HomeMy WebLinkAboutDept of Ecology Pollution Prevention 615 Sheridan Street
Port Townsend, WA 98368
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e ehson www.JeffersonCountyPublicHealfh.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Alisa Hasbrouck, Environmental Public Health Manager
Pinky Feria Mingo, Environmental Public Health Director
DATE: 11,4(� 2oZ3
SUBJECT: Agenda item — Interagency Agreement No. C2400022, Washington State
Department of Ecology; July 1, 2023 — June 30, 2025; $265,143.63
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) is requesting Board approval of an Interagency Agreement with the
Washington State Department of Ecology (Ecology); July 1, 2023 —June 30, 2025; $265,143.63
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
This agreement is between JCPH and Ecology for pollution prevention assistance services in Jefferson and
Clallam County to specialists who will provide technical assistance and education outreach to small businesses
in an effort to prevent pollution of waters of the state as part of the Pollution Prevention Assistance
Partnership (formerly known as the Local Source Control Partnership). Ecology has legal authority under RCW
70A.214 and RCW 70A.300, and JCPH has legal authority under WAC 173-350--Solid Waste Handling
Standards and Jefferson County Code 8.10 and an MOU with Clallam County that allows each party to
undertake the actions in this agreement.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This grant is fully funded by Ecology, and no match is required.
RECOMMENDATION:
JCPH management requests approval of the Interagency Agreement No. C2400022 with Washington State
Department of Ecology; July 1, 2023 — June 30, 2025; $265,143.63
REVIEWED BY:
July 20, 2023
Mark McC. _y, County Au, strator 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
Fr-23-052
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Department of Ecology Contract No: EH-23-052
Contract For: Pollution Prevention Assistance Term: 7/1/2023 - 6/30/2025
COUNTY DEPARTMENT: Environmental Health
Contact Person: Alisa Hasbrouck
Contact Phone: x489
Contact email: ahasbrouck@co.jefferson.wa.us
AMOUNT: $265,143.63 PROCESS: Exempt from Bid Process
Revenue: $265,143.63 Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # 127 RFP or RFQ
Munis Org/Obj 12756210 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMP I- CE WW FH-)J C 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ® N/A:®■ July 10, 2023
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ® N/A: � le July 10,2023
Signature Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 7/18/2023.
State agreement - cannot change.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 7/12/2023.
State language - cannot change.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
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vw�
DEPARTMENT OF
ECOLOGY
State of Washington
IAA No. C2400022
INTERAGENCY AGREEMENT(IAA)
BETWEEN
THE STATE OF WASHINGTON, DEPARTMENT OF ECOLOGY
AND
Jefferson County Public Health
THIS INTERAGENCY AGREEMENT("Agreement'or"IAA")is made and entered into by and
between the state of Washington,Department of Ecology,hereinafter referred to as"ECOLOGY,"and
the Jefferson County Public Health hereinafter referred to as the"CONTRACTOR,"pursuant to the
authority granted by Chapter 39.34 of the Revised Code Washington,Interlocal Cooperation Act.
THE PURPOSE OF THIS AGREEMENT is for the CONTRACTOR to provide Pollution Prevention
Assistance(PPA)Specialists who will provide technical assistance and education outreach to small
businesses in an effort to prevent pollution of waters of the state as part of the Pollution Prevention
Assistance Partnership(formerly known as the Local Source Control(LSC)Partnership).
WHEREAS,ECOLOGY has legal authority(RCW 70A.214 and RCW 70A.300)and the
CONTRACTOR has legal authority(Jefferson County has legal authority to conduct business
assistance visits under WAC 173-350--Solid Waste Handling Standards and Jefferson County
Code(JCC) 8.10 and an MOU with Clallam County to provide business assistance visits there.)
that allows each party to undertake the actions in this agreement.
THEREFORE,IT IS MUTUALLY AGREED THAT:
1. SCOPE OF WORK
The CONTRACTOR shall furnish the necessary personnel,equipment,material and/or service(s)and
otherwise do all things necessary for or incidental to the performance of the work set forth in Appendix
A,Statement of Work, and Appendix B,Budget Detail, attached hereto and incorporated herein.
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2. PERIOD OF PERFORMANCE
The period of performance of this IAA will commence on July 1,2023,and be completed by June 30,
2025,unless the Agreement is terminated sooner as provided herein. Amendments extending the period
of performance,if any,shall be at the sole discretion of ECOLOGY.
3. COMPENSATION
Compensation for the work provided in accordance with this IAA has been established under the terms of
RCW 39.34.130 and RCW 39.26.180(3). This is a performance-based agreement,under which payment
is based on the successful completion of expected deliverables.
Compensation for this agreement will be release in two 1-year phases. Phase One is limited to 50 percent
of the project budget and Phase Two can be up to the remaining percentage of the project budget. On or
before August 15,2024,Ecology will evaluate available funding and the CONTRACTOR's performance
and progress towards meeting contract deliverables and spending. To release the second-year funding the
CONTRACTOR,by June 30,2024,must:
1. Complete a minimum of 40%of the total site visit deliverables,and
2. Utilize 40%of the total compensation award.
If performance obligations have been met and funding is available per ECOLOGY's determination,the
full year 2 budget award will be considered available. Should the CONTRACTOR fail to make
satisfactory progress or funding is limited, ECOLOGY will determine the appropriate additional funding
to release for year 2 of the contract. ECOLOGY will consider various factors in determining year 2
funding including,but not limited to,available funding,performance to date,staff vacancies,time and
costs spent on unique program elements,and potential circumstances beyond the CONTRACTOR's
control.
The source of funds for this IAA is Model Toxics Control Operating Account(23P),Model Toxics
Capital Account(23N). Both parties agree to comply with all applicable rules and regulations associated
with these funds.
The parties have determined that the cost of accomplishing the work identified herein will not exceed
Two hundred sixty-five thousand,one hundred forty-three dollars and sixty-three cents($265,143.63),
including any indirect charges. Payment for satisfactory performance of the work shall not exceed this
amount unless the parties mutually agree via an amendment to a higher amount. Compensation for
services shall be based on the terms and tasks set forth in Appendix A,Statement of Work. ECOLOGY
will not make payment until it has reviewed and accepted the work.
