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Home My WebLink About030314_ca04TO: Board of County Commissioners Phi,lip Morley,, County Administrator FROM: Jared Keefer, Environmental Health Director Pinky Feria Mingo, Environmental Health Specialist SUBJECT: Agenda Item — Agency Agreement with Department of Ecology for Local Source Control Partnership (LSCP) Secondary Containment Voucher Project (SCUP),' upon signature — June 30, 2015; $4,750 STATEMENT OF ISSUE: Jefferson County Public Health, Environmental Health Department, requests Agency Agreement with Department of Ecology for Local Source Control Partnership (LSCP) Secondary Containment Voucher Project (SCVP); upon signature — June 30, 2015; $4,750 ANALYSIS/ STRATEGIC GOALS/ PRO'S and COWS: The purpose of this contract is to increase awareness and the use of secondary containment at sites that pose a risk to Puget Sound. Businesses that store hazardous waste and hazardous materials in a secondary containment reduce the risk to Puget Sound. The secondary containment vouchers will be available to participating small quantity generator businesses that demonstrate they have a spill kit and spill plan, and consent to business site visits. Staff will do outreach to small quantity generator businesses to educate and bring awareness of the potential hazards/risks of storing hazardous waste without using a secondary containment. FISCAL IMPACT COST BENEFIT ANALYSIS: This contract is grant funded with no match. The source of federal funds is the EPA Watershed Protection and Restoration grant, INearshore Estuary Program (NEP) Watershed Protection and Restoration grant. Each participating business that purchases a secondary containment product will be reimbursed by DOE at 75% of the purchase price not to exceed $225. 00110MIUMIN HEALTH ENVIRONMENI/q HEALTH DEVELOPMENTAL MSABRP"IES PUBLIC HEALTH WATER QUALITY MAft (360) 3W',�-94100 ALWAYS WORKING FOR A SAFER AND MAft (360) 385-94,14 FAX�: (360) 385-94()l HEALTHIER COMMUNITY F)%X� (360) 379-4487 Consent Agenda RECOMMENDATION: JC'P i management requests approval of the Agency Agreement with (Department of Ecology for Local Source Control Partnership (LS P) Secondary Containment Voucher Project (S' VP); upon signature — June 30, 2015; $4,750 Date STA'. f E OF AVAS� UNGION DEPARTNiFNI PO Box 47600 * 34yinpia, VVA 98,504•7600 9,300-407-0000 711 fiw Washh qfon Relay Service - Persons, vv;lh a speech disability can call 977- 8,13-634 1 January 24, 2014 Pinky Feria-Mingo Jefferson County Public Health Dept. 615 Sheridan Street Port Townsend, WA 98368 Dear Ms. Feria-Mingo: RE: Contract No. C 1400171 In consideration for Your agreement to participate in the Local Source Control Partnership (LSCP) Secondary Containment Voucher Project (SCVP), Ecology will reimburse you a maximum of $4,750. This agreement begins on the date of Ecology's signature and ends on June 30, 2015, it is understood that you are not an employee or agent of the Department of Ecology. As part of the SCVP, you will directly reimburse each small quantity generator business that elects to purchase and install appropriate secondary containment at their facility. Each business' purchase will be approved and verified by your LSCP specialist, who will complete the attached SCVP voucher (Attachment A). The maximum reimbursement to each business will be 75 percent of the purchase cost not to exceed $225, limited to one voucher per business. Ecology will process quarterly reimbursement requests from your jurisdiction following receipt of a completed state invoice voucher form A 19-1 A (ternplate attached) and a copy of each completed and signed secondary containment voucher with a copy of the business' purchase receipt attached. The Source of funds for this agreement is the EPA Watershed Protection and Restoration grant Catalog of Federal Domestic Assistance Number 66.123 Nearshore Estuary Program (NEP) Watershed Protection and Restoration grant PC-00J27601-0. As a Sub-Recipient of federal funds, Jefferson County Public Health agrees to comply with all applicable federal, State and local laws, rules, and regulations in carrying out the terms and conditions of this Agreement as set forth in Attachment B, attached hereto, and incorporated herein, State of Washington, Department of Ecology Contract No. 01400171 Ecology's ability to make payments is contingent on availability of funding. In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date and prior to completion or expiration date of this