages.track PPE Inventory.
c. Develop PPE strategies consistent with CDC guidance for hospitals,outpatient clinics, long-
term care facilities, and other health facilities;work with suppliers and coalitions to develop
statewide plans for caching or redistributing/sharing.This strategy should be integrated
with health care coalitions' system plans for purchasing,caching,and distributing PPE and
accessin6 the Strategic National Stockpile.
Purchase required PPE (if available).
Exhibit A,Statements of Work Page 19 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Identification of Examples of allowable activities.
vulnerable populations _ Implement mitigation strategies for populations at risk for morbidity, mortality,and other
adverse outcomes.
update rasponse and recovery plans to Include populations at risk.
Enlist other governmental and nongovernmental programs that can be leveraged to provide
social services and ensurethat patients with COVID-19 virus(or at risk of exposure) receive
proper information to connect them with available social services.
Leverage social services and behavioral health within the community, including the
Administration for Children and Families(ACF)and Health Resources and Services
Administration(id RSA).
Conduct rapid assessm-ent(e.g.,focus groups)of concerns and needs of the community
related to COVID-19 prevention.
Identify gaps and Implement strategies that encourage risk-reduction behaviors.
Jurisdictional Recovery Jurisdictional Recovery Examples of allowable activities:
Z. Recovery efforts to restore to pre-event functioning.
Z. Conduct a hot wash/after-action review and develop an improvement plan.
Exhibit A,Statements of Work Page 20 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
k '
I n liar rnathm information Sharing Examples of allowable activities:
R lenage►tiient a Ensure information sharing among public health staff, healthcare personnel, airport entry
screening personnel,emergency medical services(EMS) providers,and the public.
o Develop.coordinate,and disseminate information,alerts,warnings,and notifications
regarding risks and soft-protective moasuros to the public, particularly with at-risk and
vulnerable populations and incident management responders.
v Develop new systems or utilize existing systems to rapidly report public health data.
v Develop community messages that are accurate, timely,and reach at-risk populations
-i-tergenr_y public Examples of allowable activities:
information and Warning o Ensure redundant platforms are in place for pushing out messages to the public and the
and Risk Communication healthcare sector regarding risks to the public,risk of transmission,and protective
measures.
Work with health communicators and educators on risk communications efforts
designed to prevent the spread of COVID-19 virus.
o Update scripts for jurisdictional call cantors with specific COVID-19 mossaging(alerts,
warnings, and notifications)-
0 Evaluate COVID-19 messaging and other communication materials and, based on feedback
from target audiences, revise messages and materials as needed.
. Conduct rapid assossmant(a.g_, focus groups)of existing massaging and
communications activities(e.g., web-based,social media) related to COVID-19
prevention.
Monitor local news storiesand social media postings to determine if information is
accurate, identify messaging gaps, and adjust communications as noodod.
o Contract with local vendors for translation (as necessary), printing, signage,and
audiovisual/public service announcement development and dissemination.
identify gaps and develop culturally appropriate risk messages for at-risk populations
Including messages thatfocus on risk-recluction behaviors,
Develop a covio-19-speciric media relations strategy,Including Iclentirication of key
spokespeople and an approach for regular media outreach.
Exhibit A,Statements of Work Page 21 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Coordinate communication messages, products,and programs wrth key partners and
stakeholders to harmonize response messaging.
Clearly communicate steps that health care providers shovld take if they suspect a patient
has COViD-19 virus infection (e.g„diagnostic testing, clinical guidance).
Countermeasures acid Nonpharmaceutical Examples of allowable activities--
Mitigation Interventions Develop plans and trigZersfor the implementation of community interventions,including;
• Activating emergency operations plans for schools, higher education, and mass
gatherings;
- Ensuring that community,faith-based,and business organizations are prepared to
support fnterventlons to prevent spread;and
- Integrating intorvontions related to social services providers,criminal justice
systems, homeless persons,and other vulnerable populations and at-rlsk
populations.
Anticipate disruption caused by community spread and interventions to prevent further
spread.
Planning for school dismissal including continuity of education and other school-
based services(.,g., meals);
- Ensuring systems are active to provide guidance on closure of businesses,
government offices,and social services agencies;
• Ensuring systems are In place to monitor social disruption(e.g.,school closures);
and
- Ensuring that services (e,g.,housing,transportation,food)are In place for
community members impacted by social distancing Interventions.
Quarantine and Isolation Examples of allowable activities:
Support provide lodging and wrap-around services,including food and beverage,cleaning,waste
management,maintenance, repairs at quarantinefisolation sites,and clinical care costs for
individuals while under state or federal quarantine and isolation orders that are not eligible
for payment by another source.
Review and update state quarantine and isolation laws,regulations, and procedures- Funds
may also be used to develop training and educational materials for local health
departments and Judicial officials.
Exhibit A,Statements of Work Page 22 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
v identify and secure safe housing for persons subjectto restricted movement and other
public health orders.
Develop and implement behavioral health s1trategnesto support affected populations.
Distribution and use of Examples of allowable_ activities:
Medical Mata.rial 0 Ensure jurisdictional capacity for a mass vaccination campaign onto vaccino becomes
available, including:
• Enhancement of immunization Information systems
• Maintaining ability for vaccine-specMhc cold chain management
• Coordinating mass vaccination clinics her emergency response
• AssessIng and tracking vaccination coverage
• Rapidly Identifying high-risk persons requiring vaccane
• Planning to prioritise limited medical countermeasures(MCM)based on guidance
from CQC and the Department of Health and Human Services(H14S)
Ensure jurisdictional capacity for distribution of MCM and supplies.
Surge Management surge Staffing Examples of allowable activities:
o Activate mechanisms for surging public health responder staff.
Ar-tivate volunteerorganizatlons including but nrrt limited to MMo-dical Reserve corps.
Public Health Examples of allowable activities:
Coordination with In partnership with health taro coalitions, develop triggers for enacting crisis/contrngoncy
Healthcare Systems standards of care.
a Coordinate with Hospital Preparedness Program (HPP)entities, healthcare coalitions,health
care organizations,emergency management, and other relevant partners and stakeholders
to assess the public health and medical surge needs of the community_
v Prepare for increased demands for services, expansions of public health functions, increases
In administrative management requirements, and other emergency response surge needs.
e Train hospitals, tong-term care facilities and other high-risk facilities on Infection prevention
and control.
Actively monitor healthcare system capacity and develop mitigation strategies to preserve
healthcare system resources.
Exhibit A,Statements of Work Page 23 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Execute authorities for responding to healthcare system surge and implement activities to
mitigate demands on the healthcare system, elan to activate crisis/r n—%rengonry standards
of care.
Infection Control Examples of allowable activities:
0 Follow updated CDC guidance on infection control and prevention and PPE.
Q Engage with healthcare providers and healthcare coalitions to address issues related to
infection prevention measures,such as:
Changes in hospital/healthcare facility visitation policies,
• social distancing,and
• Infection control practices In hospitals and tone-term care facilities, such as:
PPE use,
Hand hygiene.
Source control.and
Isolation of pntionts.
Hit,:uwrill.nu o Public Health Examples of allowable activities:
Surveillance and Real- o conduct surveillance and case Identification(including,but not limited to, public health
time Reporting epidemiological investigation activities such as contact follow-up).
o Assess risk of travelers and other persons with potential COVID-19 exposures.
o Enhance surveillance systems to provide case-based and aggregate epidemiological data_
o Enhance existing syndromic surveillance for respiratory, illness such as influenza-like illness
(ILI)or acute respiratory Illness(Ago)by expanding data,inputs,and sates.
o Enhance systems to Identify and monitorthe outcomes of severe disease outcomes,
including amnng vulnerable populations.
o Enhance systems to track outcomes of pregnancies affected by coV ID-1:*.
_ o Develop models for anticipating disease progression within the community.
Public Health Laboratory Examples of allowable activities:
Tasting,Equipment, Assess commercial and public health capacity for tab testing.
Supplies,and 5hipping 0 Develop a list of available testing sites and criteria for testing and disseminate to clinicians
and the public.
Exhibit A,Statements of Work Page 24 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
R r
Appropriately collect and handle hospital and other clinical laboratory specimens that
require testing and shipping to Laboratory Response Network(LRN)or CDC laboratories
designated for testing.
Rapidly report test results between the laboratory,the public health department,
healthcare facilities, and COC to support public health investigations.
Test a sample of outpatients with ILI or ARI for GQVID-19 and other respiratory viruses and
complete the following:
• Report weekly percent positive COVID-19 outpatient visits by age group.
• Determine the rate of ILI/ARI outpatient visits and the rate of COVID-10-confirmed
ILI patients.
This allowable activity is simflar to"Sentinel COVID-19 Surveillance,March
2020.and ILINet Enhancements In 2019."It may include,but Is not limited
to the following-
- Conduct testing at public health laboratories
— Describe modification of protocols and validation of specimen type
other than NP/OP swabs. including validation of different swab
types and self-swabbing for COVID-19
o Collaborate with Emerging Infection Program and influenza Hospitalization Surveillance
Network to modify existing FluSurv-NET program for COVID-19.
o Enhance laboratory surge capacity plans.
o Determine maximum lab testing capacity and establish prioritization criteria and
contingency plans for testing if maximum capacity Is reached.
Q Work with laboratory partners to ensure labs receive updated guidance on appropriate
testing algorithms and sample types as additional information Is acquired.
o Ensure clear guidance is communicated to clinical.labs and physicians on how to obtain
appropriate lab testing.
a Provida tasting for impacted indrvrduals.
Data Management Examples of allowable activities!
o Ensure data management systems are in place and meet the needs of the jurisdiction.
c Implement analysts,visualization,and reporting for surveillance and other available data to
support understanding of the outbreak,transmission,and impact of interventions.
Ensure efficient and timely data collection.
Ensure ability to rapidly eachangc-data with public health partners (including CDC)and
other relevant partners,
Coordinate data systems forepidemiological and laboratory survelllance-
Exhibit A,Statements of Work Page 25 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Exhibit A
Statement of Work
Contract Term: 2018-2021
DOH Program Name or Title: Office of Drinking Water Group A Program- Local Health Jurisdiction Name: Mason County Public Health
Effective January 1.2018
Contract Number: CLH18253
SOW Type: Revision Revision#(for this SOW) 8 Funding Source Federal Compliance Rpe of Payment
®Federal Contractor (check if applicable) Lj Reimbursement
Period of Performance: January 1,2018 through December 31,2021 ❑Other® State ❑FFATA(Transparency Act)
®Fixed Price
Research&Development
Statement of Work Purpose: The purpose of this statement of work is to provide funding to the LHJ for conducting sanitary surveys and providing technical assistance to small
community and non-community Group A water systems.
Revision Purpose: The purpose of this revision is to extend the Period of Performance thru December 31,2021,provide Sanitary Survey and Technical Assistance funding in
Year 23,revise Special Billing Requirements and Special Instructions,and change DOH Fiscal Contact.
Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total
Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration
Code Code Start Date End Date
Yr 20 SRF-Local Asst 15% FS SS N/A 346.26.64 24139220 01/01/18 12/31/18 0 0 0
Sanitary Survey Fees FO-SW SS-State N/A 346.26.65 24232522 01/01/18 12/31/20 34,200 0 34,200
Yr 20 SRF-Local Asst 15% S TA N/A 346.26.66 24139220 01/01/18 12/31/18 0 0 0
Yr 21 SRF- Local Asst 15% S SS N/A 346.26.64 24139221 01/01/18 06/30/19 11,200 0 11,200
Yr 21 SRF-Local Asst 15% S TA N/A 346.26.66 24139221 01/01/18 06/30/19 0 0 0
Yr 22 SRF-Local Asst 15% O-SW)SS N/A 346.26.64 24239222 01/01/19 12/31/20 23,000 0 23,000
Yr 22 SRF-Local Asst 15% O-SW)TA N/A 346.26.66 24239222 01/01/19 12/31/20 4,000 0 4,000
Yr 23 SRF-Local Asst 15% O-SW)SS N/A 346.26.64 24239223 01/01/21 12/31/21 0 22,400 1 22,400
Yr 23 SRF-Local Asst 15% O-SW)TA N/A 346.26.66 1 24239223 01/01/21 12/31/21 0 2,000 2,000
TOTALS 72,400 24,400 96.806
Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Amount
Number Standards/Measures Frame
1 Trained LHJ staff will conduct Provide Final*Sanitary Final Sanitary Upon ODW acceptance of the Final
sanitary surveys of small community Survey Reports to ODW Survey Reports Sanitary Survey Report,the LHJ shall be
and non-community Group A water Regional Office.Complete must be received by paid$400 for each sanitary survey of a non-
systems identified by the DOH Office Sanitary Survey Reports the ODW Regional community system with three or fewer
of Drinking Water(ODW)Regional shall include: Office within 30 connections.
Office. 1. Cover letter identifying calendar days of
significant deficiencies,
Exhibit A,Statements of Work Page 26 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Amount
Number Standards/Measures Frame
See Special Instructions for task significant findings, conducting the Upon ODW acceptance of the Final
activity. observations, sanitary survey. Sanitary Survey Report,the LHJ shall be
recommendations,and paid$800 for each sanitary survey of a non-
referrals for further community system with four or more
ODW follow-up. connections and each community system.
2. Completed Small Water
System checklist. Payment is inclusive of all associated costs
3. Updated Water such as travel,lodging,per diem.
Facilities Inventory
(WFI). Payment is authorized upon receipt and
4. Photos of water system acceptance of the Final Sanitary Survey
with text identifying Report within the 30-day deadline.
features
5. Any other supporting Late or incomplete reports may not be
documents. accepted for payment.
*Final Reports reviewed
and accepted by the ODW
Regional Office.
2 Trained LHJ staff will conduct Provide completed SPI Completed SPI Upon acceptance of the completed SPI
Special Purpose Investigations(SPI) Report and any supporting Reports must be Report,the LHJ shall be paid$800 for each
of small community and non- documents and photos to received by the SPI.
community Group A water systems ODW Regional Office. ODW Regional
identified by the ODW Regional Office within 2 Payment is inclusive of all associated costs
Office. working days of the such as travel,lodging,per diem.
service request.
See Special Instructions for task Payment is authorized upon receipt and
activity. acceptance of completed SPI Report within
the 2 working day deadline.
Late or incomplete reports may not be
accepted for payment.
3 Trained LHJ staff will provide direct Provide completed TA Completed TA Upon acceptance of the completed TA
technical assistance(TA)to small Report and any supporting Report must be Report,the LHJ shall be paid for each
community and non-community documents and photos to received by the technical assistance activity as follows:
Group A water systems identified by ODW Regional Office. ODW Regional • Up to 3 hours of work: $250
the ODW Regional Office. Office within 30 . 3-6 hours of work: $500
calendar days of . More than 6 hours of work: $750
See Special Instructions for task providing technical
activity. assistance. Payment is inclusive of all associated costs
such as consulting fee,travel,lodging,per
diem.
Exhibit A,Statements of Work Page 27 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Amount
Number Standards/Measures Frame
Payment is authorized upon receipt and
acceptance of completed TA Report within
the 30-day deadline.
Late or incomplete reports may not be
accepted for payment.
4 LHJ staff performing the activities Prior to attending the Annually LHJ shall be paid mileage,per diem,
under tasks 1,2 and 3 must have training,submit an lodging,and registration costs as approved
completed the mandatory Sanitary "Authorization for Travel on the pre-authorization form in accordance
Survey Training. (Non-Employee)"DOH with the current rates listed on the OFM
Form 710-013 to the ODW Website
See Special Instructions for task Program Contact below for http://www.ofin.wa.p-ov/resources/travel.asp
activity. approval(to ensure that
enough funds are available).
*For Information Only:
Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a
Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at:
http://www.phaboard.orgJn-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf
Program Specific Reauirements/Narrative
Special References(RCWs,WACs,etc)
Chapter 246-290 WAC is the set of rules that regulate Group A water systems. By this statement of work,ODW contracts with the LHJ to conduct sanitary surveys(and SPIs,and
provide technical assistance)for small community and non-community water systems with groundwater sources. ODW retains responsibility for conducting sanitary surveys(and
SPIs,and provide technical assistance)for small community and non-community water systems with surface water sources,large water systems,and systems with complex
treatment.
LHJ staff assigned to perform activities under tasks 1,2,and 3 must be trained and approved by ODW prior to performing work.See special instructions under Task 4,below.
Special Billing Requirements
The LHJ shall submit quarterly invoices within 30 days following the end of the quarter in which work was completed, noting on the invoice the quarter and year being billed for.
Payment cannot exceed a maximum accumulative fee of-$68,40B$90,800 for Task 1,and 800 $6,000 for Task 2,Task 3 and Task 4 combined during the contracting period,
to be paid at the rates specified in the Payment Method/Amount section above. When invoicing for sanitary surveys,bill half to BARS Revenue Code 346.26.64 and half to BARS
Revenue Code 346.26.65.
When invoicing for Task 1,submit the list of WS Name,ID#,Amount Billed,Survey Date and Letter Date that you are requesting payment.
When invoicing for Task 2-3,submit the list of WS Name,ID#,TA Date and description of TA work performed,and Amount Billed.
When invoicing for Task 4,submit receipts and the signed pre-authorization form for non-employee travel to the ODW Program Contact below and a signed A19-IA Invoice
Voucher to the DOH Grants Management,billing to BARS Revenue Code 346.26.66 under Technical Assistance(TA).
Exhibit A,Statements of Work Page 28 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Special Instructions
Task 1
Trained LHJ staff will evaluate the water system for physical and operational deficiencies and prepare a Final Sanitary Survey Report which has been accepted by ODW.Detailed
guidance is provided in the Field Guide for Sanitary Surveys, Special Purpose Investigations and Technical Assistance(Field Guide).The sanitary survey will include an
evaluation of the following eight elements: source;treatment;distribution system;finished water storage;pumps,pump facilities and controls;monitoring,reporting and data
verification;system management and operation;and certified operator compliance. If a system is more complex than anticipated or other significant issues arise,the LHJ may
request ODW assistance.
• No more than 0 surveys of non-community systems with three or fewer connections to be completed between January 1,2018 and December 31,2018.
• No more than 28 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2018 and
December 31,2018.
• No more than 10 surveys of non-community systems with three or fewer connections to be completed between January 1,2019 and December 31,2019.
• No more than 29 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2019 and
December 31,2019.
• No more than 14 surveys of non-community systems with three or fewer connections to be completed between January 1,2020 and December 31,2020.
• No more than 21 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2020 and
December 31,2020.
• No more than 8 surveys of non-community systems with three or fewer connections to be completed between January 1,2021 and December 31,2021.
• No more than 24 surveys of non-community systems with four or more connections and all community systems to be completed between January 1, 2021 and
December 31, 2021.
The process for assignment of surveys to the LHJ,notification of the water system,and ODW follow-up with unresponsive water systems;and other roles and responsibilities of
the LHJ are described in the Field Guide.
Task 2
Trained LHJ staff will perform Special Purpose Investigations(SPIs)as assigned by ODW.SPIs are inspections to determine the cause of positive coliform samples or the cause of
other emergency conditions.SPIs may also include sanitary surveys of newly discovered Group A water systems.Additional detail about conducting SPIs is described in the Field
Guide.The ODW Regional Office must authorize in advance any SPI conducted by LHJ staff.
Task 3
Trained LHJ staff will conduct Technical assistance as assigned by ODW.Technical Assistance includes assisting water system personnel in completing work or verifying work
has been addressed as required,requested,or advised by the ODW to meet applicable drinking water regulations. Examples of technical assistance activities are described in the
Field Guide.The ODW Regional Office must authorize in advance any technical assistance provided by the LHJ to a water system.
Task 4
LHJ staff assigned to perform activities under tasks 1,2,and 3 must be trained and approved by ODW prior to performing work.LHJ staff performing the activities under tasks 1,
2 and 3 must have completed,with a passing score,the ODW Online Sanitary Survey Training and the ODW Sanitary Survey Field Training.LHJ staff performing activities under
tasks 1,2,and 3 must attend the Annual ODW Sanitary Survey Workshop,and are expected to attend the Regional ODW LHJ Drinking Water Meetings.
If required trainings,workshops or meetings are not available,not scheduled,or if the LHJ staff person is unable to attend these activities prior to conducting assigned tasks,the
LHJ staff person may,with ODW approval,substitute other training activities to be determined by ODW.Such substitute activities may include one-on-one training with ODW
staff,co-surveys with ODW staff,or other activities as arranged and pre-approved by ODW.LHJ staff may not perform the activities under tasks 1,2,and 3 without completing
the training that has been arranged and approved by ODW.
