HomeMy WebLinkAbout062121_ca05 615 Sheridan Street
Port Townsend, WA 98368
ee!thson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark Mc Cauley, Interim County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, DD & BH County Coordinator
DATE: U.14 al ( a -t
SUBJECT: Agenda Item —Amendment #1 to the Professional Services Agreement—with the
Washington State Employment Security Department - From the Date of Execution
for up to one year; $41,140.24.00
STATEMENT OF ISSUE:
Jefferson County Public Health, on behalf of the Accessible Community Advisory Committee, (ACAC), is
requesting Board approval of the Amendment #1 to the Professional Services Agreement with the Washington
State Employment Security Department, to complete Accessible Community Grants; From the date of
execution for up to one year; $41,140.24.00.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
Amendment #1 to the Professional Services Agreement with the Washington State Employment Security
Department; is to fund the following Accessible Community Grant with the objective of improving awareness,
acceptance, inclusion and access for people with disabilities in Jefferson County.
The following ACAC Project has not yet been completed:
➢ Port Townsend City Chetzemoka Park, - ADA Access/Signage
FISCAL IMPACT/COST BENEFIT ANALYSIS :
Funding for the agreement with the Washington State Employment Security is to provide Accessible
Community Grants; and is identified in the budget under grant funding.
RECOMMENDATION:
JCPH management, on behalf of the Accessible Community Advisory Committee, (ACAC), requests approval of
Amendment #1 to the Professional Services Agreement with the Washington State Employment Security
Department, to provide Accessible Community Grants; From the date of execution for up to one year;
$41,140.24.00.
REVIEWED BY:
‘./////7/2-1
Mark McCauley, I rim County Administr r Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
DocuSign Envelope ID:C4D3AD00-268A-4C05-8A4A-D2F22F31066D
WASHINGTON STATE
EMPLOYMENT SECURITY DEPARTMENT
Amendment Number 01 to Contract Number #K6651
Contract Title: Jefferson County Accessible Community Advisory Committee
Purpose of Amendment: To extend the period of performance to allow Jefferson County
additional time fo the completetion of deliverables. There is no increase in compensation
related to this amendment.
Agreement: The parties agree to amend the Contract as follows:
Paragraph 4: Exhibit A-Statement of Work: The statement of work is replaced in
its entirity with the Exhibit A— Statement of Work attached hereto as pages 2—8.
Paragraph 5: Period of Performance: The parties extend the period of performance
for this agreement to May 30, 2022.
This Amendment is effective as of May 30, 2021, regardless of the date of execution,so that
the contract remains in continuous and perpetual effect. The parties further acknowledge
that they have acted in accordance with the terms of the agreement during any retroactive
period between the effective date and the date of execution. All other terms and conditions
of the original contract remain in full force and effect.
Washington State Jefferson County
Employment Security Department
Elizabeth Gordon Kate Dean
By By(print name)
Executive Director, GCDE Jefferson County Commissioner
Title Title
Signature Signature
Date Date
APPROVED T FORM ONLY:
By: ' / J� Date:6�
V4121
Philip Hunsucker,Chief Civil Deputy
Prosecuting Attorney
REV 06-2011
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Exhibit A
Statement of Work
JEFFERSON COUNTY
ACCESSIBLE COMMUNITIES ADVISORY COMMITTEE(ACAC)
1. Projects
a. Fort Warden Assisted Listening Device:The Fort Worden Public Development Authority
(PDA)will purchase Assistive Listening equipment.This support will ensure that the PDA
is able to provide ADA-compliant hearing assistance at their public Board of Directors
meetings and other public gatherings at Fort Worden.
b. Quilcene School Garden:Jefferson County in partnership with Quilcene School District,
we will complete the school garden to assure students with disabilities,staff,and
community members with mobility needs will be able to easily access this wonderful
resource on site, no matter the weather,season,and mobility.
c. Brinnon Center Automatic Doors: Installing automatic door openers to the front doors
to improve accessibility at the Brinnon Community Center,306144 US-101, Brinnon,WA
98320,This project is in partnership with Jefferson County Central Services.
d. Johnson Center Restroom Door Openers: Improve accessibility within the Laurel B.
Johnson Community Center,923 Hazel Point,Quilcene,WA 98376, by adding automatic
door openers to both the men's and women's restroom doors. This project is in
partnership with Jefferson County Parks& Recreation District#1. (www.toandos.org)
e. Jefferson Co. Public Health Portable Audio System: Purchase portable audio system
(PAS)and assistive listening devices (ALDs)for use at Jefferson County Public Health.
f. Mountain View Pool ADA Changing Room:Create an on-deck curtained ADA changing
room,complete with hi-low changing table and reclining, rolling shower chair for
assistance transporting to shower and/or to pool edge at the Mountain View Pool.
g. Chetzemoka Park Bathroom: Remove crumbling uneven asphalt from present trail and
create new 5 foot wide 250 feet long properly compacted ADA trail to the restrooms at
Chetzemoka Park.
h. Chetzemoka Park Signage Create visible and complete signage for direction to,and
location of,ADA restroom at Chetzemoka Park.
i. Johnson Center ADA Parking Spaces: Improve accessibility to the Laurel B.Johnson
Community Center,923 Hazel Point,Quilcene,WA 98376, by adding four ADA parking
spaces to the existing parking lot in front of the Center. This will include paving the
parking area, installing four new wheel stops and stripe area for ADA compliance.This
project is in partnership with Jefferson County Parks& Recreation District#1.
(www.toandos.org)
Overview
Increase ADA accessibility in Jefferson County.
