HomeMy WebLinkAboutWashington State Military Department, Washington State Emergency Management Division, Amendment A - 031918�ui
Washington State Military Department
AMENDMENT
RECEIVED
AeR 0 3 "[018
NITR n rT
1. SUBRECIPIENT NAME/ADDRESS:
2. GRANT AGREEMENT NUMBER:
3, AMENDMENT NUMBER:
Jefferson County
Department of Emergency Management
E18-075
A- REVISED
81 Elkins Road
Port Hadlock, WA 98339-9700
4_ SUBRECIPIENT CONTACT, PHONE/EMAIL:
5. DEPARTMENT CONTACT, PHONE/EMAIL:
Lynn Sterbenz, 360-3449729
Gary Stumph, 253-512-7483
Isterbenz@co.jefferson.wa.us
gary.stumph@mil.wa.gov
6. CATALOG OF FEDERAL DOMESTIC ASSISTANCE
8, FUNDING SOURCE NAME/AGREEMENT #:
(CFDA) # & Title:
97.042 (17EMPG)
EMS -2017 -EP -00004-S01
9. FUNDING AUTHORITY:
Washington State Military Department (Department) and the US Department of Homeland Security (DHS)
10. DESCRIPTION/JUSTIFICATION OF AMENDMENT:
During the 16EMPG closeout, pass-through funding was returned from multiple subrecipients. The Department
moved like -costs between grant years, opening the funding for use during the 17EMPG performance period. The
Subrecipient has been allocated $2,606 in additional funding, which is reflected in the Budget (Exhibit E).
Additionally, Program Area #5, Update County Comprehensive Emergency Management Plan, has been added to
the Work Plan (Exhibit C). To accommodate the additional activities, the grant agreement end date is extended one
month.
Changes are noted with grey highlight and deletions with strikethrou h.
11. AMENDMENT TERMS AND CONDITIONS:
1. Change the Grant Agreement expiration from August 31, 2018 to September 30, 2018.
2. Change the overall Grant Agreement amount from $18,000 to $20,606; an increase of $2,606.
3. Replace Original Workplan, Exhibit C, with Revised Workplan, Exhibit C, attached to this amendment.
4. Replace Original Timeline, Exhibit D, with Revised Timeline, Exhibit D, attached to this amendment.
5. Replace Original Budget Sheet, Exhibit E, with Revised Budget Sheet, Exhibit E, attached to this
amendment.
This Amendment is incorporated in and made a part of the Grant Agreement. Except as amended herein, all other terms
and conditions of the Grant Agreement remain in full force and effect. Any reference in the original Grant Agreement or an
Amendment to the "Grant Agreement' shall mean "Grant Agreement as amended". The Department and Subrecipient
acknowledge and accept the terms of this Amendment as identified above, effective on the final date of execution below.
By signing this Amendment, the signatories warrant they have the authority to execute this Amendment.
IN VVVtNESS W REOF, the parties have executed this
Amendment..
� 11FO E DE TMENT:
FOR THE EC E
Sign a Date
Sikoaturet
Ida-
Regan Anne Hesse, Chief Fi ncial OfficerI/
David Sullivan, Chair
Washington State Military D rtment
Jefferson County Board of Commissioners
BOILERPLATE APPROVED AS TO FORM:
APPROVED S TO FORM (if applicable):
(signature on file 9!12/2017)
P is /t/�
Brian E. Buchholz, Sr. Assistant Attorney General
l�
Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney Date
Form Date: 10/27/00
DHS-FEMA-EMPG-FY 17 Page 1 of 5 Jefferson County, E18-075, Amendment A- REVISED
Expand EOC Incident Management Team
WORK PLANNED
WHY THE WORK IS BEING DONE
RESULT OF THE WORK
Increase membership of critical unified command
Due to having a small population, county has in
All crtical/essential county and city departments
partners in the IMT; primarily by adding key
the past had a very small amount of
and partnering special purpose districts will be
County and City of Port Townsend employees
representation on the EOC IMT.
familiar, trained, and represented in the EOC.
from IT and Public Works Departments, but also
recruiting representatives from special purpose
districts.
Upgrade primary EOC by adding GIS software to
Currently using paper maps and white boards.
Increased mapping capabilities in the EOC from
computers
installation of GIS software and including GIS
subject matter experts on the IMT.
