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HomeMy WebLinkAboutR-2017-002 Emergency Management Program Grants Agreement with Washington State Military Dept and U.S. Dept of Homeland SecurityA RESOLUTION
RESOLUTION NO. R-2017-002
authorizing the Fire Chief, who serves as the City's Emergency
Manager, to enter into a grant agreement with Washington State
Military Department and the U S. Department of Homeland
Security to provide funds to enhance the City of
Yakima Emergency Management Program
WHEREAS, in January 2015, the City of Yakima's Comprehensive Emergency
Management Plan was approved by the Washington State Emergency Management
Division; and,
WHEREAS, the Washington State Military Department and the U.S. Department
of Homeland Security awards funds to local jurisdictions with Emergency Management
Programs to assist in preparing for all hazards through sustainment and enhancement of
those programs, and,
WHEREAS, in June 2016, application was made to, and approved by the
Washington State Military Department and the U.S Department of Homeland Security for
Emergency Management Preparedness Grant (EMPG); therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA:
That the City Council of the City of Yakima authorizes the Fire Chief to enter into
Grant Agreement Number E17-143 with Washington State Military Department and U.S
Department of Homeland Security
ADOPTED BY THE CITY COUNCIL this 10th day of January, 2017
ATTEST
11 J J ( AI
S6nya Claar Tee\City Clerk
GuoA
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDASTATEMENT
Item No. 6.D.
For Meeting of: January 10, 2017
ITEM TITLE: Resolution authorizing the Fire Chief, who serves as the City's
Emergency Manager, to enter into a grant agreement with
Washington State Military Department and the U.S. Department of
Homeland Security to provide funds to enhance the City of
Yakima Emergency Management Program
SUBMITTED BY: Bob Stewart, Fire Chief
SUMMARY EXPLANATION:
The purpose of the Emergency Management Performance Grant (EMPG) is to assist with the
enhancement, sustainment and improvement of state, local and tribal emergency management
programs. Activities conducted using EMPG funding should relate directly to the five elements of
emergency management: prevention; protection; response; recovery; and mitigation. There are
also required capabilities that must be conducted in order to remain eligible for EMPG funding
including, but not limited to, the ability to communicate and warn, educate the public, train and
exercise, plan and be National Incident Management System (NI MS) compliant.
Specifically, we intend to use the EMPG award for training, exercises, emergency notifications
and EOC readiness. Our training plans include: EOC City Staff; Mass Care Services; and
Disaster Rapid Needs Assessment and Recovery. Our exercise plans include: Hazardous
Materials Incidents—fixed and transportation; Continuity of Government and Operations for City
Staff; Yakima Air Terminal FAA required. Our Emergency Notification focus will be on initial
emergency notifications to city staff; high risk population centers; and hospitals. Our EOC
Readiness plan includes: Equipment, Training and Consultative Services; Equipment acquisition
for multiple EOC Command sites, i.e. Fire Station 91; Public Works; and Police.
Due to an error on the part of the State of Washington, the final 2016 reimbursement request of
$42,295 has been added to the 2017 awarded grant.
ITEM BUDGETED:
STRATEGIC PRIORITY:
NA
Public Safety
APPROVED FOR City Manager
SUBMITTAL:
STAFF RECOMMENDATION:
Adopt resolution.
BOARD/COMMITTEE RECOMMENDATION:
ATTACHMENTS:
Description Upload Date Type
D Resollutlion for IEMIPC.":31E17-143 12./19/2016 Resollutlion
D Grant Agreement 1E17-143 12./19/2016 Contract
D Agreement Attachments 12./19/2016 Backup Materna°
Washington State Military Department
HOMELAND SECURITY GRANT AGREEMENT FACE SHEET
1 Subrecipient Name and Address
Yakima, City of
401 North Front Street
Yakima, WA 98901-2321
2. Grant Agreement Amount:
$95,744
3 Grant Agreement Number
E17-143
4 Subrecipient Contact, phone/email:
Bob Stewart, (509) 575-6060
bob.stewarteva kimawa.gov
5 Grant Agreement Start Date
June 1, 2016
6 Grant Agreement End Date.
August 31, 2017
7 Department Contact, phone/email:
Zoie Choate, (253) 512-7461
zoie.choatena.mil.wa.gov
8. Data Universal Numbering System (DUNS)
078212651
9 UBI # (state revenue)
391-005-272
10 Funding Authority.
Washington State Military Department Sthe "DEPARTMENT') and the U.S. Department of Homeland Security (DHS)
11 Federal Funding Identification #.
EMS -2016 -EP -00002-S01
12. Federal Award Date.
08/10/2016
13 Catalog of Federal Domestic Assistance (CFDA) # & Title
97.042 (16EMPG)
14 Total Federal Amount #.
$7,254,374
15 Program Index # & OBJ/SUB-OBJ.
763PT NZ
16 TIN
91-6001293
17 Service Districts:
(BY LEGISLATIVE DISTRICT). 13
(BY CONGRESSIONAL DISTRICT) 4
18 Service Area by County(ies):
Yakima
19 Women/Minority-Owned, State
Certified?. X N/A • NO
• YES, OMWBE #
20 Agreement Classification
• Personal Services • Client Services X Public/Local Gov't
• Research/Development • A/E • Other
21 Contract Type check all that apply)
• Contract X Grant X Agreement
• Intergovernmental (RCW 39 34) • Interagency
22. Subrecipient Selection Process:
X "To all who apply & qualify" • Competitive Bidding
• Sole Source • A/E RCW • N/A
• Filed w/OFM? • Advertised? • YES • NO
23 Subrecipient Type (check all that apply)
• Private Organization/Individual • For -Profit
X Public Organization/Jurisdiction • Non -Profit
• CONTRACTOR X SUBRECIPIENT • OTHER
24 PURPOSE & DESCRIPTION:
The purpose of the FY 2016 Emergency Management Performance Grant (16EMPG) is to provide U.S. Department of Homeland
Security (DHS)/Federal Emergency Management Agency (FEMA) Federal award funds to local jurisdictions and tribes with
emergency management programs to assist in preparing for all hazards through sustainment and enhancement of those programs
as described in the Work Plan
The Department is the Recipient and Pass-through Entity of the 16EMPG Award EMS -2016 -EP -00002-S01, which is incorporated in
and attached hereto as Attachment #1, and has made a subaward of Federal award funds to the Subrecipient pursuant to this
Agreement. The Subrecipient is accountable to the Department for use of Federal award funds provided under this Agreement
and the associated matching funds.
IN WITNESS WHEREOF, the Department and Subrecipient acknowledge and accept the terms of this Agreement, including all referenced
Exhibits and Attachments which are hereby incorporated in and made a part hereof, and have executed this Agreement as of the date below
This Agreement Face Sheet; Special Terms & Conditions (Exhibit A); General Terms and Conditions (Exhibit B), Work Plan (Exhibit C),
Timeline (Exhibit D), Budget (Exhibit E), and all other documents, exhibits and attachments expressly referenced and incorporated herein
contain all the terms and conditions agreed upon by the parties and govern the rights and obligations of the parties to this Agreement. 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 the event of an inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving
precedence in the following order.
1. Applicable Federal and State Statutes and Regulations 4. Special Terms and Conditions
2. DHS/FEMA Award and program documents 5. General Terms and Conditions, and,
3. Work Plan 6. Other provisions of the Agreement incorporated by reference
WHEREAS, the parties hereto have executed this Agreement on the day a /' year last 4. ied below
FOR THE DEPARTFOIL, f FO' 'EC T
a z V 2e07 I1 : BRVii,;,,,,,. /- -/
,
Signature v Date Sig f: or Date
Richard A. Woodruff, Contracts Officer Bob Stewart, Chief
Washington State Military Department Yakima Fire Department
BOILERPLATE APPROVED AS TO FORM. APPROVED AS TO FORM (if applicable).
Signature on File (9/6/2016)
Brian E Buchholz, Assistant Attorney General Applicant's Legal Review Date
DHS-FEMA-EMPG-FFY 16
Page 1 of 33
Form 05/12/2015 MLL
Yakima, City of, E17-143
Exhibit A
SPECIAL TERMS AND CONDITIONS
ARTICLE I. KEY PERSONNEL
The individuals listed below shall be considered key personnel for point of contact under this Agreement. Any
substitution of key personnel by either party shall be made by written notification to the current key personnel
SUBRECIPIENT
MILITARY DEPARTMENT
Name
Bob Stewart
Name
Zoie Choate
Title
Chief, Yakima Fire Department
Title
Program Coordinator
E -Mail
bob.stewartavakimawa.gov
E -Mail
zoie.choateAmil.wa.gov
Phone
509-575-6060
Phone
253-512-7451
Name
Charles Erwin
Name
Sierra Wardell
Title
Emergency Management Specialist
Title
Section Supervisor
E -Mail
charles.erwinAvakimawa.gov
E -Mail
sierra.wardelk mil.wa.gov
Phone
509-576-6732
Phone
253-512-7121
Name
Name
Dalton Gamboa
Title
Title
Program Assistant
E -Mail
E -Mail
dalton.gamboa(a)mil.wa.gov
Phone
Phone
253-512-7044
ARTICLE II. ADMINISTRATIVE AND/OR FINANCIAL REQUIREMENTS
The Subrecipient shall comply with all applicable state and federal laws, rules, regulations, requirements and
program guidance identified or referenced in this Agreement and the informational documents published by
DHS/FEMA applicable to the 16EMPG Program, including, but not limited to, all criteria, restrictions and
requirements of the "Department of Homeland Security (DHS) Notice of Funding Opportunity (NOFO) Fiscal
Year 2016 Emergency Management Performance Grant (EMPG)" document, the DHS Award Letter for Grant
No. EMS -2016 -EP -00002-S01, and the federal regulations commonly applicable to DHS/FEMA grants, all of
which are incorporated herein by reference The DHS Award Letter is incorporated in this Agreement as
Attachment #1
The Subrecipient acknowledges that since this Agreement involves federal award funding, the period of
performance described herein may begin prior to the availability of appropriated federal funds The Subrecipient
agrees that it will not hold the Department, the State of Washington, or the United States liable for any damages,
claim for reimbursement, or any type of payment whatsoever for services performed under this Agreement prior
to distribution of appropriated federal funds, or if federal funds are not appropriated or in a particular amount.
A. STATE AND FEDERAL REQUIREMENTS FOR DHS/FEMA PREPAREDNESS GRANTS:
The following requirements apply to all DHS/FEMA Preparedness Grants administered by the
Department.
1. SUBAWARDS & CONTRACTS BY SUBRECIPIENT
a The Subrecipient must make a case-by-case determination whether each agreement it
makes for the disbursement of 16EMPG funds received under this Agreement casts the
party receiving the funds in the role of a subrecipient or contractor in accordance with 2
CFR 200.330
b If the Subrecipient becomes a pass-through entity by making a subaward to a non-federal
entity as its subrecipient:
i The Subrecipient must comply with all federal laws and regulations applicable to
pass-through entities of 16EMPG funds, including but not limited to those contained
in 2 CFR 200
ii. The Subrecipient shall require its subrecipient to comply with all applicable state
and federal laws, rules, regulations, requirements and program guidance identified
DHS-FEMA-EMPG-FFY 16
Page 2 of 33 Yakima, City of, E17-143
or referenced in this Agreement and the informational documents published by
DHS/FEMA applicable to the 16EMPG Program, including, but not limited to, all
criteria, restrictions, and requirements of the "Department of Homeland Security
(DHS) Notice of Funding Opportunity (NOFO) Fiscal Year 2016 Emergency
Management Performance Grant (EMPG)" document, the DHS Award Letter for
Grant No EMS -2016 -EP -00002-S01 in Attachment #1, and the federal regulations
commonly applicable to DHS/FEMA grants
iii. The Subrecipient shall be responsible to the Department for ensuring that all
16EMPG federal award funds provided to its subrecipient are used in accordance
with applicable federal and state statutes and regulations, and the terms and
conditions of the federal award set forth in Attachment #1 of this Agreement.
2. REIMBURSEMENT & BUDGET REQUIREMENTS
a Within the total Grant Agreement Amount, travel, sub -contracts, salaries, benefits,
printing, equipment, and other goods and services or other budget categories will be
reimbursed on an actual cost basis unless otherwise provided in this Agreement.
b. The maximum amount of all reimbursement requests permitted to be submitted under this
Agreement, including the final reimbursement request, is limited to and shall not exceed
the total Grant Agreement Amount.
c. If the Subrecipient chooses to include indirect costs within the Budget (Exhibit E), an
indirect cost rate agreement negotiated between the federal cognizant agency for indirect
costs and the Subrecipient establishing approved indirect cost rate(s) as described in 2
CFR 200 414 and Appendix VII to 2 CFR 200 must be submitted to the Department.
However, under 2 CFR 200 414(f), if the Subrecipient has never received a negotiated
indirect cost rate agreement establishing federally negotiated rate(s), the Subrecipient
may negotiate a rate with the Department or charge a de minimis rate of 10% of modified
total direct costs. The Subrecipient's actual indirect cost rate may vary from the approved
rate, but must not exceed the indirect cost rate percentage identified in the Budget (Exhibit
E). If a Subrecipient chooses to charge the 10% de minimis rate, but did not charge indirect
costs to previous subawards, a request for approval to charge indirect costs must be
submitted to the Department Key Personnel for approval with an explanation for the
change
d For travel costs, the Subrecipient shall comply with 2 CFR 200 474 and should consult
their internal policies, state rates set pursuant to RCW 43 03 050 and RCW 43 03.060 as
now existing or amended, and federal maximum rates set forth at http://www.gsa.gov and
follow the most restrictive If travel costs exceed set state or federal limits, travel costs
shall not be reimbursed without written approval by Department Key Personnel
e. Reimbursement requests will include a properly completed State A-19 Invoice Form and
Reimbursement Spreadsheet (in the format provided by the Department) detailing the
expenditures for which reimbursement is sought. Reimbursement requests must be
submitted to Reimbursementsa.mil.wa.gov no later than the due dates listed within the
Timeline (Exhibit D), but not more frequently than monthly.
Reimbursement request totals should be commensurate to the time spent processing by
the Subrecipient and the Department. If the reimbursement request isn't substantial
enough, the Subrecipient should request prior written approval from Department Key
Personnel to waive the due date in the Timeline (Exhibit D) and instead submit those costs
on the next scheduled reimbursement due date contained in the Timeline
f Receipts and/or backup documentation for any approved items that are authorized under
this Agreement must be maintained by the Subrecipient consistent with record retention
requirements of this Agreement and be made available upon request by the Department
and auditors
DHS-FEMA-EMPG-FFY 16
Page 3 of 33 Yakima, City of, E17-143
g.