Travel expenses(meals,lodging,and mileage)will be reimbursed according to current state rates at the
time of travel,not to exceed the budget(see Appendix B,Budget Detain.
Purchase of source control tools or equipment(e.g.,spill kits,plastic drum covers)and promotional items
for distribution to businesses under this contract must be listed in Goods and Services budget or
Equipment budget in Appendix B. Any purchases of equipment or good and services over$1,000.00 not
specifically listed in Appendix B must be pre-approved by ECOLOGY. When the agreement expires,or
when the equipment is no longer needed for the originally authorized purpose(whichever comes first)the
disposition of equipment shall be at ECOLOGY's sole discretion.
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Indirect rates will be paid as indicated in Appendix B,Budget Detail. Changes to the indirect rate may be
considered by ECOLOGY. CONTRACTOR shall provide supporting documentation necessitating the
change to ECOLOGY.ECOLOGY's approval will be communicated by e-mail.An increase in indirect
rate does not increase the total contract award. Changes are handled by adjusting the budget between
categories listed in Appendix B. Changes to the total budget cost of the contract shall require an
amendment. The budget referenced in Appendix B may be adjusted between categories with
ECOLOGY's preapproval,and if the total budget is not exceeded.
ECOLOGY may,at its sole discretion,terminate or suspend this Contract,or withhold payments claimed
by the CONTRACTOR for services rendered,if the CONTRACTOR fails to satisfactorily comply with
any term or condition of this Agreement.
4. BILLING AND PAYMENT PROCEDURE
Payment requests shall be submitted on state form,Invoice Voucher A194A. Invoice voucher shall
reference the Agreement(IAA)number and clearly identify those items that relate to performance under
this Agreement. Invoices shall describe and document to ECOLOGY's satisfaction a description of the
work performed,the progress of the work,and related costs. Each invoice shall bill for actual hours
worked during the quarter.The actual hours billed may be higher(if the total budget compensation award
is not exceeded)or lower than the FTE estimate in Appendix A,Statement of Work. Attach supporting
documentation to the invoice. See Appendix A,Statement of Work, Sections IV,V and X for additional
information(and Section XI, Small Change Voucher Program if applicable).
Send invoices to:
State of Washington
Department of Ecology
Hazardous Waste&Toxics Reduction Program
Attn: Andrew Maher
4601 N. MONROE ST.
SPOKANE,WA 99205
OR
Electronically submit invoices to:
Andrew Maher at anma461(a)ecy.wa.g_ov AND
Kristine Ray at kray461(&ecy.wa.gov
Payment requests will be submitted on a Quarterly basis. Invoices must be submitted by the dates
outlined in Appendix A,Statement of Work,Section X,Table 8.Upon expiration of this Agreement,any
claim for payment not already made shall be submitted to ECOLOGY within 30 days after the expiration
date or the end of the fiscal year,whichever is earlier.
Payment will be made within thirty(30)days of submission of a properly completed invoice(form A19-
lA)with supportive documentation. All expenses invoiced shall be supported with copies of invoices
paid.
Payment will be issued through Washington State's Office of Financial Management's Statewide Payee
Desk. To receive payment,CONTRACTOR must register as a statewide vendor by submitting a
statewide vendor registration form and an IRS W-9 form at website,h!tps:Hofm.wa.gov/it
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systems/statewide-vendorpayee-services. For questions about the vendor registration process,contact
Statewide Payee Help Desk at(360)407-8180 or email Pa eeeRegistration(Dofm.wa.gov.
5. ALTERATIONS AND 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.
6. 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.
7. ASSURANCES
Parties to this Agreement agree that all activity pursuant to this agreement will be in accordance with all
the applicable current federal,state,and local laws,rules,and regulations.
8. CONFORMANCE
If any provision of this Agreement violates any statute or rule of law of the state of Washington,it is
considered modified to conform to that statute or rule of law.
9. DISPUTES
Parties to this Agreement shall employ every effort to resolve a dispute themselves without resorting to
litigation. In the event that a dispute arises under this Agreement that cannot be resolved among the
parties, it shall be determined by a Dispute Board in the following manner. Each party to this Agreement
shall appoint one member to the Dispute Board. The members so appointed shall jointly appoint an
additional member to the Dispute Board. The Dispute Board shall review the facts,agreement terms,and
applicable statutes and rules,and then make a determination of the dispute. The determination of the
Dispute Board shall be final and binding on the parties hereto,unless restricted by law. The cost of
resolution will be borne by each party paying its own cost. As an alternative to this process,if state
agencies,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. The parties may mutually agree to a different dispute
resolution process.
10. FUNDING AVAILABILITY
ECOLOGY's ability to make payments is contingent on availability of funding. In the event funding
from state,federal,or other sources is withdrawn,reduced,or limited in any way after the effective date
and prior to completion or expiration date of this Agreement,ECOLOGY,at its sole discretion,may elect
to terminate the Agreement,in whole or part,for convenience or to renegotiate the Agreement subject to
new funding limitations and conditions. ECOLOGY may also elect to suspend performance of the
Agreement until ECOLOGY determines the funding insufficiency is resolved. ECOLOGY may exercise
any of these options with no notification restrictions,although ECOLOGY will make a reasonable
attempt to provide notice.
In the event of termination or suspension,ECOLOGY will reimburse eligible costs incurred by the
CONTRACTOR through the effective date of termination or suspension. Reimbursed costs must be
agreed to by ECOLOGY and the CONTRACTOR. In no event shall ECOLOGY's reimbursement
exceed ECOLOGY's total responsibility under the agreement and any amendments.
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11. GOVERNING LAW AND VENUE
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. This Agreement shall be construed and interpreted in accordance with the laws of
the state of Washington,and the venue of any action brought hereunder shall be the Superior Court for
Thurston County.
12. 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.
13. 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 federal and state of Washington statutes,regulations,and rules.
b. Mutually agreed upon written amendments to this Agreement.
c. This Agreement,number C2400022.
d. Appendix A,Statement of Work.
e. Appendix B,Budget Detail.
f. Appendix C,Special Terms and Conditions.
g. Any other provisions or term of this Agreement,including materials incorporated by reference or
otherwise incorporated.
