HomeMy WebLinkAboutThriving Communities Grant Awardees Chime In - 060126 AGREEMENT FOR
2026 THRIVING COMMUNITIES SMALL GRANT FUNDING FOR CHIME IN
This Agreement is by and between Jefferson County, Washington (the COUNTY) and
("CHIME IN").
WHEREAS, CHIME IN is a non-profit corporation registered with the Secretary of State of
the State of Washington under TIN number 88-3970262;
WHEREAS, the COUNTY desires to support projects that promote a safe, secure, and
satisfying way of life for Jefferson County residents and visitors. Sought projects that promote a
sense of belonging, so that residents and visitors feel welcomed to share in the many activities,
opportunities, and experiences available across Jefferson County;
WHEREAS, the COUNTY allocated $ 10,000.00 to a fund a Thriving Communities (TC)
small grant program;
WHEREAS, the COUNTY published a request for proposals on September 4, 2025 that
required each proposal to contain an evaluation plan;
WHEREAS, CHIME IN submitted a qualified TC proposal to the Jefferson County Board
of Commissioners(BoCC);
WHEREAS, CHIME IN's qualified proposal contains an evaluation plan with criteria;
WHEREAS,the BoCC staff reviewed and recommended funding all or part of CHIME IN's
qualified proposal;
WHEREAS, the BoCC reviewed the staff recommendation for funding all or part of
CHIME IN's qualified proposal;
IN CONSIDERATION of the mutual covenants and agreements herein it is agreed by the
parties as follows:
1. SERVICES TO BE PERFORMED USING THE THRIVING COMMUNITIES
AWARD
a. CHIME IN shall use its capabilities and utilize up to the total amount of Final TC Award for
the approved scope of work for the Project described in CHIME IN's proposal for the 2026
fiscal year,a copy of which is attached as Exhibit A.
b. The budget for the Project is described in Exhibit B,attached.
2. RESPONSIBILITIES OF CHIME IN
a. No later than January 31, 2027, CHIME IN shall submit a report to the BoCC Staff
describing the final results as compared to the requirements in the evaluation plan during
the term of this Agreement due.
b. CHIME IN shall maintain books, records, documents and other evidence that sufficiently
and properly reflect all direct and indirect costs expended by it to perform this
Thriving Communities Grant Award Agreement for CHIME IN Page 1
Agreement. These records shall be subject to inspection, review or audit by personnel of
both parties, other personnel duly authorized by either party, the Office of the State
Auditor, and federal officials so authorized by law. All books, records, documents, and
other material relevant to this Agreement will be retained for six years after expiration of
agreement. The Office of the State Auditor, federal auditors, the Jefferson County
Auditor, and any persons duly authorized by the parties shall have full access and the
right to examine these materials during this period. If any litigation, claim or audit is
started before the expiration of the six (6) year period, the records shall be retained until
all litigation, claims, or audit findings involving the records have been resolved. Records
and other documents, in any medium, furnished by CHIME IN to the COUNTY, shall
remain the property of the CHIME IN,unless otherwise agreed.
3. RESPONSIBILITY OF JEFFERSON COUNTY
a. The COUNTY shall provide CHIME IN $1500.00 in funding from the Thriving
Communities small grant to be used in support CHIME IN'S qualified program.
b. Said funding is in the amount of the Final TC Award for the 2026 fiscal year.
4. TERM
This Agreement shall be for a term of one year, commencing on January 1, 2026 and ending on
December 31,2026, except for the reports required in Section 2,which are due January 31,2027.
5. NO ASSIGNMENT
A parry's interest in this in this Agreement shall not be assigned to any other person.
6. TERMINATION
a. This Agreement may be terminated, in whole or in part, by the COUNTY upon thirty (30)
days written notice if expected or actual revenue from the grant is reduced or limited in
any way, or for non-performance of duties under this Agreement, or for any reason.
b. CHIME IN may terminate this Agreement upon thirty (30) days written notice to the
COUNTY. If there is termination under this clause, the COUNTY shall be liable to pay
only for services rendered prior to the effective date of termination. If termination covers a
period for which payment has already been made, CHIME IN shall refund to the COUNTY
a pro-rated share of the payment based upon the balance of time remaining in the paid
period,unless otherwise negotiated.
7. HOLD HARMLESS
a. CHIME IN shall indemnify and hold the COUNTY, and its officers, 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 CHIME IN's negligence or breach of an of its obligations under this
Agreement; provided that nothing herein shall require CHIME IN to indemnify the
COUNTY against and hold harmless the COUNTY from claims, demands or suits based
solely upon the conduct of the COUNTY, its officers, employees, agents and volunteers
Thriving Communities Grant Award Agreement for CHIME IN Page 2
(and their marital communities), and; provided further that if the claims or suits are
caused by or result from the concurrent negligence of: (a) CHIME IN's agents or
employees; and, (b) the COUNTY, its officers, employees agents and volunteers (and
their marital communities), this indemnity provision with respect to claims or suits based
upon such negligence, and or the costs to the COUNTY of defending such claims and
suits, etc., shall be valid and enforceable only to the extent of CHIME IN's negligence, or
the negligence of CHIME IN's agents or employees.
b. CHIME IN specifically assumes potential liability for actions brought against the
COUNTY by CHIME IN's employees, including all other persons engaged in the
performance of any work or service required of CHIME IN under this Agreement and,
solely for the purpose of this indemnification and defense, CHIME IN specifically waives
any immunity under the state industrial insurance law, Title 51 RCW. CHIME IN
recognize that this waiver was specifically entered into pursuant to provisions of RCW
4.24.115 and was subject of mutual negotiation.
8. INSURANCE
CHIME IN shall obtain and keep in force during the term of this Agreement the following
insurance:
a. Commercial General Liability Insurance. CHIME IN shall maintain commercial general
liability coverage on a form acceptable to COUNTY Risk Management for bodily injury,
personal injury, and property damage, with a limits of not less than in the amount of at
least $1 million per occurrence, for bodily injury, including death, and property damage;
and
b. Worker's Compensation (Industrial Insurance). CHIME IN shall maintain workers'
compensation insurance at its own expense, as required by Title 51 RCW, for the term of
this Agreement and shall provide evidence of coverage to COUNTY Risk Management,
upon request.
9. INDEPENDENT CONTRACTOR
a. CHIME IN and the COUNTY agree that CHIME IN is an independent contractor with
respect to the services provided pursuant to this Agreement.
b. Nothing in this Agreement shall be considered to create the relationship of employer and
employee between the parties hereto.
c. Neither CHIME IN nor any employee of CHIME IN shall be entitled to any benefits
accorded COUNTY employees by virtue of the services provided under this Agreement.
d. The COUNTY shall not be responsible for withholding or otherwise deducting federal
income tax or social security or for contributing to the state industrial insurance program,
otherwise assuming the duties of an employer with respect to CHIME IN, or any
employee, representative, agent or subcontractor of CHIME IN.
e. CHIME IN shall be responsible for all applicable withholdings, deductions, state
industrial insurance, tax reports, business licenses, registrations, and all other obligations
of an independent organization.
Thriving Communities Grant Award Agreement for CHIME IN Page 3
10. SUBCONTRACTING REQUIREMENTS
a. CHIME IN Owns Contract Performance. CHIME IN 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. CHIME IN assumes responsibility for all liability for the
actions and quality of services performed by any subcontractor.
b. Subcontractor Disputes. Any dispute arising between CHIME IN and any subcontractors
or between subcontractors must be resolved with involvement of any kind on the part of
the COUNTY and without detrimental impact on the delivery of contracted goods and
services.
11. LEGAL AND REGULATORY COMPLIANCE
While performing under this Agreement, CHIME IN, subcontractors, and their employees are
required to comply with all applicable local, state and federal laws, codes, ordinances and
regulations, including but not limited to:
a. Applicable regulations of the Washington State Department of Labor and Industries,
including WA-DOSH Safety Regulation; and
b. State and Federal Anti-Discrimination Laws.
12. COMPLIANCE WITH LAWS
CHIME IN shall comply with all Federal, State, and local laws and ordinances applicable to the
work to be done under this Agreement.
13. CHOICE OF LAW
The parties agree that this Agreement is entered into in the State of Washington. This Agreement
shall be governed by and construed under the laws of the United States, the State of Washington
and the County of Jefferson, as if applied to transactions entered into 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. DISPUTES
a. The parties agree to use their best efforts to prevent and resolve disputes before they
escalate into claims or legal actions. Any disputed issue not resolved under this
Agreement shall be submitted in writing within 10 days to the County Risk Manager,
whose decision in the matter shall be final, but shall be subject to judicial review.
b. If either party deem it necessary to institute legal action or proceeding to enforce any
right or obligation under this Agreement, each party in such action shall pay for its own
attorney's fees and court costs.
c. Any legal action shall be initiated in the Superior Court of the State of Washington for
Jefferson County, subject to the venue provisions for actions against counties in RCW
Thriving Communities Grant Award Agreement for CHIME IN Page 4
36.01.050. The parties agree that the parties have the right of appeal from such decisions
of the Superior Court under the laws of the State of Washington.
d. CHIME IN consents to the personal jurisdiction of the courts of the State of Washington.
15. DISCRIMINATION PROHIBITED
CHIME IN shall not discriminate on the grounds of age, sex, marital status, sexual orientation,
race, creed, color, national origin, honorably discharged veteran or military status, or 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 the selection and retention of employees, materials, supplies, or subcontractors.
16. INTEGRATED AGREEMENT
This agreement together with attachments or addenda represents the entire and integrated
agreement between the COUNTY and CHIME IN and supersedes all prior negotiations,
representations, or agreements written or oral.
17. PUBLIC RECORDS ACT
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, CHIME IN 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. CHIME IN further agrees that upon receipt of any written
public record request, CHIME IN shall, within two business days, notify the COUNTY by
providing a copy of the request per the notice provisions of this Agreement.
This Agreement and any reports submitted by CHIME IN are subject to disclosure as a public
record under the Public Records Act, RCW Chapter 42.56.
18. RECORDS RETENTION AND AUDIT AUTHORIZATION
a. A minimum of six years, CHIME IN shall maintain documented proof of payments
made, contracts executed and other expenditures authorized under your Agreement with
COUNTY.
b. Upon reasonable notice, CHIME IN shall provide access to the COUNTY or State
representatives to audit records related to the funds provided to CHIME IN under this
Agreement.
19. NO SEVERABILITY
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.
Thriving Communities Grant Award Agreement for CHIME IN Page 5
20. SURVIVAL
Those provisions of this Agreement that by their sense and purpose should survive the term of
this Agreement shall survive the term of this Agreement for a period equal to any and all relevant
statutes of limitation, plus the time necessary to fully resolve any claims, matters or actions
begun within that period. Without limiting the generality of the preceding sentence, and for the
avoidance of doubt, the provisions that survive the term of this agreement include: (a) controlling
law; (b) insurance; and, (c)indemnification.
21. AMENDMENT, MODIFICATION AND WAIVER
a. This Agreement may be not be amended or modified to change the approved scope of
services in the Final TC Award.
b. Only the BoCC or their delegee by writing (delegation to be made prior to action) shall
have the expressed, implied, or apparent authority to sign, alter, amend, modify, or waive
any clause or condition of this Agreement.
c. Any alteration, amendment, modification, or waiver of any clause or condition of this
Agreement is not effective or binding unless made in writing and signed by the BoCC or
their delegee.
SIGNATURES ARE ON THE FOLLOWING PAGE
Thriving Communities Grant Award Agreement for CHIME IN Page 6
JEFFERSON COUNTY WASHINGTON CHIME IN
Board of COUNTY Commissioners
Jeffer n COUNTY, Washington By: S 91 - x . 02
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Approved as to form only:
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05/22/2026
Jeremiah.Lu er, Date
Civil Deputy Prosecuting Attorney
Thriving Communities Grant Award Agreement for CHIME IN Page 7
JEFFERSON COUNTY WASHINGTON CHIME IN
Board of COUNTY Commissioners
Jeffer n COUNTY, Washington By:
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Civil Deputy Prosecuting Attorney
Thriving Communities Grant Award Agreement for CHIME IN Page 7
EXHIBIT A - SCOPE OF WORK
CHIME IN has been awarded $1500.00 (the "Final TC Award"), after recommendation by the
TC staff. CHIME iN shall use the Final TC Award consistently with its response to the request
for proposal submitted.
A true and correct copy of the CHIME IN's response to the request for proposal is attached as
Exhibit C.
Thriving Communities Grant Award Agreement for CHIME IN Page 8
EXHIBIT B—BUDGET
CHIME IN has been awarded $1500.00(the"Final TC Award"),after recommendation by the
TC staff. CHIME IN shall use the Final TC Award consistently with its response to the request
for proposal submitted to the BOCC.
A true and correct copy of the CHIME IN's response to the request for proposal is attached as
Exhibit C.
Applicant: CHIME IN
Contact: Daniel Ferland, Jackson Colcord
Address: PO BOX 631, Chimacum, WA 98325
Phone:
Email: Daniel Ferland@a,csd49.org,jajackson21@gmail.com
Thriving Communities Grant Award Agreement for CHIME IN Page 9
Exhibit C
CHIME IN'S PROPOSAL
Request for Proposal (RFP) starts after this page
Thriving Communities Grant Award Agreement for CHIME IN Page 10
RECEIVED
Z 4 2025
Chimacum Band Boosters ,f 1 FI:RSON COUNTY
COMIIISS ION ERS
Project Title:Jefferson County to the Nation's Stage: Building Belonging Through Music
Funding Requested: $2,000
Primary Contact: Daniel Ferland I Danie_erlandPcsd.49 Qrg 1360-301-9816
1) Project Overview
In 2026,the Chimacum High School Band will represent the entire State of Washington at
the 250th Anniversary of the United States Parade in Washington,D.C.—the only band
in the state to receive this invitation.This once-in-a-lifetime opportunity is a source of
immense pride for Jefferson County,showcasing our rural students'talent, perseverance, and
community spirit on a national stage. However,our small,economically diverse community must
raise roughly$100,000 to make full participation possible.This County grant of$2,000 will directly
support Local community engagement and equity-focused preparation,ensuring that every
student, regardless of family income,can take part in this historic moment.Through inclusive
events, local performances,and public outreach,this project strengthens belonging and shared
pride across Jefferson County while connecting our youth to the broader American story.This
project will strengthen Jefferson County's sense of belonging and show the nation the heart of rural
communities,where every student's music becomes a voice for us all.
2) Project Scope Statement
Project Timeline(2025-2026)
•Q4:"November 10th,2025-Veterans Day Assembly Announcement." -Community at large and
students will learn they were selected.
•Q1/Q2: Public rehearsals,showcases,continued fundraising,community events such as Rhody
Fest, Irrigation Fest,and community outreach.
• Q3: Band travels to Washington,D.C.for national performance.
• Q4: Homecoming Celebration and local appreciation events.
Grant-Funded Activities:
•Accessibility and inclusion support our children grade 7-12 from all backgrounds and economic
opportunities.
• Local venues, printing, and sound for public performances.
•Student uniforms,travel, lodging,and meals while on the 4 day trip to D.C.
• Media and outreach highlighting Jefferson County's representation.
3)Organization Profile
The Chimacum Band Boosters is a Jefferson County-based 501(c)(3)nonprofit that
supports the Chimacum School District's music education program,which has faced
years of budget cuts.We empower students through music, leadership, and service while
fostering community pride.We coordinate fundraising, provide logistical support,and ensure
equitable participation for every student.
4) Project Budget*
Category Description Cost
Inclusion &Equity Fund Assistance for lower- $1,200
income students (uniform,
meals,travel deposits)
Community Events venues, sound, printing, $500
insurance, permits
Outreach&Access Extends engagement to $300
Spanish-speaking families
and residents with
disabilities
Total County Grant Request $2,000
*full budget attached
5)Evaluation Plan
We will track outcomes at each milestone and submit a final report by December 2026.
Key Metrics:
•>30 students financially supported
• >1,000 residents attending events
•>85%of attendees feel proud and connected
• >50 community volunteers engaged
• Documented media coverage and social reach through both traditional media and social media
6) References
1)Scott Mauk-Superintendent,Chimacum School District
2) Ryan Stevens-Chimacum Jr/Sr High School Principal
3) Kelly Watson-Pie Principal and Career Education Director
7)Awareness &Compliance
Diversity&Inclusion: Focused on rural, tow-income,and diverse youth participation.
CHIMACU//1 91 West Valley Rd,PO Box 278 0
Chimacum,WA 98325
SCHOOL DISTRICT
11 f P: 360.302.5890
F:360.732.4336
wity
WWW.C5D49.ORG 0
October 24, 2025
Jefferson County Board of Commissioners
Thriving Communities Small Grants Program
Dear Commissioners,
On behalf of the Chimacum School District, I could not be prouder to offer this letter of support
for the Chimacum Cowboy Marching Band's participation in the 250th Birthday Independence
Day Parade in Washington, D.C.
As a small, rural district where traditions run deep and community connection is one of our
greatest strengths. For more than six decades, the Chimacum Cowboy Marching Band has
been a source of pride and continuity. It brings students, families, and neighbors together
through music, disciplined teamwork, and spirited performance. Many of our Cowboy alumni
remember their special years in the band as formative, and today's students carry that legacy
forward with the same dedication and joy.
Participation in the parade is more than a performance opportunity; it's a chance for our
Jefferson County students to contribute to a cherished national celebration, showcase their hard
work, and represent our community with excellence. The experience aligns with our district's
promise that every student is known by name, strength, and need in order to learn, dream, and
become.
Thank you for supporting the Chimacum Marching Band for this year's once-in-a-lifetime
opportunity. I think I can safely say that I speak for the entire Chimacum community when I say
we are honored and proud to be in the 250th Birthday parade. We appreciate the commitment
to support our being part of the nation's celebration. If you need any additional information,
please feel free to contact me.
With app",r'e9iation
Dr. colt Mauk
Superintendent, Chimacum School District
DEEP ROOTS BROAD HORIZONS
cI IA AC
UM JUNIOR/SENIOR HIGH
SCHOOL DISTRICT SCHOOL
91 West Valley Rd,PO Box 27R "•� Chimacum,WA98325
P: 360.302.5900:360.732.7359 O
F
WWW.CSD49.ORG/CJSHS 0
Letter of Recommendation
To Whom It May Concern:
It is with great enthusiasm that I write this letter in strong support of the Chimacum Cowboy Band.
This exceptional group of young musicians has consistently demonstrated excellence,dedication,
and a level of achievement that far exceeds expectations.
The band's competitive record speaks for itself. They have earned placement in the top three at
every contest they have entered,a remarkable testament to their skill and commitment. Perhaps
most impressively,they have successfully competed against and defeated large comprehensive
high schools—schools with significantly greater resources and larger student populations. This
achievement underscores the extraordinary talent and hard work of these students and their
directors.
Beyond their competitive success,the Chimacum Cowboy Band has become a source of
tremendous pride for our entire community. They represent the best of what young people can
accomplish through discipline, teamwork,and artistic excellence. Their performances bring our
community together and showcase the caliber of education and character development happening
in our schools.
The band now has the opportunity to represent our community at our nation's 250th birthday
celebration in Washington, D.C.—a once-in-a-lifetime honor that would be a fitting recognition of
their achievements. This trip would not only reward their past accomplishments but also provide
an invaluable educational and patriotic experience for these students.
I wholeheartedly recommend providing support for the Chimacum Cowboy Band as they strive to
participate in this historic national celebration. They have earned this opportunity through their
dedication and excellence, and they will undoubtedly represent our community with distinction on
this momentous occasion.
Sincere
Chimacum Junior Senior High School Principal
10/24/25
DEEP ROOTS BROAD HORIZONS
cviiNIACUm JUNIOR/SENIOR HIGH
504001 DISTRICT SCHOOL
t 91 West Valley Rd,PO Box O
278 Chimacum,WA
98325
•
P: 360.302.5900 ink
f:360.732.7359 359
WWW.CSD49.ORG/CJSHS 0
October 24, 2025
Jefferson County Board of Commissioners
Thriving Communities Small Grants Program
To whom it may concern,
It is with great enthusiasm that I write to recommend the Chimacum Senior High School Band
for the Thriving Communities Small Grants Program. Our program has been selected to
represent Washington State in the upcoming National Independence Day Parade. This
exceptional ensemble exemplifies musical excellence, community spirit and dedication—
qualities that make them an outstanding ambassador for our community.
The Chimacum Senior High School Band has consistently demonstrated superior musicianship
and professionalism. Under the skilled direction of their band director, Daniel Felrand, the
group has achieved remarkable success in regional and state competitions, earning accolades
that reflect their hard work and talent. Beyond their technical skill, the band embodies that
spirit of teamwork and perseverance, inspiring audiences with vibrant performance.
Moreover,the band's commitment to community engagement is exemplary. They regularly
perform at local events,fostering a strong connection between the school and the greater
Chimacum community. Their participation in civic activities exemplifies the values of
patriotism and unity, making them an ideal representative for the National Independence Day
Parade.
I am confident the Chimacum Senior High School Band will bring energy, pride and a high level
of artistry to the parade, showcasing the best of Washington State's youth and cultural spirit.
I wholeheartedly support this program and urge you to consider them favorably.
Thank you for your time and consideration. Please feel free to contact me if you require any
further information.
Kelley Watson
Pie Principal and Career Education Director
Chimacum School District
Gh(intln -
JEFFERSON COUNTY etilltall) (3e[i,
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO: Board of County Commissioners
FROM: Commissioner Heidi Eisenhour
Amanda Christofferson,Grants Administrator
DATE: 1 ,2-o .t
SUBJECT: Thriving Communities Small Grants Program Contracts for Execution
STATEMENT OF ISSUE:
Jefferson County BOCC committed awards for the Thriving Communities Small Grants program in January.
Attached are contracts for the final two community organizations that the County awarded funds to.
ANALYSIS:
The awardees have provided W9 documentation and the contracts with them will secure the County's
interests. These various projects will bring benefit to many communities.
FISCAL IMPACT:
The County allocated $10,000 in the 2026 budget in order to fund the Thriving Communities Small Grant
program.
RECOMMENDATION:
Staff recommends that the Board of County Commissioners make a motion to approve of the awards.
REVIEWED BY:
51? // :
x
Josh . Peters, County Administrator Date
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Thriving Communities Grant Awardees Contract No: TC Award CHIME IN-2026
Contract For: TC Grant Award Term: Execution- December 31, 2026
COUNTY DEPARTMENT: Auditors Office
Contact Person: Amanda Christofferson
Contact Phone: 360-385-9232
Contact email: amchristofferson@co.jefferson.wa.us
AMOUNT: $1500.00 PROCESS: n Exempt from Bid Process
Revenue: _ Cooperative Purchase
Expenditure: $ 15 0 0.0 0 Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # 001.068."Community Services" n RFP or RFQ
Munis Org/Obj 001.068.57121-410571 ✓ Other: Grant
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: N/A:! ! 4yneudv (2/fi.4:14ty rL 5/15/2026
Signature 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: El N/A: El 4man2 2- e/t41-i;i- (� -�� 5/15/2026
Signature G Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 5/26/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 5/22/2026.
DPA Luther reviewed and approved on 5/22/26. It is unclear why the grant
award is not being provided directly to the school, but that does not defeat
the legal sufficiency of the language.
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