HomeMy WebLinkAboutScouting America Troop 1479 Campership Awards Program - 051826 SUBRECIPIENT AGREEMENT
BETWEEN
JEFFERSON COUNTY
AND
SCOUTING AMERICA TROOP 1479
This Subrecipient Agreement(Agreement) Between Jefferson County and Scouting America Troop
1479 is made and entered into by Jefferson County (County) and Scouting America Troop 1479
(Subrecipient) for completion of Project title: Campership Awards Program (Project) pursuant to Youth
Cannabis and Commercial Tobacco Prevention Program, Jefferson County Public Health contract
number N-25-064 KPHD2483 and its A-1 (Agency Contract).
Funds awarded for this Project have been provided to by the County by the Washington State Youth
Cannabis and Commercial Tobacco Prevention Program (YCCTPP) and are state funds that focus on
cannabis and commercial tobacco activities.
IT IS AGREED UPON BY THE PARTIES AS FOLLOWS:
A. TERM OF THIS AGREEMENT
The term of this Agreement is from April 1, 2026 through June 30, 2026.
B. TERMINATION
(1) Should a party default in providing Project services under this Agreement or materially breach
any of its provisions, the other party may terminate this Agreement upon ten(10) days written
notice. A party shall have the right and opportunity to cure any such material breach within the
ten(10) day period.
(2) The County may terminate this Agreement upon immediate notice to Subrecipient in the event
that the funding for the project ceases or is reduced in amount. Subrecipient will be reimbursed
for services expended up to the date of termination.
(3) In the event of default, the Subrecipient must return any disbursed funds associated with this
Project within thirty-days (30) of notice of termination by County.
C. PROFESSIONAL SERVICES BY SUBRECIPIENT
In completion of Project all Project services provided by Subrecipient shall include:
(1) All Work Required by the Agency Contract. All work required by the Agency Contract, a true and
correct copy of which is attached as APPENDIX B.
(2) Financial and Program Management: Subrecipient will maintain an
administrative/organizational structure that clearly defines responsibilities; systems and
personnel to maintain accounting records that accurately reflect all program revenues and
expenditures; prepare monthly statements of activity; maintain appropriate client service records
and progress reports; and track key program performance indicators.
(3) Perform All Subrecipient Obligations. In addition to the above, Subrecipient shall fulfill all of
Subrecipient Obligations listed below.
Page 1 of 14
N-26-032(N-25-064KPHD-YCCTPP2483A-1)
D. SUBRECIPIENT'S OBLIGATIONS
Subrecipient shall fulfill the following obligations:
(1) Subrecipient shall fulfill all the requirements of the Agency Contract.
(2) Subrecipient shall comply with all state and federal requirements regarding the confidentiality of
participant records.
(3) Subrecipient shall have written policies regarding sexual harassment and non-discrimination
(said policies must guarantee human/civil rights); regarding a person's right to privacy, regarding
safeguarding personal information and abuse of participants; regarding agency medication
procedure; regarding respectful staff-to-participant interactions (i.e.: including a person's right to
be treated with dignity and respect free of abuse).
(4) Subrecipient shall have a grievance policy that:
• Negotiates conflicts and advises participants of grievance procedures;
• Is explained to participants;
• Prohibits retaliation for using the grievance process;
• Includes a non-retaliation statement;
• Assures that advocates are available and encourages participants to bring advocates to help
negotiate;
• Includes a mediation process that promotes the use of someone who is unaffected by the
outcome if conflicts remain unresolved; and,
• Includes a process for tracking and reporting grievances.
(5) Subrecipient shall comply with all applicable federal, state and local regulations.
(6) Subrecipient shall comply with all the policies of the Jefferson County department managing this
Agreement.
(7) Subrecipient shall track and analyze incident reports for potential trends and patterns.
(8) Subrecipient shall provide the following:
(a) Equal Access: Subrecipient will assures equal access to persons who do not speak or have a
limited ability to speak, read, or write English well enough to understand and communicate
effectively.
