HomeMy WebLinkAboutHood Canal Coordinating Council Regional Pollution Identification Phase 5 - 061526 Ah000
, Hood Canal Coordinating Council
o Jefferson, Kitsap& Mason Counties; Port Gamble S'Klallam &Skokomish Tribes
o —_--W 17791 Fjord Drive NE,Suite 118,Poulsbo,WA 98370
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CONTRACT AGREEMENT
BETWEEN
HOOD CANAL COORDINATING COUNCIL
AND
JEFFERSON COUNTY PUBLIC HEALTH
THIS AGREEMENT is a subaward and is between Hood Canal Coordinating Council (HCCC),
located at 17791 Fjord Drive, NE, Suite 118, Poulsbo, WA 98370, and Jefferson County Public
Health (Subrecipient), with an address of 615 Sheridan Street, Port Townsend, WA 98368, and
is made effective as of the date of execution. HCCC and Subrecipient 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) "Subrecipient" means the Subrecipient 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 Subrecipient for purposes of
administration of this Agreement.
d) "Effective Date" is the date of execution, unless otherwise specified in the agreement
Term. The date of execution is the last date of signature of the parties to the
agreement.
2) SERVICES TO BE PERFORMED AND DELIVERABLES. The Subrecipient agrees to provide
services as described in Exhibit A, in accordance with applicable professional standards and
the applicable Funding Source Programmatic Conditions referenced in Exhibits A and/or B.
3) COMPENSATION.
a) Subrecipient agrees to comply with all applicable rules and regulations associated with
the funds from the Funding Source.
b) Except as provided herein, HCCC agrees to pay Subrecipient on a monthly basis
following receipt of an invoice documenting services rendered and costs incurred, in a
manner and amount stipulated in Exhibit A. Subrecipient 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, or as otherwise stated in Exhibit A.
HCCC &Jefferson County Public Health Agreement Page 1
Jeffco:WQ-26-037
c) Allowable Costs.
i) Travel Expenses. HCCC agrees to reimburse Subrecipient up to the amount
stipulated in Exhibit A for travel expenses (which may include per diem). HCCC shall
reimburse Subrecipient 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. International travel
requires advance pre-approval.
ii) Other Expenses. HCCC agrees to reimburse Subrecipient 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 Subrecipient 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 Subrecipient for costs incurred in excess of the
approved budget.
e) Invoice. Subrecipient's invoice shall indicate dates of service and time spent on that
date, a description of work performed, and personnel expenses in providing service
under this Agreement. The invoice shall include receipts for purchases of any approved
supplies or lab services, and any required documentation for approved travel expenses
incurred by Subrecipient in connection with performance under this Agreement.
i) Invoices should be sent to via email to: admin@hccc.wa.gov. For alternative
delivery options, please contact an HCCC Contract Representative.
ii) Invoices must be submitted by a representative of the Subrecipient who has the
Subrecipient'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, I 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. I am aware that any false,fictitious, or
fraudulent information, or the omission of any material fact, may subject me to
criminal, civil or administrative penalties for fraud,false statements,false claims or
otherwise. 18 USC 1001 and 31 USC 3729-3730 and 3801-3812.
4) TERM. The term of this Agreement commences on the Effective Date, and continues until
June 30, 2027 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
HCCC&Jefferson County Public Health Agreement Page 2
terminate the contract under the "Term" clause without a notice requirement. No work
shall commence under this Agreement until it is fully executed by both Parties.
5) SUBCONTRACTING. Subrecipient may not subcontract without prior written approval by
the HCCC. Additionally, the Subrecipient is responsible for ensuring that all terms,
conditions, assurances and certifications set forth in this contract are carried forward to any
subcontracts.
6) TRAINING. Subrecipient acknowledges that no training will be provided by HCCC to
Subrecipient under this Agreement. Subrecipient 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) Subrecipient 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) Subrecipient shall be responsible for payment of taxes, insurance and other obligations
relating to its performance of services under this Agreement.
c) If requested, Subrecipient 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;
ii) Washington State Department of Revenue account status as active and current;
iii) Washington State Labor and Industries account in current status or that the
Subrecipient is exempt from the state's industrial insurance requirements;
iv) Unique Entity Identifier (UEI) Number; and
v) Central Contractor Registry (CCR) active status through SAM.gov.
d) All other necessary licenses and permits to perform the work specified in Exhibit B.
8) SUBRECIPIENT STATUS.
a) Subrecipient shall act as an independent entity, and in no way shall be considered an
employee of HCCC. Subrecipient is not required to report to HCCC's offices at any
specific time, except as may be requested for occasional consultations. HCCC does not
have the right to assign any additional projects to Subrecipient. Subrecipient 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) Subrecipient acknowledges that Subrecipient 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 Subrecipient is not or was not an independent entity for
any period during the term of this Agreement and reclassifies Subrecipient as an
HCCC&Jefferson County Public Health Agreement Page 3
employee, Subrecipient 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) Subrecipient 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. Subrecipient reserves the
right to perform services for others during the term of the Agreement.
10) MATERIALS AND EQUIPMENT. Subrecipient shall provide all materials and equipment
necessary to perform its obligations under this Agreement: 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 Subrecipient as part of this Agreement. Materials and
equipment includes, but is not limited to, appropriate safety plans and personal protective
equipment to employees to address continued performance under the contract where such
continued performance can be done in compliance with Federal, State or local
requirements. Any materials and equipment to be purchased or provided by the
Subrecipient will be indicated in Exhibit A- Scope of Services.
