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Home My WebLink AboutWashington State Military Department and State Enhanced 911 Fund No. E21-021 - 032921 Cc �- � • t I orin: ,yag- .31. A 61. 1 - SECO COUNTY Basic Service Operating (BSO) Contract SFY 2021 AMENDMENT 1. CONTRACTOR NAME/ADDRESS: 2. CONTRACT NUMBER: 3. AMENDMENT NUMBER: Jefferson County Agency(COUNTY) E21-021 A Post Office Box 1220 Port Townsend,Washington 98368 4. CONTRACTOR CONTACT, PHONE/EMAIL: 5. MD STAFF CONTACT, PHONE/EMAIL: Stacie Huibregtse/360.344.9788 Teresa C Lewis/253-512-7481 stacieh@jcpsn.us teresa.lewis@mil.wa.gov 6. TIN or SSN: 7.CATALOG OF FEDERAL 8. FUNDING SOURCE NAME/AGREEMENT#: 91-6001322 DOMESTIC ASST.(CFDA)#: NONE RCW 38.52.610, .640,.545&WAC Chapter 118-66 9. FUNDING AUTHORITY: Washington State Military Department(DEPARTMENT) and State Enhanced 911 Funds 10.DESCRIPTION/JUSTIFICATION OF AMENDMENT: This amendment adjusts the funds in the Budget Sheet (ATTACHMENT E) based on updated expenditures, also to include contract modification. 11. AMENDMENT TERMS AND CONDITIONS: 1. Contract expiration date August 15,2021 remains unchanged. 2. Contract performance period of July 1,2020 through June 30,2021 remains unchanged. 3. Change the overall FY21 funding amount from$302,535 to$380,785; an increase of$78,250 as described on page 2 of this amendment. 4. The FY21 Basic Service Operating funding amount of$265,132 remains unchanged. 5. Replace Original Budget Sheet Attachment E with attached Revised Budget Sheet Attachment E. 6. Change the FY21 CPD6 funding amount from $0 to$78,250; an increase of$78,250 as described on page 2 of this amendment. This Amendment is incorporated in and made a part of the contract. Except as amended herein, all other terms and conditions of the contract remain in full force and effect. Any reference in the original contract or an Amendment to the "contract" shall mean "contract as amended". The Department and Contractor 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 WITNESS WHEREOF,the parties have executed this amendment: FOR THE DEPARTMENT: FOR THE CONTRACTOR: . Wif...t------- 3/30/2021 3/2 i I Si ure Date Signature Date Regan Anne Hesse, Chief Financial Officer Kate Dean, Chair Washington State Military Department Jefferson County Board of Commissioners Form Date: 10/27/00 Approved as to Form Only: a._...x -- March 19, 2021 Philip C. Hunsucker, Chief Civil DPA SECO COUNTY BSO Contract Page 1 of 3 JEFFERSON COUNTY, E21-021 Amendment A Washington State Military Department Amendments to Contract E21-021 1. Change the overall FY21 funding amount from$302,535 to$380,785 an increase of$78,250. a) On Contract Face Sheet,Box 2. $302436$380,785. b) ATTACHMENT A; Page 5; VIII. CONDITIONED UPON COUNTY'S FULFILLMENT OF ITS OBLIGATIONS ABOVE THE DEPARTMENT AGREES TO THE FOLLOWING; A. Within thirty(30)days of receipt and approval of signed, dated invoice vouchers(state form A-19), satisfactory completion of tasks, and documentation of costs, reimburse the COUNTY up to the maximum of$302436 $380,785 2. Replace the Original Budget Sheet (ATTACHMENT E) with the attached Revised Budget Sheet (ATTACHMENT E),which amends the following: a) Increase the FY21 CPD6—NG911 Modernization funding amount from 0 to$78,250. $8$78,250. b) The FY21 Basic Service Operating funding amount of$265,132 remains unchanged. SECO COUNTY BSO Contract Page 2 of 3 JEFFERSON COUNTY, E21-021 Amendment A ATTACHMENT E REVISED BUDGET SHEET SECO COUNTY BSO CONTRACT-SFY 2021 July 1, 2020-June 30, 2021 