(b) Qualified Staff: Subrecipient will provide adequate, qualified staff with skills and experience
in evaluation, training, supervision, counseling and support of adults with developmental
disabilities who are earning wages, per the attached Statement of Work. Subrecipient will
assure that all direct service staff are trained, and that training is documented. Subrecipient
will provide the County with information regarding staff qualifications upon request
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E. DEBARMENT
By signing this Agreement, and Appendix A, Subrecipient certifies that it is not presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded in any Washington
State or Federal department or agency from participating in transactions (debarred). Subrecipient agrees
to include the above requirement in any and all subcontracts into which it enters, and also agrees that it
will not employ debarred individuals. Subrecipient must immediately notify the County if, during the
term of this Agreement, Subrecipient becomes debarred. The County may immediately terminate this
Agreement by providing Subrecipient written notice, if Subrecipient becomes debarred during the term
of this Agreement.
F. FEDERAL FUNDING ACCOUNTABILITY & TRANSPARENCY ACT (FFATA)
(1) This Agreement is supported by federal funds that require compliance with the Federal Funding
Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the
Transparency Act is to make information available online so the public can see how federal funds
are spent.
(2) To comply with the act and be eligible to enter into this Agreement, Subrecipient must have a
Data Universal Numbering System (DUNS®) number. A DUNS® number provides a method to
verify data about your organization. If Subrecipient does not already have one, a DUNS®
number is available free of charge by contacting Dun and Bradstreet at www.dnb.com.
(3) Information about Subrecipient and this Agreement will be made available on
www.uscontractorregistration.com, as required by P.L. 109-282. The Federal Funding
Accountability and Transparency Act Data Collection Form, is considered part of this
Agreement and must be completed and returned along with this Agreement.
G. FUNDING WITHDRAWN, REDUCED OR LIMITED
If the County determines in its sole discretion that the funds it relied upon to establish this Agreement
have been withdrawn, reduced or limited, or if additional or modified conditions are placed on such
funding after the effective date of this Agreement but prior to the normal completion of this Agreement,
then the County, at its sole discretion, may: (1) Terminate this agreement; (2) Renegotiate this
Agreement under the revised funding conditions; or, (3) Suspend Subrecipient's performance under this
Agreement upon five (5) business days' advance notice to Subrecipient, if the County determines that
there is a reasonably likelihood that the funding insufficiency may be resolved in time to allow
Subrecipient's performance to resume prior to the normal completion date of this Agreement.
H. REIMBURSEMENTS
(1) Total reimbursements for fiscal year July 1, 2025 —June 30, 2026 to Subrecipient by the County
under this Agreement shall not exceed$2,000, including any allowable expenses for the services
provided under this Agreement without express written amendment signed by both parties to this
Agreement.
(2) For said services rendered under this Agreement,the County shall reimburse Subrecipient pursuant
to this Agreement and the Agency Contract.
(3) Work performed between April 1, 2026 and June 30, 2026 and the execution of this Agreement
that is consistent with the provisions of this Agreement is hereby ratified.
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(4) Subrecipient will receive Project balance upon execution of this agreement and will provide
monthly to the County a detailed description of Project's progress, including accounting of all
expenditures made during the month in which Subrecipient is reporting (template provided).
I. OVERPAYMENTS OR ERRONEOUS PAYMENTS TO SUBRECIPIENT
If overpayments or erroneous payments have been made to Subrecipient under this Agreement, the
County will provide notice to Subrecipient and Subrecipient shall refund the full amount of the
overpayment within thirty (30) calendar days of the notice. If Subrecipient fails to make timely refund,
the County may charge Subrecipient one percent(1%)per month on the amount due, until paid in full.
J. RECORDS AND DOCUMENTS REVIEW
(1) Subrecipient must maintain books,records, documents,magnetic media, receipts, invoices or other
evidence relating to this Agreement and the performance of the services rendered, along with
accounting procedures and practices, all of which sufficiently and properly reflect all direct and
indirect costs of any nature expended in the performance of this Agreement. At no additional cost,
these records, including materials generated under this Agreement, are subject at all reasonable
times to inspection, review, or audit by the Agency,the Office of the State Auditor, and state and
federal officials so authorized by law, rule,regulation, or agreement [See 42 USC 1396a(a)(27)(B);
42 USC 1396a(a)(37)(B); 42 USC 1396a(a)(42(A); 42 CFR 431, Subpart Q; and 42 CFR 447.202].
(2) Subrecipient must retain such records for a period of six(6)years after the date of final payment
under this Agreement.