11) INDEMNIFICATION.
a) To the fullest extent permitted by law, Subrecipient 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 Subrecipient's
performance of services described in Exhibit A under this Agreement, except to the
extent caused by the negligence of HCCC.
b) Subrecipient hereby indemnifies and holds HCCC harmless from any additional taxes,
interest and penalties due from Subrecipient or HCCC resulting from reclassification in
the event the IRS or any state or local taxing authority successfully asserts that
Subrecipient is not or was not an independent entity for any period during the term of
this Agreement and reclassifies Subrecipient as an employee.
12) INSURANCE. Subrecipient 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. Subrecipient 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. Subrecipient shall,
at its own expense, acquire and maintain the following insurance throughout the term of
the Agreement:
HCCC&Jefferson County Public Health Agreement Page 4
a) Commercial Automobile Liability Insurance, required if claiming mileage, 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 if required by state, industry, or similar regulations, in an
amount not less than $1,000,000 per claim and in the aggregate; and
d) Workers' Compensation coverage to the extent it is required by law.
e) Notwithstanding the forgoing, Subrecipient maintains a system for self-insurance that
meets the requirements of this Insurance section.
13)CONFIDENTIALITY. Information produced or made available to the Subrecipient shall not
be disclosed to others or used for any other purpose, except as required or agreed under
this contract or by law, without prior written approval by HCCC.
14) OWNERSHIP OF PRODUCTS PRODUCED UNDER THIS CONTRACT. Unless otherwise
required by the Funding Source, 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 HCCC and its assigns. Permission for its
subsequent use must be obtained from 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 Subrecipient When applicable, precedent shall be
given by the parties to Federal statutes and regulations for use of Copyrighted Material and
Data, including 2 CFR 200.315 regarding Intangible Property.
15) PUBLICITY AND ACKNOWLEDGEMENT OF SUPPORT.
a) Subrecipient 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. Subrecipient 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). Subrecipient 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:
HCCC&Jefferson County Public Health Agreement Page 5
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 products does not constitute their
endorsement by the Hood Canal Coordinating Council or its funding sources."
16) INSPECTION AND RETENTION OF RECORDS. The Subrecipient 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
(6) years following the date of final payment. These records shall be made available for
review or audit by duly authorized personnel so authorized by law, regulation or
agreement.
17) NONDISCRIMINATION. By signing this Agreement, the Subrecipient certifies that it is in
compliance with all state and federal nondiscrimination requirements, and Subrecipient
agrees to continue to be in compliance with all state and federal nondiscrimination
requirements. Subrecipient agrees to comply fully with applicable civil rights statutes and
regulations, including Title IV of the Civil Rights Act of 1964, Title IX of the Education
Amendment of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination
Act of 1975, the Drug Abuse Office and Treatment Act of 1971, the Comprehensive Alcohol
Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, Title VIII of the
Civil Rights Act of 1968, and the American Disabilities Act. During the term of this
Agreement, the Subrecipient shall not discriminate on the bases enumerated at RCW
49.60.530(3), including: age, sex, marital status, sexual orientation, gender identity, race,
creed, color, national origin, citizenship or immigration status, honorably discharged
veteran or military status, the presence of any sensory, mental, or physical disability, or the
use of a trained dog guide or service animal by a person with a disability, unless based upon
a bona fide occupational qualification. In accordance with 40 CFR Part 33 Appendix A, the
Subrecipient shall not discriminate on the basis of race, color, national origin or sex in the
performance of this contract. The Subrecipient shall carry out applicable requirements of 40
CFR part 33 in the award and administration of contracts awarded under EPA financial
assistance agreements. Failure by the contractor to carry out these requirements is a
material breach of this contract which may result in the termination of this contract or
other legally available remedies
18) PREVAILING WAGE. The Subrecipient 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
HCCC&Jefferson County Public Health Agreement Page 6
(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.
19)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.
20) MODIFICATION. This Agreement may not be waived, discharged or modified in any manner
other than by written agreement of the Parties.
21) 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.
22) FORCE MAJEURE. Each Party shall be excused from liability for the failure or delay in
performance of any obligation under this Agreement if the failure to perform the contract
arises from causes beyond the control and without the fault or negligence of the Party.
Examples of such causes include (1) acts of God or of the public enemy, (2) acts of the
Government in either its sovereign or contractual capacity, (3) fires, (4) floods, (5)
epidemics, (6) quarantine restrictions, (7) strikes, (8) freight embargoes, and (9) unusually
severe weather. In each instance the failure to perform must be beyond the control and
without the fault or negligence of the Contractor. Such excuse from liability shall be
effective only to the extent and duration of the event(s) causing the failure or delay in
performance and provided that the Party has not caused such event(s) to occur and
continues to use diligent, good faith efforts to avoid the effects of such event and to
perform the obligation. Notice of a Party's failure or delay in performance due to force
majeure must be given to the unaffected Party promptly thereafter but no later than five (5)
days after its occurrence which notice shall describe the force majeure event and the
actions taken to minimize the impact thereof. All delivery dates under this Agreement that
have been affected by force majeure shall be tolled for the duration of such force majeure.
In no event shall any Party be required to prevent or settle any labor disturbance or dispute.
Notwithstanding the foregoing, should the event(s) of force majeure suffered by a Party
extend beyond a six-month period, the other Party may then terminate this Agreement by
written notice to the non-performing Party, with the consequences of such termination as if
this Agreement had expired (and was not terminated) in accordance with other provisions
herein.
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
HCCC &Jefferson County Public Health Agreement Page 7
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
Subrecipient must comply with the following.
a) Uniform Guidance. Subrecipient must comply with the Uniform Guidance (2 CFR Part
200) to the extent applicable to Subrecipient 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 Subpart E; 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. Subrecipient may be required to comply with the Federal Audit
Requirements found in 2 CFR 200.500 Subpart F.
c) Lobbying and Litigation (2 CFR 200.450).
