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Home My WebLink AboutWashington State Department of Ecology (DOE) re: Site Hazard Assessment - 062716DEPARTMENT OF - %<-qj"ECOLCAG►Y Stag of Washington Agreement No. TCPRA-2016-JeCoEH-00005 TOXICS CLEANUP REMEDIAL ACTION GRANT PROGRAM AGREEMENT BETWEEN THE STATE OF WASHINGTON DEPARTMENT OF ECOLOGY JEFFERSON COUNTY PUBLIC HEALTH This is a binding Agreement entered into by and between the state of Washington, Department of Ecology, hereinafter referred to as "ECOLOGY," and JEFFERSON COUNTY PUBLIC HEALTH, hereinafter referred to as the "RECIPIENT," to carry out with the provided funds activities described herein. GENERAL INFORMATION Project Title: Total Cost: Total Eligible Cost: Ecology Share: Recipient Share: The Effective Date of this Agreement is: The Expiration Date of this Agreement is no later than: Project Type: Jefferson County Public Health Remedial Action Grant $12,000.00 $12,000.00 $12,000.00 $0.00 07/01/2016 06/30/2017 Site Assessment (SA) Project Short Description: Perform Initial Investigations (IIs) and Site Hazard Assessments (SHAs) in accordance with ECOLOGY guidelines and provide information to Ecology for the ranking of sites in accordance with the Washington Ranking Method for Sites in Jefferson County. Project Lone Description: Site Assessment grants are provided to local health jurisdictions to fund activities to investigate and evaluate the nature and extent of contamination at properties within their communities. Two main activities are performed under these agreements: Initial Investigations and Site Hazard Assessments. Initial Investigations (IIs): Local health jurisdictions respond to complaints from the public, as reported through ECOLOGY'S Environmental Report Tracking System (ERTS). The purpose of this work is to determine if a release of a hazardous substance has occurred at a site and if further action is required. Site Hazard Assessments (SHAs): Local health jurisdictions collect information about environmental conditions, waste types, and waste quantities at sites. These conditions may adversely affect the environment by State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH a release of hazardous substances. The information collected during an SHA is used to evaluate environmental and human health risks and to assign a relative risk ranking under the Washington Ranking Method. Overall Goal: The goal of the Site Assessment (SA) grant program is to provide funding to local health districts/departments to investigate and evaluate sites that have been potentially contaminated with hazardous substances in Washington State. There are two components to this program: Initial Investigations and Site Hazard Assessments. Version 10/30/2015 Page 2 of 22 State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH RECIPIENT INFORMATION Organization Name: JEFFERSON COUNTY PUBLIC HEALTH Federal Tax ID: 91-6001322 DUNS Number: 184826790 Mailing Address: 615 Sheridan St Port Townsend, WA 98368 Physical Address: 615 Sheridan St Port Townsend, Washington 98368 Organization Email: jkeefer@co.jefferson.wa.us Organization Fax: (360) 379-4487 Contacts Page 3 of 22 Project Manager Jared Keefer Director of Environmental Health and Water Quality 615 Sheridan Street Port Townsend, Washington 98368 Email: jkeefer@co.jefferson.wa.us Phone: (360) 385-9411 Billing Contact Susan Parke Financial Operations Coordinator 615 Sheridan Street Port Townsend, Washington 98368 Email: sparke@co.jefferson.wa.us Phone: (360) 385-9437 Authorized Jared Keefer Signatory Director of Environmental Health and Water Quality 615 Sheridan Street Port Townsend, Washington 98368 Email: jkeefer@co.jefferson.wa.us Phone: (360) 385-9411 Version 10/30/2015 State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH ECOLOGY INFORMATION Mailing Address: Department of Ecology Toxics Cleanup PO BOX 47600 Olympia, WA 98504-7600 Physical Address: Toxics Cleanup 300 Desmond Drive SE Lacey, WA 98503 Contacts Page 4 of 22 Version 10/30/2015 Kirsten Alvarez Project Manager P.O Box 47775 Olympia, Washington 98504-7775 Email: kalv461 @ecy.wa.gov Phone: (360) 407-6246 Dan Koroma Financial Manager P.O. Box 47600 Olympia, Washington 98504-7600 Email: dkor461@ecy.wa.gov Phone: (360) 407-7187 Version 10/30/2015 State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH AUTHORIZING SIGNATURES Page 5 of 22 RECIPIENT agrees to furnish the, necessary personnel, equipment, materials, services, and otherwise do all things' necessary for