14. RECORDS MAINTENANCE
The parties to this Agreement shall each maintain books,records,documents,and other evidence that
sufficiently and properly reflect all direct and indirect costs expended by either party in the performance
of the service(s)described herein. These materials 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 materials relevant to
this Agreement must be retained for six years after expiration of this Agreement.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.Each party will utilize reasonable security
procedures and protections for all materials related to this Agreement. All materials are subject to state
public disclosure laws.
15. RESPONSIBILITIES OF THE PARTIES
Each party of this Agreement hereby assumes responsibility for claims and/or damages to persons and/or
property resulting from any act or omissions on the part of itself,its employees, its officers,and its
agents. Neither party will be considered the agent of the other party to this Agreement.
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16. RIGHTS IN DATA
Unless otherwise provided,data which originates from this Agreement shall be"work made for hire"as
defined by the United States Copyright Act,Title 17 U.S.C. section 101 and shall be owned by state of
Washington,ECOLOGY. Data shall include,but not be limited to,reports,documents,pamphlets,
advertisements,books magazines,surveys,studies,computer programs,films,tapes,and/or sound
reproductions. Ownership includes the right to copyright,patent,and register these items,and the ability
to transfer these rights.
17. SEVERABILITY
If any provision of this Agreement or any provision of any document incorporated by reference shall be
held invalid,such invalidity shall not affect the other provisions of this Agreement which can be given
effect without the invalid provision,if such remainder conforms to the requirements of applicable law and
the fundamental purpose of this Agreement,and to this end the provisions of this Agreement are declared
to be severable.
18. SUBCONTRACTORS
CONTRACTOR agrees to take complete responsibility for all actions of any Subcontractor used under
this Agreement for the performance.When federal funding is involved,there will be additional
COTRACTOR and subcontractor requirements and reporting.
Prior to performance,all subcontractors who will be performing services under this Agreement must be
identified,including their name,the nature of services to be performed,address,telephone,WA State
Department of Revenue Registration Tax number(UBI),federal tax identification number(TIN),and
anticipated dollar value of each subcontract.Identify whether subcontractor is certified with OMWBE,
WA Veterans,or is a WA small business.Provide such information to ECOLOGY's Agreement manager.
19. SUSPENSION FOR CONVENIENCE
ECOLOGY may suspend this Agreement or any portion thereof for a temporary period by providing
written notice to the CONTRACTOR a minimum of seven(7)calendar days before the suspension date.
CONTRACTOR shall resume performance on the first business day following the suspension period
unless another day is specified in writing by ECOLOGY prior to the expiration of the suspension period.
20. 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 fifteen(15)business days. If failure or violation is not corrected,
this Agreement may be terminated immediately by written notice of the aggrieved party to the other.
21. TERMINATION FOR CONVENIENCE
Either party may terminate this Agreement without cause upon thirty(30)calendar day 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.
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22. 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 written amendment to this Agreement signed by an authorized
representative of the parties.
23. AGREEMENT MANAGEMENT
The representative for each of the parties shall be responsible for and shall be the contact person for all
communications,notifications,and billings questions regarding the performance of this Agreement. The
parties agree that if there is a change in representatives,they will promptly notify the other party in
writing of such change,such changes do not need an amendment.
The ECOLOGY Representative is: The Jefferson County Public Health
Representative is:
Name: Andrew Maher
Address: 4601 N.Monroe Street Name: Alisa Hasbrouck
Spokane,WA 99205 Address: 615 Sheridan Street
Phone: (509)290-7806 cell Port Townsend,WA 98368
Email: anma461necy.wa.gov Phone: (360)379-4489
Email: ahasbrouckaa,co.jefferson.wa.us
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24. ALL WRITINGS CONTAINED HEREIN
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.
The signatories to this Agreement represent that they have the authority to bind their respective
organizations to this Agreement.
IN WITNESS WHEREOF,the parties below,having read this Agreement in its entirety, including all
attachments,do agree in each and every particular as indicated by their signatures below.
State of Washington Jefferson County Washington
Department of Ecology dba Jefferson County Public Health
By: By:
Signature Date Signature Date
Heather R. Bartlett Greg Brotherton
Print Name Print Name
Deputy Director Chair, Board of County Commissioners
Title Title
Approved as to form only:
� L July 12,2023
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
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APPENDIX A
STATEMENT OF WORK
Section I. Introduction
This Statement of Work is for the 2023—2025 biennial Interagency Agreement(IAA)for the Pollution
Prevention Assistance(PPA)Partnership,which is overseen by the Washington State Department of
Ecology(ECOLOGY),Hazardous Waste&Toxic Reduction Program.
The mission of the Pollution Prevention Assistance(PPA)Partnership is:
"We protect Washington's residents and environment by helping small
businesses reduce toxic chemical use,safely manage dangerous waste,
and keep stormwater free of pollutants."
The CONTRACTOR,through their Pollution Prevention Assistance(PPA)program,will conduct
multimedia source control site visits and pollution prevention activities to businesses that are small quantity
generators(SQGs)of dangerous waste. In this context an SQG is any business,non-profit,facility,school,
or other organization that generates less than 220 pounds of dangerous waste per calendar month and less
than 2.2 pounds of extremely hazardous waste per calendar month. The site visits,along with other
pollution prevention activities conducted by the CONTRACTOR,will be designed to reduce or eliminate
dangerous waste and other pollutants at the source through best management practices that prevent spills
and discharges to ground,air,and water(especially to industrial wastewater and stormwater).
To further facilitate the reduction or elimination of toxic chemical use at the source,the CONTRACTOR
will seek and discuss opportunities to assist businesses with switching processes,products,or equipment to
use effective safer alternatives.This program will be known as the"Product Replacement Program"or
PRP.
PPA work is expected to fall within these general proportions:
Technical Assistance(TA)Visits
(Approximately 10—15%of TA Visits may involve PRP) 65-70%
(See Section III)
Unique Program Elements 15-20%
(See Section II)
Training 10%
(See Section VIII)
Other(admin,staff meetings,etc.) 5%
The CONTRACTOR is expected to:
• Interact with other partners within the PPA Partnership to provide technical assistance and training
and share resources and experiences.
• Set up alerts to receive notifications when requests for information have been made on the PPA
Partnership SharePoint Discussion Board.
• Ensure at least one staff member is available to provide timely information and feedback to
ECOLOGY's PPA Coordinator and to attend mandatory meetings and trainings. Feedback on
Partnership goals,direction,and projects will occasionally be requested via online surveys and
email requests.