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) Restrictions on Lobbying. In any subcontract over $100,000, Subrecipient shall
require that subcontractors submit certification and disclosure forms in accordance
with the Byrd Anti-Lobbying Amendment, 31 USC 1352. Any Subrecipient 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. According to 40 CFR Part 34, if contract, grant,
or agreement exceeds $100,000, Subrecipient shall complete a Certification
Regarding Lobbying (CFR Appendix A to Part 34) or EPA Form 6600-06, available at:
HCCC&Jefferson County Public Health Agreement Page 8
https://www.epa.gov/system/files/documents/2021-08/epa form 6600 06.pdf.
See also CFR Appendix B to Part 34: Disclosure of Lobbying Activities.
d) Debarment and Suspensions. Unless Subrecipient has submitted a written justification
fourteen (14) days prior to execution of this Agreement, 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, Subrecipient 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 Subrecipient 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. Subrecipient 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. Subrecipient shall identify all known workplaces under this
Agreement, and keep this information on file during the performance of the Agreement.
Subrecipients 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) Reducing Text Messaging while Driving, Executive Order 13513. Subrecipient 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.
g) Disadvantaged Business Enterprise. Subrecipient agrees to good faith efforts whenever
procuring construction, equipment, services and supplies in compliance with the
requirements of 40 CFR Part 33 Participation by Disadvantaged Business Enterprises in
United States Environmental Protection Agency Programs. Subrecipient must receive
permission from HCCC to sub-contract with another entity.
h) Additional Responsibility Matters. By signing this Agreement, Subrecipient warrants
and represents that it is not subject to the below circumstance.
i) 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.
i) Certification and Representation. Subrecipient must submit those certifications and
representations required by Federal statutes, or regulations to HCCC on an annual basis.
HCCC&Jefferson County Public Health Agreement Page 9
Submission may be required more frequently if the Subrecipient entity fails to meet a
requirement of a Federal award.
27)COUNTERPARTS AND ELECTRONIC SIGNATURES. This Agreement may be executed in
counterparts, after execution by all Parties hereto, shall together constitute the Agreement.
The parties acknowledge that a signature in electronic form has the same legal effect and
validity as a handwritten signature.
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement effective as of the day
and year signed by the Hood Canal Coordinating Council Executive Director below.
Jefferson County Washington
Hood Canal Coordinating Council dba Jefferson County Public Health
David D. Dicks, Executive Director igna ure
Date
Greg Brotherton
Print Name
Chair, Board of County Commissioners
Title
Approved as to form:
Signature
06/04/2026
Date
Jeremiah B. Luther
Print Name
Deputy Prosecuting Attorney Title
This Agreement is made effective as of the last date of signature of the parties to the
Agreement.
HCCC&Jefferson County Public Health Agreement Page 10
Submission may be required more frequently if the Subrecipient entity fails to meet a
requirement of a Federal award.
27)COUNTERPARTS AND ELECTRONIC SIGNATURES. This Agreement may be executed in
counterparts, after execution by all Parties hereto, shall together constitute the Agreement.
The parties acknowledge that a signature in electronic form has the same legal effect and
validity as a handwritten signature.
IN WITNESS WHEREOF,the Parties hereto have executed this Agreement effective as of the day
and year signed by the Hood Canal Coordinating Council Executive Director below.
Jefferson County Washington
Hood Canal Coordinating Council dba Jefferson County Public Health
David D. Dicks, Executive Director igna ure
Date: 6/22/2026 c( ti C(7,6
Date
Greg Brotherton
Print Name
Chair, Board of County Commissioners
Title
Approved as to form:
Signatur-
06/04/2026
Date
Jeremiah B. Luther
Print Name
Deputy Prosecuting Attorney Title
This Agreement is made effective as of the last date of signature of the parties to the
Agreement.
HCCC&Jefferson County Public Health Agreement Page 10
EXHIBIT A
Independent Consultant Scope of Services
Hood Canal Regional Pollution Identification and Correction Program
— Phase 5
Contractor: Jefferson County Public Health
Description of Services
Jefferson County Department of Environmental Health will provide services to support the
implementation of the Hood Canal Regional Pollution Identification and Correction (HCRPIC) Program's
Phase 5, as described below.