2
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2. Timelines:
a. Fort Warden Assisted Listening Device:
It will take approximately 7 weeks to complete the project
Milestone Timeline
Order hearing equipment from vendor Once grant
is amended
Conduct training with equipment 3 weeks
after
equipment
has been
purchased
Inventory equipment 2 weeks
after
training
Update setup and storage procedures 2 weeks
after
training
Update website with information about In process
availability and general accessibility options with support
staff
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
b. Quilcene School Garden:
It will take approximately 6 weeks to complete the project
Milestone **Timeline
Clear pathways and trails to a minimum 2
of 36" [Standard ADA] weeks
Lay down rock and earth trail materials 1 week
for easy mobility access as well as rainy
weather access.
Establish even—consistent and level 1 week
pathways and trails throughout the
garden.
Clear pathways and trails to a minimum 1 week
of 36" [Standard ADA]
Lay down rock and earth trail materials 1 week
for easy mobility access as well as rainy
weather access.
3
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**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
c. Brinnon Center Automatic Doors
It will take approximately 9 weeks to complete the project
Milestone Timeline
Order door closer from vendor 1 day
Order electrical install 1 day
Wait for closer installation 2 weeks
Electrical install 5 weeks
Closer install 1 week
Testing and training 1 day
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
d.Johnson Center Restroom Door Openers:
It will take approximately 9 weeks to complete the project
Milestone **Timeline
Order Automatic Door Opener Equipment One day
Order Electrical Installation One day
Wait for Equipment Delivery Four weeks
Electrical Installation One day
Automatic Door Opener Installation/Testing One or Two
days
Order Automatic Door Opener Equipment One day
Order Electrical Installation One day
Wait for Equipment Delivery Four weeks
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
4
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e.Jefferson Co. Public Health Portable Audio System:
It will take approximately 3 weeks to complete the project
MILESTONE **TIMELINE
Order ALD Systems Once grant is amended
Write policies and procedures 10 days
for required use of equipment
Train staff on use of equipment
&communication using
policies and procedures and 1 Day
equipment
Promote the equipment
availability on our website and Throughout the year
social media
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
f. Mountain View Pool ADA Changing Room:
It will take approximately 7 weeks to complete the project
Milestone 1 **Timeline
Order and delivery of Hi-Lo Changing 1 week
Table
Order and delivery of rolling shower 1 week
chair
Move aquatic program storage from 1 days
"dressing area"
Order and delivery of self-standing 2 weeks
curtains and frame
Order electrical install of 120V outlet for 1 day
table
Contract with Electrician for electrical 2 weeks
installation
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
5
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g. Quilcene School Garden:
It will take approximately 6 weeks to complete the project
Milestone **Timeline
Clear pathways and trails to a minimum of 2 weeks
36" [Standard ADA]
Lay down rock and earth trail materials for 1 week
easy mobility access as well as rainy weather
access.
Establish even—consistent and level 1 week
pathways and trails throughout the garden.
Clear pathways and trails to a minimum of 1 week
36" [Standard ADA]
Lay down rock and earth trail materials for 1 week
easy mobility access as well as rainy weather
access.
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
h.Chetzemoka Park Signage
It will take approximately 10 weeks to complete the project
Milestone Timeline
Remove asphalt from old trail 1 day
Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
Order and delivery of sign Kiosk for park 5 weeks
Order and delivery of ADA directional signs 2 weeks
Dig/pour concrete and install kiosk 2 days
Install directional signs 1 day
Remove asphalt from old trail 1 day
Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
**Timing may be affected by restrictions, emergency planning needs, and
schedule adjustments due to COVID-19 illness concerns.
6
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i. Johnson Center ADA Parking Spaces
It will take approximately 11 weeks to complete the project
Milestone **Timeline
Set date to begin project on site One day
Wait time until start date 10 weeks
Prepare& pave ADA parking section One week
**Timing may be affected by restrictions, emergency planning needs, and
schedule adjustments due to COVID-19 illness concerns.
3. Resources required
a. Fort Warden Assisted Listening Device:
• 1 FM Transmitter to transmit sound from our PA system to the listening devices
[Williams Sound PPA T27]
• 5 Eight-Channel FM Receivers for listeners to wear with or without hearing aids
[Williams Sound PPA R37-8]
• 5 Folding Headsets for use with receivers [Williams Sound HED 021]
• 3 Neckloops for use with hearing aids or cochlear implants equipped with a T-coil switch
[Williams Sound NKL 001]
• 100(1 box)disposable earpad covers for use with the FM receivers to ensure the
devices are sanitary and appealing for users [EAR 045]
b. Quilcene School Garden:
• Funding for labor costs(pathway development)
• Funding for rental expense(Small tractor)
• Funding for labor(laying and levelling stone materials)
c. Brinnon Center Automatic Doors:
• One Stanley Magic Automatic Door Opener,45" Right Hand outswing
• Hardware Package including arm,wire harness,on/off switch decals
• Installation of electrical wiring to two door openers,4%"Square
d.Johnson Center Restroom Door Openers:
• The two automatic door openers/control boxes/door arm linkage/headers/
wireless push buttons&hardware; including installation
• Installation of electrical wiring to the two door openers
e. Jefferson Co. Public Health Portable Audio System:
• Purchase Assistive Listening Device systems,
• promote the equipment availability on our website and using our social media
platforms,
• write policies and procedures for required use of equipment
• train staff on use of equipment and communication.