Exhibit A,Statements of Work Page 29 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
AMENDMENT#20
Program Manual,Handbook,Policy References
htta://www.doh.wa.eov/Portals/l/Documents/Pubs/331-486.1)df
DOH Program Contact DOH Fiscal Contact
Denise Miles Kapena AfeCreyem Marcea Kato
DOH Office of Drinking Water DOH Office of Drinking Water
243 Israel Rd SE 243 Israel Rd SE
Tumwater,WA 98501 Tumwater,WA 98501
Denise.Miles@doh.wa.gov Marcea.Katoadoh.wa.gov
(360)236-3028 (360)236-3094
Exhibit A,Statements of Work Page 30 of 30 Contract Number CLH18253-20
Revised as of January 15,2021
EXHIBIT B-20
Mason County Public Health ALLOCATIONS Contract Number: CLH18253
Contract Term:2018-2021 Date: January 15,2021
Indirect Rate as of January 2018:13.71%
Indirect Rate as of January 2019:14.53% DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Revenue Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
BITV-COVID Ed LHJ Allocation-CARES NGA Not Received Amd 19 21.019 333.21.01 07/01/20 12/30/21 07/01/20 12/30/21 $263,754 $351,672 $351,672
BITV-COVID Ed LHJ Allocation-CARES NGA Not Received Amd 17,19 21.019 333.21.01 07/01/20 12/30/21 07/01/20 12/30/21 $87,918
COVID LHJ OFM Allocation-CARES NGA Not Received Amd 17,19 21.019 333.21.01 03/01/20 06/30/21 03/01/20 06/30/21 $1,389,600 $1,389,600 $1,389,600
SS Community Outreach PN NGA Not Received Amd 18 21.019 333.21.01 07/01/20 12/30/20 07/01/20 12/30/20 $20,000 $20,000 $20,000
NEP 5-6 Onsite Sewage Management OOJ88801 Amd 2,8 66.123 333.66.12 01/01/18 06/30/19 10/01/14 08/31/19 $10,904 $85,330 $85,330
NEP 5-6 Onsite Sewage Management OOJ88801 N/A,Amd 8 66.123 333.66.12 01/01/18 06/30/19 10/01/14 08/31/19 $74,426
PS SSI 1-5 OSS Task 4 OIJ18001 Amd 2,8 66.123 333.66.12 01/01/18 06/30/19 07/01/17 06/30/19 ($13,337) $86,541 $86,541
PS SSI 1-5 OSS Task 4 OIJ18001 N/A,Amd 8 66.123 333.66.12 01/01/18 06/30/19 07/01/17 06/30/19 $99,878
FFY17 EPR PHEP BPI LHJ Funding NU90TP921889-01 Amd 2 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $9,062 $28,979 $28,979
FFY17 EPR PHEP BPI LHJ Funding NU90TP921889-01 N/A 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $19,917
FFY18 EPR PHEP BPI Supp LHJ Funding NU90TP921889-01 Amd 5 93.069 333.93.06 07/01/18 06/30/19 07/01/18 06/30/19 $888 $49,341 $49,341
FFY18 EPR PHEP BPI Supp LHJ Funding NU90TP921889-01 Amd 4 93.069 333.93.06 07/01/18 06/30/19 07/01/18 06/30/19 $48,453
FFY20 PHEP BP2 LHJ Funding NU90TP922043 Amd 18 93.069 333.93.06 07/O1/20 06/30/21 07/01/20 06/30/21 $19,737 $49,342 $98,684
FFY20 PHEP BP2 LHJ Funding NU90TP922043 Amd 17,18 93.069 333.93.06 07/01/20 06/30/21 07/01/20 06/30/21 $29,605
FFY19 PHEP BPI LHJ Funding NU90TP922043 Amd 10 93.069 333.93.06 07/01/19 06/30/20 07/01/19 06/30/20 $49,342 $49,342
FFY20 Overdose Data to Action Prev NU17CE925007 Amd 17,19 93.136 333.93.13 09/01/20 08/31/21 09/01/20 08/31/21 ', $50,000 $50,000 $100,000
FFY19 Overdose Data to Action Prev NU17CE925007 Amd 11 93.136 333.93.13 09/01/19 08/31/20 09/01/19 08/31/20 $50,000 $50,000
FFY18 Prescription Drug OD-Supp NU17CE002734 Amd 8 93.136 333.93.13 09/01/18 08/31/19 09/01/18 08/31/19, $35,000 $110,000 $173,027
FFY 18 Prescription Drug OD-Supp NU17CE002734 Amd4 93.136 333.93.13 09/01/18 08/31/19 09/01/18 08/31/19 $75,000
FFY 17 Prescription Drug OD-Supp, U17CE002734 Amd2 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18 $29,627 $63,027
FFY 17 Prescription Drug OD-Supp U17CE002734 N/A 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18 $33,400
FFY17 Increasing Immunization Rates NH231P000762 Amd 3,4 93.268 333.93.26 07/01/18 06/30/19 07/01/18 06/30/19 $5,600 $5,600 $5,600
FFY21 PPHF Ops NH231P922619 Amd 18 93.268 333.93.26 07/01/20 06/30/21 07/01/20 06/30/21 $250 $500 $1,500
FFY21 PPHF Ops NH231P922619 Amd 16,18 93.268 333.93.26 07/01/20 06/30/21 07/01/20 06/30/21 $250
FFY20 PPHF Ops NH23IP922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20 07/01/19 06/30/20 $500 $500
FFY17 PPHF Ops NH231P000762 Amd 3,4 93.268 333.93.26 07/01/18 06/30/19 07/01/18 06/30/19 $500 $500
FFY17317Ops 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $1,423 $1,423 $1,423
Page 1 of 4
EXHIBIT B-20
Mason County Public llealth ALLOCATIONS Contract Number: CLH18253
Contract Term:2018-2021 Date: January 15,2021
Indirect Rate as of.lanuary 2018:13.71%
Indirect Rate as of.lanuary 2019:14.53% DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Revenue Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
FFY17 AFIX 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $4,293 $4,293 $4,293
FFY21 COVIDI9 Vaccine Services-CARES NH231P922619 Amd 20 93.268 333.93.26 07/01/20 12/31/21 07/01/20 12/31/21 $354,803 $369,385 $369,385
FFY21 COVID 19 Vaccine Services-CARES NH23TP922619 Amd 19,20 93.268 333.93.26 07/01/20 12/31/21 07/01/20 12/31/21 $14,582
FFY21 VFC Ops NH23IP922619 Amd 16 93.268 333.93.26 07/01/20 12/31/20 07/01/20 06/30/21 $2,800 $2,800 $10,628
FFY20 VFC Ops NH23IP922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20 07/01/19 06/30/20 $5,600 $5,600
FFY17 VFC Ops 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $2,228 $2,228
FFY19COVIDCARES NU50CK000515 Amd 16,19 93.323 333.93.32 06/01/20 12/31/21 06/01/20 12/31/21 $65,595 $65,595 $65,595
FFY19 ELC COVID Ed LHJ Allocation NGA Not Received Amd 20 93.323 333.93.32 01/01/21 12/31/21 01/01/21 12/31/21 $294,029 $294,029 $294,029
FFY20 ELC EDE LHJ Allocation NGA Not Received Amd 20 93.323 333.93.32 01/15/21 12/31/21 01/15/21 12/31/21 $6579521 $657,521 $657,521
FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe NU90TP922069 Amd 14,19,20 93.354 333.93.35 01/20/20 12/31/21 01/01/20 12/31/21 $130,871 $130,871 $130,871
FFY21 MCHBG LHJ Contracts B0440169 Amd 18 93.994 333.93.99 10/01/20 09/30/21 10/01/20 09/30/21 $67,694 $67,694 $259,197
FFY20 MCHBG LHJ Contracts B04MC32578 Amd 10 93.994 333.93.99 10/01/19 09/30/20 10/01/19 09/30/20 $67,694 $67,694
FFY19 MCHBG LHJ Contracts B04MC32578 Amd 4 93.994 333.93.99 10/01/18 09/30/19 10/01/18 09/30/19 $67,694 $67,694
FFY18 MCHBG LHJ Contracts B04MC31524 Amd 2 93.994 333.93.99 01/01/18 09/30/18 10/01/17 09/30/18 $5,344 $56,115
FFY18 MCHBG LHJ Contracts B04MC31524 N/A 93.994 333.93.99 01/01/18 09/30/18 10/01/17 09/30/18 $50,771
FEMA-75 COVID LHJ Allocation NGA Not Received Amd 19 97.036 333.97.03 07/01/20 12/30/20 07/01/20 12/30/20 ($263,754) $0 $0
FEMA-75 COVID LHJ Allocation NGA Not Received Amd 17 97.036 333.97.03 07/01/20 12/30/20 07/01/20 12/30/20 $263,754
FY2 Group B Programs for DW(FO-SW) Amd 11 N/A 334.04.90 07/01/18 06/30/19 07/01/17 06/30/19 ($272) $4,728 $4,728
FY2 Group B Programs for DW(FO-SW) Amd 3 N/A 334.04.90 07/01/18 06/30/19 07/01/17 06/30/19 $5,000
GFS-Group B(FO-SW) Amd 10 N/A 334.04.90 07/01/20 12/31/20 07/01/19 06/30/21 $2,500 $2,500 $7,500
GFS-Group B(FO-SW) Amd 10 N/A 334.04.90 07/01/19 06/30/20 07/01/19 06/30/21 $2,500 $2,500
GFS-Group B(FO-SW) N/A N/A 334.04.90 01/01/18 06/30/18 07/01/17 06/30/19 $2,500 $2,500
Op Permit Fees(FO-SW) Amd 11 N/A 334.04.90 02/01/19 02/28/19 07/01/17 06/30/19 $272 $272 $272
Healthy Communities Amd 12 N/A 334.04.91 07/01/19 06/30/20 07/01/19 06/30/21 ($1,370) $0 $0
Healthy Communities Amd 10 N/A 334.04.91 07/01/19 06/30/20 07/01/19 06/30/21 $1,370
FY20/21 COVID-19 Disaster Response Acct Amd 14, 19 N/A 334.04.92 01/20/20 06/30/21 01/01/20 06/30/21 $119,129 $119,129 $119,129
Page 2 of 4
EXHIBIT B-20
Mason County Public Health ALLOCATIONS Contract Number: CLH18253
Contract Term:2018-2021 Date: January 15,2021
Indirect Rate as of January 2018:13.71%
Indirect Rate as of January 2019:14.53% DOH Use Only
BARS Statement of Work Chart of.Accounts Funding Chart of
Federal Award Revenue Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
FFY21 COVID GFS LHJ Regional Amd 20 N/A 334.04.92 12/31/20 06/30/21 12/31/20 06/30/21 ($175,000) $0 $0
FFY21 COVID GFS LHJ Regional Amd 19 N/A 334.04.92 12/31/20 06/30/21 12/31/20 06/30/21 $175,000
FPH Lead Case Mgmt-FPH Amd 12 N/A 334.04.93 07/01/19 06/30/20 07/01/19 06/30/20 $1,370 $1,370 $1,370
SFY2 Lead Environments of Children Amd4 N/A 334.04.93 07/01/18 06/30/19 07/01/18 06/30/19 $1,500 $1,500 $4,500
SFYI Lead Environments of Children Amd2 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $1,500 $3,000
SFYI Lead Environments ofChildren AmdI N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $1,500
Rec Shellfish/Biotoxin Amd 19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $1,750 $7,000 $14,500
Rec Shellfish/Biotoxin Amd 16,19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $1,750
Rec Shellfish/Biotoxin Amd 9,16,19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $3,500
Rec Shellfish/Biotoxin N/A N/A 334.04.93 01/01/18 06/30/19 07/01/17 06/30/19 $7,500 $7,500
Wastewater Management-GFS Amd 19 N/A 334.04.93 01/01/21 06/30/21 07/01/19 06/30/21 $30,000 $30,000 $150,000
Wastewater Management-GFS Amd 9,19 N/A 334.04.93 07/01/20 06/30/21 07/01/19 06/30/21 $30,000 $30,000
Wastewater Management-GFS Amd 9,19 N/A 334.04.93 07/01/20 06/30/21 07/01/19 06/30/21 $30,000 $30,000
Wastewater Management-GFS Amd 5 N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 $43,274 $43,274
Wastewater Management-GFS Amd 5 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/19 ($43,274) $16,726
Wastewater Management-GFS N/A,Amd 5 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/19 $60,000
FPHS Funding for LHJs Amd 17,19 N/A 336.04.25 07/01/20 06/30/21 07/01/19 06/30/21 $160,891 $202,891 $447,782
FPHS Funding for LHJs Amd 10,19 N/A 336.04.25 07/01/20 06/30/21 07/01/19 06/30/21 $42,000
FPHS Funding for LHJs Amd 17 N/A 336.04.25 07/01/19 06/30/20 07/01/19 06/30/21 $160,891 $202,891
FPHS Funding for LHJs Amd 10 N/A 336.04.25 07/01/19 06/30/20 07/01/19 06/30/21 $42,000
FPHS Funding for LHJs Dir Amd 3 N/A 336.04.25 07/01/18 06/30/19 07/01/17 06/30/19 $42,000 $42,000
YR 20 SRF-Local Asst(15%)(FS)-SS Amd 3 N/A 346.26.64 01/01/18 12/31/18 07/01/17 12/31/18 ($12,000) $0 $0
YR 20 SRF-Local Asst(15%)(FS)-SS N/A,Amd 3 N/A 346.26.64 01/01/18 12/31/18 07/01/17 12/31/18 $12,000
YR2I SRF-Local Asst(15%)(FS)SS Amd 10 N/A 346.26.64 01/01/18 06/30/19 07/01/17 06/30/19 ($13,600) $11,200 $11,200
YR 21 SRF-Local Asst(15%)(FS)SS Amd 7,10 N/A 346.26.64 01/01/18 06/30/19 07/01/17 06/30/19 $800
YR 21 SRF-Local Asst(15%)(FS)-SS Amd 6,10 N/A 346.26.64 01/01/18 06/30/19 07/01/17 06/30/19 $12,000
YR 21 SRF-Local Asst(15%)(FS)-SS Amd 3,10 N/A 346.26.64 01/01/18 06/30/19 07/01/17 06/30/19 $12,000
YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 15 N/A 346.26.64 01/01/19 12/31/20 07/01/19 06/30/21 ($1,800) $23,000 $23,000
YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 12 N/A 346.26.64 01/01/19 12/31/20 07/01/19 06/30/21 $11,200
YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 10,12 N/A 346.26.64 01/01/19 12/31/20 07/01/19 06/30/21 $13,600
YR 23 SRF-Local Asst(15%)(FO-SW)SS Amd 20 N/A 346.26.64 01/01/21 12/31/21 09/01/20 06/30/21 $22,400 $22,400 $22,400
Page 3 of 4
EXHIBIT B-20
Mason County Public Health ALLOCATIONS Contract Number: CLH18253
Contract Term:2018-2021 Date: January 15,2021
Indirect Rate as of January 2018: 13.71%
Indirect Rate as of January 2019:14.53% DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Revenue Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total
Sanitary SurveyFees(FO-SW)-SS State Amd15 N/A 346.26.65 01/01/18 12/31/20 07/01/17 06/30/21 ($1,800) $34,200 $34,200
Sanitary Survey Fees(FO-SW)-SS State Amd 12 N/A 346.26.65 01/01/18 12/31/20 07/01/17 06/30/21 $11,200
Sanitary Survey Fees(FO-SW)-SS State Amd 7,12 N/A 346.26.65 01/01/18 12/31/20 07/01/17 06/30/21 $800
Sanitary Survey Fees(FO-SW)-SS State Amd 6,12 N/A 346.26.65 01/01/18 12/31/20 07/01/17 06/30/21 $12,000
Sanitary Survey Fees(FO-SW)-SS State N/A,Amd 3,6,12 N/A 346.26.65 01/01/I8 12/31/20 07/01/17 06/30/21 $12,000
YR 20 SRF-Local Asst(15%)(FS)-TA Amd 3 N/A 346.26.66 01/01/18 12/31/18 07/01/17 12/31/18 ($2,000) $0 $0
YR 20 SRF-Local Asst(15%)(FS)-TA N/A,Amd 3 N/A 346.26.66 01/01/18 12/31/18 07/01/17 12/31/18 $2,000
YR 21 SRF-Local Asst(15%)(FS)TA Amd 10 N/A 346.26.66 01/01/18 06/30/19 07/01/17 06/30/19 ($4,000) $0 $0
YR 21 SRF-Local Asst(15%)(FS)-TA Amd 6,10 N/A 346.26.66 01/01/18 06/30/19 07/01/17 06/30/19 $2,000
YR 21 SRF-Local Asst(15%)(FS)-TA Amd 3,10 N/A 346.26.66 01/01/18 06/30/19 07/01/17 06/30/19 $2,000
YR 22 SRF-Local Asst(15%)(FO-SW)TA Amd 12 N/A 346.26.66 01/01/19 12/31/20 01/01/19 06/30/21 $2,000 $4,000 $4,000
YR 22 SRF-Local Asst(15%)(FO-SW)TA Amd 10,12 N/A 346.26.66 01/01/19 12/31/20 01/01/19 06/30/21 $2,000
YR 22 SRF-Local Asst(15%)(FO-SW)TA Amd 20 N/A 346.26.66 01/01/21 12/31/21 09101/20_ 06/30/21 $2,000 $2,000 $2,000
TOTAL $5,029,797 $5,029,797
Total consideration: $3,874,044 GRAND TOTAL $5,029,797
$1,155,753
GRAND TOTAL $5,029,797 Total Fed $4,1839216
Total State $846,581
*Catalog of Federal Domestic Assistance
**Federal revenue codes begin with"333". State revenue codes begin with"334".
Page 4 of 4
Exhibit C-16 Schedule of Federal Awards AMENDMENT#20
Date:January 15,2021
MASON COUNTY HEALTH SERVICESSWV0001893-04
CONTRACT CLH18253-Mason County Public Health
CONTRACT PERIOD: 01/0112018-12/31/2021
DOH Total Amt Allocation Period
Chart of Accounts Program Title BARS Federal Federal Start End Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Award Federal Grant Award Name
Award Date Award Date Date Identification Number
SS COMMUNITY OUTREACH PN 333.21.01 NGA Not NGA Not 07/01/20 12/30/20 $20,000 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received
Received Received
COVID LHJ OFM ALLOCATION-CARES 333.21.01 NGA Not NGA Not 03/01/20 06/30/21 $1,389,600 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received
Received Received
BIN-COVID ED LHJ ALLOCATION-CARES 333.21.01 NGA Not NGA Not 07/01/20 12/30/21 $351,672 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received
Received Received
Puget Sound Action Agenda: Environmental Protection Agency PUGET SOUND SHELLFISH
PS SSI 1-5OSS TASK 4 333.66.12 08/02/16 $5,000,000 01/01/18 06/30/19 $86,541 66.123 Technical Investigations and Region 10 01J18001 STRATEGIC INITIATIVE LEAD
Implementation Assistance Program
Puget Sound Action Agenda: Environmental Protection Agency PUGET SOUND RESTORATION
NEP 5-6 ONSITE SEWAGE MANAGEMENT 333.66.12 01/09/11 $2,490,000 01/01/18 06/30/19 $85,330 66.123 Technical Investigations and Region 10 OOJ88801 PROJECT
Implementation Assistance Program
Public Health Emergency Department of Health and Human PUBLIC HEALTH EMERGENCY
FFY20 PREP BP2 LHJ FUNDING 333.93.06 06/12/20 $11,365,797 07/01/20 06/30/21 $49,342 93.069 Preparedness Services Centers for Disease Control NU90TP922043 PREPAREDNESS(PHEP)
and Prevention COOPERATIVE AGREEMENT
Public Health Emergency Department of Health and Human PUBLIC HEALTH EMERGENCY
FFY19 PHEP BPI LHJ FUNDING 333.93.06 06/29/19 $11,307,904 07/01/19 06/30/20 $49,342 93.069 Preparedness Services Centers for Disease Control NU90TP922043 PREPAREDNESS(PHEP)
and Prevention COOPERATIVE AGREEMENT
Department of Health and Human HOSPITAL PREPAREDNESS PROGRAM
FFY18 EPR PHEP BPI SUPP LHJ FUNDING 333.93.06 08/01/18 $11,062,782 07/01/18 06/30/19 $49,341 93.069 Public Health Emergenry Services Centers for Disease Control NU90TP921889-01 AND PUBLIC HEALTH EMERGENCY
Preparedness and Prevention PREPAREDNESS COOPERATIVE
AGREEMENT
FFY17 EPR PREP BPI LHJ FUNDING 333.93.06 07/18/17 $t 1,062,782 01/01/18 06I30/18 $28,979 93.069 Public Health Emergency Department of Health and Human HPP AND PHEP COOPERATIVE Preparedness Services Centers for Disease Control NU90TP921889-01 AGREEMENT
and Prevention
Injury Prevention and Control Department of Health and Human WASHINGTON STATE DEPARTMENT
FFY20 OVERDOSE DATA TO ACTION PREV 333.93.13 11/06/20 $4,390,240 09/01/20 08/31/21 $50,000 93.136 Research and State and Community-Services Centers for Disease Control NU17CE925007 OF HEATLH OVERDOSE DATA TO
Based Programs and Prevention ACTION
Injury Prevention and Control Department of Health and Human WASHINGTON STATE DEPARTMENT
FFY19 OVERDOSE DATA TO ACTION PREV 333.93.13 08/12/19 $4,390,240 09/01/19 08/31/20 $50,000 93.136 Research and State and Community-Services-Centers for Disease Control NU17CE925007 OF HEATLH OVERDOSE DATA TO
Based Programs and Prevention-National Center for ACTION
Injury Prevention and Control
Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE
FFY18 PRESCRIPTION DRUG ODSUPP 333.93.13 05/31/17 $6,223,623 09/01/18 08/31/19 $110,000 93.136 Research and State and Community Services Centers for Disease Control U17CE002734 FOR STATES
Based Programs and Prevention
Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE
FFY17 PRESCRIPTION DRUG OD-SUPP 333.93.13 03/16/16 $4,031,632 01/01/18 08/31/18 $63,027 93.136 Research and State and Community Services Centers for Disease Control U17CE002734 FOR STATES
Based Programs and Prevention
Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES
FFY21 VFC Ops 333.93.26 07/01/20 $9,082,252 07/01/20 12/31/20 $2,800 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM
and Prevention
Page 1 of 3
Exhibit C-16 Schedule of Federal Awards AMENDMENT#20
Date:January 15,2021
MASON COUNTY HEALTH SERVICESSWV0001893-04
CONTRACT CLH18253-Mason County Public Health
CONTRACT PERIOD: 01/01/2018-12/31/2021
DOH Total Amt Allocation Period
Chart of Accounts Program Title BARS Federal Federal Start End Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Award Federal Grant Award Name
Award Date Award Date Date Identification Number
Department of Health and Human
FFY21 PPHF OPS 333.93.26 07/01/20 $9,082,252 07/01/20 06/30/21 $500 93.268 Immunization Cooperative Services Centers for Disease Control NH231P922619 IMMUNIZATION GRANT AND VACCINES
Agreements and Prevention FOR CHILDREN PROGRAM
FFY21 COVIDI9 VACCINE SERVICES-CARES 333.93.26 01/15/21 $68,807,053 07I01120 12/31/21 $369,385 93.268 Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINESAgreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM
and Prevention
Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES
FFY20 VFC OPS 333.93.26 07/01/19 $9,234,835 07/01/19 06/30/20 $5,600 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM
and Prevention
Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES
FFY20 PPHF OPS 333.93.26 07/01/19 $9,234,835 07/01/19 06/30/20 $500 93,268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM
and Prevention
Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES
FFY17 VFC OPS 333.93.26 03/03/17 $1,201,605 01/Ot/18 O6/30/18 $2,228 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 FOR CHILDREN'S PROGRAM
and Prevention
Department of Health and Human
FFY17 PPHF OPS 333.93.26 06/29/18 $3,634,512 07/01/18 06/30/19 $500 93.268 Immunization Cooperative Services Centers for Disease Control NH231P000762 IMMUNIZATION GRANT AND VACCINES
Agreements FOR CHILDREN'S PROGRAM
and Prevention
Department of Health and Human
FFY17 INCREASING IMMUNIZATION RATES 333.93.26 06129/18 $1,722,443 07/01/18 06/30/19 $5,600 93.268 Immunization Cooperative Services Centers for Disease Control NH231P000762 IMMUNIZATION GRANT AND VACCINES
Agreements FOR CHILDREN'S PROGRAM
and Prevention
Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES
FFY17 AFIX 333.93.26 03/03/17 $1,672,289 01/01/18 O6/30/18 $4,293 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 FOR CHILDREN'S PROGRAM
and Prevention
Department of Health and Human
FFY17 317 OPS 333.93.26 03/03/17 $575,969 01/01/18 06/30/18 $1,423 93.268 Immunization Cooperative Services Centers for Disease Control 5NH231P000762-05-00 IMMUNIZATION GRANT AND VACCINES
Agreements and Prevention FOR CHILDREN'S PROGRAM
Epidemiology and Laboratory
NGA Not NGA Not Capacity for Infectious Diseases Department of Health and Human
FFY20 ELC EDE LHJ ALLOCATION 333.93.32 Received Received 01/15/21 12/31/21 $657,521 93.323 (ELC)-Building and Strengthening Services Centers for Disease Control NGA Not Received NGA Not Received
Epidemiology,Laboratory and and Prevention
Epidemiology and Laboratory
NGA Not NGA Not Capacity for Infectious Diseases Department of Health and Human
FFY19 ELC COVID ED LHJ ALLOCATION 333.93.32 Received Received 01/01/21 12/31/21 $294,029 93.323 (ELC)-Building and Strengthening Services Centers for Disease Control NGA Not Received NGA Not Received
Epidemiology,Laboratory and and Prevention
Epidemiology and Laboratory EPIDEMIOLOGY 8 LABORATORY
Capacity for Infectious Diseases Department of Health and Human
FFY19 COVID CARES 333.93.32 04/23/20 $22,581,799 06/01/20 12/31/21 $65,595 93.323 P ty Services Centers for Disease Control NU50CK000515 CAPACITY FOR INFECTIOUS DISEASES
(ELC)-Building and Strengthening (ELC)-BUILDING&STRENGTHENING
Epidemiology,Laboratory and and Prevention EPIDEMIOLOGY,LABORATORY&
Public Health Emergency CDC COOPERATIVE AGREEMENT FOR
Response:Cooperative Agreement Department of Health and Human EMERGENCY RESPONSE:PUBLIC
FFY20 CDC COVID-19 CRISIS RESP LHJ-TRIBE 333.93.35 03/16/20 $13,230,799 01/20/20 12131/21 $130,871 93.354 for Emergency Response:Public Services Centers for Disease Control NU90TP922069 HEALTH CRISIS RESPONSE CDC-RFA-
Health Crisis Response and Prevention TP18-1802
Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH
FFY21 MCHBG LHJ CONTRACTS 333.93.99 02/08/21 $2,662,201 10/01/20 09/30/21 $67,694 93,994 Block Grant to the States Services Health Resources and B0440169 SERVICES BLOCK GRANT
Services Administration
Page 2 of 3
Exhibit C-16 Schedule of Federal Awards AMENDMENT#20
Date:January 15,2021
MASON COUNTY HEALTH SERVICESSWV0001893-04
CONTRACT CLH18253-Mason County Public Health
CONTRACT PERIOD: 01/01/2018-12/31/2021
DOH Total Amt Allocation Period
Chart of Accounts Program Title BARS Federal Federal Start End Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Award
Award Date Award Date Date Identification Number Federal Grant Award Name
Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH
FFY20 MCHBG LHJ CONTRACTS 333.93.99 11/14/18 $2,225,977 10/01/19 09/30/20 $67,694 93.994 Block Grant to the States Services Health Resources and B04MC32578 Services Administration SERVICES BLOCK GRANT
Maternal and Child Health Services Department of Health and Humans MATERNAL AND CHILD HEALTH
FFY19 MCHBG LHJ CONTRACTS 333.93.99 11/14/16 $2,225,977 10/Ot/18 09/30/19 $67,694 93.994 Block Grant to the States Service Health Resources and BD4MC32578 SERVICES BLOCK GRANT
Services Administration
Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH
FFY18 MCHBG LHJ CONTRACTS 333.93.99 10/20/17 $1,650,528 01/01/18 09/30/18 $56,115 93.994 Block Grant to the States Services Health Resources and B04MC31524 SERVICES
Services Administration
TOTAL $4,183,216
Page 3 of 3
MASON COUNTY PUBLIC WORKS—COMMISSIONER BRIEFING
APRIL 5,2021
Briefing Items
• Set two public hearings to revise the 2021 Annual Construction Program and the 2021-2026
Six Year Transportation Improvement Program.