The following project information is excerpted from HCCC's base agreement scope of work with WA State
Department of Health (DOH):
Subrecipient Organization Name: Hood Canal Coordinating Council
Unique Entity Identifier:SU99NKLLC1A3
Other Specific Organization Info (e.g.,Statewide Vendor#, UBI, Federal Tax ID):
UBI: 602 080 310
EIN:91-2085994
WA statewide Vendor No.: 0011386-00
WA Secretary of State Registration No.: 1127145
Subrecipient Contacts:
Grant Manager: Haley Harguth; hharguth@hccc.wa.gov; 360-328-4625; 17791 Fjord Dr NE, Ste
188, Pouslbo, WA 98370
Grant Admin: Jennifer Poole,jpoole@hccc.wa.gov, 360-900-9063, 17791 Fjord Dr NE, Ste 188,
Pouslbo, WA 98370
Fiscal Office: Jennifer Poole, ipoole@hccc.wa.gov, 360-900-9063, 17791 Fjord Dr NE, Ste 188,
Pouslbo, WA 98370
Authorized Contract Signatory: David Dicks, ddicks@hccc.wa.gov, 360-620-7639, 17791 Fjord Dr
NE,Ste 188, Poulsbo, WA 98370
Shellfish Strategic Initiative Lead (SSIL) Contacts:
Contract Manager: Megan Schell; megan.schell@doh.wa.gov; 360-236-3307
NEP Administrative Assistant:Theo Jones;theo.jones@doh.wa.gov; 360-236-3355
Effective Date: DOE
Expiration Date:June 30, 2027
Not to Exceed: $ 807,988
Contract Number CBO31198
FFY Funding Year FY24
Strategic Initiative Shellfish
HCCC Contract Agreement—Exhibit A Page 1
Vital sign links Shellfish
Implementation Strategy alignment Shellfish
Amount of dollars leveraged $1,373,000
Number of positions supported 21
Project Location: Latitude/Longitude 47°36'23.5"N 122°57'04.2"W
OVERVIEW
The Hood Canal Regional Pollution Identification and Correction (HCRPIC) Program works to protect
and restore water quality by cleaning up and preventing bacterial and nutrient pollution from human
and animal waste that impact our ecosystem and threaten public health, our economy, and
wellbeing. HCRPIC Program- Phase 5 includes support for water quality protection activities that
excel when each component is working effectively and in coordination:
• Pollution identification and correction fieldwork
• Regional coordination
• Skills and knowledge advancement
• Outreach and education
• Agricultural pollution mitigation
• Climate resilience planning for OSS
The HCRPIC Program has operated for over 12 years under the Hood Canal Coordinating Council
(HCCC), contributing to its mission to work with partners and communities to advance a shared a
regional vision to protect and recover Hood Canal's environmental, economic, and cultural
wellbeing. HCCC is a council of governments formed in 1985 in response to community concerns
about water quality problems and related natural resource issues in the Hood Canal watershed. Its
members consist of Jefferson, Kitsap, and Mason Counties, and the Port Gamble S'Klallam and
Skokomish Tribes.
The HCRPIC was developed and Phases I —IV were implemented with past EPA Geographic Funds
aka "NEP" grant funding Phase 5 will continue to build on this strong collaborative foundation, as
program partners refine and advance their approaches to the essential work of maintaining and
improving water quality by reducing bacterial and nutrient pollution. Priority areas will be identified
at the start of Phase 5,where work will build on current progress toward water quality upgrades,
including in Annas Bay,Tahuya, Lilliwaup, and Duckabush areas.Additional agricultural technical
assistance support will help meet the increased demand for these services in south Hood Canal.
Mason Conservation District (MCD)'s activities in this grant will further support their work funded
under the Mason County Partnership for Clean Water and improve coordination between both
programs. Expanded outreach and education efforts will target specific audiences to improve water
quality understanding among K-12 students and vacation homeowners and users. New training
opportunities will advance partners' data-informed approaches and utilization of new tools to
improve pollution investigation efficiency, as well as cross-jurisdictional learning to increase available
HCCC Contract Agreement—Exhibit A Page 2
laboratory capacity, a critical need in Jefferson County, and address a common challenge for
improved approaches to management of mobile discharges from RVs and boats. Partners will
workshop a regional approach to address the threat of sea level rise inundation of shoreline OSS and
learn from experts about current data needs and existing resources to inform potential changes in
policy or programmatic activities.
GOALS & MEASURABLE OBJECTIVES
Key metrics and measures of contract activities This table is a component of the FEATS report.
Description Units Targets
(e.g., "shellfish beds reopened") (e.g., "acres") (e.g., "number")
Upgrade and/or maintain shellfish growing areas in Acres 378
watershed assessment growing areas
Number of OSS failures identified OSS failures 5
Number of OSS failures corrected OSS corrections 5
OSS maintenance rebates delivered Rebates 60
Number of students educated Students 1400
Number of agricultural properties advised Cases 30
Number of agricultural best management practices BMP projects 15
(BMPs) projects administered
*Target for Acres was corrected to 392,listed as 492 in error on original Exhibit A,and reduced to 378 to reflect updated
conditions at the time of executing this sub-contract agreement.
HCCC's full HCRPIC Program Ph. 5 grant agreement with WA DOH is linked here.The task numbers below
match HCCC's base grant scope of work.
Tasks & Deliverables
Task 2: Data Reporting
Task 2.5 - Water Quality Exchange (WQX) Reporting
The Water Quality Exchange (WQX) is the tool for data partners to submit monitoring data to EPA. If the
subrecipient collects any physical, chemical, or environmental data (e.g., dissolved oxygen,water
temperature, salinity,turbidity, pH, phosphorous,total nitrogen, E. coli or enterococci, and other
biological and habitat data), then the subrecipient's QAPP will specify data to be reported through WQX.
Data for a calendar year(Jan 1—Dec 31) must be submitted at least annually.
See WQX information, including tutorials, at https://www.epa.gov/waterdata/water-quality-data-
wqx.
HCCC Contract Agreement—Exhibit A Page 3
Task 2 Deliverables:
Task Deliverable Description Due Date
2.5 WQX Data Reporting At least annually by December 31
Task 3: HCRPIC Program Coordination and Administration
3.1: Support HCRPIC Program coordination, providing technical expertise and advice as
needed.
This task includes: collaboration with program partners to reinforce shared protocols and clarify work
flows, prepare the Phase 4 Workplan and track progress, preparation of invoices and progress reports for
project coordinators, coordination of County staff working toward Phase 5 objectives, 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,sustainable funding efforts,
and outreach materials.
Project Coordination
Coordinate implementation of HCRPIC in your jurisdiction following HCRPIC Program protocols described
in the HCRPIC Guidance Document and the project QAPP. Monitor spending and progress toward
deliverables.