or incidental to the performance of work as set forth in this Agreement. s RECIPIENT acknowledges that they had the opportunity to review the entire Agreement, including all the terms and conditions of this Agreement, Scope of Work, attachments, and incorporated or referenced documents, as well as all applicable laws, statutes, rules, regulations, and guidelines mentioned in this Agreement. Furthermore, the RECIPIENT has read, understood, and accepts all requirements contained within this Agreement. This Agreement contains the entire understanding between the parties, and there are no other understandings or representations other than as set forth, or incorporated by reference, herein. No subsequent modifications or amendments to this agreement will be of any force or effect unless in writing, signed by authorized representatives of the RECIPIENT and ECOLOGY and made a part of this agreement. ECOLOGY and RECIPIENT may change their respective staff contacts without the concurrence of either party. This Agreement shall be subject to the written approval of Ecology's authorized representative and shall not be binding until so approved. The signatories to this Agreement represent that they have the authority to execute this Agreement and bind their respective organizations to this Agreement. IN WITNESS WHEREOF: the parties hereto, having read this Agreement in its entirety, including all attachments, do agree in each and every particular and have thus set their hands hereunto. Washington State Department of Ecology By: q 1 (� Jim Pendowski Date `►' Toxics Cleanup Program Manager Template Approved to Form by Attorney General's Office Version 10/30/2015 JEFFERSON COUNTY PUBLIC HEALTH By: Jared Keefer Date Director of Environmental Health and Water Quality ApP��ed as p form ° Y Je erson Co. Prosecut 2.011Io David Alvarez, Chief 0iftice it DPA State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH Approved as to orm O'aY6 Jefferson Co. Prosecutor's O 'Ce David Alvarez, Chief Civil DPA .Ano MY Version 10/30/2015 �.. Ml.. 'x P Page 6 of 22 Kathleen Kler !"�& J.,w J--7 20& Chair, Board of County Commissioners Date State of Washington Department of Ecology Agreement No: TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH SCOPE OF WORK Task Number: Task Title: Initial Investigations (J001) Task Cost: $4,800.00 Task Description: This task funds the RECIPIENT'S costs ECOLOGY determines reasonable and necessary to perform approximately 4 initial investigations. The RECIPIENT shall investigate newly discovered sites that have been identified within the RECIPIENT'S county as being a potential health or environmental risk. The RECIPIENT shall conduct and report on initial investigations in accordance with ECOLOGY's Initial Investigations Policy 310A and any additional guidance on conducting initial investigations. The RECIPIENT shall also attend any ECOLOGY required training on initial investigations. With prior approval by ECOLOGY's project manager, the RECIPIENT may reopen certain investigations and conduct extended initial investigations. These may include sampling and analysis or other costs approved in advance by ECOLOGY. The RECIPIENT may also perform lead assessments under this task in coordination with the Department of Health at properties approved by ECOLOGY. The RECIPIENT may conduct approved lead assessments where an elevated blood lead level has been identified in a child residing at or frequenting the property. The assessment consists of the sampling, analysis, and reporting on materials that potentially contain lead (such as paint, soil, and dust). This includes making recommendations to the family about ways to mitigate exposure to and remediate the lead. The RECIPIENT shall report lead assessment results to the Department of Health and to ECOLOGY. Costs for lead assessments shall not exceed $2,000 each without written approval by ECOLOGY. The RECIPIENT shall forward a copy of site investigation reports to ECOLOGY's project and financial managers within 30 days of a completed initial investigation. Task Goal Statement: Respond and report outcomes of 100% of IIs referred to JCPH by Ecology during the period 7/1/2016-6/30/2017 Task Expected Outcome: Respond to approximately 4 IIs during the period 7/1/2016-6/30/2017 Recipient Task Coordinator: Christy Fiedler Initial Investigations (.1001) Deliverables Page 7 of 22 Number Description Due Date 1.1 The RECIPIENT shall submit a copy of 4 site investigation reports to ECOLOGY's project manager and