Upgrade alternate EOC by installing county
Currently, the alternate EOC is in a Fire Station
Alternate EOC will have accessto county network
computers and network capabilities
which is serviced with district infrastructure. The
in order to access critical informational and files.
computers are stand-alone with no access to
county files.
Update County Comprehensive Emergency Management
Plan
WORK PLANNED
WHY THE WORK IS BEING DONE
RESULT OF THE WORK
Update the joint Jefferson County/City of Port
The State of WA requires jurisdictions to update
All City and County Departments, as well as
Townsend Comprehensive Emergency
their CEMP every four years per RCW 38.52 and
partnering agencies and special purpose districts,
Management Plan
WAC 118-30
will review their lead or support roles and
responsibilities for disaster response and recovery,.
update their lines of succession, and add
additional components to meet the plan
requirements.
DHS-FEMA-EMPG-FY 17 Page 3 of 5 Jefferson County, E18-075, Amendment A
Exhibit E
REVISED BUDGET
CL
Z Salaries & Benefits
0 Overtime/Ba ckfi I I
N Consultants/Contractors
Z Goods &Services
W Travel/Per Diem
cc
FY 2017 Emergency Management Performance Grant
$
$
$
$
$
$
18,000 $
- $
- $
- $
- $
- $
2,606 $ 20,606
- $ -
- $
- $
- $ -
- $
$ 20,606
$ -
$ -
$ -
$ -
$ -
O
17EMPG AWARD
$18,000.00
- $
- $ -
$ -
Salaries & Benefits
Modification
$2,606.00
- $
- $ -
$
N Overtime/Backfill
17EMPG Amended AWARD
$20,606.00
- $
- $ -
$ -
SOLUTION
EMPG
- $
EMPG
$ -
AREA
CATEGORY
AMOUNT
MODIFICATION
AMOUNT
MATCH AMOUNT
Lu Travel/Per Diem
Salaries & Benefits
$ 18,000
$ 2,606
$ 20,606
$ 20,606
C9
Overtime/Ba ckfi I I
$ -
$ -
$ -
$ -
Z
Z
Consultants/Contractors
$ -
$ -
$ -
$ -
Z
Goods & Services
$ -
$ -
$ -
$
g
Travel/Per Diem
$
$ -
$ -
$ -
CL
Z Salaries & Benefits
0 Overtime/Ba ckfi I I
N Consultants/Contractors
Z Goods &Services
W Travel/Per Diem
cc
Subtotal
$
$
$
$
$
$
18,000 $
- $
- $
- $
- $
- $
2,606 $ 20,606
- $ -
- $
- $
- $ -
- $
$ 20,606
$ -
$ -
$ -
$ -
$ -
O
Subtotal
$
- $
- $ -
$ -
Salaries & Benefits
$
- $
- $ -
$
N Overtime/Backfill
$
- $
- $ -
$ -
v Consultants/Contractors
$
- $
- $ -
$ -
Lu Goods & Services
$
- $
$ -
$ -
Lu Travel/Per Diem
$
- $
- $ -
$ -
Subtotal
$
- $
- $ -
$ -
Salaries & Benefits
$
- $
- $ -
$ -
C9 Overtime/Ba ckfi I I
$
- $
- $ -
$ -
Z Consultants/Contractors
$
- $
- $
$ -
Z
Q Goods & Services
$
- $
- $
$ -
Travel/Per Diem
$
- $
- $
$ -
Subtotal
$
- $
- $
$CL -
j Equipment
$
- $
- $
$ -
UJ
Subtotal
$
- $
- $ -
$
Salaries & Benefits
$
- $
Overtime/Backfill
$
- $
Consultants/Contractors
$
- $
- $ -
$ -
Goods & Services
$
- $
- $ -
I.-
$
Travel/Per Diem
$
- $
- $ -
$
Subtotal
$
- $
- $ -
$
.................. Indirect..
----
$ ----•---------------
- $
- $ -
----•-•--------•-------•••------•-•--------------
$....•----------9..-•-----•-----f
Indirect Cost Rote Agreement on file
0.00%
TOTAL Grant Agreement AMOUNT. $ 18,000 $ 2,606 $ 20,606 1 $ 20,606
• The Subrecipient will provide a match of at least $20,606, 50% of the total project cost (locaVtribal budget plus
EMPG award), of non-federal origin.