HCRPIC Guidance Group
The Guidance Group consists of water quality partners from Hood Canal's local health jurisdictions, tribal
governments, conservation districts, restoration non-profits, and the WA Departments of Health and
Ecology.The Guidance Group provides oversight and guidance for all HCRPIC Program activities, a
structure for consistent procedures across the PIC program, and a space for cross-jurisdictional sharing of
information and collaborative problem solving. It will also provide a regular venue for ongoing learning
activities outlined in Task 3.2, and coordination of outreach and education efforts, and climate resilience
planning.
HCRPIC Program partners will meet approximately quarterly, or as needed, throughout the project
duration to report on progress toward grant objectives. At Guidance Group meetings, partners will:
- Report on Ph 5 Workplan implementation, including progress updates toward grant deliverables,
including:
o Shoreline miles surveyed
o Pollution hotspots identified
o Ongoing water quality investigations
o Site surveys completed, and their outcomes (dye tests completed, sources identified,
repairs needed, etc.)
HCCC Contract Agreement—Exhibit A Page 4
o Pollution sources identified
o Referrals to partner agencies for agricultural pollution sources, enforcement cases,
Craft3,Shore Friendly, etc.
o Progress of pollution source corrections
o OSS failures repaired
o OSS repair rebates distributed
o Parcels opened
o Shellfish Growing Area upgrades
- Present opportunities for shared learning and problem solving
o Requests for advice and assistance
o Success stories and lessons learned
- Share upcoming events, new opportunities for collaboration, and ideas for continued learning
- Present hotspots for closure following protocol described in HCRPIC Guidance Document.
- Participate in communications effort and development of educational video targeting rental
homeowners and users
- Participate in workshop exploring climate resilience planning for shoreline OSS
- Discuss HCRPIC Program communications products and contribute to final report development
HCRPIC Ph. 5 Workplan
HCCC will coordinate with HCRPIC partners to collaboratively develop the HCRPIC Phase 5 Workplan,
which will establish priority areas for shoreline and ambient freshwater stream monitoring and property
surveys,targeting areas of known pollution hotspots, or facing shellfish growing area downgrades.The
Phase 5 Workplan will be informed by current water quality information gathered from county health
jurisdictions and tribes, and monitoring data and recommendations from Washington State Department
of Health technical staff. It will outline tasks to build upon supporting work conducted in Phase 4.The
Phase 5 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.
HCRPIC partners will provide technical support as needed in the development of the program OAPP and
Ph. 5 Workplan. Field work activities cannot begin until the HCRPIC Phase 5 Workplan is completed and
the QAPP is approved.
Progress Reporting
Consultant will submit monthly progress reports by the 15th of the following month describing progress
toward deliverables.
- HCRPIC Program Progress Report Template (linked here).
- Submit progress reports to: HCRPIC Program Coordinator(hharguth@hccc.wa.gov)
HCCC Contract Agreement—Exhibit A Page 5
Invoicing
Submit monthly invoices by the 15th of the following month documenting expenses incurred during the
reporting period, including personnel expenses, and receipts for any purchased supplies or lab services.
Expenses are payable with prior authorization from HCCC project manager, and contingent upon
satisfactory progress and reporting toward completion of project deliverables.
Final invoice: 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.
Communicate any concerns to HCRPIC Program Coordinator that spending progress is not on track.
- Send invoices via e-mail to: admin@hccc.wa.gov
- Include in the subject line: HCRPIC Program Invoice, [Your Entity], [Month of Invoice]
3.2 Skills & Knowledge Advancement
Guidance Group Workshops/Trainings
HCRPIC Program partners will pursue the following training topics to advance skills and inform our
approach to Hood Canal water quality protection.Timelines and workplans for each of these activities will
be developed in Guidance Group meetings and documented in the HCRPIC Phase 5 Workplan.
- Improved data analysis techniques to inform monitoring approaches:The Skokomish Tribe's
water quality staff have developed an approach using the data analysis software R that links to
water quality database tools and automates data analysis to inform efficient workplanning for
pollution monitoring and investigation activities.Two workshops will be planned and conducted
to share knowledge and train practitioners how to set up these analytical tools.The data analysis
software used (R) is open source and free. Jefferson County will utilize the R routines with the
County's Water Quality Database.
- R-card trial in PIC fieldwork: HCRPIC partners will trial the use of R-Cards as a bacterial testing
method and evaluate its efficacy and potential applications compared to standard bacterial
analysis to determine whether it is a viable option to improve efficiencies and reduce costs for
water quality screenings. The Guidance Group will develop a trial and evaluation protocol to
include a focused workshop to discuss conclusions and determine next steps for its future
application to regional water quality work.
- Mobile discharge management BMPs: HCRPIC partners will participate in a focused workshop to
share across jurisdictions and learn from external partners (e.g. DNR's derelict vessel program,
mobile pumpout programs) about best practices and available resources to address the challenge
of mobile wastewater discharge from RVs and boats. Shared management recommendations will
be developed to inform each jurisdiction's ongoing management of these challenging pollution
sources.
HCCC Contract Agreement—Exhibit A Page 6
Puget Sound PIC Workshops
Partners will attend the DOH facilitated regional PIC meetings and workshops to share information with
and learn from other water quality practitioners across Puget Sound and look for opportunities to adapt
and improve HCRPIC Program operations.
Jefferson County Laboratory Development
Jefferson County will explore developing in-house laboratory capacity in response to urgent limitations on
viable laboratory services providers for water sample analysis in the Jefferson County area. County staff
will learn from the Hood Canal Salmon Enhancement Group's experience, who have established an
accredited in-house laboratory,to inform the County's approach. County staff will visit the HCSEG and
Skokomish laboratory sites and discuss standard operating procedures (SOPs)with HCSEG and Skokomish
staff.Jefferson County staff will attend training on laboratory protocols, purchase needed laboratory
supplies and seek accreditation.