(3) If any litigation, claim or audit is started before the expiration of the six (6)year period, the records
must be retained until all litigation, claims, or audit findings involving the records have been
resolved.
K. RIGHTS OF STATE AND FEDERAL GOVERNMENTS
In accordance with 45 C.F.R. 95.617, all appropriate state and federal agencies, including but not limited
to the Centers for Medicare and Medicaid Services (CMS),will have a royalty-free,nonexclusive, and
irrevocable license to reproduce,publish,translate, or otherwise use, and to authorize others to use for
Federal Government purposes: (i) software, modifications, and documentation designed, developed or
installed with Federal Financial Participation(FFP)under 45 CFR Part 95, subpart F; (ii)the Custom
Software and modifications of the Custom Software, and associated Documentation designed, developed,
or installed with FFP under this Agreement; (iii)the copyright in any work developed under this
Agreement; and(iv) any rights of copyright to which Subrecipient purchases ownership under this
Agreement.
L. COMPLIANCE WITH SUBRECIPIENT REQUIREMENTS FROM GRANT
(1) General. In accordance with 2 CFR 200.501 and 45 CFR 75.501, Subrecipient shall:
(a) Maintain records that identify, in its accounts, all federal awards received and expended
and the federal programs under which they were received, by Catalog of Federal
Domestic Assistance (CFDA) title and number, award number and year, name of the
federal agency, and name of the pass-through entity;
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(b) Maintain internal controls that provide reasonable assurance that Subrecipient is
managing federal awards in compliance with laws, regulations, and provisions of
contracts or grant agreements that could have a material effect on each of its federal
programs;
(c) Prepare appropriate financial statements, including a schedule of expenditures of federal
awards;
(d) Incorporate OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501 audit requirements
into all agreements between Subrecipient and its subcontractors who are subrecipients;
(e) Comply with any future amendments to OMB Super Circular 2 CFR 200.501 and 45
CFR 75.501 and any successor or replacement Circular or regulation;
(f) Comply with the applicable requirements of OMB Super Circular 2 CFR 200.501 and 45
CFR 75.501 and any future amendments to OMB Super Circular 2 CFR 200.501 and 45
CFR 75.501, and any successor or replacement Circular or regulation; and,
(g) Comply with the Omnibus Crime Control and Safe Streets Act of 1968, Title VI of the
Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title II of the
Americans with Disabilities Act of 1990, Title IX of the Education Amendments of 1972,
The Age Discrimination Act of 1975, and The Department of Justice Non-Discrimination
Regulations, 28 C.F.R. Part 42, Subparts C.D.E. and G, and 28 C.F.R. Part 35 and 39.
(Go to http://ojp.gov/about/offices/ocr.htm for additional information and access to the
aforementioned Federal laws and regulations.)
(2) Single Audit Act Compliance. If Subrecipient expends $750,000 or more in federal awards from
any and/or all sources in any fiscal year, Subrecipient will procure and pay for a single audit or a
program-specific audit for that fiscal year. Upon completion of each audit, Subrecipient will:
(a) Submit to the Authority contact person the data collection form and reporting package
specified in OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501, reports required by
the program-specific audit guide (if applicable), and a copy of any management letters
issued by the auditor;
(b) Follow-up and develop corrective action for all audit findings; in accordance with OMB
Super Circular 2 CFR 200.501 and 45 CFR 75.501, prepare a"Summary Schedule of
Prior Audit Findings."
(3) Overpayments. If it is determined by the Agency or the County, or during the course of a
required audit,that Subrecipient has been paid unallowable costs under this or any Program
Agreement, Subrecipient will refund the full amount to the Agency as provided in Section I.
OVERPAYMENTS OR ERRONEOUS PAYMENTS TO SUBRECIPIENT.
M. RISK ASSESSMENT AND MONITORING FOR COMPLIANCE BY THE COUNTY.
(1) Subrecipient shall immediately report to the County any failure to perform under this Agreement.
(2) Along with every request for reimbursement under this Agreement, Subrecipient shall submit a
Monitoring Certification using the form attached as Appendix A for purposes of the County
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performing the risk assessment of Subrecipient and compliance monitoring of this Agreement that
is required of the County by the Agency.
