HomeMy WebLinkAboutUnited States Department of AgricultureOMB 0596-0217
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FS Agreement No. 21-PA-11060900-005
Cooperator Agreement No.
PARTICIPATING AGREEMENT
Between
COUNTY OF MASON
And The
UNITED STATES DEPARTMENT OF AGRICULTURE
FOREST SERVICE
OLYMPIC NATIONAL FOREST
This PARTICIPATING AGREEMENT is hereby entered into by and between County of Mason,
hereinafter referred to as “the County,” and the United States Department of Agriculture
(USDA), Forest Service, Olympic National Forest, hereinafter referred to as the “U.S. Forest
Service,” under the authority: Secure Rural Schools and Community Self-Determination Act of
2000, Public Law 106-393, 16 U.S.C. 500 as reauthorized and amended.
Background:
The U.S. Forest Service and the County have maintained a long-standing relationship focused on
noxious weed management on lands within and adjacent to National Forest System (NFS) lands
in Mason County, Washington. This agreement promotes the continuation of this partnership.
The goal of this project is to stop the spread of noxious weed species, reduce existing
populations, and prevent the introduction of additional exotic plants throughout Mason County.
The objective is to coordinate and standardize weed control efforts across jurisdictional
boundaries to more effectively minimize the negative impacts of noxious weeds on watershed
functions, wildlife habitat, human and animal health, and recreational activities.
The project includes activities to survey, identify and control noxious weeds, coordinate actions
and communication between local and Federal jurisdictions, and education of citizens.
Title: Noxious Weed Inventory and Treatment
I. PURPOSE:
The purpose of this agreement is to document the cooperation between the parties to share
financial and logistical support for noxious weed prevention and education, new invader
detection, monitoring of known weed locations and noxious weed treatment on lands within and
adjacent to NFS lands in Mason County, Washington. This agreement provides for the
interchange of services and funds as specifically outlined below to meet the mutually agreed
upon objectives of both parties in accordance with the following provisions and the hereby
incorporated Financial Plan, attached as Exhibit A.
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II. STATEMENT OF MUTUAL BENEFIT AND INTERESTS:
The U.S. Forest Service is a federal land management agency dedicated to management of
the Nation’s natural resources and is interested in preventing and treating noxious weed
infestations on lands within and adjacent to the boundaries of the National Forest. The U.S.
Forest Service is particularly interested in collaborative support of the County’s mission to
prevent new invaders from establishing and spreading, and to stop the expansion of existing
noxious weed populations within Mason County.
The County is dedicated to preventing and controlling the spread of noxious weeds and provides
a critical link to private landowners whose weeds threaten federal lands. This project would
support county weed control efforts that complement U.S. Forest Service efforts to protect
essential natural resources in areas where uncontrolled noxious weed populations on federal,
state, county, or private lands are spreading and hindering control activities between different
jurisdictional boundaries.
Therefore, due to the common interests between the two parties to prevent new invaders from
establishing and spreading, and to stop the expansion of existing noxious weed populations
within Mason County, including lands within the Olympic National Forest boundary, this
collaborative support of weed prevention and education, detection, monitoring and treatment,
facilitated by this agreement, is mutually beneficial to both parties.
In consideration of the above premises, the parties agree as follows:
III. THE COUNTY SHALL:
A. LEGAL AUTHORITY. The County shall have the legal authority to enter into this
agreement, and the institutional, managerial, and financial capability to ensure proper
planning, management, and completion of the project, which includes funds sufficient
to pay the non-Federal share of project costs, when applicable.
B. Perform the following activities for the entire period of this agreement, regardless as
to whether any projects are cost-shared in a particular year.
1. Conduct or supervise the survey, treatment, and disposal (as appropriate) of
noxious weeds on Federal lands, and on adjacent lands that may contribute to the
introduction and spread of weeds to Federal lands. Treatment of weeds on
Federal land will be done in a manner consistent with U.S. Forest Service policy
and applicable environmental rules and documents.
2. All equipment and supplies (backpack sprayers, PPE, chemicals, etc)
necessary for the County to conduct the activities described in this agreement will
be supplied by the County. Both Federal and non-Federal funds may be used to
purchase these equipment and supplies.