Any request for extension of a due date in the Timeline (Exhibit D) will be treated as a
request for Amendment of the Agreement and must be submitted to the Department Key
Personnel sufficiently in advance of the due date to provide adequate time for Department
review and consideration, and can be granted or denied within the Department's sole
discretion.
h All work under this Agreement must end on or before the Grant Agreement End Date, and
the final reimbursement request must be submitted to the Department within 45 days after
the Grant Agreement End Date, except as otherwise authorized by written amendment of
this Agreement and issued by the Department.
No costs for purchases of equipment/supplies will be reimbursed until the related
equipment/supplies have been received by the Subrecipient, its contractor, or any non-
federal entity to which the Subrecipient makes a subaward and is invoiced by the vendor.
Failure to timely submit complete reports and reimbursement requests as required by this
Agreement (including but not limited to those reports in the Timeline) will prohibit the
Subrecipient from being reimbursed until such complete reports and reimbursement
requests are submitted and the Department has had reasonable time to conduct its review
k. Final reimbursement requests will not be approved for payment until the Subrecipient is
current with all reporting requirements contained in this Agreement.
A written amendment will be required if the Subrecipient expects cumulative transfers to
budget categories, as identified in the Budget (Exhibit E), to exceed 10% of the Grant
Agreement Amount. Any changes to budget category totals not in compliance with this
paragraph will not be reimbursed without approval from the Department.
m Subrecipients shall only use federal award funds under this Agreement to supplement
existing funds, and will not use them to replace (supplant) non-federal funds that have
been budgeted for the same purpose The Subrecipient may be required to demonstrate
and document that a reduction in non-federal resources occurred for reasons other than
the receipt or expected receipt of federal funds
j•
3. REPORTING REQUIREMENTS
a. With each reimbursement request, the Subrecipient shall report how the expenditures, for
which reimbursement is sought, relate to the Work Plan activities in the format provided
by the Department.
b In conjunction with the next annual grant cycle application process, the Subrecipient shall
submit to the Department Key Personnel a final report describing all completed activities
under this Agreement. If a Subrecipient will not be applying for grant funding during the
next annual grant cycle application process, the Subrecipient will submit a final report with
its final reimbursement request to the Department detailing progress on all activities listed
in the Work Plan
c In conjunction with the final report, the Subrecipient shall submit a separate report detailing
how the EMPG Exercise and Training requirements were met for all personnel funded by
federal or matching funds under this Agreement.
d. The Subrecipient shall comply with the Federal Funding Accountability and Transparency
Act (FFATA) and related OMB Guidance consistent with Public Law 109-282 as amended
by section 6202(a) of Public Law 110-252 (see 31 U S C. 6101 note) and complete and
return to the Department the FFATA Form located at http://mil.wa.dov/emergencv-
manaqement-division/grants/reduiredgrantforms, which is incorporated by reference and
made a part of this Agreement.
e The Subrecipient shall participate in the State's annual capabilities assessment for the
State Preparedness Report.
DHS-FEMA-EMPG-FFY 16
Page 4 of 33 Yakima, City of, E17-143
4. EQUIPMENT AND SUPPLY MANAGEMENT
a The Subrecipient and any non-federal entity to which the Subrecipient makes a subaward
shall comply with 2 CFR 200 318 — 200 326 when procuring any equipment or supplies
under this Agreement, 2 CFR 200.313 for management of equipment, and 2 CFR 200 314
for management of supplies, to include but not limited to:
i. Upon successful completion of the terms of this Agreement, all equipment and
supplies purchased through this Agreement will be owned by the Subrecipient, or a
recognized non-federal entity to which the Subrecipient has made a subaward, for
which a contract, subrecipient grant agreement, or other means of legal transfer of
ownership is in place
ii. All equipment, and supplies as applicable, purchased under this Agreement will be
recorded and maintained in the Subrecipient's inventory system
iii. Inventory system records shall include. a description of the property; the
manufacturer's serial number, model number, or other identification number; the
funding source for the equipment, including the Federal Award Identification
Number (FAIN); Catalog of Federal Domestic Assistance (CFDA) number; who
holds the title, the acquisition date, the cost of the equipment and the percentage
of Federal participation in the cost; the location, use and condition of the equipment
at the date the information was reported; and disposition data including the date of
disposal and sale price of the property
iv. The Subrecipient shall take a physical inventory of the equipment, and supplies as
applicable, and reconcile the results with the property records at least once every
two years Any differences between quantities determined by the physical
inspection and those shown in the records shall be investigated by the Subrecipient
to determine the cause of the difference The Subrecipient shall, in connection with
the inventory, verify the existence, current utilization, and continued need for the
equipment.
v The Subrecipient shall be responsible for any and all operational and maintenance
expenses and for the safe operation of their equipment and supplies including all
questions of liability The Subrecipient shall develop appropriate maintenance
schedules and procedures to ensure the equipment, and supplies as applicable,
are well maintained and kept in good operating condition
vi The Subrecipient shall develop a control system to ensure adequate safeguards to
prevent loss, damage, and theft of the property Any loss, damage, or theft shall
be investigated and a report generated and sent to the Department.
vii. The Subrecipient must obtain and maintain all necessary certifications and licenses
for the equipment.
viii. If the Subrecipient is authorized or required to sell the property, proper sales
procedures must be established and followed to ensure the highest possible return
ix. If upon termination or at the Grant Agreement End Date, there is a residual
inventory of unused supplies exceeding $5,000 in total aggregate value which will
not be needed for any other Federal award, or when original or replacement
equipment is no longer needed for the original project or program or for other
activities currently or previously supported by a Federal agency or award, the
Subrecipient must comply with the following procedures
A. Supplies: The Subrecipient may retain the supplies for use on other non -
Federal related activities or sell them, but must compensate the Federal
sponsoring agency for its share
B. Equipment: The Subrecipient must dispose of equipment as follows
DHS-FEMA-EMPG-FFY 16
Page 5 of 33 Yakima, City of, E17-143
i. Items of equipment with a current per-unit fair market value of less than
$5,000 may be retained, sold, or otherwise disposed of by the
Subrecipient with no further obligation to the awarding agency
ii Items of equipment with a current per-unit fair market value of more than
$5,000 may be retained or sold and the Subrecipient shall compensate
the Federal -sponsoring agency for its share
x. Records for equipment shall be retained by the Subrecipient for a period of six years
from the date of the disposition, replacement, or transfer If any litigation, claim, or
audit is started before the expiration of the six year period, the records shall be
retained by the Subrecipient until all litigation, claims, or audit findings involving the
records have been resolved
b. The Subrecipient shall comply with the Department's Purchase Review Process, which is
incorporated by reference and made part of this Agreement. No reimbursement will be
provided unless the appropriate approval has been received
c. Allowable equipment categories for the EMPG Program are listed on the Authorized
Equipment List (AEL) located on the FEMA website at http://www.fema.gov/authorized-
equipment-list. It is important the Subrecipient and any non-federal entity to which the
Subrecipient makes a subaward regard the AEL as an authorized purchasing list
identifying items allowed under the specific grant program, and includes items that may
not be categorized as equipment according to the federal, state, local, and tribal definitions
of equipment. The Subrecipient is solely responsible for ensuring and documenting
purchased items under this Agreement are authorized as allowed items by the AEL at time
of purchase.
If the item is not identified on the AEL as allowable under EMPG, the Subrecipient must
contact the Department Key Personnel for assistance in seeking FEMA approval prior to
acquisition
d Unless expressly provided otherwise, all equipment must meet all mandatory regulatory
and/or DHS/FEMA adopted standards to be eligible for purchase using Federal award
funds
e Equipment purchased with DHS federal award funds is to be marked with "Purchased
with funds provided by the U.S. Department of Homeland Security" when practicable.
f As a subrecipient of federal funds, the Subrecipient must pass on equipment and supply
management requirements that meet or exceed the requirements outlined above to any
non-federal entity to which the Subrecipient becomes a pass through entity by making a
subaward of federal award funds under this Agreement.
5. ENVIRONMENTAL AND HISTORICAL PRESERVATION
The Subrecipient shall ensure full compliance with the DHS/FEMA Environmental Planning and
Historic Preservation (EHP) Program EHP program information can be found at
https://www.fema.gov/office-environmental-planninq-and-historic-preservation, FP 108-023-1
Environmental Planning and Historic Preservation Policy Guidance at
http.//www.fema.gov/media-library/assets/documents/85376, and FP 108 24 4 Environmental
Planning and Historical Preservation Policy at https.//www.fema.gov/media-
library/assets/documents/101537, all of which are incorporated in and made a part of this
Agreement.
a Projects that have historical impacts or the potential to impact the environment, including,
but not limited to construction of communication towers; modification or renovation of
existing buildings, structures and facilities, or new construction including replacement of
facilities, must participate in the DHS/FEMA EHP review process prior to initiation.
Modification of existing buildings, including minimally invasive improvements such as
attaching monitors to walls, and training or exercises occurring outside in areas not
DHS-FEMA-EMPG-FFY 16
Page 6 of 33 Yakima, City of, E17-143
considered previously disturbed, also require a DHS/FEMA EHP review before project
initiation
b The EHP review process involves the submission of a detailed project description that
explains the goals and objectives of the proposed project along with supporting
documentation so FEMA may determine whether the proposed project has the potential
to impact environmental resources and/or historic properties
c. The Subrecipient agrees that to receive any federal preparedness funding, all EHP
compliance requirements outlined in applicable guidance must be met. The EHP review
process must be completed and approval received by the Subrecipient before any
work is started for which reimbursement will be later requested. Expenditures for projects
started before completion of the EHP review process and receipt of approval by the
Subrecipient will not be reimbursed.
6. PROCUREMENT
a The Subrecipient shall comply with all procurement requirements of 2 CFR Part 200 318
through 200.326 and as specified in the General Terms and Conditions, Exhibit B, A.10.
b. For all sole source contracts expected to exceed $150,000, the Subrecipient must submit
to the Department for pre -procurement review and approval the procurement documents,
such as requests for proposals, invitations for bids and independent cost estimates. This
requirement must be passed on to any non-federal entity to which the Subrecipient makes
a subaward, at which point the Subrecipient will be responsible for reviewing and
approving sole source justifications of any non-federal entity to which the Subrecipient
makes a subaward.
7. SUBRECIPIENT MONITORING
a. The Department will monitor the activities of the Subrecipient from award to closeout. The
goal of the Department's monitoring activities will be to ensure that agencies receiving
federal pass-through funds are in compliance with this Agreement, federal and state audit
requirements, federal grant guidance, and applicable federal and state financial
regulations, as well as 2 CFR Part 200 Subpart F.
b To document compliance with 2 CFR Part 200 Subpart F requirements, the Subrecipient
shall complete and return to the Department the 2 CFR Part 200 Subpart F Audit
Certification Form located at http.//mil.wa.gov/emergency-management-
division/grants/requiredgrantforms with the signed Agreement and each fiscal year
thereafter until the Agreement is closed, which is incorporated by reference and made a
part of this Agreement.
c Monitoring activities may include, but are not limited to -
i review of financial and performance reports
ii. monitoring and documenting the completion of Agreement deliverables
iii. documentation of phone calls, meetings, e-mails and correspondence
iv review of reimbursement requests and supporting documentation to ensure
allowability and consistency with Agreement work plan, budget, and federal
requirements
v observation and documentation of Agreement related activities, such as exercises,
training, funded events, and equipment demonstrations
vi on-site visits to review equipment records and inventories, to verify source
documentation for reimbursement requests and performance reports, and to verify
completion of deliverables.
d The Subrecipient is required to meet or exceed the monitoring activities, as outlined
above, for any non-federal entity to which the Subrecipient makes a subaward as a pass-
through entity under this Agreement.
DHS-FEMA-EMPG-FFY 16
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e. Compliancy will be monitored throughout the performance period to assess risk.
Concerns will be addressed through a Corrective Action Plan
8. LIMITED ENGLISH PROFIENCY (CIVIL RIGHTS ACT OF 1964 TITLE VI)
a. The Subrecipient must comply with the Title VI of the Civil Rights Act of 1964 (Title VI)
prohibition against discrimination on the basis of national origin, which requires that
subrecipients of federal financial assistance take reasonable steps to provide meaningful
access to persons with limited English proficiency (LEP) to their programs and services
Providing meaningful access for persons with LEP may entail providing language
assistance services, including oral interpretation and written translation Executive Order
13166, Improving Access to Services for Persons with Limited English Proficiency (August
11, 2000), requires federal agencies to issue guidance to recipients, assisting such
organizations and entities in understanding their language access obligations DHS
published the required recipient guidance in April 2011, DHS Guidance to Federal
Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin
Discrimination Affecting Limited English Proficient Persons, 76 Fed Reg 21755-21768,
(April 18, 2011) The Guidance provides helpful information such as how a recipient can
determine the extent of its obligation to provide language services, selecting language
services, and elements of an effective plan on language assistance for LEP persons For
additional assistance and information regarding language access obligations, please refer
to the DHS Recipient Guidance at https://www.dhs.gov/quidance-published-help-
department-supported-orqanizations-provide-meaningful-access-people-limited and
additional resources on http.//www.lep.gov.
9. NIMS COMPLIANCE
a. The National Incident Management System (NIMS) identifies concepts and principles that
answer how to manage emergencies from preparedness to recovery regardless of their
cause, size, location, or complexity. NIMS provides a consistent, nationwide approach
and vocabulary for multiple agencies or jurisdictions to work together to build, sustain, and
deliver the core capabilities needed to achieve a secure and resilient nation
b. Consistent implementation of NIMS provides a solid foundation across jurisdictions and
disciplines to ensure effective and integrated preparedness, planning, and response
NIMS empowers the components of the National Preparedness System, a requirement of
Presidential Policy Directive (PPD) -8, to guide activities within the public and private sector
and describes the planning, organizational activities, equipping, training and exercising
needed to build and sustain the core capabilities in support of the National Preparedness
Goal
c. The Subrecipient agrees that in order to receive Federal Fiscal Year 2016 federal
preparedness funding, to include EMPG, NIMS compliance requirements for 2016 must
be met.
B. EMPG PROGRAM SPECIFIC REQUIREMENTS
1 The Department receives EMPG Program funding from the DHS/FEMA, which is provided to
assist state, local, and tribal governments enhance and sustain all -hazards emergency
management capabilities as authorized by Robert T Stafford Disaster Relief and Emergency
Assistance Act, as amended (42 U.S C. §§ 5121 et seq.) and Section 662 of the Post Katrina
Emergency Management Act (6 U S C § 762)
2 A portion of the 16EMPG grant was identified by the state to be passed through to local
jurisdictions and tribes with emergency management programs to supplement their local/tribal
operating budgets to help sustain and enhance emergency management capabilities under WAC
118-09
3. The Subrecipient shall use the EMPG funds authorized under this Agreement only to perform
tasks as described in the Work Plan of the Subrecipient's application for funding, as approved by
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the Department and incorporated into this Agreement. Funding may not be used to replace or
supplant existing local or tribal government funding of emergency management programs
4. The Subrecipient shall provide a fifty percent match of $95,744 of non-federal origin. To meet
matching requirements, the Subrecipient cash matching contributions must be considered
reasonable, allowable, allocable, and necessary under the grant program and must comply with
all Federal requirements and regulations, including but not limited to 2 CFR Part 200. An
appropriate mechanism must be in place to capture, track, and document matching funds In the
final report, the Subrecipient shall identify how the match was met and documented.