7
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f. Mountain View Pool ADA Changing Room:
• Hi-Lo Changing Table(current list price)
• Shower Chair
• Self-standing Curtains
• Miscellaneous materials for deck space
• Electrician to put in 120V outlet for table
g. Chetzemoka Park Bathroom and Signage:
• Creation of 250 feet of 5 foot wide ADA trail accessing the restroom area at
Chetzemoka Park. This will be accomplished by removal of current asphalt,
placement of landscape cloth and complete coverage of the trail with a 3" depth of
base rock and a 6"dept of trail rock
• A Kiosk with ADA Signage to all of Chetzemoka park, including restrooms, placed at
park entrance 3 additional signs placed directionally showing access from opposite
side of the ramp,and finally on the door of the ADA restroom.
h. Johnson Center ADA Parking Spaces:
• Prepare and pave ADA parking section including the following work: remove some
existing material and waste on-site, place and compact crushed rock as needed and
fine grade, apply weed barrier to prepared area, place and compact 2"of%2" HMA,
install 4 new wheel stops,stripe area for ADA compliance
4. Cost
a. Fort Warden Assisted Listening Device: $ 781.15
b. Quilcene School Garden: $2,050.00
c. Brinnon Center Automatic Doors: $3,246.65
d. Johnson Center Restroom Door Openers: $5,651.38
e. Jefferson Co.Public Health Portable Audio System: $1,894.00
f. Mountain View Pool ADA Changing Room: $2,376.00
g. Chetzemoka Park Bathroom and Signage: $3,079.00
h. Johnson Center ADA Parking Spaces: $7,312.50
Salary and Benefits for Project Oversight: $10,791.04
Costs is for the budget in Exhibit B.
8
DocuSign Envelope ID:C4D3AD00-268A-4C05-8A4A-D2F22F31066D
Hovel-er of et cacti to?3 for"+a sttuclion :: ESD Contract No. K6651
Other Party Contract No.
Request No. R2335
EMS690 - ESD EXPENDS FUNDS/NON-FINANCIAL CLEARANCE SHEET
1. ESD Contract Name:Jefferson County Accessible Communities Advisory Committee
2. Other Party Information 5. Original Contract Start Date:05/29/2020 Amendment Start Date: 05/30/2021
Legal Name: Jefferson County ❑+ DOE End Date: one year frc
Full Address: 615 Sheridan,Port Townsend 98368 6. Amendment Change$0
Signer: Kate Dean Phone# (360)385-9157 7. Total Contract Amt.(Incl.Amend.)NTE S41.139.74
E-mail Address: kdean@co.jefferson.wa.us ❑ Non-financial
Contact Person: Anna McEnery Phone#: (360)385-9410 Financial Section: If necessary,please contact the Budget Analyst assigned to your
division for assistance.If not available,send an email to esdopbudget5esd.wa.gov
E-mail Address: amenery@co.jefferson.wa.us
8. Type of Funds: ❑✓ State ❑ Federal ❑ Other
Federal TAX ID#(FEIN) 9 7-60 01 322 UBI# 278-035-495 If Federal Funds list CFDA#:
Vendor ID(AFRS SWV#): SWV0002430-02 Is A-19 Required? ❑ YES ❑NO
DUNS# 184826790 9. Account Coding (for payment):
3. Business Certification (check all that apply) Master Index: 5050
❑Veterans 0 Women's 0 Minority Org. Index: 36401600 Project Code: 3640-07
❑ Micro,Mini or Small Business AFRS Charge coding/Object-sub object: NB7310
[as defined in RCW 39.26.010(16),(17),or(22)]
4. Contract Type(check all that apply) 10. Data Sharing
❑ Competitive Solicitation(RF ) Does this contract involve any data?
❑ Master Contract—2nd Tier Competition(MC2T) ❑YES El NO
❑ Master Contract(MC) If YES,What data?
❑ Sole Source(SS)
List division(s)impacted:
❑ Direct Buy(DB) Data sharing elements of contract have been reviewed&approved by:
✓❑ Interagency Agreement(IA)
❑Grant(G) Name: Signature: Date:
❑ Sub Grant(SG) 11. Information Technology(IT)
❑ Professional or Personal Services(PS) Does this contract involve information technology?
❑ Purchased Services(MP) ❑YES CI NO
❑ Data Sharing(DS) IT elements of this contract have been review&approved by:
❑ Other(explain)
Name: Signature: Date:
12. ESD Contract Manager's NAME: Elaine Stefanowicz Phone#: 360-890-3774 Org.Index: 5050
13. ESD Contact Person's NAME: Elaine Stefanowicz Phone#: 360-890-3774
14. Brief but clear description of contract/amendment:
n #6ts a extension because of delayed shipment of item
thatCo istract key to
651 the completion expireon of a5-29-21 contracta done-yeeliverable.rno-cost
15. ESD Contract Signature Authority: Print Name: Elizabeth Gordon Signature: Date: 05/26/2021
Clearance Routing Procedure Reviewer's Section
Contracts Office: Greg Grahn Date: 06/04/2021 Budget Office: Alan Tran Date: 06/03/2021
ESD Policy: Date: Specialized Accounting(SAS): Date:
COMMENTS:
L i-'_:\"xS,/i \'- r EMS 690,"Rev a 9)
.r Employment = ,curity Department
WASHINGTON STATE
P.O.BOX 9046,OLYMPIA,WASHINGTON 98507-9046
INTERAGENCY AGREEMENT K6651
BETWEEN
WASHINGTON STATE- EMPLOYMENT SECURITY DEPARTMENT
AND
JEFFERSON COUNTY, WASHINGTON
1. INTRODUCTION
This Agreement, pursuant to Chapter 39.34 Revised Code of Washington (RCW), is made and
entered into by and between the Washington State Employment Security Department, hereinafter
referred to as "ESD", located at 212 Maple Park Ave SE, Olympia,WA 98501,and Jefferson County,
hereinafter referred to as "Contractor" located at 615 Sheridan St, Port Townsend, WA 98368.
ESD and Contractor may be collectively referred to as the"Parties".
2. PURPOSE
With the passing of the Accessible Communities Act,the Legislature found that Washington State
residents with disabilities continue to face barriers that could be easily eliminated.Through this
legislation,counties have the opportunity to form county Accessible Community Advisory
Committees and develop projects in their commuinities that will increase the disability awareness
and accessibility of their county.Once these projects are developed and approved by the Governor's
Committee on Disability Issues and Employment (GCDE), counties can receive funds to carry out
these projects. Counties are eligible to apply for funding for other approved projects when a prior
project is complete.