• Cumulative transfers between budget categories in excess of 10% of the grant agreement amount will not be
reimbursed without prior written authorization from the Department.
Funding Source: U.S. Department of Homeland Security - PI# 773PT — EMPG
DHS-FEMA-EMPG-FY 17 Page 5 of 5 Jefferson County, E18-075, Amendment A
INSTRUCTIONS FOR SIGNATURE AUTHORIZATION FORM
This form identifies the persons who have the authority to sign contracts, amendments,
and requests for reimbursement. It is required for the management of your contract with
the Military Department (MD). Please complete all sections. One copy with original
signatures is to be sent to MD with the signed contract, and the other should be kept with
your copy of the contract.
When a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file. The payment can be delayed if the request is
presented without the proper signature. It is important that the signatures in MD's files
are current. Changes in staffing or responsibilities will require a new signature
authorization form.
1. Authorizing Authority. Generally, the person(s) signing in this box heads
the governing body of the organization, such as the board chair or mayor. In
some cases, the chief executive officer may have been delegated this
authority.
2. Authorized to Sign Contracts/Contract Amendments. The person(s) with
this authority should sign in this space. Usually, it is the county
commissioner, mayor, executive director, city clerk, etc.
3. Authorized to Sign Requests for Reimbursement. Often the executive
director, city clerk, treasurer, or administrative assistant have this authority.
It is advisable to have more than one person authorized to sign
reimbursement requests. This will help prevent delays in processing a
request if one person is temporarily unavailable.
If you have any questions regarding this form or to request new forms, please call your
MD Program Manager.
Consent Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Lynn Sterbenz, Director, Department of Emergency Management
DATE: March 19, 2018
RE: AMENDMENT TO FFY17 EMERGENCY MANAGEMENT
PERFORMANCE GRANT E18-075
STATEMENT OF ISSUE:
Jefferson County Department of Emergency Management receives an annual EMPG grant in the
amount of $18,000 from the Washington State Military Department and US Department of Homeland
Security. During the State's closeout process of FYI EMPG grants, pass-through funding was
returned from multiple subrecipients, resulting in additional funding becoming available to the smallest
counties in the state for use during the FYI EMPG period.
ANALYSIS:
Jefferson County Department of Emergency Management has been allocated $2,606 in additional
funding to our FYI EMPG Grant Contract El 9-075. Additionally, the State has extended the
performance period of this grant contract to September 30, 2018. Attached is the Amendment to this
contract, E18 -075A.
FISCAL IMPACT:
A condition of the grant agreement requires a fifty percent (50%) match from non-federal origin. This
match will be met through the Director's salary.
RECOMMENDATION:
Approval. ASAP (I must meet a 45 day timeline to return it).
Signatures required from the following County Employees:
• Philip Morley (Signature Authorization Form)
• Philip Hunsucker (Page 1)
• David Sullivan (Page 1 and the Signature Authorization Form)
DEPARTMENT CONTACT:
Lynn Sterbenz (360) 316-6008
RFAIIMWED BY:
Ofifi'ip Morle , 60ynfy A Date
CONTRACT REVIEW FORM
CONTRACT WITH: Washington State Emergency Management Division 19-0
(Contractor/Consultant)
CONTRACT FOR: AMENDMENT to existing FFY17 E18-075 TERM: 6/1/17 to 9/30/18
Emergency Management Performance Grant
COUNTY DEPARTMENT: Emergency Management w,
For More Information Contact: Lynn Sterbenz, Director MAR 7 2018
Contact Phone #: X729 (360) 344-9729
RETURN TO: Lynn Sterbenz RETURN BY: ASAfJ7�rll
(Person in Department) (Date)
AMOUNT: $20,606 (increase of $2,606) PROCESS:
Revenue:
Expenditure:
Matching Funds Required;
Sources(s) of Matching Funds
$20,606
N/A
$10,303
GF (Director's salary)
Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
Other
Step 1: REVIEW B11AC NT
Review by:
Date Reviewe
0 APPROVED FORM Returned for revision (See Comments)
Comments
Ste 2: REVIEW BY PRO SCUT G TTORNEY
Review by: ('
Date Reviewed: Z
APPROVED AS TO FORM Returned for revision (See Comments)
Comments
Step 3: (If required) DEPARTMENT MAKES REVISIONS & RESUBMITS TO
RISK MANAGEMENT AND PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF
ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 9 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.