N. GENERAL TERMS AND CONDITIONS
(1) Subrecipient's relation to the County shall at all times be that of independent Subrecipient. Any
and all employees of Subrecipient, or other persons engaged in the performance of any work or
service required of Subrecipient under this Agreement, shall be considered employees of
Subrecipient only, and any claims that may arise on behalf of or against said employees shall be
the sole obligation and responsibility of Subrecipient.
(2) Subrecipient shall not subcontract or assign any of the services covered by this Agreement
without the express written consent of the County. Subcontracting and assignment does not
include printing or other customary reimbursable expenses that may be provided in an
Agreement.
(3) Subrecipient, by signature to this Agreement, certifies that Subrecipient is not presently
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participating in this Agreement, or any Agreement by any Federal department or agency.
Subrecipient also agrees to include the above requirement to all subcontracts into which it enters.
(4) Subrecipient shall obtain and keep in force during the terms of this Agreement, or as otherwise
required, the following insurance with companies or through sources approved by the State
Insurance Commissioner pursuant to Chapter 48:05 RCW:
(a) Worker's compensation and employer's liability insurance. Subrecipient will participate
in the Worker's Compensation and Employer's Liability Insurance Program as may be
required by the State of Washington;
(b) Commercial Automobile Liability or Business Use Insurance providing bodily injury and
property damage liability coverage for all owned and non-owned vehicles assigned to or
used in the performance of the work for a combined single limit of not less than
$1,000,000 each occurrence with the County named as an additional insured in
connection with Subrecipient's performance of this Agreement.
(c) General Commercial Liability Insurance in an amount not less than a single limit of two
million dollars ($2,000,000.00)per occurrence and an aggregate of not less than two (2)
times the occurrence amount($2,000,000.00 minimum) for bodily injury, including death
and property damage, unless a greater amount is specified in the Agency Contract
specifications. The insurance coverage shall contain no limitations on the scope of the
protection provided and include the following minimum coverage:
(i) Broad Form Property Damage, with no employee exclusion.
(ii) Personal Injury Liability, including extended bodily injury.
(iii) Broad Form Contractual/Commercial Liability - including completed operations.
(iv) Premises - Operations Liability (M&C).
(v) Independent Contractors and Subrecipients.
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(vi) Blanket Contractual Liability.
(5) All employees or subcontractors of Subrecipient who are required to be professionally certified
by the State in the performance of services under this Agreement shall maintain professional
liability insurance/error and omissions liability insurance in the amount of not less than one
million dollars ($1,000,000). In no case shall such professional liability to third parties be limited
in any way.
(6) It shall be the responsibility of Subrecipient to ensure that any and all persons engaged in the
performance of any work or service required of Subrecipient under this Agreement, shall comply
with the same insurance requirements that Subrecipient is required to meet.
(7) Failure on the part of Subrecipient to maintain the insurance as required shall constitute a
material breach of contract upon which the County may, after giving five working days' notice to
Subrecipient to correct the breach, immediately terminate this Agreement or, at its discretion,
procure or renew such insurance and pay any and all premiums in connection therewith, with any
sums so expended to be repaid to the County on demand, or at the sole discretion of the County,
offset against funds due Subrecipient from the County.
(8) All cost for insurance shall be considered incidental to and included in the unit contract prices
and no additional payment will be made.
(9) Excepting the Workers Compensation insurance and any professional liability insurance secured
by Subrecipient, the County will be named on all certificates of insurance as an additional
insured. Subrecipient shall furnish the County with verification of insurance and endorsements
required by this Agreement. The County reserves the right to require complete, certified copies
of all required insurance policies at any time.
(10) All insurance shall be obtained from an insurance company authorized to do business in the State
of Washington. Subrecipient shall submit a verification of insurance as outlined herein within 14
days of the execution of this Agreement to the County. All insurance policies obtained by
Subrecipient shall be primary to any equivalent or applicable policies held by the County. All
insurance policies obtained by Subrecipient shall include a waiver of subrogation rights. Any
self-insured retention, deductible or risk retention maintained, or participated in, by the County
coverage for third-party liability claims provided to the county, shall be excess and shall be non-
contributory to the insurance policies provided by Subrecipient in order to comply with the
insurance requirements of this Subcontract. All policies provided by Subrecipient in order to
comply with the insurance requirements of this Subcontract must be endorsed to show this
primary coverage.