3. Coordinate with the U.S. Forest Service Project Manager on development of a
project list for the upcoming year by February 28th of each year. This will involve
providing input to assist the U.S. Forest Service in identifying specific areas that
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are high priorities for treatment, survey, and monitoring for the upcoming year.
4. Meet prior to April 15th of each year with the U.S. Forest Service for the
purpose of agreeing to specific projects that will be jointly performed and/or
funded during that year. The County will also provide copies of County safety
and herbicide spill plans at that time. The Project Work List will be mutually
agreed upon and finalized by the project contacts before May 15th of each year.
5. Provide inventory and site location data in an electronic format, following U.S.
Forest Service protocol, and complete the paper accomplishment forms provided
by the U.S. Forest Service to document treatments, surveys and monitoring.
6. Provide bi-weekly communication on invasive plant accomplishments to the
U.S. Forest Service field representative during the inventory and treatment season
(approximately April 15 – October 30).
7. Work cooperatively with local weed boards, private landowners, and U.S.
Forest Service personnel to control noxious weeds across jurisdictional
boundaries.
8. Raise public awareness of noxious weeds and their impacts through a focused
educational program.
9. Provide progress reports with invoices for reimbursement and a year-end report
that documents the work that has been carried out, overall program effectiveness
and recommendations for treatment sites in the next year. Year-end reports are
due no later than February 15th each year following the field season.
IV. THE U.S. FOREST SERVICE SHALL:
A. PAYMENT/REIMBURSEMENT. The U.S. Forest Service shall reimburse the
County for the U.S. Forest Service's share of actual expenses incurred, not to exceed
$30,000.00, as shown in the Financial Plan. In order to approve a Request for
Reimbursement, the U.S. Forest Service shall review such requests to ensure
payments for reimbursement are in compliance and otherwise consistent with the
terms of the agreement. The U.S. Forest Service shall make payment upon receipt of
the County’s annual invoice. Each invoice from the County shall display the total
project costs for the billing period, separated by U.S. Forest Service and the County ’s
share. In-kind contributions must be displayed as a separate line item and must not be
included in the total project costs available for reimbursement. The final invoice
must display the County’s full match towards the project, as shown in the financial
plan, and be submitted no later than 90 days from the expiration date.
Each invoice must include, at a minimum:
1. The County’s name, address, and telephone number.
2. U.S. Forest Service agreement number.
3. Invoice date.
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4. Performance dates of the work completed (start & end).
5. Total invoice amount for the billing period, separated by the U.S. Forest
Service and The County share with in-kind contributions displayed as a
separate line item.
6. Display all costs, both cumulative and for the billing period, by separate cost
element as shown on the financial plan.
7. Cumulative amount of U.S. Forest Service payments to date.
8. Statement that the invoice is a request for payment by “reimbursement”
9. If using SF-270, a signature is required.
10. Invoice Number, if applicable.
The invoice must be forwarded to:
EMAIL: SM.FS.ASC_GA@USDA.GOV
FAX: 877-687-4894
POSTAL: USDA Forest Service
Albuquerque Service Center
Payments – Grants & Agreements
101B Sun Ave NE
Albuquerque, NM 87109
Send a copy to: Cheryl Bartlett
Olympic National Forest
1835 Black Lake Blvd SW
Olympia, WA 98512
cheryl.bartlett@usda.gov
B. Perform the following activities for the entire period of this agreement, regardless as to
whether any projects are cost-shared in a particular year.
1. Initiate modifications, including a tracking number and financial plan, which
will provide specifics for individual work projects and become an attachment to
this Agreement.
2. Designate a qualified project manager to coordinate U.S. Forest Service
activities and facilitate communication between the parties. This project
manager will also guide field work and provide technical guidance.
3. Coordinate with the County on development of a project list for the
upcoming year by February 28th of each year. Assist in identifying
specific areas that are high priorities for treatment, survey, and
monitoring for the upcoming year.
4. Meet prior to April 15th of each year with the County for the purpose
of agreeing to specific projects that will be jointly performed and/or
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funded during that year. The Project Work List will be mutually
agreed upon and finalized by the project contacts before May 15th of
each year.
5. Provide National Environmental Policy Act requirements for the project, as
needed, on National Forest sites.
6. Provide visitor information sites suitable for posting or distributing noxious
weed education and awareness information.
7. Maintain a noxious weed GIS data layer of inventory, treatment and monitoring
activities.
