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FS Agreement No. 20 -PA -11060900-004
Cooperator Agreement No.
PARTICIPATING AGREEMENT
Between
JEFFERSON, COUNTY OF
And The
UNITED STATES DEPARTMENT OF AGRICULTURE
FOREST SERVICE
OLYMPIC NATIONAL FOREST
This PARTICIPATING AGREEMENT is hereby entered into by and between Jefferson, County
of, Environmental Public Health Department, hereinafter referred to as "Jefferson County," and
the United States Department of Agriculture (USDA), Forest Service, Olympic National Forest,
hereinafter referred to as the "U.S. Forest Service," under the authority: Secure Rural Schools
and Community Self -Determination Act of 2000, Public Law 106-393, 16 U.S.0 500, as
reauthorized or amended.
Background: This project is the first phase of implementing the Puget Sound Partnership Action
Agenda Near Term Action (NTA) element #18-0164. This project work spans across other
Federal, State, Tribal and public landownerships with the objective for improved watershed
function through restoration of floodplain and channel migration processes. This first phase of
work will engage and contract with technical consultants and engineers to conduct hydraulic
modeling, habitat and geomorphology assessments. The goal of phase I is to identify locations
and develop conceptual design alternatives for high impact restoration actions such as re-
engaging side -channels and improving habitat on the Dosewallips River. The project is located in
the largely protected Powerlines Reach within the watershed adjacent to National Forest System
(NFS) lands: The preferred designs will be selected in consultation with a technical group
convened by Jefferson County, including representation from landowner and community
stakeholders. This work is a matching portion of a Recreation and Conservation Office (RCO)
Salmon Recovery Funding Board (SRFB) Grant #18-1228 benefiting the same watershed area.
Title: Dosewallips River Powerlines Reach Restoration
I. PURPOSE:
The purpose of this agreement is to document the cooperation between the parties to conduct
assessments, engage the community, and develop alternative conceptual designs and a
preliminary design for high value salmon habitat restoration actions. The project will improve
floodplain connectivity, diversity, and structure for the Dosewallips within the largely protected
and unconfined Powerlines Reach (RM 1.3-2.5). The first phase of the work will develop designs
that will enhance or maintain existing floodplain habitat located on lands adjacent to Olympic
National Forest lands, including lands within protected open spaces owned by Jefferson County,
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State Parks, and/or adjacent willing landowners. The project objectives are conducted in
accordance with the following provisions and the hereby incorporated Financial Plan,
Attachment A.
II. STATEMENT OF MUTUAL BENEFIT AND INTERESTS:
Jefferson County Environmental Public Health Department is a regulatory, not-for-profit,
community-based, subdivision of Washington State government with the goal of applying on -
the -ground conservation measures in Jefferson County, through education, outreach, technical
assistance, and cost-sharing. Their mission is to protect the health of all Jefferson County
residents by promoting safe, healthy communities and environments. Fisheries resources and
corresponding functional habitat are some of the most important natural resources in Hood
Canal watersheds (i.e. those watersheds within Jefferson County jurisdiction) and thus, a
priority for conservation and restoration for Jefferson County Environmental Public Health
Department.
The U.S. Forest Service has wide ranging resource management responsibilities for the
protection, development and improvement of NFS lands, and recognizes the advantages of
using the services provided by cooperating organizations in the furtherance of its mission in
"caring for the land and serving the people". One of the four strategic goals of the U.S.
Forest Service's Strategic plan is sustaining our nation's forests and grasslands, of which one
objective is fostering resilient and adaptive ecosystems. This project work in partnership with
Jefferson County, directly addresses this objective by providing information for restoration of
natural ecological processes through an active stream network, improving ecological function
and infrastructure integrity and resilience.
In consideration of the above premises, the parties agree as follows:
III. JEFFERSON COUNTY SHALL:
A. LEGAL AUTHORITY. Jefferson County shall have the legal authority to enter into
this agreement, and the institutional, managerial, and financial capability to ensure
proper planning, management, and completion of the project, which includes funds
sufficient to pay the non -Federal share of project costs, when applicable.
B. Provide for regular communication and open exchange of ideas among project
consultants, partners, landowners, and other community members.
C. Coordinate the scope and implementation of this agreement with the requirements of
the Salmon Recovery Funding Board Grant #18-1228 for successful funding and
delivery of project objectives.
D. Select, hire and administer a contract with a consultant/engineer to develop habitat
and geomorphology assessments to identify locations where habitat quantity and
quality may be most significantly expanded and improved for watershed -wide
impacts, through specific improvements applied within the Powerlines Reach, such as
by re-engaging side channels.