Mapping and Data Analysis Support
Mason Conservation District (MCD) will provide mapping and data analysis support for HCRPIC partners,
as capacity allows, including assisting Mason County's tracking of water quality data on their publicly
available ambient monitoring map (linked here) and to inform their monitoring approach.
Task 3 Deliverables:
Task Deliverable Description Due Date
3.1 - Report on program coordination activities Included in progress reports
in progress reports
- Attend quarterly Guidance Group meetings
- Contribute to Workplan and QAPP
development
3.1 Monthly invoices 15th of the following month
•
3.1 Monthly Progress Reports 15th of the following month
3.2 - Report on participation in collaborative Included in progress reports
training activities in monthly progress
reports
- Attend Puget Sound Regional PIC
Workshops hosted by DOH
3.2 Jefferson County Lab. Development:Test R- May 30, 2027
Cards, Develop lab SOPs for E. coli and
Enterococcus analysis
HCCC Contract Agreement—Exhibit A Page 7
Task 4: Water Quality Fieldwork
4.1 PIC Field work
Local health jurisdiction staff from Jefferson County will conduct shoreline water samples and pollution
investigations to identify sources of fecal coliform bacteria. Once a source is identified, the LHJs will
conduct parcel surveys, and work with homeowner on corrective action(s) to mitigate the source. All
pollution identification data paid for by the grant will be shared with state or federal agencies upon
request. Within the PIC project area Jefferson County will conduct pollution source follow-up, technical
assistance, and enforcement.
An updated Phase 5 Workplan will be developed before fieldwork initiates (see Phase 4 Workplan).At the
start of each phase, Guidance Group partners assess current water quality conditions(shellfish bed
downgrades, parcel closures, and other known pollution hotspots)to determine the Priority Areas of
focus for upcoming PIC work and the current issues to address in each area.The updated list of Priority
Areas will be documented in the Phase 5 Workplan. Shellfish bed upgrades will be targeted in:
- Jefferson County: 192 acres total
o Hood Canal 3 - Duckabush: 192 acres (conditional closure area)
HCRPIC Program partners adhere to technical guidelines and procedures described in the Quality
Assurance Project Plans (QAPPs) approved under each phases' NEP grants (Phase 3 QAPP; Phase 4 QAPP
Addendum) and outlined in the program's Workplan and Field Guide.
The HCRPIC Field Guide, based on QAPP approved protocols,was established in Phase 3, updated in
Phase 4, and will be assessed for any necessary updates at the start of Phase 5 based on the new Phase 5
QAPP.The HCPRIC Program Field Guide includes protocols for:water quality standards and criteria,
monitoring data collection and management,water sample collection and chain of custody for
transporting samples, pollution hotspot investigation process and prioritization, property inspection
instructions and rating classifications, dye testing determination matrix, pollution source correction
recommendations and resources, and reporting.
Jefferson County will purchase needed sampling supplies and tools.
Supplies Qty
UV sterilizer 1
Sample bottles, 100 3
Infrared thermometer 1
100 R-Cards(E. coli) 2
100 R-Cards(Entero.) 1
Little Giant still air incubators 2
Glassware 4
Micropipette 2
HCCC Contract Agreement—Exhibit A Page 8
Micropipette tips,960 1
Plastic mat 1
Safety equipment 1
Misc. supplies 1
Task 4 Deliverables:
Task Deliverable Description Due Date
4.1 Purchase Jefferson Co. PIC sampling supplies and tools, include Jun 30, 2026
receipts in invoices.
4.1 PIC Data Reports:
1. Provide verbal updates of water quality work and progress 1. At Guidance Group
toward deliverables at Guidance Group meetings (reported in meetings(dates
meeting summaries), and TBD)
2. Submit regular data reports to HCRPIC Program coordinators
(format and frequency to be determined in Ph. 5 Workplan). 2. At least semi-
annually(dates
PIC Fieldwork deliverables: TBD); Final data
- Jefferson Co. PIC due May 30, 2027
- 192 acres of shellfish growing areas upgraded
- 17 closed parcels opened
- 0.5 miles shoreline surveyed
- #samples collected
- # hotspots identified/closed
- # parcel surveys=70%of all parcels within hotspots areas
of concern
- #dye tests conducted
- #Ag pollutions sites referred
- #OSS failures
- #OSS repairs
Task 5: Outreach & Education
5.1 OSS Maintenance Rebates
Jefferson County will distribute OSS maintenance rebates for OSS pumping, inspections, and small repairs
to eligible property owners in priority areas.
Rebate Program Guidelines
HCCC Contract Agreement—Exhibit A Page 9
Guidelines for OSS Maintenance Rebates established in the Phase 4 Workplan will be re-visited and
updated with new goals and protocols based on lessons learned, and target areas set based on the Ph. 5
Priority Areas, and any current OSS Operations and Maintenance Program priorities for each local health
jurisdiction.The HCPIRC Guidance Group will revisit program guidelines regarding eligibility, rebate
amount, and rebate processing to maximize efficient use of these funds.
Data will be collected to track rebate effectiveness over time. For each rebate, an application form,
receipt, and pumping/inspection report are required to be submitted and included with invoices.
Task 5 Deliverables:
Task Deliverable Description Due Date
5.1 1. OSS Maintenance Rebates distributed: 1. May 30, 2027
- Jefferson Co.: 10 2. Included with
2. OSS rebate form, receipt, and pumping/inspection report invoices
submitted with each rebate, and included in invoices.