8. Provide updated inventory and site location database forms that follow U.S.
Forest Service protocol.
9. Provide a U.S. Forest Service radio for communications and safety.
V. IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE
PARTIES THAT:
A. PRINCIPAL CONTACTS. Individuals listed below are authorized to act in their
respective areas for matters related to this agreement.
Principal Cooperator Contacts:
Cooperator Project Contact Cooperator Financial Contact
Patricia Grover, Mason County Noxious
Weed Control Board
303 N 4th Street
Shelton, WA 98584
Telephone: 360-427-9670 X 592
FAX: 360-427-7764
Email: patriciag@co.mason.wa.us
Lisa DeWall, Mason County Extension,
Office Manager
303 N 4th Street
Shelton, WA 98584
Telephone: 360-427-9670 X 680
FAX: 360-427-7764
Email: lisad@co.mason.wa.us
Principal U.S. Forest Service Contacts:
U.S. Forest Service Program Manager
Contact
U.S. Forest Service Administrative
Contact
Cheryl Bartlett, Olympic National Forest
1835 Black Lake Blvd., SW
Olympia, WA 98512
Telephone: 360-956-2283
FAX: 360-956-2330
Email: cheryl.bartlett@usda.gov
Amy Verellen
215 Melody Lane
Wenatchee, WA 98801
Telephone: 509-664-9231
FAX: 509-664-9281
Email: amy.verellen@usda.gov
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B. NOTICES. Any communications affecting the operations covered by this agreement
given by the U.S. Forest Service or the County are sufficient only if in writing and
delivered in person, mailed, or transmitted electronically by e-mail or fax, as follows:
To the U.S. Forest Service Program Manager, at the address specified in the
agreement.
To the County, at the address shown in the agreement or such other address
designated within the agreement.
Notices are effective when delivered in accordance with this provision, or on the
effective date of the notice, whichever is later.
C. PARTICIPATION IN SIMILAR ACTIVITIES. This agreement in no way restricts
the U.S. Forest Service or the County from participating in similar activities with
other public or private agencies, organizations, and individuals.
D. ENDORSEMENT. Any of the County’s contributions made under this agreement do
not by direct reference or implication convey U.S. Forest Service endorsement of the
County's products or activities.
E. USE OF U.S. FOREST SERVICE INSIGNIA. In order for the County to use the
U.S. Forest Service Insignia on any published media, such as a Web page, printed
publication, or audiovisual production, permission must be granted from the U.S.
Forest Service’s Office of Communications (Washington Office). A written request
will be submitted by the U.S. Forest Service to the Office of Communications
Assistant Director, Visual Information and Publishing Services, prior to use of the
insignia. The U.S. Forest Service will notify the County when permission is granted.
F. NON-FEDERAL STATUS FOR COOPERATOR PARTICIPANT. The County
agree(s) that any of the County‘s employees, volunteers, and program participants
shall not be deemed to be Federal employees for any purposes including Chapter 171
of Title 28, United States Code (Federal Tort Claims Act) and Chapter 81 of Title 5,
United States Code (OWCP), as the County hereby willingly agree(s) to assume these
responsibilities.
Further, the County shall provide any necessary training to the County’s employees,
volunteers, and program participants to ensure that such personnel are capable of
performing tasks to be completed. The County shall also supervise and direct the
work of its employees, volunteers, and participants performing under this agreement.
G. MEMBERS OF CONGRESS. Pursuant to 41 U.S.C. 22, no member of, or delegate
to, Congress shall be admitted to any share or part of this agreement, or benefits that
may arise therefrom, either directly or indirectly.
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H. NONDISCRIMINATION. In accordance with Federal civil rights law and U.S.
Department of Agriculture (USDA) civil rights regulations and policies, the USDA,
its Agencies, offices, and employees, and institutions participating in or
administering USDA programs are prohibited from discriminating based on race,
color, national origin, religion, sex, gender identity (including gender expression),
sexual orientation, disability, age, marital status, family/parental status, income
derived from a public assistance program, political beliefs, or reprisal or retaliation
for prior civil rights activity, in any program or activity conducted or funded by
USDA (not all bases apply to all programs). Remedies and complaint filing deadlines
vary by program or incident.