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E. Collaborate with the Port Gamble S'Klallam Tribe to repeat the Powerlines Reach
portion of the PGSKT 2005 Habitat Assessment with 2017 LiDAR donated by the
Tribe, to characterize the distribution, quantity, and retention of salmon habitat -
generating wood. Jefferson County will incorporate the results of the re -assessment
into the engineering contract scope for project alternative development.
F. Jefferson County will coordinate all communications between the tribe, the U.S.
Forest Service, and other partners, and ensure implementation of their needs within
the project.
G. Develop conceptual design alternatives for restoration actions in the Powerlines
Reach. A feasibility study will accompany the designs to gage pros and cons with
respect to habitat, private lands, and infrastructure.
H. Travel to and coordinate site field trips, public outreach, alternative review and
selection coordination and overall project planning efforts.
IV. THE U.S. FOREST SERVICE SHALL:
A. PAYMENT/REIMBURSEMENT. The U.S. Forest Service shall reimburse Jefferson
County for the U.S. Forest Service's share of actual expenses incurred, not to exceed
$17,500.00, as shown in the Financial Plan. In order to approve a Request for
Reimbursement, the U.S. Forest Service shall review such requests to ensure
payments for reimbursement are in compliance and otherwise consistent with the
terms of the agreement. The U.S. Forest Service shall make payment upon receipt of
Jefferson County's quarterly invoice. Each invoice from Jefferson County shall
display the total project costs for the billing period, separated by U.S. Forest Service
and Jefferson County County's share. In-kind contributions must be displayed as a
separate line item and must not be included in the total project costs available for
reimbursement. The final invoice must display Jefferson County's full match towards
the project, as shown in the financial plan, and be submitted no later than 90 days
from the expiration date.
Each invoice must include, at a minimum:
1. Jefferson County's name, address, and telephone number.
2. U.S. Forest Service agreement number.
3. Invoice date.
4. Performance dates of the work completed (start & end).
5. Total invoice amount for the billing period, separated by the U.S. Forest
Service and Jefferson County share with in-kind contributions displayed as a
separate line item.
6. Display all costs, both cumulative and for the billing period, by separate cost
element as shown on the financial plan.
7. Cumulative amount of U.S. Forest Service payments to date.
8. Statement that the invoice is a request for payment by "reimbursement".
9. If using SF -270, a signature is required.
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10. Invoice Number, if applicable.
The invoice must be forwarded to:
EMAIL: SM.FS.asc racagusda.gov
FAX: 877-687-4894
POSTAL: USDA Forest Service
Albuquerque Service Center
Payments — Grants & Agreements
10113 Sun Ave NE
Albuquerque, NM 87109
Send a copy to: tam my.hoemneherAu sda. gov
B. Coordinate with Jefferson County on project planning, communication, and
community outreach.
C. Review and provide comment/guidance on restoration design.
D. Travel to and participate in public outreach field trips.
V. IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE
PARTIES THAT:
A. PRINCIPAL CONTACTS. Individuals listed below are authorized to act in their
respective areas for matters related to this agreement.
Principal Cooperator Contacts:
Cooperator Project Contact
Cooperator Financial Contact
Tami Pokorny, Natural Resources
Susan Parke Monroe, Financial
Program Coordinator
Operations Coordinator
615 Sheridan Street
615 Sheridan Street
Port Townsend, WA 98368
Port Townsend, WA 98368
Telephone: 360.379.4498
Telephone: 360.385.9444
FAX: 360.344.9311
FAX: 360.344.9311
Email: tpokorny@cojefferson.wa.us
Email: sparke@co.jefferson.wa.us
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Principal U.S. Forest Service Contacts:
U.S. Forest Service Program
Manager Contact
U.S. Forest Service Administrative
Contact
Name: Tammy D Hoem
Amy Verellen, Lead Grants Management
1835 Black Lake Blvd SW
Specialist
Olympia, WA 98512
215 Melody Lane
Telephone: 360.956.2293
Wenatchee, WA 98801
Email: tammy.hoemneher@usda.gov
Telephone: 509.664.9231
Email: amy.verellen@usda.gov
B. NOTICES. Any communications affecting the operations covered by this agreement
given by the U.S. Forest Service or Jefferson County are sufficient only if in writing
and delivered in person, mailed, or transmitted electronically by e-mail or fax, as
follows:
To the U.S. Forest Service Program Manager, at the address specified in the
agreement.
To Jefferson County, at the address shown in the agreement or such other address
designated within the agreement.
Notices are effective when delivered in accordance with this provision, or on the
effective date of the notice, whichever is later.
