HomeMy WebLinkAboutHood Canal Coordinating CouncilPROFESSIONAL SERVICES CONTRACT AGREEMENT
BETWEEN
HOOD CANAL COORDINATING COUNCIL
AND
MASON COUNTY PUBLIC HEALTH
THIS AGREEMENT is between Hood Canal Coordinating Council (HCCC), located at 17791
Fjord Drive, NE, Suite 122, Paulsbo, WA 98370, and Mason County Public Health
(Consultant), with an address of PO Box 1666, Shelton, WA 98584, and is made effective
as of the date signed below by HCCC. HCCC and Contractor are also referred to as the
"Parties" and each as a "Party."
The Parties to this Agreement agree as follows:
1) DEFINITIONS. -- For purposes of this Agreement, the term —
a) "Hood Canal Coordinating Council' means Hood Canal Coordinating Council, also
referred to as HCCC, a Washington Corporation, and its members, directors,
officers, employees and agents;
b) "Consultant" means the Consultant and its directors, officers, employees, agents
and subcontractors; and
c) "Contract Representative" means the person designated below and incorporated
by reference, to serve as representative of HCCC and the Consultant for
purposes of administration of this Agreement.
2) SERVICES TO BE PERFORMED AND DELIVERABLES. -- The Consultant agrees to
provide services to HCCC, in accordance with applicable professional standards, as
described in Exhibit A and the Funding Source Programmatic Conditions (if any), as
described in Exhibit A. No work shall commence under this Agreement until it is fully
executed by both Parties.
3) COMPENSATION. --
a) Except as provided herein, HCCC agrees to pay Consultant on a monthly basis
following receipt of an invoice documenting services rendered and costs
incurred, in a manner and amount stipulated in Exhibit A.
HCCC Contract Agreement Page 1
b) Consultant shall submit the final invoice, or any claims for payments not already
made, no later than 30 days from the expiration or termination of the
agreement.
i) HCCC may, at its sole discretion, retain up to 10 percent of the amount
otherwise due and owing under each invoice until Consultant completes all
work described in Exhibit A, or otherwise authorized by HCCC. HCCC shall
notify Consultant of the amount retained and deposit the retained amount in
an interest -bearing account. HCCC shall release the amount retained,
together with earned interest, not later than 30 days after receipt of a final
invoice and acceptance of HCCC of all work authorized.
ii) HCCC may, at its sole discretion, retain an amount otherwise due and owing
under each invoice until Consultant provides HCCC with evidence that the
Consultant has paid industrial insurance premiums for its employees and/or
is in compliance with state industrial insurance requirements.
c) Allowable Costs. —
i) Travel Expenses. -- HCCC agrees to reimburse Consultant up to the amount
stipulated in Exhibit A for travel expenses (including per diem) from
Consultant's home or principal place of business to meeting sites. HCCC shall
reimburse Consultant for travel expenses in accordance with federal travel
regulations. Payment for expenses over the category amount will not be
honored without prior approval of HCCC's Contract Representative.
ii) Other Expenses. -- HCCC agrees to reimburse Consultant for miscellaneous
expenses specified in Exhibit A, provided those costs are allowable under the
Federal Cost Principles set forth in the OMB Uniform Guidance, 2 CFR Part
200. Any request over the category amount will not be honored without
prior approval by HCCC's Contract Representative.
d) Unallowable Costs. --
i) Management fees or similar charges in excess of the direct costs are not
allowable.
ii) If Consultant expends more than the amount of its approved budget in
anticipation of receiving additional funds, it does so at its own risk. HCCC is
not legally obligated to reimburse Consultant for costs incurred in excess of
the approved budget.
e) Invoice. -- Consultant's invoice shall indicate dates of service, a description of
work performed, and time spent on that date in providing service under this
Agreement. The invoice shall include travel claims for travel expenses incurred
by Consultant in connection with performance under this Agreement. The
HCCC Contract Agreement Page 2
invoice shall provide a progress report describing all activities accomplished for
the period being invoiced.
i) Invoices should be sent to the Accountant at the HCCC address listed below
via U.S. Postal Service or email (not both).
ii) Invoices must be submitted by a representative of the Consultant who has
the Consultant's full authority to render such reports and requests for
payment and certify to the following at time of submission:
By signing this payment request, 1 certify to the best of my knowledge and
belief that the payment request is true, complete, and accurate. The
expenditures, disbursements and cash receipts are for the purposes and
objectives set forth in the terms and conditions of the Agreement. 1 am aware
that any false, fictitious, or fraudulent information, or the omission of any
material fact, may subject me to criminal, civil or administrative penalties for
fraud, false statements, false claims or otherwise. 18 USC 1001 and 31 USC
3729-3730 and 3801-3812.
4) TERM. -- The term of this Agreement commences on the effective date, the date the
agreement is signed by the HCCC Executive Director below, and continues until
March 31, 2019 as stipulated in Exhibit A, or until terminated by the Parties. In the
event funding from state, federal, or other sources is withdrawn, reduced, or limited
in any way after the effective date of this contract and prior to normal completion,
HCCC may terminate the contract under the "Term" clause without a notice
requirement.
5) SUBCONTRACTING. — Consultant may not subcontract without prior written
approval by the HCCC.
6) TRAINING. -- Consultant acknowledges that no training will be provided to
Consultant under this Agreement. Consultant warrants and represents that its
personnel are fully trained to perform services required under this Agreement and
that additional training provided by HCCC will be unnecessary.
7) BUSINESS LICENSES AND TAXES. --
a) Consultant shall, at its own expense, secure and maintain in full force and effect
during the term of this Agreement all required licenses, permits, and similar legal
authorization, and comply with all applicable Federal, State and local regulations.
b) Consultant shall be responsible for payment of taxes, insurance and other
obligations relating to its performance of services under this Agreement.
Consultant shall provide HCCC with verification of its —
i) Unified business identifier number from the State of Washington and that its
business license is in good standing;
HCCC Contract Agreement Page 3
ii) Washington State Department of Revenue account and that the account is in
good standing;
iii) Washington State Labor and Industries account and that the account is in
good standing or that the Consultant is exempt from the state's industrial
insurance requirements;
iv) Data Universal Numbering System (DUNS) number; and
v) Central Contractor Registry (CCR) through SAM.gov.
c) All other necessary licenses and permits to perform the work specified in Exhibit
B.
8) INDEPENDENT CONSULTANT STATUS. --
a) Consultant shall act as an independent Consultant, and in no way shall be
considered an employee of HCCC. Consultant is not required to report to HCCC's
offices at any specific time, except as requested for occasional consultations.