Persons with disabilities who require alternative means of communication for
program information (e.g., Braille, large print, audiotape, American Sign Language,
etc.) should contact the responsible Agency or USDA's TARGET Center at (202)
720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at
(800) 877-8339. Additionally, program information may be made available in
languages other than English.
To file a program discrimination complaint, complete the USDA Program
Discrimination Complaint Form, AD-3027, found online at How to File a Program
Discrimination Complaint and at any USDA office or write a letter addressed to
USDA and provide in the letter all of the information requested in the form. To
request a copy of the complaint form, call (866) 632-9992. Submit your completed
form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the
Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington,
D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.
I. ELIGIBLE WORKERS. The County shall ensure that all employees complete the
I-9 form to certify that they are eligible for lawful employment under the Immigration
and Nationality Act (8 USC 1324a). The County shall comply with regulations
regarding certification and retention of the completed forms. These requirements also
apply to any contract awarded under this agreement.
J. SYSTEM FOR AWARD MANAGEMENT REGISTRATION REQUIREMENT
(SAM). The County shall maintain current information in the System for Award
Management (SAM) until receipt of final payment. This requires review and update
to the information at least annually after the initial registration, and more frequently if
required by changes in information or agreement term(s). For purposes of this
agreement, System for Award Management (SAM) means the Federal repository into
which an entity must provide information required for the conduct of business as a
Cooperative. Additional information about registration procedures may be found at
the SAM Internet site at www.sam.gov.
K. STANDARDS FOR FINANCIAL MANAGEMENT.
1. Financial Reporting
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The County shall provide complete, accurate, and current financial disclosures of
the project or program in accordance with any financial reporting requirements, as
set forth in the financial provisions.
2. Accounting Records
The County shall continuously maintain and update records identifying the source
and use of funds. The records shall contain information pertaining to the
agreement, authorizations, obligations, unobligated balances, assets, outlays, and
income.
3. Internal Control
The County shall maintain effective control over and accountability for all U.S.
Forest Service funds, real property, and personal property assets. The County
shall keep effective internal controls to ensure that all United States Federal funds
received are separately and properly allocated to the activities described in the
agreement and used solely for authorized purposes.
4. Source Documentation
The County shall support all accounting records with source documentation.
These documentations include, but are not limited to, cancelled checks, paid bills,
payrolls, contract and contract documents. These documents must be made
available to the U.S. Forest Service upon request.
L. INDIRECT COST RATES- PARTNERSHIP
Indirect costs are approved for reimbursement or as a cost-share requirement and
have an effective period applicable to the term of this agreement.
1. If the County has never received or does not currently have a negotiated indirect
cost rate, they are eligible for a de minimis indirect cost rate up to 10 percent of
modified total direct costs (MTDC). MTDC is defined as all salaries and wages,
fringe benefits, materials and supplies, services, travel, and contracts up to the first
$25,000 of each contract.
2. For rates greater than 10 percent and less than 25 percent, the County shall
maintain documentation to support the rate. Documentation may include, but is
not limited to, accounting records, audit results, cost allocation plan, letter of
indirect cost rate approval from an independent accounting firm, or other Federal
agency approved rate notice applicable to agreements.
3. For a rate greater than 25 percent, the U.S. Forest Service may require that
request a federally approved rate from the County’s cognizant audit agency no
later than 3 months after the effective date of the agreement. The County will
be reimbursed for indirect costs or allowed to cost-share at the rate reflected in the
agreement until the rate is formalized in the negotiated indirect cost rate (NICRA)
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at which time, reimbursements for prior indirect costs or cost-sharing may be
subject to adjustment.
4. Failure to provide adequate documentation supporting the indirect cost rate, if
requested, could result in disallowed costs and repayment to the U.S. Forest
Service.
M. OVERPAYMENT. Any funds paid to the County in excess of the amount entitled
under the terms and conditions of this agreement constitute a debt to the Federal
Government. The following must also be considered as a debt or debts owed by the
County to the U.S. Forest Service:
- Any interest or other investment income earned on advances of agreement funds; or
- Any royalties or other special classes of program income which, under the
provisions of the agreement, are required to be returned;
If this debt is not paid according to the terms of the bill for collection issued for the
overpayment, the U.S. Forest Service may reduce the debt by:
1. Making an administrative offset against other requests for reimbursement.
2. Withholding advance payments otherwise due to the County.
3. Taking other action permitted by statute (31 U.S.C. 3716 and 7 CFR, Part 3,
Subpart B).