5 Exercises that are implemented with EMPG Program funds under this Agreement must meet the
requirements of the 16EMPG Program
6. All personnel funded in any part through federal award or matching funds under this Agreement
shall:
a. participate in no less than three exercises in a 12 -month period The Subrecipient will report
exercise participation along with the final report.
b. complete the following training requirements and record proof of completion NIMS Training
ICS 100, ICS 200, IS 700, and IS 800 and the FEMA Professional Development Series IS
120, IS 230, IS 235, IS 240, IS 241, IS 242, and IS 244 The Subrecipient will report training
course completion by individual personnel along with the final report.
C. DHS TERMS AND CONDITIONS
As a subrecipient of 16EMPG Program funding, the Subrecipient shall comply with all applicable DHS
terms and conditions of the 16EMPG Award Letter and its incorporated documents for DHS Grant No
EMS -2016 -EP -00002-S01, which are incorporated and made a part of this Agreement as Attachment #1.
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Exhibit B
Washington State Military Department
GENERAL TERMS AND CONDITIONS
Department of Homeland Security (DHS)/
Federal Emergency Management Agency (FEMA)
Grants
A.1 DEFINITIONS
As used throughout this Agreement, the terms will have the same meaning as defined in 2 CFR 200
Subpart A (which is incorporated herein by reference), except as otherwise set forth below.
a "Agreement" means this Grant Agreement.
b "Department" means the Washington State Military Department, as a state agency, any division,
section, office, unit or other entity of the Department, or any of the officers or other officials lawfully
representing that Department. The Department is a recipient of a federal award directly from a
federal awarding agency and is the pass-through entity making a subaward to a subrecipient
under this Agreement.
c. "Subrecipient" when capitalized is primarily used throughout this Agreement in reference to the
non-federal entity identified on the Face Sheet of this Agreement that has received a subaward
from the Department. However, the definition of "subrecipient" is the same as in 2 CFR 200 93
for all other purposes
d "Monitoring Activities" means all administrative, financial, or other review activities that are
conducted to ensure compliance with all state and federal laws, rules, regulations, authorities and
policies.
f "Investment" means the grant application submitted by the Subrecipient describing the project(s)
for which federal funding is sought and provided under this this Agreement. Such grant
application is hereby incorporated into this Agreement by reference
A.2 ADVANCE PAYMENTS PROHIBITED
The Department shall make no payments in advance or in anticipation of goods or services to be provided
under this Agreement. Subrecipient shall not invoice the Department in advance of delivery and invoicing
of such goods or services
A.3 AMENDMENTS AND MODIFICATIONS
The Subrecipient or the Department may request, in writing, an amendment or modification of this
Agreement. However, such amendment or modification shall not be binding, take effect or be
incorporated herein until made in writing and signed by the authorized representatives of the Department
and the Subrecipient. No other understandings or agreements, written or oral, shall be binding on the
parties
A.4 AMERICANS WITH DISABILITIES ACT (ADA) OF 1990, PUBLIC LAW 101-336, 42 U.S.C. 12101 ET
SEQ. AND ITS IMPLEMENTING REGULATIONS ALSO REFERRED TO AS THE "ADA" 28 CFR Part
35.
The Subrecipient must comply with the ADA, which provides comprehensive civil rights protection to
individuals with disabilities in the areas of employment, public accommodations, state and local
government services, and telecommunication
A.5 ASSURANCES
The Department and Subrecipient 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
A.6 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, OR INELIGIBILITY
As federal funds are a basis for this Agreement, the Subrecipient certifies that the Subrecipient is not
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participating in this Agreement by any federal department or agency
The Subrecipient shall complete, sign, and return a Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion form located at http.//mil.wa.gov/emergency-manaqement-
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division/qrants/requiredqrantforms Any such form completed by the Subrecipient for this Agreement
shall be incorporated into this Agreement by reference
Further, the Subrecipient agrees to comply with all applicable federal regulations concerning the federal
debarment and suspension system, including 2 CFR Part 180. The Subrecipient certifies that it will
ensure that potential contractors or subrecipients or any of their principals are not debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in "covered
transactions" by any federal department or agency. "Covered transactions" include procurement
contracts for goods or services awarded under a non -procurement transaction (e g grant or cooperative
agreement) that are expected to equal or exceed $25,000, and subawards to subrecipients for any
amount. With respect to covered transactions, the Subrecipient may comply with this provision by
obtaining a certification statement from the potential contractor or subrecipient or by checking the System
for Award Management (http://www.sam.qov) maintained by the federal government. The Subrecipient
also agrees not to enter into any arrangements or contracts with any party on the Washington State
Department of Labor and Industries' "Debarred Contractor List"
(http.//www.Ini.wa.gov/TradesLicensing/PrevWage/AwardingAgencies/DebarredContractors/) The
Subrecipient also agrees not to enter into any agreements or contracts for the purchase of goods and
services with any party on the Department of Enterprise Services' Debarred Vendor List
(http://www.des.wa.gov/services/ContractingPurchasinq/Business/Pages/Vendor-Debarment.aspx)
A.7 CERTIFICATION REGARDING RESTRICTIONS ON LOBBYING
As required by 44 CFR Part 18, the Subrecipient hereby certifies that to the best of its knowledge and
belief. (1) no federally appropriated funds have been paid or will be paid by or on behalf of the
Subrecipient to any person for influencing or attempting to influence an officer or employee of an agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with the awarding of any federal contract, the making of any federal grant, the making of
any federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement; (2)
that if any funds other than federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this
Agreement, grant, loan, or cooperative agreement, the Subrecipient will complete and submit Standard
Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; (3) and that, as
applicable, the Subrecipient will require that the language of this certification be included in the award
documents for all subawards at all tiers (including sub -contracts, sub -grants, and contracts under grants,
loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into, and is a prerequisite for making or entering into this transaction imposed by
section 1352, title 31, U.S Code
A.8 CONFLICT OF INTEREST
No officer or employee of the Department; no member, officer, or employee of the Subrecipient or its
designees or agents; no member of the governing body of the jurisdiction in which the project is
undertaken or located, and no other official of the Subrecipient who exercises any functions or
responsibilities with respect to the project during his or her tenure, shall have any personal or pecuniary
gain or interest, direct or indirect, in any contract, subcontract, or the proceeds thereof, for work to be
performed in connection with the project assisted under this Agreement.
The Subrecipient shall incorporate, or cause to incorporate, in all such contracts or subawards, a
provision prohibiting such interest pursuant to this provision.
A.9 COMPLIANCE WITH APPLICABLE STATUTES, RULES AND DEPARTMENT POLICIES
The Subrecipient and all its contractors and subrecipients shall comply with, and the Department is not
responsible for determining compliance with, any and all applicable federal, state, and local laws,
regulations, executive orders, OMB Circulars, and/or policies This obligation includes, but is not limited
to nondiscrimination laws and/or policies, Energy Policy and Conservation Act (PL 94-163, as amended),
the Americans with Disabilities Act (ADA), Age Discrimination Act of 1975, Title VI of the Civil Rights Act
of 1964, Civil Rights Act of 1968, the Robert T. Stafford Disaster Relief and Emergency Assistance Act,
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(PL 93-288, as amended), Ethics in Public Service (RCW 42.52), Covenant Against Contingent Fees (48
CFR Section 52 203-5), Public Records Act (RCW 42.56), Prevailing Wages on Public Works (RCW
39 12), State Environmental Policy Act (RCW 43.21C), Shoreline Management Act of 1971 (RCW 90.58),
State Building Code (RCW 19.27), Energy Related Building Standards (RCW 19.27A), Provisions in
Buildings for Aged and Handicapped Persons (RCW 70.92), and safety and health regulations
In the event of noncompliance or refusal to comply with any applicable law, regulation, executive order,
OMB Circular or policy by the Subrecipient, its contractors or subrecipients, the Department may rescind,
cancel, or terminate the Agreement in whole or in part in its sole discretion The Subrecipient is
responsible for all costs or liability arising from its failure, and that of its contractors and subrecipients, to
comply with applicable laws, regulations, executive orders, OMB Circulars or policies.
A.10 CONTRACTING & PROCUREMENT
a The Subrecipient shall use a competitive procurement process in the procurement and award of
any contracts with contractors or sub -contractors that are entered into under the original contract
award The procurement process followed shall be in accordance with 2 CFR Part 200 318
General procurement standards through 200.326 Contract Provisions
As required by Appendix II to 2 CFR Part 200, all contracts entered into by the Subrecipient under
this Agreement must include the following provisions, as applicable:
1) Contracts for more than the simplified acquisition threshold currently set at $150,000, which is
the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the
Defense Acquisition Regulations Council (Councils) as authorized by 41 U S C. 1908, must
address administrative, contractual, or legal remedies in instances where contractors violate or
breach contract terms, and provide for such sanctions and penalties as appropriate.
2) All contracts in excess of $10,000 must address termination for cause and for convenience by
the non -Federal entity including the manner by which it will be effected and the basis for
settlement.
3) Equal Employment Opportunity Except as otherwise provided under 41 CFR Part 60, all
contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-
1.3 must include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance
with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part,
1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order
11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor."
4) Davis -Bacon Act, as amended (40 U S.0 3141-3148). When required by Federal program
legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities
must include a provision for compliance with the Davis -Bacon Act (40 U S C 3141-3144, and
3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor
Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted
Construction"). In accordance with the statute, contractors must be required to pay wages to
laborers and mechanics at a rate not less than the prevailing wages specified in a wage
determination made by the Secretary of Labor In addition, contractors must be required to pay
wages not less than once a week. The non -Federal entity must place a copy of the current
prevailing wage determination issued by the Department of Labor in each solicitation The
decision to award a contract or subcontract must be conditioned upon the acceptance of the wage
determination The non -Federal entity must report all suspected or reported violations to the
Federal awarding agency The contracts must also include a provision for compliance with the
Copeland "Anti -Kickback" Act (40 U S C. 3145), as supplemented by Department of Labor
regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States"). The Act provides that
each contractor or subrecipient must be prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up any part of the
compensation to which he or she is otherwise entitled The non -Federal entity must report all
suspected or reported violations to the Federal awarding agency
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5) Contract Work Hours and Safety Standards Act (40 U.S.0 3701-3708). Where applicable, all
contracts awarded by the non -Federal entity in excess of $100,000 that involve the employment
of mechanics or laborers must include a provision for compliance with 40 U S.C. 3702 and 3704,
as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U S C 3702 of
the Act, each contractor must be required to compute the wages of every mechanic and laborer
on the basis of a standard work week of 40 hours. Work in excess of the standard work week is
permissible provided that the worker is compensated at a rate of not less than one and a half
times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The
requirements of 40 U S.C. 3704 are applicable to construction work and provide that no laborer
or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of
supplies or materials or articles ordinarily available on the open market, or contracts for
transportation or transmission of intelligence.
6) Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the
definition of "funding agreement" under 37 CFR §401.2 (a) and the recipient or subrecipient
wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance of experimental, developmental, or research
work under that "funding agreement," the recipient or subrecipient must comply with the
requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and
Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and
any implementing regulations issued by the awarding agency
7) Clean Air Act (42 U.S C. 7401-7671q ) and the Federal Water Pollution Control Act (33 U.S C
1251-1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must
contain a provision that requires the non -Federal award to agree to comply with all applicable
standards, orders or regulations issued pursuant to the Clean Air Act (42 U S C 7401-7671q) and
the Federal Water Pollution Control Act as amended (33 U S.0 1251-1387). Violations must be
reported to the Federal awarding agency and the Regional Office of the Environmental Protection
Agency (EPA)
8) Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2
CFR 180 220) must not be made to parties listed on the government -wide exclusions in the
System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that
implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part
1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of
parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared
ineligible under statutory or regulatory authority other than Executive Order 12549.
9) Byrd Anti -Lobbying Amendment (31 U.S C. 1352)—Contractors that apply or bid for an award
exceeding $100,000 must file the required certification Each tier certifies to the tier above that it
will not and has not used Federal appropriated funds to pay any person or organization for
influencing or attempting to influence an officer or employee of any agency, a member of
Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.0
1352 Each tier must also disclose any lobbying with non -Federal funds that takes place in
connection with obtaining any Federal award Such disclosures are forwarded from tier to tier up
to the non -Federal award
10) Procurement of recovered materials -- As required by 2 CFR 200 322, a non -Federal entity
that is a state agency or agency of a political subdivision of a state and its contractors must comply
with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation
and Recovery Act. The requirements of Section 6002 include procuring only items designated in
guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the
highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the
quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste
management services in a manner that maximizes energy and resource recovery; and
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establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines
11) Notice of awarding agency requirements and regulations pertaining to reporting
12) Federal awarding agency requirements and regulations pertaining to copyrights and rights in
data.
13) Access by the Department, the Subrecipient, the Federal awarding agency, the Comptroller
General of the United States, or any of their duly authorized representatives to any books,
documents, papers, and records of the contractor which are directly pertinent to that specific
contract for the purpose of making audit, examination, excerpts, and transcriptions.
14) Retention of all required records for six years after the Subrecipient has made final payments
and all other pending matters are closed.
15) Mandatory standards and policies relating to energy efficiency which are contained in the
state energy conservation plan issued in compliance with the Energy Policy and Conservation
Act (Pub. L. 94-163, 89 Stat. 871)
b. The Department reserves the right to review the Subrecipient procurement plans and documents,
and require the Subrecipient to make changes to bring its plans and documents into compliance
with the requirements of 2 CFR Part 200 318 through 200 326. The Subrecipient must ensure
that its procurement process requires contractors and subcontractors to provide adequate
documentation with sufficient detail to support the costs of the project and to allow both the
Subrecipient and Department to make a determination on eligibility of project costs.
c. All contracting agreements entered into pursuant to this Agreement shall incorporate this
Agreement by reference
A.11 DISCLOSURE
The use or disclosure by any party of any information concerning the Department for any purpose not
directly connected with the administration of the Department's or the Subrecipient's responsibilities with
respect to services provided under this Agreement is prohibited except by prior written consent of the
Department or as required to comply with the state Public Records Act, other law or court order
A.12 DISPUTES
Except as otherwise provided in this Agreement, when a bona fide dispute arises between the parties
and it cannot be resolved through discussion and negotiation, either party may request a dispute
resolution panel to resolve the dispute A request for a dispute resolution board shall be in writing, state
the disputed issues, state the relative positions of the parties, and be sent to all parties The panel shall
consist of a representative appointed by the Department, a representative appointed by the Subrecipient
and a third party mutually agreed upon by both parties The panel shall, by majority vote, resolve the
dispute Each party shall bear the cost for its panel member and its attorney fees and costs, and share
equally the cost of the third panel member
A.13 LEGAL RELATIONS
It is understood and agreed that this Agreement is solely for the benefit of the parties to the Agreement
and gives no right to any other party No joint venture or partnership is formed as a result of this
Agreement.