HCCC does not have the right to assign any additional projects to Consultant.
Consultant shall choose the time and manner for performing each part of the
services described in Exhibit A according to its own routines and schedules,
independent from HCCC's normal business operations.
b) Consultant acknowledges that Consultant will not qualify for benefits which may
be available if classified as an employee. In the event that the Internal Revenue
Service (IRS) successfully asserts that Consultant is not or was not an
independent Consultant for any period during the term of this Agreement and
reclassifies Consultant as an employee, Consultant agrees to complete, sign and
deliver IRS Form 4669 (Employee Wage Statement) to HCCC for any tax period
affected. HCCC shall then file the Form 4669 with the IRS (along with IRS Form
4670 "Request for Relief From Payment of Income Tax Withholding") to offset
against HCCC's withholding obligation.
c) Consultant acknowledges that it will be liable to HCCC for any industrial
insurance premiums or any other premiums or fees that HCCC is required to pay
on its behalf under RCW 51.12.070, or any other applicable statute, regulation or
ordinance, to the State of Washington or local jurisdiction.
9) NON-EXCLUSIVE CONTRACT. -- This Agreement is non-exclusive. Consultant reserves
the right to perform services for others during the term of the Agreement.
10) MATERIALS AND EQUIPMENT. -- Consultant shall provide all materials and
equipment necessary to perform its obligations under this Agreement: Provided,
however, that Consultant may use office equipment located in the offices of HCCC,
as available, and provided however, that if "Other Expenses" have been awarded as
part of this agreement, HCCC may purchase said supplies and services on behalf of
the Consultant as part of this Agreement.
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11) INDEMNIFICATION. --
a) To the fullest extent permitted by law, Consultant hereby indemnifies and holds
HCCC harmless from any and all loss, damage, suits, liability, claims, demands or
costs, whatsoever, whether arising at law or in equity, or sounding in tort,
contract or other causes of action arising from any claim or liability resulting
from Consultant's performance of services described in Exhibit A under this
Agreement, except to the extent caused by the negligence of HCCC.
b) Consultant hereby indemnifies and holds HCCC harmless from any additional
taxes, interest and penalties due from Consultant or HCCC resulting from
reclassification in the event the IRS or any state or local taxing authority
successfully asserts that Consultant is not or was not an independent Consultant
for any period during the term of this Agreement and reclassifies Consultant as
an employee.
12) INSURANCE. -- Consultant shall provide HCCC with a certificate of insurance for each
insurance provision required in this section. The certificate of insurance shall be
effective during the duration of this agreement. HCCC may require that the
certificate of insurance name HCCC as an additional insured party. Consultant shall
also require all of its subcontractors to maintain the same type and level of
insurance as required in this section and provide certificates of insurance to HCCC as
required in this section. Consultant shall, at its own expense, acquire and maintain
the following insurance throughout the term of the Agreement:
a) Commercial Automobile Liability insurance covering all owned, non -owned and
hired automobiles, trucks and trailers. Such insured shall provide the Standard
Comprehensive Automobile Liability policy in limits not less than $1,000,000
Combined Single Limit;
b) Commercial General Liability Coverage Insurance, with not less than the
following limits: $1,000,000 for each occurrence limit, $1,000,000 for personal
injury limit, $2,000,000 general aggregate limit;
c) Professional Liability Insurance in an amount not less than $1,000,000 per claim
and in the aggregate; and
d) Workers' Compensation and Employer Defense Insurance as required by statute
and employer liability coverage, with not less than the following limits:
$1,000,000 each accident for bodily injury by accident, $1,000,000 each
employee for bodily injury by disease and $1,000,000 policy limit for bodily
injury by disease.
e) Notwithstanding the forgoing, Contractor maintains a system for self-insurance
that meets the requirements of this section 12.
HCCC Contract Agreement Page 5
13) CONFIDENTIALITY. -- Information produced or made available to the Consultant
shall not be disclosed to others or used for any other purpose, except as required
under this contract, without prior written approval by HCCC.
14) OWNERSHIP OF PRODUCTS PRODUCED UNDER THIS CONTRACT. -- All data and
products developed under this contract, excluding copyrighted material used with
permission, or other public data that cannot be copyrighted, shall become the sole
property of the HCCC and its assigns. Permission for its subsequent use must be
obtained from the HCCC prior to that use. Any alteration of the data by HCCC for
purposes other than those intended by this Agreement shall be at HCCC's sole risk
and without legal liability upon the Consultant.
15) PUBLICITY AND ACKNOWLEDGEMENT OF SUPPORT. --
a) Consultant gives HCCC the right and authority to publicize HCCC's financial
support for this Agreement and the Project in press releases, publications and
other public communications. Consultant agrees to: (i) give appropriate credit to
HCCC and any Funding Sources identified in this Agreement for their financial
support in any and all press releases, publications, annual reports, signage, video
credits, dedications, and other public communications regarding this Agreement
or any of the project deliverables associated with this Agreement, subject to any
terms and conditions below; and (ii) include the disclaimer provided for in (b).
Consultant must obtain prior HCCC approval for the use relating to this
Agreement of the HCCC logo or the logo of any Funding Source.
b) Disclaimers. -- Payments made under this Agreement do not by direct reference
or implication convey HCCC's endorsement nor the endorsement by any other
entity that provides funds through this Agreement, including the U.S.
Government, as applicable, for the Project. All information submitted for
publication or other public releases of information regarding this Agreement
shall carry the following disclaimer:
i) For Projects funded in whole or part with Federal funds: "The views and
conclusions contained in this document are those of the authors and should
not be interpreted as representing the opinions or policies of the U.S.
Government or the Hood Canal Coordinating Council and its funding sources.
Mention of trade names or commercial products does not constitute their
endorsement by the U.S. Government, or the Hood Canal Coordinating
Council or its funding sources."
ii) For Projects not funded with Federal funds: "The views and conclusions
contained in this document are those of the authors and should not be
interpreted as representing the opinions of the Hood Canal Coordinating
Council or its funding sources. Mention of trade names or commercial
HCCC Contract Agreement Page 6
products does not constitute their endorsement by the Hood Canal
Coordinating Council or its funding sources."
16) INSPECTION AND RETENTION OF RECORDS. -- The Consultant shall make all
applicable financial records, supporting documents, and all other pertinent records
related to this Project, available to HCCC, the State of Washington, the U.S.