• Request for Proposals: Biosolid Removal and Disposal(Sludge Hauling Services).
Discussion Items
• Hiring temporary flaggers
• Hire Engineer
• County Tax Parcel#42212-51-84008 (North Old Mill Hill Road)
Commissioner Follow-Up Items
Upcoming Calendar/Action Items
Attendees:
Commissioners: Public Works: Other Dept. Staff: Public:
_Randy Neatherlin _Loretta Swanson
—K
evin Shutty _Mike Collins
Sharon Trask _Richard Dickinson
Other(list below):
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Mike Collins, Deputy Director/County Engineer and
Dave Smith, Engineering and Construction Manager
DEPARTMENT: Public Works TEXT: 450
BRIEFING DATE: March 29, 2021
PREVIOUS BRIEFING DATE:
ITEM: Set Hearing to Amend
2021 Annual Construction Program and 2021 — 2026 6-Year TIP
EXECUTIVE SUMMARY:
Mason County adopted the 2021 Annual Construction program and 2021- 2026 Six-Year
Transportation Improvement Program (TIP) on November 3, 2020.
At this time, Public Works is recommending to amend both the 2021 Annual Construction Program
and the Six-year Transportation Program for each of the following projects:
• ITEM#3 Boyer Road Resurfacing Project MP 0,oo to a50
Currently $168,900 is budgeted for grading, re-graveling and chip sealing the Boyer gravel road.
After consultation with CRAB staff we only need to report the actual cost of chip sealing the road
surface as county forces work.
Recommending to reduce the budgeted amount to reflect the following:
$0 PE; $0 Right of Way; $0 Contract; $50,000 County Forces construction for a total of $50,000
(County Road fund; other funds $0).
• ITEM#4 Snider Road Resurfacing Project MP O,oo to 0.12
Currently $94,700 is budgeted for grading, re-graveling and chip sealing the Snider gravel road.
After consultation with CRAB staff we only need to report the actual cost of chip sealing the road
surface as county forces work.
Recommending to reduce the budgeted amount to reflect the following:
$0 PE; $0 Right of Way; $0 Contract; $40,000 County Forces construction for a total of $40,000
(County Road fund $40,000; other funds $0).
• ITEM#5 Sunny 56We Road Resurfacing Project MP aoo to a55
Currently $222,700 is budgeted for grading, re-graveling and chip sealing the Sunny Slope gravel
road. After consultation with CRAB staff we only need to report the actual cost of chip sealing the
road surface as county forces work.
Recommending to reduce the budgeted amount to reflect the following:
$0 PE; $0 Right of Way; $0 Contract; $50,000 County Forces construction for a total of $50,000
(County Road fund $50,000; other funds $0).
Briefing Summary
• ITEM#10 Uncle Johns Upper Culvert MP 0.64
Currently there is PE (engineering) and right of way funding for 2021 thru FBRB (RCO). RCO has
recently authorized construction funding for reimbursement in 2021.
Recommending constructing this project this summer by contract and update the
budgeted amount to reflect the following:
$35,000 for PE; $15,000 right of way; $444,475 Contract for a total of $494,475 (County Road
Fund $74,171: other funds FBRB (RCO) funds $420,304).
• ITEM#12 Dayton Creek Culvert Replacement MP 0.33
Currently there is PE (engineering) and right of way funding for 2021 through FBRB (RCO). RCO
funding for construction was recently authorize.
Recommending constructing this project this summer with county forces and updating
the budgeted amount to reflect the following:
$35,000 for PE; $15,000 right of way; $444,475 County Forces construction for a total of $494,475
(County Road Fund $74,171: other funds FBRB (RCO) funds $420,304).
• ITEM#15 Shelton Matlock Culvert Replacement MP 8.00 to 8.10
Currently $432,000 if funded through the 2015 Rural Arterial Program with a local match of
$68,000 for a total $500,000. (which are the maximum funds from RAP for a drainage structure).
The existing pipe is 42"diameter concrete; WDFW requires a 30'wide structure. The estimated
construction of this structure is $1,200,000 which would require additional $700,000 of local funds.
The adjacent property owner refuses to sell the County additional right of way needed to construct
this project. Although considered a fish barrier the barrel of the existing concrete pipe is straight
and clear. If the existing pipe were to fail there would be a potential to lose the road section but
no houses would flood.
Recommending to return the RAP grant funding and revisit the culvert replacement in
10-years utilizing both RAP and other grant funding. In doing so we will have to pay
back up to $53,000 to the CRAB board for monies previously reimbursed, and update
the budgeted amount to reflect the following:
County Road fund $60,000 and RAP fund $0.
• ITEM#21 Homer Adams Rd Culvert Replacement MP 0.10 to a20
This culvert replacement project has been on the county's list for replacement for some time. It
was recently discovered it's in dire need of replacement because of deteriorated conditions. The
abrasion of sand and gravel has caused major failure of the flowline (bottom) of the structure. A
12'wide and 20' long section of the flowline (mid length) is missing. Failure of the structure is
imminent.
The existing structure is a 14'x 8' metal pipe arch. WDFW requires a 30'wide structure for
replacement. This creek crossing provides access to over a dozen residents with no other public
access.
Homer Adams Road is FFC 09 (not available for RAP funding) and is currently not high on the
FBRB (RCO) priority list for funding; therefore, will have to be fully funded by county road funds.
Briefing Summary
Recommending to replace the structure this summer and update the budgeted amount
to reflect the following:
$20,000 for PE; $25,000 for Right of way; $500,000 for County Forces construction for a total of
$545,000 (County Road Fund $645,000: other funds $0).
• ITEM#22 North Shore Great Bend Culvert Replacement MP 16.6 to 16.7
The Great Bend culvert is currently scheduled for construction this summer. The funding is
through RAP, but at this time, CRAB has not approved the construction funds.
Last fall the WDFW approved the installment of a temporary pipe to replace the existing failing
corrugated metal structure. WDFW approved the Hydraulics permit based on the guaranty that the
5'temporary pipe would be replaced with a 20'wide structure within five years.
Recommending the replacement of this structure be moved to 2022, based on above
information and the temporary pipe working perfectly and the budgeted amount to
reflect the following:
$20,000 for PE; $40,000 for Right of way for a total of $60,000 (County Road Fund $60,000: RAP
funds $0).
RECOMMENDED OR REQUESTED ACTION:
Recommend the Board of Commissioners set a public hearing for May , 2021 to
amend the 2021 Annual Construction Program and 2021-2026 Six-Year Transportation
Improvement Program.
ATTACHMENTS:
1. Amended 2021 Annual Construction Program
2. Amended 2021-2026 6-Year TIP
3. Notice of Public Hearing
Briefmg Summary
NOTICE OF HEARINGS
NOTICE IS HEREBY GIVEN that the Board of Mason County Commissioners will
hold two(2)public hearings in the Commissioners Chambers of Mason County
Courthouse Building I, 411 North Fifth Street, Shelton, Washington 98584, on Tuesday,
May , 2021, at 9:15am.
SAID HEARINGS will be to consider adopting:
1) Mason County's amended 2021 Annual Construction Program.
2) Mason County's amended Six Year Transportation Improvement Program for years
2021 to 2026.
Pursuant to Proclamation by the Governor 20-28.14, in-person attendance to Commission
meetings is temporarily restricted and during this time we will accept public testimony using
Zoom. The URL is available on the County website https://www.co.mason.wra.us/to sign
into the meeting. Please use the"raise hand"feature to be recognized by the Chair to provide
your testimony. You can also email testimony to msmith gco.mason.wa.us or mail to the
Commissioner's Office,411 N 5th St,Shelton,WA 98584;or call(360)427-9670 ext. 589.
If special accommodations are needed,please contact the Commissioners' office,
(360)427-9670 (Shelton), (360)482-5269 (Elma)or(360)275-4467 (Belfair), Ext. 419.
DATED this 13th day of April,2021.
BOARD OF COMMISSIONERS
MASON COUNTY, WASHINGTON
McKenzie Smith, Clerk of the Board
Bill: Mason County
Department of Public Works
100 W Public Works Drive
Shelton,WA 98584
cc: Commissioners
Community Development
Public Works
Shelton Journal: Publ.2t:4/22/21&4/29/21
ANNUAL CONSTRUCTION PROGRAM FOR 2021
ADMENDED MARCH 25,2021
TOTAL$'S COUNTY>> MASON
A TOTAL COSTRUCTION DONE-columns(13)+(14) $ 6,367,625 DATE RECOMMENDED FROG.SUBMITTED
B COMPUTED COUNTY FORCES LIMIT $ 1,270,108 DATE OF FINAL ADOPTION
C TOTAL COUNTY FORCES CONSTRUCTION-(Column(14) $ 1,149,475 ORDINANCE/RESOLUTION NO.
DATE OF AMENDMENT
1) 2 (3( (4) (5) (6) (7) (B) 1 (9) 1 (30) (11) (12) (13) (14) (15)
z c= ri = o a F SOURCES OF FUNDS ESTIMATED EXPENDITURES
7m of $ w
i z PROJECT NAME ROAD SEGMENT INFORMATION o. z
d f f OTHERFUNDS _ CONSTRUCTION
w i G u( ROAD PROGRAM 0 COUNTY
PE&CE RIGHT OF WAY l COUNTY GRAND TOTAL
Z 'O a AMOUNT 595.10
a _ _ _ (Mks) c = FUNDS SOURCE ( ) (595.20) CONTRACT FOR (ALL 595)
ROAD# ROAD NAME BMP EMP FFC a
_.. B j Highway _. 0 425,866.,.
O1 � 1 � E.Agate Road Resurfacing Project 23910 E.Agate road ;3.78 - _� _ 394,324 STP 30,000 j �0 396,8091 0 428,809
8 e 1 ga
02 2 Old Belfair HighwayResurfacing Project 98250 Old Belfair Hi hwa 0.20 1.20 07 1 00 D E 57,890 370,919 STP 30,000
03 3 Boyer Road Resurfacing Project 3630 Boyer Road 0-00 0,50 09 0.50 RC E 50,000 0 0 0 50,000 50,000
_.__. ._....... _._... . ._._._...
04 4 Snider Road Resurfacing Project _ 19210 Snider Road 0,00 0,18 09 0.18 RC E 40,000 0 0 0 40,000 40,000
OS 5 Sunny Slope Road Resurfacing Project 61950 Sunny Slope Road _ 0.00 _ 0.55 09 0.55 RC _ E 50,000 0 0 0 50,000 50,000
06 6 Re Bridge Programmatic -g g pair Various 0.00 I E 65,000 0 10,000 5,000 25,000� 25,000 65,000
07 7 County-Wide Small Capital Projects Various _ 0.00 Other. E 100,000 0, 10,000 5,000, 45,000 _ 40,000 100,000
08 8 Neighborhood Roadway Safety Grants .Various _ 0.00 .Other E 10,000 0 10,000 10,000
09 9 _ Bear Creek Dewatto Rd Clear Zone 79800 _Bear Creek Dewalto Roar 5.20 6.70 08 1,50 G I 333,500 226,500 HSIP 5,000 30,000 525,000 0. 560,000
10 10 Uncle Johns Upper Culvert 23500 Agate Loop 0.64 0,64 09 0.00 L,A E 74,171 420,304 FBRB(RCO) 35,000 15,000 444,475 0 494,475
11 11 Uncle Johns Lower Culvert 23500 Agate Loop 1.02 1.02 09 0,00 L,A I 10,000 50,000 FBRB(RCO) 60,000 0 0 0 60,000
12 12 Dayton Creek Culvert 04450 Highland Road 0.33 - 0.33 07 0.00 L,A E 74,171 420,304 FBRB(RCO) 35,000 15,000 0 444,475 494,475
13 13 Harstine Island Polyester Overlay 30000 Harstine Island Road 0.12 0.40 07 0,28 D 1 405,000 2,595,000 STPR 740,000 01 2,260,000 0 3,000,000
14 14 Clear Zone Improvements Arcadia,Highland,Matlock,Kamilche 000 G _1 121,5001 1,093,500 HSIP 99000_ 22,000 1,094,000 0 1,215,000
SS is Shelton Matlock Rd Culvert Replacement _ 90100 ,Shelton Matlock Road 8,00 8.10 07 l 010 L,A 1 60,000 0 RAP 60,000 0 0 0 60,000
16 16 _ Belfair Connector-Log Yard Road E New Log Yard Road E _ 09 0.00 A,B,D,G. S 250,000, 0 200,000 50,000 0 0 250,000
17 17 Belfair Connector-Romance Hill 86500 Romance Hill 09 0,00 A,B,D,G, S 100,000. 0 50,000 50,000 0 0 100,000
18 18 Skokomish Valley Rd Reconstruction 41640 Skokomish Valley Road 3.80 4.60 08 0.80 A,B,D,G 1 0 10,000 FEED 10,000 0_ 0 0 10,000
19 19 North Shore Rd-Cady Creek Cuiv.Repl. 70390 North Shore Road 6,90 7,00 _ 08 0.10 A,B,D,G I 5,000, 50,000 RAP 55,000 0 0, 0_ 55,000
20 20 North Island Dr Culvert Replacement 39630 North Island Drive _ 3.46 3.47 _ 07 0,01 L,A 1 6,000 _ 34,000 RAP 40,000 0 0, 0, 40,000
21 21 Homer Adams Rd Culvert Replacement 00610 Hamer Adams Road 0,10 0.20 09 0.10 _ L,A 1 545,000, 0 20,000. 25,000 0 500,000 545,000
22 22 North Shore Rd-Great Bend Culy.Repl. 70390 North Shore Road _ 1660 16.70 08 0,10 L,A 1 60,000 0 RAP 20,000 40,000 0 60,000
23 23 Old Belfair Highway 98250 Old Belfair Highway 1.20 _1.61 07 0.40 L,A 1 40,000 10,000 RAP 10,000 40,000 0, 0 50,000
24 24 Trails Road Alternate Route-Rasor Rd 62310 Rasor Road _. 09 0.00 Other' S 150,000 0 0' 150,000 0 0 150,000
25 25 WSDOT/County Intersection Feasability Johns Prairie/SR3,Clifton,OBH/SR300 Other 5 40,000 0 40,000 40,000
PAGE/PROGRAM TOTALS,CONSTRUCTION - 1,/0a,/74 S,o 74,851 1,470,000 447,000 5,21$150 1,149,4751 8,383,625
CRAB FORM 11113,MC REVISED 313012021
Six Year Transportation Improvement Program
Agency: Mason County From 2021 to 2026
Co.No.: 13 Co.Name:Mason County Hearing Date: 11/3/2020 Adoption Dale:
City No. --- MPO/RTPO:Peninsula Amend Date: - Resolution No.:
Project Identification Project Costs in Thousands of Dollars Federally Funded
o H A. Federal Aid No. B. Bridge No. o, Fund Source Information Expenditure Schedule Pro'ecls Onl
._ E C. Project Title d h Federal Fundin R/W
D. Street/Road Name of Number J " Phase Federal Federal State 4th Re wired
u U a Z E. Beginning MP or road-Ending MP or road o a a Start Fund Cost by Fund State Local Total 1st 2nd 3rd thru Envir Type Date
F. Describe Work to be Done ~ mm/dd/ Code Phase Source Funds Funds Funds 6th mm/
1 3 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21
CRP PE 1/1/2021 STP 25.95 4.05 30 15 15
E.Agate Road Resurfacing Project RW
07 1 Rd.No.: 23910 0.68 CN 6/1/2021 STP 368.374 57.491 425.865 212.9 212.93 E N/A
From: MP 3.10 To: MP 3.78
H
Total 2021 Project Cost $455,865 TOTALS 394.324 61.541 455.865 15 15 212.9 212.93
CRP PE 1/l/2021 STP 25.95 4.05 30 15 15
Old Belfair Highway Resurfacing Project RW
07 2 Rd.No.: 98250 1 00 CN 6/l/2021 STP 344.969 53.839 398.808 199.4 199.4 E N/A
From: MP 0.20 To: MP 1.20
Total 2021 Project Cost $428.808 TOTALS 370.919 57.889 428.808 15 15 199A 199.4
CRP PE
Boyer Road Resurfacing Project RW
09 3 Rd.No.: 03630 0.50 CN 6/l/2021 50 50 50 E N/A
From: MP 0.00 To: MP 0.50
Gravel to Chip Seal
Total 2021 Pro Cost $50,000 TOTALS 50 50 50
CRP PE
Snider Road Resurfacing Project RW
09 4 Rd.No.: 19210 0.18 CN 6/1/2021 40 40 40 E N/A
From: MP 0.00 To: MP 0.18
Gravel to HMA
Total 2021 Project Cost $40,000 TOTALS 40 40 40
CRP PE
Sunny Slope Road Resurfacing Project RW
09 5 Rd.No.: 61950 0.55 CN 6/1/2021 50 50 R50
E N/A
From: MP 0.00 To: MP 0.55
Gravel to Chip Seal
Total 2021 Project Cost $50,000 TOTALS 50 50 07 PE 10 10 10
08 Programmatic Bridge Program RW 5 5
09 6 _ CN 50 50 50
17
18
19 Total 2021 Project Cost $65.000 ITOTALS 65 65111P 10 5 50
Phase Funding BRAC-Bridge Replacement Advisory Committee FLAP- Federal Lands Access Program
PE-Preliminary Engineering STP-Surface Transportation Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
RW-Right of Way HSIP-Highway Safety Improvement Program TAP-Transportation Alternatives Program Emergency Management funds
CN-Construction RATA-Rural Arterial Trust Account FBRB-Brian Abbot Fish Barrier Removal Board
Page 1 of 6
Six Year Transportation Improvement Program
Agency Mason County From 2021 to 2026
Co.No.: 13 Co.Name:Mason County Hearing Date: 11/3/2020 Adoption Date:
City No. --- MPO/RTPO:Peninsula Amend Date - Resolution No.:
Project Identification t Project Costs in Thousands of Dollars Federally Funded
A. Federal Aid No. B. Bridge No. o, Fund Source Information Expenditure Schedule Project Only
o .o a C. Project Title J m Federal Fundin R/W
c -a 5 D. Street/Road Name of Number '.° o c Phase Federal Federal State 4th Required
I Z E. Beginning MP or road-Ending MP or road o a a Start Fund Cost by Fund State Local Total 1st 2nd 3rd thru Envir Type Date
F. Describe Work to be Done ~ mm/dd/ Code Phase Source Funds Funds Funds 6th mml
1 3 6 8 9 10 11 12 13 1 14 15 16 17 18 19 20 21
07 PE 10 10 10 10 10 30
08 County-Wide Small Capital Projects RW 5 5 5 5 5 15
09 7 CN 85 85 85 85 85 255
17
18
19 Total 2021 Pro' Cost $100,000 TOTALS 100 100 100 100 100 300
07 PE 10 10 10
08 Neighborhood Roadway Safety Grants RW
09 8 CN
17
18
19 Total 2021 Project Cost $10.000 TOTALS 10 10 10
CRP 2006 PE 1/1/2015 HSIP 4.5 0.5 5 5
Bear Creek Dewatto Road Clear Zone RW 2/1/2021 HSIP 15 15 15
07 9 Rd.No.: 79800 1.50 CN 4/1/2021 HSIP 222 318 540t54DCE 2121
From: MP 5.2 To: MP 6.7
Clear Zone Project
Total 2021 Project Cost $560,000 TOTALS HSIP 226.5 333.5 560CRP 2022 PE 12/1/2020 RCO 29 6 35Uncle Johns Upper Culvert RW 2/1/2021 10 5 1509 10 Rd.No.: 23500 CN 7/1/2021 RCO 369.48 75 444.475From: MP 0.64 To: MP 0.64
Replace existing culvert with a new structure
Total 2021 Pro ect Cost $494,475 TOTALS 408.48 86 494.475CRP 2023 PE 12/l/2020 RCO 298 52 350UncleJohnsLowerCulvert RW 1/1/2021
09 11 Rd No.:23500 _ CN 7/1/2023 2580
From MP 1.02 To:MP 1.02
Remove existing culvert and replace as needed
Total 2021 Project Cost $350,000 ITOTALS 298 52 350 350 70 2580
CRP 2024 PE 7/1/2020 RCO 29 6 35 35
Dayton Creek Culvert RW 2/1/2021 10 5 15 15 10
07 12 Rd No.:04450 _ CN 8/1/2021 RCO 369.48 75 444.475 444.5 430
From MP 0.33 To:MP 0.33
Replace existing culvert with a new structure
Total 2021 Project Cost $494,475 TOTALS 408.48 86 494.475 494.5 440
Phase F n in BRAC-Bridge Replacement Advisory Committee FLAP- Federal Lands Access Program
PE-Preliminary Engineering STP-Surface Transportation Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
RW-Right of Way HSIP-Highway Safety Improvement Program TAP-Transportation Alternatives Program Emergency Management funds
CN-Construction RATA-Rural Arterial Trust Account FBRB-Brian Abbot Fish Barrier Removal Board
Page 2 of 6
Six Year Transportation Improvement Program
Agency: Mason County From 2021 to 2026
Co.No.. 13 Co.Name.Mason County Hearing Date: 11/32020 Adoption Date:
City No. --- MPO/RTPO:Peninsula Amend Date: - Resolution No.:
Project Identification Project Costs in Thousands of Dollars Federally Funded
N D A. Federal Aid No. B. Bridge No. Fund Source Information Expenditure Schedule Projects Only
C. Project Title m h Fetleral Fundin R/W
c E a z 0. Street/Road Name of Number = Q t Phase Federal Federal State 4tlt Required
�i Z E. Beginning MP or road-Ending MP or road a a a Start Fund Cost by Fund State Local Total 1st 2nd 3rd tlru Ernir Type Date
F. Describe Work to be Done mm/dd/ Code Phase Source Funds Funds Funds 6th mm/
1 3 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21
PE 2/1/2021 STPR 730.01 9.99 740 370 370
Harstine Island Polyester Overlay RW
07 13 Rd.No.: 30000 0.10 CN 6/12021 1954.9 305.1 2260 763.3 753.3 753.33
From:0.12 To: 0.40
Deck Repair
Total 2021 Project Cost $3,000,000 TOTALS 2684.91 315.09 3000 370 1123 753.3 753.33
Clear Zone Improvements PE 5/1/2020 HSIP 89.1 9.9 99 49.5 49.5
07 Rd.No.:91100-Arcadia Road RW 7/l2021 HSIP 19.8 2.2 22 22
07 14 Rd.No: 04450-Highland Road 14.76 CN 1/312022 HSIP 984.6 109.4 1D94 54.71 54.7
07 Rd.No.: 90100-Shelton Matlock Road
08 Rd.No.: 14880-Kamilche Point Road
Total 2021 Project Cost $1,215,000 ITOTALS 1093.5 121.5 1215 49.5 71.5 54.7 54.7
CRP 1993 PE 1/1/2019 RATA 60 60 20
Shelton Matlock Road Culvert Replacement RW 9112020 20
07 15 Rd.No.: 90100-Shelton Matlock Road _ CN 7/152021 RATA
From: MP 8.00 To: MP 8.10
Replace existing culvert with a new structure
Total 2021 Project Cost $60,000 TOTALS 60 60 20 20
CRP PE 1/1/2020 200 200 200 200
Belfalr Connector-Log Yard Road E RW 10/12020 50 50 50 100
16 Rd.No.: _ CN 3/12021
From: SR3 To: Belfair Freight Corridor
Design for new construction
Total 2021 Project Cost $250,000 ITOTALS 250 250 250 300
CRP 2019 PE 6/l/2019 50 50 50
Belfalr Connector-Romance Hill RW 7/1/2020 50 50 50
09 17 Rd.No.: 86500 _ CN 3/12021
From: SR 3 To: Belfair Freight Corridor
Design for new construction
Total 2021 Project Cost $100,000 TOTALS 100 too 100
PE 1/12018 FbD 10 10 10
Skokomish Valley Road Reconstruction RW 12/2022
08 18 Rd.No.:41640 040 CN 3/1/2023 FLAP 1600 TBD
From: MP 3.8 To: MP 4.6
Road reconstruction partner w/Mason Cons Dist$8M total project cost
Total 2021 Project Cost $10.000 TOTALS 10 10 10 1600
Phase Funding BRAC-Bridge Replacement Advisory Committee FLAP- Federal Lands Access Program
PE-Preliminary Engineering STP-Surface Transportation Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
RW-Right of Way HSIP-Highway Safety Improvement Program TAP-Transportation Alternatives Program Emergency Management funds
CN-Construction RATA-Rural Arterial Trust Account FBRB-Brian Abbot Fish Barrier Removal Board
Page 3 of 6
Six Year Transportation Improvement Program
Agency: Mason County From 2021 to 2026
Co.No.: 13 Co.Name:Mason County Hearing Date: 11/3/2020 Adoption Date:
City No. --- MPO/RTPO:Peninsula Amend Date: Resolution No.:
Project Identification L Pro ect Costs in Thousands of Dollars Federally Funded
A. Federal Aid No. B. Bridge No. rn Fund Source Information Expenditure Schedule Projects Only
9 " a C. Project Title m u w Federal FundingR/W
c E D. Street/Road Name of Number V o c Phase Federal Federal State 4th Required
ri a Z E. Beginning MP or road-Ending MP or road g a a Start Fund Cost by Fund State Local Total 1st 2nd 3rd thru Envir Type Date
F. Describe Work to be Done ~ mm/dd/ Code Phase Source Funds Funds Funds 6th mm/
1 3 6 6 9 10 11 12 13 14 15 16 17 16 19 20 21
CRP 1995 PE 6/1/2019 RATA 50 5 55 55 20
North Shore Road-Cady Creek Culvert Replacement RW 1/1/2021 20
08 19 Rd.No.: 70390-North Shore Rd 0.10 CN 7/l/2022 RATA 500
From: MP 6.9 To: MP 7.0
Replace existing culvert with a new structure
Total 2021 Project Cost $55.000 TOTALS 50 5 55 55 40 500
CRP 2011 PE 6/l/2019 RATA 34 6 40 40
North Island Drive Culvert Replacement RW 1/2/2021 20
07 20 Rd.No.: 39630-North Island Drive 0.01 CN 7/15/2022 RATA 720
From: MP 3.46 To: MP 3.47
Replace existing culvert with a new structure
Total 2021 Project Cost $40,000 ITOTALS 34 6 40 40 20 720
CRP 2001 PE 10/1/2019 20 20 5 15
Homer Adams Road Culvert Replacement RW 3/1/2020 25 25 25
09 21 Rd.No.: 00610 0.10 CN 8/1/2020 500 500 500
From: MP 0.1 To: MP 0.2
Reconstruction
Total 2021 Project Cost $545,000 TOTALS 545 545 5 40 500
CRP 2021 PE 3/1/2020 RATA 10 10 20 20
North Shore Road-Great Bend Culvert Replacement RW 1/2/2022 20 20 40 40
08 22 Rd.No.: 70390 0.10 CN 7/l/2024 RATA
From: MP 16.6 To: MP 16.7
Replace existing culvert with a new structure
Total 2021 Project Cost $60,000 TOTALS 30 30 60 40 20
CRP 2020 PE 3/l/2020 RATA 8.5 1.5 10 10 50 50 10
Old Belfair Hwy RW 5/1/2023 100
08 23 Rd.No.: 98250 0.40 CN 4/1/2024 RATA j1200From: MP 1.2 To: MP 1.6
3R Improvement-Resurfacing,Restoration and Rehabilitation
Total 2021 Proect Cost $10,000 TOTALS 8.5 1.5 10 10 50
Trails Road Alternate Route-Rasor Road PE
Rd.No.62310 RW 9/3/2020 150 150 150 40
24 _ CN
From: MP. To: MP.