Except as otherwise provided by law, the U.S. Forest Service may charge interest on
an overdue debt.
N. AGREEMENT CLOSE-OUT. Within 120 days after expiration or notice
of termination The County shall close out the agreement.
Any unobligated balance of cash advanced to the County must be immediately
refunded to the U.S. Forest Service, including any interest earned in accordance with
7CFR3016.21/2CFR 215.22.
Within a maximum of 120 days following the date of expiration or termination of
this agreement, all financial performance and related reports required by the terms of
the agreement must be submitted to the U.S. Forest Service by the County.
If this agreement is closed out without audit, the U.S. Forest Service reserves the right
to disallow and recover an appropriate amount after fully considering any
recommended disallowances resulting from an audit which may be conducted later.
O. PROGRAM MONITORING AND PROGRAM PERFORMANCE REPORTS.
The parties to this agreement shall monitor the performance of the agreement
activities to ensure that performance goals are being achieved.
Performance reports must contain information on the following:
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- A comparison of actual accomplishments to the goals established for the period.
Wherever the output of the project can be readily expressed in numbers, a
computation of the cost per unit of output, if applicable.
- Reason(s) for delay if established goals were not met.
- Additional pertinent information.
The County shall submit annual performance reports to the U.S. Forest Service
Program Manager. These reports are due 90 days after the reporting period. The
final performance report must be submitted either with the County’s final payment
request, or separately, but not later than 90 days from the expiration date of the
agreement.
P. RETENTION AND ACCESS REQUIREMENTS FOR RECORDS. The County
shall retain all records pertinent to this agreement for a period of no less than 3 years
from the expiration or termination date. As used in this provision, records includes
books, documents, accounting procedures and practice, and other data, regardless of
the type or format. The County shall provide access and the right to examine all
records related to this agreement to the U.S. Forest Service, Inspector General, or
Comptroller General or their authorized representative. The rights of access in this
section must not be limited to the required retention period but must last as long as
the records are kept.
If any litigation, claim, negotiation, audit, or other action involving the records has
been started before the end of the 3-year period, the records must be kept until all
issues are resolved, or until the end of the regular 3-year period, whichever is later.
Records for nonexpendable property acquired in whole or in part, with Federal funds
must be retained for 3 years after its final disposition.
Q. FREEDOM OF INFORMATION ACT (FOIA). Public access to grant or agreement
records must not be limited, except when such records must be kept confidential and
would have been exempted from disclosure pursuant to Freedom of Information
regulations (5 U.S.C. 552). Requests for research data are subject to 2 CFR 215.36.
Public access to culturally sensitive data and information of Federally-recognized
Tribes may also be explicitly limited by P.L. 110-234, Title VIII Subtitle B §8106
(2008 Farm Bill).
R. TEXT MESSAGING WHILE DRIVING. In accordance with Executive Order (EO)
13513, “Federal Leadership on Reducing Text Messaging While Driving,” any and
all text messaging by Federal employees is banned: a) while driving a Government
owned vehicle (GOV) or driving a privately owned vehicle (POV) while on official
Government business; or b) using any electronic equipment supplied by the
Government when driving any vehicle at any time. All Cooperatives, their
Employees, Volunteers, and Contractors are encouraged to adopt and enforce policies
that ban text messaging when driving company owned, leased or rented vehicles,
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POVs or GOVs when driving while on official Government business or when
performing any work for or on behalf of the Government.
S. COVID-19 SOCIAL DISTANCING AND MASK REQUIREMENTS ON FEDERAL
PROPERTY. In accordance with Executive Order (EO) 13991 on Protecting the
Federal Workforce and Requiring Mask-Wearing, any of the Cooperator’s/Recipient’s
employees, participants, and volunteers engaged on behalf of or in partnership with the
Forest Service are required to comply with CDC guidelines with respect to wearing
masks, maintaining physical distance, and other public health measures while performing
work in Federal buildings or on Federal lands. All participants must adhere to the
following guidance addressed in Memorandum M-21-15 located at:
https://www.whitehouse.gov/wp-content/uploads/2021/01/M-21-15.pdf
The Cooperator/Recipient is responsible for providing acceptable masks and proper use
training to adhere to this guidance. The purchase of Personal Protection Equipment
(PPE) is an allowable supply cost and should be documented on the financial plan.