To the extent allowed by law, the Subrecipient, its successors or assigns, will protect, save and hold
harmless the Department, the State of Washington, and the United States Government and their
authorized agents and employees, from all claims, actions, costs, damages or expenses of any nature
whatsoever by reason of the acts or omissions of the Subrecipient, its sub -contractors, subrecipients,
assigns, agents, contractors, consultants, licensees, invitees, employees or any person whomsoever
arising out of or in connection with any acts or activities authorized by this Agreement.
To the extent allowed by law, the Subrecipient further agrees to defend the Department and the State of
Washington and their authorized agents and employees in any litigation, including payment of any costs
or attorneys' fees for any claims or action commenced thereon arising out of or in connection with acts
or activities authorized by this Agreement.
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This obligation shall not include such claims, costs, damages or expenses which may be caused by the
sole negligence of the Department; provided, that if the claims or damages are caused by or result from
the concurrent negligence of (1) the Department, and (2) the Subrecipient, its agents, or employees, this
indemnity provision shall be valid and enforceable only to the extent of the negligence of the Subrecipient,
or Subrecipient's agents or employees
Insofar as the funding source, the Department of Homeland Security (DHS)/Federal Emergency
Management Agency (FEMA), is an agency of the Federal government, the following shall apply:
44 CFR 206.9 Non -liability The Federal government shall not be liable for any claim based upon the
exercise or performance of, or the failure to exercise or perform a discretionary function or duty on the
part of a federal agency or an employee of the Federal government in carrying out the provisions of the
Stafford Act.
A.14 LIMITATION OF AUTHORITY — AUTHORIZED SIGNATURE
The signatories to this Agreement represent that they have the authority to bind their respective
organizations to this Agreement. Only the Department's Authorized Signature representative and the
Authorized Signature representative of the Subrecipient or Alternate for the Subrecipient, formally
designated in writing, shall have the express, implied, or apparent authority to alter, amend, modify, or
waive any clause or condition of this Agreement. Any alteration, amendment, modification, or waiver of
any clause or condition of this Agreement is not effective or binding unless made in writing and signed
by both parties' Authorized Signature representatives.
Further, only the Authorized Signature representative or Alternate for the Subrecipient shall have
signature authority to sign reimbursement requests, time extension requests, amendment and
modification requests, requests for changes to projects or work plans, and other requests, certifications
and documents authorized by or required under this Agreement.
A.15 LOSS OR REDUCTION OF FUNDING
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 or end date, the Department
may unilaterally reduce the scope of work and budget or unilaterally terminate all or part of the Agreement
as a "Termination for Cause" without providing the Subrecipient an opportunity to cure Alternatively, the
parties may renegotiate the terms of this Agreement under "Amendments and Modifications" to comply
with new funding limitations and conditions, although the Department has no obligation to do so.
A.16 NONASSIGNABILITY
Neither this Agreement, nor any claim arising under this Agreement, shall be transferred or assigned by
the Subrecipient.
A.17 NONDISCRIMINATION
The Subrecipient shall comply with all applicable federal and state non-discrimination laws, regulations,
and policies. No person shall, on the grounds of age, race, creed, color, sex, sexual orientation, religion,
national origin, marital status, honorably discharged veteran or military status, or disability (physical,
mental, or sensory) be denied the benefits of, or otherwise be subjected to discrimination under any
project, program, or activity, funded, in whole or in part, under this Agreement.
A.18 NOTICES
The Subrecipient shall comply with all public notices or notices to individuals required by applicable local,
state and federal laws and regulations and shall maintain a record of this compliance.
A.19 OCCUPATIONAL SAFETY/HEALTH ACT and WASHINGTON INDUSTRIAL SAFETY/ HEALTH ACT
(OSHANVISHA)
° The Subrecipient represents and warrants that its work place does now or will meet all applicable federal
and state safety and health regulations that are in effect during the Subrecipient's performance under this
Agreement. To the extent allowed by law, the Subrecipient further agrees to indemnify and hold harmless
the Department and its employees and agents from all liability, damages and costs of any nature,
including but not limited to, costs of suits and attorneys' fees assessed against the Department, as a
result of the failure of the Subrecipient to so comply
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A.20 OWNERSHIP OF PROJECT/CAPITAL FACILITIES
The Department makes no claim to any capital facilities or real property improved or constructed with
funds under this Agreement, and by this subaward of funds does not and will not acquire any ownership
interest or title to such property of the Subrecipient. The Subrecipient shall assume all liabilities and
responsibilities arising from the ownership and operation of the project and agrees to indemnify and hold
the Department, the state of Washington and the United States government harmless from any and all
causes of action arising from the ownership and operation of the project.
A.21 POLITICAL ACTIVITY
No portion of the funds provided herein shall be used for any partisan political activity or to further the
election or defeat of any candidate for public office or influence the approval or defeat of any ballot issue
A.22 PROHIBITION AGAINST PAYMENT OF BONUS OR COMMISSION
The assistance provided under this Agreement shall not be used in payment of any bonus or commission
for the purpose of obtaining approval of the application for such assistance or any other approval or
concurrence under this Agreement provided, however, that reasonable fees or bona fide technical
consultant, managerial, or other such services, other than actual solicitation, are not hereby prohibited if
otherwise eligible as project costs
A.23 PUBLICITY
The Subrecipient agrees to submit to the Department prior to issuance all advertising and publicity
matters relating to this Agreement wherein the Department's name is mentioned or language used from
which the connection of the Department's name may, in the Department's judgment, be inferred or
implied. The Subrecipient agrees not to publish or use such advertising and publicity matters without the
prior written consent of the Department. The Subrecipient may copyright original work it develops in the
course of or under this Agreement; however, pursuant to 2 CFR Part 200 315, FEMA reserves a royalty -
free, nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize
others to use the work for government purposes.
Publication resulting from work performed under this Agreement shall include an acknowledgement of
FEMA's financial support, by CFDA number, and a statement that the publication does not constitute an
endorsement by FEMA or reflect FEMA's views.
A.24 RECAPTURE PROVISION
In the event the Subrecipient fails to expend funds under this Agreement in accordance with applicable
federal, state, and local laws, regulations, and/or the provisions of the Agreement, the Department
reserves the right to recapture funds in an amount equivalent to the extent of noncompliance Such right
of recapture shall exist for the life of the project following Agreement termination. Repayment by the
Subrecipient of funds under this recapture provision shall occur within 30 days of demand In the event
the Department is required to institute legal proceedings to enforce the recapture provision, the
Department shall be entitled to its costs and expenses thereof, including attorney fees from the
Su brecipient.
A.25 RECORDS
a The Subrecipient agrees to maintain all books, records, documents, receipts, invoices and all other
electronic or written records necessary to sufficiently and properly reflect the Subrecipient's contracts,
subawards, grant administration, and payments, including all direct and indirect charges, and
expenditures in the performance of this Agreement (the "records").
b The Subrecipient's records related to this Agreement and the projects funded may be inspected and
audited by the Department or its designee, by the Office of the State Auditor, DHS, FEMA or their
designees, by the Comptroller General of the United States or its designees, or by other state or
federal officials authorized by law, for the purposes of determining compliance by the Subrecipient
with the terms of this Agreement and to determine the appropriate level of funding to be paid under
the Agreement.
c. The records shall be made available by the Subrecipient for such inspection and audit, together with
suitable space for such purpose, at any and all times during the Subrecipient's normal working day
d. The Subrecipient shall retain and allow access to all records related to this Agreement and the funded
project(s) for a period of at least six (6) years following final payment and closure of the grant under
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this Agreement. Despite the minimum federal retention requirement of three (3) years, the more
stringent State requirement of six (6) years must be followed
A.26 RESPONSIBILITY FOR PROJECT/STATEMENT OF WORKNVORK PLAN
While the Department undertakes to assist the Subrecipient with the project/statement of work/work plan
(project) by providing Federal award funds pursuant to this Agreement, the project itself remains the sole
responsibility of the Subrecipient. The Department undertakes no responsibility to the Subrecipient, or
to any third party, other than as is expressly set out in this Agreement.
The responsibility for the design, development, construction, implementation, operation and maintenance
of the project, as these phrases are applicable to this project, is solely that of the Subrecipient, as is
responsibility for any claim or suit of any nature by any third party related in any way to the project.
Prior to the start of any construction activity, the Subrecipient shall ensure that all applicable Federal,
State, and local permits and clearances are obtained, including but not limited to FEMA compliance with
the National Environmental Policy Act, the National Historic Preservation Act, the Endangered Species
Act, and all other environmental laws, regulations and executive orders
The Subrecipient shall defend, at its own cost, any and all claims or suits at law or in equity, which may
be brought against the Subrecipient in connection with the project. The Subrecipient shall not look to the
Department, or to any state or federal agency, or to any of their employees or agents, for any
performance, assistance, or any payment or indemnity, including but not limited to cost of defense and/or
attorneys' fees, in connection with any claim or lawsuit brought by any third party related to any design,
development, construction, implementation, operation and/or maintenance of a project.
A.27 SEVERABILITY
If any court of rightful jurisdiction holds any provision or condition under this Agreement or its application
to any person or circumstances invalid, this invalidity does not affect other provisions, terms or conditions
of the Agreement, which can be given effect without the invalid provision To this end, the terms and
conditions of this Agreement are declared severable.
A.28 SINGLE AUDIT ACT REQUIREMENTS (including all AMENDMENTS)
Non-federal entities, as subrecipients of a federal award, that expend $750,000 or more in one fiscal year
of federal funds from all sources, direct and indirect, are required to have a single or a program -specific
audit conducted in accordance with 2 CFR Part 200 Subpart F. Non-federal entities that spend less than
$750,000 a year in federal awards are exempt from federal audit requirements for that year, except as
noted in 2 CFR Part 200 Subpart F. As defined in 2 CFR Part 200, the term "non-federal entity" means
a State, local government, Indian tribe, institution of higher education, or non-profit organization that
carries out a federal award as a recipient or subrecipient.
Subrecipients that are required to have an audit must ensure the audit is performed in accordance with
Generally Accepted Government Auditing Standards (GAGAS) as found in the Government Auditing
Standards (the Revised Yellow Book) developed by the United States Comptroller General and the OMB
Compliance Supplement. The Subrecipient has the responsibility of notifying its auditor and requesting
an audit in compliance with 2 CFR Part 200 Subpart F, to include the Washington State Auditor's Office,
a federal auditor, or a public accountant performing work using GAGAS, as appropriate Costs of the
audit may be an allowable grant expenditure as authorized by 2 CFR Part 200 Subpart F.
The Subrecipient shall maintain auditable records and accounts so as to facilitate the audit requirement
and shall ensure that any sub -contractors also maintain auditable records. The Subrecipient is
responsible for any audit exceptions incurred by its own organization or that of its sub-
contractors. Responses to any unresolved management findings and disallowed or questioned costs
shall be included with the audit report. The Subrecipient must respond to Department requests for
information or corrective action concerning audit issues or findings within 30 days of the date of
request. The Department reserves the right to recover from the Subrecipient all disallowed costs
resulting from the audit.
After the single audit has been completed, and if it includes any audit findings, the Subrecipient must
send a full copy of the audit and its corrective action plan to the Department at the following address no
later than nine (9) months after the end of the Subrecipient's fiscal year(s)
DHS-FEMA-EMPG-FFY 16
Page 17 of 33 Yakima, City of, E17-143
Contracts Office
Washington Military Department
Finance Division, Building #1 TA -20
Camp Murray, WA 98430-5032
If the Subrecipient claims it is exempt from the audit requirements of 2 CFR Part 200 Subpart F, the
Subrecipient must send a letter identifying this Agreement and explaining the criteria for exemption no
later than nine (9) months after the end of the Subrecipient's fiscal year(s) to the address listed above.
The Department retains the sole discretion to determine whether a valid claim for an exemption from the
audit requirements of this provision has been established
The Subrecipient shall include the above audit requirements in any subawards
Conducting a single or program -specific audit in compliance with 2 CFR Part 200 Subpart F is a material
requirement of this Agreement. In the absence of a valid claim of exemption from the audit requirements
of 2 CFR Part 200 Subpart F, the Subrecipient's failure to comply with said audit requirements may result
in one or more of the following actions in the Department's sole discretion a percentage of federal awards
being withheld until the audit is completed in accordance with 2 CFR Part 200 Subpart F; the withholding
or disallowing of overhead costs; the suspension of federal awards until the audit is conducted and
submitted; or termination of the federal award
A.29 SUBRECIPIENT NOT EMPLOYEE
The parties intend that an independent contractor relationship will be created by this Agreement. The
Subrecipient, and/or employees or agents performing under this Agreement are not employees or agents
of the Department in any manner whatsoever. The Subrecipient will not be presented as, nor claim to
be, an officer or employee of the Department by reason of this Agreement, nor will the Subrecipient make
any claim, demand, or application to or for any right or privilege applicable to an officer or employee of
the Department or of the State of Washington by reason of this Agreement, including, but not limited to,
Workmen's Compensation coverage, unemployment insurance benefits, social security benefits,
retirement membership or credit, or privilege or benefit which would accrue to a civil service employee
under Chapter 41.06 RCW.
It is understood that if the Subrecipient is another state department, state agency, state university, state
college, state community college, state board, or state commission, that the officers and employees are
employed by the state of Washington in their own right and not by reason of this Agreement.
A.30 TAXES, FEES AND LICENSES
Unless otherwise provided in this Agreement, the Subrecipient shall be responsible for, pay and maintain
in current status all taxes, unemployment contributions, fees, licenses, assessments, permit charges and
expenses of any other kind for the Subrecipient or its staff required by statute or regulation that are
applicable to Agreement performance.
A.31 TERMINATION FOR CONVENIENCE
Notwithstanding any provisions of this Agreement, the Subrecipient may terminate this Agreement by
providing written notice of such termination to the Department Key Personnel identified in the Agreement,
specifying the effective date thereof, at least thirty (30) days prior to such date
Except as otherwise provided in this Agreement, the Department, in its sole discretion and in the best
interests of the State of Washington, may terminate this Agreement in whole or in part by providing ten
(10) calendar days written notice, beginning on the second day after mailing to the Subrecipient. Upon
notice of termination for convenience, the Department reserves the right to suspend all or part of the
Agreement, withhold further payments, or prohibit the Subrecipient from incurring additional obligations
of funds In the event of termination, the Subrecipient shall be liable for all damages as authorized by
law. The rights and remedies of the Department provided for in this section shall not be exclusive and
are in addition to any other rights and remedies provided by law
A.32 TERMINATION OR SUSPENSION FOR CAUSE
In the event the Department, in its sole discretion, determines the Subrecipient has failed to fulfill in a
timely and proper manner its obligations under this Agreement, is in an unsound financial condition so
as to endanger performance hereunder, is in violation of any laws or regulations that render the
Subrecipient unable to perform any aspect of the Agreement, or has violated any of the covenants,
DHS-FEMA-EMPG-FFY 16
Page 18 of 33 Yakima, City of, E17-143
agreements or stipulations of this Agreement, the Department has the right to immediately suspend or
terminate this Agreement in whole or in part.