The purpose of this Agreement is for the Contractor to increase ADA accessibility through various
access projects in Jefferson County.
3. DEFINITIONS
a. "CONTRACTOR" means that government agency or government entity performing services and/or
providing goods under this Agreement.This includes any SUBCONTRACTOR retained by the prime
Contractor as permitted under the terms of this Agreement.
b. "SUBCONTRACTOR" means agency,firm,organization,individual or other entity other than the
prime one, not in the employment of the CONTRACTOR,who is performing all or part of those
services or providing all or part of the goods under this prime Agreement or a sub-agreement
entered into in connection with this prime Agreement. The terms "SUBCONTRACTOR" and
"SUBCONTRACTORS" means SUBCONTRACTOR(s)in anytier.
c. "MATERIALS" means all items in any format and includes, but is not limited to, data,reports,
documents, pamphlets, advertisements, books, magazines,surveys, studies, computer
programs,films,tapes,and/or sound reproductions.
ESD Contracts Office,Interagency Agreement Template Page 1 of 16 rev.Aug,2019
ESD Contract No.K6651
Other party Contract No.
3. CONTRACT MANAGEMENT
The Contract Manager for each of the parties shall be responsible for and shall be the contact
person for all communications and billings regarding the performance of this Agreement.
ESD's Contract Manager shall monitor the performance and compliance of this Agreement. ESD's
Contract Manager shall be responsible for the review and acceptance of the Contractor's performance,
deliverables,invoices,expenses,and reports from the Contractor. ESD's Contract Manager will be the
Contractor's main contact for any questions about the Agreement.
ESD Contract Manager responsible for management of this Agreement is:
Name: Elaine Stefanowicz
Title: Program Coordinator 3
Phone Number: 360-902-9362
E-mail: estefanowicz@esd.wa.gov
Contractor staff member responsible for management of this Agreement is:
Name: Ana McEnery
Title: Developmental Disabilities& Behavioral Health County Coordinator
Phone Number: 360-385-9410
E-mail: AMcEnery@co.jefferson.wa.us
4. STATEMENT OF WORK
Contractor shall furnish the necessary personnel, equipment, material and/or services and
otherwise do all things necessary for or incidental to the performance of the work set forth in the
Statement of Work,attached and incorporated as Exhibit A.
5. PERIOD OF PERFORMANCE
Subject to its other provisions,the period of performance of this Agreement shall commence on the
date of execution and end one(1)year from the date of execution unless terminated sooner as
provided herein. ESD reserves the right to extend the Agreement for up to one(1)additional one year
term by mutual written consent of both parties. The total duration of this Agreement,including
extensions,will not exceed two years.
6. REPORTING
The Contractor shall provide the ESD Contract Manager monthly status report(s)on Agreement
performance. Reports may be submitted via email to the ESD contract manager.
7. COMPENSATION
Compensation for the work provided in accordance with this Agreement has been established under
the terms of RCW 39.34.130.The parties have estimated that the cost of accomplishing the work
herein will not exceed$41,140.24. Payment for satisfactory performance of the work shall not
exceed this amount unless the parties mutually agree in writing to a higher amount prior to the
ESD Contracts Office,Interagency Agreement Template Page 2 of 16 g rev.Aug,2019
ESD Contract No. K6651
Other party Contract No.
commencement of any work which will cause the maximum payment to be exceeded.
Compensation for services shall be in accordance with the budget attached and incorporated as
Exhibit B.
The Contractor shall be entitled only to compensation for expenses incurred during the contract period
for work accomplished as provided in this Agreement.
The Contractor will not be reimbursed for any travel expenses.
8. BILLING PROCEDURE
The Contractor shall submit invoices monthly or upon completion of the project for services performed
under this Agreement on an Invoice Voucher(Form A-19),or similar invoice. Invoices shall include such
information as is necessary for ESD to determine the exact nature of all expenditures,and goods or
services provided to and received by ESD. ESD must receive all invoices no later than 30 days from the
end of the period of performance. Failure by the Contractor to submit the bill by the date specified
above may result in non-payment. ESD shall pay the Contractor for completed and approved work
within thirty(30)days of receipt of invoice.
Each invoice will clearly indicate that it is"FOR SERVICES RENDERED IN PERFORMANCE UNDER ESD
CONTRACT NUMBER K6651."The invoice document shall be submitted to:
Employment Security Department
Attention:Vendor Payments
PO Box 9046
Olympia,WA 98507
Or one electronic copy of invoice document to:
VendorPayments@esd.wa.gov
It is understood and agreed by and between ESD and the Contractor that the Contractor's payment
is conditioned upon satisfactory performance and acceptance by ESD. ESD reserves the right to
withhold payment of any deliverable contingent upon acceptance of the deliverable by ESD.
No payment in advance or in anticipation of services or supplies to be provided by this
Agreement shall be made by ESD.
9. AMENDMENTS
This Agreement may be amended by mutual Agreement of the parties. Such amendments shall not
be binding unless they are in writing and signed by personnel authorized to bind each of the parties.
10. ASSIGNMENT
The work to be provided under this Agreement, and any claim arising thereunder, is not assignable
or delegable by either party in whole or in part,without the express prior written consent of the
other party,which consent shall not be unreasonably withheld.
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Other party Contract No.