C. PARTICIPATION IN SIMILAR ACTIVITIES. This agreement in no way restricts
the U.S. Forest Service or Jefferson County from participating in similar activities
with other public or private agencies, organizations, and individuals.
D. ENDORSEMENT. Any of Jefferson County's contributions made under this
agreement do not by direct reference or implication convey U.S. Forest Service
endorsement of Jefferson County's products or activities.
E. USE OF U.S. FOREST SERVICE INSIGNIA. In order for Jefferson County to use
the U.S. Forest Service Insignia on any published media, such as a Web page,
printed publication, or audiovisual production, permission must be granted from the
U.S. Forest Service's Office of Communications (Washington Office). A written
request will be submitted by the U.S. Forest Service to the Office of
Communications Assistant Director, Visual Information and Publishing Services,
prior to use of the insignia. The U.S. Forest Service will notify the Jefferson County
when permission is granted.
F. NON-FEDERAL STATUS FOR COOPERATOR PARTICIPANT. Jefferson
County agree(s) that any of Jefferson County's employees, volunteers, and program
participants shall not be deemed to be Federal employees for any purposes including
Chapter 171 of Title 28, United States Code (Federal Tort Claims Act) and Chapter
81 of Title 5, United States Code (OWCP), as Jefferson County hereby willingly
agree(s) to assume these responsibilities.
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Further, Jefferson County shall provide any necessary training to Jefferson County's
employees, volunteers, and program participants to ensure that such personnel are
capable of performing tasks to be completed. Jefferson County shall also supervise
and direct the work of its employees, volunteers, and participants performing under
this agreement.
G. MEMBERS OF CONGRESS. Pursuant to 41 U.S.C. 22, no member of, or delegate
to, Congress shall be admitted to any share or part of this agreement, or benefits that
may arise therefrom, either directly or indirectly.
H. NONDISCRIMINATION. In accordance with Federal civil rights law and U.S.
Department of Agriculture (USDA) civil rights regulations and policies, the USDA,
its Agencies, offices, and employees, and institutions participating in or
administering USDA programs are prohibited from discriminating based on race,
color, national origin, religion, sex, gender identity (including gender expression),
sexual orientation, disability, age, marital status, family/parental status, income
derived from a public assistance program, political beliefs, or reprisal or retaliation
for prior civil rights activity, in any program or activity conducted or funded by
USDA (not all bases apply to all programs). Remedies and complaint filing deadlines
vary by program or incident.
Persons with disabilities who require alternative means of communication for
program information (e.g., Braille, large print, audiotape, American Sign Language,
etc.) should contact the responsible Agency or USDA's TARGET Center at (202)
720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at
(800) 877-8339. Additionally, program information may be made available in
languages other than English.
To file a program discrimination complaint, complete the USDA Program
Discrimination Complaint Form, AD -3027, found online at How to File a Program
Discrimination Complaint and at any USDA office or write a letter addressed to
USDA and provide in the letter all of the information requested in the form. To
request a copy of the complaint form, call (866) 632-9992. Submit your completed
form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the
Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington,
D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.
I. ELIGIBLE WORKERS. Jefferson County shall ensure that all employees
complete the I-9 form to certify that they are eligible for lawful employment under
the Immigration and Nationality Act (8 USC 1324a). Jefferson County shall
comply with regulations regarding certification and retention of the completed forms.
These requirements also apply to any contract awarded under this agreement.
J. SYSTEM FOR AWARD MANAGEMENT REGISTRATION REQUIREMENT
(SAM). Jefferson County shall maintain current information in the System for
Award Management (SAM) until receipt of final payment. This requires review and
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update to the information at least annually after the initial registration, and more
frequently if required by changes in information or agreement term(s). For purposes
of this agreement, System for Award Management (SAM) means the Federal
repository into which an entity must provide information required for the conduct of
business as a Cooperative. Additional information about registration procedures may
be found at the SAM Internet site at www.sam.gov.
K. STANDARDS FOR FINANCIAL MANAGEMENT.
1. Financial Reporting
Jefferson County shall provide complete, accurate, and current financial
disclosures of the project or program in accordance with any financial reporting
requirements, as set forth in the financial provisions.
2. Accounting Records
Jefferson County shall continuously maintain and update records identifying the
source and use of funds. The records shall contain information pertaining to the
agreement, authorizations, obligations, unobligated balances, assets, outlays, and
income.
3. Internal Control
Jefferson County shall maintain effective control over and accountability for all
U.S. Forest Service funds, real property, and personal property assets. Jefferson
County shall keep effective internal controls to ensure that all United States
Federal funds received are separately and properly allocated to the activities
described in the agreement and used solely for authorized purposes.