T. PUBLIC NOTICES. It is The U.S. Forest Service's policy to inform the public as
fully as possible of its programs and activities. The County is/are encouraged to give
public notice of the receipt of this agreement and, from time to time, to announce
progress and accomplishments. Press releases or other public notices should reference
the Agency as follows:
“The Invasive Plant Program of the Olympic National Forest of the U.S. Forest
Service, U.S. Department of Agriculture”
The County may call on The U.S. Forest Service's Office of Communication for
advice regarding public notices. The County is/are requested to provide copies of
notices or announcements to the U.S. Forest Service Program Manager and to The
U.S. Forest Service's Office of Communications as far in advance of release as
possible.
U. FUNDING EQUIPMENT. Federal funding under this agreement is not available for
reimbursement of the County’s purchase of Equipment. Equipment is defined as
having a fair market value of $5,000 or more per unit and a useful life of over one
year.
V. GOVERNMENT-FURNISHED PROPERTY. The County may only use U.S. Forest
Service property furnished under this agreement for performing tasks assigned in this
agreement. The County shall not modify, cannibalize, or make alterations to U.S.
Forest Service property. A separate document, Form AD-107, must be completed to
document the loan of U.S. Forest Service property. The U.S. Forest Service shall
retain title to all U.S. Forest Service-furnished property. Title to U.S. Forest Service
property must not be affected by its incorporation into or attachment to any property
not owned by the U.S. Forest Service, nor must the property become a fixture or lose
its identity as personal property by being attached to any real property.
Liability for Government Property.
1. Unless otherwise provided for in the agreement, the County shall not be liable for
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loss, damage, destruction, or theft to the Government property furnished or
acquired under this contract, except when any one of the following applies:
a. The risk is covered by insurance or the County is/are otherwise reimbursed
(to the extent of such insurance or reimbursement).
b. The loss, damage, destruction, or theft is the result of willful misconduct or
lack of good faith on the part of the County’s managerial personnel. The
County’s managerial personnel, in this provision, means the County’s
directors, officers, managers, superintendents, or equivalent representatives
who have supervision or direction of all or substantially all of the County’s
business; all or substantially all of the County’s operation at any one plant or
separate location; or a separate and complete major industrial operation.
2. The County shall take all reasonable actions necessary to protect the Government
property from further loss, damage, destruction, or theft. The County shall
separate the damaged and undamaged Government property, place all the
affected Government property in the best possible order, and take such other
action as the Property Administrator directs.
3. The County shall do nothing to prejudice the Government's rights to recover
against third parties for any loss, damage, destruction, or theft of Government
property.
4. Upon the request of the Grants Management Specialist, the County shall, at the
Government's expense, furnish to the Government all reasonable assistance and
cooperation, including the prosecution of suit and the execution of agreements of
assignment in favor of the Government in obtaining recovery.
W. U.S. FOREST SERVICE ACKNOWLEDGED IN PUBLICATIONS,
AUDIOVISUALS AND ELECTRONIC MEDIA. The County shall acknowledge
U.S. Forest Service support in any publications, audiovisuals, and electronic media
developed as a result of this agreement.
X. NONDISCRIMINATION STATEMENT – PRINTED, ELECTRONIC, OR
AUDIOVISUAL MATERIAL. The County shall include the following statement, in
full, in any printed, audiovisual material, or electronic media for public distribution
developed or printed with any Federal funding.
In accordance with Federal law and U.S. Department of Agriculture
policy, this institution is prohibited from discriminating on the basis of
race, color, national origin, sex, age, or disability. (Not all prohibited
bases apply to all programs.)
To file a complaint of discrimination, write USDA, Director,
Office of Civil Rights, 1400 Independence Avenue, SW,
Washington, DC 20250-9410 or call toll free voice (866) 632-
9992, TDD (800) 877-8339, or voice relay (866) 377-8642.
USDA is an equal opportunity provider and employer.
If the material is too small to permit the full statement to be included, the material
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must, at minimum, include the following statement, in print size no smaller than the
text:
"This institution is an equal opportunity provider."