11. ASSURANCES
a. Parties agree that all activity pursuant to this Agreement will be in accordance with all applicable
current or future federal,state or local laws, rules and regulations.
b. Contractor assures ESD that it has the ability to comply with the nondiscrimination and equal
opportunity provisions of the following laws and will remain in compliance for the duration of the
Agreement.
i. Title VI of the Civil Rights Act of 1964,as amended,which prohibits discrimination on the basis
of race,color,and national origin;
ii. Section 504 of the Rehabilitation Act of 1973,as amended,which prohibits discrimination
against qualified individuals with disabilities;
iii. The Age Discrimination Act of 1975,as amended,which prohibits discrimination on the basis
of age;and
iv. Title IX of the Education Amendments of 1972,as amended,which prohibits discrimination on
the basis of sex in educational programs;and
v. The Americans with Disabilities Act of 1990
12. COPYRIGHT PROVISIONS
a. Unless otherwise provided, all Materials produced under this Agreement shall be considered
"works for hire"as defined by the U.S.Copyright Act and shall be owned by ESD.ESD shall be
considered the author of such Materials. In the event the Materials are not considered "works
for hire"under the U.S.Copyright Laws,Contractor hereby irrevocably assigns all right,title,and
interest in Materials,including all intellectual property rights,to ESD effective from the moment of
creation of such Materials. This includes the right to copyright,patent, register and the ability to
transfer these rights.
b. For Materials that are delivered under this Agreement, but that incorporate preexisting Materials
not produced under this Agreement, Contractor hereby grants to ESD a nonexclusive, royalty-
free,irrevocable license(with rights to sublicense others)in such Materials to translate,reproduce,
distribute, prepare derivative works, publicly perform,and publicly display. The Contractor
warrants and represents that Contractor has all rights and permissions, includingintellectual
property rights, moral rights and rights of publicity, necessary to grant such a license to ESD.
c. In cases where such Materials have been purchased with federal funds,the federal awarding
agency reserves a royalty-free, nonexclusive,and irrevocable license to reproduce, publish or
otherwise use,and to authorize others to use,for federal government purposes:
i. The copyright in any work developed under a contract;and
ii. Any rights of copyright to which a contractor purchases ownership with contract funding
support.
13. DEBARMENT AND SUSPENSION
By executing this Agreement,Contractor certifies that it is not debarred,suspended or otherwise
excluded from or ineligible for participation in Federal Assistance Programs under Executive Order
12549"Debarment and Suspension"codified at 29 CFR part 98. Contractor certifies that it will not
ESD Contracts Office,Inte regency Agreement Template Page 4 of 16 rev.Aug,2019
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Other party Contract No.
contract with a Subcontractor that is debarred or suspended.
14. DISPUTES
Except as otherwise provided in this Agreement,when a dispute arises between the parties and it
cannot be resolved by direct negotiation,the parties agree to participate in non-binding mediation
in good faith.The mediator shall be chosen by agreement of the parties. If the parties cannot agree
on a mediator,the parties shall use a mediation service that selects the mediator for the parties.
Nothing in this Agreement shall be construed to limit the parties'choice of a mutually acceptable
alternative resolution method such as a disputes hearing, a Dispute Resolution Board, or arbitration.
Either of the parties may request intervention by the Governor, as provided by RCW 43.17.330, in
which event the Governor's process will control.
15. DUPLICATION OF BILLED COSTS
Contractor shall not bill ESD for costs if Contractor is being paid by another funding source for these
same costs.
16. ELECTRONIC SIGNATURES,COUNTERPARTS,AND DELIVERY
The parties agree that this Agreement may be executed in multiple counterparts, each of which is
deemed an original and all of which constitute only one agreement; and that electronic signature,or
e-signature,of this Agreement shall be the same as execution of an original ink signature;and that
E-mail,electronic, or facsimile delivery of a signed copy of this Agreement shall be the same as
delivery of an original.
17. GOVERNANCE
This Agreement is entered into pursuant to and under the authority granted by the laws of the state
of Washington and any applicable federal laws.The provisions of this Agreement shall be construed
to conform to those laws. The venue of any action brought hereunder shall be in the Superior Court
for Thurston County. All parties agree to the exclusive jurisdiction of such court and waive any right
to challenge jurisdiction or venue.
18. INCORPORATED DOCUMENTS
The following Exhibits are attached and incorporated into this Agreement:
• Exhibit A-Statement of Work
• Exhibit B-Budget
19. INDEMNIFICATION
Each party to this Agreement shall be responsible for its own acts and/or omissions and those of its
officers, employees or agents. No party to this Agreement shall be responsible for the acts and/or
omissions of entities or individuals not a party to this Agreement.
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ESD Contract No. K6651
Other party Contract No.
20. INDEPENDENT CAPACITY
The employees or agents of each party who are engaged in the performance of this Agreement shall
continue to be employees or agents of that party and shall not be considered for any purpose to be
employees or agents of the other party.
21. INSURANCE REQUIREMENTS
Parties warrant they will maintain insurance,such as, but not limited to,self insurance,throughout
the duration of this contract that protects against such losses, risks, and any damage claims that
might result from performing under this contract. Said insurance must be for such amounts as are
prudent and customary for a government entity.
22. ORDER OF PRECEDENCE
In the event of an inconsistency in the terms of this Agreement,or between its terms and any
applicable statute or rule,the inconsistency shall be resolved by giving precedence in the following
order:
a. Applicable state and federal statutes and rules;
b. This Agreement
c. Statement of Work;and
d. Any other provisions of the Agreement, including materials incorporated by reference.
23. RECORDS MAINTENANCE
a. The parties to this Agreement shall each maintain books, records,documents and other
evidence which sufficiently and properly reflect all direct and indirect costs expended by either
party in the performance of the services described herein.These records shall be subject to
inspection, review or audit by personnel of both parties, other personnel duly authorized by
either party,the Office of the State Auditor,and federal officials so authorized by law.All books,
records,documents,and other material relevant to this Agreement will be retained for six years
after expiration and the Office of the State Auditor,federal auditors, and any persons duly
authorized by the parties shall have full access and the right to examine any of these materials
during this period.
b. Records and other documents, in any medium,furnished by one party to this Agreement to the
other party,will remain the property of the furnishing party, unless otherwise agreed. The
receiving party will not disclose, or make available,this material to any third parties without first
giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each
party will utilize reasonable security procedures and protections to assure that records and
documents provided by the other party are not erroneously disclosed to third parties.