4. Source Documentation
Jefferson County shall support all accounting records with source documentation.
These documentations include, but are not limited to, cancelled checks, paid bills,
payrolls, contract and contract documents. These documents must be made
available to the U.S. Forest Service upon request.
L. LIMITATION OF FUNDS. U.S. Forest Service funds in the amount of $17,500.00
are currently available for performance of this agreement through December 31,
2021. The U.S. Forest Service's obligation for performance of this agreement beyond
this date is contingent upon the availability of appropriated funds from which
payment can be made. There is no legal liability on the part of the U.S. Forest
Service for any payment may arise for performance under this agreement beyond this
amount until Jefferson County receive(s) notice of availability to be confirmed in a
written modification by the U.S. Forest Service.
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M. INDIRECT COST RATES- PARTNERSHIP
Indirect costs are approved for reimbursement or as a cost -share requirement and
have an effective period applicable to the term of this agreement.
1. If Jefferson County has never received or does not currently have a negotiated
indirect cost rate, they are eligible for a de minimis indirect cost rate up to 10
percent of modified total direct costs (MTDC). MTDC is defined as all salaries
and wages, fringe benefits, materials and supplies, services, travel, and contracts
up to the first $25,000 of each contract.
2. For rates greater than 10 percent and less than 25 percent, Jefferson County shall
maintain documentation to support the rate. Documentation may include, but is
not limited to, accounting records, audit results, cost allocation plan, letter of
indirect cost rate approval from an independent accounting firm, or other Federal
agency approved rate notice applicable to agreements.
3. For a rate greater than 25 percent, the U.S. Forest Service may require that
request a federally approved rate from Jefferson County's cognizant audit agency
no later than 3 months after the effective date of the agreement. Jefferson County
will be reimbursed for indirect costs or allowed to cost -share at the rate reflected
in the agreement until the rate is formalized in the negotiated indirect cost rate
(NICRA) at which time, reimbursements for prior indirect costs or cost-sharing
may be subject to adjustment.
4. Failure to provide adequate documentation supporting the indirect cost rate, if
requested, could result in disallowed costs and repayment to the U.S. Forest
Service.
N. OVERPAYMENT. Any funds paid to Jefferson County in excess of the amount entitled
under the terms and conditions of this agreement constitute a debt to the Federal
Government. The following must also be considered as a debt or debts owed by
Jefferson County to the U.S. Forest Service:
- Any interest or other investment income earned on advances of agreement funds; or
- Any royalties or other special classes of program income which, under the
provisions of the agreement, are required to be returned;
If this debt is not paid according to the terms of the bill for collection issued for the
overpayment, the U.S. Forest Service may reduce the debt by:
1. Making an administrative offset against other requests for reimbursement.
2. Withholding advance payments otherwise due to Jefferson County.
3. Taking other action permitted by statute (31 U.S.C. 3716 and 7 CFR, Part 3,
Subpart B).
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Except as otherwise provided by law, the U.S. Forest Service may charge interest on
an overdue debt.
O. AGREEMENT CLOSE-OUT. Within 90 days after expiration or notice of termination
Jefferson County shall close out the agreement.
Any unobligated balance of cash advanced to Jefferson County must be immediately
refunded to the U.S. Forest Service, including any interest earned in accordance with
7CFR3016.21/2CFR 215.22.
Within a maximum of 90 days following the date of expiration or termination of this
agreement, all financial performance and related reports required by the terms of the
agreement must be submitted to the U.S. Forest Service by Jefferson County.
If this agreement is closed out without audit, the U.S. Forest Service reserves the right
to disallow and recover an appropriate amount after fully considering any
recommended disallowances resulting from an audit which may be conducted later.
P. PROGRAM MONITORING AND PROGRAM PERFORMANCE REPORTS.
The parties to this agreement shall monitor the performance of the agreement
activities to ensure that performance goals are being achieved.
Performance reports must contain information on the following:
- A comparison of actual accomplishments to the goals established for the period.
Wherever the output of the project can be readily expressed in numbers, a
computation of the cost per unit of output, if applicable.
- Reason(s) for delay if established goals were not met.
- Additional pertinent information.
Jefferson County shall submit annual performance reports to the U.S. Forest Service
Program Manager. These reports are due 90 days after the reporting period. The
final performance report must be submitted either with Jefferson County's final
payment request, or separately, but not later than 90 days from the expiration date of
the agreement.