agreement, Ecology, at its sole discretion, may elect to terminate the agreement, in whole or part, or renegotiate the agreement, subject to new funding limitations or conditions. Ecology may also elect to suspend perfon-nance of the agreement until Ecology determines the funding insufficiency is resolved. Ecology may exercise any of these options with no notification restrictions. If this agreement is acceptable, please sign all three letters and return them to Donna Allen at the letterhead address. This letter, when signed by all parties, constitutes the entire agreement between us. Sincerely, Ken marker Section Manager This agreement is executed by the persons signing below, who warrant they have authority to execute the agreement. Signature Date Ken Zarker, Section Manager Hazardous Waste &TOXics Reduction Program Department of Ecology Attachments: Secondary Containment Voucher (Attachment A) Federal Terms & Conditions (Attachment B) A] 9-1 A Invoice template Approved as to form only. Assistant Attorney General Page 2 Signature Print Name: Date Jefferson County Public Health Dept. A c Se,:ondary D cyfotiDn (pricing.. GFaIngLf Global, Diving & S.1wlv& I.doliwal supply Abatis satttw tied Supply 1M.117;) contafinment based on Graingff SRU Jeff SvIbil 206-623-0621 Kyie H-ky Voom"s setitti. Prke numberotern number) jeff.syliflegrainger.court, gmn. Kaestver—,, tw—h—PAIlatiXxom zo&M-9500 Comparison produrt comvparbam� 2"-Siii.230i geology prAcmg Is 78% 01 AM W� MaegloaR Way 5w si�attge, WA 1,00491•2153 $00-50D,"55 cotalligue price tbrough 2314 E Bakeiview Road suite 101 ar,%Ingham, WA 98226 Iwo a 51; 0190 Auburn, WA 96001 Grainger.) pI,O,. n,,. 356115 . .... is 318.49 — 3'45 308.2;5 ...... U042% 4 d-,, pl-tf- G,inilgil, t: IN..k.r V F 7 224M 166,99 161.00 IM$$ 2 plarcfdrim ITIMIFIFF111, OP ph.t. ht,. Granger stern N,um be . ..... 9200 ...... . 99.OD .. ........... 88,5 3PA37, I d-11, PWf-1- f 4 Grwn9t,,1 It— Nun,k," 4065, 182.52 . ..... . . . . ....... Y45.00 iNol lluud2ed .. . ....... ......... N.1 Quw,,d . 15700 1,0111 Pullet firm Y*,flow, Gr�un,vil, ....... — -- — -- — ---- ------------ U10,49 ................ w". I'll 'lull" N11 . ...... .............. 11-1111, 1111,01V ntainme-1 $17K 2n de A- Graonger illm —nber . . . . ............... aco,28 66500 Not Quw.d . ..... ...... Not 0-ted ....... ............ 728.2 i 5RMF8, cpiiapnabls waIll J -htaun—t Ibernn. 6h by 411, il.r, runibe,r4l-NVI, 805,00 NO cku.t.d .......... .......... �o�lapsablv walli contaun—rit Gh by sit (269 A. 114.50 IIIIA-11,11, .. .. ............ ftil u ltd ------- Nol Qual.d Nog. arw. hblx umherG0 moor 1— 136 1m 14 rid—.i FORM STATE OF Online Help Al 9-1A WASHINGTON This document is a protected form for use onitine. Use the Tab key to advance from text field to text field. Shift-Tab will go to prior text field. Date fields are formatted to return m/d1yyyy format, Calculations with automatically occur as you fill in the number fields, with the total at the bottom, The form can be printed blank and filled in by hand as needed, After complefion and aelpropriate signatures, forward to the FisqW Office for paypent (Rev. 1/91) INVOICE VOUCHER AGENCY USE ONLY (new online version 12101) ,AGENCY NO, LOCATION G AUTH, NC 4610 AGENCY NAME WA State Dept of Ecology P.O. Box 47600 Olymipia, WA 98504-7600 Attn. VENDOR OR CLAIMANT Warrant is to be a able to Jefferson County Public Health INSTRUCTIONS TO VENDOR OR CLAIMANT" Submit this form to claim payment for materials, merchandise or services. Show complete detail for each item, Vendor's Certificate. I hereby certify under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or services furnished to the State of WashIngton,, and that all goods furnished and)or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion, or Vietnam era or disabled veterans status. By (SIGN IN INK), (TITLE) (DATE) FEDERAL LD NCA. qR SOCIAL SECURITY NO. IFcr Reporling Personal Services Contract Payments to U.R.S. . . . ........ 1 Di A T EE D E S C, l P T 10 NN QUANTITY UI]Nff UNIT AMOUNT . ..... . ..... 1 -1 PRICE Sec and list ECEIVED FOR AGENCY USE Businesses by, name& amount attach more pag s if needed CURRENT TOTAL DUE �APPRGVAL $ Y PREPARED BY TELEPHONE TELEPHONE NUMBER DATE I AGENCY DATE '!ARED DATE DOC DATE PMT DUE DATE CURRENT DOC. NO, C REV DO NO VENDOR NUMBER VEND R MES SAGE USE TAX 0131 NUMBER —ER -TI 1� SUF IR-� P FUND �PPN INDEX P%Q�GRXAM —S,2, 0 5'jo 01"C' T ORG NOEX �LLOC BVIDOW r WT moo PROXICI VIRGJ '201 AS Awu,V IN VOICE NUMBER DATE WARRANT TOTAL WARRANT NUMBER