ROW acquisition
Total 2020 Project
roect Cost $150,000 TOTALS 150 150 150 40
WSDOT/County Intersection Feasability Study PE 40 40
Johns Prairie/SR3:Clifton Old Belfair Hwy/SR300 RW 10
07 25 Rd.No.: 0.10 CN 300
From: MP To: MP
Feasability Study
Total 2020 Project Cost $40,000 TOTALS 40 350
Phase Funding BRAC-Bridge Replacement Advisory Committee FLAP- Federal Lands Access Program
PE-Preliminary Engineering STP-Surface Transportation Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
RW-Right of Way HSIP-Highway Safety Improvement Program TAP-Transportation Alternatives Program Emergency Management funds
CN-Construction RATA-Rural Arterial Trust Account FBRB-Brian Abbot Fish Barrier Removal Board
Page 4 of 6
Six Year Transportation Improvement Program
Agency: Mason County From 2021 to 2026
Co.No.: 13 Co.Name:Mason County Hearing Date: 11/3/2020 Adoption Date
City No. --- MPO/RTPO:Peninsula Amend Date: - Resolution No.:
Project Identification r Project Costs in Thousands of Dollars Federally Funded
o m A. Federal Aid No. B. Bridge No. o, Fund Source Information Expenditure Schedule Pro'ec1 Onl
C. Project Title m N Federal Fundin R/W
c r D. Street/Road Name of Number o c Phase Federal Federal Slate 4th Required
ri Z E. Beginning MP or road-Ending MP or road o n.a Start Fund Cost by Fund State Local Total 1st 2nd 3rd thru Envir Type Date
F. Describe Work to be Done ~ mm/dd/ Code Phase Source Funds Funds Funds 6th mm/
1 3 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21
PE RAP 36.9 4.1 41 41
Shelton Valley Culvert RW 9 1 10 10
26 Rd.No.: 05930 0.12 CN 455.4 50.6 506 506 506
From: MP 1.94 To: 2.06
Replace existing culvert with new structure(winter creek)
Total 2020 Project Cost $557,000 TOTALS 501.3 55.7 557 506 41 516
Allyn Access,Circulation Easement Acquisition PE 1/2/2021 100 350
Wheelwright,Wade,and Masterson ROW RW 6/1/2022 125
27 Rd.No.:TBD _ CN 6/1/2023 3000
From: MP To: MP
ROW acquisition
Total 2020 Project Cost ITOTALS 100 475 3000
PE 1/1/2025 400
Trails Road Realignment RW 10/1f2025 50
07 28 Rd.No.:62310 040 CN 4/1/2026
From: MP 0.5 To: MP 1.6
Curve Realignment
Total 2020 Project Cost TOTALS 450
PE 6/1/2023 210
Log Yard Road W Freight Upgrade RW 7/1/2024 50
29 CN 4/1/2025 1325
3R Improvement-Resurfacing,Restoration and Rehabilitation
Total 2020 Project Cost TOTALS 1585
Mason Benson Intersection Safety PE 6/1/2021 40
RW 10
30 Rd.No.63010 0.10 CN 300
From:MP 2.5 To:MP 2.6
Improve sight distance
Total 2020 Project Cost TOTALS 350
Phase Fund/na BRAC-Bridge Replacement Advisory Committee FLAP- Federal Lands Access Program
PE-Preliminary Engineering STP-Surface Transportation Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
RW-Right of Way HSIP-Highway Safety Improvement Program TAP-Transportation Alternatives Program Emergency Management funds
CN-Construction RATA-Rural Arterial Trust Account FBRB-Brian Abbot Fish Barrier Removal Board
Page 5 of 6
Six Year Transportation Improvement Program
Agency: Mason County From 2021 to 2026
Co.No.: 13 Co.Name:Mason County Hearing Date: 11/3/2020 Adoption Date:
City No. --- MPO/RTPO:Peninsula Amend Date - Resolution No.:
Project Identification Project Costs in Thousands of Dollars Federally Funded
c A. Federal Aid No. B. Bridge No. rn Fund Source Information Expenditure Schedule Projects Only
.o E. C. Prroject Tille J6 w Federal FundingR/W
D SeRoaUo d Name of Number o Phase Federal Federal State 4th Required
LL Z E. Beginning MP or road-Ending MP or road F a a Start Fund Cost by Fund State Local Total 1st 2nd 3rd thru Envir Type Date
F. Describe Work to be Done mm/dd/ Code I Phase Source Funds Funds Funds 6th mm/
1 3 6 8 9 10 1 11 12 1 13 1 14 15 16 171 18 19 20 21
PE 6/1/2021 120
Frieght Corridor Trail RW
31 CN
3R Improvement-Resurfacing,Restoration and Rehabilitation
Total 2020 Project Cost TOTALS 120
TOTALS 4.00 4770.15 1748.8 2631.7 9150.623 3125 3285 3656 13261
Future ConsideratlonslWishlist
Completion of Trails road Alternate Route-Rasor Road in phases Log Yard Port of Bremerton Industrial Loop Connectivity Planning
Cloquallum Road MP 4.6 to 5.2 curve realignments Gravel Road Conversions
Cloquallum Road MP 6.6 to 7.2 widening Kelley Hall Road
Shelton Mattock Road MP 15.36 to 16.5 realign pave shoulders Sunny Side Road
Johns Prairie Road add paved shoulders RR tracks to old capital hill rd Eells Hill Road
Guardrail upgrades-Brockdale,MCReavy,and Johns Prairie Callifomia Road
Terrace Blvd Road and Hwy 101 intersection-partner project with WSDOT Webb Road
Brockdale and Island Lake Road intersection-partner project with City of Shelton
Illumination intersections county wide
Union Boat Launch Resurfacing
Trail near Roessel Road
New Roads Consideration
MCEwan Prairie to Brockdale 101 connection
Johns Prairie and Hwy 3 connection
Connection between Cloquallum and City Center exit
Phase F n !n BRAC-Bridge Replacement Advisory Committee FBRB-Brian Abbot Fish Barrier Removal
PE-Preliminary Engineering STP-Surface Transportation Program (Now Local Bridge Program) Board FLAP- Federal Lands Access Program
RW-Right of Way HSIP-Highway Safety Improvement Program TP-Transportation Partnerships EM-Federal Emergency Management Act and State
CN-Construction RATA-Rural Arterial Trust Account TAP-Transportation Alternatives Program Emergency Management funds
Page 6 of 6
ANNUAL CONSTRUCTION PROGRAM FOR Z021
ADMENDED MARCH 25,2021
TOTALS'S COUNTY» MASON
A TOTAL COSTRUCTION DONE-columns(13)t(14) $ 6,367,625 DATE RECOMMENDED FROG.SUBMITTED
B COMPUTED COUNTY FORCES LIMIT $ 1,270,108 DATE OF FINAL ADOPTION
C TOTAL COUNTY FORCES CONSTRUCTION-(column(14) $ 1,149,475 ORDINANCE/RESOLUTION NO.
DATE OF AMENDMENT
(1) (2) (3) (4) (5) (6) (7) (8) 1 (9) 1 (10) (11) (12) (13) (14) (15)
f o
a4 z o z z Wo F r SOURCES OF FUNDS ESTIMATED EXPENDITURES
G o zz
a 0 = ROAD SEGMENT INFORMATION 5 2 PROJECT NAME w 2 OTHER FUNDS CONSTRUCTION
Z a
w a z N COUNTY PE&CE RIGHT OF WAY GRAND TOTAL
t7 G ROAD PROGRAM COUNTY
z a AMOUNT 595.10) (595.20 CONTRACT
z o ,Z, FUNDS SOURCE ( ) FORCES (ALL 595)
4 a ROAD4 ROAD NAME BMP EMP FFC iM11e$l
Ol 1 E.Agate Road Resurfacing Project 23910 E.Agate road 1 3.10 3,78 07 0.68 D E 61,542 394,324 STP 30,000 0 425,866 0 455,866
02 2 Old Belfair Highway Resurfacing Project 98250 Old Belfair Highway 0.20 1.20 07 1,00 D E 57,890 370,919 STP 30,000 0 398,8091 0 428,809
03-_ 3 Boyer Road Resurfacing Project 3630 Boyer Road 0.00 0.50 09 0.50 RC E 50,000 0 0 0 10,000 10,000
04 4 _ Snider Road Resurfacing Project 19210 Snider Road 0,00 0.18 09 0,18 RC E 40,000 0' 0 0 40,000 40,000
05 5 Sunny Slope Road Resurfacing Project 61950 Sunny Slope Road 0.00 0,55 09 0.55 RC E 50,000 0 0. 0 50,000 50,000
J
06 6 Programmatic --
_ gr Bridge Repair Various __ _ 0.00 I E 65,000 0: 10,000 5,000 25 000. _ 25,000 65,000
07 qt
_.County-Wide Small Capital Projects Various _ 0,00 Other E 100,000 0 10,000 5,000 45,000 40,000 100,000
08 8 Neighborhood Roadway Safety Grants Various 0.00 Other E 10,000 0 10,000 10,000
09 _ 9 Bear Creek Dewatto Rd Clear Zone _ 79800 _Bear Creek Dewatto Roar 5.20 _ 6.70 _ 08 1.50 _ G I 333,500 226,500_ HSIP 5,000 30,000 525,000 0 560,000
30 _ 10 Uncle Johns Upper Culvert 23500 Agate Loop 0,64 0.64 09 0.00 L,A E 74,171 420,304 FBRB(RCO) 35,000 15,000 444,475 0 494,475
11 11 Uncle Johns Lower Culvert 23500 Agate Loop 1.02 1.02 09 0,00 L,A I 10,000 50,000 FBRB(RCO) 60,000 0 0 0 60,000
12 12 Dayton Creek Culvert 04450 ,Highland Road 0,33 0.33 07 0.00 L,A E 74,171 420,304 FBRBIRCO) 35,000 15,000 0 444,475 494,475
13 13_. Harstine Island Polyester Overlay 30000 Harstine Island Road 0.12 0,40 07 0.28 D 1 405,000 2,595,000 STPR 740,000 0 2,260,000. 0 3,000,000
14 14 _ Clear Zone Improvements _Arcadia,Highland,Mat lock,Kamilche 0.00 G 1 121,5001 1,093,500 HSIP 99000 22,000 1,094,000, 0, 1,215,000
15 15 Shelton Matlock Rd Culvert Replacement 90100 Shelton Matlock Road 8.00 8,10 07 0.10 L,A 1 60,000. 0 RAP 60,000 0 0 0 60,000
16 16 Belfair Connector-Log Yard Road E New Log Yard Road E 09 0.00 A,B,D,G S 250,000 0 200,000 50,000 0 0 250,000
17 17 _ Belfair Connector-Romance Hill 86500 Romance Hill 09 0.00 A,B,D,G S 100,000 0 50,000 50,000 0 0 100,000
18 18 _ Skokomish Valley Rd Reconstruction 41640 Skokomish Valley Road 3.80 _ 4.60 08 0.80 _A,B,D,G 1 0 10,000 FbD 10,000 0_ 0_ _ 0 10,000
19 19 North Shore Rd-Cady Creek Culy.Repl. 70390 ;North Shore Road 6.90 7,00 08 0.10 A,B,D,G 1 5,000 50,000 RAP 55,000 0 0 0 55,000
20 20 North Island Dr Culvert Replacement 39630 North Island Drive 3.46 3,47 07 0.01 l,A 1 6,000 34,000 RAP 40,000 0 0, 0 40,000
21 21 Homer Adams Rd Culvert Replacement 00610 Homer Adams Road 0.10 0.20 09 0.10 L,A 1 545,000 0 20,000 25,000 0 500,000 545,000
22 22 .North Shore Rd-Great Bend Cul,Repl. 70390 North Shore Road 16,60 16.70 08 0.10 L,A 1 60,000 0 RAP 20,0001 40,000, 0 60,000
23 _ 23 Old Belfair Highway 98250 ,Old Belfair Highway 1.20 1,60 07 0.40 L,A 1 40,000 10,000 RAP 10,000 40,000 0_ 0 50,000
24 24 Trails Road Alternate Route-Rasor Rd 62310 Rasor Road 09 0.00 Other S 150,000 0 0 150,000 0 0 150,000
25 25 WSDOT/County Intersection Fe-bility Johns Prairie/SR3,Clifton,OBH/SR300 Other S 40,000 0 40,000 40,000
PAGE/PROGRAM TOTALS,CONSTRUCTION > 2,708,774 5,674,8S1 1,4/l1,000 447,000 5,218,150 1,149,4751 8,383,625
CRAB FORM p3,MC REVISED 3/29/2021
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Richard Dickinson, Deputy Director/U&W
DEPARTMENT: Public Works EXT: 450
BRIEFING DATE: April 5, 2021
INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources
� Legal ❑ Other— please explain
ITEM: Request for Proposals: Biosolid Removal and Disposal
(Sludge Hauling Services)
EXECUTIVE SUMMARY:
Wastewater treatment facilities owned and operated by the County (Belfair, North
Bay and Rustlewood Treatment Facilities) require the occasional removal and
disposal of biosolids.
Mason County entered into an agreement with AAA Septic, LLC for hauling and
disposing of biosolids in February 2017. Public Works, U&W Management Division
proposes to advertise a Request for Proposals to procure sludge hauling services for
a period of two years, with the option to renew three additional years.
BUDGET IMPACTS:
Each adopted 2021 sewer utility budget includes funds for sludge hauling services.
RECOMMENDED OR REQUESTED ACTION:
Recommend the Board authorize the Deputy Director, Public Works/Utilities and
Waste Management to advertise a Request for Proposals for the hauling of biosolids
and execute a two-year agreement with a renewal option.
Attachment:
1. Notice
2. RFP
Mason County Public Works
Request for Proposals
Sludge Hauling Service
April 13,2021
Mason County is currently requesting proposals for the hauling of accumulated sludge from the County's
Wastewater Treatment Facilities in Belfair,Allyn and Rustlewood to the City of Shelton's Treatment
Plant located at Fairmount Avenue in Shelton,WA. Performance of work in connection with this
operation shall be for a period of two years with up to three additional(1)year automatic renewals.
The Request for Proposals is made available as follows:
Free-of-charge access to the Request for Proposals is provided to Vendors by going
to www.bxwa.com and clicking on "Posted Projects", "Public Works",and"Mason County". This
online plan room provides Bidders with fully usable online documents with the ability to: download,
view,print, order full/partial plan sets from numerous reprographic sources, and a free online
digitizer/take-off tool. It is recommended that Bidders"Register"in order to receive automatic e-
mail notification of future addenda and to place themselves on the"Self-Registered Bidders
List". Bidders that do not register will not be automatically notified of addenda and will need to
periodically check the on-line plan room for addenda issued on this project. Contact Builders
Exchange of Washington at(425)258-1303 should you require assistance with access or registration.
Mason County,in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252,42
U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal Regulations,Department of Transportation,
Subtitle A, Office of the Secretary,Part 21,nondiscrimination in federally assisted programs of the
Department of Transportation issued pursuant to such Act,hereby notifies all bidders that it will
affirmatively insure that in any contract entered into pursuant to this advertisement,disadvantaged
business enterprises will be afforded full opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race,color,or national origin in consideration for
an award.
Questions regarding the RFP or special language services shall be sent via email to
rdickinsonkco.mason.wa.us.The Mason County contact will also receive written requests for
clarification and/or interpretation for this Request for Proposal up to seven(7)business days prior to
the due date.
PUBLISH: 2-Times—Shelton-Mason County Journal 4/22/21&4/29/21
X egalsnamasoncounev.com
2-Times—Kitsap Sun 422/21&4/29/21
2-Times—Daily Journal of Commerce 4/2221&42921
le als 4 c.com
Bill: Mason County
Department of Public Works—U&W Management
100 W Public Works Drive
Shelton,WA 98584
COUNTY OF MASON
DEPARTMENT OF PUBLIC WORKS
REQUEST FOR PROPOSALS
SLUDGE HAULING SERVICES
April 13,2021
Proposal
Mason County is currently requesting proposals for the hauling of accumulated sludge from the County's
Wastewater Treatment Facilities in Belfair,Allyn and Rustlewood;transporting sludge to the City of Shelton's
Treatment Plant located at Fairmount Avenue in Shelton,Washington.ADDITIONAL TRANSPORTING SITES
MAY BE INCLUDED IN THIS CONTRACT although that is not anticipated.
The Contractor shall provide all equipment,materials,supplies and labor to successfully carry out the requirements
of this service agreement.The cost and availability are important considerations in the process of selecting a
Contractor,but not the only considerations.Other factors include:responsiveness to the RFP qualifications,track
record of successes at other municipalities,identification and understanding of the County's requirements as
embodied within this RFP,and experience and qualifications of key personnel.
Backeround and Need
Mason County is responsible for the maintenance and operation of three wastewater treatment facilities;the Belfair
WRF(Belfair),the Rustlewood WTP(Grapeview)and the North Bay/Case Inlet WRF(Allyn).These facilities need
routine hauling of sludge to keep the systems operating effectively. The solids percentage at each of these facilities
is expected to be between 1—4%. In 2019 Mason County hauled 4794,853 gallons of sludge. In 2020 Mason
County hauled 527,319 gallons of sludge. The sludge will be delivered to the City of Shelton treatment facility and
processed into Class A biosolids.
The truck tanks used to haul sludge will be rinsed out prior to taking any sludge from a Mason County facility. The
tanks shall not have any inorganic non-biodegradable items like paper,band-aids,clothing material,or plastics in
them prior to accepting sludge from a Mason County Facility.
Requirements
The original proposal(of no more than 6 pages)and four(4)copies must be submitted to Public Works in a sealed
envelope by 4:00 p.m.on May 6,2021 and clearly marked:Sludge Hauling Services. Proposals should be delivered
to:
Mason County Public Works
Attn:Richard Dickinson
100 W Public Works Drive,Bldg 1
Shelton,WA 98584
Proposals received after the deadline will not be considered.Any proposal received,after the scheduled closing time,
shall be returned to the vendor unopened.Proposals may be sent by mail or turned in personally;however,if sent by
mail,the responsibility for delivering a proposal to the County before the deadline is wholly upon the vendor.
A vendor may not withdraw its proposal after it is formally opened by a representative from the County.
Vendor shall provide a cost per gallon for the hauling of sludge from each facility to the Shelton Treatment Plant.
Vendor shall include in its proposal all applicable local,city,state and federal taxes.It is the vendor's obligation to
state,on their proposal sheet,the correct percentage and total applicable federal,state,city and local taxes. Taxes
shall not be imbedded in other costs in the proposal but shall be explicitly expressed.
The cost per gallon will not include the dumping fee. The County will pay the City of Shelton directly for the cost of
processing sludge from County facilities. Any costs to the Vendor to rinse out Vendor trucks prior to receiving the
sludge will be included in the bid price per gallon. This contract is subject to state prevailing wage requirements and
Vendor must pay prevailing wages for all employees working on this job.