Q. RETENTION AND ACCESS REQUIREMENTS FOR RECORDS. Jefferson
County shall retain all records pertinent to this agreement for a period of no less than
3 years from the expiration or termination date. As used in this provision, records
includes books, documents, accounting procedures and practice, and other data,
regardless of the type or format. Jefferson County shall provide access and the right
to examine all records related to this agreement to the U.S. Forest Service, Inspector
General, or Comptroller General or their authorized representative. The rights of
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access in this section must not be limited to the required retention period but must last
as long as the records are kept.
If any litigation, claim, negotiation, audit, or other action involving the records has
been started before the end of the 3 -year period, the records must be kept until all
issues are resolved, or until the end of the regular 3 -year period, whichever is later.
Records for nonexpendable property acquired in whole or in part, with Federal funds
must be retained for 3 years after its final disposition.
R. FREEDOM OF INFORMATION ACT (FOIA). Public access to grant or agreement
records must not be limited, except when such records must be kept confidential and
would have been exempted from disclosure pursuant to Freedom of Information
regulations (5 U.S.C. 552). Requests for research data are subject to 2 CFR 215.36.
Public access to culturally sensitive data and information of Federally -recognized
Tribes may also be explicitly limited by P.L. 110-234, Title VIII Subtitle B §8106
(2008 Farm Bill).
S. TEXT MESSAGING WHILE DRIVING. In accordance with Executive Order (EO)
13513, "Federal Leadership on Reducing Text Messaging While Driving," any and
all text messaging by Federal employees is banned: a) while driving a Government
owned vehicle (GOV) or driving a privately owned vehicle (POV) while on official
Government business; or b) using any electronic equipment supplied by the
Government when driving any vehicle at any time. All Cooperatives, their
Employees, Volunteers, and Contractors are encouraged to adopt and enforce policies
that ban text messaging when driving company owned, leased or rented vehicles,
POVs or GOVs when driving while on official Government business or when
performing any work for or on behalf of the Government.
T. PUBLIC NOTICES. It is The U.S. Forest Service's policy to inform the public as
fully as possible of its programs and activities. Jefferson County is/are encouraged to
give public notice of the receipt of this agreement and, from time to time, to announce
progress and accomplishments. Press releases or other public notices should reference
the Agency as follows:
"Natural Resources, Fisheries Program, Olympic National Forest of the U.S. Forest
Service, U.S. Department of Agriculture"
Jefferson County may call on The U.S. Forest Service's Office of Communication for
advice regarding public notices. Jefferson County is/are requested to provide copies
of notices or announcements to the U.S. Forest Service Program Manager and to the
U.S. Forest Service's Office of Communications, as far in advance of release as
possible.
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U. FUNDING OF EQUIPMENT. Federal funding under this agreement is not available
for reimbursement of Jefferson County's purchase of equipment. Equipment is
defined as having a fair market value of $5,000 or more per unit and a useful life of
over one year.
V. PROPERTY IMPROVEMENTS. Improvements placed by Jefferson County on
National Forest System land at the direction or with the approval of the U.S. Forest
Service becomes property of the United States. These improvements are subject to
the same regulations and administration of the U.S. Forest Service as would other
national forest improvements of a similar nature. No part of this agreement entitles
Jefferson County to any interest in the improvements, other than the right to use them
under applicable U.S. Forest Service Regulations.
W. CONTRACT REQUIREMENTS. Any contract under this agreement must be
awarded following the Jefferson County's established procurement procedures, to
ensure free and open competition, and avoid any conflict of interest (or appearance of
conflict). Jefferson County shall maintain cost and price analysis documentation for
potential U.S. Forest Service review. Jefferson County is/are encouraged to utilize
small businesses, minority-owned firms, and women's business enterprises.
X. U.S. FOREST SERVICE ACKNOWLEDGED IN PUBLICATIONS,
AUDIOVISUALS AND ELECTRONIC MEDIA. Jefferson County shall
acknowledge U.S. Forest Service support in any publications, audiovisuals, and
electronic media developed as a result of this agreement.
Y. NONDISCRIMINATION STATEMENT — PRINTED, ELECTRONIC, OR
AUDIOVISUAL MATERIAL. Jefferson County shall include the following
statement, in full, in any printed, audiovisual material, or electronic media for public
distribution developed or printed with any Federal funding.
In accordance with Federal law and U.S. Department of Agriculture
policy, this institution is prohibited from discriminating on the basis of
race, color, national origin, sex, age, or disability. (Not all prohibited
bases apply to all programs.)
To file a complaint of discrimination, write USDA, Director,
Office of Civil Rights, 1400 Independence Avenue, SW,
Washington, DC 20250-9410 or call toll free voice (866) 632-
9992, TDD (800) 877-8339, or voice relay (866) 377-8642.