(11) The County will pay no progress payments under this Agreement until Subrecipient has fully
complied with this section. This remedy is not exclusive; and the County may take such other
action as is available to them under other provisions of this Agreement, or otherwise in law.
(12) Nothing in the foregoing insurance requirements shall prevent the County, at its option, from
additionally requesting that Subrecipient deliver to the County an executed bond as security for
the faithful performance of this Agreement and for payment of all obligations of Subrecipient.
(13) It is understood and agreed that this Agreement is entered into in the State of Washington. This
Agreement shall be governed by and construed in accordance with the laws of the United States,
the State of Washington and the County of Jefferson, as if applied to transactions entered into
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and to be performed wholly within Jefferson County, Washington between Jefferson County
residents. No party shall argue or assert that any state law other than Washington law applies to
the governance or construction of this Agreement.
(14) Should either party bring any legal action, each party in such action shall bear the cost of its own
attorney's fees and court costs. The venue for any legal action shall be solely in the appropriate
state court in Jefferson County, Washington, subject to the venue provisions for actions against
counties in RCW 36.01.050.
(15) Subrecipient shall comply with the WA State Department of Labor and Industries Minimum Wage
Act, Chapter 49.46 RCW, acknowledging persons with disabilities participating in job assessments
are not considered employees.
(16) Subrecipient shall indemnify and hold the County, and its officers, officials, employees, agents
and volunteers (and their marital communities)harmless from and shall process and defend at its
own expense, including all costs, attorney fees and expenses relating thereto, all claims, demands,
or suits at law or equity arising in whole or in part, directly or indirectly, from Subrecipient's
negligence or breach of any of its obligations under this Agreement; provided that nothing herein
shall require a Subrecipient to indemnify the County and its officers, officials, employees, agents
and volunteers (and their marital communities) against and hold them harmless from claims,
demands or suits based solely upon the conduct of the County, its officers, officials, employees,
agents and volunteers (and their marital communities), and provided further that if the claims or
suits are caused by or result from the concurrent negligence of:
(a) Subrecipient's agents or employees; and,
(b) The County, its officers, officials, employees, agents and volunteers(and their marital
communities),this indemnity provision with respect to: (i) claims or suits based upon such
negligence, or(ii)the costs to the County of defending such claims and suits, etc., shall be
valid and enforceable only to the extent of Subrecipient's negligence or the negligence of
Subrecipient's agents or employees.
(c) Subrecipient specifically assumes potential liability for actions brought against the County
by Subrecipient's employees, including all other persons engaged in the performance of
any work or service required of Subrecipient under this Agreement and, solely for the
purpose of this indemnification and defense, Subrecipient specifically waives any
immunity under the state industrial insurance law, Title 51 RCW. Subrecipient recognizes
that this waiver was specifically entered into pursuant to provisions of RCW 4.24.115 and
was subject of mutual negotiation.
(d) The provisions of this section shall survive the expiration or termination of this
Agreement.
(17) Subrecipient shall not discriminate against any person presenting themselves for services based on
race, religion, color, sex, age, or national origin.
(18) No portion of this Agreement may be assigned or subcontracted to any other individual, firm, or
entity without the express and prior written approval of County. If the County agrees in writing
that all or a portion of this Agreement may be subcontracted to a third-party, then any contract or
agreement between Subrecipient and a third-party Subrecipient must contain all provisions of this
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Agreement and the third-party subcontractor must agree to be bound by all terms and obligations
found in this Agreement.
(19) This Agreement memorializes the entire agreement of the parties. No representation or promise
not expressly contained in this Agreement has been made. The parties are not entering into this
Agreement based on any inducement, promise or representation, expressed or implied, which is
not expressly contained in this Agreement. This Agreement supersedes all prior or simultaneous
representations, discussions, negotiations, and agreements, whether written or oral, within the
scope of this Agreement.