24. SEVERABILITY
The provisions of this Agreement are intended to be severable. If any term or provision is illegal
or invalid for any reason whatsoever,such illegality or invalidity shall not affect the validity of
the remainder of this Agreement provided that the remaining provisions can be given effect
without the illegal or invalid provision.
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ESD Contract No.K6651
Other party Contract No.
25. SIGNATURE AUTHORITY
a. This Agreement,any alteration, amendment, modification,or waiver of any clause or condition of
is not effective or binding unless made in writing and signed by the Commissioner of ESD or any
ESD authorized representative that has been givendelegated authority prior to signing.
b. Contractor represents and warrants that the person executing this Agreement on its behalf has the
full right and authority to fully commit and bind Contractor.
26. SUBCONTRACTING
a. The Contractor shall not subcontract work or services contemplated under this Agreement and/or
use an outside consultant except as provided for in the Statement of Work withoutobtaining the
prior written approval of ESD.Contractor acknowledges that such approval for any subcontract
does notrelieve the Contractor of its obligations to perform hereunder.ESD retains theauthority
to review and approve or disapprove all subcontracts.At ESD's request,the Contractor will
forward copies of subcontracts and fiscal,programmatic and other materialpertaining to any and
all subcontracts.
b. For any proposed Subcontractor the Contractorshall:
i. Be responsible for Subcontractor's compliance with these General Terms and Conditions
and the subcontract terms and conditions;and
ii. Ensure that the Subcontractor follows ESD's reporting formats and procedures as specified by
ESD.
27. TERMINATION FOR CONVENIENCE
Either party may terminate this Agreement upon 30 days' prior written notification to the other
party. If this Agreement is so terminated,the parties shall be liable only for performance rendered
or costs incurred in accordance with the terms of this Agreement prior to the effective date of
termination.
28. TERMINATION FOR CAUSE
If for any cause, either party does not fulfill in a timely and proper manner its obligations under this
Agreement,or if either party violates any of these terms and conditions,the aggrieved party will
give the other party written notice of such failure or violation. The responsible party will be given
the opportunity to correct the violation or failure within 15 working days. If failure or violation is not
corrected,this Agreement may be terminated immediately by written notice of the aggrieved party
to the other.
29. TERMINATION FOR FUNDING REASONS
In the event funding from state,federal,or other sources is withdrawn, reduced,or limited in any way
after the effective date of this Agreement and prior to normal completion,the affected party may
unilaterally terminate this Agreement.Written notification of termination shall be mailed return receipt
requested.Such action is effective upon receipt of the written notification.
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ESD Contract No.K6651
Other party Contract No.
30. USE AND DISCLOSURE OF INFORMATION
Contractor shall not disclose or misuse any private and confidential information obtained under this
Agreement unless the disclosure is authorized by law and directly connected to the official purpose
for which the information was obtained.The misuse or unauthorized release of private and
confidential information shall subject Contractor, its employees or agents to a civil penalty of five
thousand dollars($5,000)and other applicable sanctions under state and federal law. (RCW
50.13.060[13]and 50.13.080[3]).
31. WAIVER
A failure by either party to exercise its rights under this Agreement shall not preclude that party
from subsequent exercise of such rights and shall not constitute a waiver of any other rights under
this Agreement,unless stated to be such in a writing signed by an authorized representative of the
party and attached to the original Agreement.
32. ALL WRITINGS CONTAINED HEREIN
All rights and obligations of the parties to this Agreement shall be subject to and governed by the terms
contained in the text of this Agreement. This Agreement contains all the terms and conditions agreed
upon by the parties. No other understandings,oral or otherwise,regarding the subject matter of
this Agreement shall be deemed to exist or to bind any of the parties hereto.
IN WITNESS WHEREOF,the parties have executed this Agreement.
Jefferson Count Bo rd of Commissioners Washington State
- Employment Security Department
I —DocuSipned by:
S"�, jt - c . Cord eln,
5/29/2020
Signature Date S/6grrattireC8C31 D4D8.- Date
6 ,ef� f Elizabeth Gordon
Greg Brotltelkon Name
Executive Director GCDE
Chair Title/Division
Approved as to farm o,Iy
0c. " / Sis
Philip Hunsucker,Chief Civil Deputy rosec ting Attorney
Jefferson County Prosecuting Attorney's Office
ESD Contracts Ofgce,Interagency Agreement Template Page 8 of 16 rev.Aug,2019
ESD Contract No.K6651
Other party Contract No.
30. USE AND DISCLOSURE OF INFORMATION
Contractor shall not disclose or misuse any private and confidential information obtained under this
Agreement unless the disclosure is authorized by law and directly connected to the official purpose
for which the information was obtained.The misuse or unauthorized release of private and
confidential information shall subject Contractor, its employees or agents to a civil penalty of five
thousand dollars ($5,000) and other applicable sanctions under state and federal law. (RCW
50.13.060[13] and 50.13.080[3]).
31. WAIVER
A failure by either party to exercise its rights under this Agreement shall not preclude that party
from subsequent exercise of such rights and shall not constitute a waiver of any other rights under
this Agreement, unless stated to be such in a writing signed by an authorized representative of the
party and attached to the original Agreement.
32. ALL WRITINGS CONTAINED HEREIN
All rights and obligations of the parties to this Agreement shall be subject to and governed by the terms
contained in the text of this Agreement. This Agreement contains all the terms and conditions agreed
upon by the parties. No other understandings,oral or otherwise, regarding the subject matter of
this Agreement shall be deemed to exist or to bind any of the parties hereto.
IN WITNESS WHEREOF,the parties have executed this Agreement.
Jefferson County Board of Commissioners Washington State
~N, Employment Security Department
Signature Date Signature Date
.;:l ,QQ)\--WMI .T\
Greg BrotlrAon Name
Chair Title/Division
Approved as to f.rm only
? C. /. i ___S5 ��
Philip Hunsucker,Chief Civil Deputy Prosecuting Attorney
Jefferson County Prosecuting Attorney's Office
ESD Contracts Office,Interagency Agreement Template Page 8 of 16 rev.Aug,2019
ESD Contract No.K6651
Other party Contract No.