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• Act in a professional and ethical manner and shall avoid any conflict of interest that might
influence the CONTRACTOR's actions or judgement.
• Disclose immediately to ECOLOGY any interest,direct or indirect,that might be construed as
prejudicial in any way to the professional judgment of the CONTRACTOR in rendering service
under this Agreement.
Key staff, estimated FTE, and their roles are identified in Table 1. Please note, this is an estimate of time
dedicated to this contract over the full two years of the contract; quarterly invoicing must reflect actual
hours worked even if hours are higher or lower than the FTE estimate.
Table 1: Key Staff
Staff Name Estimated FTE Role
Alisa Hasbrouck 0.0 Contract Management
Nick Lawlor 0.73 PPA Specialist
Alyssa Hendren 0.37 PPA Specialist
Hal-Wayne Woodward 0.12 PPA Specialist
Pinky Mingo 0.00 Contract Management
Aimee Calahan 0.00 Billing
Section II. Unique Program Elements
The CONTRACTOR will conduct the unique program elements for their PPA program as outlined in Table
2,below.
Table 2: Unique Program Elements
Unique Program
Element Description Deliverables)
Present information to a
business sector on proper
Business Sector management of wastes and • Provide a business sector workshop
Workshop(s) implementing proper best to the marine trades by June 30,
management practices 2025.
(BMPs) for that specific
business sector.
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Unique Program Description Deliverable(s)
Element
• Work with one or two other
jurisdictions to plan 1 All-Staff
Training Event(virtual or in-
person).
Four separate committees . With other committee members,
(one for each training determine a committee chair to
event)made up of PPA schedule planning meetings,track
Specialists and Ecology. tasks, and finalize the agenda.
All-Staff Planning The committee will work to • Arrange for meeting logistics
Committee schedule and facilitate the meetings. The format for (venue,food, and beverage, if in
person) and speakers.
be one in-person per year
these meetings will likely 9 participate in all workgroup
and one virtual meeting per meetings. If you are unable to
year. attend the meeting, give the
committee chair as much notice as
possible,and follow up with any
assignments or document review as
soon as possible.
Section III. Technical Assistance Visits
The CONTRACTOR will conduct technical assistance site visits to small quantity generators of dangerous
wastes,and to businesses or organizations that have the potential to pollute stormwater. Approximately
60%of the visits will be Initial Visits.If Initial Visits fall below 60%,combined Initial Visits and Follow-
Up Visits must account for at least 80%of the total visits. While necessary,efforts should be made to
minimize Screening Visits.
• An Initial Visit occurs at the actual site and results in a completed"Basic Checklist"(or enough
data gathered to complete data entry into the LSC Database). It will either be the first complete
visit to a site OR the first visit in two(2)or more years.
• A Screening Visit is an attempted visit to the site,but the business declined or put off the visit,OR
you were interrupted during the visit and were unable to gather complete data,OR you discover
that the facility does not exist anymore OR you discover that the business does not qualify for a
visit under the PPA program(e.g.,it is a medium or large quantity generator).
• A Follow-Up Visit should occur within 90 days of the Initial Visit.Follow-up should generally be
done through an on-site visit. However,a phone conversation,mail or email exchange may count
as a Follow-Up Visit if it includes confirmation that the issues that were identified in the initial
visit were resolved. Follow-Up Visits must be conducted to resolve High Priority Environmental
Issues(See Section Below).
Table 3: Total Number of Technical Assistance Visits
Number of Total Visits 250
Target for Initial Visits(60%of Total) 150
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Business sectors,organizations,waste streams,and/or geographical area that will provide a focus for the
2023—2025 technical assistance visits are listed in Table 4.
ECOLOGY may direct a portion of technical assistance visits towards specific priority sources or
contaminants.
Table 4: Technical Assistance Targets
Technical Assistance Rationale for Selection
Targets
Marine trades industry There are many marine trades businesses in our service area,
and there is a high turnover of staff in the industry.
Jefferson County is developing a sewer system for the Irondale
& Port Hadlock Urban area. When construction of the sewer
Irondale & Port Hadlock system is completed, the Irondale& Port Hadlock UGA will be
able to support affordable housing,medical facilities, higher
density multifamily residences, senior housing, as well as
commercial
Automotive repair There are many automotive repair businesses in our service
industry area, and there is a high turnover of staff in the industry.
High Priority Environmental Issues
The below list is ECOLOGY's High Priority Environmental Issues list because they have the potential to
directly impact human health and/or the environment. If one or more of these issues are found during a site
visit,a Follow-Up Visits is justified but not necessarily required. The severity of the issue will help
determine if a Follow-Up Visit is necessary. A Follow-Up Visit to a business for other(non-high priority)
issues is at the discretion of the CONTRACTOR.
When unable to resolve High Priority Environmental Issues,the Pollution Prevention Specialists will refer
the issue to ECOLOGY or another appropriate agency. Serious concerns about impacts to human health
and/or the environment warrant a consultation with ECOLOGY or other regulatory agencies to determine
whether the issue needs to be referred.
High Priority Environmental Issues List:
• Hazardous waste being improperly designated.
• Hazardous waste being improperly disposed.
• Hazardous products/wastes being improperly stored.
• Compromised dangerous waste containers need to be repaired or replaced.
• Illegal plumbing connection.
• Illicit discharge of wastewater to storm drain.
• Improperly stored containerized materials.
• Improperly stored non-containerized materials.
• Leaks and spills in dangerous waste storage areas.
Visit Guidance
The following guidance applies to technical assistance visits,unless otherwise discussed with ECOLOGY:
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Prior to the Visit:
• Coordinate with other entities that may be conducting business visits in the area to reduce potential
"inspection fatigue".
• Check with ECOLOGY Urban Waters Staff(where applicable)to ensure that the business is not
currently being visited by Urban Waters Staff.
• Research site and issues prior to the visit using a combination of data sources such as LSC
Database for previous visits or visit to similar businesses,industry resources,news articles,etc.
• To the extent possible,verify the site is not a medium or large quantity generator.
• Check to see if a sector specific Checklist or Tip Sheet is available on the PPA Partnership
SharePoint site to help guide the visit.