USDA is an equal opportunity provider and employer.
If the material is too small to permit the full statement to be included, the material
must, at minimum, include the following statement, in print size no smaller than the
text:
"This institution is an equal opportunity provider. "
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Z. REMEDIES FOR COMPLIANCE RELATED ISSUES. If Jefferson County
materially fail(s) to comply with any term of the agreement, whether stated in a
Federal statute or regulation, an assurance, or the agreement, the U.S. Forest Service
may take one or more of the following actions:
1. Temporarily withhold cash payments pending correction of the deficiency by
Jefferson County or more severe enforcement action by the U.S. Forest Service;
2. Disallow (that is, deny both use of funds and matching credit for) all or part of
the cost of the activity or action not in compliance;
3. Wholly or partly suspend or terminate the current agreement for Jefferson
County's program;
4. Withhold further awards for the program, or
5. Take other remedies that may be legally available, including debarment
procedures under 2 CFR part 417.
AA. TERMINATION BY MUTUAL AGREEMENT. This agreement may be
terminated, in whole or part, as follows:
1. When the U.S. Forest Service and Jefferson County agree upon the termination
conditions, including the effective date and, in the case of partial termination, the
portion to be terminated.
2. By 30 days written notification by Jefferson County to the U.S. Forest Service
setting forth the reasons for termination, effective date, and in the case of partial
termination, the portion to be terminated. If the U.S. Forest Service decides that
the remaining portion of the agreement will not accomplish the purposes for
which the agreement was made, the U.S. Forest Service may terminate the
agreement in its entirety.
Upon termination of an agreement, Jefferson County shall not incur any new
obligations for the terminated portion of the agreement after the effective date, and
shall cancel as many outstanding obligations as possible. The U.S. Forest Service
shall allow full credit to Jefferson County for the U.S. Forest Service share of
obligations that cannot be cancelled and were properly incurred by Jefferson County
up to the effective date of the termination. Excess funds must be refunded within 60
days after the effective date of termination.
BB. ALTERNATE DISPUTE RESOLUTION — PARTNERSHIP AGREEMENT. In the
event of any issue of controversy under this agreement, the parties may pursue
Alternate Dispute Resolution procedures to voluntarily resolve those issues. These
procedures may include, but are not limited to conciliation, facilitation, mediation,
and fact finding.
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CC. DEBARMENT AND SUSPENSION. Jefferson County shall immediately inform the
U.S. Forest Service if they or any of their principals are presently excluded, debarred,
or suspended from entering into covered transactions with the Federal Government
according to the terms of 2 CFR Part 180. Additionally, should Jefferson County or
any of their principals receive a transmittal letter or other official Federal notice of
debarment or suspension, then they shall notify the U.S. Forest Service without undue
delay. This applies whether the exclusion, debarment, or suspension is voluntary or
involuntary.
DD. PROHIBITION AGAINST INTERNAL CONFIDENTIAL AGREEMENTS:
All non-federal government entities working on this agreement will adhere to the
below provisions found in the Consolidated Appropriations Act, 2016, Pub. L. 114-
113, relating to reporting fraud, waste and abuse to authorities:
(a) The recipient may not require its employees, contractors, or
subrecipients seeking to report fraud, waste, or abuse to sign or comply
with internal confidentiality agreements or statements prohibiting or
otherwise restricting them from lawfully reporting that waste, fraud, or
abuse to a designated investigative or law enforcement representative
of a Federal department or agency authorized to receive such
information.
(b) The recipient must notify its employees, contractors, or subrecipients
that the prohibitions and restrictions of any internal confidentiality
agreements inconsistent with paragraph (a) of this award provision are
no longer in effect.
(c) The prohibition in paragraph (a) of this award provision does not
contravene requirements applicable to any other form issued by a
Federal department or agency governing the nondisclosure of
classified information.
(d) If the Government determines that the recipient is not in compliance
with this award provision, it:
(1) Will prohibit the recipient's use of funds under this award, in accordance
with sections 743, 744 of Division E of the Consolidated
Appropriations Act, 2016, (Pub. L. 114-113) or any successor provision of law;
and
(2) May pursue other remedies available for the recipient's material
failure to comply with award terms and conditions.
EE. MODIFICATIONS. Modifications within the scope of this agreement must be made
by mutual consent of the parties, by the issuance of a written modification signed and
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dated by all properly authorized, signatory officials, prior to any changes being
performed. Requests for modification should be made. in writing, at least 30 days
prior to implementation of the requested change. The U.S. Forest Service is not
obligated to fund any changes not properly approved in advance.