Exhibit A
STATEMENT OF WORK
JEFFERSON COUNTY
ACCESSIBLE COMMUNITIES ADVISORY COMMITTEE (ACAC)
1. Overview
Increase ADA accessibility in Jefferson County.
2. Projects
2.1. Fort Warden Assisted Listening Device:The Fort Worden Public Development
Authority(PDA)will purchase Assistive Listening equipment.This support will ensure
that the PDA is able to provide ADA-compliant hearing assistance at their public Board
of Directors meetings and other public gatherings at Fort Worden.
2.2. Quilcene School Garden:Jefferson County is in partnership with Quilcene School
District. Quilcene School District will complete the school garden to assure students
with disabilities,staff,and community members with mobility needs will be able to
easily access this wonderful resource on site, no matter the weather,season, and
mobility.
2.3. Brinnon Center Automatic Doors: Installing automatic door openers to the front doors
to improve accessibility at the Brinnon Community Center, 306144 US-101, Brinnon,
WA 98320.This project is in partnership with Jefferson County Central Services.
2.4. Johnson Center Restroom Door Openers: Improve accessibility within the Laurel B.
Johnson Community Center,923 Hazel Point,Quilcene,WA 98376, by adding
automatic door openers to both the men's and women's restroom doors. This project
is in partnership with Jefferson County Parks & Recreation District#1.
(www.toandos.org)
2.5. Jefferson Co. Public Health Portable Audio System: Purchase portable audio system
(PAS) and assistive listening devices (ALDs)for use at Jefferson County Public Health.
2.6. Mountain View Pool ADA Changing Room:Create an on-deck curtained ADA changing
room,complete with hi-low changing table and reclining, rolling shower chair for
assistance transporting to shower and/or to pool edge at the Mountain View Pool.
2.7. Chetzemoka Park Bathroom: Remove crumbling uneven asphalt from present trail and
create new 5 foot wide 250 feet long properly compacted ADA trail to the restrooms at
Chetzemoka Park.
2.8. Chetzemoka Park Signage:Create visible and complete signage for direction to, and
location of, ADA restroom at Chetzemoka Park.
2.9. Johnson Center ADA Parking Spaces: Improve accessibility to the Laurel B.Johnson
Community Center, 923 Hazel Point,Quilcene, WA 98376, by adding four ADA parking
spaces to the existing parking lot in front of the Center. This will include paving the
parking area, installing four new wheel stops and stripe area for ADA compliance.This
project is in partnership with Jefferson County Parks & Recreation District#1.
(www.toandos.org)
ESD Contracts Office,Interagency Agreement Template Page 9 of 16 rev.Aug,2019
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3. Timelines:
3.1. Fort Warden Assisted Listening Device:
It will take approximately 7 weeks to complete the project
Milestone Timeline
Order hearing equipment from vendor Once grant
is amended
Conduct training with equipment 3 weeks
after
equipment
has been
purchased
Inventory equipment 2 weeks
after
training
Update setup and storage procedures 2 weeks
after
training
Update website with information about In process
availability and general accessibility options with support
staff
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.2. Quilcene School Garden:
It will take approximately 6 weeks to complete the project
Milestone **Timeline
Clear pathways and trails to a minimum 2
of 36" [Standard ADA] weeks
Lay down rock and earth trail materials 1 week
for easy mobility access as well as rainy
weather access.
Establish even—consistent and level 1 week
pathways and trails throughout the
garden.
Clear pathways and trails to a minimum 1 week
of 36" [Standard ADA]
Lay down rock and earth trail materials 1 week
for easy mobility access as well as rainy
weather access.
ESD Contracts Office,Interagency Agreement Template Page 10 of 16 rev.Aug,2019
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**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.3. Brinnon Center Automatic Doors
It will take approximately 9 weeks to complete the project
Milestone Timeline
Order door closer from vendor 1 day
Order electrical install 1 day
Wait for closer installation 2 weeks
Electrical install 5 weeks
Closer install 1 week
Testing and training 1 day
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.4.Johnson Center Restroom Door Openers:
It will take approximately 9 weeks to complete the project
Milestone **Timeline
Order Automatic Door Opener Equipment One day
Order Electrical Installation One day
Wait for Equipment Delivery Four weeks
Electrical Installation One day
Automatic Door Opener Installation/Testing One or Two
days
Order Automatic Door Opener Equipment One day
Order Electrical Installation One day
Wait for Equipment Delivery Four weeks
** Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.5.Jefferson Co. Public Health Portable Audio System:
It will take approximately 3 weeks to complete the project
MILESTONE **TIMELINE
Order ALD Systems Once grant is amended
Write policies and procedures 10 days
for required use of equipment
ESD Contracts Office,Interagency Agreement Template Page 11 of 16 rev.Aug,2019
ESD Contract No.K6651
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Train staff on use of equipment
&communication using 1 Day
policies and procedures and
equipment
Promote the equipment
availability on our website and Throughout the year
social media
** Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.6.Mountain View Pool ADA Changing Room:
It will take approximately 7 weeks to complete the project
Milestone **Timeline
Order and delivery of Hi-Lo Changing 1 week
Table
Order and delivery of rolling shower 1 week
chair
Move aquatic program storage from 1 days
"dressing area"
Order and delivery of self-standing 2 weeks
curtains and frame
Order electrical install of 120V outlet for 1 day
table
Contract with Electrician for electrical 2 weeks
installation
**Timing may be affected by restrictions, emergency
planning needs, and schedule adjustments due to COVID-19
illness concerns.