(20) Subrecipient is responsible for meeting all terms and conditions of this Agreement including
standards of service, quality of materials and workmanship, costs, and schedules. Failure of a
subcontractor to perform is no defense to a breach of this Agreement. Subrecipient assumes
responsibility for and all liability for the actions and quality of services performed by any
subcontractor. Every subcontractor must agree in writing to follow every term of this
Agreement. Subrecipient must provide every subcontractor's written agreement to follow every
term of this Agreement before the subcontractor can perform any services under this Agreement.
The head of the County department primarily responsible for overseeing Subrecipient's
performance under this Agreement or that department head's designee must approve any
proposed subcontractors in writing. Any dispute arising between Subrecipient and any
subcontractors or between any subcontractors must be resolved without involvement of any kind
on the part of the County and without detrimental impact on the delivery of contracted goods or
services.
(21) While performing services, the use of illegal drugs, alcohol, or controlled substances on the
County property or premises is strictly prohibited. Subrecipient's employees shall not perform
services while under the influence of drugs or alcohol, and if discovered, may be reported to the
appropriate law enforcement agency.
(22) The use of tobacco of any kind on property or premises of the County shall comply with County
policies.
(23) Any form of harassment, discrimination, or improper fraternization with any County employee
or a participant is strictly prohibited.
(24) No consent by either party to, or waiver of, a breach by either party, whether express or implied,
shall constitute a consent to,waiver of, or excuse of any other, different, or subsequent breach by
either party. No term or provision of this Agreement will be considered waived by either party,
and no breach excused by either party, unless such waiver or consent is in writing signed on
behalf of the party against whom the waiver is asserted. Failure of a party to declare any breach
or default immediately upon the occurrence thereof, or delay in taking any action in connection
with, shall not waive such breach or default.
(25) The terms of this Agreement are not severable. If any provision of this Agreement or the
application of this Agreement to any person or circumstance shall be invalid, illegal, or
unenforceable to any extent, the remainder of this Agreement and the application this Agreement
shall not be enforceable.
(26) This Agreement shall be binding upon and inure to the benefit of the parties' successors in
interest, heirs and assigns.
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(27) The parties do not intend, and nothing in this Agreement shall be construed to mean,that any
provision in this Agreement is for the benefit of any person or entity who is not a party.
(28) This Agreement may be executed in one or more counterparts, each of which shall be deemed an
original, and all of which counterparts together shall constitute the same instrument which may
be sufficiently evidenced by one counterpart. Execution of this Agreement at different times and
places by the parties shall not affect the validity of this Agreement, so long as all the parties
execute a counterpart of this Agreement.
(29) The parties agree that facsimile and electronic signatures shall have the same force and effect as
original signatures.
(30) The parties agree that this Agreement has been negotiated at arms-length, with the assistance and
advice of competent, independent legal counsel.
(31) Notwithstanding any provisions of this Agreement to the contrary,to the extent any record,
including any electronic, audio, paper or other media, is required to be kept or indexed as a
public record in accordance with the Washington Public Records Act, Chapter 42.56 RCW(as
may be amended), Subrecipient agrees to maintain all records constituting public records and to
produce or assist the County in producing such records, within the time frames and parameters
set forth in state law. Subrecipient also agrees that upon receipt of any written public record
request, Subrecipient shall, within two business days, notify the County by providing a copy of
the request per the notice provisions of this Agreement.
(32) All notices or other communications which any party desires or is required to give shall be given
in writing and shall be deemed to have been given if hand-delivered, sent by facsimile, email, or
mailed by depositing in the United States mail, prepaid to the party at the address listed below or
such other address as a party may designate in writing from time to time. Notices to the County
shall be sent to the following address:
(33) All notices or other communications which any party desires or is required to give shall be given
in writing and shall be deemed to have been given if hand-delivered, sent by facsimile, email, or
mailed by depositing in the United States mail,prepaid to the party at the address listed below or
such other address as a party may designate in writing from time to time. Notices to the County
shall be sent to the following address:
Jefferson County Risk Management Department
1820 Jefferson Street
Port Townsend, WA 98368
Notices to Subrecipient shall be sent to the following address:
Name: Lois Sherwood
Title: Committee Member
Contact Info: lolo.sherwood@gmail.com
Phone: 360-301-1562
(SIGNATURES FOLLOW ON THE NEXT PAGE)
N-26-03 1(N-25-064KPHD-YCCTPP2483A-1) Page 10 of 14
SIGNATURE PAGE
ADOPTED THIS 1 6 day of rrey
, 2026
BOARD OF COUNTY COMMISSIONERS SCOUTING AMERICA TROOP 1479
JEFFERSON COUNTY, WASHINGTON
l50::).