Page 1 of 8
Costs
Those submitting proposals do so entirely at their expense.There is no expressed or implied obligation by the Mason
County to reimburse any individual or firm for any costs incurred in preparing or submitting proposals,providing
additional information when requested by the Mason County,or for participating in any selection interviews.
Inquiries
Vendors with questions about the proposal or needs language services may contact Richard Dickinson at(360)427-
9670,ext.652,or by email at rdickinsonaco.mason.wa.us. The Mason County contact will also receive written
requests for clarification and/or interpretation for this Request for Proposal up to seven(7)business days prior to the
due date.
Proposed Schedule
Publish RFP....................................... April 22,2021 &April 29,2021
Proposal Due .....................................Thursday,May 13,2021 at 4 PM
Anticipated Award Announcement............ Tuesday May 24,2021
Anticipated Contract Start Date................Wednesday June 1,2021
Proposal Format
In order to thoroughly analyze the responses to the RFP,vendors are required to prepare their proposals in
accordance with the instructions outlined in this section.Vendors whose proposals deviate from these instructions
may be considered non-responsive and may be disqualified at the discretion of Mason County.
Vendors must present their products,services and applicable features in a clear and concise manner that
demonstrates the vendors' capabilities to satisfy the requirements of this RFP.Emphasis should be concentrated on
accuracy,clarity,comprehensiveness and ease of identifying pertinent information and suitability of the product and
services.The proposal should be organized into the following major sections.Instructions relative to each section are
defined in Proposal Requirements.
Letter of Transmittal
Vendor Profile
Bid Proposal"Attachment#1"
Statement of Intent to Pay Prevailing Wage as applicable
Client References
Mason County hereby notifies all parties that it will affirmatively insure that in any contract agreement entered into
pursuant to this advertisement,minority business enterprises will be afforded full opportunity to submit bids in
response to this invitation,and will not be discriminated against on the grounds of race,color,sex,or national origin
or sex in consideration for an award.
Agreement for hauling of sludge will be for a period beginning upon approval of the applicable contract agreement
by the Public Works Department and expiring two years from that date,with three(3)one-year automatic renewals if
there are no cost changes or request to terminate.If the contractor requests cost changes it must be approved by the
Board and be in writing 60-days before the two-year agreement or renewal meets the expiration date,at that current
time.
The Contractor whose proposal is accepted shall provide the necessary Performance Bond and Liability
Insurance prior to contract agreement approval. The Contractor shall also provide trip tickets
demonstrating volumes hauled per trip. Such trip tickets shall be submitted to the County with each invoice
submittal by the Contractor.
The Contractor shall also provide a Statement of Intent to Pay Prevailing Wages if required.
Page 2 of 8
PROPOSAL REQUIREMENTS
Vendor Profile
Please provide a vendor profile that indicates the number of staff,year's established and key personnel.In addition,
please provide relevant experience of your firm in performing similar work.
Bid Proposal(Attachment"1")
The contract award will be based on the cost per gallon to Mason County for hauling of sludge including all
applicable taxes.
Client References
Please provide a list of at least three municipalities or wastewater utilities that use your services that are comparable
in size and scope to this request.Please include names and phone numbers of responsible individuals who can be
contacted.
Performance Bond
The Proposer shall provide Mason County with a Performance Bond or Letter of Credit from a bank or other
approved financial institution in an amount of$10,000.00.Said Bond or Letter of Credit shall be furnished to Mason
County on or before the effective date of this agreement,and shall be subject to the approval of the Mason County
Prosecuting Attorney.
Wastewater Facility Locations
Services shall be hauled from the following locations:
Belfair WRF North Bay/Case Inlet WRF Rustlewood WWTP
25200 NE SR 3 1001 E Reclamation Ridge Rd. I I I E Rustle Way
Belfair,WA 98528 Allyn,WA 98524 Grapeview,WA 98546
Method of Payment
Payment will be made within 30 days of receipt of invoice delivery to the County,assuming the services provided
were accepted and that proper and correct billing has been received by the Mason County Department of Public
Works/Utilities&Waste Management(100 W Public Works Drive,Shelton,WA 98584)before the 5th of each
month.
Mason County,in accordance with Title VI of the Civil Riehts Act of 1964
78 Stat.252,42 U.S.C.2000d to 2000d4 and Title 49,Code of Federal Regulations,Department of Transportation,
Subtitle A,Office of the Secretary,Part 21,nondiscrimination in federally assisted programs of the Department of
Transportation issued pursuant to such Act,hereby notifies all bidders that it will affirmatively insure that in any
contract entered into pursuant to this advertisement,disadvantaged business enterprises will be afforded full
opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race,
color,or national origin in consideration for an award.
Regulation Compliance Requirements
All materials handling including handling,transportation,storage,deposition,disposal,and utilization will be subject
to current state and county regulatory codes. All activities will be conducted in accordance with applicable codes
and their intent to prevent illegal handling and disposal practices,and the resulting contamination from the same,
vector breeding,hazardous materials handling,and aesthetic and other public nuisances.
Insurance
At a minimum,the Contractor shall provide insurance that meets or exceeds the requirements detailed in
"Attachment#2,Insurance Requirements."
Equipment Inspections
The County shall have the right to conduct an on-site inspection of the Contractor's equipment prior to award.
Page 3 of 8
Evaluation Criteria
Mason County requires a vendor that is responsive. Please include in your proposal the following:
1. Relevant Experience of your firm in performing similar work
2. Schedule Availability
3. Costs of providing the services
4. Outline of intended data reporting procedures for collection
5. References
Final Ranking and Selection
A committee will make a recommendation for the award of the contract to the vendor whose proposal is determined
to be the most suitable for the County,considering all the criteria as set forth in this Request for Proposal.
Discussions: Best and Final Proposer
The Committee reserves the right to recommend a vendor for contract award based exclusively upon the written
proposal,without further discussions.Should the Committee determine that further discussions would be in the best
interest of the County,the Committee shall establish procedures and schedules for conducting discussions and/or
presentations and will notify specific vendors.When in the best interest of the County,the Committee may permit all
qualified vendors,those who meet the mandatory criteria,to revise their proposals by submitting"best and final'
Proposal.
Reiection of Proposal
Mason County reserves the right to reject any and or all proposals,and waive any informality in proposals.
Service Agreement Structure
A negotiated Service Agreement will define the relationship between the County and the selected Contractor. The
initial Agreement will be for a period of 24 months with(3)one-year automatic renewals at the end of the 24 months,
unless either party gives the other written notice of termination or cost changes at least 60-days prior to the end of
the relevant term.Any negotiation of pricing in one of the renewal terms would require an agreement amendment
and approval by the Board.A renewal will not be for less than yearly increments. The Agreement will include
specific guarantees and stipulations to be met by the selected Contractor and the County.
Page 4 of 8
ATTACHMENT#1
BID PROPOSAL TO
MASON COUNTY
DEPARTMENT OF UTILITIES AND WASTE MANAGEMENT
TO PROVIDE
SLUDGE HAULING SERVICES
Furnish Sludge Hauling Services to the Mason County Department of Public Works as described in the proposal
information. Service shall be between the Belfair Wastewater Reclamation Facility located in Belfair,WA,the
North Bay/Case Inlet Wastewater Treatment Facility located in Allyn,WA and the Rustlewood Water and
Wastewater Treatment Facility,located in Grapeview,WA.
BID:
Hauling sludge in compliance with the attached Provisions.
Initial delivery of service shall be within thirty working days after receiving a notice to proceed.
Belfair Water Reclamation Facility
Bid price: cost per gallon $
Sales Tax(cost per gallon) $
North Bay/Case Inlet Water Reclamation Facility
Bid price: cost per gallon $
Sales Tax(cost per gallon) $
Rustlewood Wastewater Treatment Plant
Bid price: cost per gallon $
Sales Tax(cost per gallon) $
Bidder's Service Facility is located at:
Company: Phone:
Address: Email:
Submitted by:
Signature
Printed Name and Title
NOTE: Should the Grand Total Amount exceed the budget for this project,the County reserves the right to decrease
the work or make other changes in the work as necessary.Mason County will incorporate the bid proposal as part of
the Contract Agreement.
Page 5 of 8
ATTACHMENT#2
INSURANCE REQUIREMENT
For the duration of this Agreement the Contractor shall maintain in effect all insurance as required herein and comply
with all limits,terms and conditions stated therein. Work under this Agreement shall not commence until evidence
of all required insurance and bonding is provided to the County. Evidence of such insurance shall consist of a
completed copy of the Certificate of Insurance signed by the insurance agent for the Contractor and returned to the
Mason County Deputy Director of Utilities/Waste Management. If for any reason,any material change in the
coverage occurs during the course of this Agreement;such change will not become effective until 45 days after
Mason County receives written notice of such change. The policy shall be endorsed and the certificate shall reflect
that Mason County is an additional insured on the Contractor's general liability policy with respect to activities under
this Agreement. The policy shall provide and the certificate reflect that the insurance afforded applies separately to
each insured against whom a claim is made or suit is brought except with respect to limits of the company's liability.
It is the responsibility of the Contractor to provide fire insurance for any equipment used by the Contractor. This fire
insurance shall cover the entire replacement value of the equipment insured.
A.MINIMUM Insurance Requirements:
1. Commercial General Liability Insurance using Insurance Services Office"Commercial General Liability"policy
form CG 00 01,with an edition date prior to 2004,or the exact equivalent.Coverage for an additional insured
shall not be limited to its vicarious liability.Defense costs must be paid in addition to limits.Limits shall be no
less than two million dollars($2,000,000)per occurrence for all covered losses and no less than five million
dollars($5,000,000)general aggregate,for bodily injury,personal injury,and property damage,including
without limitation,blanket contractual liability.
2. Workers' Compensation on a state-approved policy form providing statutory benefits as required by law with
employer's liability limits for the Contractors,with two(2)or more employees and/or volunteers,no less than
$1,000,000 per accident for all covered losses.
3. Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including owned,non-owned and hired
autos,or the exact equivalent.Limits shall be no less than five million dollars($5,000,000)per accident,
combined single limit.If Contractor owns no vehicles,this requirement may be satisfied by a non-owned auto
endorsement to the general liability policy described above.If Contractor or the Contractor's employees will use
personal autos in any way on this project,Contractor shall obtain evidence of personal auto liability coverage for
each such person.
4. Contractor's Pollution Liability Insurance shall be written with limits not less than five million dollars
($5,000,000)combined single limit per occurrence for bodily injury,personal injury,property damage,cleanup
costs and legal defense expenses.
5. Umbrella or excess liability policies shall provide coverage at least as broad as specified for underlying
coverages and covering those insured in the underlying policies.Coverage shall be"pay on behalf',with defense
costs payable in addition to policy limits.There shall be no cross liability exclusion of claims or suits by one
insured against another.
B.Certificate of Insurance:
A Certificate of Insurance naming County as the Certificate Holder must be provided to County within five(5)days
of Contract execution.
C.Basic Stipulations:
1. Contractor agrees to endorse third party liability coverage required herein to include as additional insureds
County,its officials,employees and agents,using ISO endorsement CG 20 10 with an edition date prior to 2004.
Contractor also agrees to require all Contractors,subcontractors,and anyone else involved in this Contractor on
behalf of the Contractor(hereinafter"indemnifying parties")to comply with these provisions.
Page 6 of 8
2. Contractor agrees to waive rights of recovery against County regardless of the applicability of any insurance
proceeds,and to require all indemnifying parties to do likewise.
3. All insurance coverage maintained or procured by Contractor or required of others by Contractor pursuant to
this Contract shall be endorsed to delete the subrogation condition as to County,or must specifically allow the
named insured to waive subrogation prior to a loss.
4. All coverage types and limits required are subject to approval,modification and additional requirements by
County.Contractor shall not make any reductions in scope or limits of coverage that may affect County's
protection without County's prior written consent.
5. Contractor agrees to provide evidence of the insurance required herein,satisfactory to County,consisting of:a)
certificate(s)of insurance evidencing all of the coverages required and,b)an additional insured endorsement to
Contractor's general liability policy using Insurance Services Office form CG 20 10 with an edition date prior to
2004.Contractor agrees,upon request by County to provide complete,certified copies of any policies required
within 10 days of such request.County has the right,but not the duty,to obtain any insurance it deems necessary
to protect its interests.Any premium so paid by County shall be charged to and promptly paid by Contractor or
deducted from sums due Contractor.Any actual or alleged failure on the part of County or any other additional
insured under these requirements to obtain proof of insurance required under this Contract in no way waives any
right or remedy of County or any additional insured,in this or in any other regard.
6. It is acknowledged by the parties of this Contract that all insurance coverage required to be provided by
Contractor or indemnifying party,is intended to apply first and on a primary non-contributing basis in relation to
any other insurance or self-insurance available to County.
7. Contractor agrees not to self-insure or to use any self-insured retentions on any portion of the insurance required
herein and further agrees that it will not allow any indemnifying party to self-insure its obligations to County.If
Contractor's existing coverage includes a self-insured retention,the self-insured retention must be declared to
the County.The County may review options with Contractor,which may include reduction or elimination of the
self-insured retention,substitution of other coverage,or other solutions.
8. Contractor will renew the required coverage annually as long as County,or its employees or agents face an
exposure from operations of any type pursuant to this Contract.This obligation applies whether or not the
Contract is canceled or terminated for any reason.Termination of this obligation is not effective until County
executes a written statement to that effect.
9. The limits of insurance as described above shall be considered as minimum requirements. Should any coverage
carried by Contractor or a subcontractor of any tier maintain insurance with limits of liability that exceed the
required limits or coverage that is broader than as outlined above,those higher limits and broader coverage shall
be deemed to apply for the benefit of any person or organization included as an additional insured and those
limits shall become the required minimum limits of insurance in all Paragraphs and Sections of this Contract.
10. None of the policies required herein shall be in compliance with these requirements if they include any limiting
endorsement that has not been first submitted to County and approved of in writing.
11. The requirements in this Exhibit supersede all other sections and provisions of this Contract to the extent that
any other section or provision conflicts with or impairs the provisions of this Exhibit.
12. Unless otherwise approved by County,insurance provided pursuant to these requirements shall be by insurers
authorized to do business in Washington and with a minimum A.M.Best rating of A-:VII.
13. All insurance coverage and limits provided by Contractor and available or applicable to this agreement are
intended to apply to the full extent of the policies.Nothing contained in this Contract limits the application of
such insurance coverage.
Page 7 of 8
14. Contractor agrees require insurers,to provide notice to County thirty(30)days prior to cancellation of such
liability coverage or of any material alteration or non-renewal of any such coverage,other than for non-payment
of premium.Contractor shall assure that this provision also applies to any subcontractors,joint ventures or any
other party engaged by or on behalf of contractor in relation to this agreement.Certificate(s)are to reflect that
the issuer will provide thirty(30)days'notice to County of any cancellation of coverage.
15. County reserves the right at any time during the term of the Contract to change the amounts and types of
insurance required by giving the Contractor ninety(90)days advance written notice of such change.If such
change results in substantial additional cost to the Contractor,the County and Contractor may renegotiate
Contractor's compensation.
16. Requirements of specific coverage features are not intended as limitation on other requirements or as waiver of
any coverage normally provided by any given policy. Specific reference to a coverage feature is for purposes of
clarification only as it pertains to a given issue and is not intended by any party or insured to be all-inclusive.
17. Contractor agrees to provide immediate notice to County of any claim or loss against Contractor arising out of
the work performed under this agreement.County assumes no obligation or liability by such notice,but has the
right(but not the duty)to monitor the handling of any such claim or claims if they are likely to involve County.
Page 8 of 8
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Judge Cobb, Renee Cullop
DEPARTMENT: Therapeutic Courts - EXT: 296
BRIEFING DATE: 04/05/2021
PREVIOUS BRIEFING DATES: N/A
If this is a follow-up briefin��lease—provide onl new information
INTERNAL REVIEW (please check all that apply):
❑ Budget/Finance E Human Resources � Legal Ll Other — please explain
ITEM: Subaward Agreement — GRT21689 between Washington State Administrative Office of the
Courts and Mason County Superior Court
EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions)
Mason County Family Recovery Court was granted a Subaward from the Washington
State Administrative Office of the Courts over a 3 year period. This grant is to hire a
caseworker to work closely with the AOC court research associate to collect data and
evaluate the effectiveness of the Mason County Model and to collaborate with the AOC
training court analyst to develop materials and training to facilitate replication of the
Mason County FRC Model in other rural courts. Purchase of technology for education and
employment; Vocational training scholarships to enable parents to pursue job training and
certifications. Purchase of storage shed. Contract for instructors to provide life skill
classes.
BUDGET IMPACT:
Will increase Mason County FRC Budget $243,084 over a 3 year period 2021-2023
PUBLIC OUTREACH: (Include any legal requirements,direct notice,website, community meetings,etc.)
RECOMMENDED OR REQUESTED ACTION•
Requesting to have Subaward Agreement-• GRT21689 approved and signature supplied
by a Mason County Commissioner. This agreement had been sent to Tim Whitehead for
review and approval. Approved by Mr. Whitehead on 3/26/2021
ATTACHMENTS:
Subaward Agreement - GRT21689 and Email from Tim Whitehead of approval.
Briefing Summary 3/29/2021
Renee Cullop
From: Tim Whitehead
Sent: Friday, March 26, 2021 7:32 AM
To: Renee Cullop
Subject: RE:Agreement for Review and Signature: GRT21689-Mason Superior Subaward and
attachments
Looks good.
Thanks
Timothy W Whitehead
Mason County Prosecutor's Office
Chief Deputy Prosecuting Attorney
P:(360)427-9670 ext.417
F: (360)427-7554
From: Renee Cullop
Sent: Thursday, March 25, 2021 1:51 PM
To: Tim Whitehead <TimW@co.mason.wa.us>
Subject: FW:Agreement for Review and Signature: GRT21689-Mason Superior Subaward and attachments
Tim,
I am forwarding you this email, as the Mason County Farnily Recovery Court was subawarded funds from as
Administrative Office of the Courts Grant that they received. Would you please review the contract and let me know if
we are good to go so I may set up a briefing with the County Commissioners. Have a great day.
From: Sutter,Jonathan <Joiatha .Sutter a)courts.wa.Rov>
Sent: Wednesday, March 24, 2021 11:32 AM
To: Renee Cullop<ReneeCC)co.mason.wa.us>
Cc: Bricker, Cindy<Cindy_Brickercourts.wa.,gpv>
Subject:Agreement for Review and Signature: GRT21689-Mason Superior Subaward and attachments
Hello,
Attached, please find your agreement with the Administrative Office of the Courts for review and signature.
To indicate your acceptance, please return a scanned copy of the signed agreement by replying to this e-mail
or to contractsCa.courts.wa.gov.
When we have counter-signed the agreement, we will send an electronic copy of the fully executed document
for your records,
The A19-1A Invoice Form may be used as your invoice and has been included for your convenience.
Thank you,
i
Contracts Officer
Administrative Office of the Courts
PO Box 41170
Olympia,WA 98504-1170
360-705-5265 Fax 956-5700
httt)://WWW.C:OLirts-wa.gov/Mgmt Services Division
2
Renee Cullop
From: Sutter, Jonathan <Jonathan.Sutter@courts.wa.gov>
Sent: Wednesday, March 24, 2021 11:32 AM
To: Renee Cullop
Cc: Bricker, Cindy
Subject: Agreement for Review and Signature: GRT21689-Mason Superior Subaward and
attachments
Attachments: A19 WITH Ai DRESS.PUF; GRT21689-Mason Superior Subaward and Attachments .pdf
Hello,
Attached, please find your agreement with the Administrative Office of the Courts for review and signature.
To indicate your acceptance, please return a scanned copy of the signed agreement by replying to this e-mail
or to contracts@courts.wa.aov.
When we have counter-signed the agreement, we will send an electronic copy of the fully executed document
for your records.
The A19-1A Invoice Form may be used as your invoice and has been included for your convenience.
Thank you,
�t�nas,c tyre 4Q,-et,2
Contracts Offices
Administrative Office of the Courts
PO Box 41170
Olympia, VVA 98504-1170
360-705-5265 Fax 956-5700
ht !ww�r.rourfs_wa. Ov[Mgmt Services Division
t
SUBAWARD AGREEMENT - GRT21689
BETWEEN
WASHINGTON STATE ADMINISTRATIVE OFFICE OF THE COURTS
AND
MASON COUNTY SUPERIOR COURT
THIS SUBAWARD AGREEMENT (Agreement) is made by and between, Washington
State Administrative Office of the Courts (AOC) and Mason County Superior
Court, (Subawardee), (collectively as the Parties and individually each as a Party).
The Parties hereby enter into this Agreement whereby Subawardee will perform certain
services for, and provide product deliveries to, AOC as specified herein, in support of
the Office of Justice Programs, Department of Justice Cooperative Agreement -
Award Number: 2020-AR-BX-K001, Statewide Support for Effective Family Treatment
Courts and Services, dated October 1, 2020, CFDA Number 16,383 (attached and
incorporated herein as Attachment A) The Subawardee is subject to the terms and
conditions specified in Attachment A and agrees to the following terms and conditions.
1. SCOPE OF WORK
Pursuant to the terms and conditions of this Agreement, Subawardee agrees to
provide all necessary facilities, personnel, equipment and materials to accomplish
this Statement of Work (SOW).
As part of this contract, Subawardee will:
a. Hire a second case manager position for the term of the contract;
b. Work closely with the AOC court research associate to collect data and
evaluate the effectiveness of the Mason County model;
c. Collaborate with the AOC training court analyst to develop materials and
trainings to facilitate replication of the Mason County FRC model in other rural
courts;
d. Work with and support integration of the Family Connections program,
including collecting data on referrals;
e. Purchase technology for an education and employment computer bank to
support participants in job searches, resume writing, etc.;
f. Purchase and install a storage shed to contain donated furniture and
household items for Family Treatment Court families moving into stable
housing;
g. Provide vocational training scholarships to enable parents to pursue job
training and certifications;
h. Contract for instructors to provide life skills class instruction to include family
planning and infant CPR.
2. TERM AND PERIOD OF PERFORMANCE
This Agreement shall commence on upon signature of both parties, and will continue
GRT21689 Page 1 of 6
through September 30, 2023, unless otherwise terminated (Term). The actual
period of performance for this Agreement will be determined by the SOW.
Notwithstanding the foregoing, this Agreement and all its terms and conditions shall
remain in full force and effect until all deliverables are completed or otherwise
terminated, and this Agreement is terminated and/or completed.
The subawardee shall provide a final programmatic narrative report detailing the
activities and outcomes of the projects funded by the award on the Award End Date.
Such report shall describe subawardee's progress in achieving the purposes of the
grant and a detailed financial accounting of all grant funds.
3. QUALITY ASSURANCE AND QUALITY CONTROL
Subawardee is responsible for compliance with the AOC Sub-Recipients Monitoring
Policy (Attachment C). Subawardee will:
(a) Carry out program activities as stipulated in this Agreement;
(b) Have adequate internal controls to protect federal funds;
(c) Claim reimbursement only for costs that are allowable, reasonable, allocable,
and necessary under program guidelines;
(d) Identify any conflicts of interest that exist; and
(e) Maintain required supporting documentation/records.
Subawardee also agrees to fully cooperate with all monitoring and review activities
required under the Sub-Recipients Monitoring Policy, and any reasonable request
for information or documentation from AOC's program manager.
4. COMPENSATION AND PAYMENT
The subaward amount is $243,084. AOC will distribute funds per Attachment B -
Mason FTC Budget (attached and incorporated herein as Attachment B) for the
performance of work as set forth above. This amount includes expenses necessary
or incidental to performing the items under the Statement of Work, including, but not
limited to, travel, lodging and per diem related expenses. Contractor will submit an
invoice after the completion and acceptance of each deliverable noted above.