The Department may notify the Subrecipient in writing of the need to take corrective action and provide
a period of time in which to cure. The Department is not required to allow the Subrecipient an opportunity
to cure if it is not feasible as determined solely within the Department's discretion. Any time allowed for
cure shall not diminish or eliminate the Subrecipient's liability for damages or otherwise affect any other
remedies available to the Department. If the Department allows the Subrecipient an opportunity to cure,
the Department shall notify the Subrecipient in writing of the need to take corrective action If the
corrective action is not taken within ten (10) calendar days or as otherwise specified by the Department,
or if such corrective action is deemed by the Department to be insufficient, the Agreement may be
terminated in whole or in part.
The Department reserves the right to suspend all or part of the Agreement, withhold further payments,
or prohibit the Subrecipient from incurring additional obligations of funds during investigation of the
alleged compliance breach, pending corrective action by the Subrecipient, if allowed, or pending a
decision by the Department to terminate the Agreement in whole or in part.
In the event of termination, the Subrecipient shall be liable for all damages as authorized by law, including
but not limited to, any cost difference between the original Agreement and the replacement or cover
Agreement and all administrative costs directly related to the replacement Agreement, e.g , cost of
administering the competitive solicitation process, mailing, advertising and other associated staff time.
The rights and remedies of the Department provided for in this section shall not be exclusive and are in
addition to any other rights and remedies provided by law
If it is determined that the Subrecipient: (1) was not in default or material breach, or (2) failure to perform
was outside of the Subrecipient's control, fault or negligence, the termination shall be deemed to be a
"Termination for Convenience".
A.33 TERMINATION PROCEDURES
In addition to the procedures set forth below, if the Department terminates this Agreement, the
Subrecipient shall follow any procedures specified in the termination notice Upon termination of this
Agreement and in addition to any other rights provided in this Agreement, the Department may require
the Subrecipient to deliver to the Department any property specifically produced or acquired for the
performance of such part of this Agreement as has been terminated.
If the termination is for convenience, the Department shall pay to the Subrecipient as an agreed upon
price, if separately stated, for properly authorized and completed work and services rendered or goods
delivered to and accepted by the Department prior to the effective date of Agreement termination, the
amount agreed upon by the Subrecipient and the Department for (i) completed work and services and/or
equipment or supplies provided for which no separate price is stated, (ii) partially completed work and
services and/or equipment or supplies provided which are accepted by the Department, (iii) other work,
services and/or equipment or supplies which are accepted by the Department, and (iv) the protection and
preservation of property.
Failure to agree with such amounts shall be a dispute within the meaning of the "Disputes" clause of this
Agreement. If the termination is for cause, the Department shall determine the extent of the liability of
the Department. The Department shall have no other obligation to the Subrecipient for termination The
Department may withhold from any amounts due the Subrecipient such sum as the Department
determines to be necessary to protect the Department against potential loss or liability.
The rights and remedies of the Department provided in this Agreement shall not be exclusive and are in
addition to any other rights and remedies provided by law.
After receipt of a notice of termination, and except as otherwise directed by the Department in writing,
the Subrecipient shall.
a Stop work under the Agreement on the date, and to the extent specified, in the notice,
b Place no further orders or contracts for materials, services, supplies, equipment and/or facilities in
relation to this Agreement except as may be necessary for completion of such portion of the work
under the Agreement as is not terminated;
DHS-FEMA-EMPG-FFY 16
Page 19 of 33 Yakima, City of, E17-143
c. Assign to the Department, in the manner, at the times, and to the extent directed by the Department,
all of the rights, title, and interest of the Subrecipient under the orders and contracts so terminated,
in which case the Department has the right, at its discretion, to settle or pay any or all claims arising
out of the termination of such orders and contracts,
d. Settle all outstanding liabilities and all claims arising out of such termination of orders and contracts,
with the approval or ratification of the Department to the extent the Department may require, which
approval or ratification shall be final for all the purposes of this clause;
e Transfer title to the Department and deliver in the manner, at the times, and to the extent directed by
the Department any property which, if the Agreement had been completed, would have been required
to be furnished to the Department;
f Complete performance of such part of the work as shall not have been terminated by the Department
in compliance with all contractual requirements; and
Take such action as may be necessary, or as the Department may require, for the protection and
preservation of the property related to this Agreement which is in the possession of the Subrecipient
and in which the Department has or may acquire an interest.
A.34 UTILIZATION OF MINORITY AND WOMEN BUSINESS ENTERPRISES (MWBE)
The Subrecipient is encouraged to utilize business firms that are certified as minority-owned and/or
women -owned in carrying out the purposes of this Agreement. The Subrecipient may set utilization
standards, based upon local conditions or may utilize the state of Washington MWBE goals, as identified
in WAC 326-30-041.
A.35 VENUE
This Agreement shall be construed and enforced in accordance with, and the validity and performance
shall be governed by, the laws of the state of Washington. Venue of any suit between the parties arising
out of this Agreement shall be the Superior Court of Thurston County, Washington. The Subrecipient,
by execution of this Agreement acknowledges the jurisdiction of the courts of the State of Washington.
A.36 WAIVERS
No conditions or provisions of this Agreement can be waived unless approved in advance by the
Department in writing The Department's failure to insist upon strict performance of any provision of the
Agreement or to exercise any right based upon a breach thereof, or the acceptance of any performance
during such breach, shall not constitute a waiver of any right under this Agreement.
g.
DHS-FEMA-EMPG-FFY 16
Page 20 of 33 Yakima, City of, E17-143
1
2
3
4
5
Exhibit C
16EMPG WORK PLAN
Emergency Management Organization City of Yakima
The purpose of EMPG is to assist with the enhancement, sustainment and improvement of state, local, and tribal emergency management programs.
Activities conducted using EMPG funding should relate directly to the five elements of emergency management. prevention, protection, response,
recovery, and mitigation. Washington State does not require a specific number of activities to receive EMPG funding. However, there are required
capabilities that must be conducted in order to remain eligible for EMPG funding, including but not limited to the ability to communicate and warn,
educate the public, train and exercise, plan, and be NIMS compliant. The Work Plan delineates the Emergency Management Organization's emergency
management program planning and priority focus for this grant cycle (to include 16EMPG grant and local funds).
kregram:Area:
Planning
WORK PLANNED
Develop and produce Financial, Administrative
and Cost Recovery procedures to be utilized in the
EOC. Outputs include desk reference books, job
tasks/checklists, etc. Incorporate current
documents into revised processes. Process
developed will be will be published in the 2017
CEMP
Develop enhanced evacuation plans and
procedures primarily for special populations, e.g.,
American Disabilities Act definition, Limited
English Proficiency, Access and Functional Needs
populations. This will include plans for
alert/warnings, crisis communications, pre -
positioning of equipment for areas impacted by
mass evacuation, sheltering, and re-entry The
work will involve sessions with other departments
and private sector entities.
WHY THE WORK I5 BEING DONE
The current CEMP does not include Finance &
Administration (F&A) procedures. F&A procedures
are in place but need to be updated and further
developed. Additionally, cost recovery process
isn't as detailed as is needed. Support the
National Preparedness Goal as defined under
Common Core Capabilities --Planning and
Operational Coordination.
There is a very limited basic framework in place
for evacuation of special populations during a
catastrophic event. The plan needs to be
improved to include planning for transport,
housing, and communication with the City's
special population.
RESULT OF THE WORK
Have a comprehensive set of procedures
addressing F&A topics and cost recovery which
will assist in the response and recovery phases of
a disaster
Have a completed and functional plan ensuring
special populations are taken care of during and
after a catastrophic event.
2015 THIRA Review --conduct all hazards To identify planning gaps and ensure consistency Planning shortfalls identified.
emergency management planning update to the
city's 2015 THIRA. Conduct study session
workshops.
Resource Management Plan--develop/enhance
logistics and resource management plans;
develop/enhance volunteer and/or donations
management plan. City will utilize a
contractor/consultant to develop materials and
conduct study sessions with stakeholders.
Recovery Planning --develop long term recovery
plans and preparedness program. City will utilize
contractor/consultant to develop materials and
conduct study sessions.
DHS-FEMA-EMPG-FFY 16
Current process isn't automated or consistent City will have a consistent methodology for
across the City This will support the National resource management and procedures which can
Preparedness Goal as defined under Common be used during a disaster
Core Capabilities --Planning and Operational
Coordination.
Short term recovery is fairly well outlined. More
work is needed for long term recovery plans. To
ensure consistency with the principles and
guidance in the National Disaster Recovery
Framework that will provide the foundation for
recovery programs and whole -community
partnerships.
Page 21 of 33
An enhanced city disaster recovery plan which
,encompasses 21 city agencies and addresses
specific issues that impact citizens and city staff
after an emergency event.
Yakima, City of, E17-143
1
2
3
Progra'rn'A_iea'1i
Training
WORK PLANNED
- Review 2016 THIRA for low ratings in training.
- Conduct Training and Exercise Workshop
(TEPW); incorporate capability gaps discovered in
the THIRA review
- Develop a Multi-year Training and Exercise Plan
(TEP).
- Conduct or facilitate training included in TEP
- Purchase of field guides, audio -visuals, and other
training resources to support all hazards training.
- Integrate FEMA -approved emergency
management training.
- Continue to build NIMS compliance for the City's
response personnel.
- Continue ongoing training program for
elected/appointed officials, department heads,
emergency management response personnel, and
the private sector
WHY THE WORK I5 BEING DONE
The 2015 THIRA results included low capability
ratings in Training across the core capabilities and
as such, Training is one of the top priorities for the
City
RESULT OF THE WORK
Training shortfalls identified and multi -agency
training program developed. City departments'
training activities aligned to a current, Multi-year
TEP A community oriented approach to
emergency management that emphasizes
engagement at the community level, strengthens
best practices, and provides a path toward
building a sustainable city has been established.
City responders have enhanced ability to protect
citizens, residents, visitors, and assets against the
greatest threats and hazards.
Program Area;#3,_
Exercises
WORK PLANNED
Conduct Access and Functional Needs Functional
Exercise (FE) --conduct pre-exercise training,
purchase exercise expendables.
WHY THE WORK I5 BEING DONE
To identify and be educated on gaps in meeting
the needs of special populations during a disaster
Demonstrate the City's Center Management
System (Emergency Operations Center) activation.
Support the National Preparedness Goal as
defined under Common Core Capability -
Operational Coordination.
Conduct City of Yakima Air Terminal Airport The FAA requires for certification. Sequence of
Emergency Plan Functional Exercise (FE) exercises will include follow-up to shortfalls
identified in the AAR from September 2015 full
scale exercise. Supports the National
Preparedness Goal as defined under Common
Core Capabilities -Operational Coordination.
Conduct Flood (FE) --conduct pre-exercise training;
purchase exercise expendables.
Severe Winter Storm (FE) --conduct pre-exercise
training, purchase exercise expendables.
A part of the exercises will be the distribution of
preparedness information to targeted
areas/populations.
DHS-FEMA-EMPG-FFY 16
The exercise will inform what is needed for
support to the area and will test the City's
notification and warning to residents regarding
flooding and/or severe winter storm. Supports
the National Preparedness Goal as defined under
Common Core Capabilities -Operational
Coordination. This work continues from the last
funding cycle.
Page 22 of 33
RESULT OF THE WORK
The City's Access and Functional Needs protocols
validated before an emergency or disaster The
city can provide timely, accurate, and actionable
information for its residents utilizing Everbridge
and Avaya emergency notification capabilities.
Yakima Air Terminal will remain compliant with
FAA rules
The city provides timely, accurate, and actionable
information for its residents utilizing Everbridge
and Avaya emergency notification capabilities.
The City's transportation plan, snow removal plan,
and public information and warning procedures
validated.
Yakima, City of, E17-143
1
1
1
2
Program;Aea q4.
EOC Upgrades
WORK PLANNED
EOC Renovation --Renovate an existing area,
formerly used as the city's 911 Center, to
accommodate a Joint Information Center and
Emergency Operations Center Install carpeting
and work stations.
Acquire necessary equipment and supplies to
establish and maintain an emergency operations
center, e.g., general office supplies, computer
monitors, projector display, portable podium, etc.
WHY THE WORK I5 BEING DONE
EOC is functional but needs major improvements
to establish a working EOC environment. Support
the National Preparedness Goal as defined under
Prevention/Protection Core Capabilities -
Intelligence and Information Sharing and Common
Core Capability -Operational Coordination.
RESULT OF THE WORK
A sustainable working EOC environment, backup
communications not compromised. EOC
connected to the city's two department
operations centers, i.e., Yakima Fire Department
and Public Works.
Progrem Area;#5 .
Public Outreach
WORK PLANNED
Crisis Communications, Public Education and
Information:
Acquire informational materials
- Conduct community meetings and attend public
gatherings. Include mass communication
outreach information.
- Provide outreach to the Limited English
Proficiency, Hispanic, elderly, and access and
functional needs populations.
Major costs -publications, printing and expansion
of the city's mass notification system.
WHY THE WORK IS BEING DONE
To develop a framework to meet the challenges of
Crisis Communications, Public Education and
Information as they apply to the city's diverse
demographics, e.g., Hispanic population, elderly;
special needs. Support the National
Preparedness Goal as defined under Mitigation
Core Capabilities -Community Resilience. This
effort is ongoing from funding cycle.
RESULT OF THE WORK
A written framework for the implementation of
Crisis Communications, Public Education and
Information for the City's diverse demographics,
e.g., Hispanic population; elderly; special needs.
Enroll additional points of contact into the City's
existing Everbridge mass notification capability
Piograrii;'Area^1l6 ''
Public Notification and Warning
WORK PLANNED
Implement an early notification system to
enhance warning to the City population.
- Target outreach to specials needs populations
- Encourage opt -in participation via cell phone or
landline
- Drill quarterly on new capability
Public Information and Warning --Install a public
address system for emergency notification which
will be incorporated into the city's telephone
system
DHS-FEMA-EMPG-FFY 16
WHY THE WORK I5 BEING DONE
The city has never addressed a mass notification
,system. Applicable ADA requirements indicate
that local jurisdictions shall have the capability to
warn ADA populations. The city has developed
over 100 sites around the city to address special
population needs. This program area includes the
completion of work from the 15EMPG work plan.