Y. REMEDIES FOR COMPLIANCE RELATED ISSUES. If the County materially
fail(s) to comply with any term of the agreement, whether stated in a Federal statute
or regulation, an assurance, or the agreement, the U.S. Forest Service may take one or
more of the following actions:
1. Temporarily withhold cash payments pending correction of the deficiency by the
County or more severe enforcement action by the U.S. Forest Service;
2. Disallow (that is, deny both use of funds and matching credit for) all or part of
the cost of the activity or action not in compliance;
3. Wholly or partly suspend or terminate the current agreement for the County’s
program;
4. Withhold further awards for the program, or
5. Take other remedies that may be legally available, including debarment
procedures under 2 CFR part 417.
Z. TERMINATION BY MUTUAL AGREEMENT. This agreement may be terminated,
in whole or part, as follows:
1. When the U.S. Forest Service and the County agree upon the termination
conditions, including the effective date and, in the case of partial termination, the
portion to be terminated.
2. By 30 days written notification by the County to the U.S. Forest Service setting
forth the reasons for termination, effective date, and in the case of partial
termination, the portion to be terminated. If the U.S. Forest Service decides that
the remaining portion of the agreement will not accomplish the purposes for
which the agreement was made, the U.S. Forest Service may terminate the
agreement in its entirety.
Upon termination of an agreement, the County shall not incur any new obligations for
the terminated portion of the agreement after the effective date, and shall cancel as
many outstanding obligations as possible. The U.S. Forest Service shall allow full
credit to the County for the U.S. Forest Service share of obligations that cannot be
cancelled and were properly incurred by the County up to the effective date of the
termination. Excess funds must be refunded within 60 days after the effective date of
termination.
AA. ALTERNATE DISPUTE RESOLUTION – PARTNERSHIP AGREEMENT. In the
event of any issue of controversy under this agreement, the parties may pursue
OMB 0596-0217
FS-1500-16 USDA, Forest Service
Page 15 of 15 (Rev. 9-15)
Burden Statement
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this
information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part
of an individual’s income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free
(866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is
an equal opportunity provider and employer.
The authority and format of this agreement (21-PA-11060900-005) have been
reviewed and approved for signature.
KELLY M. UNDERWOOD
U.S. Forest Service Grants Management Specialist
Date
KELLY
UNDERWOOD
Digitally signed by KELLY
UNDERWOOD
Date: 2021.05.17
11:50:57 -07'00'
U.S. Forest Service OMB 0596-0217
FS-1500-17B
Attachment: Exhibit A
USFS Agreement No.:Mod. No.:
Cooperator Agreement No.:
Financial Plan Matrix:Note: All columns may not be used. Use depends on source and type of contribution(s).
(a) (b) (c) (d)
Cash
COST ELEMENTS Noncash to Noncash In-Kind
Direct Costs Cooperator
Salaries/Labor $2,974.40 $25,801.00 $6,697.80 $0.00 $35,473.20
Travel $0.00 $560.00 $560.00 $0.00 $1,120.00
Equipment $0.00 $0.00 $0.00 $0.00 $0.00
Supplies/Materials $0.00 $417.54 $1,510.00 $0.00 $1,927.54
Printing $0.00 $0.00 $0.00 $0.00 $0.00
Other $0.00 $0.00 $0.00 $0.00 $0.00
Other $0.00
Subtotal $2,974.40 $26,778.54 $8,767.80 $0.00 $38,520.74
Coop Indirect Costs $3,221.46 $1,054.77 $4,276.22
FS Overhead Costs $356.93 $356.93
Total $3,331.33 $30,000.00 $9,822.57 $0.00
$43,153.89
(a+b) ÷ (e) = (f)
Total Cooperator Share
(c+d) ÷ (e) = (g)
Total (f+g) = (h)
21-PA-11060900-005
Note: This Financial Plan may be used when:
(1) No program income is expected and
(2) The Cooperator is not giving cash to the FS and
(3) There is no other Federal funding
Agreements Financial Plan (Short Form)
FOREST SERVICE CONTRIBUTIONS COOPERATOR CONTRIBUTIONS
(g)
22.76%
(h)
100.00%
(e)
Total
Total Project Value:
Matching Costs Determination
Total Forest Service Share = (f)
77.24%
Page 1
Standard Calculation
Job Description Cost/Day # of Days Total
Invasive Plant Program
Coordinator $297.44 10.00 $2,974.40
Total Salaries/Labor $2,974.40
Standard Calculation
Travel Expense Employees Cost/Trip # of Trips Total
$0.00
Total Travel $0.00
Piece of Equipment # of Units Cost/Day # of Days Total
$0.00
Total Equipment $0.00
Supplies/Materials # of Items Cost/Item Total
$0.00
Total Supplies/Materials $0.00
Paper Material # of Units Cost/Unit Total
$0.00
Total Printing $0.00
Item # of Units Cost/Unit Total
$0.00
Total Other $0.00
Current Overhead Rate Total
12.00% $356.93
Total FS Overhead Costs $356.93
WORKSHEET FOR
Standard Calculation
Standard Calculation
Standard Calculation
Standard Calculation
Non-Standard Calculation
$2,974.40
Subtotal Direct Costs
Forest Service Overhead Costs
FS Non-Cash Contribution Cost Analysis, Column (a)
TOTAL COST $3,331.33
Printing
Other Expenses
Subtotal Direct Costs
Equipment
Travel
Salaries/Labor
Supplies/Materials
$2,974.40
Job Description Cost/Day # of Days Total
Mason County Noxious
Weed Control Board
Coordinator $320.80 40.00 $12,832.00
Crewmember $172.92 75.00 $12,969.00
Total Salaries/Labor $25,801.00
Travel Expense Employees Cost/Mile # of Miles Total
Travel to/from worksites $0.56 1000.00 $560.00
Total Travel $560.00
Piece of Equipment # of Units Cost/Day # of Days Total
$0.00
Total Equipment $0.00
Supplies/Materials # of Items Cost/Item Total
PPE, herbicide, hand
pruners, heavy garbage
bags, etc.$417.54 $417.54
Total Supplies/Materials $417.54
Paper Material # of Units Cost/Unit Total
$0.00
$0.00
Total Printing $0.00
Item # of Units Cost/Unit Total
$0.00
Total Other $0.00
Current Overhead Rate Total
12.03% $3,221.46
$3,221.46
WORKSHEET FOR
Standard Calculation
Standard Calculation
Non-Standard Calculation
Non-Standard Calculation
Printing
FS Cash to the Cooperator Cost Analysis, Column (b)
Salaries/Labor
Travel
Equipment
Supplies/Materials
Standard Calculation
Standard Calculation
Standard Calculation
Standard Calculation
TOTAL COST $30,000.00
$26,778.54
Total Coop. Indirect Costs
Other Expenses
Subtotal Direct Costs
Cooperator Indirect Costs
Subtotal Direct Costs
$26,778.54
Job Description Cost/Day # of Days Total
Mason County Noxious
Weed Control Board
Coordinator $320.80 16.00 $5,132.80
Office Manager $313.00 5.00 $1,565.00
Total Salaries/Labor $6,697.80
Travel Expense Employees Cost/Mile # of Miles Total
Travel to/from worksites $0.56 1000.00 $560.00
Total Travel $560.00
Piece of Equipment # of Units Cost/Day # of Days Total
Total Equipment $0.00
Supplies/Materials # of Items Cost/Item Total
PPE/Field Supplies 1.00 $100.00 $100.00
Office Supplies 1.00 $50.00 $50.00
Backpack Sprayers 4.00 $140.00 $560.00
Misc. Small tools 2.00 $150.00 $300.00
Herbicide 1.00 $500.00 $500.00
Total Supplies/Materials $1,510.00
Paper Material # of Units Cost/Unit Total
$0.00
$0.00
Total Printing $0.00
Item # of Units Cost/Unit Total
$0.00
Total Other $0.00
Current Overhead Rate Total
12.03%$1,054.77
$1,054.77
WORKSHEET FOR
Cooperator Non-Cash Contribution Cost Analysis, Column (c)
Salaries/Labor
Travel
Equipment
Supplies/Materials
Standard Calculation
Standard Calculation
Standard Calculation
Standard Calculation
Non-Standard Calculation
Standard Calculation
Printing
TOTAL COST $9,822.57
$8,767.80
Total Coop. Indirect Costs
Other Expenses
Subtotal Direct Costs
Cooperator Indirect Costs
Subtotal Direct Costs
$8,767.80
Standard Calculation