3.7. Chetzemoka Park Bathroom
It will take approximately 10 weeks to complete the project
Milestone Timeline
Remove asphalt from old trail 1 day
Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
Order and delivery of sign Kiosk for park 5 weeks
Order and delivery of ADA directional signs 2 weeks
Dig/pour concrete and install kiosk 2 days
Install directional signs 1 day
Remove asphalt from old trail 1 day
ESO Contracts Office,Interagency Agreement Template Page 12 of 16 rev.Aug,2019
ESD Contract No.K6651
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Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
**Timing may be affected by restrictions, emergency planning needs, and
schedule adjustments due to COVID-19 illness concerns.
3.8.Chetzemoka Park Signage
It will take approximately 10 weeks to complete the project
Milestone Timeline
Remove asphalt from old trail 1 day
Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
Order and delivery of sign Kiosk for park 5 weeks
Order and delivery of ADA directional signs 2 weeks
Dig/pour concrete and install kiosk 2 days
Install directional signs 1 day
Remove asphalt from old trail 1 day
Order gravel and landscape cloth 1 day
Placement of landscape cloth 3" rock and 10 days
trail rock
**Timing may be affected by restrictions, emergency planning needs, and
schedule adjustments due to COVID-19 illness concerns.
3.9. Johnson Center ADA Parking Spaces
It will take approximately 11 weeks to complete the project
Milestone **Timeline
Set date to begin project on site One day
Wait time until start date 10 weeks
Prepare& pave ADA parking section One week
**Timing may be affected by restrictions, emergency planning needs, and
schedule adjustments due to COVID-19 illness concerns.
4. Resources required
4.1. Fort Warden Assisted Listening Device:
• 1 FM Transmitter to transmit sound from our PA system to the listening devices
[Williams Sound PPA T27]
• 5 Eight-Channel FM Receivers for listeners to wear with or without hearing aids
[Williams Sound PPA R37-8]
• 5 Folding Headsets for use with receivers [Williams Sound HED 021]
• 3 Neckloops for use with hearing aids or cochlear implants equipped with a T-
coil switch [Williams Sound NKL 001]
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Other party Contract No.
• 100(1 box)disposable earpad covers for use with the FM receivers to ensure
the devices are sanitary and appealing for users [EAR 045]
4.2. Quilcene School Garden:
• Funding for labor costs (pathway development)
• Funding for rental expense(Small tractor)
• Funding for labor(laying and levelling stone materials)
4.3. Brinnon Center Automatic Doors:
• One Stanley Magic Automatic Door Opener,45" Right Hand outswing
• Hardware Package including arm,wire harness, on/off switch decals
• Installation of electrical wiring to two door openers,4%"Square
4.4. Johnson Center Restroom Door Openers:
• The two automatic door openers/control boxes/door arm linkage/headers/
wireless push buttons &hardware; including installation
• Installation of electrical wiring to the two door openers
4.5. Jefferson Co. Public Health Portable Audio System:
• Purchase Assistive Listening Device systems,
• promote the equipment availability on our website and using our social media
platforms,
• write policies and procedures for required use of equipment
• train staff on use of equipment and communication.
4.6. Mountain View Pool ADA Changing Room:
• Hi-Lo Changing Table(current list price)
• Shower Chair
• Self-standing Curtains
• Miscellaneous materials for deck space
• Electrician to put in 120V outlet for table
4.7. Chetzemoka Park Bathroom and Signage:
• Creation of 250 feet of 5 foot wide ADA trail accessing the restroom area at
Chetzemoka Park. This will be accomplished by removal of current asphalt,
placement of landscape cloth and complete coverage of the trail with a 3"
depth of base rock and a 6" dept of trail rock
• A Kiosk with ADA Signage to all of Chetzemoka park, including restrooms,
placed at park entrance 3 additional signs placed directionally showing
access from opposite side of the ramp, and finally on the door of the ADA
restroom.
4.8. Johnson Center ADA Parking Spaces:
• Prepare and pave ADA parking section including the following work:
remove some existing material and waste on-site, place and compact
crushed rock as needed and fine grade, apply weed barrier to prepared
area, place and compact 2"of 1/z" HMA, install 4 new wheel stops,stripe
area for ADA compliance
ESD Contracts Office,Interagency Agreement Template Page 14 of 16 rev.Aug,2019
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5. Cost
5.1. Fort Warden Assisted Listening Device: $ 781.15
5.2. Quilcene School Garden: $2,050.00
5.3. Brinnon Center Automatic Doors: $3,246.65
5.4. Johnson Center Restroom Door Openers: $5,651.38
5.5. Jefferson Co. Public Health Portable Audio System: $1,894.00
5.6. Mountain View Pool ADA Changing Room: $2,376.00
5.7. Chetzemoka Park Bathroom and Signage: $3,079.00
5.8. Johnson Center ADA Parking Spaces: $7,312.50
Other Costs $3,958.52
Salary and Benefits for Project Oversight $10,791.04
Costs is for the budget in Exhibit B.
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ESD Contract Na K6651
Other party Contract Na
Exhibit B
BUDGET
JEFFERSON COUNTY
ACCESSIBLE COMMUNITIES ADVISORY COMMITTEE(ACAC)
Costs:
1.1. Fort Warden Assisted Listening Device: $ 781.15
1.2.Quilcene School Garden: $2,050.00
1.3.Brinnon Center Automatic Doors: $3,246.65
1.4.Johnson Center Restroom Door Openers: $5,651.38
1.5.Jefferson Co. Public Health Portable Audio System: $1,894.00
1.6.Mountain View Pool ADA Changing Room: $2,376.00
1.7.Chetzemoka Park Bathroom and Signage: $3,079.00
1.8.Johnson Center ADA Parking Spaces: $7,312.50
Other Costs $3,958.52
Salary and Benefits for Project Oversight $10,791.04
TOTAL $41,140.24
ESD Contracts Office,Interagency Agreement Template Page 16 of 16 rev.Aug,2019