FF. COMMENCEMENT/EXPIRATION DATE. This agreement is executed as of the
date of the last signature and is effective through December 31, 2021 at which time it
will expire. The expiration date is the final date for completion of all work activities
under this agreement.
GG. AUTHORIZED REPRESENTATIVES. By signature below. each party certifies that
the individuals listed in this document as representatives of the individual parties are
authorized to act in their respective areas for matters related to this agreement. In
Witness Whereof, the parties hereto have executed this agreement as of the last date
written below.
KATE DEAN. Chairman
Jefferson County
RETA LAFORD, Fore Supervisor
U.S. Forest Service, O mpic National F
Date
Date
20-Pi--lrlabo900 —cc�L 4//a�,/111
The authority and format of this agreement ( - ) have been
reviewed and approved for signature.
AMY D. VtRELLEN
U.S. Forest Service Grants Management Specialist
Burden Statement
A oved ago orm ly:
�• Date:
Philip C. Hunsucker, Chief Civil Deputy Prosecutin A orney
Jefferson County Prosecuting Attorney's Office
According to the Paperwork Reduction Ad of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this
information collection is estimated to average 4 tours per response, ncludig the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part
of an individuars income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
means for communication of program information (Braille, large print, audotape, etc.) should contact USDA's TARGET Center at 202-720-21000 (vie and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free
(866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877.8339 (TDD) or (866) 3778642 (relay voice). USDA is
an equal opportunity provider and employer.
Page 14 of 14 (Rev. 9-15)
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WORKSHEET FOR
program manager $488.18 3 $1,464.54
fisheries biologist (reviewer) $450.00 3 $1,350.00
engineer (reviewer) $450.00 5 $2,250.00
Total Salaries/Labor $5,064.54
Travel Expense IlEmployees ICost/Trip 1# of Trips I ITotal
Daily vehicle cost 2 $28.00 3 $168.00
Total Travel I $168.00
Standard Calculation
Su lies/Materials 1 1# of Items Cost/Item Total
$0.00
Total Supplies/Materials $0.00
Standard Calculation
Item 1# of Units Cost/Unit I Total
$0.00
Total Other $0.00
r
Current Overhead Rate ISubtotal Direct Costs I ITotal
10.00% $5,232.54 $523.25
Total FS Overhead Costs 1 $523.25
WORKSHEET FOR
FS Cash to the Cooperator Cost Analysis, Column (b)
Jon -Standard Calculation
Total
Estimated
)escription USFS Share Project Cost Total
)roject Manager - Administration, contract
management, meeting coordination,
concept and assessment reviews, etc. 15% $27,000.00 $4,050.00
Coordinator for Landowner Outreach -
public meetings, communications, etc. 15% $10,000.00 $1,500.00
Total Salaries/Labor $5,550.00
Travel
Standard Calculation
Travel Expense I Emplovees Cost/Trip 1# of Trips I ITotal
$0.00
Total Travel 1 1 $0.00
Total Supplies/Materials $0.00
Standard Calculation
Item 1# of Units Cost/Unit I ITotal
Ion -Standard Calculation
Estimated
)escri tion LFSShare lProjectCostl Total
;ontracts - enaineerinq, assessments,
concept design development, etc. 15% $69,060.63 $10,359.09
Total Other $10,359.09
Subtotal Direct Costs $15,909.09
Cooperator Indirect Costs
Current Overhead Rate JSubtotal Direct Costs JTotal
10.00% $15,909.09 $1,590.91
Indirect Costs
TOTAL COST 1 $771500.00
WORKSHEET FOR
Standard Calculation
Job Description Cost/Day 1# of Days ITotal
Agreement Administrator/Project
Manager $400.00 13.75 $5,500.00
ion -Standard Calculation
Jefferson Total Estimated
)escription County Share Project Cost Total
Project Manager - Administration, contract
management, meeting coordination, concept and
assessment reviews, etc. 85% $27,000.00 $22,950.00
Coordinator for Landowner Outreach- public
meetings, communications, etc. 85% $10,000.00 $8,500.00
Total Salaries/Labor 1 $36,950.00
Standard Calculation
Travel Expense JEmployees Cost/Tri # of Trips Total
Meetings and site visits 1 $30.00 3 $90.00
Total Travel 1 $90.00
Standard Calculation
Item 1# of Units Cost/Unit ITotal
4on-Standard Calculation
Jefferson Estimated Project
)escription County Share Cost Total