Government or any of their duly authorized representatives, for inspection. Records
shall be retained for a period of six years after final payment under this Agreement
has been made. If any litigation, claim or audit is started before expiration of the six -
year period, the records shall be retained until all litigation, claims or audit findings
involving the records have been resolved.
17) NONDISCRIMINATION. -- By signing this Agreement, the Consultant certifies that it
is an Equal Opportunity Employer and in. compliance with all state and federal
nondiscrimination requirements. The Consultant agrees to continue to be in
compliance with all state and federal nondiscrimination requirements. Consultant
agrees to comply fully with applicable civil rights statutes and regulations, including
Title IV of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
the Age Discrimination Act of 1975, and the American Disabilities Act.
18) COMPLIANCE WITH COPELAND "ANTI -KICKBACK" ACT. -- Consultant is prohibited
from inducing, by any means, any person employed in the construction, completion,
or repair of public work, to give up any part of the compensation to which he is
otherwise entitled and remain in compliance with 18 U.S.C. 874 and 40 U.S.C. 276c.
19) PREVAILING WAGE. -- The Consultant agrees to pay the prevailing rate of wage to all
workers, laborers, or mechanics employed in the performance of any part of this
contract when required by state law to do so, and to comply with provisions of the
Davis -Bacon Act (40 USC 3141-3148), Contract Work Hours and Safety Standards Act
(40 USC 3701-3708), other federal laws and Chapter 39.12 RCW, as amended, and
the rules and regulations of the Department of Labor and Industries.
20) APPLICABLE LAW. -- This Agreement shall be construed and enforced under the laws
of the State of Washington, irrespective of the fact that any one of the Parties is now
or may become a resident of another state. Venue for any action under this
Agreement shall lie in Kitsap County, Washington. .
21) MODIFICATION, -- This Agreement may not be waived, discharged or modified in
any manner other than by written agreement of the Parties.
22) SEVERABILITY. -- No provision of this Agreement is severable from any and all other
provisions of this Agreement. Should any provision or provisions of this Agreement
be unenforceable for any reason, the party finding itself unable to enforce said
provision(s) may, at its sole discretion, declare this entire Agreement to be null and
void.
HCCC Contract Agreement Page 7
23) TERMINATION. -- Either party may terminate this Agreement with 30 days written
notification to the other party. If this Agreement is so terminated, the Parties shall
be liable only for performance rendered or costs incurred in accordance with the
terms of this Agreement prior to the effective date of termination. If for any cause,
either party does not fulfill in a timely and proper manner its obligations under this
Agreement, or if either party violates any of these terms and conditions, the
aggrieved party will give the other party written notice of such failure or violation.
The responsible party will be given the opportunity to correct the violation or failure
within 15 working days. If the failure or violation is not corrected, this Agreement
may be terminated immediately by written notice of the aggrieved party to the
other. HCCC shall have the right to terminate this Agreement in whole or in part at
any time, if the Funding Source issues an early termination under the funding
agreement(s) covering all or part of the Project at issue hereunder.
24) WAIVER. -- If either party fails to exercise its rights under this Agreement, it shall not
be precluded from subsequent exercise of its rights. A failure to exercise rights shall
not constitute a waiver of any other rights under this Agreement, unless stated in a
letter signed by authorized representative of the party and attached to the original
agreement.
25) COSTS AND ATTORNEYS FEES. -- if either party brings any action against the other
for relief, declaratory or otherwise, arising out of this Agreement, the prevailing
party shall recover against the other party all costs and reasonable attorneys' fees,
including costs and reasonable attorneys' fees incurred to enforce any judgment
rendered pursuant to this Agreement.
26) CERTIFICATIONS AND ASSURANCES RELATING TO FEDERAL FUNDS (if applicable). --
If the Funding Source, including any secondary funding source, is paid with federal
funds, the Consultant must comply with the following.
a) Uniform Guidance. -- Consultant must comply with the Uniform Guidance (2 CFR
Part 200) to the extent applicable to Consultant as a non -Federal entity receiving
a federal award. With respect to cost principles: Non -Profit Organizations,
Institution of Higher Education, State, Local or Tribal Government, must comply
with the Cost Principles of the Uniform Guidance, 2 CFR Part 200; and
Commercial (for -profit) organizations must comply with Title 48 Chapter 1
Subchapter E Part 31. No funds provided pursuant to this Agreement may be
used to support any activities not authorized under this Agreement or allowable
under the Federal Cost Principles set forth in the OMB Uniform Guidance.
b) Audit Requirements. -- Consultant may be required to comply with the Federal
Audit Requirements found in 2 CFR 200.500 (formerly OMB Circular A-133).
c) Lobbying and Litigation (2 CFR 200.450). --
HCCC Contract Agreement Page 8
i) No funds under the Agreement may be used to engage in lobbying of the
Federal Government or in litigation against the U.S. unless authorized under
existing law.
ii) New Restrictions on Lobbying. -- In any subcontract over $100,000,
Consultant shall require that subcontractors submit certification and
disclosure forms in accordance with the Byrd Anti -Lobbying Amendment, 31
USC 1352. Any consultant who makes a prohibited expenditure or fails to file
the required certification or lobbying forms shall be subject to a civil penalty
of not less than $10,000 and not more than $100,000 for each such
expenditure.
d) Debarment and Suspensions. -- Unless Consultant has submitted a written
justification fourteen (14) days prior to execution of this Contract, stating the
reason that this term does not apply, which has been expressly accepted and
approved by HCCC prior to execution, by signing this Agreement, Consultant
warrants and represents its initial and continued compliance that it is not listed
on the General Services Administration's, government -wide System for Award
Management Exclusions (SAM Exclusions), in accordance with the OMB
guidelines at 2 C.F.R Part 180 that implement E.O.s 12549 (3 C.F.R., 1986 Comp.,
p. 189) and 12689 (3 C.F.R., 1989 Comp., p. 235), "Debarment and Suspension."
The Consultant further provides that it shall not enter into any subaward,
contract or other Contract using funds provided by HCCC with any party listed on
the SAM Exclusions in accordance with Executive Orders 12549 and 12689. The
SAM Exclusions can be found at SAM.gov.
e) Drug -Free Workplace Certification. -- Consultant shall make an ongoing, good
faith effort to maintain a drug -free workplace pursuant to the specific
requirements set forth in CFR Part 1536 Subpart B. Consultant shall identify all
known workplaces under this Agreement, and keep this information on file
during the performance of the Agreement. Consultants who are individuals
must comply with the drug -free provisions set forth in 2 CFR Part 1536 Subpart
C. The consequences for violating this condition are detailed under 2 CFR Part
1536 Subpart E.
f) Trafficking in Persons. -- Pursuant to section 106(a) of the Trafficking Victims
Protection Act of 2000, as amended (22 U.S.C. 7104(g)) (codified at 2 C.F.R. Part
175), Consultant shall comply with the below provisions. Further, Consultant
shall flow down these provisions in all subcontracts, including a requirement that
subcontractors similarly flow down these provisions all lower -tiered
subcontracts. The provision is cited herein:
This provision applies only to a Sub -Recipient, and all sub-awardees of Sub -
Recipient, if any. Sub -Recipient shall include the following statement in all
sub -awards made to any private entity under this Agreement.