By: .�.ate J1.¢ used
Greg Brotherton, Ch By:
Name: Lois C Sherwood
By: Title: Committee Member
y-Nollette, Commissioner
Date: May 12, 2026
By:
J ( -
Heidi Eisenhour, Commissioner
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o•`` EtSON ''',•,
SEAL: `••4., . Missi GZ
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ATTEST:
,10„OpWAS..V•
, - - 6plot,T .
c-oll Carolyn Gallaway, Date
Clerk of the Board
Approved as to form only:
04-22-2026
Jere a r Date
Deput rosec ing Attorney
N-26-031(N-25-064KPHD-YCCTPP2483A-1) Page 11 of 14
APPENDIX A— COMPLIANCE AND RISK MONITORING FORM
This Compliance and Risk Monitoring Form shall be submitted before the Subrecipient Agreement can
be approved with final form submitted by June 30, 2026.
AGENCY CONTRACT NO: N-25-064 KPHD2483 and its A-1
DATE:
NAME OF SUBRECIPIENT: Scouting America Troop 1479
By signing below, I declare under penalty of perjury of the laws of the State of Washington and the
United States that the forgoing is true and correct. (Check the applicable boxes.)
DATE CERTIFICATION ITEM YES NO
Subrecipient is not presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded
from transactions by any Federal, State, or local department X
5/7/26 or agency
Subrecipient has not within a 3-year period preceding the
submission of this Compliance and Risk Monitoring Form
been convicted of or had a civil judgment rendered against
them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or X
performing a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or
State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen
5/7/26 property
Subrecipient is not presently indicted for or otherwise
criminally or civilly charged by a governmental entity
5/7/26(Federal,State, or local) with commission of fraud or a
criminal offense in connection with obtaining, attempting
to obtain, or performing a public (Federal, State, or local) X
transaction or contract under a public transaction; violation
of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or
receiving► stolen property
5/7 f brecipient has not within a 3-year period preceding the
;mission of this Compliance and Risk Monitoring Form
one or more public transactions (Federal, State, or local) X
terminated for cause or default
Subrecipient has provided all written reports required by
5/7/26 the Agreement as of the submission of this Compliance and X
Risk Monitoring Form (Template provided)
N-26-03I(N-25-064KPHD-YCCTPP2483A-1) Page 12 of 14
DATE CERTIFICATION ITEM YES NO
Subrecipient has provided any audit report received by it
5/7/26 from any government agency since the last certification for NA
its performance related to the Agency Contract
5/7/26 Subrecipient certifies that all of the deliverables and other
work required since the last certification have been X
completed
577126 All the work being billed for in the invoice being certified
by this Compliance and Risk Monitoring Form actually has Tuition w II be submitted
been performed, including any timesheet or other backup 5/15/2026 - Camp prep will
5/1126 Subrecipient agrees to submit to an audit within 30 days of be c xmpleted 6/13/26
a request from the County or the Agency
5/7/26 Subrecipient has corrected any deficiencies identified since
the last certification NA
Signed at Port Townsend WA WA •
City State
Lo4- e-rL4 J O- 5/7/2026
SUBRECIPIENT SIGNATURE DATI?