SFV2021.Original I 8FY2021 -Revised Coordinator Professional Development $ 37,403 $115,663 Basic Service Operating $265,132 $265,132 TOTAL CONTRACT NOT TO EXCEED $302,535 $380,785 SECO COUNTY BSO Contract Page 3 of 3 JEFFERSON COUNTY, E21-021 Amendment A SIGNATURE AUTHORIZATION FORM WASHINGTON STATE MILITARY DEPARTMENT CAMP MURRAY, WASHINGTON 98430-5122 NEW FORM WILL REPLACE PREVIOUS FORMS NAME OF ORGANIZATION DATE SUBMITTED JEFFERSON COUNTY PROJECT DESCRIPTION CONTRACT NUMBER FY21 SECO County Basic Service Operations REVISED E21-021 (BSO) Contract 1. AUTHORIZING AUTHORITY SIGNATURE 4 PRINT OR TYPE NAME TITLE/TERM OF OFFICE Kate Deen Chair!2020-2021 Greg Brotherton Commissioner. 2020-2021 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE Kate Deen Chair/2020-2021 Greg Brotherton Commissioner, 2020-2021 - 1 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT(A-19) SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE Stacie Huibregtse Director re Lisa Johnson Office Manager Please complete form with any new contract or any time personnel changes. Submit one original to State E911 Office CA Commissioners Office JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Lisa Johnson,JeffCom 911 DATE: March 2021 SUBJECT: E911 Contract E21-021 A for 2020/2021 Contract Amendment STATEMENT OF ISSUE: JeffCom SFY20 Wireline and Wireless Operations Contract#E21-021A and the Washington State Military Department E911 Program ANALYSIS: The Washington State Military Department E911 program provides financial assistance to JeffCom solely for expenses necessary to answer 911 calls origination in Jefferson County. This includes performing certain tasks and maintaining certain equipment necessary to operate Wireline and Wireless enhanced 911. Reimbursement shall be solely for eligible items included in WAC Chapter 118-66. FISCAL IMPACT: JeffCom will be reimbursed for necessary expenses incurred by providing E911 service to Jefferson County. FY21 CPD6—NG911 Modernization funding amount of$78,250 is being added to our Grant. The amended Contract amount is $380,785. RECOMMENDATION: Please sign three original contracts. Once completed contract will be returned to BOCC when received back from the State 911 office. DEPARTMENT CONTACT: Lisa Johnson 344-9756 or Stacie Huibregtse 344-9788 REVIEWED BY: 3/2--d-e,?1,/ Phi' orley, County Aff istrator Date CONTRACT REVIEW FORM CONTRACT WITH: WA St Military Dept and Enh. 911 Fund TRACKING NO.: JC911-02 (Contractor/Consultant) , CONTRACT FOR: E911 Basic Service Operations Grant SFY21 TERM: 7/1/19 .1 20 '-3a/3 COUNTY DEPARTMENT: _1 Cf(� RECEIVED For More Information Contact: ( Contact Phone #: ')( 7t 0 MAR 10 2021 RETURN TO: U)-:: , } RETURN BY `(JEFFERSON COUNTY Person in c .artment) comaiSSIONERS AMOUNT: $380,785.00 PROCESS: El Exempt from Bid Process ❑ Consultant Selection Process Revenue El Cooperative Purchase Expenditure El Competitive Sealed Bid Matching funds Required ❑ Small Works Roster Source(s) of Matching Funds ❑ Vendor List Bid El RFP or RFQ ❑ Other Step 1: REVIEW BY ' v`�A/P J i ,' Revie darri, Date Revie +. I / , litAPPROVED FORM El Retur ed for revision(See Comments) C ments Step 2: REVIEW BY PROSECUTINGINNG ATTORNEY Review by: � (--+-k. ( ( Philip C. Hunsucker Date Reviewed: 1 11 141 Chief Civil Deputy Prosecuting Attorney APPROVED AS TO FORM El turned 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 original Contract(s),Agenda Request,and Contract Review form. Also,please send 2 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.)