City Hall does not have a reliable alert/notification
capability for employees and visitors. This will
address the National Preparedness Goal as
defined under Common Core Capabilities -Public
Information and Warning.
Page 23 of 33
RESULT OF THE WORK
Warnings delivered from the City through the
system will reach 50% of the targeted
populations.
City Hall employees and visitors will be able to
receive prompt notification of a hazard, imminent
or occurring, take immediate action as stated in
their COG plan and provide emergency assistance
to the public.
Yakima, City of, E17-143
Exhibit D
TIMELINE
FFY 2016 Emergency Management Performance Grant Program
DATE
TASK
June 1, 2016
Grant Agreement Start Date
January 30, 2017
Submit reimbursement request
April 30, 2017
Submit reimbursement request
August 31, 2017
Grant Agreement End Date
October 15, 2017
Submit final reimbursement request, additional reports, and/or
deliverables
DHS-FEMA-EMPG-FFY 16
Page 24 of 33 Yakima, City of, E17-143
Exhibit E
BUDGET
FFY 2016 Emergency Management Performance Grant Program
16EMPG G RANT AWARD AMOUNT
SOLUTION
AREA CATEGORY
$ 95, 744.00
Award AMOUNT Match AMOUNT
Salaries & Benefits
$ 94,244
l7 Overtime/Backfill
Z
Z Consultants/Contractors
g Goods & Services
a Travel/Per Diem
$ 15,000 $
$ 9,000 $
Subtotal $ 24,000 $ 94,244
ORGANIZATION
Salaries & Benefits $ $
Overtime/Backfill $ $
Consultants/Contractors $ $
Goods & Services $ 50,244 $
Travel/Per Diem $ 10,000 :; $
Subtotal $ 60,244 $
Salaries & Benefits $ $
w Overtime/Backfill $ $
v1
O Consultants/Contractors $ $
ce
X Goods & Services $ 800 $
w
Travel/Per Diem $ $ 1,500
Subtotal $ 800 $ 1,500
Salaries & Benefits $ $
t7 Overtime/BackfiII $ $
Z • Consultants/Contractors $ $
g Goods & Services $ 1,700 $
- Travel/Per Diem $ u $
Subtotal $ 1,700 i` $
Equipment $ 9,000 $
Subtotal $ 9,000 $
Salaries & Benefits $
Overtime/Ba ckfi I I $
Consultants/Contractors $
2 Goods & Services $
Travel/Per Diem $
Subtotal $
Indirect
0% $
TOTAL Grant Agreement AMOUNT: $
95,744 $ 95,744
• The Subrecipient will provide a match of $95,744, 50% of the total project cost (local/tribal budget plus EMPG award),
of non-federal origin
• Cumulative transfers to budget categories in excess of 10% of the grant agreement amount will not be reimbursed
without prior written authorization from the Department.
Funding Source U S Department of Homeland Security - PI# 763PT — EMPG
DHS-FEMA-EMPG-FFY 16 Page 25 of 33
Yakima, City of, E17-143
Attachment #1
16EMPG Award Document
EMS -2016 -EP -00002-S01
)Award.L'etter
U S Department of Homeland Security
Washington, D C 20472
Bret Daugherty
Washington Military Department
Building 20
Camp Murray, WA 98430 - 5122
Re Grant No EMS -2016 -EP -00002
Dear Bret Daugherty
Congratulations, on behalf of the Department of Homeland Security, your application for financial assistance submitted under
the Fiscal Year (FY) 2016 Emergency Management Performance Grants has been approved in the amount of $7,254,374.00.
As a condition of this award, you are required to contribute a cost match in the amount of $7,254,374.00 of non -Federal funds,
or 50 percent of the total approved project costs of $14,508,748 00
Before you request and receive any of the Federal funds awarded to you, you must establish acceptance of the award. By
accepting this award, you acknowledge that the terms of the following documents are incorporated into the terms of your
award:
• Agreement Articles (attached to this Award Letter)
• Obligating Document (attached to this Award Letter)
• FY 2016 Emergency Management Performance Grants Notice of Funding Opportunity
Please make sure you read, understand, and maintain a copy of these documents in your official file for this award.
In order to establish acceptance of the award and its terms, please follow these instructions
Step 1 Please log in to the ND Grants system at https.//portal.fema.gov
Step 2 After logging in, you will see the Home page with a Pending Tasks menu. Click on the Pending Tasks menu, select the
Application sub -menu, and then click the link for "Award Offer Review" tasks. This link will navigate you to Award Packages
that are pending review
Step 3 Click the Review Award Package icon (wrench) to review the Award Package and accept or decline the award. Please
save or print the Award Package for your records.
System for Award Management (SAM) Grant recipients are to keep all of their information up to date in SAM, in particular,
your organization's name, address, DUNS number, EIN and banking information. Please ensure that the DUNS number used
in SAM is the same one used to apply for all FEMA awards. Future payments will be contingent on the information provided
in the SAM, therefore, it is imperative that the information is correct. The System for Award Management is located at http.//
www.sam.gov
If you have any questions or have updated your information in SAM, please let your Grants Management Specialist (GMS)
know as soon as possible This will help use to make the necessary updates and avoid any interruptions in the payment
process.
CHRISTINE JONIENTZ TRISLER
DHS-FEMA-EMPG-FFY 16
Page 26 of 33 Yakima, City of, E17-143
Agreeni enf' Articles'
Thu Oct 01 0000:00 GMT 2015
GRANTEE:
PROGRAM:
AGREEMENT NUMBER:
Article I
Article II
Article III
, Article IV
Article V
Article VI
Article VII
Article VIII
Article IX
Article X
Article XI
Article XII
Article XIII
Article XIV
Article XV
Article XVI
Article XVII
Article XVIII
Article XIX
Article XX
DHS-FEMA-EMPG-FFY 16
U.S. Department of Homeland Security
Washington, D C 20472
AGREEMENT ARTICLES
Emergency Management Performance Grants
Washington Military Department
Emergency Management Performance
Grants
EMS -2016 -EP -00002-S01
TABLE OF CONTENTS
Use of DHS Seal, Logo and Flags
USA Patriot Act of 2001
Universal Identifier and System of Award Management
(SAM)
Reporting of Matters Related to Recipient Integrity and
Performance
Rehabilitation Act of 1973
Trafficking Victims Protection Act of 2000
Terrorist Financing
SAFECOM
Reporting Subawards and Executive Compensation
Procurement of Recovered Materials
Patents and Intellectual Property Rights
Notice of Funding Opportunity Requirements
Non -supplanting Requirement
Lobbying Prohibitions
Limited English Proficiency (Civil Rights Act of 1964, Title VI)
Hotel and Motel Fire Safety Act of 1990
Fly America Act of 1974
Best Practices for Collection and Use of Personally
Identifiable Information (PII)
Americans with Disabilities Act of 1990
Age Discrimination Act of 1975
Page 27 of 33 Yakima, City of, E17-143
Article XXI Activities Conducted Abroad
Article XXII Acknowledgment of Federal Funding from DHS
Article XXIII Federal Leadership on Reducing Text Messaging while
Driving
Article XXIV Federal Debt Status
Article XXV False Claims Act and Program Fraud Civil Remedies
Article XXVI Energy Policy and Conservation Act
Article XXVII Education Amendments of 1972 (Equal Opportunity in
Education Act) - Title IX
Article XXVIII Duplication of Benefits
Article XXIX Drug -Free Workplace Regulations
Article XXX Debarment and Suspension
Article XXXI Copyright
Article XXXII Civil Rights Act of 1968
Article XXXII' Civil Rights Act of 1964 - Title VI
Article XXXIV DHS Specific Acknowledgements and Assurances
Article XXXV Assurances, Administrative Requirements, Cost Principles,
and Audit Requirements
Article XXXVI Whistleblower Protection Act
Article XXXVII National Environmental Policy Act
Article )(XXVIII Nondiscrimination in Matters Pertaining to Faith -based
Organizations
Article I - Use of DHS Seal, Logo and Flags
All recipients must obtain permission from their financial assistance office, prior to using the DHS seal(s), logos, crests or
'reproductions of flags or likenesses of DHS agency officials, including use of the United States Coast Guard seal, logo, crests ,
or reproductions of flags or likenesses of Coast Guard officials.
Article II - USA Patriot Act of 2001
All recipients must comply with requirements of the Uniting and Strengthening America by Providing Appropriate Tools
(Required to Intercept and Obstruct Terrorism Act (USA PATRIOT Act), which amends 18 U.S.C. sections175 175c
Article III - Universal Identifier and System of Award Management (SAM)
•AII recipients are required to comply with the requirements set forth in the government -wide Award Term regarding the System;
for Award Management and Universal Identifier Requirements located at 2 C.F.R. Part 25. Appendix A, the full text of which is
,incorporated here by reference in the terms and conditions of your award.
Article IV - Reporting of Matters Related to Recipient Integrity and Performance
,If the total value of your currently active grants, cooperative agreements, and procurement contracts from all Federal
'assistance office exceeds $10,000,000 for any period of time during the period of performance of this Federal award, you
must comply with the requirements set forth in the government -wide Award Term and Condition for Recipient Integrity and
Performance Matters located at 2 C.F.R. Part 200. Appendix XII the full text of which is incorporated here by reference in the
terms and conditions of your award.
Article V - Rehabilitation Act of 1973
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Page 28 of 33 Yakima, City of, E17-143
All recipients must comply with the requirements of Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. section 794, as
amended, which provides that no otherwise qualified handicapped individual in the United States will, solely by reason of the
handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or
'activity receiving Federal financial assistance.
'Article VI - Trafficking Victims Protection Act of 2000
All recipients must comply with the requirements of the government -wide award term which implements Section 106(g) of the
'Trafficking Victims Protection Act of 2000, (TVPA) as amended (22 U.S.C. section 7104). The award term is located at 2 CFR
'section 175.15, the full text of which is incorporated here by reference in the terms and conditions of your award.
Article VII - Terrorist Financing
All recipients must comply with F.O. 13224 and U S. law that prohibit transactions with, and the provisions of resources
and support to, individuals and organizations associated with terrorism. It is the legal responsibility of recipients to ensure
'compliance with the Order and laws.
Article VIII - SAFECOM
All recipients who receive awards made under programs that provide emergency communication equipment and its related
activities must comply with the SAFECOM Guidance for Emergency Communication Grants, including provisions on technical
'standards that ensure and enhance interoperable communications.
Article IX - Reporting Subawards and Executive Compensation
All recipients are required to comply with the requirements set forth in the government -wide Award Term on Reporting
Subawards and Executive Compensation located at 2 C.F.R. Part 170. Appendix A the full text of which is incorporated here
by reference in the terms and conditions of your award.
'Article X - Procurement of Recovered Materials
All recipients must comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and'
`Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental
Protection Agency (EPA) at 40 C.F.R. Part 247 that contain the highest percentage of recovered materials practicable,
consistent with maintaining a satisfactory level of competition.
Article XI - Patents and Intellectual Property Rights
Unless otherwise provided by law, recipients are subject to the Bayh-Dole Act, Pub. L. No. 96-517, as amended, and codified
'in 35 U.S.C. section 200 et seq. All recipients are subject to the specific requirements governing the development, reporting,
and disposition of rights to inventions and patents resulting from financial assistance awards located at 37 C.F.R. Part 401 and
the standard patent rights clause located at 37 C F R. section 401 14.
Article XII - Notice of Funding Opportunity Requirements
All of the instructions, guidance, limitations, and other conditions set forth in the Notice of Funding Opportunity (NOFO) for this
program are incorporated here by reference in the terms and conditions of your award. All recipients must comply with any
such requirements set forth in the program NOFO
Article XIII - Non -supplanting Requirement
All recipients who receive awards made under programs that prohibit supplanting by law must ensure that Federal funds do
not replace (supplant) funds that have been budgeted for the same purpose through non -Federal sources.
Article XIV - Lobbying Prohibitions
All recipients must comply with 31 U.S.C. section 1352 which provides that none of the funds provided under an award may
be expended by the recipient to pay any person to influence, or attempt to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any
Federal action concerning the award or renewal
Article XV - Limited English Proficiency (Civil Rights Act of 1964, Title VI)
DHS-FEMA-EMPG-FFY 16
Page 29 of 33 Yakima, City of, E17-143
All recipients must comply with the Title VI of the Civil Rights Act of 1964 (Title VI) prohibition against discrimination on
the basis of national origin, which requires that recipients of federal financial assistance take reasonable steps to provide
meaningful access to persons with limited English proficiency (LEP) to their programs and services. For additional assistance
and information regarding language access obligations, please refer to the DHS Recipient Guidance https.//www.dhs.gov/
guidance -published -help -department -supported -organizations -provide -meaningful -access -people -limited and additional
!resources on.http.//www.lep.gov
Article XVI - Hotel and Motel Fire Safety Act of 1990
In accordance with Section 6 of the Hotel and Motel Fire Safety Act of 1990, 15 U.S.C. section 2225a all recipients must
lensure that all conference, meeting, convention, or training space funded in whole or in part with Federal funds complies with
the fire prevention and control guidelines of the Federal Fire Prevention and Control Act of 1974, as amended 15 U.S.C.
'section 2225
'Article XVII - Fly America Act of 1974
All recipients must comply with Preference for U S Flag Air Carriers (air carriers holding certificates under 49 U.S.C.
section 41102) for international air transportation of people and property to the extent that such service is available, in
'accordance with the International Air Transportation Fair Competitive Practices Act of 1974 (49 U.S.C. section 4011'8) and
the interpretative guidelines issued by the Comptroller General of the United States in the March 31, 1981, amendment to
'Comptroller General Decision B-138942.
Article XVIII - Best Practices for Collection and Use of Personally Identifiable Information (PII)
DHS defines personally identifiable information (PII) as any information that permits the identity of an individual to be directly
;or indirectly inferred, including any information that is linked or linkable to that individual. All recipients who collect PII are
'required to have a publically-available privacy policy that describes standards on the usage and maintenance of PII they
collect. Award recipients may also find as a useful resource the DHS Privacy Impact Assessments Privacy Guidance and
Privacy template respectively
Article XIX - Americans with Disabilities Act of 1990
;All recipients must comply with the requirements of Titles I, II, and III of the Americans with Disabilities Act, which prohibits
;recipients from discriminating on the basis of disability in the operation of public entities, public and private transportation
'systems, places of public accommodation, and certain testing entities. (42 U.S.C. sections 12101 12213)
Article XX - Age Discrimination Act of 1975
All recipients must comply with the requirements of the Age Discrimination Act of 1975 (Title 42 U.S. Code, section 6101 et
:seq.) which prohibits discrimination on the basis of age in any program or activity receiving Federal financial assistance
Article XXI - Activities Conducted Abroad
,All recipients must ensure that project activities carried on outside the United States are coordinated as necessary with
'appropriate government authorities and that appropriate licenses, permits, or approvals are obtained.