Lois C Sherwood
WRITTEN NAME OF PERSON SIGNING CERTIFICATION
APPROVED BY TH COUNTY:
COUNTY OVAL SIGNATURE DA E
ateti -Y) ikkv'�/ CIia w`
WRITTEN NAMOF PERSON APPROVING CERTIFICATION
N-26-031(N-25-064KPHD-YCCTPP2483A-1) Page 13 of 14
Appendix B
Statement of Work and Budget
Mini-grant Subrecipient Awardee:
Scouting America Troop 1479
Title: Campership Awards Program
Topic: Timeline
Month/Date Action Item Description
April - regular Youth work on developing Youth practice outdoor cooking, building
meetings and outdoor skills useful structure with poles and rope, learn first
independent work Youth participate in community aid skills
at home service project- make first
payment for camp ($250 -this
payment has already been made)
May - regular Scouts build begin building Scouts assist Arrow of Light cub scouts plan
meetings& relationships with Cub Scouts who an overnight camping trip. This provides
meetings with Cub will be joining the Troop and scouts to develop and practice leadership with
Scouts attending camp younger scouts and begin building bonds
Final payment for summer camp between the youth
due on May 15. - If 4 youth attend
$2480 for youth, $580 for adults
minus deposit of$250 =$2810
June - 12-13 Overnight camp out Youth will practice the skills they have
learned and cub scouts get to know
experienced scouts
July - meetings Arrow of Light Cubs are now part All youth wishing to participate in water
of troop. sports will need to complete swim test.
Plan for their week at camp - Review all camp activities- sign up for merit
select activities and merit badges badge and advancement classes based on
interest and individual progress. Each youth
selects their own course through scouting.
August 2 - 8 Attend Fire Mountain Summer Return - Each scout assess their own growth at
Camp camp and chart their next steps in scouting.
Topic: Budget
Budget Item Amount Description
4 - 6 camperships $2,000; scholarships paid $500/youth if 4 attend,
for by May 15, 2026 $366/youth if 6 attend
winter fundraising and family will provide the
balance
$120 + $75 if 4 attend,
$154 + $75 if 6 attend
N-26-03 I(N-25-064KPHD-YCCTPP2483A-1) Page 14 of 14
615 Sheridan Street
Port Townsend, WA 98368
Pon www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh D. Peters, County Administrator
FROM: Apple Martine, Public Health Director
Denise Banker, Community Health Director
DATE: Ai(aic , )4
SUBJECT: Agenda item — Subrecipient Agreement with Scouting America Troop 1479;
April 1, 2026 — June 30, 2026; $2,000
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH), Community Health Division, requests Board approval of the
Subrecipient Agreement with Scouting America Troop 1479 (Subrecipient) to develop and implement
coordinated tobacco, vapor and marijuana product prevention and intervention strategies; April 1, 2026 — June
30, 2026; $2,000
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
The purpose of this agreement is for the JCPH to retain Subrecipient to develop and implement protective
factor strategies to prevent and reduce tobacco and marijuana use by youth in Jefferson County. Subrecipient
agrees to implement programs that provide protective factors for youth in Jefferson County. This agreement,
for $2,000 is to pay for direct labor, direct material, and other direct costs.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This contract agreement is fully funded by JCPH through a regional funding received from the Washington
State Department of Health, Youth Cannabis and Commercial Tobacco Prevention Program, Jefferson County
Public Health contract number N-25-064 #2483 and its A-1 Kitsap (Agency Contract).
RECOMMENDATION:
JCPH management requests approval of the Subrecipient Agreement with Scouting America Troop 1479 to
develop and implement tobacco, vapor and marijuana product intervention strategies; April 1, 2026 — June
30, 2026; $2,000
REVIEWED BY:
Jos -b. Peters, County Administrator Date
Community Health
Developmental Disabilities Environmental Public Health
360-385-9400 360-385-9444
360-385-9401 (f) (f) 360-379-4487
Always working for a safer and healthier community
N-26-032
CONTRACT REVIEW FORM I Clear Form I
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Scouting America Troop 1479 Contract No: N-26-032
Contract For: Campership Awards Program Term: April 1, 2026 -- June 30, 2026
COUNTY DEPARTMENT: Public Health
Contact Person: Denise Banker
Contact Phone: X438
Contact email: dbanker@co.jefferson.wa.us
AMOUNT: $2,000 PROCESS: _ Exempt from Bid Process
Revenue: _ Cooperative Purchase
Expenditure: $2,000 Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # ✓ RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPL - CE WIT .080 AND CHAPTER 42.23 RCW.
CERTIFIED: f ' N/A:i Apr. 20, 2026
Glenn Gilbert Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBA D BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ri-
N/A: t Apr. 20, 2026
Glenn Gilbert Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 4/28/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 4/22/2026.
DPA Luther reviewed and approved on 04/22/2026
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1