statewide SHA Coordinator within 30 days of a completed initial investigation. Version 10/30/2015 State of Washington Department of Ecology Page 12 of 22 Agreement No: TCPRA-2016-JeCoEH-00005 State of Washington -Department of Ecology Page 22 of 22 Agreement No TCPRA-2016-JeCoEH-00005 Project Title: Jefferson County Public Health Remedial Action Grant Recipient Name: JEFFERSON COUNTY PUBLIC HEALTH materials prepared by the RECIPIENT under this Agreement, at the option of ECOLOGY, will become property of ECOLOGY and the RECIPIENT shall be entitled to receive just and equitable compensation for an -v satisfactory work completed on such documents and other materials. Nothing contained herein shall preclude ECOLOGY from demanding repayment of all funds paid to the RECIPIENT in accordance with Recovery of Funds, identified herein. 28. THIRD PARTY BENEFICIARY RECIPIENT shall ensure that in all subcontracts entered into by the RECIPIENT pursuant to this Agreement, the state of Washington is named as an express third party beneficiary of such subcontracts with full rights as such. 29. WAIVER Waiver of a default or breach of any provision of this Agreement is not a waiver of any subsequent default or breach, and will not be construed as a modification of the terms of this Agreement unless stated as such in writing by the authorized representative of ECOLOGY. GENERAL TERMS AND CONDITIONS LAST UPDATED 12/25/2015 Version 10/30/2015 615 Sheridan Street Port Townsend, WA 98368 �e etm www.JeffersonCountyPublicHealth.org Public Hegalt Consent Agenda June 1, 2016 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jared Keefer, Director DATE: U/2-�- //(/ SUBJECT: Agenda Item - Interagency Agreement with Department of Ecology for Site Hazard Assessment, TCRPA-2016-JeCoPH-00005; July 1, 2016 - June 30, 2017; $12,000 STATEMENT OF ISSUE: Jefferson County Public Health, Department of Environmental Health, requests Board approval of the Interagency Agreement with Department of Ecology for Site Hazard Assessment, TCRPA-2016, JeCoPH- 00005; July 1, 2016 — June 30, 2017; $12,000 ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S: This interagency agreement with the Department of Ecology provides funding for incurred costs associated with investigations and evaluations of the nature and extent of contamination at properties in the community. Initial investigations require JCPH to respond to public complaints made through Ecology's Environmental Report Tracking System. The purpose of the work is to determine if a release of hazardous substance has occurred and if further action is needed. Site hazard assessments require JCPH staff to collect information about environmental conditions, waste types, and quantities. Information collected is used to evaluate environmental and human health risks and to assign a relative risk rating using the WA Ranking Method. The goal is to provide funding to local health districts/departments to investigate and evaluate sites that have been potentially contaminated. FISCAL IMPACT/COST BENEFIT ANALYSIS: This interagency agreement is funded by the Department of Ecology Site Hazard Assessment grant. Funds are divided according to task. Initial Investigation is funded for $4,800; Site Hazard Assessment is funded for $4,800; Grant and Project Administration is funded for $2,400. The total amount funded through the Department of Ecology Site Assessment grant is $12,000. Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 Public 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth_org CONTRACT REVIEW FORM CONTRACT WITH: Department of Ecology CONTRACT FOR: Site Hazard ASSP_sRmPnt I �P-Il1 JUN 01. 2016 EH -16-04 TERM: July 1, 2016 —June 30, 2017 COUNTY DEPARTMENT: Jefferson County Public Health For More Information Contact: Jared Keefer Contact Phone #: X411 RETURN TO: Denise Banker RETURN BY: ASAP AMOUNT: $12,000 Revenue: $12,000 Expenditure: Matching Funds Required: Source(s) of Matching Funds: Step 1: REVIEW BY RISK Review by: Date RevievOed: APPROVEDFORM Comments: PROCESS: ❑x Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Work Roster ❑ Vendor List Bid ❑ RFP or RFQ ❑ Other: ?off rned for revision (See Comments) Step 2: REVIEW BY PRO T 9ATT R Review by: �-� Date Reviewed: APPROVED AS TO FORM Re r ed f vision (See Comments) Comments: (This form to stay with contract throughout the contract review process) I(,oi�l�n Community Health Er}yronmental Health Developmental Disabilities " 11 Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487