Article XXII - Acknowledgment of Federal Funding from DHS
All recipients must acknowledge their use of federal funding when issuing statements, press releases, requests for proposals,
bid invitations, and other documents describing projects or programs funded in whole or in part with Federal funds
Article XXIII - Federal Leadership on Reducing Text Messaging while Driving
All recipients are encouraged to adopt and enforce policies that ban text messaging while driving as described in E.O.
113513 including conducting initiatives described in Section 3(a) of the Order when on official Government business or when
performing any work for or on behalf of the federal government.
'Article XXIV - Federal Debt Status
All recipients are required to be non -delinquent in their repayment of any Federal debt. Examples of relevant debt include
delinquent payroll and other taxes, audit disallowances, and benefit overpayments. See OMB Circular A-129
Article XXV - False Claims Act and Program Fraud Civil Remedies
DHS-FEMA-EMPG-FFY 16
Page 30 of 33 Yakima, City of, E17-143
All recipients must comply with the requirements of 31 U.S.C. section 3729 - 3733 which prohibits the submission of false or ,
fraudulent claims for payment to the Federal Government. See 31 U.S.C. section 3801-3812 which details the administrative
remedies for false claims and statements made.
Article XXVI - Energy Policy and Conservation Act
All recipients must comply with the requirements of 42 U.S.C. section 6201 which contain policies relating to energy efficiency
that are defined in the state energy conservation plan issued in compliance with this Act.
Article XXVII - Education Amendments of 1972 (Equal Opportunity in Education Act) - Title IX
All recipients must comply with the requirements of Title IX of the Education Amendments of 1972 (20 U.S.C. section 1681
et seq ), which provide that no person in the United States will, on the basis of sex, be excluded from participation in, be
denied the benefits of, or be subjected to discrimination under any educational program or activity receiving Federal financial
assistance. DHS implementing regulations are codified at 6 C.F.R. Part 17 and 44 C.F.R. Part 19
Article XXVIII - Duplication of Benefits
Any cost allocable to a particular Federal award provided for in 2 C.F.R. Part 200. Subpart E may not be charged to other
:Federal awards to overcome fund deficiencies, to avoid restrictions imposed by Federal statutes, regulations, or terms and
conditions of the Federal awards, or for other reasons. However, this prohibition would not preclude a recipient form shifting
'costs that are allowable under two or more Federal awards in accordance with existing Federal statutes, regulations, or the
'terms and conditions of the Federal award.
!Article XXIX - Drug -Free Workplace Regulations
All recipients must comply with the Drug -Free Workplace Act of 1988 (41 U.S.C. section 701 et seq.), which requires all
organizations receiving grants from any Federal agency agree to maintain a drug-free workplace DHS has adopted the
`Act's implementing regulations at 2 C.F.R Part 3001
Article XXX - Debarment and Suspension
All recipients are subject to the non -procurement debarment and suspension regulations implementing Executive Orders
12549 and 12689 and 2 C.F.R. Part 180 These regulations restrict awards, subawards, and contracts with certain parties that'
are debarred, suspended, or otherwise excluded from or ineligible for participation in federal assistance programs or activities.
Article XXXI - Copyright
All recipients must affix the applicable copyright notices of 17 U.S.C. sections 401 or 402 and an acknowledgement of
Government sponsorship (including award number) to any work first produced under Federal financial assistance awards.
Article XXXII - Civil Rights Act of 1968
All recipients must comply with Title VIII of the Civil Rights Act of 1968, which prohibits recipients from discriminating in
the sale, rental, financing, and advertising of dwellings, or in the provision of services in connection therewith, on the basis
of race, color, national origin, religion, disability, familial status, and sex (42 U.S.C. section 3601 et seq.), as implemented
by the Department of Housing and Urban Development at 24 C.F.R. Part 100 The prohibition on disability discrimination
'includes the requirement that new multifamily housing with four or more dwelling units i.e., the public and common use areas
and individual apartment units (all units in buildings with elevators and ground -floor units in buildings without elevators) be
designed and constructed with certain accessible features (See 24 C.F.R. section 100.201)
Article XXXII! - Civil Rights Act of 1964 - Title VI
All recipients must comply with the requirements of Title VI of the Civil Rights Act of 1964 (42 U.S.C. section 2000d et seq ),
which provides that no person in the United States will, on the grounds of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal
financial assistance DHS implementing regulations for the Act are found at 6 C.F. R. Part 21 and 44 C.F.R. Part 7
Article XXXIV - DHS Specific Acknowledgements and Assurances
All recipients, sub -recipients, successors, transferees, and assignees must acknowledge and agree to comply with applicable
provisions governing DHS access to records, accounts, documents, information, facilities, and staff
DHS-FEMA-EMPG-FFY 16
Page 31 of 33 Yakima, City of, E17-143
1 Recipients must cooperate with any compliance reviews or compliance investigations conducted by DHS.
'2. Recipients must give DHS access to, and the right to examine and copy, records, accounts, and other documents and
sources of information related to the award and permit access to facilities, personnel, and other individuals and information as
may be necessary, as required by DHS regulations and other applicable laws or program guidance
'3 Recipients must submit timely, complete, and accurate reports to the appropriate DHS officials and maintain appropriate
'backup documentation to support the reports.
'4. Recipients must comply with all other special reporting, data collection, and evaluation requirements, as prescribed by law
for detailed in program guidance
15. If, during the past three years, the recipient has been accused of discrimination on the grounds of race, color, national
'origin (including limited English proficiency), sex, age, disability, religion, or familial status, the recipient must provide a list
tof all such proceedings, pending or completed, including outcome and copies of settlement agreements to the DHS financial
'assistance office and the DHS Office of Civil Rights and Civil Liberties (CRCL) by e-mail at crcl( hq.dhs.gov or by mail at U S
Department of Homeland Security Office for Civil Rights and Civil Liberties Building 410, Mail Stop #0190 Washington, D C
20528
:6. In the event any court or administrative agency makes a finding of discrimination on grounds of race, color, national origin
;(including limited English proficiency), sex, age, disability, religion, or familial status against the recipient, or the recipient
settles a case or matter alleging such discrimination, recipients must forward a copy of the complaint and findings to the DHS
financial assistance office and the CRCL office by e-mail or mail at the addresses listed above
The United States has the right to seek judicial enforcement of these obligations.
Article XXXV - Assurances, Administrative Requirements, Cost Principles, and Audit Requirements
DHS financial assistance recipients must complete either the OMB Standard Form 424B Assurances - Non -Construction
Programs or OMB.Standard Form 424D Assurances - Construction Programs as applicable. Certain assurances in these
documents may not be applicable to your program, and the DHS financial assistance office may require applicants to certify
additional assurances. Applicants are required to fill out the assurances applicable to their program as instructed by the
'awarding agency Please contact the financial assistance office if you have any questions.
DHS financial assistance recipients are required to follow the applicable provisions of the Uniform Administrative
Requirements, Cost Principles, and Audit Requirements for Federal Awards located at 2 C.F.R. Part 200, and adopted by
DHS at 2 C.F.R. Part 3002.
Article XXXVI - Whistleblower Protection Act
All recipients must comply with the statutory requirements for whistleblower protections (if applicable) at 10 U.S.0 section
2409, 41 U.S.C. 4712, and 10 U.S.C. section 2324, 41 U.S.C. sections 4304 and 4310
Article XXXVII - National Environmental Policy Act
All recipients must comply with the requirements of the National Environmental Policy Act (NEPA) and the Council on
Environmental Quality (CEQ) Regulations for Implementing the Procedural Provisions of NEPA, which requires recipients to
use all practicable means within their authority, and consistent with other essential considerations of national policy, to create
'and maintain conditions under which people and nature can exist in productive harmony and fulfill the social, economic, and
other needs of present and future generations of Americans.
Article XXXVIII - Nondiscrimination in Matters Pertaining to Faith -based Organizations
Faith -based organizations are, under 6 C.F.R. Part 19, afforded certain protections as it relates to eligibility to receive financial
assistance from DHS for social service programs, or to participate in social service programs administered or financed by
DHS Organizations that receive financial assistance from DHS for a social service program or participate in DHS social
'service programs have an obligation to comply with the equal treatment policies and requirements contained in 6 C F R. Part
19, which, among other provisions, prohibit recipient organizations from discriminating against beneficiaries on the basis
'of religion or religious belief, a refusal to hold a religious belief, or a refusal to attend or participate in a religious practice,
and generally require recipients subject to the rule to provide certain protections, and notice of those protections, to their
beneficiaries. Recipients must also comply with any other policies and procedures regarding the participation of faith -based
organizations contained in applicable statutes, regulations, and guidance governing individual DHS programs.
DHS-FEMA-EMPG-FFY 16
Page 32 of 33 Yakima, City of, E17-143
Obligatingliocunteiit for. Ari and/Ati>tendii ent 1
1a. AGREEMENT NO.
EMS -2016 -EP -00002-S01
6. RECIPIENT NAME AND
ADDRESS
Washington Military
Department
Building 20
Camp Murray, WA, 98430 -
5122
9 NAME OF RECIPIENT
PROJECT OFFICER
Sierra Wardell
2. 3. RECIPIENT NO
A M ENDM EN1916001095G
NO
...
i 7 ISSUING FEMA OFFICE AND
ADDRESS
Grant Operations
245 Murray Lane - Building 410, SW
Washington DC, 20528-7000
POC 866-927-5646
4. TYPE OF 5 CONTROL NO
ACTION FY2016R1OEMPG
AWARD
8 PAYMENT OFFICE AND ADDRESS
Financial Services Branch
500 C Street, S W., Room 723
Washington DC, 20472
a _ _
PHONE NO 10 NAME OF FEMA PROJECT COORDINATOR
+ 253-512-7121 Central Scheduling and Information Desk
1 'Phone 800-368-6498
Email. Askcsid@dhs.gov
13 ASSISTANCE ARRANGEMENT
Cost Reimbursement
11 EFFECTIVE DATE OF 12.
THIS ACTION METHOD
10/01/2015 ( OF
PAYMENT
PARS
--
15 DESCRIPTION OF ACTION
a. (Indicate funding data for awards or financial changes)
PROGRAM 7 CFDA NO ACCOUNTING DATA 1 PRIOR
NAME (ACCS CODE) 1 TOTAL
i
ACRONYM XXX _XXX.XXXXX_X- !AWARD
XXXX_X _X.XXX-XXXX-X
Emergency
Managem ent
Perform ance
Grants
:TOTALSLL
97 042
2016 -EM -D111 -R107-
' -4101-D
016-EM-D111-R107-
'-4101-D
14. PERFORMANCE PERIOD
From:
10/01/2015
Budget Period
10/01/2015
To:
09/30/2017
09/30/2017
AMOUNT ; CURRENTCUMULATIVE NON -
AWARDED TOTAL
THIS AWARD
ACTION
+OR(-)
$0 00 $7,254,374 001 $7,254,374 00
FEDERAL COMMITMENT
$7454;374:00 $7,254,374.00- _
See Totals
'$7,254;374.b0.:
b To describe changes other than funding data or financial changes, attach schedule and check here
N/A
16 a. FOR NON -DISASTER PROGRAMS RECIPIENT IS REQUIRED TO SIGN AND RETURN THREE (3) COPIES OF THIS
DOCUMENT TO FEMA (See Block 7 for address)
Emergency Management Performance Grants recipients are not required to sign and retum copies of this document. However, recipients
should print and keep a copy of this document for their records.
16b. FOR DISASTER PROGRAMS RECIPIENT IS NOT REQUIRED TO SIGN
This assistance is subject to terms and conditions attached to this award notice or by incorporated reference in program legislation cited
above.
17 RECIPIENT SIGNATORY OFFICIAL (Name and Title) DATE
Sierra Wardell, Preparedness Grants Section Program Manager Wed Aug 24 15.24.50 GMT
2016
18 FEMA SIGNATORY OFFICIAL (Name and Title)
KIIMBERLY PENFOLD ,
DHS-FEMA-EMPG-FFY 16
DATE
Wed Aug 10 17 43 17 GMT
2016
Page 33 of 33 Yakima, City of, E17-143
2 CFR Part 200 Subpart F Audit Certification Form
Audits of States, Local Governments, Indian Tribes, and Non -Profit Organizations
Contact Information
Our entity is not subject to the requirements of 2 CFR Part 200 Subpart F because (check all that apply)
Subrecipient Name (Agency, Local Government, or Organization) City of Yakima
Authorized Chief Financial Officer (central accounting office): Cindy Epperson
Address 129 North 2nd Street, Yakima, WA 98901
However, by signing below, I agree that we are still subject to the audit requirements, laws and regulations governing the program(s) in
which we participate, that we are required to maintain records of federal funding and to provide access to such records by federal and state
agencies and their designees, and that WMD/EMD may request and be provided access to additional information and/or documentation to
ensure proper stewardship of federal funds
Email: Cindy.Epperson@yakimawa.gov Phone #* (509)
575-6070
Purpose: As a pass-through entity of federal grant funds, the Washington Military Department/Emergency Management Division (Department)
is required by 2 CFR Part 200 Subpart F to monitor activities of subrecipients to ensure federal awards are used for authorized purposes and
verify that subrecipients expending $750,000 or more in federal awards during their fiscal year have met the 2 CFR Part 200 Subpart F Audit
Requirements Your entity is a subrecipient subject to such monitoring by MILJEMD because it is a non-federal entity that expends federal grant
funds received from the Department as a pass-through entity to carry out a federal program. 2 CFR Part 200 Subpart F should be consulted
when completing this form.
Directions: As required by 2 CFR Part 200 Subpart F, non-federal entities that expend $750,000 in federal awards in a fiscal year shall have
a single or program -specific audit conducted for that year If your entity is not subject to these requirements, you must complete Section A of
this Form If your entity is subject to these requirements, you must complete Section B of this form. When completed, you must sign, date,
and return this form with your grant agreement and every fiscal year thereafter until the grant agreement is closed Failure to return this
completed Audit Certification Form may result in delay of grant agreement processing, withholding of federal awards or disallowance of costs,
and suspension or termination of federal awards.
SECTION A: Entities NOT subject to the audit requirements of 2 CFR Part 200 Subpart F
Our entity is not subject to the requirements of 2 CFR Part 200 Subpart F because (check all that apply)
• We did not expend $750,000 or more of total federal awards during the fiscal year
• We are a for-profit agency
• We are exempt for other reasons (describe)
However, by signing below, I agree that we are still subject to the audit requirements, laws and regulations governing the program(s) in
which we participate, that we are required to maintain records of federal funding and to provide access to such records by federal and state
agencies and their designees, and that WMD/EMD may request and be provided access to additional information and/or documentation to
ensure proper stewardship of federal funds
SECTION B: Entities:that ARE subiect=to the auditrequirements of2 CFR Part 200 Subpart F
(Co"mplete the informatioii''below and check the a ppropriate:boX); ,
❑ We completed our last 2 CFR Part 200 Subpart F Audit on [enter date] 9/26/16 for Fiscal Year ending [enter date] 12/31/15 There
were no findings related to federal awards from WMD/EMD No follow-up action is required by WMD/EMD as the pass-through entity
A complete copy of the audit report, which includes exceptions, corrective action plan and management response, is
either provided electronically to contracts.office & mil.wa.gov or provide the state auditor report number
1017574
• We completed our last 2 CFR Part 200 Subpart F Audit on [enter date] for Fiscal Year ending [enter date] There
were findings related to federal awards.