BILLING PROCEDURES
Contractor will submit properly prepared itemized invoices via email to AOC
Financial Services at MSDFinancialServices@courts.wa.gov. Invoices shall be
submitted no more frequently than once a month. Incorrect or incomplete invoices
shall be returned by AOC to Contractor for correction and reissuance, The invoices
shall describe and document to AOC's reasonable satisfaction a description of the
work performed the progress of the project, and fees. All Invoices shall provide and
itemize, at a minimum, the following:
A. Contract Number GRT21689;
B. Contractor name, address, phone number;
C. Contractor Federal tax Identification Number;
GRT21689 Page 2 of 6
D. Description of Services provided-
E. Date(s) Services were provided;
F. Total Invoice Price.
Payment will be considered timely if made by the AOC within thirty (30) calendar
days of receipt of a properly prepared invoice. No invoice shall be submitted until
after a deliverable has been accepted by the AOC Project Manager. Payment shall
be sent to the address designated by the Contractor.
The AOC may, in its sole discretion, terminate the contract or withhold payments
claimed by the Contractor for services rendered if the Contractor fails to satisfactorily
comply with any term or condition of this contract.
No payments in advance or in anticipation of services or supplies to be provided
under this contract shall be made by the AOC.
5. SAFEGUARDING OF INFORMATION
The use or disclosure by the Contractor of any information obtained as a result of
performance under this contract concerning the AOC or the Court for any purpose
not directly connected with the administration of the AOC's, the Court's or the
Contractor's responsibilities with respect to services provided under this contract is
prohibited except by written consent of the AOC or the Court..
6. CONFLICT OF INTEREST
Subawardee warrants that at the date of execution of this Agreement, no
organizational conflict of interest exists or is likely to arise in the performance of its
obligations under the Subcontract. Subawardee warrants that it shall advise AOC
immediately if a conflict of interest arises in the future.
7. PROJECT MANAGEMENT
The Project Manager for each of the parties shall be the contact person for all
communications regarding the performance of this Contract.
C_AOC Project Manager Contractor Project Manager
Cindy Bricker Renee Cullop
PO Box 41170 419 N 4th
Olympia, WA 98504-11 70 Shelton, WA 98584
cindy.bricker@courts.wa.gov ReneeC@co.mason.wa.us
(360) 705-5306 (360) 427-9670
8. ASSIGNMENT. Subawardee agrees that none of the deliverables to be furnished
under this Agreement shall be assigned or subcontracted (including to independent
consultants) without the prior written permission of AOC.
GRT21689 Page 3 of 6
9. TERMINATION
A. Termination for Default
The AOC may, by written notice, terminate this contract, in whole or in part,
for failure of the Contractor to perform any of the obligations or provisions
required by the contract. In the event of default, the Contractor shall be liable
for damages as authorized by law, including but not limited to, any cost
difference between the original contract and the replacement or cover
contract and all administrative costs directly related to the replacement
contract, e.g., cost of the competitive bidding, mailing, advertising and staff
time; Provided, that if (i) it is determined for any reason the Contractor was
not in default, or (ii) the Contractor's failure to perform is without Contractor's
and/or Subcontractor's control, fault, or negligence, the termination shall be
deemed to be a Termination for Convenience.
B. Termination for Convenience
Except as otherwise provided in this contract, the AOC may terminate this
contract by providing written notice of such termination to the Contractor,
specifying the effective date thereof, at least five (5) calendar days prior to
such date. If this contract is so terminated, the AOC shall be liable only for
payment for services rendered prior to the effective date of termination.
10. DISPUTES. The Parties agree to attempt to resolve any dispute arising under this
Agreement first by elevating the matter to appropriate levels of management within
each organization. Subawardee agrees that pending any decision, appeal or
judgment on the settlement of any dispute arising under this Agreement,
Subawardee shall proceed diligently with the performance of this Agreement.
11. INDEMNIFICATION
The Contractor shall defend, protect, and hold harmless the state of Washington,
the AOC, or any employees thereof, from and against all claims, suits or actions
arising from the Contractor's acts which are libelous or slanderous, which result in
injury to persons or property, which violate a right of confidentiality, or which
constitute an infringement of any copyright, patent, trademark or trade name
through use or reproduction of material of any kind.
12. FORCE MAJEURE
Neither Contractor nor AOC shall be liable or responsible for delays or failures in
performance resulting frorn events beyond the reasonable control of such party and
without fault or negligence of such party. Such events shall include but not be
limited to strikes, lockouts, riots, acts of war, epidemics, pandemics, acts of
government, fire, power failures, nuclear accidents, earthquakes, unusually severe
weather, acts of terrorism, or other disasters, whether or not similar to the
foregoing, and acts or omissions or failure to cooperate of the other party or third
parties (except Subcontractors).
GRT21689 Page 4 of 6
13. REPRESENTATION AND CERTIFICATIONS. Subawardee shall complete all
required Representations and Certifications as they apply to this Agreement, if any.
Subawardee further agrees that it will provide additional or annual Representations
and Certifications as may be requested by AOC in connection with this Agreement,
and also agrees to promptly notify AOC of any changes which modify the information
contained in any such Representations and Certifications.
14. COMPLIANCE WITH LAWS. Subawardee shall comply with all applicable Federal,
State, and local laws, executive orders, rules and regulations applicable to its
performance under this Agreement.
15. INDEPENDENT CONTRACTORS. Subawardee is an independent contractor in
relation to AOC with respect to all matters arising under this Agreement. Nothing
herein shall be construed to establish a partnership, joint venture, association or
employment relationship between the parties. Neither Party shall be deemed to be
an agent of the other or to have any authority to bind or create any obligation, express
or implied, on behalf of the other.
16. WHOLE AGREEMENT. This Agreement and the SOW attached hereto contain and
embody the entire agreement of the Parties hereto and supersede all prior
agreements, negotiations and discussions between the Parties hereto. Any
representation, inducement or agreement that is not contained in this Agreement
shall not be of any force or effect. Except as otherwise expressly provided in this
Agreement, this Agreement may not be modified or changed in whole or in part in
any manner other than by an instrument in writing duly signed by both Parties hereto.
17. NO PUBLICITY. No news releases, public announcement, Customer(s) names,
denial or confirmation of any part of the subject matter of this Agreement or any phase
of any program hereunder shall be made without the prior written consent of AOC.
The restrictions of this section shall continue in effect upon completion or termination
of this Agreement for such period of time as may be mutually agreed upon in writing
by the Parties. In the absence of a written established period, no disclosure is
authorized.
18. GOVERNING LAW/VENUE. This Agreement will be governed by and construed and
enforced in accordance with the laws of Washington without giving effect to the
principles of conflict of laws thereunder.
19. EXECUTION IN COUNTERPARTS. This Agreement may be executed in one or
more counterparts and each counterpart shall constitute one and the same
Agreement.
20. WAIVER. No Party shall be deemed to have waived any right hereunder unless such
waiver is in writing, and the waiver or failure of either Party to exercise in any respect
any right provided for herein shall not be a waiver of any further right hereunder.
21. SEVERABILITY. If any portion of this Agreement is held or determined to be invalid
GRT21689 Page 5 of 6
or unenforceable, the remaining provisions shall continue in full force and effect as if
this Agreement had been executed within the invalid portion eliminated.
22. HEADINGS. Any headings used in this Agreement are for purposes of organization
only and have no independent legal significance.
In WITNESS WHEREOF, the parties hereto have caused this instrument to be signed
as of the day and year below written.
Administrative Office of the Courts Subawardee
Signature Date Signature Date
_Dawn Marie Rubio_ __
Name
Name
-----------------------------
State Court Administrator _ __ ___
Title Title
ORT21689 Page 6 of 6
Department of Justice(DOJ)
Office of Justice Programs Attachment A - GRT21689
Office of the Assistant Attorney General Washinginn,D.C, 20531
Ms.Cindy Bricker
Washington Administrative Office of the Courts
P.O.Box 41172
Olympia,WA 98504-1172
Dear Ms.Bricker:
On behalf of Attorney General William P.Barr,it is my pleasure to inform you that the Office of Justice Programs(OJP),U.S.
Department of Justice(DOJ),has approved the application by Washington Administrative Office of the Courts for an award
under the OR funding opportunity entitled"Category3:State and County Family Drug Courts Expansion." The approved
award amount is S1,750,000. These funds are for the project entitled Statewide Support for Effective Family Treatment Courts
and Services.
The award document,including award conditions,is enclosed. The entire document is to be reviewed carefully before any
decision to accept the award. Also,the webpage entitled"Legal Notices:Special circumstances as to particular award
conditions"(ojp.gov/funding/Explore/LegalNotices-AwardRegts.litm)is to be consulted prior to an acceptance. Through that
"Legal Notices"webpage,OR sets out--by funding opportunity--certain special circumstances that may or will affect the
applicability of one or more award requirements. Any such legal notice pertaining to award requirements that is posted
through that webpage is incorporated by reference into the award.
Please note that award requirements include not only award conditions,but also compliance with assurances and certifications
that relate to conduct during the period of performance for the award. Because these requirements encompass financial,
administrative,and programmatic matters,as well as other important matters(e.g.,specific restrictions on use of funds),it is
vital that all key staff know the award requirements,and receive the award conditions and the assurances and certifications,as
well as the application as approved by OJP. (Information on all pertinent award requirements also must be provided to any
subrecipient of the award.)
Should Washington Administrative Office of the Courts accept the award and then fail to comply with an award requirement,
DOJ will pursue appropriate remedies for non-compliance,which may include termination of the award and/or a requirement
to repay award funds.
Please direct questions regarding this award as follows:
For program questions,contact Kathryn Barry,Program Manager at(202)514-6019;and
For financial questions,contact the Customer Service Center of OJP's Office of the Chief Financial Officer at
(800)458-0786,or at ask.ocfo@,usdoj.gov.
We look forward to working with you.
Sincerely,
Katharine T.Sullivan
Principal Deputy Assistant Attorney General
Encl.
Department of Justice(DOJ)
Office of Justice Programs
Office of Civil Rights
Washington,DC 20531
Ms.Cindy Bricker
Washington Administrative Office of the Courts
P.O.Box 41172
Olympia,WA 98504-1172
Dear Ms.Bricker:
Congratulations on your recent award. The Office for Civil Rights(OCR),Office of Justice Programs(OJP),U.S.Department of
Justice(DOJ)has been delegated the responsibility for ensuring that recipients of federal financial assistance from the OJP,the Office
of Community Oriented Policing Services(CAPS),and the Office on Violence Against Women(OVW)are not engaged in
discrimination prohibited by law. Several federal civil rights laws,such as Title VI of the Civil Rights Act of 1964 and Title IX of
the Education Amendments of 1972,require recipients of federal financial assistance to give assurances that they will comply with
those laws. In addition to those civil rights laws,many grant program statutes contain nondiscrimination provisions that require
compliance with them as a condition of receiving federal financial assistance. For a complete review of these civil rights laws and
nondiscrimination requirements,in connection with OJP and other DOJ awards,see
https://ojp.gov/funding/Explore/LegalOverview/Civi[RightsRequirements.htm
Under the delegation of authority,the OCR investigates allegations of discrimination against recipients from individuals,entities,or
groups. In addition,the OCR conducts limited compliance reviews and audits based on regulatory criteria. These reviews and audits
permit the OCR to evaluate whether recipients of financial assistance from the Department are providing services in a non-
discriminatory manner to their service population or have employment practices that meet equal-opportunity standards.
If you are a recipient of grant awards under the Omnibus Crime Control and Safe Streets Act or the Juvenile Justice and Delinquency
Prevention Act and your agency is part of a criminal justice system,there are two additional obligations that may apply in connection
with the awards: (1)complying with the regulation relating to Equal Employment Opportunity Programs(EEOPs);and(2)
submitting findings of discrimination to OCR. For additional information regarding the EEOP requirement,see 28 CFR Part 42,
subpart E,and for additional information regarding requirements when there is an adverse finding,see 2R C.F.R.§§42.204(c),
.205(c)(5). Please submit information about any adverse finding to the OCR at the above address.
We at the OCR are available to help you and your organization meet the civil rights requirements that are associated with OJP and
other DOJ grant funding. If you would like the OCR to assist you in fulfilling your organization's civil rights or nondiscrimination
responsibilities as a recipient of federal financial assistance,please do not hesitate to let us know.
Sincerely,
Michael L.Alston
Director
cc: Grant Manager
Financial Analyst
Department of Justice(DOJ)
Office of Justice Programs
t Office of Juvenile Justice and PAGE. I OF 17
Cooperative Agreement
Delinquency Prevention
I.RECIPIENT NAME AND ADDRESS(Including Zip Code) 4.AWARD NUMBER: 2020-AR-BX-K001
Washington Administrative Office of the Courts
P.O.Box 41172
5.PROJECT PERIOD:FROM 10/01/2020 TO 09!30/2023
Olympia,WAA98504-1 172 BUDGET PERIOD:FROM 10/01/2020 TO 09/30/2023
6.AWARD DATE 7.ACTION
2a.GRANTEE IRS/VENDOR NO. 8.SUPPLEMENT NUMBER Initial
916013419 00
2b.GRANTEE:DUNS NO,
618132187 9.PREVIOUS AWARD AMOUNT so
3.PROJECT TITLE 10.AMOUNT OF THIS AWARD $1,750.000
Statewide Support for Effective Family Treatment Courts and Services
11.TOTAL AWARD $1,750,000
12.SPECIAL CONDITIONS
THE ABOVE GRANT PROJECT IS APPROVED SUBJECT TO SUCH CONDITIONS OR LIMITATIONS AS ARE SET FORTH
ON THE.ATTACHED PAGE(S).
13.STATUTORY AUTHORITY FOR GRANT
This project is supported under FY20(OJJDP-Family Drug Court Program-State and County Expansion)34 USC 10611,et seq.;Pub.L.No.116-93,133
Stat.2317,2409
14.CATALOG OF DOMESTIC FEDERAL ASSISTANCE(CFDA Number)
16.838-Comprehensive Opioid Abuse Site-Based Program
15.METHOD OF PAYMENT
GPRS
AGENCY APPROVAL GRANTEE ACCEPTANCE ,
16.TYPED NAME AND TITLE OF APPROVING OFFICIAL 18.TYPED NAME AND TITLE OF AUTHORIZED GRANTEE OFFI('[AI.
Katharine T.Sullivan Cindy Bricker
Principal Deputy Assistant Attorney General Court Improvement Pi ograin Director
17.SIGNATURE OF APPROVING OFFICIAL 19 SIGNATI IRF 01'AI'TH0RI7.F.D RECIPIENT OFFICAAI let DATE
AGENCY IJSE ONLY
20.ACCOUNTING CLASSIFICATION CODES 2 L VARTGPO22.5
FISCAL FUND BUD. DIV.
YEAR CODE, ACT. OFC. REG. SUB. POMS AMOUNT
X B AR 70 00 00 1750000
OJP FORM 4000/2(REV.5-87)PREVIOUS EDITIONS ARE OBSOLETE.
OJP FORM 4000/2(REV.4-88)
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 2 OF 17
Delinquency Prevention
Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE ^
SPECIAL CONDITIONS
I. Requirements of the award;remedies for non-compliance or for materially false statements
The conditions of this award are material requirements of the award.Compliance with any assurances or certifications
submitted by or on behalf of the recipient that relate to conduct during the period of performance also is a material
requirement of this award.
Limited Exceptions.In certain special circumstances,the U.S.Department of Justice("DOJ")may determine that it will
not enforce,or enforce only in part,one ur more requirements otherwise applicable to the award.Any such exceptions
regarding enforcement,including any such exceptions made during the period of performance,are(or will be during
the period of performance)set out through the Office of Justice Programs("OJP")webpage entitled"Legal Notices:
Special circumstances as to particular award conditions"(ojp.gov/funding/Explore/LegalNotices-AwardRcgts.htm),and
incorporated by reference into the award.
By signing and accepting this award on behalf of the recipient,the authorized recipient official accepts all material
requirements of the award,and specifically adopts,as if personally executed by the authorized recipient official,all
assurances or certifications submitted by or on behalf of the recipient that relate to conduct during the period of
performance,
Failure to comply with one or more award requirements--whether a condition set out in full below,a condition
incorporated by reference below,or an assurance or certification related to conduct during the award period--may
result in OJP taking appropriate action with respect to the recipient and the award.Among other things,the OJP may
withhold award funds,disallow costs,or suspend or tenninate the award.DOJ,including OJP,also may take other legal
action as appropriate.
Any materially false,fictitious,or fraudulent statement to the federal government related to this award(or concealment
or omission of a material fact)may be the subject of criminal prosecution(including under 18 U.S.C. 1001 and/or 1621,
and/or 34 U.S.C. 10271-10273),and also may lead to imposition of civil penalties and administrative remedies for false
claims or otherwise(including under 31 U.S.C.3729-3730 and 3801-3812).
Should any provision of a requirement of this award be held to be invalid or unenforceable by its terms,that provision
shall first be applied with a limited construction so as to give it the maximum effect permitted by law.Should it be
held,instead,that the provision is utterly invalid or-unenforceable,such provision shall be deemed severable from this
award.
OR FORM 400M(RF.V 4-9R)
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 3 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BK-KOOI AWARD DATE
SPECIAL CONDITIONS
2. Applicability of Part 200 Uniform Requirements
The Uniform Administrative Requirements,Cost Principles,and Audit Requirements in 2 C.F.R.Part 200,as adopted
and supplemented by DOJ in 2 C.F.R.Part 2800(together,the"Part 200 Uniform Requirements")apply to this FY
2020 award from OJP.
The Part 200 Uniform Requirements were first adopted by DOJ on December 26,2014. If this FY 2020 award
supplements funds previously awarded by OJP under the same award number(e.g.,funds awarded during or before
December 2014),the Part 200 Uniform Requirements apply with respect to all funds under that award number
(regardless of the award date,and regardless of whether derived from the initial award or a supplemental award)that
are obligated on or after the acceptance date of this FY 2020 award.
For more information and resources on the Part 200 Uniform Requirements as they relate to OJP awards and subawards
("subgrants"),see the OJP website at https://ojp.gov/funding/Part200UniformRequirements.htm.
Record retention and access: Records pertinent to the award that the recipient(and any subrecipient("subgrantee")at
any tier)must retain--typically for a period of 3 years from the date of submission of the final expenditure report(SF
425),unless a different retention period applies--and to which the recipient(and any subrecipient("subgrantee")at
any tier)must provide access,include performance measurement information,in addition to the financial records,
supporting documents,statistical records,and other pertinent records indicated at 2 C.F.R.200.333.
In the event that an award-related question arises from documents or other materials prepared or distributed by OJP
that may appear to conflict with,or differ in some way from,the provisions of the Part 200 Uniform Requirements,the
recipient is to contact OJP promptly for clarification.
3. Compliance with DOJ Grants Financial Guide
References to the DOJ Grants Financial Guide are to the DOJ Grants Financial Guide as posted on the OJP website
(currently,the"DOJ Grants Financial Guide"available at https://ojp.gov/financialgtiide/DOJ/index.htm),including any
updated version that may be posted during the period of performance. The recipient agrees to comply with the DOJ
Grants Financial Guide.
4. Reclassification of various statutory provisions to a new Title 34 of the United States Code
On September 1,2017,various statutory provisions previously codified elsewhere in the U.S.Code were editorially
reclassified(that is,moved and renumbered)to a new Title 34,entitled"Crime Control and Law Enforcement."The
reclassification encompassed a number of statutory provisions pertinent to OJP awards(that is,OJP grants and
cooperative agreements),including many provisions previously codified in Title 42 of the U.S.Code.
Effective as of September 1,2017,any reference in this award document to a statutory provision that has been
reclassified to the new Title 34 of the U.S.Code is to be read as a reference to that statutory provision as reclassified to
Title 34.This rule of construction specifically includes references set out in award conditions,references set out in
material incorporated by reference through award conditions,and references set out in other award requirements.
OJP FORM 400012 fRF.V 4-991
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of,Juvenile,Justice and SHEET PAGE 4 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR43X-K001 AWARD DATE
SPECIAL CONDITIONS
5. Required training for Point of Contact and all Financial Points of Contact
Both the Point of Contact(POC)and all Financial Points of Contact(FPO(�s)for this award must have successfully
completed an"OJP financial management and grant administration training"by 120 days after the date of the
recipient's acceptance of the award. Successful completion of such a training on or after January I,2018,will satisfy
this condition.
In the event that either the POC or an FPOC for this award changes during the period of performance,the new POC or
FPOC must have successfully completed an"OJP financial management and grant administration training"by 120
calendar days after--(1)the date of OJP's approval of the"Change Grantee Contact"GAN(in the case of a new
POC),or(2)the date the POC enters information on the new FPOC in GMS(in the case of a new FPOC). Successful
completion of such a training on or after January I,2018,will satisfy this condition,
A list of OJP trainings that OJP will consider"OJP financial management and grant administration training"for
purposes of this condition is available at https://www.ojp.gov/training/fints.litm. All trainings that satisfy this condition
include a session on grant fraud prevention and detection.
The recipient should anticipate that OJP will immediately withhold("freeze")award funds if the recipient fails to
comply with this condition. The recipient's failure to comply also may lead OJP to impose additional appropriate
conditions on this award.
6. Requirements related to"de minimis"indirect cost rate
A recipient that is eligible tinder the Part 200 Uniform Requirements and other applicable law to use the"de minimis"
indirect cost rate described in 2 C.F.R.200.414(f),and that elects to use the"de minimis"indirect cost rate,must advise
OJP in writing of both its eligibility and its election,and must comply with all associated requirements in the Part 200
Uniform Requirements. The"de minimis"rate may be applied only to modified total direct costs(MTDC)as defined
by the Part 200 Uniform Requirements.
7. Requirement to report potentially duplicative finding
If the recipient currently has other active awards of federal funds,or if the recipient receives any other award of federal
funds during the period of performance for this award,the recipient promptly must determine whether funds from any
of those other federal awards have been,are being,or are to be used(in whole or in part)for one or more of the
identical cost items for which funds are provided tinder this award. If so,the recipient must promptly notify the DOJ
awarding agency(OJP or OV W,as appropriate)in writing of the potential duplication,and,if so requested by the DOJ
awarding agency,must seek a budget-modification or change-of-project-scope grant adjustment notice(GAN)to
eliminate any inappropriate duplication of funding.
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAUL s 01 n
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
8. Requirements related to System for Award Management and Universal Identifier Requirements
The recipient must comply with applicable requirements regarding the System for Award Management(SAM),
currently accessible at https://www.sam.gov/. This includes applicable requirements regarding registration with SAM,
as well as maintaining the currency of information in SAM.
The recipient also must comply with applicable restrictions on subawards("subgrants")to first-tier subrecipients
(first-tier"subgrantees"),including restrictions on subawards to entities that do not acquire and provide(to the
recipient)the unique entity identifier required for SAM registration.
The details of the recipient's obligations related to SAM and to unique entity identifiers are posted on the OJP web site
at https://ojp.gov/funding/Explore/SAM.htm(Award condition: System for Award Management(SAM)and Universal
Identifier Requirements),and are incorporated by reference here.
This condition does not apply to an award to an individual who received the award as a natural person(i.e.,unrelated to
any business or non-profit organization that he or she may own or operate in his or her name).
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE r, OF 17
Delinquency Prevention Cooperative Agreement
PROJECTNUMBER 2020-AR-BX-K001 AWARD DATE
SPF,CIAL CONDITIONS
9. Employment eligibility verification for hiring under the award
I.The recipient(and any subrecipient at any tier)must--
A.Ensure that,as part of the hiring process for any position within the United States that is or will be funded(in whole
or in part)with award funds,the recipient(or any subrecipient)properly verifies the employment eligibility of the
individual who is being hired,consistent with the provisions of 8 U.S.C. 1324a(a)(1)and(2).
B,Notify all persons associated with the recipient(or any subrecipient)who are or will be involved in activities under
this award of both--
(1)this award requirement for verification of employment eligibility,and
(2)the associated provisions in 8 U.S.C. 1324a(a)(1)and(2)that,generally speaking,make it Unlawful,in the United
States,to hire(or recruit for employment)certain aliens.