Project Budget
Hood Canal Regional Pollution Identification and Correction Program—Phase 5
Task 2:Data Reporting
Personnel
Environmental Health Specialist $51/hr @ 15hrs $ 765.00
Personnel Subtotal $ 765.00
Other Costs
Insert category Description $
Other Costs Subtotal $ -
Indirect Costs 25.90% $ 198.14
Task 2 Subtotal $ 963.14
Task 3.1: HCRPIC Program Coordination and Administration
Personnel
Water Quality Manager $71/hr @ 30hrs $ 2,130.00
Environmental Health Specialist $51/hr @ 15hrs $ 765.00
Environmental Health Specialist $51/hr @ 18hrs $ 918.00
Environmental Health Specialist $51/hr @ 25hrs $ 1,275.00
Environmental Health Specialist $51/hr @ 10Hrs $ 510.00
Financial Operations Coordinator $45/hr @ 18hrs $ 810.00
Personnel Subtotal $ 6,408.00
HCCC Contract Agreement—Exhibit A Page 10
Other Costs
Insert category Description $ -
Other Costs Subtotal $ -
Indirect Costs 25.90% $ 1,659.67
Task 3 Subtotal $ 8,067.67
Task 3.2 Skills& Knowledge Advancement
Personnel
Water Quality Manager $71/hr @ 40hrs $ 2,840.00
Environmental Health Specialist $51/hr @ 30hrs $ 1,530.00
Environmental Health Specialist $51/hr @ 30hrs $ 1,530.00
Environmental Health Specialist $51/hr @ 30hrs $ 1,530.00
Personnel Subtotal $ 7,430.00
Other Costs
Travel PT to Poulsbo .725/mi, 72 mi x4 $ 208.80
Technical Consultant Database $ 15,000.00
Equipment Lab $ 2,600.00
Other Costs Subtotal $ 17,808.80
Indirect Costs 25.90% $ 6,536.85
Task 3 Subtotal $ 31,775.65
Task 4:Water Quality Fieldwork
Personnel
Water Quality Manager $71/hr @ 5hrs $ 355.00
Environmental Health Specialist $51/hr @ 5hrs $ 255.00
Environmental Health Specialist $51/hr @ 5hrs $ 255.00
Environmental Health Specialist $51/hr @ 30hrs $ 1,530.00
Personnel Subtotal $ 2,395.00
Other Costs
Lab Services Description $ 2,000.00
Equipment Field Gear $ 1,000.00
Other Costs Subtotal $ 3,000.00
Indirect Costs 25.90% $ 1,397.31
Task 4 Subtotal $ 6,792.31
Task 5:Outreach&Education
Personnel
Environmental Health Specialist $51/hr @ 10hrs $ 510.00
Environmental Health Specialist $51/hr @ 10hrs $ 510.00
HCCC Contract Agreement—Exhibit A Page 11
Personnel Subtotal $ 1,020.00
Other Costs
OSS O&M Rebates 10 @ $400 each $ 4,000.00
Other Costs Subtotal $ 4,000.00
Indirect Costs 25.90% $ 1,300.18
Task 5 Subtotal $ 6,320.18
Subtotals
Personnel Total $ 18,018.00
Other Costs Total $ 24,600.00
Travel Total $ 208.80
Indirect Costs 25.9% $ 11,092.14
Grand Total $ 53,918.94
Compensation: The Consultant shall be compensated under this agreement in an amount not to exceed:
$53,918.94. Submit monthly invoices 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.
Travel: If claiming mileage Consultant will submit a Mileage Report for Reimbursement with invoice.
Consultant may use their own report, or use HCCC's consultant mileage report. 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 all parties and ends Jun 30, 2027.
Consultant Checklist
Consultant will complete and provide requested information on Exhibit B.
Contract Representatives
HCCC Representatives:
David Dicks, Executive Director
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 118
Poulsbo, WA 98370-8430
HCCC Contract Agreement—Exhibit A Page 12
206-550-2685
ddicks@hccc.wa.gov
Project Manager:
Haley Harguth, Ecosystem Planning Director
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 118
Poulsbo, WA 98370-8430
hharguth@hccc.wa.gov
360-328-4625
Contracting&Fiscal Support:
Katie Champlin, Grant Manager
Hood Canal Coordinating Council
17791 Fjord Drive, NE Suite 118
Poulsbo, WA 98370-8430
kchamplin@hccc.wa.gov
564-245-0506
Additional Administrative Support:
Jennifer Poole, Director of Operations
jpoole@hccc.wa.gov
360-900-9063 mobile
360-394-0046 office
Contractor Representative(s):
Signatory:
Greg Brotherton, Chair, Board of County Commissioners
Jefferson County
PO Box 1220
Port Townsend WA 98368
jeffbocc@co.jefferson.wa.us
360-385-9100
Project Manager:
Michael Dawson, Water Quality Manager
Jefferson County Public Health
615 Sheridan St
Port Townsend WA 98368
mdawson@co.jefferson.wa.us
360-385-9444 x301
360-531-2862 cell
Billing contact:
Debbie Fountain, Financial Operations Coordinator
HCCC Contract Agreement—Exhibit A Page 13
Jefferson County Public Health
615 Sheridan St
Port Townsend WA 98368
360-385-9400 x475
HCCC Contract Agreement—Exhibit A Page 14
EXHIBIT B
SUBRECIPEINT CHECKLIST
Business Identifiers
Subrecipient or Contractor/Consultant Determination: According to 2 CFR 200 Subpart D,
HCCC has determined that you are a Subrecipient.
Subrecipient Business Name: Jefferson County Public Health
Unique Entity Identifier(UEI) Number: 184 826 790
Washington State UBI: 161 001 169
Federal Tax ID No (EIN)*: 91-6001322
Washington Business Type: Local government
Certifications
OMWBE*: If certified by Washington State's Office of Minority and Women Owned Business
Enterprise (OMWBE) www.omwbe.wa.gov, indicate certification type and number:
• Certification Type(s): Not certified
• Certification Number(s):
*Pursuant to a class exception issued March 17, 2025, the EPA is suspending actions related to 40 CFR Part 33
including recipient reporting,compliance, enforcement actions, and the requirement to collect EPA Form 5700-52A
MBE/WBE as a condition of closeout. HCCC may collect this information for reference.
Veteran Owned Business: If certified as Veteran Owned Business, indicate certification
program or type and number:
• Certification Type(s): Not certified
• Certification Number(s):
Subrecipient provides the following:
❑ IRS Form W-9
❑ Copy of business card, if available
❑ Copy of licenses or permits, if required for services
❑ Certificate(s) of Insurance, as specified/required by terms of Agreement, to be in effect
for the entire term of the Agreement. May include:
o Commercial General Liability, naming HCCC as additional insured
o Commercial Auto Liability (if claiming mileage)
o Professional Liability Insurance (for certain professional services)
o Workers' Compensation Insurance
HCCC Staff verify the following, and may ask for verification from Subrecipient:
❑ Business website (link to website):
❑ Confirm Active status with WA Secretary of State.
❑ Confirm WA Dept. of Revenue account is Active.
HCCC &Jefferson County Public Health Agreement—Exhibit B
615 Sheridan Street
Port Townsend, WA 98368
c9elle�ison www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Het'litA
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh D. Peters, County Administrator
FROM: Michaelic " Dawson, Water Quality Manager
DATE: LJ/l 1••r? ( 2 U7,67
SUBJECT: Agenda item — HCCC Subaward Agreement for Hood Canal Regional PIC Phase
5 Project; Upon signature - June 30, 2027; $53,918.94
STATEMENT OF ISSUE:
Jefferson County Public Health, Water Quality Division, requests Board approval of Hood Canal Coordinating
Council (HCCC) Subaward Agreement for the Hood Canal Regional Pollution Identification and Correction
(PIC) Phase 5 Project, Upon signature - June 30, 2027; $53,918.94.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
This subaward is for implementation of Phase 5 of the Hood Canal Regional Pollution Identification and
Correction Program. The project is led by HCCC and consists of Jefferson, Kitsap, and Mason Counties, the
Port Gamble S'Klallam and Skokomish Tribes working collaboratively to plan and implement PIC work to help
reduce bacterial loading to Hood Canal and increase acreage of approved shellfish growing areas. Jefferson
County Public Health has been an active participant in all of the previous phases of this project and this
subaward will allow us to continue this beneficial relationship.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This subaward agreement adds $53,918.94 of revenue to Jefferson County Public Health to advance and
continue PIC activities. There is no match requirement, and no impact to the general fund.
RECOMMENDATION:
JCPH management requests approval of Hood Canal Coordinating Council Subaward Agreement for the Hood
Canal Regional Pollution Identification and Correction Phase 5 Project; Upon signature - June 30, 2027;
$53,918.94.
REVIEWED BY:
Josh 613eters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
WQ-26-037
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Hood Canal Coordinating Council Contract No: Wq-26-037
Contract For: Pollution ID (PIC) Phase 5 Term: Upon signature- June 30, 2027
COUNTY DEPARTMENT: Public Health
Contact Person: Michael Dawson
Contact Phone: x 301
Contact email: mdawson@co.jefferson.wa.us
AMOUNT: $53,918.94 PROCESS: Exempt from Bid Process
Revenue: $53,918.94 Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # 128 RFP or RFQ
Munis Org/Obj 12800635 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COM LI" CE WI .080 AND CHAPTER 42.23 RCW.
CERTIFIED: fl N/A: May 20, 2026
Glenn Gi ert Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: fl N/A: May 20, 2026
Glenn Gilbert Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 6/4/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 6/4/2026.
DPA review and approval on 6/4/2026
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
❑ Confirm Workers Compensation Coverage is current with WA Labor & Industries (LNI) or
status exempt if no 'workers'.
❑ Confirm contractor is not debarred (WA LNI "Verify a Contractor").
❑ Confirm professional licenses are current/active, if applicable.
Federal/State Pass-Through Information
Project Name: Hood Canal Regional Pollution Identification and Correction Program (HCRPIC),
Phase 5
Funding Source(s): Environmental Protection Agency (passed through) Washington State
Department of Health (DOH)
Federal Funding Reference:
Federal Award Identification No (FAIN): PC-01J89801-3
Federal Funding Source Award Date: 5/30/2024; End Date: 6/30/2027
Catalog of Federal Domestic Assistance No. (CFDA): 66.123
CFDA Program Title: Puget Sound Action Agenda: Technical Investigations and
Implementation Assistance Program
HCCC & WA Dept. of Health Agreement:
Period of Performance: Date of Execution: 5/8/2025; End Date: 6/30/2027
DOH Contract No.: CB031198-0
DOH Contract Manager: Megan Schell; megan.schell@doh.wa.gov; 360-236-3307
Note: This award is not for R&D (research and development).
Additional Terms, Conditions & Requirements of this Subaward: Subrecipient is hereby
provided with:
• Exhibit A EPA Terms and Conditions, Programmatic Conditions, as applicable, of the
HCCC & WA DOH Agreement CB031198-0, pages 23-32 of 61, at:
https://hcccwagov.box.com/s/t3u3ew1gyzfaa5icfmm7w38gppgh14x7
• EPA General Terms and Conditions effective October 1, 2024 or later, at:
https://www.epa.gov/system/files/documents/2024-
10/fy 2025 epa general terms and conditions effective october 1 2024 or later.pdf
HCCC &Jefferson County Public Health Agreement—Exhibit B