During the Visit:
• Provide technical assistance on proper management of dangerous waste,prevention of stormwater
pollution,spill prevention,and reduction of hazardous substance use(when applicable).
• Ensure,at a minimum,all items on the Basic Checklist are reviewed.
• If while at the site,it becomes apparent the business is a medium or large quantity generator,either
complete the visit and count it as a screening visit,OR formally refer the dangerous waste portion
to ECOLOGY to count it as a full initial visit.
o This site should not be scheduled for future visits,unless it is likely their generator status
has changed to qualify as an SQG.
• If appropriate,encourage businesses to participate in local green business programs,such as the
EnviroStars business certification program,EnviroCertified,or other green business programs.
• If a Product Replacement Program(PRP)opportunity exists for the business,discuss the
opportunity,terms and conditions,and steps to qualify as outlined in Appendix A,Statement of
Work, Section V,Product Replacement Program.
• Discuss spill response preparedness and offer spill kit for developing a plan. Funds can be used to
purchase spill kits to provide to businesses. Occasionally,ECOLOGY will provide spill kits
through a bulk order if funding is available.
• Photograph observed issues for before and after photos to use in writing up case studies.
• Activities that may be beneficial during the visit include,but are not limited to:
o Walking the site(interior and exterior).
o Checking storm drains.
o Checking for illicit connections.
o Checking dumpster and waste storage.
o Providing handouts with technical information and guidance.
o Ensuring necessary permits are in place.
End of Visit/After Visit:
• Provide written follow-up to the business to document the results of the visit.This can be done by
leaving a copy of the checklist or other documentation with the business at the end of the visit,by
using a commitment postcard(format available in Education&Outreach Documents on PPA
Partnership SharePoint),or by sending follow-up letters/emails,or alternatively by sending a
"thank you"postcard if no issues were identified.
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• If necessary,coordinate with other agencies(e.g.,the fire marshal,code enforcement,stormwater,
wastewater treatment,and/or moderate risk waste staff)to ensure that the information you are
providing is consistent with the other agency's regulations and/or best management practices.
• PPA Specialists will make referrals to ECOLOGY as needed and report results.
Section IV: Partnership Branding and Outreach
When unique outreach or education materials are developed by the CONTRACOTR using PPA Partnership
funds,a draft must be sent to ECOLOGY for review and approval. To the extent feasible,the
CONTRACTOR must utilize the Partnership's branding tools and templates available to produce these
materials. The intent of this requirement is to facilitate a unified branding image and consistent messaging
across the Partnership. The Partnership logo and other branding resources are available on the PPA
Partnership SharePoint site.
It may be appropriate to include funding acknowledgement on some outreach materials. The
CONTRACTOR will consult with ECOLOGY's PPA Partnership Coordinator to determine whether
funding acknowledgement is required.
Finalized materials which may be useful to other Partnership contractors should be provided for upload to
the Education&Outreach Document Library on the PPA Partnership SharePoint Site.
Each CONTRACTOR must maintain a PPA webpage which meets the minimum requirements. See PPA
Partnership SharePoint site for requirements(Link in Appendix A,Statement of Work section XII
Resources).
Section V: Product Replacement Program(PRP)
The Product Replacement Program(PRP)is designed to eliminate Persistent,Bio-accumulative,Toxic
(PBT)chemicals from use in commerce. The PRP removes and replaces PBT chemicals present in
products,processes,or technologies to help prevent toxics from entering the environment. One of the best
and most effective ways to prevent further environmental contamination,protect water quality,and reduce
human health risk,is to eliminate these toxic chemicals at the sources. The PRP assists businesses with
switching to safer alternatives.
PPA contractors are integral to the PRP. The CONTRACTOR will seek and discuss opportunities to assist
businesses with switching processes,products,or equipment to use effective safer alternatives.
The CONTRACTOR will assist ECOLOGY with the following programs:
• Replacement of dry-cleaning technology that uses perchloroethylene by visiting dry cleaners,
discussing the program,assisting with required paperwork,and completing the final visit after new
machine installations. Guidelines for this program are outlines in separate documents and posted
on the PPA Partnership SharePoint.
• Degreasers in parts washing systems in the automotive repair sector by visiting automotive repair
facilities,discussing the program,assisting with required paperwork,and completing the final visit
after new machine installation. Guidelines for this program are outlines in separate documents and
posted on the PPA Partnership SharePoint.
• Promoting proper management and recycling of mercury containing thermostats through the
national program Thermostat-Recycle.Org
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Additional takeback and replacement programs ECOLOGY is exploring for addition to the PRP include,
but are not limited to:
• BPA Thermal receipts replacement program to replace thermal receipts which contain BPA.
• Flame retardants in foam and equipment at gymnasiums,play centers,and recreations facilities.
• PCB containing light ballasts in public schools.
• Public School Laboratory Clean-Outs
• PFAS-containing firefighting foam takeback program. Currently ECOLOGY is working directly
with fire departments,but this program may be expanded to businesses with PFAS-containing fire
suppression systems.
ECOLOGY,in collaboration with the PPA Partnership,will develop procedures and criteria,which must be
met for a business to receive reimbursement for any of the chemicals or products included in the PRP. PRP
payments for reimbursement to the business will come directly from ECOLOGY and are not included with
the CONTRACTOR's funding compensation associated with this contract.
The PRP reimbursement payment will be made through direct disbursement from ECOLOGY to the
business implementing the product or equipment replacement. To facilitate these payments,the
CONTRACTOR must assist ECOLOGY in maintaining records indicating how the business qualified for
the PRP reimbursement per the PRP program's eligibility criteria. Eligibility criteria will be developed by
ECOLOGY and the Product Replacement Program Committee for each type of reimbursement offered.
The CONTRACTOR will provide technical assistance to the businesses to help ensure the business
qualifies for a PRP reimbursement payment from ECOLOGY by completing the following steps,unless
otherwise specified in guidelines developed specific to an individual reimbursement. Specific requirements
for individual reimbursement programs will be maintained on the PPA Partnership SharePoint site.
• CONTRACTOR conducts technical assistance visit and provides business with recommendations
to reduce or eliminate a qualifying chemical or product. These recommendations must be recorded
in the LSC Database.
• CONTRACTOR must communicate to the businesses that it may take up to 4 months to receive
payment from ECOLOGY after purchase and that the business must respond to inquiries from
ECOLOGY or the Office of Financial Management(OFM)in a timely manner to avoid delays in
payment.
• CONTRACTOR assists businesses as needed with paperwork required to apply for reimbursement,
including a state payee registration form.
• Business purchases approved product or equipment and converts fully to utilization of new product
or equipment in accordance with the eligibility criteria for the PRP reimbursement.
• Business submits receipts for the product or equipment purchase and installation to ECOLOGY's
PRP Coordinator. This submittal may be facilitated through the CONTACTOR's representative
for some PRP projects.
• CONTACTORS may be requested by ECOLOGY to verify through a site visit and review of
records that product or equipment has been installed per PPA Specialist or ECOLOGY
recommendations,old product or equipment has been legally disposed of or decommissioned,and
all other eligibility criteria have been met.
For information about an optional voucher program that the CONTRACTOR can provide directly to a
business,see Appendix A,Statement of Work, Section XI, Small Change Voucher Program.
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Section VI: Timeline
Table 5: Timeline
Time Period Goal for# of Unique Program Technical Assistance
Site Visits Element Activities Target Activities
33 initial site
July 1, 2023 — visits 7 follow- All-Staff, if Marine trades,painting and
,
December 31, coating, and auto repair
2023 up visits, 12 assigned. industries
screenings
32 initial site
January 1,2024 visits, 6 follow- 1 business sector Marine trades,painting and
coating, and auto repair
—June 30,2024 up visits, 12 workshop industries
screenings
49 initial site
July 1, 2024— visits 6 follow- All-Staff, if Marine trades,painting and
,
December 31, coating, and auto repair
2024 up visits, 18 assigned. industries
screenings
48 initial site
January 1,2025 visits, 8 follow- Marine trades,painting and
—June 30, 2025 up visits, 18 coating, and auto repair
s
industries
screenings
Section VII: Local Source Control(LSC) Database
Information gathered during technical assistance site visits by the CONTRACTOR must include all the
elements that are listed in the most up to date PPA Basic Checklist(check PPA Partnership SharePoint site
for details)and be entered into ECOLOGY's LSC database. The following guidance applies to all
technical assistance visits,unless other discussed with ECOLOGY:
• Collect enough information to complete all the applicable fields in ECOLOGY's LSC database and
enter it into the database within 15 workdays of the visit.
• If you make a referral to a regulatory agency,enter the information about the referral into the
database within 15 workdays of the referral.
• Ensure that data entry is complete and accurate.
• At a minimum,all elements on the most recent version of ECOLOGY's PPA Basic Checklist must
be checked at each business visit. Specialists must attest that they have verified all elements.
o Additional sector specific checklists are available on the ECOLOGY PPA Partnership
SharePoint Site.
o CONTRACTOR may substitute use of their own version(s)of the checklist(s)if it contains
all elements of ECOLOGY's PPA Basic Checklist and has been reviewed and approved by
ECOLOGY.
• Refer to the LSC database instructions posted in the database interface or contact ECOLOGY PPA
Staff for assistance with database entry.
• If using paper checklists or equivalent documentation,maintain originals in accordance with your
local public disclosure laws.
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Section VHI: Training
ECOLOGY expects that the CONTRACTOR will provide basic training to the Pollution Prevention
Assistance Specialists on topics relevant to their position. ECOLOGY will provide additional training to
ensure that CONTRACTOR's staff are properly trained and supported to conduct PPA activities,and that
experienced staff are exposed to new information,and have opportunities to share their expertise for the
benefit of the PPA Partnership.
ECOLOGY staff and experienced PPA Specialists will provide a variety of training support to new PPA
staff.ECOLOGY will provide new hires a"welcome email"within the first two weeks of work as a PPA
Specialist.This email will provide instructions for accessing the PPA Partnership SharePoint,LSC
Database,and guidance on resources and training.All Specialists are expected to create an"alert"for the
PPA Partnership SharePoint Discussion Board to receive email alerts at least once per week when topics
are posted.
Table 7 below contains a tentative training schedule for monthly webinars and the twice annual All-Staff
meetings;ECOLOGY will communicate the final schedule to the CONTACTOR.
New PPA Specialist Training & SharePoint Resources
New PPA specialist training is provided in the form of self-paced online modules available through
ECOLOGY's Partnership SharePoint site,web-based new specialist discussion panels,and mentoring.The
web-based new specialist discussion panels will be planned and conducted by ECOLOGY staff and include
new specialists and experienced PPA specialists who can offer suggestions and feedback to new specialists.
The discussion panels are scheduled for the second Thursday of every other month from 10:30 to 12:00.
On occasion these meetings will need to be rescheduled to accommodate panelists or new specialists who
cannot make the originally scheduled date. ECOLOGY staff will provide as much notice as possible when
these panels are rescheduled.
Table 6: New Specialist Discussion Panel Schedule
2023 2024 2025
August 10,2023 February 8, 2024 February 13,2025
October 12,2023 April 11,2024 April 10,2025
December 14,2023 June 13,2024 May 8,2025
August 8,2024 June 12,2025
October 10, 2024
December 12,2024
Attendance Requirement: All new specialists who have not yet attended six(6)discussion panels are
required to attend. Panelists are required to attend all discussion panels.
Field Mentorine&Shadow Workday
The CONTRACTOR will provide training to their new staff to ensure they can perform field work. In
addition,ECOLOGY will assign two experienced PPA Specialists as mentors to provide field training and
support to a new hire. If available,one mentor will be from the CONTRACTOR's organization and the
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other mentor from another PPA contractor(partner)jurisdiction in as close a geography as possible.
Mentors will be assigned within two weeks of notifying ECOLOGY of new staff hires.
Field mentoring will involve a series of accompanied field visits designed by the mentor and ECOLOGY
staff to support the needs of the new hire. When the mentor and new hire determine they are ready,an
ECOLOGY staff person will accompany the new hire on a few technical assistance visits in their
jurisdiction on a shadow workday,to ensure that they are providing accurate information on proper waste
management,spill prevention,storm water pollution prevention,and toxics reduction opportunities. See
New Specialist Training Plan(link in Appendix A,Statement of Work section XII Resources)for additional
details on mentoring and training resources provided to new specialists.
All-Staff Training for all PPA Specialists
All-Staff Trainings will be planned and conducted by teams of PPA Specialists from two or three PPA
Partners,who have signed up to plan these trainings as a unique program element. When appropriate,these
trainings will be held in-person to facilitate interaction and networking between PPA Specialists,
ECOLOGY,and invited presenters.
Training topics at All-Staff Trainings are intended to help new staff become more competent in their work,
and experienced staff to gain greater technical depth on relevant topics. ECOLOGY staff will determine
the teams,provide initial guidance,review agendas,and provide support for planning and logistics.
Typically,these trainings are held the second Wednesday in September/October and March/April.The in-
person trainings are typically scheduled to run between 8:30 a.m.and 3:30 p.m.with overnight travel
allowed for jurisdictions if needed(see state travel rules). ECOLOGY must pre-approve overnight travel if
it is being charged to the PPA partner budget.
When trainings are held virtually online,the training will typically be scheduled for 8:30 a.m.to 12:00 p.m.
across two days,usually a Tuesday and Wednesday.
Attendance Requirement: Unless prior approval has been given by ECOLOGY,it is mandatory for at
least one PPA Specialist per jurisdiction to attend the All-Staff Training. This person is responsible for
disseminating information back to the PPA Specialists from that jurisdiction. Managers are welcome to
attend the All-Staff Trainings but are not required to attend.
Generally,training substitutions are not allowed for the All-Staff Training,however,exceptions may apply.
Ecology staff must approve non-emergency absences or training substitutions at least two weeks prior to
the training.
Monthly Webinar Trainings
ECOLOGY conducts monthly webinar trainings during most of the months of the year. These sessions are
intended to expose PPA Specialists to new information or technical topics relevant to their work.
Suggestions on topics and speakers are welcomed from PPA Partners. ECOLOGY will also ask PPA
Partners to present on case studies.
These meetings are one and a half hour(1.5 hours)sessions,held on the second Wednesday of the month.
Occasionally these sessions will need to be scheduled at alternative times to accommodate speaker
availability. Up to eight(8)webinars will be scheduled each year. See Table 7 for the tentative training
schedule.
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Attendance Requirement: Each PPA Specialist must attend at least six(6)of the eight(8)Webinars each
year.
Other trainings,relevant to PPA Specialists'work,may be substituted for up to two of the Webinars.
Notification of the substitution must be provided to and pre-approved by the PPA Coordinator at least two
weeks in advance of the Webinar that will be missed by the Specialist.
Table 7: Tentative Trai ing Schedule Subject to Change)
Date Training Type Date Training Type
July 2023 No Training July 2024 No Training
August 9,2023 Webinar August 14,2024 Webinar
September 13,2023 Webinar or All-Staff September 11,2024 Webinar or All-Staff
October 11,2023 Webinar or All-Staff October 9,2024 Webinar or All-Staff
November 8,2023 Webinar November 13,2024 Webinar
December 13,2023 Webinar December 11,2024 Webinar
January 10,2024 Webinar January 8,2025 Webinar
February 14,2024 Webinar February 12,2025 Webinar
March 13,2024 Webinar or All-Staff March 12,2025 Webinar or All-Staff
April 10,2024 Webinar or All-Staff April 9,2025 Webinar or All-Staff
May 8,2024 Webinar May 14,2025 Webinar
June 12,2024 Webinar June 11,2025 Webinar
Attendance Requirement: Each PPA Specialist must attend at least six(6)of the eight(8) scheduled
Webinars each year.PPA Specialists must attend both All-Staff Trainings unless prior approval has
been obtained from the PPA Coordinator.
Section IX: Reporting and Contract Changes
Ouarterly Progress Reports
A brief progress report shall be submitted quarterly with each invoice(See Schedule in Section X,Table 8,
Invoicing Schedule). This report should indicate the work completed during the quarter and billed on the
invoice,including the type and number of visits conducted,progress on unique program elements,and any
other information regarding contract performance that should be brought to ECOLOGY'S attention. The
Quarterly Progress Report should ONLY include the status of the work conducted during the quarter and
NOT include a roll-up of progress to-date since it serves as backup documentation for the expenses
included in the quarterly invoicing. See Appendix A,Statement of Work, Section X,Invoicing.
Annual Reports
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Annual Reports are used to briefly summarize contract status to-date including;number of site visits
performed,unique program element activities conducted,Technical Assistance target activities conducted,
lessons learned,and budget status. Annual reports shall be provided to ECOLOGY by July 31,2024,and
July 31,2025. The report shall include two to three"case studies"of a business or organization that
benefitted from a PPA site visit. Photographs of the business before and after the visit,showing the
beneficial changes should be provided,if possible. The second-year annual report should capture details
for the full contract period as ECOLOGY will use these reports to create a biennial report on the
Partnership. ECOLOGY will make report templates available on the PPA Partnership SharePoint.
ECOLOGY will request,with advanced notice,that PPA CONTRACTORS provide presentations on their
case studies at Webinars and/or All-Staff Trainings.
Contract Chances
Any of the following changes shall be reported to the ECOLOGY PPA Partnership Coordinator within 10
businesses days.
• Key personnel changes(staff or manager leaving,new hires,etc.).Changes to key personnel must
be documented with updated copies of the key staff table.
• Initiation of,or changes to,a subcontract. See Section 18 of the Interagency Agreement for specific
information that is required regarding subcontractors.
Section X: Invoicing
Invoice(billing)procedures are outlined in the Interagency Agreement,(see Section 4). In addition,the
following information is provided:
• See also Appendix A,Statement of Work, Section V.
• The Invoice Voucher(form A19-1A)must have a wet signature or scanned,if submitted
electronically. An electronic signature is also allowed for electronic submittals. If submitting a
scanned or electronic copy,the CONTRACTOR will retain the original signed A19-1A in
CONTRACTOR's records,per record retention requirements.
• Supporting documentation may be submitted via email.
• Each invoice shall only bill for actual hours worked during the quarter,which may be higher or
lower than the FTE estimate in Appendix A,Statement of Work, Section 1,Table 1 —Key Staff
Table.
• Quarterly invoicing will follow the schedule in Table 8.
Table 8: Invoicing Schedule
Quarter in Contract Cycle Months in Quarter Invoice Due Date
1 July,August, September 2023 November 10,2023
2 October,November,December 2023 February 9,2024
3 January,February,March 2024 May 10,2024
4 April,May,June 2024 July 31,2024*
5 July,August, September 2024 November 8,2024
6 October,November, December 2024 February 7,2024
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7 January,February,March 2025 May 9,2025
8 April,May,June 2025 July 31,2025*
* -Earlier due date during these quarters due to end of fiscal year requirements.
Section XI: Small Change Voucher Program
The CONTRACTOR will offer businesses vouchers for the cost of pollution prevention equipment or other
recommendations,in accordance with the procedures developed for this voucher program. Payments will
be made directly by the CONTRACTOR to the business. Examples of qualifying equipment or costs
include but are not limited to; secondary containment,drum covers,drum funnels with lids, infrastructure
changes,substitution of less toxic products,and catch basin cleaning. The CONTRACTOR must maintain
records for each of their voucher reimbursement payments, and ensure a business is limited to one voucher
per calendar year. Each voucher payment will be capped at$500.00 or less. These reimbursements will
come from the Small Change Voucher Program budget category(see Appendix B). Documentation of
voucher payments will be submitted to ECOLOGY with the quarterly invoicing(See Section J).
The CONTRACTOR will follow the procedures approved by ECOLOGY and housed on the PPA
Partnership SharePoint.
Section XII: Resources
The following are link to resources to materials referenced in this contract. Links and resources listed are
subject to change.
• PPA Partnership SharePoint:
https://partnerweb.ecy.wa.gov/sites/HWTR/LSC2016/SitePages/Home.awx
• LSC Database: http://ecy4phwtr/Isc/Search.gVx
• Invoice Voucher A19-1A:
https://des.wa.gov/sites/default/files/public/documents/HRPayroll/SAC S/A-19-
I AForm.doc?=5c82f
• Partnership Report Templates:
https://partnerweb.ecy.wa.gov/sites/H WTR/LSC2016/Templates/Forms/All ltems.aspx
• Checklists&Tip Sheets:
https://partnerweb.ecy.wa.gov/sites/HWTR/LSC2016/Checklist%20%2OTip%2OShects/Forms/AIII
tems.aspx
• New Specialist Training Plan:
https://partnerweb.ecy.wa.gov/sites/HWTR/LSC2016/ layouts/15/guestaccess.aspx?guestaccesstok
en=sKGMtCuahLyLgRg3DVAtFJUEFUmri%2f47wAGdA%2bVUOdY%3d&docid=2 1 d683e46
62clb424896349aOelead4150&rev=1
• New Specialist Training modules:
https://partnerweb.ecy.wa.gov/sites/HWTR/LSC2016/New%2OSpecialist%2OTraining/Forms/By%
20Trainin °/g o20Typc.aspx
• Travel Per Diem Rates:
o Rate Tables-https:Hofm.wa.gov/accounting/administrative-accounting-
resources/travel/diem-rate-tables
o Rate Map-https:Hofm.wa.gov/sites/default/files/public/resources/travel/colormap.pdf
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APPENDIX B
BUDGET DETAIL
See Section#3, Compensation and Section#4,Billing and Payment Procedures,for additional
instructions.
Category Amount
Salaries $137,285.12
Benefits $56,286.90
Subcontracts
Goods & Services (see Table A Below) $3,000.00
Equipment(see Table B Below) $500.00
Travel /Training $5,000.00
Small Change Voucher Program (See Section XI) $5,000.00
Subtotal Direct Costs $207,072.02
Rate (%) 30%
Indirect Costs*
Indirect Amount $58,071.61
Total Award $265,143.63
* ® Applied to Salaries& Benefits,OR
0 Applied to All Categories Except Small Change Voucher Program
Table A: Goods& Services
Goods& Services over$1,000 must be listed here or
approved by ECOLOGY PRIOR to reimbursement. Estimated Cost
Energov App Licenses $2,437.56
Table B: Equipment
Equipment over$1,000 must be listed here or approved by Estimated Cost
ECOLOGY PRIOR to reimbursement.
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APPENDIX C
SPECIAL TERMS AND CONDITIONS
1) Certification Regarding Suspension,Debarment, Ineligibility or Voluntary Exclusion
a) CONTRACTOR,by signing this agreement,certifies that it is not suspended,debarred,proposed
for debarment,declared ineligible or otherwise excluded from contracting with the federal
government,or from receiving contracts paid for with federal funds. If the CONTRACTOR is
unable to certify to the statements contained in the certification,they must provide an explanation
as to why they cannot.
b) CONTRACTOR shall provide immediate written notice to ECOLOGY if at any time the
CONTRACTOR learns that its certification was erroneous when submitted or had become
erroneous by reason of changed circumstances.
c) The terms covered transaction,debarred, suspended,ineligible,lower tier covered transaction,
participant,person,primary covered transaction,principal,proposal,and voluntarily excluded,as
used in this clause,have the meaning set out in the Definitions and Coverage sections of rules
implementing Executive Order 12549. You may contact ECOLOGY for assistance in obtaining a
copy of those regulations.
d) CONTRACTOR agrees it shall not knowingly enter into any lower tier covered transaction with a
person who is proposed for debarment under the applicable Code of Federal Regulations,debarred,
suspended,declared ineligible,or voluntarily excluded from participation in this covered
transaction.
e) CONTRACTOR further agrees by signing this agreement,that it will include this clause titled
"CERTIFICATION REGARDING SUSPENSION,DEBARMENT,INELIGIBILITY OR
VOLUNTARY EXCLUSION"without modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
f) Pursuant to 2CFR180.330,the CONTRACTOR is responsible for ensuring that any lower tier
covered transaction complies with certification of suspension and debarment requirements.
g) CONTRACTOR acknowledges that failing to disclose the information required in the Code of
Federal Regulations may result in the delay or negation of this funding agreement,or pursuance of
legal remedies,including suspension and debarment.
h) CONTRACTOR agrees to keep proof in its agreement file,that it,and all lower tier
CONTRACTORS or subcontractors,are not suspended or debarred,and will make this proof
available to ECOLOGY before requests for reimbursements will be approved for payment.
CONTRACTOR must run a search in The System for Award Management and print a copy of
completed searches to document proof of compliance.
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