C.Provide training(to the extent necessary)to those persons required by this condition to be notified of the award
requirement for employment eligibility verification and of the associated provisions of 8 U.S.C. 1324a(a)(1)and(2).
D.As part of the recordkeeping for the award(including pursuant to the Part 200 Uniform Requirements),maintain
records of all employment eligibility verifications pertinent to compliance with this award condition in accordance with
Form 1-9 record retention requirements,as well as records of all pertinent notifications and trainings.
2.Monitoring
The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition.
3.Allowable costs
To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the
reasonable,necessary,and allocable costs(if any)of actions designed to ensure compliance with this condition.
4.Rules of construction
A.Staff involved in the hiring process
For purposes of this condition,persons"who are or will be involved in activities under this award"specifically includes
(without limitation)any and all recipient(or any subrecipient)officials or other staff who are or will be involved in the
hiring process with respect to a position that is or will be funded(in whole or in part)with award funds,
B.Employment eligibility confirmation with E-Verify
For purposes of satisfying the requirement of this condition regarding verification of employment eligibility,the
recipient(or any subrecipient)may choose to participate in,and use,E-Verify(www.e-verify.gov),provided an
appropriate person authorized to act on behalf of the recipient(or subrecipient)uses E-Verify(and follows the proper
F-Verify procedures,including in the event of a"Tentative Nonconftrmation"or a"Final Nonconfirmation")to
confirm employment eligibility for each hiring for a position in the United States that is or will be funded(in whole or
in part)with award funds.
C."United States"specifically includes the District of Columbia,Puerto Rico,Guam,the Virgin Islands of the United
States,and the Commonwealth of the Northern Mariana Islands.
D.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,or
Department of Justice(Doi)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PACE 7 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
any person or other entity,to violate any federal law,including any applicable civil rights or nondiscrimination law.
E.Nothing in this condition,including in paragraph 4.B.,shall be understood to relieve any recipient,any subrecipient
at any tier,or any person or other entity,of any obligation otherwise imposed by law,including 8 U.S.C. 1324a(a)(1)
and(2).
Questions about E-Verify should be directed to DHS. For more information about E-Verify visit the E-Verify
website(https://www.e-verify.gov/)or email E-Verify at E-Verify@dhs.gov. E-Verify employer agents can email E-
Verify at E-VerifyEmployerAgent@dhs.gov.
Questions about the meaning or scope of this condition should be directed to OJP,before award acceptance.
10. Requirement to report actual or imminent breach of personally identifiable information(Pll)
The recipient(and any"subrecipient"at any tier)must have written procedures in place to respond in the event of an
actual or imminent breach"(OMB M-17-12)if it(or a subrecipient)--(1)creates,collects,uses,processes,stores,
maintains,disseminates,discloses,or disposes of"personally identifiable information(Pll)"(2 CFR 200.79)within the
scope of an OR grant-funded program or activity,or(2)uses or operates a"Federal information system"(OMB
Circular A-130). The recipient's breach procedures must include a requirement to report actual or imminent breach of
P11 to an OR Program Manager no later than 24 hours after an occurrence of an actual breach,or the detection of an
imminent breach.
11. All subawards("subgrants")must have specific federal authorization
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements for
authorization of any subaward. This condition applies to agreements that--for purposes of federal grants
administrative requirements--OR considers a"subaward"(and therefore does not consider a procurement
"contract").
The details of the requirement for authorization of any subaward are posted on the OR web site at
https://ojp.gov/funding/Explore/SubawardAuthorization.htm(Award condition: All subawards("subgrants")must have
specific federal authorization),and are incorporated by reference here.
12. Specific post-award approval required to use a noncompetitive approach in any procurement contract that would
exceed$250,000
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements to obtain
specific advance approval to use a noncompetitive approach in any procurement contract that would exceed the
Simplified Acquisition Threshold(currently,$250,000). This condition applies to agreements that--for purposes of
federal grants administrative requirements--OJP considers a procurement"contract"(and therefore does not consider
a subaward).
The details of the requirement for advance approval to use a noncompetitive approach in a procurement contract under
an OR award are posted on the OR web site at https:Hojp.gov/funding/Explore/NoncompetitiveProctirement.htm
(Award condition: Specific post-award approval required to use a noncompetitive approach in a procurement contract
(if contract would exceed$250,000)),and are incorporated by reference here.
OJP FORM 400011(RF.V 4AN)
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE s OF 17
Delinquency Prevention
Cooperative Agreement
PROJEO'NUMBER 2020-AR-BX-K001 AWARD DATE
SPF,CIAL CONDITIONS
13. Unreasonable restrictions on competition under the award;association with federal government
SCOPE.This condition applies with respect to any procurement of property or services that is funded(in whole or in
part)by this award,whether by the recipient or by any subrecipient at any tier,and regardless of the dollar amount of
the purchase or acquisition,the method of procurement,or the nature of any legal instrument used.The provisions of
this condition must be among those included in any subaward(at any tier).
1.No discrimination,in procurement transactions,against associates of the federal government
Consistent with the(DOJ)Part 200 Uniform Requirements--including as set out at 2 C.F.R.200.300(requiring
awards to be"manage[d]and administer[ed]in a manner so as to ensure that Federal fitnding is expended and
associated programs are implemented in full accordance with U.S.statutory and public policy requirements")and
200.319(a)(generally requiring"[a]ll procurement transactions[to]be conducted in a manner providing full and open
competition"and forbidding practices"restrictive of competition,"such as"[p]lacing unreasonable requirements on
firms in order for them to qualify to do business"and taking"[a]ny arbitrary action in the procurement process")--no
recipient(or subrecipient,at any tier)may(in any procurement transaction)discriminate against any person or entity on
the basis of such person or entity's status as an"associate of the federal government"(or on the basis of such person or
entity's status as a parent,affiliate,or subsidiary of such an associate),except as expressly set out in 2 C.F.R.
200.319(a)or as specifically authorized by USDOJ.
2.Monitoring
The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition.
3.Allowable costs
To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the
reasonable,necessary,and allocable costs(if any)of actions designed to ensure compliance with this condition.
4.Rules of construction
A.The term"associate of the federal government"means any person or entity engaged or employed(in the past or at
present)by or on behalf of the federal government--as an employee,contractor or subcontractor(at any tier),grant
recipient or-subrecipient(at any tier),agent,or otherwise--in undertaking any work,project,or activity for or on
behalf of(or in providing goods or services to or on behalf of)the federal government,and includes any applicant for
such employment or engagement,and any person or entity committed by legal instrument to undertake any such work,
project,or activity(or to provide such goods or services)in future.
B.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,or
any person or other entity,to violate any federal law,including any applicable civil rights or nondiscrimination law.
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 9 OF 17
Delinquency Prevention Cooperative Agreement
PROJECTNUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
14. Requirements pertaining to prohibited conduct related to trafficking in persons(including reporting requirements and
OJP authority to terminate award)
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements(including
requirements to report allegations)pertaining to prohibited conduct related to the trafficking of persons,whether on the
part of recipients,subrecipients("subgrantees"),or individuals defined(for purposes of this condition)as"employees"
of the recipient or of any subrecipient.
The details of the recipient's obligations related to prohibited conduct related to trafficking in persons are posted on the
OJP web site at https://ojp.gov/funding/Explore/ProhibitedConduct-Trafficking.htm(Award condition: Prohibited
conduct by recipients and subrecipients related to trafficking in persons(including reporting requirements and OJP
authority to terminate award)),and are incorporated by reference here.
15. Determination of suitability to interact with participating minors
SCOPE.This condition applies to this award if it is indicated--in the application for the award(as approved by
DOJxor in the application for any subaward,at any tier),the DOJ funding announcement(solicitation),or an
associated federal statute--that a purpose of some or all of the activities to be carried out under the award(whether by
the recipient,or a subrecipient at any tier)is to benefit a set of individuals under 18 years of age.
The recipient,and any subrecipient at any tier,must make determinations of suitability before certain individuals may
interact with participating minors. This requirement applies regardless of an individual's employment status.
The details of this requirement are posted on the OJP web site at https://ojp.gov/funding/Explorelinteract-Minors.htm
(Award condition: Determination of suitability required,in advance,for certain individuals who may interact with
participating minors),and are incorporated by reference here.
16. Compliance with applicable rules regarding approval,planning,and reporting of conferences,meetings,trainings,and
other events
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable laws,regulations,
policies,and official DOJ guidance(including specific cost limits,prior approval and reporting requirements,where
applicable)governing the use of federal funds for expenses related to conferences(as that term is defined by DOJ),
including the provision of food and/or beverages at such conferences,and costs of attendance at such conferences.
Information on the pertinent DOJ definition of conferences and the rules applicable to this award appears in the DOI
Grants Financial Guide(currently,as section 3.10 of"Postaward Requirements"in the"DOJ Grants Financial Guide").
17. Requirement for data on perfonmance and effectiveness tinder the award
The recipient must collect and maintain data that measure the performance and effectiveness of work under this award.
The data must be provided to OJP in the manner(including within the timeframes)specified by OJP in the program
solicitation or other applicable written guidance. Data collection supports compliance with the Government
Performance and Results Act(GPRA)and the GPRA Modernization Act of 2010,and other applicable laws.
18. OJP Training Guiding Principles
Any training or training materials that the recipient--or any subrecipient("subgrantee")at any tier--develops or
delivers with OJP award funds must adhere to the OJP Training Guiding Principles for Grantees and Subgrantees,
available at https:Hojp.gov/funding/Implement/TrainingPrinciplesForGmntees-Subgrantees.htm.
01n P0PkA annn,+rpev a.uu
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
z Office of Juvenile Justice and SHEET PAGE In OF 17
Delinquency Prevention
Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
19. Effect of failure to address audit issues
The recipient understands and agrees that the DOJ awarding agency(OJP or OVW,as appropriate)may withhold
award funds,or may impose other related requirements,if(as determined by the DO.1 awarding agency)the recipient
does not satisfactorily and promptly address outstanding issues from audits required by the Part 200 Uniform
Requirements(or by the terms of this award),or other outstanding issues that arise in connection with audits,
investigations,or reviews of DOJ awards.
20. Potential imposition of additional requirements
The recipient agrees to comply with any additional requirements that may be imposed by the DOJ awarding agency
(OJP or OV W,as appropriate)during the period of performance for this award,if the recipient is designated as"high-
risk"for purposes of the DOJ high-risk grantee list.
21. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 42
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements of 28
C.F.R.Part 42,specifically including any applicable requirements in Subpart£of 28 C.F.R.Part 42 that relate to an
equal employment opportunity program.
22. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 54
The recipient,and any subrecipient("subgrantee")at any tier,mast comply with all applicable requirements of 28
C.F.R.Part 54,which relates to nondiscrimination on the basis of sex in certain"education programs."
23. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 38
The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements of 28
C.F.R.Part 38(as may be applicable from time to time),specifically including any applicable requirements regarding
written notice to program beneficiaries and prospective program beneficiaries.
Currently,among other things,28 C.F.R.Part 38 includes rules that prohibit specific forms of discrimination on the
basis of religion,a religious belief,a refusal to hold a religions belief,or refusal to attend or participate in a religious
practice. Part 38,currently,also sets out rules and requirements that pertain to recipient and subrecipient
("subgrantee")organizations that engage in or conduct explicitly religious activities,as well as rules and requirements
that pertain to recipients and subrecipients that are faith-based or religious organizations.
The text of 28 C.F.R.Part 38 is available via the Electronic Code of federal Regulations(currently accessible at
https://www.ecfr.gov/cgi-bin/ECFR?page=browse),by browsing to Title 28-Judicial Administration,Chapter I,Part
38,under a-CFR"current"data.
Department of Justice(DOJ)
AiNk Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE I I OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
24. Restrictions on"lobbying"
In general,as a matter of federal law,federal funds awarded by OJP may not be used by the recipient,or any
subrecipient("subgrantee")at any tier,either directly or indirectly,to support or oppose the enactment,repeal,
modification,or adoption of any law,regulation,or policy,at any level of govemment. See 18 U.S.C. 1913. (There
may be exceptions if an applicable federal statute specifically authorizes certain activities that otherwise would be
barred by law.)
Another federal law generally prohibits federal funds awarded by OJP from being used by the recipient,or any
subrecipient at any tier,to pay any person to influence(or attempt to influence)a federal agency,a Member of
Congress,or Congress(or an official or employee of any of them)with respect to the awarding of a federal grant or
cooperative agreement,subgrant,contract,subcontract,or loan,or with respect to actions such as renewing,extending,
or modifying any such award. See 31 U.S.C. 1352. Certain exceptions to this law apply,including an exception that
applies to Indian tribes and tribal organizations.
Should any question arise as to whether a particular use of federal funds by a recipient(or subrecipient)would or might
fall within the scope of these prohibitions,the recipient is to contact OJP for guidance,and may not proceed without the
express prior written approval of OJP.
25. Compliance with general appropriations-law restrictions on the use of federal funds(FY 2020)The recipient,and any
subrecipient("subgrantee")at any tier,must comply with all applicable restrictions on the use of federal funds set out in
federal appropriations statutes.Pertinent restrictions that may be set out in applicable appropriations acts are indicated
at https://ojp.gov/funding/Explore/FY20AppropriationsRestrictions.htm,and are incorporated by reference here.Should
a question arise as to whether a particular use of federal funds by a recipient(or a subrecipient)would or might fall
within the scope of an appropriations-law restriction,the recipient is to contact OJP for guidance,and may not proceed
without the express prior written approval of OJP.
26. Reporting potential fraud,waste,and abuse,and similar misconduct
The recipient,and any subrecipients("subgrantees")at any tier,must promptly refer to the DOJ Office of the Inspector
General(OIG)any credible evidence that a principal,employee,agent,subrecipient,contractor,subcontractor,or other
person has,in connection with funds under this award--(1)submitted a claim that violates the False Claims Act;or(2)
committed a criminal or civil violation of laws pertaining to fraud,conflict of interest,bribery,gratuity,or similar
misconduct.
Potential fraud,waste,abuse,or misconduct involving or relating to funds under this award should be reported to the
010 by--(I)online submission accessible via the 010 webpage at https://oig.justice.gov/hotline/contact-grants,htm
(select"Submit Report Online");(2)mail directed to:U.S.Department of Justice,Office of the Inspector General,
Investigations Division,ATTN:Grantee Reporting,950 Pennsylvania Ave.,NW,Washington,DC 20530;and/or(3)by
facsimile directed to the DOJ OIG Investigations Division(Attn:Grantee Reporting)at(202)616-9881 (fax).
Additional information is available from the DOJ OIG website at https://oig.justice.gov/hotline.
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile.]ustice and SHEET PAGE 12 OF 17
F
�•" Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
27. Restrictions and certifications regarding non-disclosure agreements and related matters
No recipient or subrecipient("subgrantee")under this award,or entity that receives a procurement contract or
subcontract with any funds under this award,may require any employee or contractor to sign an internal confidentiality
agreement or statement that prohibits or otherwise restricts,or purports to prohibit or restrict,the reporting(in
accordance with law)of waste,fraud,or abuse to an investigative or law enforcement representative of a federal
department or agency authorized to receive such information.
The foregoing is not intended,and shall not be understood by the agency making this award,to contravene
requirements applicable to Standard Form 312(which relates to classified information),Form 4414(which relates to
sensitive compartmented information),or any other form issued by a federal department or agency governing the
nondisclosure of classified information.
1. In accepting this award,the recipient--
a. represents that it neither requires nor has required internal confidentiality agreements or statements from employees
or contractors that currently prohibit or otherwise currently restrict(or purport to prohibit or restrict)employees or
contractors from reporting waste,fraud,or abase as described above;and
b. certifies that,if it learns or is notified that it is or has been requiring its employees or contractors to execute
agreements or statements that prohibit or otherwise restrict(or purport to prohibit or restrict),reporting of waste,fraud,
or abuse as described above,it will immediately stop any further obligations of award funds,will provide prompt
written notification to the federal agency making this award,and will resume(or permit resumption of)such
obligations only if expressly authorized to do so by that agency.
2. If the recipient does or is authorized tinder this award to make subawards("subgrants"),procurement contracts,or
both--
a. it represents that--
(1) it has determined that no other entity that the recipient's application proposes may or will receive award funds
(whether through a subaward("subgrant"),procurement contract,or subcontract under a procurement contract)either
requires or has required internal confidentiality agreements or statements from employees or contractors that currently
prohibit or otherwise currently restrict(or purport to prohibit or restrict)employees or contractors from reporting waste,
fraud,or abuse as described above;and
(2) it has made appropriate inquiry,or otherwise has an adequate factual basis,to support this representation;and
b. it certifies that,if it learns or is notified that any subrecipient,contractor,or subcontractor entity that receives funds
under this award is or has been requiring its employees or contractors to execute agreements or statements that prohibit
or otherwise restrict(or purport to prohibit or restrict),reporting of waste,fraud,or abuse as described above,it will
immediately stop any further obligations of award fonds to or by that entity,will provide prompt written notification to
the federal agency snaking this award,and will resume(or permit resumption of)such obligations only if expressly
authorized to do so by that agency.
OOP FORM dnnAM rR Pv &M
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
i Office of Juvenile Justice and SHEET PAGE 13 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPEC/AL CONDMONS
28. Compliance with 41 U.S.C.4712(including prohibitions on reprisal.notice to employees)
The recipient(and any subrecipient at any tier)must comply with,and is subject to,all applicable provisions of 41
U.S.C.4712,including all applicable provisions that prohibit,tinder specified circumstances,discrimination against an
employee as reprisal for the employee's disclosure of information related to gross mismanagement of a federal grant,a
gross waste of federal funds,an abuse of authority relating to a federal grant,a substantial and specific danger to public
health or safety,or a violation of law,rule,or regulation related to a federal grant.
The recipient also must inform its employees,in writing(and in the predominant native language of the workforce),of
employee rights and remedies under 41 U.S.C.4712.
Should a question arise as to the applicability of the provisions of 41 U.S.C.4712 to this award,the recipient is to
contact the DOJ awarding agency(OJP or OVW,as appropriate)for guidance.
29. Encouragement of policies to ban text messaging while driving
Pursuant to Executive Order 13513,"Federal Leadership on Reducing Text Messaging While Driving,"74 Fed.Reg.
51225(October 1,2009),DOJ encourages recipients and subrecipients("subgrantees")to adopt and enforce policies
banning employees from text messaging while driving any vehicle during the course of performing work funded by this
award,and to establish workplace safety policies and conduct education,awareness,and other outreach to decrease
crashes caused by distracted drivers,
30. Requirement to disclose whether recipient is designated"high risk"by a federal grant-making agency outside of DOJ
if the recipient is designated"high risk"by a federal grant-making agency outside of DOJ,currently or at any time
during the coarse of the period of performance under this award,the recipient must disclose that fact and certain related
information to OJP by email at OJP.CoinplianceReporting@ojp.tisdoj.gov. For purposes of this disclosure,high risk
includes any status tinder which a federal awarding agency provides additional oversight due to the recipient's past
performance,or other programmatic or financial concerns with the recipient.The recipient's disclosure mast include
the following: I,The federal awarding agency that currently designates the recipient high risk,2.The date the recipient
was designated high risk,3.The high-risk point of contact at that federal awarding agency(name,phone number,and
email address),and 4.The reasons for the high-risk status,as set out by the federal awarding agency.
31. The recipient agrees to submit a final report at the end of this award documenting all relevant project activities during
the entire period of support tinder this award.This report will include detailed information about the project(s)funded,
including,but not limited to,information about how the funds were actually used for each purpose area,data to support
statements of progress,and data concerning individual results and outcomes of funded projects reflecting project
successes and impacts.The final report is due no later than 90 days following the close of this award period or the
expiration of any extension periods.This report will be submitted to the Office of Justice Programs,on-line through
the Internet at https://grants.ojp.usdoj.gov/.
32. The recipient shall submit semiannual progress reports. Progress reports shall be submitted within 30 days after the end
of the reporting periods,which are June 30 and December 31,for the life of the award. These reports will be submitted
to the Office of Justice Programs,on-line through the Internet at https://grants.ojp.tisdoj.gov/.
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 14 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K00I AWARD DATE --------
SPECIAL.CONDITIONS
33. Recipient integrity and performance matters: Requirement to report information on certain civil,criminal,and
administrative proceedings to SAM and FAPIIS
The recipient must comply with any and all applicable requirements regarding reporting of information on civil,
criminal,and administrative proceedings connected with(or connected to the performance of)either this OJP award or
any other grant,cooperative agreement,or procurement contract from the federal government. Under certain
circumstances,recipients of OJP awards are required to report information about such proceedings,through the federal
System for Award Management(known as"SAM"),to the designated federal integrity and performance system
(currently,"FAPIIS").
The details of recipient obligations regarding the required reporting(and updating)of information on certain civil,
criminal,and administrative proceedings to the federal designated integrity and performance system(currently,
"FAPIIS")within SAM are posted on the OJP web site at https://ojp.gov/funding/FAP[IS.htm(Award condition:
Recipient Integrity and Performance Matters,including Recipient Reporting to FAPIIS),and are incorporated by
reference here.
34. FFATA reporting: Subawards and executive compensation
The recipient must comply with applicable requirements to report first-tier subawards("subgrants")of$25,000 or
more and,in certain circumstances,to report the names and total compensation of the five most highly compensated
executives of the recipient and first-tier subrecipients(first-tier"subgrantees")of award funds. The details of recipient
obligations,which derive from the Federal Funding Accountability and Transparency Act of 2006(FFATA),are posted
on the OJP web site at littps://Ojp.gov/funding/Explore/FFATA.htin(Award condition:Reporting Subawards and
Executive Compensation),and are incorporated by reference here.
This condition,including its reporting requirement,does not apply to--(1)an award of less than$25,000,or(2)an
award made to an individual who received the award as a natural person(Le.,unrelated to any business or non-profit
organization that he or she may own or operate in his or her name).
35. With respect to this award,federal funds may not be used to pay cash compensation(salary plus bonuses)to any
employee of the award recipient at a rate that exceeds 110%of the maximum annual salary payable to a member of the
federal government's Senior Executive Service(SES)at an agency with a Certified SES Performance Appraisal System
for that year. (An award recipient may compensate an employee at a higher rate,provided the amount in excess of this
compensation limitation is paid with non-federal finds.)
This limitation on compensation rates allowable under this award may be waived on an individual basis at the
discretion of the OJP official indicated in the program announcement under which this award is made,
36. Recipient agrees to submit a written strategy describing the jurisdiction's plan for sustaining the juvenile,tribal,or
family drug court program after Federal financial assistance has ended.The sustainability plan must be submitted by
the end of the first year of the award period in order to be in compliance with this requirement.
37. The recipient agrees to report data on the grantee's OJJDP-approved performance measures as part of the semi-annual
categorical progress report.This data will be submitted on line at O.IJDP's Performance Measures uucbsite
(https://ojjdp.gov/grantees/pm/index.html)by Judy 31 and January 31 each year for the duration of the award. Once data
entry is complete,the grantee will be able to create and download a"Performance Measures Data Report." This
document is to be included as an attachment to the grantee's narrative categorical assistance progress report submitted
in GMS for each reporting period.
38. The recipient,and any subrecipient("subgrantee")at any tier,understands and agrees that no award funds or matching
funds(if applicable)may be used to provide services for violent offenders as defined in 34 USC 10613(a)and(b).
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
i Office of Juvenile Justice and SHEET PACE 15 OF 17
Delinquency Prevention
Cooperative Agreement
PROJECTNUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
39. Within 45 calendar days after the end of any conference,meeting,retreat,seminar,symposium,training activity,or
similar event funded under this award,and the total cost of which exceeds$20,000 in award funds,the recipient must
provide the program manager with the following information and itemized costs:
1)name of event;
2)event dates;
3)location of event;
4)number of federal attendees;
5)number of non-federal attendees;
6)costs of event space,including rooms for break-out sessions;
7)costs of audio visual services;
8)other equipment costs(e.g.,computer fees,telephone fees);
9)costs of printing and distribution;
10)costs of meals provided during the event;
11)costs of refreshments provided during the event;
12)costs of event planner;
13)costs of event facilitators;and
14)any other costs associated with the event.