HCCC Contract Agreement Page 9
g)
"You as the sub -recipient, your employees, sub-awardees under this award,
and sub-awardees' employees may not engage in severe forms of trafficking
in persons during the period of time that the award is in effect; procure a
commercial sex act during the period of time that the award is in effect; or
use focused labor in the performance of the award or sub -awards under this
Award."
Sub -Recipient and all sub-awardees of Sub -Recipient must inform AGENCY
immediately of any information you receive from any source alleging a
violation of this prohibition during the award term.
Federal agency funding this agreement may unilaterally terminate, without
penalty, the funding award if this prohibition is violated, Section 106 of the
Trafficking Victims Protection Act of 2000, as amended.
Reducing Text Messaging while Driving, Executive Order 13513. -- Consultant is
encouraged to adopt and enforce policies that ban text messaging while driving,
including conducting initiatives of the type described in section 3(a) of the order.
h) Disadvantaged Business Enterprise. -- Consultant agrees to good faith efforts
whenever procuring construction, equipment, services and supplies in
compliance with the requirements of EPA's Program of Utilization of Small,
Minority and Women's Business Enterprise. 40 CFR 33.
i) Additional Responsibility Matters. -- By signing this Agreement, Consultant
warrants and represents that it is not subject to any of the below circumstances.
i) Has any unpaid Federal tax liability that has been assessed, for which all
judicial and administrative remedies have been exhausted or have lapsed,
and that is not being paid in a timely manner pursuant to an Contract with
the authority responsible for collecting the tax liability, where the awarding
agency is aware of the unpaid tax liability, unless the agency has considered
suspension or debarment of the corporation and made a determination that
this further action is not necessary to protect the interests of the
Government; or
ii) Was convicted (or had an officer or agent of such corporation acting on
behalf of the corporation convicted) of a felony criminal violation under any
Federal or State law within the preceding 24 months, where the awarding
agency is aware of the conviction, unless the agency has considered
suspension or debarment of the corporation and made a determination that
this further action is not necessary to protect the interests of the
Government.
Certification and Representation. -- Consultant must submit those certifications
and representations required by Federal statutes, or regulations to HCCC on an
j)
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annual basis. Submission may be required more frequently if the Consultant
entity fails to meet a requirement of a Federal award.
27) COUNTERPARTS. -- This Agreement may be executed in counterparts, after
execution by all Parties hereto, shall together constitute the Agreement.
HCCC Contract Agreement
Page 11
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement effective as of
the day and year below.
Hood Canal Coordinating Council
71
/1,64
v-
Scott Brewer, Executive Director
For Mason County Public Health
Mason County Commissioner
Approved as to form:
Mason County Prosecuting Attorney
Date: / 7-/4 ?-
This Agreement is made effective as of the date signed by the HCCC Executive Director
on the h day of t 611,/ � , 2017
HCCC Contract Agreement Page 12
EXHIBIT A
Independent Consultant Scope of Services
Project Title: HCRPIC Phase III
Consultant: Mason County
Description of Services
The following Overview and Goals and Objectives sections are excerpted from HCCC's
base grant with DOH (N22515), executed September 1, 2017 to March 31, 2019.
HCRPIC PROGRAM OVERVIEW
The Hood Canal Regional Pollution Identification and Correction Program (HCRPIC)
consists of Jefferson, Kitsap, and Mason Counties, the Port Gamble S'Klallam and
Skokomish Tribes, working collaboratively to implement prioritized Pollution
identification and Correction (PIC) work throughout Hood Canal to help reduce bacterial
and nutrient loading to increase harvestable shellfish acres in Puget Sound. The project
will primarily address fecal pollution and associated pathogens. As fecal pollution
sources are corrected, less nutrients and organic materials, associated with human and
animal waste, will enter Hood Canal. That will result in less oxygen demand to break
down algae blooms resulting from excess nutrients and the organic materials in waste.
Hood Canal Regional PIC Program implementation will identify and correct pathogen
sources. The resulting water quality improvements will help achieve the Puget Sound
Partnership's Vital Sign recovery target to increase harvestable shellfish acreage.
This award is for implementation of Phase Ill of the HCRPIC program. The Phase 111
incorporates new aspects to the HCRPIC program to improve its effectiveness, the
biggest of which is the addition of freshwater quality monitoring to the suite of water
quality information used to identify pollution sources and pursue corrections. Phase i11
will enable the continued implementation of HCRPIC activities until the end of the 2016
Action Agenda NTA period, March 2019. Phase Ill includes: shoreline surveys in priority
Hood Canal shoreline areas, pollution hotspot investigation and correction, nutrient
studies to further Phase 11 studies, updated GIS mapping of 0SS in Hood Canal, outreach
and education to Hood Canal 055 property owners and decision makers, and ambient
stream water quality monitoring.
BACKGROUND:
There are eighteen shellfish growing areas in the Hood Canal Action Area. As of 2014,
the Hood Canal Action Area had 27,080 acres of approved growing areas, 72 acres with
conditional approval, and about 1,600 acres of prohibited or restricted growing area.
HCCC Contract Agreement —Exhibit A Page 13
Washington State Department of Health (DOH) has identified several emergency closure
zones, threatened areas, and areas of concern based on marine water quality data.
There are close to 30,000 onsite sewage systems (OSS) in the project area, many in close
proximity to waterbodies and approximately one third of the systems are over 30 years
old. PIC programs have been essential to maintain and improve water quality and will
continue to be vital for the health of Hood Canal and its communities. Phases 1 and 11 of
the HCRPIC program developed and then implemented a coordinated PIC monitoring
plan with the goal to upgrade shellfish harvest areas and prevent future downgrades in
Hood Canal priority areas. Phase 11 priority shoreline areas were determined by HCRPIC
members using current water quality monitoring information to identify the most
important shoreline areas to survey. The prioritization of shoreline areas will be updated
annually as new data emerges. Phase 11 completed in March 31, 2017. Its outcomes will
inform the identification of future priority shoreline areas for Phase 111 and
recommendations for ongoing phases of the program.
GOALS & MEASURABLE OBJECTIVES
This table simply summarizes key deliverables and measures called out in the tasks
below. This table is a component of the FEATS report.
7 DescriptionUnits
(e.g., "shellfish beds reopened")
---- - _ _ _ .
(e.g.
.'racres") ....
Acres
' Targets
("number")
16.5
Upgrade 16.5 acres from Conditionally Approved to
Approved in the Big Bend area of Hood Canal 6
Respond to upcoming downgrade in Hood Canal 3
Acres
160
Reopen all closed parcels due to elevated bacteria in
drainages or due to failing onsite septic systems
Parcels
9
Upgrade 50 acres from Prohibited to Approved in the
Hoodsport area of Hood Canal 6
Acres
50
Number of hotspots identified in Kitsap County
Hotspots
Unknown (will be
reported
quarterly)
Number of hotspots identified in Mason County
Hotspots
Unknown (will be
reported
quarterly)
Number of site inspections completed in watersheds
draining to priority shoreline areas in Mason County
Parcels
100
Number of site inspections completed in watersheds
draining to priority shoreline areas in Kitsap County
Parcels
10
Number of OSS failures identified in Kitsap County
05S failures
1
Number of OSS failures corrected in Kitsap County
OSS
corrected
1
HCCC Contract Agreement —Exhibit A
Page 14
Number of OSS failures identified in Mason County
Number of OSS failures corrected in Mason County
Number of livestock problems identified in watersheds
draining to Threatened or recently downgraded DOH
Shellfish WQ stations in Kitsap County
Number of livestock problems corrected in watersheds
draining to Threatened or recently downgraded DOH
Shellfish WQ stations in Kitsap County
Number of livestock problems identified in watersheds
draining to Threatened or recently downgraded DOH
Shellfish WQ stations in Mason County
Number of livestock problems corrected in watersheds
draining to Threatened or recently downgraded DOH
Shellfish WQ stations in Mason County
Area of surveys conducted in priority shoreline areas in
Kitsap County
Area of surveys conducted in priority shoreline areas in
Mason County
Number of priority streams in Hood Canal sampled with
• ambient stream monitoring
Update G1S mapping
Report of follow-up investigations on Phase II Nutrient
loading study recommendations
Report of HCRPIC Outreach & Education conducted to
shoreline property owners & decision -makers
OSS failures
055
corrected
Ag.
problems
Ag.
corrections
Ag.
problems
Ag.
corrections
Miles
Miles
Monitoring
events
Updates
Report
Report
4
4
Unknown (will be
reported
quarterly)
Unknown (will be
reported
quarterly)
Unknown (will be
reported
quarterly)
Unknown (will be
reported
quarterly)
TBD in Phase III
Workplan
TBD in Phase III
Workplan
200
1/Phase
1
1
Tasks & Deliverables —
TASK 2: IMPLEMENT HCRPIC PROGRAM: PHASE III
The following tasks & deliverables are unique to each sub -recipient. The task numbers
correspond with the DOH base grant SOW.
2.1: Project Coordination
HCRPIC partners will work collaboratively to establish priority areas for shoreline
monitoring and sanitary surveys, targeting areas of known pollution hotspots, or facing
shellfish growing area downgrades. HCRPIC partners will share information and ideas,
make collaborative decisions, and help guide HCRPIC Program's direction. This task
includes: collaboration with program partners to established shared protocols and work
flows, and the Phase III Workplan, preparation of invoices and progress reports for
project coordinators, coordination of County staff on work toward Phase Ill objectives,
1
HCCC Contract Agreement --Exhibit A Page 15
coordination with landowners within the project area, upkeep and quality assurance of
program data, data reporting, and contributions to program deliverables, including
quarterly and final reports, outreach materials, etc. Project partners may participate in
DOH -sponsored PIC workshops and other trainings/events (subject to project
coordinator approval) to share information and resources (maximum of two events per
recipient).
2.1.1 Coordinate implementation of HCRPIC Phase III Workplan
Coordinate implementation of HCRPIC in your jurisdiction following HCRPIC
protocols described in the HCRPIC Guidance Document and the project QAPP.
Monitor spending and progress toward deliverables.
a) Submit monthly invoices and progress reports (using HCRPIC Program
templates) by the 15th of the following month. Communicate any
concerns to HCRPIC Coordinators that progress is not on track. Bill costs
according to the table below:
Invoice Tasks
Description
2.1: Project
Coordination
Include total costs for all administrative/coordination tasks 2.1.1-
2.1.5, and support for other HCRPIC tasks, including outreach
efforts (2.5.1), and GIS mapping (2.3)
2.2: PIC
Include total costs for PIC fieldwork including shoreline surveys
(2.2.2), parcel surveys & investigations (2.2.3), support for
freshwater monitoring (2.2.1), and support for the nutrient study
(2.4)
2.5: Outreach
Include total costs of maintenance voucher administration (2.5.2)
» HCRPIC Progress Report template linked here
Invoices will be reimbursed upon satisfactory progress and reporting on
the deliverables within each payment period.
— Send invoices via mail or e-mail to Tom Goishi (tgoishi@hccc.wa.gov)
— Send progress reports (via email) to Haley Harguth (hharguth@hccc.wa.gov)
b) Monitor program spending and communicate any concerns that spending
projections are not on track per the HCRPIC Phase III Workplan. Submit
quarterly spending updates to HCCC using template provided.
» HCRPIC Quarterly Spending Report template linked here
Deliverables:
Task Deliverable Description Due Date
HCCC Contract Agreement —Exhibit A Page 16
2.1.1.a Monthly invoices & progress reports 15' day of following
month
2.1.1.b Quarterly spending updates Jan 20, 2018
Apr 20, 2018
July 20, 2018
Oct 20. 2018
Jan 20, 7019
2.1.2 HCRPIC Guidance Group Meetings
- Attend quarterly HCRPIC Program Guidance Group meetings (7-8
meetings)
- Provide updates on implementation progress, and progress toward
deliverables
- Present hotspots for consideration of closure to the HCRPIC Guidance
Group, following hotspot closure protocol described in HCRPIC Guidance
Document
Deliverables:
Task Deliverable Description Due Date
2.1.2 Attend quarterly HCRPIC Guidance Group meetings Oct/Nov 2017
Dec/Jan 2017
Mar/Apr 2018
Jun/Jul 2018
Sep/Oct 2018
Dec 2018 (?)
2.1.3 HCRPIC Phase !11 Workplan
Work with project coordinators and partners to develop HCRPIC Phase 111
Workplan for your jurisdiction.
The Phase III Workplan will be informed by data from the HCRPIC Program
Phase 11 results and GIS analysis, current water quality information gathered
from county health jurisdictions and tribes, and monitoring data and
recommendations from Washington State Department of Health technical
staff. The Workplan will identify current priority shoreline areas and ambient
HCCC Contract Agreement --Exhibit A Page 17
freshwater streams, where HCRPIC monitoring will be targeted. It will also
outline tasks to build upon supporting work conducted in Phase II, including
implementation of the outreach and education plan recommendations, and
the results of the nutrient study. The Phase Ill Workplan will outline any
changes to HCRPIC Program procedures for data collection, PIC hotspot
investigations, and reporting, including the enforcement process and timeline,
and protocol for communication of public health risks.
Task 2.2. field work activities cannot begin until the HCRPIC Phase 111
Workplan is completed.
Deliverables:
Task Deliverable Description Due Date
2.1.3 HCRPIC Phase III Workplan 30 days after contract
execution
2.1.4 Data Reporting
Data reporting tools and protocols will be collaboratively determined in the
Phase III Workplan. The following procedures are proposed:
■ Submit field work data to project coordinators every quarter, using the
HCRP1C cumulative data report template. Data reported to the HCRPIC
Program should include all PIC field work performed in Hood Canal
funded by the HCRPIC Program grant, as well as other funding sources, in
order to provide a comprehensive report of all Hood Canal PIC efforts
across jurisdictions. Data is expected to be thoroughly reviewed by the
submitter for quality assurance and quality control prior to it being
submitted.
» HCRP1C Cumulative Data Report template linked here
■ Deadlines for data submission will be one week prior to each quarterly
Guidance Group meeting. The data will also be verbally reported by each
partner at the Guidance Group meeting, to enable discussion with project
partners of field work results and investigation and correction strategies.
The data submission deadlines will be set by HCRPIC Program
Coordinators as each Guidance Group meeting is scheduled.
■ Enter monitoring data into Kitsap Public Health's online cloud -based
water quality database to facilitate EPA STORET data entry at end of
project.
HCCC Contract Agreement —Exhibit A Page 18
• Final Cumulative Data Reports will be submitted to project coordinators
after field work is completed to prepare for analysis and mapping.
All data collected that is paid by this grant must be shared with state and
federal agencies upon request.
Deliverables:
Task Deliverable Description Due Date
2.1.4 Quarterly Cumulative Data Reports
Final Cumulative Data Report
One week prior to each
Guidance Group meeting.
Dec. 31, 2018
2.1.5 PIC Workshops/Trairtings
- Attend HCRPIC Field Training Workshop. The HCRPIC members will
participate in a field training and data reporting workshop addressing
HCPRIC protocols and procedures. The workshop will be held in the first
quarter after contract agreements are in place. Project coordinator and
at least one field staff participating in HCRPIC Program activities should
attend the training.
- Attend additional PIC-related workshops/trainings (optional). Must
obtain prior -approval from grant coordinator (HCCC). A maximum of two
workshops or training events may be attended per sub -recipient, or two
people may attend a single event.
Deliverables:
Task 2.1.5 activities will be reported in monthly progress reports (Task
2.1.1.a).
Task Deliverable Description
Due Date
2.1.5 Attend HCRPIC Field Training Workshop TBD
Attend optional PVC -related workshops or Optional (until Mar 31, 2019)
trainings (must obtain prior approval)
2.2: Pollution Identification & Correction
HCCC Contract Agreement —Exhibit A Page 19
The HCPRIC Program members will identify, investigate, and work to correct all pollution
sources found throughout the project period, utilizing a variety of tools, collaborative
problem solving amongst the HCRPIC Guidance Group, and regulatory backstopping, as
needed, in order to achieve project objectives outlined above.
Task 2.2. activities will begin after the HCRPIC Phase III Workplan is completed, and
conclude Dec 31, 2018.
Sites that may cause a public health risk will be communicated to DOH as soon as
possible.
2.2.1 Freshwater stream monitoring for pollution hotspots
Collaborate with Hood Canal Salmon Enhancement Group to support
freshwater monitoring of streams identified in HCRPIC Phase III Workplan, per
QAPP procedures.
2.2.2 Shoreline surveys for pollution hotspots
Monitor shoreline for pollution outfalls in priority areas identified in the
HCRPIC Phase III Workplan and per HCRPIC Guidance Document protocols and
approved QAPP procedures. Document areas surveyed using HCRPIC
Shoreline Surveys Log (included with Progress Report template).
2.2.3 Pollution hotspot investigation and correction
Within the priority areas identified in the HCRPIC Phase III Workplan, the
responsible county will conduct pollution source investigation and follow-up
of hotspots identified in shoreline surveys and ambient stream monitoring,
technical assistance, and enforcement with regulatory backstopping according
to the enforcement protocol developed by the HCRPIC Guidance Group and
documented in the Phase III Workplan. Procedures are outlined in the HCRPIC
Program Guidance Document, and the Phase II QAAP, pages 16-20.
Deliverables:
Progress toward Task 2.2 objectives (see Goals & Measurable Objectives table, page 2)
will be reported in monthly Progress Reports (Task 2.1.1.a), and Cumulative Data
Reports (Task 2.1.4). Invoice reimbursement is contingent upon satisfactory progress
and reporting.
• Task Deliverable Description
2.2 See 2.1.1.a and 2.1.4 for Progress Reports and Cumulative Data Reports on
the following objectives:
— Upgrade 16.5 shellfish growing acres from Conditionally Approved to
Approved in the Big Bend area of Hood Canal 6
— Re -open all closed parcels due to elevated bacteria in drainages or due to
failing onsite septic systems
Due Date
See 2.1.1.a
and 2.1.4
*Fieldwork
concludes
HCCC Contract Agreement —Exhibit A Page 20
— Upgrade 50 shellfish growing acres from Prohibited to Approved in Dec 31, 2018
Hoodsport area of Hood Canal 6
— Identify pollution hotspots on shoreline drainages in Mason County
— Complete 100 site inspections in watersheds draining to priority shoreline
areas in Mason County
— Identify and correct at least 4 055 failures in Mason County
— Identify and correct livestock problems in watersheds draining to
Threatened or recently downgraded DOH Shellfish WQ stations in Mason
County
— Survey priority shoreline areas (miles) in Mason County identified in the
HCRPIC Phase Ill Workplan
Shoreline Surveys Log
Dec 31, 2018
2.3: HCRPIC Phase 111 Maps
HCRPIC Phase III Maps will be prepared by a GIS contractor. All support for HCRPIC
mapping efforts (i.e. review of draft products) should be charged to task 2.1.
2.4: HCRPIC Nutrient Study
The HCRPIC Phase 111 Nutrient Study will be conducted by a contractor. Assist HCRPIC
Nutrient Studies contractor in field work and data gathering, as identified in the study
design, and with prior -approval of HCRPIC grant coordinator (HCCC). All work supporting
or assisting HCRPIC Nutrient Studies contractor should be charged to task 2.2. The
primary use of task 2.2 funds is to implement PIC activities.
2.5: HCRPIC Outreach & Education
2.5.1 Coordinated HCRPIC Outreach & Education
Support or assist HCRPIC coordinated outreach efforts as needed and with
prior approval of the HCRPIC grant coordinator (HCCC). Any work supporting
or assisting HCRPIC coordinated outreach efforts should be charged to task
2.1.
2.5.2 OSS Maintenance Vouchers (Rebates)
Provide rebates to inspect septic tanks and/or install risers on septic tanks in
priority Hood Canal areas. The rebates are designed to provide homeowners
HCCC Contract Agreement —Exhibit A Page 21
with incentives to conduct OSS maintenance and prevent pollution leaks. The
Hood Canal Regional PIC guidance group proposes to provide up to $250
rebates for priority properties in the Hood Canal Action Area for septic tank
inspection, required tank pumping, operation and maintenance, effluent filter
installation, and tank riser installation. Phase III vouchers would be offered to
areas that have not historically received them, to target new property owners
who have not had their 055 serviced in many years. Criteria will be
established in the Phase Ili Workplan to determine which areas will be
targeted for vouchers.
Report on OSS Maintenance Vouchers administered in monthly progress
reports; include running total of vouchers administered, remaining funds, and
any outcomes (e.g. number of parcels with no previous records, failures or
violations repaired, etc.). Vouchers may be administered up until February 15,
2019.
Deliverables:
Task Deliverable Description Due Date
2.5.2 HCRPIC OSS Maintenance Vouchers Report in Monthly, until Feb 15,
monthly progress report) 2019
Summary Deliverables Table
Task Deliverable Description Due Date
2.1.1.a Monthly invoices & progress reports 15th day of following
month
2.1.1.b Quarterly spending updates Jan 20, 2018
Apr 20, 2018
July 20, 2018
Oct 20. 2018
Jan 20, 2019
2.1.2 Attend quarterly HCRPIC Guidance Group meetings Oct/Nov 2017
Dec/Jan 2017
Mar/Apr 2018
Jun/Jul 2018
Sep/Oct 2018
Dec 2018 (?)
HCCC Contract Agreement —Exhibit A Page 22
2.1.3 HCRPIC Phase III Workplan
2.1.4 Quarterly Cumulative Data Reports
Final Cumulative Data Report
2.1.5 Attend HCRPIC Field Training Workshop
Attend optional PIC-related workshops or trainings (must obtain
prior approval)
2.2 See 2.1.1.a and 2.1.4 for Progress Reports and Cumulative Data
Reports on the following objectives:
— Upgrade 16.5 shellfish growing acres from Conditionally
Approved to Approved in the Big Bend area of Hood Cana! 6
— Respond to upcoming downgrade in Hood Canal 3
— Re -open all dosed parcels due to elevated bacteria in
drainages or due to failing onsite septic systems
— Upgrade 50 shellfish growing acres from Prohibited to
Approved in Hoodsport areas
— Identify pollution hotspots on shoreline drainages in Mason
County
— Complete 100 site inspections in watersheds draining to
priority shoreline areas in Mason County
— identify and correct at least 4 OSS failures in Mason County
— Identify and correct livestock problems in watersheds draining
to Threatened or recently downgraded DOH Shellfish WQ
stations in Mason County
— Survey priority shoreline areas (miles) in Mason County
identified in the Phase III Workplan
2.5.2 HCRPIC 0S5 Maintenance Vouchers Report (in monthly progress
report)
30 days after contract
execution
One week prior to each
Guidance Group
meeting.
Dec. 31, 2018
TBD
Optional (until Mar 31,
2019)
See 2.1.1.a and 2.1.4
Field work concludes
Dec 31, 2018
See 2.1.1.a
Concludes Feb 15, 2019
HCCC Contract Agreement —Exhibit A
Page 23
Project Budget
IHCRPIC Phase III Overall Task Budget
HCCC
Indirect
Costs
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Grand Total $444,500
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Task 0 Task 1 Task 2.1 Task 2.2 Task 2.3 Task 2.4 Task 2.5 Task 2 Task 3
QAAP, Report Coordin Nutrient Out- Broader
Sub -Recipient etc. ing ation PIC GIS Study reach Total Comms
HCCC $437 $5,722 $19,173 $19,173 $349
Contracts
Program Coordinator $7,075 $87,425 $82,425
GIS Analyst $10,000 $10,000
Nutrients Researcher $20,000 $20,000
Outreach Contractor $20,000 $20,000
Project Partners (Sub-Subrecipients)
Kitsap Public Health District $4,000 $5,125 $19,875 $10,000 $12,000 $41,875
Jefferson County $15,000 $0 $12,000 $27,000
Mason County $15,000 $90,000 $6,000 $111,000
HC Salmon Enhancement Group $67,000 $62,000
Port Gamble S'Klallam Tribe
Skokamish Tribe
Kitsap CD $2,500 $2,500
Jefferson CD $2,500 $2,500
Mason CD $2,500 $2,500
Sub -Task Sub -Totals $158,973 $162,000 $10,000 $20,000 $50,000
Task Sub -Totals $4,437 $17,922 $400,973 $349
HCCC Contract Agreement- Exhibit A
HCRPIC Phase II! Budget— Mason County
Task 2.1: Project Coordination
$15,000
Personnel
Casey Bingham
$60 per hour x 100 hrs
$6,000
Stacey Ells
$60 per hour x 65.00 hrs
$3,900
Debbie Riley
$60 per hour x 21.00 hrs
$1,260
Katie Otanez
$60 per hour x 21.00 hrs
$1,260
Staci McDowell
$60 per hour x 20.27 hrs
$1,216
Personnel Sub -Total
$13,636
Task Sub -Total
$13,636
Indirect
10%
$1,363.60
Task 2.2: PIC
$ 90, 000
Personnel
Katie Otanez
$60 per hour x 1,206.00
$72,360
Staci McDowell
$60 per hour x 30.00
$1,800
Sean McGuire
$60 per hour x 27.64
$1,658
Personnel Subtotal
$75,818
Other Costs
Lab analysis
200 samples @ $27
$5,400
Postage
Mailings
$300
Materials
Paper, dye, packets, other supplies
$300
Other Costs Subtotal
$6,000
Task subtotal
$81,818
Indirect
10%
$8,181.80
Task 2.5: HCRPIC Outreach & Education
$6,000
Personnel
Katie Otanez
$60 per hour x 7.57 hrs
$455
Personnel Subtotal
$455
Other Costs
O&M Vouchers
20 rebates @ $250
$ 5, 000
HCCC Contract Agreement ---Exhibit A Page 25
(Rebates)
Postage
Other Costs Subtotal
Task Subtotal
Indirect
Budget Sub -totals
Personnel Total
Other Costs Total
NA
10%
Lab analysis, postage, materials, rebates,
other
Travel NA
Indirect Costs 10%
Grand Total
$0
$5,000
$5,455
$546
$89,909
$11,000
$0
$10,091
$111,000
Compensation: The Consultant shall be compensated under this agreement in an
amount not to exceed: $111,000. Submit monthly invoices to the Accountant by the 15th
of the following month. Expenses are payable with prior authorization from HCCC
project manager, and contingent upon satisfactory progress reporting toward
completion of project deliverables. Consultant shall submit the final invoice, or any
claims for payments not already made, no later than 30 days from the expiration or
termination of the agreement.
Progress Reporting: See Task 2.1.1. Consultant will submit progress reports each
Month by the 15th of the following month to accompany invoices. A progress report
template is provided. Submit progress reports to the project manager.
Travel: If claiming mileage Consultant will submit HCCC Mileage Report for
Reimbursement (provided) with invoice. Mileage and travel costs will be reimbursed at
current federal rates or allowances.
Contract Duration Date: The effective date is the date the contract is signed by the
Executive Director and ends March 31, 2019.
Consultant Checklist: Consultant will complete and provide requested information on
Exhibit B.
HCCC Contract Agreement —Exhibit A Page 26
Contract Representatives:
Scott Brewer, Executive Director
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 122
Poulsbo, WA 98370-8430
sbrewer@hccc.wa.gov
360-394-0046
HCCC Project Manager:
Haley Harguth, Watershed Planning and Policy Coordinator
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 122
Poulsbo, WA 98370-8430
hharguth@hccc.wa.gov
360-328-4625
Accountant:
Torn Goishi
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 122
Poulsbo, WA 98370-8430
tgoishi@hccc.wa.gov
360-394-0045
Consultant Representatives:
Dave Windom
Public Health Director
Mason County Public Health
PO Box 1666
Shelton, WA 98584
dwindom@co.mason.wa.us
Debbie Riley
Environmental Health Manager
Mason County Public Health
PO Box 1666
Shelton, WA 98584
360-427-9670 ext. 400
dlr@co.mason.wa.us
HCCC Contract Agreement --Exhibit A Page 27
EXHIBIT B
PROFESSIONAL SERVICES CONTRACT
CONSULTANT CHECKLIST
Consultant is a Subrecipient or a Contractor (Consultant): According to GSA-CX-1.8:
Subrecipient and Contractor Determination guidelines, HCCC has determined that you
are a Contractor.
UBI No. 232 002 101
Federal Tax ID No. 91-6001354
Provide Data Universal Numbering Systems (DUNS) number (if consultant's business
has one): 069 580 751
Provide copy of business card if independent consultant. N/A
Consultant Type: Local government
Funding Source/Type: Environmental Protection Agency and Washington Department
of Health (DOH
}
Funding Source Name: Puget Sound Action Agenda; Technical Investigations and
implementation Assistance Program
Federal Award ID Number: PC01J18001-0
DOH Contract Number: N22515-0
Catalog of Federal Domestic Assistance No. (CFDA): 66.123
DBE Program Reporting (indicate as appropriate):
Owned and Managed as Disadvantaged Business:
❑ Women Owned Business Enterprise
❑ Minority Owner Business Enterprise
❑ Veteran Owned Business Enterprise
❑ Community Based Organization
If certified by Washington State's Office of Minority and Women Owned Business
Enterprise (OMWBE) www.omwbe.wa.gov or Department of Veterans Affairs (DVA),
enter the certification number: Click here to enter text.
Certifications
Provide current IRS W-9 Form: On file with HCCC
Provide proof of WA Dept. of Revenue Account in Good Standing Click here to enter
text.
HCCC Contract Agreement —Exhibit B Page 28
Provide proof of WA Labor & Industries Account in Good Standing or Exemption (if no
employees) Click here to enter text.
Other Licenses or permits if needed: N/A
Construction contractor registration number and expiration if needed: N/A
Insurance (as applicable)
Commercial Auto Liability (if claiming mileage --use HCCC Mileage
Report if included in Exhibit A tasks)
— Commercial General Liability (naming HCCC as additional insured)
- Professional Liability Insurance
- Workers' Compensation and Employer Defense Insurance
If Federal Funding
Provide proof of System Award Management (SAM) (formerly Central Contractor
Registry--CCR) registration in Good Standing (regarding Suspension and Debarment):
Account in good standing.
Complete Cyber Certification (if contract involves Collecting and Managing Data in
federal system). N/A
If Federal Funding and Over $100,000
Complete/sign new restrictions on Lobbying Certification 40 CFR Part 34 (and disclosure
if applicable): Return signed certificate
DOH Contracts: Provide consultant with Exhibit A-1 WA DOH Agreement N22515 Sub -
recipient Statement of Work —Programmatic Conditions.
Notice: The Hood Canal Coordinating Council is an equal opportunity employer will not
discriminate on the basis of race, creed, color, national origin, ancestry, sex, marital
status, gender, sexual orientation, age [40 and over], maternity, and childbirth,
honorably discharged veteran or military status, disability, genetics, HIV and/or
Hepatitis C status, use of a trained guide dog or service animal by a person with a
disability, or other protected class [legally recognized] under federal, state or local law.
Persons requiring reasonable accommodation in the application process or requiring
any information in an alternative format may contact 360-394-0046. Inquiries about the
HCCC's compliance may be directed to Scott Brewer, Executive Director.
HCCC Contract Agreement —Exhibit B Page 29