.ontracts - engineering, assessments, concept
design development, etc. 85% $69,060.63 $58,701.54
Total Other 1 $58,701.54
Current Overhead Rate Subtotal Direct Costs ITotal
Applied only to
Agreement
Administrator salary
10.00% $5,590.00 and travel $559.00
Total Coop. Indirect Costs $559.00
WORKSHEET FOR
$0.00
Total Salaries/Labor$0.00
Total Travel 1 1 $0.00
$0.00
Total Supplies/Materials
Item 1 1# of Units jCost/Unit I ITotal
Tribal donation:
2019 Aerial Images of Floodplain 1 $2,389.00 $2,389.00
2018 Aerial Images of Floodplain 1 $1,000.00 $1,000.00
2017 Aerial Images of Floodplain 1 $1,000.00 $1,000.00
2016 Aerial Images of Floodplain 1 $563.00 $563.00
Total Other 1 1 $4,952.00
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Public Health Consent Agenda
October 3, 2019
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Stuart Whitford, Environmental Public Health Director
Tami Pokorny, Natural Resources Program Coordinator
DATE:
SUBJECT: Agenda Item, -USDA Forest Service Dosewallips River Powerlines Reach
Restoration; pon signature - December 31, 2021; $17,500
STATEMENT OF ISSUE:
Jefferson County Public Health requests approval of USDA Forest Service Dosewallips River Powerlines
Reach Restoration to conduct assessments and develop a conceptual design for salmon habitat restoration;
Upon signature - December 31, 2021; $17,500
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This agreement provides part of the required match funding from RCO #18-1228C to acquire two shoreline
parcels in the Lazy C Community along the Dosewallips River and will conduct assessments and develop a
conceptual design for high value restoration actions to support habitat for salmon in the largely protected
and unconfined Powerlines Reach (RM 1.3-2.5). The project will improve floodplain connectivity, diversity,
and structure to benefit the Dosewallips subpopulation of Hood Canal Summer Chum salmon.
FISCAL IMPACT/COST BENEFIT ANALYSIS•
Total cost of this project is $203,208 and is funded as follows:
$170,529 RCO Lower Big Quilcene River Floodplain Acquisitions, SRFB—Salmon State Projects
$ 17,500 USDA, Forest Service Olympic National Forest
$ 7,649 Conservation Futures Fund (Resolution #43-19)
7,530 Jamestown S'Klallam Tribe (in-kind contribution)
$203,208
RECOMMENDATION:
JCPH Management recommends BOCC signature of the USDA Forest Service Dosewallips River Powerlines
Reach Restoration; Upon signature - December 31, 2021; $170,529 (SRFB) funding with match of $17,500
(USDA), $7,649 (Conservation Futures) and $7,530 (Jamestown S'Klallam Tribe) for a total $203,208.
REVXEW-i V: xl-Z72
Philip Morley, Comy dm' ' Date
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f) Always working for a safer and healthier community
Environmental Public Health
360-385-9444
(f) 360-379-4487
Public Healt�i
CONTRACT REVIEW FORM
CONTRACT WITH: USDA Olympic National Forest
CONTRACT FOR:
TRACKING NO.: WQ-19-173
(Contractor/Consultant)
Dosewallips River Powerlines Reach Restoration TERM: Upon signature - 12/31/2021
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Tami nnT 0 4 2019
Contact Phone #: x498
RETURN TO: Jenny RETURN BY: 'A,PAP
(Person in Department)
AMOUNT: $17,500
Revenue $17,500
Expenditure
Matching funds Required
Source(s) of Matching Funds
Step 1:
APPROVED FORM
Comments
REVIEW
PROCESS: R
Exempt from Bid Process
❑
Consultant Selection Process
❑
Cooperative Purchase
❑
Competitive Sealed Bid
❑
Small Works Roster
❑
Vendor List Bid
❑
RFP or RFQ
❑
Other - MOU
❑ Retu' ndfor revision (See Comments)
Step 2: REVIEW BY PROS 7YTING ATTORNEY
Review by: . �'. Philip C. Hunsucker
Date Reviewed: it < i Chief Civil Deputy Prosecuting Attorney
M/APPROVED AS TO FORM* ❑ Returned for revision (See Comments)
Comments + rt U k if Ad- " N ft4 C
Sten 3: (If reouired) DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK
PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS NOV 01 2019
Step 5: SUBMIT TO BOCC FOR APPROVAL JEFFERSON COUNTYQ ECUTING ATTORNEY
Submit original Contract(s), Agenda Request, and Contract Review form. Also, pleasePsn d copies of just the Contract(s)
(with the originals) to the 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.
(This form to stay with contract throughout the contract review process.)