The recipient must also itemize and report any of the following attendee(including participants,presenters,speakers)
costs that are paid or reimbursed with cooperative agreement funds:
1)meals and incidental expenses(MME portion of per diem);
2)lodging;
3)transportation to/from event location(e.g„common carrier,Privately Owned Vehicle(POV)):and,
4)local transportation(e.g.,rental car,POV)at event location,
Note that if any item is paid for with registration fees,or any other non-award funding,then that portion of the expense
does not need to be reported.
Further instructions regarding the submission of this data,and how to determine costs,are available in the OR
Financial Guide Conference Cost Chapter.
Department of Justice(DOJ)
Office of Justice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 16 OF 17
Delinquency Prevention Cooperative Agreement
PROJECTNUMBER 2020-AR-BX-K001 AWARD DATE
SPECIAL CONDITIONS
40. The Project Director and key program personnel designated in the application shall be replaced only for compelling
reasons. Successors to key personnel must be approved,and such approval is contingent upon submission of
appropriate information,including,but not limited to,a resume. OJP will not unreasonably withhold approval.
Changes in other program personnel require only notification to OJP and submission of resumes,unless otherwise
designated in the award document.
41. Cooperating with OJP Monitoring
The recipient agrees to cooperate with OJP monitoring of this award pursuant to OJP's guidelines,protocols,and
procedures,and to cooperate with OJP(including the grant manager for this award and the Office of Chief Financial
Officer(OCFO))requests related to such monitoring,including requests related to desk reviews and/or site visits. The
recipient agrees to provide to OJP all documentation necessary for OJP to complete its monitoring tasks,including
documentation related to any subawards made under this award. Further,the recipient agrees to abide by reasonable
deadlines set by OJP for providing the requested documents. Failure to cooperate with OJP's monitoring activities may
result in actions that affect the recipient's DOJ awards,including,but not limited to:withholdings and/or other
restrictions on the recipient's access to award funds;referral to the DOJ OIG for audit review;designation of the
recipient as a DOJ High Risk grantee;or termination of an award(s).
42. Justification of consultant rate
Approval of this award does not indicate approval of any consultant rate in excess of$650 per day.A detailed
justification must be submitted to and approved by the OJP program office prior to obligation or expenditure of such
funds.
43. Statement of Federal Involvement:
Due to the substantial Federal involvement contemplated in completion of this project,the Office of Juvenile Justice
and Delinquency Prevention(OJJDP)has elected to enter into a cooperative agreement rather than a grant. This
decision is based on OJP and OJJDP's ongoing responsibility to assist and coordinate projects that relate to the
funded activities. OJP and OJJDP will provide input and re-direction to the project,as needed,in consultation with the
recipient,and will actively monitor the project by methods including,but not limited to,ongoing contact with the
recipient. In meeting programmatic responsibilities,OJP,OJJDP,and the recipient will be guided by the following
principles: responsibility for the day-to-day operations of this project rests with the recipient in implementation of the
recipient's approved proposal,the recipient's approved budget,and the terms and conditions specified in this award.
Responsibility for general oversight and redirection of the project,if necessary,rests with OJJDP. In addition to its
programmatic reporting requirements,the recipient agrees to provide necessary information as requested by OJP and
OJJDP. Information requests may include,but are not limited to,specific submissions related to:performance,
including measurement of project outputs/outcomes;meeting performance specifications;developmental decision
points;changes in project scope or personnel;budget modifications;and/or coordination of related projects.
44. The recipient may not obligate,expend or draw down funds until the Office of the Chief Financial Officer(OCFO)has
approved the budget and budget narrative and a Grant Adjustment Notice(GAN)has been issued to remove this special
condition.
45. The recipient shall transmit to OJJDP copies of all official award-related press releases at least five(5)working days
prior to public release. Advance notification permits time for coordination of release of information by OJJDP where
appropriate and to respond to press or public inquiries.
Aftk Department of Justice(DOJ)
Office of]ustice Programs AWARD CONTINUATION
Office of Juvenile Justice and SHEET PAGE 17 OF 17
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER 2020-AR-BX-K001 AWARD DATE
SPEC/AL CONDIVONS
46. The recipient shall submit to OJJDP a copy of all interim and final reports and proposed publications(including those
prepared for conferences,journals,and other presentations)resulting from this award,for review and comment prior to
publishing. Any publication produced with grant funds must contain the following statement:"This project was
supported by Grant#()awarded by the Office of Juvenile Justice and Delinquency Prevention,Office of Justice
Programs,U.S.Department of Justice.The opinions,findings,and conclusions or recommendations expressed in this
publication/program/exhibition are those of the author(s)and do not necessarily reflect those of the Department of
Justice. All reports and products may be required to display the OJJDP logo on the cover(or other location)with the
agreement of OJJDP. OJJDP defines publications as any planned,written,visual or sound materials substantively
based on the project,formally prepared by the award recipient for dissemination to the public.
47. The recipient agrees promptly to provide,upon request,financial or programmatic-related documentation related to
this award,including documentation of expenditures and achievements.
48. The recipient understands that it will be subject to additional financial and programmatic on-site monitoring,which
may be on short notice,and agrees that it will cooperate with any such monitoring.
49. High risk:Withholding-Completion of"OJP financial management and grant administration training"required
The recipient may not obligate,expend,or draw down funds under this award until--(1)OR determines that the
recipient's Point of Contact(POC)and all Financial Points of Contact(FPOCs)for this award have successfully
completed an"OJP financial management and grant administration training"on or after January 1,2019,and(2)OR
issues a Grant Adjustment Notice(GAN)to modify or remove this special condition.
Once both the POC and all FPOCs have successfully completed the training required by this condition,the recipient
may contact the designated grant manager for the award to request initiation of a GAN to remove this condition.
A list of the OR trainings that OR will consider an"OJP financial management and grant administration training"for
purposes of this condition is available at https;//ojp.gov/training/fmts.htm. All trainings that satisfy this condition
include a session on grant fraud prevention and detection.
Department of Justice(DOJ)
i Office of Justice Programs
Office ofJuvenile Justice and Delinquency Prevention
Washington.D.C. 20.531
Memorandum To: Official Grant File
From: Lou Ann Holland,OJJDP NEPA Coordinator
Subject: Categorical Exclusion for Washington Administrative Office of the Courts
This award is made as part of the FY 2020 Family Drug Court Program.Awards under this program will support
state, local,and tribal governments to enhance drug court programs for families and juveniles in the justice system
with substance abuse problems. None of the following activities will be conducted either under this award or a
related third party action:
1)New construction;
2)Any renovation or remodeling of a property located in an environmentally or historically sensitive area,
including property(a)listed on or eligible for listing on the National Register of Historic Places, or(b)located
within a 100-year flood plain,a wetland,or habitat for an endangered species;
3)A renovation which will change the basic prior use of a facility or significantly change its size;
4)Research and technology whose anticipated and future application could be expected to have an effect on the
environment;or
5) Implementation of a program involving the use of chemicals,other than chemicals that are(a) purchased as an
incidental component of a funded activity and(b)traditionally used, for example, in office,household, recreational,
or education environments.
Additionally,the proposed action is neither a phase nor a segment of a project which when reviewed in its entirety
would not meet the criteria for a categorical exclusion. Consequently,the subject federal action meets OJP's
criteria for a categorical exclusion as contained in paragraph 4(b) of Appendix D to Part 61 of Title 28 of the Code
of Federal Regulations.
Department of Justice(DOJ) GRANT MANAGER'S MEMORANDUM, PT. I:
Office of Justice Programs PROJECT SUMMARY
Office of Juvenile Justice and
Delinquency Prevention Cooperative Agreement
PROJECT NUMBER
2020-AR-BX-K001 PAGE 1 OF I
This project is supported under FY20(OJJDP-Family Drug Court Program-State end County Expansion)34 USC 10611,et seq.;Pub.L.No. 116-93,133 Stat.
2317,2409
1.STAFF CONTACT(Name&telephone number) 2.PROJECT DIRECTOR(Name,address&telephone number)
Kathryn Barry Cindy Bricker
(202)514-6019 CIP Director
P.O,Box 41170
.Olympia,WA 98504
(360)705-5306
3a.TITLE OF THE PROGRAM 3b.POMS CODE(SEE INSTRUCTIONS
Category3:State and County Family Drug Courts Expansion ON REVERSE)
4.TITLE OF PROJECT
Statewide Support for Effective Family Treatment Courts and Services
5.NAME&ADDRESS OF GRANTEE 6.NAME&ADRESS OF SUBGRANTEE '
Washington Administrative Office of the Courts
P.O.Box 41172
Olympia,WA 98504-1172
7.PROGRAM PERIOD 8.BUDGET PERIOD
FROM: 10/01/2020 TO: 09/30/2023 FROM: 10/01/2020 TO; 09/30/2023
9.AMOUNT OF AWARD 10,DATE..OF AWARD
$1,750,000
11.SECOND YEAR'S BUDGET 12.SECOND YEAR'S BUDGET AMOUNT
13.THIRD YEAR'S BUDGET PERIOD 14,THIRD YEAR'S BUDGET AMOUNT
15.SUMMARY DESCRIPTION OF PROJECT(See instruction on reverse)
The OJJDP Family Drug Court Program seeks to build the capacity of states,state and local courts,units of local government,and federally recognized tribal
governments to sustain existing family drug courts or establish new family drug courts,Category 3:State and County Family Drug Courts Expansion will support
states and counties to enhance and/or expand family drug court treatment and recovery practices at the larger state and county levels to more effectively serve
families affected by opioid,stimulant,and other substance use disorders.
The State of Washington will(1)expand cross-system collaboration at the state and local levels to engage the Health Care Authority state substance use treatment
agency to improve access and coordination of substance use disorder treatment for parents participating in family treatment courts(FTCs);(2)develop a state team
and governance structure to engage and support local FTC operations and provide training on nationally recognized practices to be implemented with fidelity across
all FTCs;and(3)increase the capacity of existing FTCs,with a focus on courts in rural communities,to expand access to the treatment and services to improve
OJP FORM 4000/2(REV.4-88)
outcomes.CA/NCF
Attachment B - GRT21689
MASON COUNTY FAMILY REUNIFICATION COURT
FTC GRANT SUB AWARD BUDGET
YEAR 1 YEAR 2 YEAR 3
Jan 2021- Oct 2021- Oct 2022-
Sept 2021 Sept 2022 Sept 2023
Salaries&Benefits
FT Caseworker
Salary 30,162.00 40,216.00 40,216.00
Benefits 18,106.00 24,142.00 24,142.00
Total 48,268.00 64,358.00 64,358.00
Supplies
Caseworker Office Set Up
Computer/Monitor/Software 3,200.00
Printer 500.00
Cell phone/service 1,800.00
Desk/Chair/Chair Pad 1,000.00
Educational/Employment Computer Bank
3 Computer/Monitor/Software 9,600.00
Printer 500.00
3 bank computer workstation 1,500.00
Total 18,100.00
Professional Services
Professionals for Life Skills Classes
2 classes/month @ $500/class 12,000.00 12,000.00 12,000.00
Vocational Training Scholarships 3,000.00 3,000.00 3,000.00
(certifications for participants i.e.food
handlers,flagger, CNA, CERT, EMT, etc. )
Total 15,000.00 15,000.00 15,000.00
Equipment
Storage Shed 3,000.00
Total 3,000.00
FFY TOTAL $84,368.00 $79,358.00 $79,358.00
Attachment C - GRT21689
Sub-recipients Monitoring Policy for AOC
The purpose of Sub-recipients Monitoring Policy for AOC is to:
• Ensure compliance with 2 C.F.R. § 200.303 and 200.331 (attached), as well as
any AOC requirements.
• Ensure sub-recipients use grant funds in accordance with all federal and program
guidelines.
• Ensure the sub-recipients achieve performance objectives on schedule and
within budget.
• Ensure sub-recipients' timely submission of all documents necessary to meet all
reporting requirements of the awarding agency (financial and performance
reports).
• Take the appropriate actions to ensure the sub-recipient's success, should
problems arise.
Pre-Award
If applicable, there will be an announcement of the specific funding opportunities,
eligibility requirements and the allotted timeframe to apply. Applications will be
reviewed and assessed for each sub-recipient's eligibility for federal funding. This will
include:
• Applicant's eligibility or the quality of its application; financial stability and quality
of management system; history of performance; and audit findings (if available).
• Ensuring the proposed sub-recipient or contractor is not suspended or debarred
by the federal government
• Ensuring the sub-recipient or contractor agrees to the required data elements as
listed in 2 C.F.R. § 200.331 (see Appendix A)
• Ensuring the sub-recipient or contractor agrees to applicable federal special
conditions of the grant award
Post-Award
Once selected, the sub-recipient or contractor will enter into a contract with AOC. This
contract will include elements laid out in 2 C.F.R. §200.331, The contract will require
that the sub-recipient will:
• Carry out program activities as stipulated in the subaward;
• Have adequate internal controls to protect federal funds;
• Claim reimbursement only for costs that are allowable, reasonable, allocable,
and necessary under program guidelines;
• Identify any conflicts of interest that exist; and
• Maintain required supporting documentation/records.
AOC's program manager will perform a risk assessment of each sub-recipient for
noncompliance with federal statutes, regulations, and the terms and conditions of the
subaward to determine the appropriate level of monitoring needed. This assessment will
include:
General Assessment Legal Assessment Financial Assessment
• Award amount Past suspension or Delinquent reports
• Matching funds debarment (must be Recent audit opinion
• New sub-recipient considered) Received financial
• Budget modification Federal debt owed -_ reviews from other
reguests _ _ agencies
The sub-recipient will be monitored based on the risk level determined from an
assessment based on the checklist in Appendix B.
_ Monitoring Plan for Sub-recipients
ALL Quarterly contactwith sub-recipient on progress and barriers
LOW Desk Review Yearly
MED_ Site Visit once per Year(unless site visits are unsafe due to external factorsl
HIGH Sit Visit twice per year unless site visits are unsafe due to external factors
In preparation for site visits, AOC's program manager will:
• Review Sub-recipient's application for funding;
• Review written agreement with the sub-recipient;
• Review Financial and progress reports;
• Review payments made to the sub-recipient
• Copies of recent audit reports (if applicable)
On site monitoring (site visits) will include (if applicable):
1. Organizational structure
2. Fiscal Review (Chart of Accounts, Audits, etc)
3. Fiscal and Programmatic Policy and Procedure
4, Programmatic Review of funded activities including observation if applicable
5. Review of supporting documentation/records
Following any site visits, an exit interview will be held as well as a follow-up memo used
to create a permanent record of those findings. This will include sub-recipient's success,
if performing well, deficiencies and recommendations, if the sub-recipient is
experiencing problems or failing to comply with federal requirements or program
guidelines, and deadlines informing sub-recipients when a written response describing
their proposed resolutions to any findings is due, This will be provided to the sub-
recipient within 2 weeks of the site visit. AOC's program manager will place a copy in
the sub-recipient's file.
If a sub-recipient does not comply with federal statutes, regulations or the terms and
conditions of the subaward, AOC's program manager may impose additional conditions
such as:
• Withholding authority to proceed to the next phase until receipt of evidence of
acceptable performance within a given period of performance;
• Requiring additional, more detailed financial reports;
• Requiring additional project monitoring;
• Requiring the non-Federal entity to obtain technical or management assistance;
or
• Establishing additional prior approvals.
• The Federal awarding agency or AOC must notify the applicant or non-Federal
entity as to:
o The nature of the additional requirements;
o The reason why the additional requirements are being imposed;
o The nature of the action needed to remove the additional requirement, if
applicable;
o The time allowed for completing the actions if applicable, and
o The method for requesting reconsideration of the additional requirements
imposed.
• Any specific conditions must be promptly removed once the conditions that
prompted them have been corrected.
If noncompliance cannot be remedied by imposing additional conditions one or more of
the following actions may be taken:
• Temporarily withhold funds pending correction of the deficiency;
• Disallow all or part of the activity not in compliance;
• Wholly or partly suspend or terminate the subaward;
• Initiate suspension or debarment;
• Withhold future subawards; or
• Other legal remedies that may be available
Post Award Closeout Process
AOC will close out the subaward when all applicable administrative actions and all grant
related work have been completed. The sub-recipient will be required to submit all
financial, performance, and other reports to the AOC within a specified time after the
end date of the subaward's period of performance. AOC will make prompt payments to
sub-recipients for allowable and authorized reimbursable costs charged to the federal
award.
Appendix A: § 200.303 and § 200.331
§ 200.303 Internal controls.
The non-Federal entity must:
(a) Establish and maintain effective internal control over the Federal award that provides
reasonable assurance that the non-Federal entity is managing the Federal award in
compliance with Federal statutes, regulations, and the terms and conditions of the
Federal award. These internal controls should be in compliance with guidance in
"Standards for Internal Control in the Federal Government" issued by the Comptroller
General of the United States or the "Internal Control Integrated Framework", issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
(b) Comply with Federal statutes, regulations, and the terms and conditions of the
Federal awards.
(c) Evaluate and monitor the non-Federal entity's compliance with statutes, regulations
and the terms and conditions of Federal awards.
(d) Take prompt action when instances of noncompliance are identified including
noncompliance identified in audit findings.
(e) Take reasonable measures to safeguard protected personally identifiable
information and other information the Federal awarding agency or pass-through
entity designates as sensitive or the non-Federal entity considers sensitive consistent
with applicable Federal, state, local, and tribal laws regarding privacy and obligations of
confidentiality.
[78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75883, Dec. 19, 2014]
§ 200.331 Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the sub-recipient as
a subaward and includes the following information at the time of the subaward and if
any of these data elements change, include the changes in
subsequent subaward modification. When some of this information is not available,
the pass-through entity must provide the best information available to describe the
Federal award and subaward. Required information includes:
(1) Federal Award Identification.
(i) Sub-recipient name (which must match the name associated with its unique entity
identifier);
(ii) Sub-recipient's unique entity identifier;
(iii) Federal Award Identification Number (FAIN);
(iv) Federal Award Date (see § 200.39 Federal award date) of award to the recipient by
the Federal agency;
(v) Subaward Period of Performance Start and End Date;
(vi) Amount of Federal Funds Obligated by this action by the pass-through entity to
the sub-recipient;
(vii) Total Amount of Federal Funds Obligated to the sub-recipient by the pass-through
entity including the current obligation;
(viii) Total Amount of the Federal Award committed to the sub-recipient by the pass-
through entity;
(ix) Federal award project description, as required to be responsive to the Federal
Funding Accountability and Transparency Act (FFATA);
(x) Name of Federal awarding agency, pass-through entity, and contact information for
awarding official of the Pass-through entity;
(xi) CFDA Number and Name; the pass-through entity must identify the dollar amount
made available under each Federal award and the CFDA number at time of
disbursement;
(xii) Identification of whether the award is R&D; and
(xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged
per § 200.414 Indirect (F&A) costs).
(2) All requirements imposed by the pass-through entity on the sub-recipient so that the
Federal award is used in accordance with Federal statutes, regulations and the terms
and conditions of the Federal award;
(3) Any additional requirements that the pass-through entity imposes on the sub-
recipient in order for the pass-through entity to meet its own responsibility to the Federal
awarding agency including identification of any required financial and performance
reports;
(4) An approved federally recognized indirect cost rate negotiated between the sub-
recipient and the Federal Government or, if no such rate exists, either a rate negotiated
between the pass-through entity and the sub-recipient (in compliance with this part), or
a de minimis indirect cost rate as defined in § 200.414 Indirect (F&A) costs, paragraph
(f);
(5) A requirement that the sub-recipient permit the pass-through entity and auditors to
have access to the sub-recipient's records and financial statements as necessary for
the pass-through entity to meet the requirements of this part; and
(6) Appropriate terms and conditions concerning closeout of the subaward.
(b) Evaluate each sub-recipient's risk of noncompliance with Federal statutes,
regulations, and the terms and conditions of the subaward for purposes of determining
the appropriate sub-recipient monitoring described in paragraphs (d) and (e) of this
section, which may include consideration of such factors as:
(1) The sub-recipient's prior experience with the same or similar subawards;
(2) The results of previous audits including whether or not the sub-recipient receives a
Single Audit in accordance with Subpart F - Audit Requirements of this part, and the
extent to which the same or similar subaward has been audited as a major program;
(3) Whether the sub-recipient has new personnel or new or substantially changed
systems; and
(4) The extent and results of Federal awarding agency monitoring (e.g., if the sub-
recipient also receives Federal awards directly from a Federal awarding agency).
(c) Consider imposing specific subaward conditions upon a sub-recipient if appropriate
as described in § 200.207 Specific conditions.
(d) Monitor the activities of the sub-recipient as necessary to ensure that
the subaward is used for authorized purposes, in compliance with Federal statutes,
regulations, and the terms and conditions of the subaward; and
that subaward performance goals are achieved. Pass-through entity monitoring of
the sub-recipient must include:
(1) Reviewing financial and performance reports required by the pass-through entity.
(2) Following-up and ensuring that the sub-recipient takes timely and appropriate action
on all deficiencies pertaining to the Federal award provided to the sub-recipient from
the pass-through entity detected through audits, on-site reviews, and other means.
(3) Issuing a management decision for audit findings pertaining to the Federal award
provided to the sub-recipient from the pass-through entity as required by §
200.521 Management decision.
(e) Depending upon the pass-through entity's assessment of risk posed by the sub-
recipient (as described in paragraph (b) of this section), the following monitoring tools
may be useful for the pass-through entity to ensure proper accountability and
compliance with program requirements and achievement of performance goals:
(1) Providing sub-recipients with training and technical assistance on program-related
matters; and
(2) Performing on-site reviews of the sub-recipient's program operations;
(3) Arranging for agreed-upon-procedures engagements as described in §
200.425 Audit services.
(f) Verify that every sub-recipient is audited as required by Subpart F - Audit
Requirements of this part when it is expected that the sub-recipient's Federal
awards expended during the respective fiscal year equaled or exceeded the threshold
set forth in § 200.501 Audit requirements.
(g) Consider whether the results of the sub-recipient's audits, on-site reviews, or other
monitoring indicate conditions that necessitate adjustments to the pass-through entity's
own records.
(h) Consider taking enforcement action against noncompliant sub-recipients as
described in § 200.338 Remedies for noncompliance of this part and in program
regulations.
[78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR
54409, Sept. 10, 2015]
Grants Vendor Risk Assessment
Vendor Name:_ Date:
Item Notes Pts*
General Assessment 0-N/A _ 1- No problem 2-Some Concern 3-Concern
Legal Assessment _ 0-N/A 1- No problem 2-Some Concern 3-Concern
Financial Assessment 0-N/A 1- No roblem 2-Some Concern 3-Concern
Award amount 0: $1-$15K; 1: $15K-$50K; 2: $50K-$100K; 3: $100K+
-Matching funds 0: $1-$15K; 1: $15K-$50K; 2: $50K-$100K; 3: $100K+
New sub-recipient 0-N/A 1- No problem 2-Some Concern 3-Concern
Budget modification 0-N/A 1- No problem 2-Some Concern 3-Concern
requests
Past suspension or 0: No 3:Yes (points subjective to situation)
debarment
Federal debt owed 0: No 1-3:Yes (points subjective to situation
Delinquent reports 0: No 1-3:Yes (points subjective to situation
Recent audit opinion 0-N/A 1- No problem 2-Some Concern 3-Concern
Received financial reviews 0-N/A 1- No problem 2-Some Concern 3-Concern
from other agencies
* 0-N/A 1- No problem 2-Some Concern 3-Concern
Monitoring Plan for Sub-recipients
ALL Month!y contact with sub-recipient on progress and barriers
LOW 0-12 Desk Review year!
MED 13-23 Site Visit once pe year unless site visits are unsafe due to external factors
HIGH 24+ Sit Visit twice per year unless site visits are unsafe due to external factors
Additional Comments/Concerns: