HomeMy WebLinkAboutWashington State Military Department FEMA 4906 DR WA - 082426Washington State Military Department
PUBLIC ASSISTANCE GRANT AGREEMENT FACE SHEET
1 SUBRECIPIENT Name and Address
2 Grant Agreement Amount
3 Grant Number
Jefferson County
an
623 Sheridan Street
To be determined, based upon
D26-246
Pon Town seno WA 98368
approved project worksheets
4 SUBRECIPIENT, phone/email
5. Grant Agreement Start Date.
6. Grant Agreement End Date:
Eric Kuzma. Director of Public Works
360-365-9167
December 5, 2025
April 7, 2030
ekuzma@co jefferson.wa.us
7. DEPARTMENT Program Manager, phone/email
8 Unique Entity Identifier (UEI)
9. UBI # (state revenue)
Jonathan L. Holmes, (253) 512-7429
PC7MRLYLNGD5
161001169
Jonathan.Holmes o2mll.wa.gov
T
10. Funding Authority.
Washington State Military Depart ent the "DEPARTMENT", and Federal Emergency Management A ency (FEMA)
11 Funding Source Agreement #: 12 Program Index # 13. Catalog of Federal Domestic Asst (CFDA) 14. Federal EIN x:
FEMA4906-DR-WA 764FC (Federal) / 762FE # a Title. 97.036, Public Assistance 9160001322
(State) 764FO _Adman _-
_ ----__—.________ - --
15. Total Federal Award Amount: N/A 16 Federal Award Date. N/A
_
17 Service Districts'
18 Service Area by County(ies):
19. Women/Minority-Owned, State
(BY LEGISLATIVE DISTRICT). 24 th
Jefferson
Certited?: X N/A ❑ NO
(BY CONGRESSIONAL DISTRICT): 6 th
❑ YES, OMWBE #�
20 Contract Classification.
21 Contract Type (check all that apply):
❑ Personal Services ❑ Client Services X Public/Local Gov't
❑ Contract X Grant X Agreement
❑ Research/Development ❑ A/E ❑ Other
❑ Intergovernmental (RCW 39.34) ❑ Interagency
22 Contractor Selection Process:
23 Contractor Type (check all that apply)
X "To all who apply & quality- ❑ Competitive Bidding
❑ Private Organization/Individual ❑ For -Profit
❑ Sole Source ❑ A/E RCW ❑ NIA
X Public Organization/Jurisdiction X Non -Profit
❑ Filed w/OFM? ❑ Advertised? ❑ YES ONO
❑ VENDOR X SUBRECIPIENT ❑ OTHER
24 BRIEF DESCRIPTION:
Presidential Disaster Declaration A FEMA-4906-DR-WA Severe Winter Storms, Stralght-Line Winds, Flooding, Landslides, and Mudslides. To
provide funds to the SUBRECIPIENT for emergency work and the repair or replacement of disaster -damaged facilities. as approved by FEMA In
project worksheeb describing eligible scopes of work and associated funding. The DEPARTMENT Is the Recipient and Pass -through Entity of the
Presidential Disaster Declaration A FEMA-4906-DR-WA Severe Winter Storms, Straight -Line Winds, Flooding, Landslides, and Mudslides, and FEMA
State Agreement, which are incorporated by reference, and makes a subaward of Federal award funds to the SUBRECIPIENT pursuant to this
Agreement. The SUBRECIPIENT is accountable to the DEPARTMENT for use of Federal sward funds provided under this Agreement and the
associated matching funds.
IN WITNESS WHEREOF, the DEPARTMENT and SUBRECIPIENT acknowledge and accept the terms of this Agreement, references and
attachments hereto and have executed this Agreement as of the date and year written below This Agreement Face Sheet, Special Terms
and Conditions (Attachment 1), General Terms and Conditions (Attachment 2), Project Worksheet Sample (Attachment 3). Washington State
Public Assistance Applicant Manual dated April 7, 2026 (Attachment 4), and all other documents, exhibits and attachments expressly
referenced and incorporated herein contain all the terms and conditions agreed upon by the parties and govern the rights and obligations of
the parties to this Agreement No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
exist or to bind any of the parties
In the event of an inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving
precedence in the following order
1. Applicable Federal and State Statutes and Regulations S. Special Terms and Conditions
2. OHS Standard Terms and Conditions 6. General Terms and Conditions, and,
3. Presidential Declaration, FEMA State Agreement, 7. Other provisions of the contract incorporated by reference.
and other Documents
4. Statement of Work and/or Project Description as outlined in FEMA approveapprovell Plyiect Worksheet(a
WHEREAS, the pa Ii s hereto have executed this Agreement on the day and year last a ed below
R THE P FOR U ECIPIENT
r 0 p p?� _
Signet Date Signature Date
Stacey McClain, Governor's Authorized Representative print or type name: Eric Kuzma. Director of Public Works
Washington State Military Department
APPROVED AS TO FORM: APPROVFORM:
David B, Merchant 5/28/2026 08-11-2026
Assistant Attorney General DPA Jeremi4fi B. uther Date
Public Assistance Grant Agreement Page 1 Jetferso OIltit 1MAt TLC T
AUG 3 1 2026
I BY:
. ......................
Washington State Military Department
PUBLIC ASSISTANCE GRANT AGREEMENT FACE SHEET
1 SUBRECIPIENT Name and Address:
2 Grant Agreement Amount:
3. Grant Number:
Jefferson County
623 Sheridan Street
To be determined, based upon
D26-246
Port Townsend WA 98368
approved project worksheets
4 SUBRECIPIENT, phone/email:
5 Grant Agreement Start Date:
6 Grant Agreement End Date:
Eric Kuzma, Director of Public Works
360-385-9167
December 5, 2025
April 7, 2030
ekuzma@co jefferson.wa.us
7 DEPARTMENT Program Manager, phone/email
8 Unique Entity Identifier (UEI):
9. UBI # (state revenue):
Jonathan L. Holmes, (253) 512-7429
PC7MRLYLNGD5
161001169
Jonathan.Holmes@mii.wa.gov
10. Funding Authority:
Washington State Military Department the "DEPARTMENT", and Federal Emergency Management A ency (FEMA)
11 Funding Source Agreement #:
12. Program Index #
13 Catalog of Federal Domestic Asst (CFDA)
14. Federal EIN S:
FEMA-4906-DR-WA
764FC (Federal) / 762FE
# & Title: 97.036, Public Assistance
9160001322
State / 764FD Admin
15. Total Federal Award Amount: N/A
16 Federal Award Date N/A
17 Service Districts
18. Service Area by County(ies)
19. Women/Minority-Owned, State
(BY LEGISLATIVE DISTRICT): 24 th
Jefferson
Certified?: X N/A ❑ NO
(BY CONGRESSIONAL DISTRICT): 6 th
❑ YES, OMWBE #
20. Contract Classification:
21 Contract Type (check all that apply)
❑ Personal Services ❑ Client Services X Public/Local Gov't
❑ Contract X Grant X Agreement
❑ Research/Development ❑ A/E ❑ Other
❑ Intergovernmental (RCW 39.34) ❑ Interagency
22 Contractor Selection Process:
23 Contractor Type (check all that apply)
X "To all who apply & qualify" ❑ Competitive Bidding
❑ Private Organization/Individual ❑ For -Profit
❑ Sole Source ❑ A/E RCW ❑ N/A
X Public Organization/Jurisdiction X Non -Profit
❑ Filed w/OFM? ❑ Advertised? ❑ YES ONO
❑ VENDOR X SUBRECIPIENT ❑ OTHER
24, BRIEF DESCRIPTION:
Presidential Disaster Declaration * FEMA-4906-DR-WA Severe Winter Storms, Straight -Line Winds, Flooding, Landslides, and Mudslides. To
provide funds to the SUBRECIPIENT for emergency work and the repair or replacement of disaster -damaged facilities. as approved by FEMA in
project worksheets describing eligible scopes of work and associated funding. The DEPARTMENT is the Recipient and Pass -through Entity of the
Presidential Disaster Declaration S FEMA-4906-DR-WA Severe Winter Storms, Straight -Line Winds, Flooding, Landslides, and Mudslides, and FEMA
State Agreement, which are incorporated by reference, and makes a subaward of Federal award funds to the SUBRECIPIENT pursuant to this
Agreement. The SUBRECIPIENT is accountable to the DEPARTMENT for use of Federal award funds provided under this Agreement and the
associated matchIng funds.
IN WITNESS WHEREOF, the DEPARTMENT and SUBRECIPIENT acknowledge and accept the terms of this Agreement, references and
attachments hereto and have executed this Agreement as of the date and year written below This Agreement Face Sheet, Special Terms
and Conditions (Attachment 1), General Terms and Conditions (Attachment 2), Project Worksheet Sample (Attachment 3), Washington State
Public Assistance Applicant Manual dated April 7, 2026 (Attachment 4), and all other documents, exhibits and attachments expressly
referenced and incorporated herein contain all the terms and conditions agreed upon by the parties and govern the rights and obligations of
the parties to this Agreement No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
exist or to bind any of the parties
In the event of an inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving
precedence in the following order:
1. Applicable Federal and State Statutes and Regulations 5. Special Terms and Conditions
2. DHS Standard Terms and Conditions 6. General Terms and Conditions, and,
3. Presidential Declaration, FEMA State Agreement, 7. Other provisions of the contract incorporated by reference.
and other Documents
4. Statement of Work and/or Project Description as outlined in FEMA approvell Priject Worksheet s
WHEREAS, the parties hereto have executed this Agreement on the day and year last ec) ed below.
FOR THE DEPARTMENT: FOR V ECIPIENT
Signature Date Signature v Date
Stacey McClain, Governor's Authorized Representative print or type name: Eric Kuzma, Director of Public Works
Washington State Military Department
APPROVED AS TO FORM: APPROV O FORM:
David B, Merchant 5/28/2026
Assistant Attorney General DPAJeremiafi B. uther Date
Public Assistance Grant Agreement Page 1 Jefferson County, 026-246
Washington State Military Department
SPECIAL TERMS AND CONDITIONS
ARTICLE I — KEY PERSONNEL
Attachment 1
The individuals listed below shall be considered key personnel and point of contact. Any substitution by either party
must be submitted in writing.
SUBRECIPIENT
MILITARY DEPARTMENT
Name
Eric Kuzma, Director of Public Works
Name
Jonathan L. Holmes
Title
Director - Dept. of Public Works
Title
Deputy State Coordinating Officer
Public Assistance
E-Mail
ekuzma@coJefferson.wa.us
E-Mail
Jonathan.Holmes@mil.wa.gov
Phone
i 360-385-9167
Phone
1 (253) 512-7429
ARTICLE II - ADMINISTRATIVE REQUIREMENTS
The SUBRECIPIENT shall comply with all applicable state and federal laws, rules, regulations, requirements and
program guidance identified or referenced in this Agreement and the informational documents published by FEMA
applicable to the Presidential Declaration including, but not limited to, all criteria, restrictions, and requirements of the
"FEMA State Agreement" published by FEMA and the federal regulations commonly applicable to FEMA grants, all of
which are incorporated herein by reference. The Presidential Declaration and the FEMA State Agreement are
incorporated in this Agreement by reference.
The SUBRECIPIENT shall comply with the Washington State Public Assistance Applicant Manual dated April 7, 2026
incorporated in this Agreement as Attachment 4. The DHS Standard Terms and Conditions are incorporated by
reference in this Agreement in Appendix F of the Washington State Public Assistance Applicant Manual dated April 7,
2026.
The SUBRECIPIENT acknowledges that since this Agreement involves federal award funding, the period of
performance described herein may begin prior to the availability of appropriated federal funds. The SUBRECIPIENT
agrees that it will not hold the DEPARTMENT, the State of Washington, or the United States liable for any damages,
claim for reimbursement, or any type of payment whatsoever for services performed under this Agreement prior to
distribution of appropriated federal funds, or if federal funds are not appropriated or in a particular amount.
Federal funding is provided by FEMA and is administered by the DEPARTMENT. Under the authority of Presidential
Disaster Declaration number FEMA-4906-DR-WA, the DEPARTMENT is reimbursing the SUBRECIPIENT for those
approved eligible costs and activities necessary under the Public Assistance Grant Program during the incident period
beginning December 5 to December 19, 2025. Eligible costs and activities will be identified in Project Worksheets
approved by FEMA and a Project Worksheet Sample is incorporated as Attachment 3. The DEPARTMENT is also
providing Advance Payments to the SUBRECIPIENT where provided by FEMA and required and allowed by law. Any
interest earned on advance payments (except for interest earned on advances of funds exempt under the
Intergovernmental Cooperation Act (31 U.S.C. 6501 et seq.) and the Indian Self -Determination Act (23 U.S.C. 450))
shall be promptly, but at least quarterly, remitted to the DEPARTMENT to be paid to FEMA. The subrecipient may
keep interest amounts up to $100 per year for administrative expenses.
STATE AND FEDERAL REQUIREMENTS FOR PUBLIC ASSISTANCE GRANTS:
The following requirements apply to all DHS/FEMA Presidential Disasters administered by the DEPARTMENT:
1. FUNDING
The DEPARTMENT will administer the Public Assistance (PA) Grant Program, provide Advance payments,
and reimburse approved eligible Public Assistance costs to the SUBRECIPIENT that are identified under the
auspices of Presidential Disaster Declaration Number FEMA-4906-DR-WA and authorized by and consistent
with the Stafford Act (P.L. 93-288, as amended) and applicable regulations.
Public Assistance Grant Agreement Page 2 Jefferson County, D26-246
It is understood that no final dollar figure is committed to at the time that this Agreement is executed, but that
financial commitments will be made by amendments to the project application as Project Worksheets are
completed in the field and projects are authorized by state and federal officials.
Pursuant to the FEMA-STATE AGREEMENT, FEMA will contribute not less than 75 percent of the eligible
costs for any eligible project and 100 percent of the federal PA Management Costs, up to 5 percent of the total
award amount for each Subrecipient, as provided for in subsection 3.E. of Article II of this Public Assistance
Agreement. The SUBRECIPIENT commits to providing the remaining up to 25 percent non-federal match to
any eligible project that has been identified under the Presidential Disaster Declaration number FEMA-4906-
DR-WA, subject to the following exceptions:
DEPARTMENT Match: During the 2026 Session of the State Legislature, funding of the non-federal share of
4906-DR-WA costs was addressed. The State Legislature approved partial funding for the non-federal share
which will be equally split for eligible costs covered under the Project Worksheets for the 4906-DR-WA Severe
Storms, Straight-line Winds, Flooding, Landslides, and Mudslides event. For local jurisdictions, Public
Assistance grant funding will be 75 percent federal funds, 12.5 percent state funds and 12.5 percent local
funds.
Donated Resources: FEMA will credit the SUBRECIPIENT for the value of donated resources (non -cash
contributions of property or services) related to eligible Emergency Work to offset the non -Federal cost share
of its eligible Emergency Work project worksheets — categories A and B, and for the value of donated
resources related to eligible work on a Permanent Work project to offset the non -Federal cost share of that
specific Permanent Work project worksheet for which the resources were donated — categories C through G.
The Donated Resources are recognized by FEMA in a Project Worksheet. Donated Resources offset the non-
federal share of the eligible emergency work approved in Project Worksheets or specific permanent work
approved in Project Worksheets. For non -state agency SUBRECIPIENTS, the donated resource value will first
be applied to the SUBRECIPIENT's non-federal share, and, if a DEPARTMENT match is authorized, any
remaining donated resource value will be applied to the DEPARTMENT's share. The value of the Donated
Resources is calculated as described in Public Assistance Program and Policy Guide V.5 (PAPPG), and is
capped at the non -Federal share of approved eligible emergency work costs or capped at the non -Federal
share of the specific approved eligible permanent work costs, as applicable. The Federal share of the Donated
Resources will not exceed the non-federal share of eligible emergency work costs or of specific permanent
work costs approved in Project Worksheets. Any excess credit for eligible emergency work costs can be
credited only to other eligible emergency work costs, for the same SUBRECIPIENT in the same disaster. The
value of excess donated resources cannot be credited toward or transferred to another eligible
SUBRECIPIENT, or toward other State obligations. The DEPARTMENT does not match a FEMA donated
resource credit.
The Project Worksheet, sample provided in Attachment 3, is required to be completed by FEMA or State
Project Specialists.
2. GRANT AGREEMENT PERIOD
a. Activities payable under this Agreement and to be performed by the SUBRECIPIENT under this Agreement
shall be those activities which occurred during or subsequent to the incident period defined in the FEMA
State Agreement and shall terminate upon completion of the project(s) approved by federal and state
officials, including completion of close-out and audit. This period shall be referred to as the "Grant
Agreement Period."
b. The Grant Agreement Period shall only be extended by (1) written notification of FEMA approval of the
Grant Agreement Period followed up with a mutually agreed written amendment, or (2) written notification
from the DEPARTMENT to the SUBRECIPIENT issued by the DEPARTMENT to address extensions of its
underlying federal grant performance period or to provide additional time for completion of the
SUBRECIPIENT's project(s).
3. PAYMENTS
The DEPARTMENT, using funds granted for the purposes of the Presidential Disaster Declaration from FEMA,
shall issue payments to the SUBRECIPIENT in compliance with the Washington State Public Assistance
Applicant Manual dated April 7, 2026 (Attachment 4) procedures as follows:
Public Assistance Grant Agreement Page 3 Jefferson County, D26-246
a. Small Project Payments: Payments are made for all small projects to the SUBRECIPIENT upon
submission and approval of an A19-1A State of Washington Invoice Voucher to the DEPARTMENT, after
FEMA has approved funding through approval of Project Worksheets.
b. Progress Payments: Progress payment of funds for costs already incurred on large projects minus 10
percent retainage may be made to the SUBRECIPIENT upon submission by the SUBRECIPIENT of an
A19-1A State of Washington Invoice Voucher, a letter of request, and a spreadsheet identifying the claimed
costs supporting the payment request and approval by the DEPARTMENT.
c. Progress Payments: Progress payment of funds for costs already incurred on Architectural & Engineering
(A&E) small/large projects minus 10 percent retainage may be made to the SUBRECIPIENT upon
submission by the SUBRECIPIENT of an A19-1A State of Washington Invoice Voucher, a letter of request,
and a spreadsheet identifying the claimed costs supporting the payment request and approval by the
DEPARTMENT.
d. Improved Projects: Payments on improved projects (capped project) will be pro -rated based upon the
percentage of the project that is funded under this disaster grant to the overall project cost. This
percentage will be identified when the first payment on the improved project is made. Progress payments
will be made as outlined above in Section B.
e. Final Payment: Final Payment on a large project will be made following submission by the
SUBRECIPIENT of a certification of completion on the STATEMENT OF DOCUMENTATION / FINAL
INSPECTION REPORT form upon completion of project(s), completion of all final inspections by the
DEPARTMENT, and final approval by FEMA. Final payment on a large project will include any retainage
withheld during progress payments. Final payments may also be conditional upon financial review, if
determined necessary by the DEPARTMENT or FEMA. Adjustments to the final payment may be made
following any audits conducted by the Washington State Auditor's Office, the United States Inspector
General or other federal or state agency.
f. The SUBRECIPIENT is eligible to receive federal PA Management Costs up to 5 percent of the total award
amount obligated for each Subrecipient at the time of its request. PA Management Costs includes any of
the following when associated with the PA portion of a major disaster or emergency: Indirect costs, direct
administrative costs, and other administrative expenses associated with a specific project. Documentation
is required to substantiate the eligibility of management activities and associated costs in accordance with
PA Management Costs Interim Policy — Standard Operating Procedures.
g. All payment requests shall be made on an A19-1A form, State of Washington, Invoice Voucher. Payments
will be made by electronic fund transfer to the SUBRECIPIENT's account.
h. Federal funding shall not exceed the total federal contribution eligible for Public Assistance costs under
Presidential Disaster Declaration number FEMA-4906-DR-WA.
For state agencies, the DEPARTMENT will,
payment to the SUBRECIPIENT. Payment
, Accounting Fund No.
through interagency reimbursement procedures, transfer
will be transferred by journal voucher to Agency No.
j. Within the total Grant Agreement Amount, travel, sub -contracts, salaries, benefits, printing, equipment, and
other goods and services will be reimbursed on an actual cost basis unless otherwise provided in this
Agreement.
k. For travel costs, SUBRECIPIENTs shall comply with 2 CFR 200.474 and should consult their internal
policies, state rates set pursuant to RCW 43.03.050 and RCW 43.03.060 as now existing or amended, and
federal maximum rates set forth at http://www.gsa.gov, and follow the most restrictive.
If travel costs exceed set state or federal limits, travel costs shall not be reimbursed without written
approval by DEPARTMENT Key Personnel.
m. Receipts and/or backup documentation for any approved items that are authorized under this Agreement
must be maintained by the SUBRECIPIENT consistent with record retention requirements of this
Agreement, and be made available upon request by the DEPARTMENT, and local, state, or federal
auditors.
Public Assistance Grant Agreement Page 4 Jefferson County, D26-246
n. All work under this Agreement must end on or before the Grant Agreement End Date, and the final
reimbursement request must be submitted to the DEPARTMENT within 45 days after the Grant Agreement
End Date, except as otherwise authorized by written amendment of this Agreement and issued by the
DEPARTMENT.
o. No costs for purchases of equipment/supplies will be reimbursed until the related equipment/supplies have
been received by the SUBRECIPIENT, its subrecipient or contractor, or any non-federal entity to which the
SUBRECIPIENT makes a subaward, and is invoiced by the vendor.
p. SUBRECIPIENTs shall only use federal award funds under this Agreement to supplement existing funds,
and will not use them to replace (supplant) non-federal funds that have been budgeted for the same
purpose. The SUBRECIPIENT may be required to demonstrate and document that the reduction in non-
federal resources occurred for reasons other than the receipt or expected receipt of federal funds.
The DEPARTMENT shall provide Advance Payments as provided by FEMA and as required and authorized by
law.
4. CLOSEOUT
To initiate close-out, the SUBRECIPIENT is required to certify in writing, by Project Worksheet Number, date
completed and total amount expended on the project, completion of the small projects. To initiate close-out of
the large projects, the SUBRECIPIENT shall submit certification of completion on a STATEMENT OF
DOCUMENTATION/FINAL INSPECTION REPORT form to the DEPARTMENT.
The DEPARTMENT will then complete a site inspection and a financial review of documentation to support the
claimed costs. Certifications on small and large projects are due within sixty days following the completion of
the project or receipt of the approved Project Worksheet, whichever date is later.
If SUBRECIPIENT is claiming federal PA Management Costs: Indirect costs, direct administrative costs, and
other administrative expenses associated with disaster -specific projects must be supported by documentation
to substantiate the eligibility of management activities and associated costs that has been prepared and
assembled in accordance with FEMA Recovery 2000 Policy FP 104-11-2, Public Assistance Management
Costs (Interim) and PA Management Costs Standard Operating Procedures prior to close-out.
After all of the projects have been certified as complete and approved for closure by FEMA, the
DEPARTMENT will forward a final A19-1A State of Washington Invoice Voucher to the SUBRECIPIENT for
release of the remaining funds due to the subrecipient for eligible costs, including any retainage previously
withheld, and the allowance for federal indirect costs.
5. DOCUMENTATION / REPORTING REQUIREMENTS
For all Advance Payment, the SUBRECIPIENT shall provide documentation and receipts for all costs related to
the Advance Payment and provide such to the DEPARTMENT quarterly.
The SUBRECIPIENT is required to retain all documentation which adequately identifies the source and
application of Public Assistance funds, including the federal Management Costs reimbursement, for six years
following the closure of this disaster grant. For all funds received, source documentation includes adequate
accounting of actual costs and recoveries incurred.
The SUBRECIPIENT shall also comply with the Federal Funding Accountability and Transparency Act
(FFATA) and related OMB Guidance consistent with Public Law 109-282 as amended by section 6202(a) of
Public Law 110-252 (see 31 U.S.C. 6101 note) and complete the FFATA Form located at
https://mil.wa.gov/emergency-management-division/grants/requiredgrantforms and return to the
DEPARTMENT; which is incorporated by reference and made a part of this Agreement.
Quarterly Reports: The SUBRECIPIENT is required to submit to the DEPARTMENT a quarterly report
indicating the status of all their large and A&E projects. The status shall identify the costs incurred to date, the
percentage of work completed, the anticipated completion date of the project and whether cost under runs or
over runs are expected. A&E project reporting will require specific information which will outline project
milestones. In addition, the SUBRECIPIENT should note in the comment field any challenges or issues
associated with the project. Failure to submit a complete quarterly report within 15 days following the end of
the quarter will result in suspension of all payments to the SUBRECIPIENT until a complete quarterly report is
Public Assistance Grant Agreement Page 5 Jefferson County, D26-246
received by the DEPARTMENT. The quarterly report will serve as the basis for any FEMA Office of Chief
Financial Officer (OCFO) funds reduction.
6. TIME EXTENSIONS
A time extension request is required to be forwarded to the DEPARTMENT by the SUBRECIPIENT for a
project prior to the expiration of the approved completion date. If the project is approved and funded after the
statutory approval time period for completion, then a time extension request must be submitted to the
DEPARTMENT within fifteen days of receipt of the funding package.
In accordance with 44 CFR 206.204, the DEPARTMENT reserves the right, in its sole discretion, to consider
and approve a time extension request after expiration of the approved completion date and within the
DEPARTMENT's statutory extension authority. Requests for time extensions beyond the DEPARTMENT's
authority will be considered and approved by FEMA, at their sole discretion.
All determinations made regarding time extension requests will be based on a case by case evaluation of
specific factual circumstances.
A time extension request must be in writing and identify the Project Worksheet number, the reason the project
has not been completed within the prior approved completion period, the reason the time extension request
was not submitted prior to the statutory approval time period (if applicable), a current status of the completion
of the work, a detailed timeline for completion of the remaining elements, and an anticipated completion date
for the completion of the remaining work. Failure to submit a time extension request in a timely manner may
result in denial of the time extension request, and loss of funding for the related project.
7. PROCUREMENT
The SUBRECIPIENT shall comply with all procurement requirements of 2 CFR Part 200.317 through
200.327 and as specified in the General Terms and Conditions, Exhibit A.11.
8. SUBRECIPIENT MONITORING:
a. The DEPARTMENT will monitor the activities of the SUBRECIPIENT from award to closeout. The goal of
the DEPARTMENT's monitoring activities will be to ensure that agencies receiving federal pass -through
funds are in compliance with this Agreement, federal and state audit requirements, federal grant
guidance, and applicable federal and state financial regulations, as well as 2 CFR Part 200 Subpart F.
b. To document compliance with 2 CFR Part 200 Subpart F requirements, the SUBRECIPIENT shall
complete and return to the DEPARTMENT 2 CFR Part 200 Subpart F Audit Certification Form located at
https://mil.wa.gov/emergency-management-division/grants/requiredgrantforms with the signed
Agreement and each fiscal year thereafter until the Agreement is closed, which is incorporated by
reference and made a part of this Agreement.
C. Monitoring activities may include, but are not limited to:
i. review of financial and performance reports;
ii. monitoring and documenting the completion of Agreement deliverables;
iii. documentation of phone calls, meetings, e-mails, and correspondence;
iv. review of reimbursement requests and supporting documentation to ensure eligibility and
consistency with Agreement work plan, budget, and federal requirements;
v. observation and documentation of Agreement related activities;
vi. on -site visits to review equipment records and inventories, to verify source documentation for
reimbursement requests and performance reports, and to verify completion of deliverables.
d. The SUBRECIPIENT is required to meet or exceed the monitoring activities, as outlined above and in 2
CFR Part 200 Subpart F, for any non-federal entity to which the SUBRECIPIENT makes a subaward as a
pass -through entity under this Agreement.
e. Compliance will be monitored throughout the performance period to assess risk. Concerns will be
addressed through a Corrective Action Plan. If the SUBRECIPIENT fails to comply with federal or state
statutes or regulations, or the terms and conditions of this Agreement, the DEPARTMENT may impose
any additional subaward conditions as described in 2 CFR 200.208. If the DEPARTMENT determines
Public Assistance Grant Agreement Page 6 Jefferson County, D26-246
that noncompliance cannot be remedied by imposing additional conditions, it may take one or more of the
following actions:
i. Temporarily withhold cash payments pending correction of the deficiency by the
SUBRECIPIENT.
ii. Wholly or partially suspend or terminate the subaward to the SUBRECIPIENT.
iii. Initiate suspension or debarment proceedings under 2 CFR 180 or recommend such a
proceeding be initiated by the federal awarding agency.
iv. Withhold further federal awards for the project or program.
v. Take any other remedies that may be legally available.
The DEPARTMENT agrees to:
i. Provide technical assistance during all monitoring or evaluation activities. The DEPARTMENT will
coordinate and schedule the meetings necessary to conduct and complete all monitoring and
evaluation activities.
ii. Develop the SUBRECIPIENT's project worksheet(s) (PW) and supporting attachments with FEMA
and the SUBRECIPIENT's assistance based upon the costs determined to be eligible.
iii. Submit the SUBRECIPIENT's funding package to FEMA.
iv. Notify the SUBRECIPIENT when funding approval is received, issue payment per the process
described above see Article II, A.4 — Payments, and provide the SUBRECIPIENT with a copy of the
approved project worksheet.
v. Work with the SUBRECIPIENT to resolve any issues identified during the monitoring process.
vi. Review and respond appropriately to the SUBRECIPIENT's requests for time extensions and
changes.
9. LIMITED ENGLISH PROFICIENCY (CIVIL RIGHTS ACT OF 1964 TITLE VI)
All subrecipients must comply with the Title VI of the Civil Rights Act of 1964 (Title VI) prohibition against
discrimination on the basis of national origin, which requires that subrecipients of federal financial assistance
take reasonable steps to provide meaningful access to persons with limited English proficiency (LEP) to their
programs and services. Providing meaningful access for persons with LEP may entail providing language
assistance services, including oral interpretation and written translation. Executive Order 13166, Improving
Access to Services for Persons with Limited English Proficiency (August 11, 2000), requires federal agencies
to issue guidance to recipients, assisting such organizations and entities in understanding their language
access obligations. DHS published the required recipient guidance in April 2011, DHS Guidance to Federal
Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin Discrimination Affecting
Limited English Proficient Persons, 76 Fed. Reg. 21755-21768, (April 18, 2011). The Guidance provides
helpful information such as how a recipient can determine the extent of its obligation to provide language
services; selecting language services; and elements of an effective plan on language assistance for LEP
persons. For additional assistance and information regarding language access obligations, please refer to the
DHS Recipient Guidance at https://www.dhs.gov/quidance-published-help-department-supported-
organizations-provide-meaningful-access-people-limited and additional resources on http://www.lep.gov.
A. FEMA STATE AGREEMENT TERMS AND CONDITIONS
As a subrecipient of FEMA funding, the SUBRECIPIENT shall comply with all applicable DHS/FEMA terms and
conditions of the Presidential Declaration and the FEMA State Agreement, which are incorporated in and made a
part of this Agreement in Appendix F of the Washington State Public Assistance Applicant Manual dated April 7,
2026 (Attachment 4).
Public Assistance Grant Agreement Page 7 Jefferson County, D26-246
Attachment 2
Washington State Military Department
GENERAL TERMS AND CONDITIONS
Department of Homeland Security (DHS)/
Federal Emergency Management Agency (FEMA)
Grants
A.1 DEFINITIONS
As used throughout this Agreement, the following terms will have the same meaning as defined in 2 CFR 200
Subpart A (which is incorporated herein by reference), except as otherwise set forth below:
a. "Agreement" means this Grant Agreement.
b. "Department" means the Washington State Military Department, as a state agency, any division, section,
office, unit or other entity of the Department, or any of the officers or other officials lawfully representing that
Department. The Department is a recipient of a federal award directly from a federal awarding agency and is
the pass -through entity making a subaward to a Subrecipient under this Agreement.
c. "Monitoring Activities" means all administrative, financial, or other review activities that are conducted to
ensure compliance with all state and federal laws, rules, regulations, authorities, and policies.
d. "Subrecipient" when capitalized is primarily used throughout this Agreement in reference to the non-federal
entity identified on the Face Sheet of this Agreement that has received a subaward from the Department.
However, the definition of "Subrecipient" is the same as in 2 CFR 200.1 for all other purposes.
e. "Project" means those actions funded through the Public Assistance Program and described in approved
Project Worksheets. Projects may include one or more of the following: reimbursement of costs for
emergency response, debris removal and/or repair or restoration of damaged public facilities. A project may
be a small, large, improved, or alternate project.
A.2 ADVANCE PAYMENTS
The DEPARTMENT shall make no payments in advance or in anticipation of goods or services to be provided
under this Agreement, except as required under 2 CFR 200.305 for federal grants. SUBRECIPIENT shall not
invoice the DEPARTMENT in advance of delivery and invoicing of such goods or services, except as
authorized under 2 CFR 200.305.
Pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.0 §5121-5207),
Advance Payment process, FEMA may process a SUBRECIPIENT project worksheet which is provided to the
state of Washington for direct disbursement to SUBRECIPIENT.
Pursuant to these provisions and RCW 43.88.160(5), these grant funds are not subject to the advance
payments prohibition and will be disbursed immediately to SUBRECIPIENT as grants authorized by law with
subsequent authentication and certification of expenditures.
A.3 AMENDMENTS AND MODIFICATIONS
The SUBRECIPIENT or the DEPARTMENT may request, in writing, an amendment or modification of this
Agreement. Modifications may be requested for Grant Agreement end date, budget or scope change.
However, such amendment or modification shall not be binding, take effect or be incorporated herein until
made in writing and signed by the authorized representatives of the DEPARTMENT and the SUBRECIPIENT.
No other understandings or agreements, written or oral, shall be binding on the parties.
The Agreement performance period shall only be extended by (1) written notification of DHS/FEMA approval of
the Award performance period, followed up with a mutually agreed written amendment, or (2) written
notification from the Department to the Subrecipient to provide additional time for completion of the
Subrecipient's project(s).
A.4 AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336, 42 U.S.C. 12101 ET SEQ.
AND ITS IMPLEMENTING REGULATIONS ALSO REFERRED TO AS THE "ADA" 28 CFR Part 35.
Except as provided herein, the Subrecipient must comply with the ADA, which provides comprehensive civil
rights protection to individuals with disabilities in the areas of employment, public accommodations, state and
local government services, and telecommunication. If the ADA does not apply to the Subrecipient because the
Subrecipient is a federal recognized Indian Tribe, then the acceptance by the Tribe of, or acquiescence to,
these General Terms and Conditions does not change or alter its inapplicability to the Indian Tribe. The
Public Assistance Grant Agreement Page 8 Jefferson County, D26-246
execution of grant documents is not intended to change, alter, amend, or impose additional liability or
responsibility upon the Tribe where it does not already exist.
A.5 APPLICATION REPRESENTATION -MISREPRESENTATION, INACCURACY AND BREACH
The DEPARTMENT relies upon the SUBRECIPIENT's application in making its determinations as to eligibility
for, selection for, and scope of funding grants. Any misrepresentation, error or inaccuracy in any part of the
application may be deemed a breach of this Agreement.
A.6 ASSURANCES
DEPARTMENT and SUBRECIPIENT agree that all activity pursuant to this Agreement will be in accordance
with all the applicable current federal, state and local laws, rules and regulations. In addition, as a
SUBRECIPIENT of FEMA funding, the SUBRECIPEINT shall comply with all applicable DHS terms and
conditions as specified in Appendix F of the Washington State Public Assistance Applicant Manual dated April
28, 2024 incorporated in this Agreement as Attachment 4.
A.7 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, OR INELIGIBILITY
As federal funds are a basis for this Agreement, the SUBRECIPIENT certifies that the SUBRECIPIENT is not
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participating in this Agreement by any federal department or agency.
The SUBRECIPIENT shall complete, sign, and return a Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion form located at htti)s:Hmil.wa.gov/emergency-management-
division/grants/requiredgrantforms. Any such form completed by the SUBRECIPIENT for this Agreement shall
be incorporated into this Agreement by reference.
Further, the SUBRECIPIENT agrees to comply with all applicable federal regulations concerning the federal
debarment and suspension system, including 2 CFR Part 180. The SUBRECIPIENT certifies that it will ensure
that potential sub -contractors or sub -recipients or any of their principals are not debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in "covered transactions"
by any federal department or agency. "Covered transactions" include procurement contracts for goods or
services awarded under a non -procurement transaction (e.g. grant or cooperative agreement) that are
expected to equal or exceed $25,000, and sub -awards to sub -recipients for any amount. With respect to
covered transactions, the SUBRECIPIENT may comply with this provision by obtaining a certification
statement from the potential sub -contractor or sub -recipient or by checking the System for Award Management
(https://www.sam.gov) maintained by the federal government. The SUBRECIPIENT also agrees not to enter
into any arrangements or contracts with any party on the Washington State Department of Labor and
Industries' "Debarred Contractor List" (https:Hsecure.Ini.wa.qov/debarandstrike/ContractorDebarList.aspx). The
Subrecipient also agrees not to enter into any agreements or contracts for the purchase of goods and services
with any party on the Department of Enterprise Services' Debarred Vendor List
(https://www.des.wa.gov/services/contracting-purchasing/doing-business-state/vendor-debarment).
A.8 CERTIFICATION REGARDING RESTRICTIONS ON LOBBYING
As required by 44 CFR Part 18, the SUBRECIPIENT hereby certifies that to the best of their knowledge and
belief: (1) no federally appropriated funds have been paid or will be paid by or on behalf of the SUBRECIPIENT
to any person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any federal contract, grant, loan, or cooperative agreement; (2) that if any funds other than
federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this Agreement, grant, loan, or cooperative
agreement, the SUBRECIPIENT will complete and submit Standard Form-LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions; (3) and that, as applicable, the SUBRECIPIENT will require that
the language of this certification be included in the award documents for all subawards at all tiers (including
sub -contracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -
recipients shall certify and disclose accordingly.
Public Assistance Grant Agreement Page 9 Jefferson County, D26-246
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into, and is a prerequisite for making or entering into this transaction imposed by 31 U.S.C.
1352.
A.9 COMPLIANCE WITH APPLICABLE STATUTES, RULES AND DEPARTMENT POLICIES
The SUBRECIPIENT and all its contractors shall comply with, and the DEPARTMENT is not responsible for
determining compliance with, any and all applicable federal, state, and local laws, regulations, executive
orders, OMB Circulars, and/or policies. This obligation includes, but is not limited to: nondiscrimination laws
and/or applicable policies, Energy Policy and Conservation Act (PL 94-163, 89 Stat. 871, as amended), the
Americans with Disabilities Act (ADA), Age Discrimination Act of 1975, Title VI of the Civil Rights Act of 1964,
Civil rights Act of 1968, the Robert T. Stafford Disaster Relief and Emergency Assistance Act, (PL 93-288, as
amended), Title 44 of the Federal Regulations, 2 CFR Part 3002, Ethics in Public Service (RCW 42.52),
Covenant Against Contingent Fees (48 CFR Section 52.203-5), Public Records Act (RCW 42.56), Prevailing
Wages on Public Works (RCW 39.12), State Environmental Policy Act (RCW 43.21 C), Shoreline Management
Act of 1971 (RCW 90.58), State Building Code (RCW 19.27), Energy Related Building Standards (RCW
19.27A), Provisions in Buildings for Aged and Handicapped Persons (RCW 70.92), and safety and health
regulations.
DEPARTMENT and SUBRECIPIENT agree that all activity pursuant to this Agreement will be in accordance
with all the applicable current federal, state and local laws, rules and regulations.
In the event of the SUBRECIPIENT's or its contractor's noncompliance or refusal to comply with any applicable
law, regulation, executive order, OMB Circular or policy, the DEPARTMENT may rescind, cancel, or terminate
the Agreement in whole or in part in its sole discretion.
The SUBRECIPIENT is responsible for all costs or liability arising from its failure to comply with applicable
laws, regulations, executive orders, OMB Circulars or policies.
A.10 CONFLICT OF INTEREST
No officer or employee of the DEPARTMENT; no member, officer, or employee of the SUBRECIPIENT or its
designees or agents; no member of the governing body of the jurisdiction in which the project is undertaken or
located; and no other official of such the SUBRECIPIENT who exercises any functions or responsibilities with
respect to the project during his or her tenure, shall have any personal or pecuniary gain or interest, direct or
indirect, in any contract, subcontract, or the proceeds thereof, for work to be performed in connection with the
project assisted under this Agreement.
The SUBRECIPIENT shall incorporate, or cause to incorporate, in all such contracts or subcontracts, a
provision prohibiting such interest pursuant to this provision.
A.11 CONTRACTING & PROCUREMENT
a. The SUBRECIPIENT shall use a competitive procurement process in the procurement and award of any
contracts with contractors or sub -contractors that are entered into under the original contract award. The
procurement process followed shall be in accordance with 2 CFR 200.317 Procurements by States and Indian
Tribes and 2 CFR Part 200.318 General Procurement Standards through 200.327 Contract Provisions.
As required by Appendix II to 2 CFR Part 200, all contracts entered into by the SUBRECIPIENT under this
Agreement must include the following provisions, as applicable:
1. Contracts for more than the simplified acquisition, which is the inflation adjusted amount determined by
the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as
authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances
where contractors violate or breach contract terms, and provide for such sanctions and penalties as
appropriate.
2. All contracts in excess of $10,000 must address termination for cause and for convenience by the non -
Federal entity including the manner by which it will be effected and the basis for settlement.
3. Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that
meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 must include the
equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246,
"Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as
amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment
Public Assistance Grant Agreement Page 10 Jefferson County, D26-246
Opportunity," and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance
Programs, Equal Employment Opportunity, Department of Labor."
4. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all
prime construction contracts in excess of $2,000 awarded by non -Federal entities must include a
provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as
supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions
Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the
statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the
prevailing wages specified in a wage determination made by the Secretary of Labor. In addition,
contractors must be required to pay wages not less than once a week. The non -Federal entity must place
a copy of the current prevailing wage determination issued by the Department of Labor in each
solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of
the wage determination. The non -Federal entity must report all suspected or reported violations to the
Federal awarding agency. The contracts must also include a provision for compliance with the Copeland
"Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part
3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by
Loans or Grants from the United States"). The Act provides that each contractor or subrecipient must be
prohibited from inducing, by any means, any person employed in the construction, completion, or repair
of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non -
Federal entity must report all suspected or reported violations to the Federal awarding agency.
5. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts
awarded by the non -Federal entity in excess of $100,000 that involve the employment of mechanics or
laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by
Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must
be required to compute the wages of every mechanic and laborer on the basis of a standard work week
of 40 hours. Work in excess of the standard work week is permissible provided that the worker is
compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in
excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction
work and provide that no laborer or mechanic must be required to work in surroundings or under working
conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the
purchases of supplies or materials or articles ordinarily available on the open market, or contracts for
transportation or transmission of intelligence.
6. Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of
"funding agreement" under 37 CFR & 401.2 (a) and the recipient or subrecipient wishes to enter into a
contract with a small business firm or nonprofit organization regarding the substitution of parties,
assignment or performance of experimental, developmental, or research work under that "funding
agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights
to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants,
Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding
agency.
7. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-
1387), as amended - Contracts and subgrants of amounts in excess of $150,000 must contain a
provision that requires the non -Federal award to agree to comply with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671g) and the Federal Water Pollution
Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding
agency and the Regional Office of the Environmental Protection Agency (EPA).
8. Debarment and Suspension (Executive Orders 12549 and 12689) - A contract award (see 2 CFR
180.220) must not be made to parties listed on the governmentwide exclusions in the System for Award
Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive
Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235),
"Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or
otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory
authority other than Executive Order 12549.
9. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352) - Contractors that apply or bid for an award exceeding
$100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not
Public Assistance Grant Agreement Page 11 Jefferson County, D26-246
used Federal appropriated funds to pay any person or organization for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, officer or employee of Congress,
or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any
other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non -Federal
funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded
from tier to tier up to the non -Federal award.
10. Procurement of recovered materials -- As required by 2 CFR 200.322, a non -Federal entity that is a state
agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of
the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The
requirements of Section 6002 include procuring only items designated in guidelines of the Environmental
Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials
practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of
the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded
$10,000; procuring solid waste management services in a manner that maximizes energy and resource
recovery; and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
The recipient or subrecipient should, to the greatest extent practicable and consistent with law, purchase,
acquire, or use products and services that can be reused, refurbished, or recycled; contain recycled
content, are biobased, or are energy and water efficient; and are sustainable. This may include
purchasing compostable items and other products and services that reduce the use of single -use plastic
products. See Executive Order 14057, section 101, Policy.
11. Notice of Federal awarding agency requirements and regulations pertaining to reporting.
12. Federal awarding agency requirements and regulations pertaining to copyrights and rights in data.
13. Access by the DEPARTMENT, the SUBRECIPIENT, the Federal awarding agency, the Comptroller
General of the United States, or any of their duly authorized representatives to any books, documents,
papers, and records of the contractor which are directly pertinent to that specific contract for the purpose
of making audit, examination, excerpts, and transcriptions.
14. Retention of all required records for six (6) years after the SUBRECIPIENT has made final payments and
all other pending matters are closed.
15. Mandatory standards and policies relating to energy efficiency which are contained in the state energy
conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89
Stat. 871).
16. Pursuant to Executive Order 13858 "Strengthening Buy -American Preferences for Infrastructure
Projects," the DEPARTMENT encourages SUBRECIPIENTS to use, to the greatest extent practicable
and consistent with the law, iron and aluminum as well as steel, cement and other manufactured products
produced in the United States, in Public Assistance and Hazard Mitigation Grant Program eligible public
infrastructure repair and construction projects affecting surface transportation, ports, water resources
including sewer and drinking water and power. Such preference must be consistent with the law,
including cost and contracting requirements of 2 CFR Part 200.
17. Per 2 C.F.R. § 200.216, prohibitions regarding certain telecommunications and video surveillance
services or equipment are mandated by section 889 of the John S. McCain National Defense
Authorization Act for Fiscal Year 2019 (FY 2019 NDAA), Pub. L. No. 115-232 (2018).
b. The DEPARTMENT reserves the right to review the SUBRECIPIENT procurement plans and documents,
and require the SUBRECIPIENT to make changes to bring its plans and documents into compliance with
the requirements of 2 CFR Part 200.317 through 2 CFR 200.327. The SUBRECIPIENT must ensure that
its procurement process requires contractors and subcontractors to provide adequate documentation with
sufficient detail to support the costs of the project and to allow both the SUBRECIPIENT and
DEPARTMENT to make a determination on eligibility of project costs.
c. All contracting agreements entered into pursuant to this Agreement shall incorporate this Agreement by
reference.
A.12 DISCLOSURE
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The use or disclosure by any party of any information concerning the DEPARTMENT for any purpose not
directly connected with the administration of the DEPARTMENT's or the SUBRECIPIENT's responsibilities with
respect to services provided under this Agreement is prohibited except by prior written consent of the
DEPARTMENT or as required to comply with the state Public Records Act, other law, or court order.
A.13 DISPUTES
Except as otherwise provided in this contract, when a bona fide dispute arises between the parties and it
cannot be resolved through discussion and negotiation, either party may request a dispute resolution board to
resolve the dispute. A request for a dispute resolution board shall be in writing, state the disputed issues, state
the relative positions of the parties, and be sent to all parties. The board shall consist of a representative
appointed by the DEPARTMENT, a representative appointed by the SUBRECIPIENT and a third party
mutually agreed upon by both parties. The board shall, by majority vote, resolve the dispute. Each party shall
bear the cost for its board member and its attorney fees and costs, and share equally the cost of the third
board member.
A.14 DUPLICATION OF BENEFITS
The SUBRECIPIENT agrees that the funds for which federal or state assistance is requested does not, or will
not, duplicate benefits or funds received for the same loss from any other source. The SUBRECIPIENT will
pursue, and require sub -recipients to pursue, full payment of eligible insurance benefits for properties or any
other losses covered in a project under this Agreement. The SUBRECIPIENT will repay the DEPARTMENT
any funds provided under this grant agreement that are duplicated by other benefits, funds, or insurance
proceeds. The SUBRECIPIENT will also seek recovery against any party or parties whose negligence or other
intentional or tortious conduct may have caused or contributed to the expenditures for which these grants
funds are provided. The SUBRECIPIENT will repay the DEPARTMENT any funds recovered by settlement,
judgment or other court order in an action to recover funds provided by this grant. The SUBRECIPIENT shall
notify the DEPARTMENT as early as possible and work in conjunction with the DEPARTMENT and FEMA to
ensure appropriate apportionment of any duplicated or recovered payment.
A.15 HAZARDOUS SUBSTANCES
The SUBRECIPIENT shall inspect and investigate the proposed development/construction site for the
presence of hazardous substances. The SUBRECIPIENT shall fully disclose to the DEPARTMENT the results
of its inspection and investigation and all other knowledge the SUBRECIPIENT has as to the presence of any
hazardous substances at the proposed development/construction project site. The SUBRECIPIENT will be
responsible for any associated clean-up costs. "Hazardous Substance" is defined in RCW 70A.305.020.
A.16 LEGAL RELATIONS
It is understood and agreed that this Agreement is solely for the benefit of the parties to the Agreement and
gives no right to any other party. No joint venture or partnership is formed as a result of this Agreement.
To the extent allowed by law, the SUBRECIPIENT, its successors or assigns, will protect, save and hold
harmless the DEPARTMENT, the State of Washington, and the United States Government and their
authorized agents and employees, from all claims, actions, costs, damages or expenses of any nature
whatsoever by reason of the acts or omissions of the SUBRECIPIENT, its sub -contractors, assigns, agents,
contractors, consultants, licensees, invitees, employees or any person whomsoever arising out of or in
connection with any acts or activities authorized by this Agreement.
To the extent allowed by law, the SUBRECIPIENT further agrees to defend the DEPARTMENT and the State
of Washington and their authorized agents and employees in any litigation; including payment of any costs or
attorneys' fees for any claims or action commenced thereon arising out of or in connection with acts or
activities authorized by this Agreement.
This obligation shall not include such claims, costs, damages or expenses which may be caused by the sole
negligence of the DEPARTMENT; provided, that if the claims or damages are caused by or result from the
concurrent negligence of (1) the DEPARTMENT, and (2) the SUBRECIPIENT, its agents, or employees, this
indemnity provision shall be valid and enforceable only to the extent of the negligence of the SUBRECIPIENT,
or SUBRECIPIENT's agents or employees.
Insofar as the funding source, the DEPARTMENT of Homeland Security (DHS)/Federal Emergency
Management Agency (FEMA), is an agency of the federal government, the following shall apply:
Public Assistance Grant Agreement Page 13 Jefferson County, D26-246
44 CFR 206.9 Non -liability. The federal government shall not be liable for any claim based upon the exercise
or performance of, or the failure to exercise or perform a discretionary function or duty on the part of a federal
agency or an employee of the Federal government in carrying out the provisions of the Stafford Act.
A.17 LIMITATION OF AUTHORITY —AUTHORIZED SIGNATURE
The signatories to this Agreement represent that they have the authority to bind their respective organizations
to this Agreement. Only the DEPARTMENT's Authorized Signature and the Authorized Signature of the
assigned SUBRECIPIENT Agent or Alternate for the SUBRECIPIENT Agent, formally designated in writing,
shall have the express, implied, or apparent authority to alter, amend, modify, or waive any clause or condition
of this Agreement. 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 both parties Authorized Signature
representatives. Further, only the Authorized Signature representative or Alternate for the SUBRECIPIENT
shall have authority to sign reimbursement requests, certification of project completion, time extension
requests, amendment and modification requests, requests for changes to project status, and other requests,
certifications and documents authorized by or required under this Agreement.
A.18 LOSS OR REDUCTION OF FUNDING
In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the
effective date of this Agreement and prior to normal completion or end date, the DEPARTMENT may
unilaterally reduce the scope of work and budget or unilaterally terminate or suspend all or part of the
Agreement as a "Termination for Cause" without providing the SUBRECIPIENT an opportunity to cure.
Alternatively, the parties may renegotiate the terms of this Agreement under "Amendments and Modifications"
to comply with new funding limitations and conditions, although the DEPARTMENT has no obligation to do so.
A.19 NONASSIGNABILITY
Neither this Agreement, nor any claim arising under this Agreement, shall be transferred or assigned by the
SUBRECIPIENT.
A.20 NONDISCRIMINATION
The SUBRECIPIENT shall comply with all applicable federal and state non-discrimination laws, regulations,
and policies. These requirements include, but are not limited to:
a. Nondiscrimination in Employment: The Subrecipient shall not discriminate against any employee or
applicant for employment because of race, color, sex, sexual orientation, religion, national origin, creed,
marital status, age, Vietnam era or disabled veteran status, or the presence of any sensory, mental, or
physical handicap. This requirement does not apply, however, to a religious corporation, association,
educational institution or society with respect to the employment of individuals of a particular religion to
perform work connected with the carrying on by such corporation, association, educational institution or
society of its activities.
b. The Subrecipient shall take action to ensure that employees are employed and treated during employment
without discrimination because of their race, color, sex, sexual orientation religion, national origin, creed,
marital status, age, Vietnam era or disabled veteran status, or the presence of any sensory, mental, or
physical handicap. Such action shall include, but not be limited to, the following: Employment, upgrading,
demotion, or transfer, recruitment or recruitment selection for training, including apprenticeships and
volunteers.
A.21 NOTICES
The SUBRECIPIENT shall comply with all public notices or notices to individuals required by applicable local,
state and federal laws and shall maintain a record of this compliance.
A.22 OCCUPATIONAL SAFETY/HEALTH ACT and WASHINGTON INDUSTRIAL SAFETY/ HEALTH ACT
(OSHA/WISHA)
The SUBRECIPIENT represents and warrants that its workplace does now or will meet all applicable federal
and state safety and health regulations that are in effect during the SUBRECIPIENT's performance under this
Agreement. To the extent allowed by law, the SUBRECIPIENT further agrees to indemnify and hold harmless
the DEPARTMENT and its employees and agents from all liability, damages and costs of any nature, including
Public Assistance Grant Agreement Page 14 Jefferson County, D26-246
but not limited to, costs of suits and attorneys' fees assessed against the DEPARTMENT, as a result of the
failure of the SUBRECIPIENT to so comply.
A.23 OWNERSHIP OF PROJECT/CAPITAL FACILITIES
The DEPARTMENT makes no claim to any capital facilities or real property improved or constructed with funds
under this Agreement, and by this grant of funds does not and will not acquire any ownership interest or title to
such property of the SUBRECIPIENT. To the extent allowed by law, the SUBRECIPIENT shall assume all
liabilities arising from the ownership and operation of the project and agrees to hold the DEPARTMENT and
the State of Washington and the United States government harmless from any and all causes of action arising
from the ownership and operation of the project.
A.24 POLITICAL ACTIVITY
No portion of the funds provided herein shall be used for any partisan political activity or to further the election
or defeat of any candidate for public office or influence the approval or defeat of any ballot issue.
A.25 PRIVACY
Personal information collected, used or acquired in connection with this agreement shall be used solely for the
purposes of this agreement. SUBRECIPIENT and its subcontractors agree not to release, divulge, publish,
transfer, sell or otherwise make known to unauthorized persons personal information without the express
written consent of the DEPARTMENT or as provided by law or court order. SUBRECIPIENT agrees to
implement physical, electronic and managerial safeguards to prevent unauthorized access to personal
information.
The DEPARTMENT reserves the right to monitor, audit, or investigate the use of personal information
collected, used or acquired by the SUBRECIPIENT through this contract. The monitoring, auditing or
investigating may include but is not limited to "salting" by the DEPARTMENT. Salting is the act of placing a
record containing unique but false information in a database that can be used later to identify inappropriate
disclosure of data contained in the database.
Any breach of this provision may result in termination of the contract and the demand for return of all personal
information. To the extent allowed by law, the SUBRECIPIENT agrees to indemnify and hold harmless the
DEPARTMENT for any damages related to the SUBRECIPIENT's unauthorized use, loss or disclosure of
personal information.
For purposes of this provision, personal information includes, but is not limited to, information identifiable to an
individual that relates to a natural person's health, finances, education, business, use or receipt of
governmental services, or other activities, names, addresses, telephone numbers, social security numbers,
driver license numbers, financial profiles, credit card numbers, financial identifiers and other identifying
numbers.
A.26 PROHIBITION AGAINST PAYMENT OF BONUS OR COMMISSION
The assistance provided under this Agreement shall not be used in payment of any bonus or commission for
the purpose of obtaining approval of the application for such assistance or any other approval or concurrence
under this Agreement provided; however, that reasonable fees or bona fide technical consultant, managerial,
or other such services, other than actual solicitation, are not hereby prohibited if otherwise eligible as project
costs.
A.27 PUBLICITY
The SUBRECIPIENT agrees to submit to the DEPARTMENT prior to issuance all advertising and publicity
matters relating to this Agreement wherein the DEPARTMENT's name is mentioned or language used from
which the connection of the DEPARTMENT's name may, in the DEPARTMENT's judgment, be inferred or
implied. The SUBRECIPIENT agrees not to publish or use such advertising and publicity matters without the
prior written consent of the DEPARTMENT. The SUBRECIPIENT may copyright original work it develops in the
course of or under this Agreement; however, pursuant to 2 CFR Part 200.315, FEMA reserves a royalty -free,
nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use
the work for government purposes.
Publication resulting from work performed under this Agreement shall include an acknowledgement of the
DEPARTMENT and FEMA's financial support, by the Assistance Listings Number (formerly CFDA Number),
and a statement that the publication does not constitute an endorsement by FEMA or reflect FEMA's views.
Public Assistance Grant Agreement Page 15 Jefferson County, D26-246
A.28 RECAPTURE PROVISION
In the event the SUBRECIPIENT fails to expend funds under this Agreement in accordance with applicable
federal, state, and local laws, regulations, and/or the provisions of the Agreement, the DEPARTMENT reserves
the right to recapture funds in an amount equivalent to the extent of noncompliance. Such right of recapture
shall exist for the life of the project following Agreement termination. Repayment by the SUBRECIPIENT of
funds under this recapture provision shall occur within 30 days of demand. In the event the DEPARTMENT is
required to institute legal proceedings to enforce the recapture provision, the DEPARTMENT shall be entitled
to its costs and expenses thereof, including attorney fees.
A.29 RECORDS AND REPORTS
a. The SUBRECIPIENT agrees to maintain all books, records, documents, receipts, invoices and all other
electronic or written records necessary to sufficiently and properly reflect the SUBRECIPIENT's contracts,
subawards, grant administration, and payments, including all direct and indirect charges, and expenditures
in the performance of this Agreement (the "records").
b. The SUBRECIPIENT's records related to this Agreement and the projects funded may be inspected and
audited by the DEPARTMENT or its designee, by the Office of the State Auditor, DHS, FEMA or their
designees, by the Comptroller General of the United States or its designees, or by other state or federal
officials authorized by law, for the purposes of determining compliance by the SUBRECIPIENT with the
terms of this Agreement and to determine the appropriate level of funding to be paid under the Agreement.
c. The records shall be made available by the SUBRECIPIENT for such inspection and audit, together with
suitable space for such purpose, at any and all times during the SUBRECIPIENT's normal working day.
d. The SUBRECIPIENT shall retain and allow access to all records related to this Agreement and the funded
project(s) for a period of at least six (6) years following final payment and closure of the grant under this
Agreement. Despite the minimum federal retention requirement of three (3) years, the more stringent State
requirement of six (6) year must be followed.
A.30 RECOVERY OF FUNDS
Any person who intentionally causes a condition for which funds are provided under this Agreement shall be
liable for the costs incurred by the state and federal governments in responding to such disaster. In addition to
its own duty to recover duplicated funds or funds expended due to the intentional or negligent actions of others.
SUBRECIPIENT will cooperate in a reasonable manner with the DEPARTMENT and the United States in
efforts to recover expenditures under this Grant Agreement.
A.31 RESPONSIBILITY FOR PROJECT/STATEMENT OF WORK/WORK PLAN
While the DEPARTMENT undertakes to assist the SUBRECIPIENT with the project/statement of work/work
plan (project) by providing grant funds pursuant to this Agreement, the project itself remains the sole
responsibility of the SUBRECIPIENT. The DEPARTMENT undertakes no responsibility to the
SUBRECIPIENT, or to any third party, other than as is expressly set out in this Agreement.
The responsibility for the design, development, construction, implementation, operation and maintenance of
the project, as these phrases are applicable to this project, is solely that of the SUBRECIPIENT, as is
responsibility for any claim or suit of any nature by any third party related in any way to the project.
Prior to the start of any construction activity, the SUBRECIPIENT shall ensure that all applicable Federal,
State, and local permits and clearances are obtained, including but not limited to FEMA compliance with the
National Environmental Policy Act, the National Historic Preservation Act, the Endangered Species Act, and all
other environmental laws and executive orders.
The SUBRECIPIENT shall defend, at its own cost, any and all claims or suits at law or in equity, which may be
brought against the SUBRECIPIENT in connection with the project. The SUBRECIPIENT shall not look to the
DEPARTMENT, or to any state or federal agency, or to any of their employees or agents, for any performance,
assistance, or any payment or indemnity, including but not limited to cost of defense and/or attorneys' fees, in
connection with any claim or lawsuit brought by any third party related to any design, development,
construction, implementation, operation and/or maintenance of a project.
A.32 SEVERABILITY
If any court of rightful jurisdiction holds any provision or condition under this Agreement or its application to any
person or circumstances invalid, this invalidity does not affect other provisions, terms or conditions of the
Public Assistance Grant Agreement Page 16 Jefferson County, D26-246
Agreement, which can be given effect without the invalid provision. To this end, the terms and conditions of
this Agreement are declared severable.
A.33 SINGLE AUDIT ACT REQUIREMENTS (including all AMENDMENTS)
Non-federal entities as subrecipients that expend $1,000,000 or more in one fiscal year of federal funds from
all sources, direct and indirect, are required to have a single or a program -specific audit conducted in
accordance with 2 CFR Part 200 Subpart F. Non-federal entities that spend less than $1,000,000 a year in
federal awards are exempt from federal audit requirements for that year, except as noted in 2 CFR Part 200
Subpart F. As defined in 2 CFR Part 200, the term "subrecipient" means an entity that receives a subaward
from a pass -through entity to carry out part of a federal award.
SUBRECIPIENTs that are required to have an audit must ensure the audit is performed in accordance with
Generally Accepted Government Auditing Standards (GAGAS) as found in the Government Auditing Standards
(the Revised Yellow Book) developed by the United States Comptroller General and the OMB Compliance
Supplement. The SUBRECIPIENT has the responsibility of notifying its auditor and requesting an audit in
compliance with 2 CFR Part 200 Subpart F, to include the Washington State Auditor's Office, a federal auditor,
or a public accountant performing work using GAGAS, as appropriate. Costs of the audit may be an allowable
grant expenditure as authorized by 2 CFR Part 200.425.
The SUBRECIPIENT shall maintain auditable records and accounts so as to facilitate the audit requirement
and shall ensure that any subrecipients or contractors also maintain auditable records.
The SUBRECIPIENT is responsible for any audit exceptions incurred by its own organization or that of its
subcontractors. Responses to any unresolved management findings and disallowed or questioned costs shall
be included with the audit report.
The SUBRECIPIENT must respond to DEPARTMENT requests for information or corrective action concerning
audit issues or findings within 30 days of the date of request. The DEPARTMENT reserves the right to recover
from the SUBRECIPIENT all disallowed costs resulting from the audit.
After the single audit has been completed, and if it includes any audit findings, the Subrecipient must send a
full copy of the audit and its Corrective Action Plan to the Department at the following address no later than
nine (9) months after the end of the Subrecipient's fiscal year(s):
Contracts Office
Washington Military Department
Finance Division, Building #1 TA-20
Camp Murray, WA 98430-5032
OR
Contracts.Office(a)-mil.wa.gov
If Contractor claims it is exempt from the audit requirements of 2 CFR Part 200 Subpart F, the SUBRECIPIENT
must send a letter identifying this Agreement and explaining the criteria for exemption no later than nine (9)
months after the end of the SUBRECIPIENT's fiscal year(s) to the address listed above.
The DEPARTMENT retains the sole discretion to determine whether a valid claim for an exemption from the
audit requirements of this provision has been established.
The SUBRECIPIENT shall include the above audit requirements in any subawards.
Conducting a single or program -specific audit in compliance with 2 CFR Part 200 Subpart F is a material
requirement of this Agreement. In the absence of a valid claim of exemption from the audit requirements of 2
CFR Part 200 Subpart F, the SUBRECIPIENT's failure to comply with said audit requirements may result in
one or more of the following actions in the DEPARTMENT's sole discretion: a percentage of federal awards
being withheld until the audit is completed in accordance with 2 CFR Part 200 Subpart F; the withholding or
disallowing of overhead costs; the suspension of federal awards until the audit is conducted and submitted; or
termination of the federal award.
A.34 SUBRECIPIENT NOT EMPLOYEE
The parties intend that an independent contractor relationship will be created by this Agreement. The
SUBRECIPIENT, and/or employees or agents performing under this Agreement are not employees or agents
Public Assistance Grant Agreement Page 17 Jefferson County, D26-246
of the DEPARTMENT in any manner whatsoever. The SUBRECIPIENT will not be presented as nor claim to
be an officer or employee of the DEPARTMENT or of the State of Washington by reason of this Agreement,
nor will the SUBRECIPIENT make any claim, demand, or application to or for any right or privilege applicable
to an officer or employee of the DEPARTMENT or of the State of Washington by reason of this Agreement,
including, but not limited to, Workmen's Compensation coverage, unemployment insurance benefits, social
security benefits, retirement membership or credit, or privilege or benefit which would accrue to a civil service
employee under Chapter 41.06 RCW; OFM Reg. 4.3.1.1.8.
It is understood that if the SUBRECIPIENT is another state department, state agency, state university, state
college, state community college, state board, or state commission, that the officers and employees are
employed by the State of Washington in their own right and not by reason of this Agreement.
A.35 TAXES, FEES AND LICENSES
Unless otherwise provided in this Agreement, the SUBRECIPIENT shall be responsible for, pay and maintain
in current status all taxes, unemployment contributions, fees, licenses, assessments, permit charges and
expenses of any other kind for the SUBRECIPIENT or its staff required by statute or regulation that are
applicable to Agreement performance.
A.36 TERMINATION FOR CONVENIENCE
Notwithstanding any provisions of this Agreement, the SUBRECIPIENT may terminate this Agreement by
providing written notice of such termination to the DEPARTMENTs Key Personnel identified in the Agreement,
specifying the effective date thereof, at least thirty (30) days prior to such date.
Except as otherwise provided in this Agreement, the DEPARTMENT, in its sole discretion and in the best
interests of the State of Washington, may terminate this Agreement in whole or in part by providing ten (10)
business days after emailing notice. Upon notice of termination for convenience, the DEPARTMENT reserves
the right to suspend all or part of the Agreement, withhold further payments, or prohibit the SUBRECIPIENT
from incurring additional obligations of funds. In the event of termination, the SUBRECIPIENT shall be liable
for all damages as authorized by law. The rights and remedies of the DEPARTMENT provided for in this
section shall not be exclusive and are in addition to any other rights and remedies provided by law.
A.37 TERMINATION OR SUSPENSION FOR LOSS OF FUNDING
The DEPARTMENT may unilaterally terminate or suspend all or part of this Grant Agreement, or may reduce
its scope of work and budget, if there is a reduction in funds by the source of those funds, and if such funds are
the basis for this Grant Agreement. The Department will email the SUBRECIPIENT ten (10) business days
prior to termination.
A.38 TERMINATION OR SUSPENSION FOR CAUSE
In the event the DEPARMENT, in its sole discretion, determines the SUBRECIPIENT has failed to fulfill in a
timely and proper manner its obligations under this Agreement, is in an unsound financial condition so as to
endanger performance hereunder, is in violation of any laws or regulations that render the SUBRECIPIENT
unable to perform any aspect of the Agreement, or has violated any of the covenants, agreements or
stipulations of this Agreement, the DEPARTMENT has the right to immediately suspend or terminate this
Agreement in whole or in part.
The DEPARTMENT may notify the SUBRECIPIENT in writing of the need to take corrective action and provide
a period of time in which to cure. The DEPARTMENT is not required to allow the SUBRECIPIENT an
opportunity to cure if it is not feasible as determined solely within the DEPARTMENT's discretion. Any time
allowed for cure shall not diminish or eliminate the SUBRECIPIENT's liability for damages or otherwise affect
any other remedies available to the DEPARTMENT. If the DEPARTMENT allows the SUBRECIPIENT an
opportunity to cure, the DEPARTMENT shall notify the SUBRECIPIENT in writing of the need to take
corrective action. If the corrective action is not taken within ten (10) calendar days or as otherwise specified by
the DEPARTMENT, or if such corrective action is deemed by the DEPARTMENT to be insufficient, the
Agreement may be terminated in whole or in part.
The DEPARTMENT reserves the right to suspend all or part of the Agreement, withhold further payments, or
prohibit the SUBRECIPIENT from incurring additional obligations of funds during investigation of the alleged
compliance breach, pending corrective action by the SUBRECIPIENT, if allowed, or pending a decision by the
DEPARTMENT to terminate the Agreement in whole or in part.
Public Assistance Grant Agreement Page 18 Jefferson County, D26-246
In the event of termination, the SUBRECIPIENT shall be liable for all damages as authorized by law, including
but not limited to, any cost difference between the original Agreement and the replacement or cover
Agreement and all administrative costs directly related to the replacement Agreement, e.g., cost of
administering the competitive solicitation process, mailing, advertising and other associated staff time. The
rights and remedies of the DEPARTMENT provided for in this section shall not be exclusive and are in addition
to any other rights and remedies provided by law.
If it is determined that the SUBRECIPIENT: (1) was not in default or material breach, or (2) failure to perform
was outside of the SUBRECIPIENT's control, fault or negligence, the termination shall be deemed to be a
"Termination for Convenience".
A.39 TERMINATION PROCEDURES
In addition to the procedures set forth below, if the DEPARTMENT terminates this Agreement, the
SUBRECIPIENT shall follow any procedures specified in the termination notice. Upon termination of this
Agreement and in addition to any other rights provided in this Agreement, the DEPARTMENT may require the
SUBRECIPIENT to deliver to the DEPARTMENT any property specifically produced or acquired for the
performance of such part of this Agreement as has been terminated.
If the termination is for convenience, the DEPARTMENT shall pay to the SUBRECIPIENT the agreed upon
price, if separately stated, for properly authorized and completed work and services rendered or goods
delivered to and accepted by the DEPARTMENT prior to the effective date of Agreement termination, and the
amount agreed upon by the SUBRECIPIENT and the DEPARTMENT for (i) completed work and services
and/or equipment or supplies provided for which no separate price is stated, (ii) partially completed work and
services and/or equipment or supplies provided which are accepted by the DEPARTMENT, (iii) other work,
services and/or equipment or supplies which are accepted by the DEPARTMENT, and (iv) the protection and
preservation of property.
Failure to agree with such amounts shall be a dispute within the meaning of the "Disputes" clause of this
Agreement. If the termination is for cause, the DEPARTMENT shall determine the extent of the liability of the
DEPARTMENT. The DEPARTMENT shall have no other obligation to the SUBRECIPIENT for termination.
The DEPARTMENT may withhold from any amounts due the SUBRECIPIENT such sum as the
DEPARTMENT determines to be necessary to protect the DEPARTMENT against potential loss or liability.
The rights and remedies of the DEPARTMENT provided in this Agreement shall not be exclusive and are in
addition to any other rights and remedies provided by law.
After receipt of a notice of termination, and except as otherwise directed by the DEPARTMENT in writing, the
SUBRECIPIENT shall:
a. Stop work under the Agreement on the date, and to the extent specified, in the notice;
b. Place no further orders or sub -contracts for materials, services, supplies, equipment and/or facilities in
relation to this Agreement except as may be necessary for completion of such portion of the work under
the Agreement as is not terminated;
C. Assign to the DEPARTMENT, in the manner, at the times, and to the extent directed by the
DEPARTMENT, all of the rights, title, and interest of the SUBRECIPIENT under the orders and sub-
contracts so terminated, in which case the DEPARTMENT has the right, at its discretion, to settle or
pay any or all claims arising out of the termination of such orders and contracts;
d. Settle all outstanding liabilities and all claims arising out of such termination of orders and sub-
contracts, with the approval or ratification of the DEPARTMENT to the extent the DEPARTMENT may
require, which approval or ratification shall be final for all the purposes of this clause;
e. Transfer title to the DEPARTMENT and deliver in the manner, at the times, and to the extent directed
by the DEPATMENT any property which, if the Agreement had been completed, would have been
required to be furnished to the DEPARTMENT;
f. Complete performance of such part of the work as shall not have been terminated by the
DEPARTMENT in compliance with all contractual requirements; and
g. Take such action as may be necessary, or as the DEPARTMENT may require, for the protection and
preservation of the property related to this Agreement which is in the possession of the
SUBRECIPIENT and in which the DEPARTMENT has or may acquire an interest.
Public Assistance Grant Agreement Page 19 Jefferson County, D26-246
A.40 UTILIZATION OF MINORITY AND WOMEN BUSINESS ENTERPRISES (MWBE)
(a) When possible, the recipient or subrecipient should ensure that small businesses, minority businesses,
women's business enterprises, veteran -owned businesses, and labor surplus area firms (See U.S. Department
of Labor's list) are considered as set forth below.
(b) Such consideration means:
(1) These business types are included on solicitation lists;
(2) These business types are solicited whenever they are deemed eligible as potential sources;
(3) Dividing procurement transactions into separate procurements to permit maximum participation by
these business types;
(4) Establishing delivery schedules (for example, the percentage of an order to be delivered by a given
date of each month) that encourage participation by these business types;
(5) Utilizing organizations such as the Small Business Administration and the Minority Business
Development Agency of the Department of Commerce; and
(6) Requiring a contractor under a Federal award to apply this section to subcontracts
In accordance with the legislative findings and policies set forth in Chapter 39.19 RCW, the state of
Washington encourages participation in all its contracts by MWBE firms certified by the Office of Minority and
Women's Business Enterprises (OMWBE). To the extent possible, the SUBRECIPIENT will solicit and
encourage minority -owned and women -owned business enterprises who are certified by the OMWBE under
the state of Washington certification program to apply and compete for work under this contract. Voluntary
numerical MWBE participation goals have been established and are indicated herein: Minority Business
Enterprises: (MBEs): 10% and Woman's Business Enterprises (WBEs): 6%..
A.41 VENUE
This Agreement shall be construed and enforced in accordance with, and the validity and performance shall be
governed by, the laws of the state of Washington. Except for as provided herein, venue of any suit between the
parties arising out of this Agreement shall be the Superior Court of Thurston County, Washington, and the
Subrecipient, by execution of this Agreement, acknowledges the jurisdiction of the courts of the state of
Washington. Provides, that if the Subrecipient is a federally recognized Indian Tribe, the parties agree that, in
the event either party to this Agreement commences any suit relating to or arising from the Agreement, the
United States District Court for the Western District of the State of Washington shall have the sole and
exclusive jurisdiction over such proceeding. If the court lacks federal subject matter jurisdiction, then the Tribe
agrees to waive its sovereign immunity from suit for the limited purpose of permitting the State to enforce the
terms of this Agreement in the Superior Court of Washington under Washington law, and venue for such suit
shall be the Superior Court of Thurston County, Washington. This limited waiver of sovereign immunity is
solely for the benefit of the State. This limited waiver of sovereign immunity shall not be for, nor shall it be
construed as for, the benefit of any other person or entity, and the Tribe does not waive its immunity with
respect to any action brought by, or on behalf of, any other entity or person.
A.42 WAIVERS
No conditions or provisions of this Agreement can be waived unless approved in advance by the
DEPARTMENT in writing. The DEPARTMENT's failure to insist upon strict performance of any
provision of the Agreement or to exercise any right based upon a breach thereof, or the acceptance
of any performance during such breach, shall not constitute a waiver of any right under this
Agreement.
Public Assistance Grant Agreement Page 20 Jefferson County, D26-246
Attachment 3
PROJECT WORKSHEET SAMPLE
Department of Homeland Security
Federal Emergency Management Agency
General Info
Project # PVV #
Project Type
Project Category
Applicant
Project Title
Event
Project Size
Declaration Date
Activity
Incident Start Date
Completion Date
Incident End Date
Process Step
Damage Description and Dimensions
Final Scope
Project Notes:
Public Assistance Grant Agreement Page 21 Jefferson County, D26-246
Cost
Code Quantity Unit Total Cost Section
CRC Gross Cost
CRC Net Cost
Federal Share
Non -Federal Share
Public Assistance Grant Agreement Page 22 Jefferson County, D26-246
Award Information
Version Information
Version
#
Eligibility
Status
Current
Version
Bundle
Number
Project
Amount
Cost
Share
Federal Share
Obligated
Date
Obligated
Drawdown History
EMMIE Drawdown Status As of Date I IFMIS Obligation # I Expenditure Number I Expended Date Expended Amount
Obligation History
Version # Date Obligated Obligated Cost T Cost Share IFMIS Status IFMIS Obligation #
Public Assistance Grant Agreement Page 23 Jefferson County, D26-246
Subgrant Conditions
• As described in Title 2 Code of Federal Regulations (C.F.R.) § 200.333, financial records, supporting
documents, statistical records and all other non -Federal entity records pertinent to a Federal award
must be retained for a period of three (3) years from the date of submission of the final expenditure
report or, for Federal awards that are renewed quarterly or annually, from the date of the submission
of the quarterly or annual financial report, respectively, as reported to the Federal awarding agency
or pass -through entity in the case of a subrecipient. Federal awarding agencies and pass -through
entities must not impose any other record retention requirements upon non -Federal entities.
Exceptions are stated in 2 C.F.R.§200.333(a) — (f)(1) and (2). All records relative to this project are
subject to examination and audit by the State, FEMA and the Comptroller General of the United
States and must reflect work related to disaster -specific costs.
• When any individual item of equipment purchased with PA funding is no longer needed, or a
residual inventory of unused supplies exceeding $5,000 remains, the subrecipient must follow the
disposition requirements in Title 2 Code of Federal Regulations (C.F.R.) § 200.313-314.
• The terms of the FEMA-State Agreement are incorporated by reference into this project under the
Public Assistance award and the applicant must comply with all applicable laws, regulations, policy,
and guidance. This includes, among others, the Robert T. Stafford Disaster Relief and Emergency
Assistance Act; Title 44 of the Code of Federal Regulations; FEMA Policy No. 104-009-2, Public
Assistance Program and Policy Guide; and other applicable FEMA policy and guidance.
• The DHS Standard Terms and Conditions in effect as of the declaration date of this emergency
declarations or major disaster, as applicable, are incorporated by reference into this project under
the Public Assistance grant, which flow down from the Recipient to subrecipients unless a
particular term or condition indicates otherwise.
• The Uniform Administrative Requirements, Cost Principles, and Audit Requirements set forth at
Title 2 Code of Federal Regulations (C.F.R.) Part 200 apply to this project award under the Public
Assistance grant, which flow down from the Recipient to all subrecipients unless a particular section
of 2 C.F.R. Part 200, the FEMA-State Agreement, or the terms and conditions of this project award
indicate otherwise. See 2 C.F.R. §§ 200.101 and 110.
• The subrecipient must submit a written request through the Recipient to FEMA before it makes a
change to the approved scope of work in this project. If the subrecipient commences work
associated with a change before FEMA approves the change, it will jeopardize financial assistance
for this project. See FEMA Policy No. 104-009-2, Public Assistance Program and Policy Guide.
• Pursuant to section 312 of the Stafford Act, 42 U.S.C. 5155, FEMA is prohibited from providing
financial assistance to any entity that receives assistance from another program, insurance, or any
other source for the same work. The subrecipient agrees to repay all duplicated assistance to
FEMA if they receive assistance for the same work from another Federal agency, insurance, or any
other source. If an subrecipient receives funding from another federal program for the same
purpose, it must notify FEMA through the Recipient and return any duplicated funding.
Public Assistance Grant Agreement Page 24 Jefferson County, D26-246
Final Reviews
Final Review
Reviewed By Reviewed On
Review Comments
Recipient Review
Reviewed By Reviewed On
Review Comments
Project Signatures
Signed By Signed On
Public Assistance Grant Agreement Page 25 Jefferson County, D26-246
Page Intentionally Left Blank
Public Assistance Grant Agreement Page 26 Jefferson County, D26-246
DISASTER ASSISTANCE APPLICATION DEM - 131
Application Identifier:
State Number: D26-246
Federal Disaster Number:4906-DR-WA
Federal Catalog Number: 97.036
Title: Public Assistance Grants
Declaration Date: April 7, 2026
Applicant's FEMAProject Application Number: 031-99031 -00
Legal Applicant Recipient:
Applicant's Name: Jefferson County
Street Address: P.O. Box 563
Mailing Address: 623 Sheridan St.,
County: Jefferson
City: Port Townsend
State: WA Zip Code: 98368
Applicant Agent:
Contact Information:
Name: Eric uz
Phone: 360-385-9167
Title: irectoi - D art.of Public Works Fax: 360-385-9234
E-mail: ekuzma@co.jefferson.wa.us
Signature:
Date: S'd I 7 %1n
Alternate Applicant Agent:
Name: Monte Reinders P.E.
Phone: 360-385-9242
Title: County Engineer
Fax: 360-385-9234
E-mail: mreinders@co.jefferson.wa.us
Signature:
Date:
Type of Applicant:
A - State
F - Higher Educational Institution
B - County
G - Indian Tribe
C - City
H - Private NonProfit
D - School District
I - Other (Specify)
E - Special Purpose District
Enter Appropriate Letter B
Congressional District Number:
6
State Legislative District Number:
24
Governor's Authorized Representative:
Signature
Date:
NOTE: Shaded blocks for WA EMD use.
[D26-246 —]
Designation Letter
Mr. Jonathan Holmes
Washington Military Department
Emergency Management Division
Public Assistance Program MS:
TA-20, Building 20-B
Camp Murray, WA 98430-5122
Re: Designation Letter
Dear Mr. Holmes:
The purpose of this Letter is to designate the Applicant Agent and the Alternate Agent as the
authorized representatives for:
Disaster Number: 4906-DR-WA
Applicant Name:
Applicant Agent:
Jefferson County
Eric Kuzma
Alternate Applicant Agent;
Monte Reinders, P.E.
The purpose of this designation as the authorized representatives is to obtain federal
and/or State Emergency or Major Disaster Assistance Funds.
These representatives are authorized to execute all contracts, certify completion of
projects, request payments, and prepare all required documentation for funding
requirements.
Be it resolved by
Designation of Applicant's Agent
Resolution
Board of County Commissioners of Jefferson County
D26-246
(Governing Body) (Public Agency)
Eric Kuzma Director - Depart.of Public Works is hereby designated the authorized
(Name of New Agent) (Title)
representative and Monte Reinders, P.E. County Engineer is designated
(Name of Alternate) (Title)
the alternate for and in behalf of Jefferson County , a public
(Public Agency Name)
agency established under the laws of the state of Washington.
The purpose of this designation as the authorized representative is to obtain federal and/or state
emergency or disaster assistance funds. These representatives are authorized on behalf of the
Jefferson County to execute all contracts, certify completion of projects, request
payments, and prepare all required documentation for funding requirements.
ass d an approved this day of U.- 20 Zfa
Commissioner
(Signature) (Title) 4ature)
(Signature)
(Signature)
Commissioner
(Title)
(Signature)
(Title) (Signature)
Certification
I, G (1E6 f a0TRf?-TIW , duly appointed and
(Name)
Lair
(Title)
Commissioner
(Title)
(Title)
(Title)
of Jefferson County
(Public Agency)
do hereby certify that the above is a true and correct copy of a resolution passed and approved by
the Board of County Commissioners of Jefferson County on the 2 'day of ✓ Iv' vST 20.
(Governing Body)
Date: b d
(Official Position)
(Public Agency)
(Signature)
12/10/09
INSTRUCTIONS FOR COMPLETING
DESIGNATION OF APPLICANT'S AGENT
Governing Body = council, commissioners, board of directors, etc.
Public Agency = name of the applicant entity, i.e., county, city, fire district, etc.
General Notes:
Must have signatures of voting members of the governing body; titles may be typed.
A majority of the governing body must sign the resolution.
The certification must be signed by the clerk of the governing body.
The signed resolution itself may be photocopied, but the certification needs to have
the original signature of the signer.
A letter may be substituted for the Designation of Applicant's Agent Resolution. The
letter should be from the chief executive officer for the public agency, i.e., Mayor, City
Manager. One may not appoint oneself as the applicant agent.
12/10/09
SIGNATURE AUTHORIZATION FORM (SAF)
WASHINGTON MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on page 2 before completing this form.
NAME OF ORGANIZATION
Jefferson County
DATE SUBMITTED
CONTRACT / PROJECT DESCRIPTION
4906-DR-WA
CONTRACT NUMBER
D26-246
1. AUTHORIZING AUTHORITY
PHYSICAL SIGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE
-
Greg Brotherton
Commissioner - Chair
Heidi Eisenhour
Commissioner
Heather Dudley-Nollette
Commissioner
2. AUTHORIZED TO SIGN CONTRACTS / AMENDMENTS
P SI AL IGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE
Eric Kuzma
Director - Public Works
Mote Relnders P.E.
County Engineer
3. AUTHO IZED TO SIGN REQUESTS FOR REIMBURSEMENT
ICA SIGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE
Eric Kuzma
Director -Public Works
Mote Reorders P.E.
County Engineer
SAF Reviscd 5/8/2024
Page 1 of 2
Washington Military Department Contract Number: D26-246
Debarment, Suspension, Ineligibility or Voluntary Exclusion Certification Form
NAME
Doing business as (DBA)
Jefferson County
Department of Public Works
ADDRESS
Applicable Procurement
WA Uniform Business
Federal Employer Tax
P.O. Box 563
or Solicitation #, if any:
Identifier (UBI)
Identification #:
Port Townsend
WA 98368
161001169
9160001322
This certification is submitted as part of a request to contract.
Instructions For Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower
Tier Covered Transactions
READ CAREFULLY BEFORE SIGNING THE CERTIFICATION. Federal regulations require contractors and bidders to sign and
abide by the terms of this certification, without modification, in order to participate in certain transactions directly or
indirectly involving federal funds.
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out
below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal Government the department or agency
with which this transaction originated may pursue available remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the department, institution or office to
which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person,
primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning
set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicable CFR, debarred, suspended, declared ineligible, or voluntarily excluded
from participation in this covered transaction, unless authorized by the department or agency with which this
transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered
transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debarment under applicable CFR, debarred, suspended, ineligible, or voluntarily
excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non -procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is not
required to exceed that which is normally possessed by a prudent person in the ordinary course of business activity.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under applicable
CFR, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal or contract, that neither it nor its
principals is presently debarred, suspended, roposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction qy a Federal department or agency. Where the prospective lower tier
participant is unable to certify to any f th statements in this certification, such prospective participant shall
attach an explanation to this form.
Bidder or Contractor Signature:
Print Name and Title: Eric Kuzma Director - Department of Public Works
Date: 8 /-7 J ?—(0
CONTACT INFORMATION
Subrecipient Name (Agency, Local Government, or Organization): Jefferson Cgumty
Subrecipient Unique Entity Identifier (UEI) Number: LP11B7JKFN38 & PC7MRLYLNGD5
Authorized Financial Representative (Name and Title): Brenda Huntingford, Jefferson County Auditor
Address: PO Box 563, Port Townsend WA 98368
Email: bhuntingford@co.ig-ff-erson.wa.us Phone Number: 360 385-9358
Directions: As required by 2 CFR Part 200 Subpart F, non-federal entities that expend $750,000 in federal awards in
a fiscal year shall have a single or program -specific audit conducted for that year.
• If your entity LLagLsubject to these requirements, you must complete Section A of this Form.
• If your entity it subject to these requirements, you must complete Section B of this form.
• All subrecipients must complete Section C (FFATA) of this form.
Failure to return this completed Form to contracts.office@mil.wa.eov may result in delay of grant agreement
processing, withholding of federal awards or disallowance of costs, and suspension or termination of federal
awards.
SECTION A: Entities NOT subject to the audit requirements of 2 CFR Part 200 Subpart F
(check all that apply)
❑ We did not expend $750,000 or more of total federal awards during the preceding fiscal year.
❑ We are a for -profit organization.
❑ We are exempt for other reasons (describe):
However, by signing below, I agree that we are still subject to the audit requirements, laws, and regulations
governing the program(s) in which we participate; that we are required to maintain records of federal
funding and to provide access to such records by federal and state agencies and their designees; and that
WMD may request and be provided access to additional information and/or documentation to ensure
proper stewardship of federal funds.
SECTION 8: Entities that ARE subject to the audit requirements of 2 CFR Part 200 Subpart F
(Check the appropriate box and complete the information below)
® We completed our last 2 CFR Part 200 Subpart F Audit on 11/20/2025 for fiscal year 2024. There were
no findings related to federal awards or internal controls.
❑ We completed our last 2 CFR Part 200 Subpart F Audit on [enter date] for fiscal year [enter date] and
there were findings related to federal awards and/or internal controls. _
❑ Our completed 2 CFR Part 200 Subpart F Audit will be available on [enter date] for fiscal year [enter
date].
Provide a complete copy of the audit report electronically to contracts.officeC)mil.wa.goy or provide the
state audit number [enter number].
Updated 02/02/2023
Page 1 of 2
SECTION C: Federal Funding Accountability and Transparency Act (check the corresponding answer)
In your preceding fiscal year, did your organization receive 80% or more of its gross revenues from federal
funding? ❑ Yes ® No
In your preceding fiscal year, did your organization receive $25,000,000 or more in federal funding?
❑ Yes ® No
If you answered yes to the previous questions, you must report the names and total compensation of the
top 5 highly compensated officials of your organization.
1.
2.
3.
4.
5.
I hereby certify that I am an individual authorized by the above identified entity (subrecipient) to complete this
form. Further, I certify that the above information is true and correct, and all material findings contained in the
audit report/statement have been disclosed. Additionally, I understand this form is to be submitted every fiscal
year for which this entity is a subrecipient of federal award funds from the Department until the grant agreement
is closed.
Y
Signature of Authorized Financia sentative: Date: 11/21/2025
Page 2of2
D26-246
Statewide Vendor Number
The Washington State Office of Financial Management maintains a central vendor/supplier
file for Washington State agencies to use for processing vendor payments. This allows your
jurisdiction to serve as a vendor/supplier and receive payments from all participating state
agencies. This allows you to receive payments through direct deposit, which is the state's
preferred method of payment.
If you already have a Statewide Vendor Number, input it here:
SWV- 0002430-06
If you do not have a Statewide Vendor Number, go to:
https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/
CONTRACT REVIEW FORM
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Washington State Military Department
Contract For: FEMA-4906-DR-WA
Clear Form
Contract No: 11'4(10 ;�'
Term: April 7, 2030
COUNTY DEPARTMENT: Public Works
Contact Person: Bruce Patterson
Contact Phone: 360-385-9169
Contact email: bpatterson@co.jefferson.wa.us cspall@co jefferson.wa us
AMOUNT: $122.500 PROCESS: Exempt from Bid Process
Revenue: 180000010.33397.1 (FEMA) Cooperative Purchase
Expenditure: 1800000.10 Roads Competitive Sealed Bid
Matching Funds Required: 12.5% Small Works Roster
Sources(s) of Matching Funds 1800000.10 (Roads) Vendor List Bid
Fund # 1800000.10 RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANC WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ❑ N/A:� _%,� Z D
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: ❑ N/A:
Signature bate
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
/Electronically approved by Risk Management on 8/11/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 8/11/2026.
DPA Luther reviewed and approved on 08-11-2026
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
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director
Agenda Date: August 24, 2026
Subject: Execution of Public Assistance Grant Agreement with Washington
State Military Department for FEMA-4906-DR-WA (December 2025
Storm)
Statement of Issue: Execution of Public Assistance Grant Agreement with Washington
State Military Department for Presidential Disaster Declaration FEMA-4906-DR (December
2025 Storm).
Analysis/Strategic Goals/Pro's Et Con's: This project removed debris (trees and limbs)
from several county roads and repaired roads following the wind and flood event starting
December 5, 2025. The county expended approximately $140,000 repairing the damage
caused by the weather event. Execution of this Public Assistance Grant Agreement is
required to allow the county to receive a reimbursement for our cost in completing the
debris removal and road repairs.
Fiscal Impact/Cost Benefit Analysis: The Agreement will allow not less than 75% of the
approved project costs to be reimbursed with FEMA funds, an additional 12.5% to be
reimbursed by the State of Washington, and the remaining 12.5% from county funds.
Recommendation: Public Works recommends that the Board execute the original of the
Public Assistance Grant Agreement with Washington State Military Department, and
return the original to Public Works for further processing.
Also sign the attached signature authorization form and cover letter where indicated.
Department Contact: Bruce Patterson, P.E., Project Manager, 385-9169.
Reviewed By:
o
Josh ' -Peters, County Administrator Date