A complete copy of the audit report, which includes exceptions, corrective action plan and management response, is either
provided electronically to contracts.officee.mil.wa.gov or provide the state auditor report number:
■ Our completed 2 CFR Part 200 Subpart F Audit will be available on [enter date] for Fiscal Year ending
[enter date]. We will provide electronic copy of the audit report to contracts.office a(�mil.wa.gov at that time or
provide the state auditor report number
I hereby certify that I am an individual authorized by the above identified entity to complete this form. Further, I certify that the
above information is true and correct and all relevant material findings contained in audit report/statement have been disclosed.
Additionally, I understand this Form is to be submitted every fiscal year for which this entity is a subrecipient of federal award
funds from the Department until the grant agreement is closed.
Signature of Authorized Chief Financial Officer
Print Name & Title: Cindy Epperson, Finance Director
Date: l h p i 1%
WMD Form 1009-13, 8/19/2013, Updated 9/9/2015
Washington Military Department Contract Number E17-143
Debarment, Suspension, Ineligibility or Voluntary Exclusion Certification Form
NAME
City of Yakima
Doing business as (DBA)
Yakima Fire Department
ADDRESS
401 North Front Street
Yakima, WA 98901
Applicable Procurement
or Solicitation #, if any:
WA Uniform
Identifier (UBI)
Business
Federal Employer Tax
Identification #.
91-6001293
This certification is submitted as part of a request to contract.
Instructions For Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower
Tier Covered Transactions
READ CAREFULLY BEFORE SIGNING THE CERTIFICATION. Federal regulations require contractors and bidders to sign and
abide by the terms of this certification, without modification, in order to participate in certain transactions directly or
indirectly involving federal funds.
1 By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out
below
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into If it is later determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal Government the department or agency
with which this transaction originated may pursue available remedies, including suspension and/or debarment.
3 The prospective lower tier participant shall provide immediate written notice to the department, institution or office to
which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances
4 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 the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5 The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicable CFR, debarred, suspended, declared ineligible, or voluntarily excluded
from participation in this covered transaction, unless authorized by the department or agency with which this
transaction originated
6 The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered
transactions.
7 A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debarment under applicable CFR, debarred, suspended, ineligible, or voluntarily
excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non -procurement Programs
8 Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause The knowledge and information of a participant is not
required to exceed that which is normally possessed by a prudent person in the ordinary course of business activity
9 Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under applicable
CFR, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal or contract, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency. Where the prospective lower tier
participant is unable to certify to an of the sta ments in this certification, such prospective participant shall
attach an explanation to this form.
Bidder or Contractor Signature
Print Name and Title Bob Stewa
Date/4 /7
Washington Military Department Contract Number E17-143
FEDERAL DEBARMENT, SUSPENSION
INELIGIBILITY and VOLUNTARY EXCLUSION
(FREQUENTLY ASKED QUESTIONS)
What is "Debarment, Suspension, Ineligibility, and Voluntary Exclusion"?
These terms refer to the status of a person or company that cannot contract with or receive grants from a federal agency
In order to be debarred, suspended, ineligible, or voluntarily excluded, you must have
• had a contract or grant with a federal agency, and
• gone through some process where the federal agency notified or attempted to notify you that you could not contract
with the federal agency
• Generally, this process occurs where you, the contractor, are not qualified or are not adequately performing under a
contract, or have violated a regulation or law pertaining to the contract.
Why am I required to sign this certification?
You are requesting a contract or grant with the Washington Military Department. Federal law (Executive Order 12549)
requires Washington Military Department ensure that persons or companies that contract with Washington Military
Department are not prohibited from having federal contracts.
What is Executive Order 12549?
Executive Order 12549 refers to Federal Executive Order Number 12549 The executive order was signed by the
President and directed federal agencies to ensure that federal agencies, and any state or other agency receiving federal
funds were not contracting or awarding grants to persons, organizations, or companies who have been excluded from
participating in federal contracts or grants Federal agencies have codified this requirement in their individual agency
Code of Federal Regulations (CFRs)
What is the purpose of this certification?
The purpose of the certification is for you to tell Washington Military Department in writing that you have not been
prohibited by federal agencies from entering into a federal contract.
What does the word "proposal" mean when referred to in this certification?
Proposal means a solicited or unsolicited bid, application, request, invitation to consider or similar communication from
you to Washington Military Department.
What or who is a "lower tier participant"?
Lower tier participants means a person or organization that submits a proposal, enters into contracts with, or receives a
grant from Washington Military Department, OR any subcontractor of a contract with Washington Military Department. If
you hire subcontractors, you should require them to sign a certification and keep it with your subcontract.
What is a covered transaction when referred to in this certification?
Covered Transaction means a contract, oral or written agreement, grant, or any other arrangement where you contract
with or receive money from Washington Military Department. Covered Transaction does not include mandatory
entitlements and individual benefits.
Sample Debarment, Suspension, Ineligibility, Voluntary Exclusion Contract Provision
Debarment Certification. The Contractor certifies that the Contractor is not presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participating in this Contract by any
Federal department or agency If requested by Washington Military Department, the Contractor shall complete
a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion form. Any such form
completed by the Contractor for this Contract shall be incorporated into this Contract by reference
FFATA FORM
Subrecipient Agency. City of Yakima
Grant and Year. EMPG 2016
Agreement Number. E17-143
Completed Bob Stewart Chief, Yakima Fire Departmu (509) 575-6060
Name Title Telephone
Date Completed 03/02017
7
/ STEP 1 .
Is your grant agreement less than $25,000?
YES
STOP, no further
analysis needed,
GO to Step 6
NO
GO to Step 2
/
v
STEP
2
In your preceding fiscal year, did your
organization receive 80% or more of its annual
gross revenues from federal funding?
YES
GO to STEP 3
NO
STOP, no further
analysis needed, GO to
Step 6
STEP
3
In your preceding fiscal year, did your
organization receive $25,000,000 or more in
federal funding?
YES
GO to STEP 4
NO
STOP, no further
analysis needed, GO to
Step 6
STEP 4 .
Does the public have access to information about
the total compensation* of senior executives in
your organization?
YES
STOP, no further
analysis needed,
GO to step 6
NO
GO to STEP 5
STEP 5
•
Executive.#1;
Name
'Total Compensation amount: $ .
Executive #2
Name
Total Compensation amount: $
Executive #3
Name.
Total Compensation amount: $
Executive #4
Name.
Total Compensation amount: $
Executive #5
Name
; Total Compensation amount: $
STEP 6 .
If your organization does not meet these criteria, specifically identify below each criteria that is not met for your
organization For Example. "Our organization received less than $25,000."
..
Signature
* Total compens . • refers t
• Salary d bonuses
• Awards of stock, stock options, and stock appreciation rights
• Other compensation including, but not limited to, severance and termination payments
• Life insurance value paid on behalf of the employee
Date
Additional Resources.
http.//www.whitehouse.ciov/omb/open
http.//www.hrsa.qov/cirants/ffata.html
http.//www.apo.qov/fdsys/pkci/FR-2010-09-14/pdf/2010-22705.pdf
http.//www.arants.gov/
Page 1 of 3
FFATA PROVISIONS AND INSTRUCTIONS
For Compliance With The
Federal Funding Accountability and Transparency Act of 2006 (P.L. 109-282) (FFATA)
The Federal Funding Accountability and Transparency Act (FFATA) was signed on September
26, 2006. The FFATA legislation requires information on federal awards (federal financial
assistance and expenditures) be made available to the public via a single, searchable website.
Federal awards include grants, subgrants, loans, awards, cooperative agreements and other forms
of financial assistance as well as contracts, subcontracts, purchase orders, task orders, and
delivery orders. The legislation does not require inclusion of individual transactions below
$25,000 or credit card transactions before October 1, 2008. However, if an award is initially
below this amount yet later increased, the act is triggered. Due to this variability in compliance
Subrecipients are required by the Military Department to be familiar with the FFATA
requirements and complete this Worksheet for each contract for the State's submission in to the
FFATA portal.
ADDITIONAL PROVISIONS
A. This contract (subaward) is supported by federal funds, requiring compliance with the
Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act)
and Office of Management and Budget Guidance (OMB). Public Law 109-282 as amended
by section 6202(a) of Public Law 110-252 (see 31 U.S.C. 6101 note). By entering into this
contract, contractor agrees to provide all applicable reporting information to the Washington
Military Department (WMD) required by FFATA and OMB Guidance.
B. The FFATA requires the OMB to establish a publicly available online database
(USASpending.gov) containing information about entities that are awarded Federal grants,
loans, and contracts. As required by FFATA and OMB Guidance, certain information on the
first-tier subawards related to Federal contracts and grants, and the executive compensation
of awardees, must be made publicly available.
C. For new Federal grants beginning October 1, 2010, if the initial subaward is equal to or
greater than $25,000, reporting of the subaward and executive compensation information is
required. if the initial subaward is below $25,000 but subsequent grant modifications result
in a total subaward equal to or over $25,000, the subaward will be subject to the reporting
requirements as of the date the subaward exceeds $25,000. If the initial subaward equals or
exceeds $25,000 but funding is subsequently de -obligated such that the total award amount
falls below $25,000, the subaward continues to be subject to the reporting requirements of
the Transparency Act and OMB Guidance.
D. As a Federal grant subawardee under this contract, your organization is required by FFATA,
OMB Guidance and this contract to provide the WMD, as the prime grant awardee, all
information required for FFATA compliant reporting by WMD. This includes all applicable
subawardee entity information required by FFATA and OMB Guidance, subawardee DUNS
number, and relevant executive compensation data, as applicable.
1. Data about your organization will be provided to USASpending.gov by the WMD.
System for Award Management (SAM) is a government wide registration system for
organizations that do business with the Federal Government. SAM stores information
about awardees including financial account information for payment purposes and a link
to D&B for maintaining current DUNS information, www.sam.gov. WMD requires SAM
registration and annual renewal by your organization to minimize unnecessary data entry
Page 1 of 2
and re-entry required by both WMD and your organization. It will also reduce the
potential of inconsistent or inaccurate data entry.
2. Your organization must have a Data Universal Numbering System (DUNS) number
obtained from the firm Dun and Bradstreet (D&B) (www.dnb.com). A DUNS number
provides a method to verify data about your organization. D&B is responsible for
maintaining unique identifiers and organizational linkages on behalf of the Federal
Government for organizations receiving Federal assistance.
E. The WMD, as the prime awardee, is required by FFATA to report names and total
compensation of the five (5) most highly compensated officers of your organization (as the
subawardee) if:
1. Your organization (the subawardee), in the preceding fiscal year, received 80 percent or
more of its annual gross revenues from Federal awards and $25,000,000 or more in
annual gross revenues from Federal awards; and
2. The public does not have access to this information about the compensation of the senior
executives of your organization through periodic reports filed under section 13(a) or
15(d) of the Securities and Exchange Act of 1934 (15 U.S.C. §§ 78m(a), 78o(d) or
section 6104 of the Internal Revenue Code of 1986.
"Total compensation" for purposes of this requirement generally means the cash and non-
cash value earned by the executive during the past fiscal year and includes salary and bonus;
awards of stock, stock options and stock appreciation rights; and other compensation such as
severance and termination payments, and value of life insurance paid on behalf of the
employee, and as otherwise provided by FFATA and applicable OMB guidance.
F. If (1) in the preceding fiscal year your organization received 80 percent or more of its annual
gross revenues from Federal awards and $25,000,000 or more in annual gross revenues from
Federal awards, and (2) the public does not have access to this information about the
compensation of the senior executives of your organization through periodic reports filed
under section 13(a) or 15(d) of the Securities and Exchange Act of 1934 (15 U.S.C. §§
78m(a), 78o(d) or section 6104 of the Internal Revenue Code of 1986, insert the names and
total compensation for the five most highly compensated officers of your organization as
identified in Step 5 of the FFATA Form.
Page 2 of 2
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before completing this form.
NAME OF ORGANIZATION
City of Yakima
DATE SUBMITTED
1/) /c)7
/
(NUMBER
PROJECT DESCRIPTION
EMPG Grant Agreement Number E17-143
CONTRACT
E17-143
1 AUTHORIZING AUTHORITY
SIGNATURE
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Cliff Moore
City Manager
Cm CONTRACT
RESOLUTION
Vi QC/7-003
NO:
NO: R- ,Doi 7- 0O 2—
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
IGNATURE
PRINT OR TYPE NAME
TITLE
Bob Stewart
Chief, Yakima Fire Department
3 AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIG AT ,,'E
PRINT OR TYPE NAME
TITLE
4
�P
jr VI
Bob Stewart
Chief, Yakima Fire Department
1
/\
7 Isabel Cruz
Grant Financial Specialist
\\NAC -1 \VOL1 \HORN B\.cCWP\SIG
Revised 3/03
INSTRUCTIONS FOR SIGNATURE AUTHORIZATION FORM
This form identifies the persons who have the authority to sign contracts, amendments,
and requests for reimbursement. It is required for the management of your contract with
the Military Department (MD) Please complete all sections. One copy with original
signatures is to be sent to MD with the signed contract, and the other should be kept with
your copy of the contract.
When a request for reimbursement is received, the signature is checked to verify that it
matches the signature on file The payment can be delayed if the request is
presented without the proper signature. It is important that the signatures in MD's files
are current. Changes in staffing or responsibilities will require a new signature
authorization form.
1. Authorizing Authority. Generally, the person(s) signing in this box heads
the governing body of the organization, such as the board chair or mayor In
some cases, the chief executive officer may have been delegated this
authority.
2 Authorized to Sign Contracts/Contract Amendments. The person(s) with
this authority should sign in this space Usually, it is the county
commissioner, mayor, executive director, city clerk, etc
3. Authorized to Sign Requests for Reimbursement. Often the executive
director, city clerk, treasurer, or administrative assistant have this authority
It is advisable to have more than one person authorized to sign
reimbursement requests. This will help prevent delays in processing a
request if one person is temporarily unavailable.
If you have any questions regarding this form or to request new forms, please call your
MD Program Manager.
A RESOLUTION
RESOLUTION NO. R-2017-002
authorizing the Fire Chief, who serves as the City's Emergency
Manager, to enter into a grant agreement with Washington State
Military Department and the U.S. Department of Homeland
Security to provide funds to enhance the City of
Yakima Emergency Management Program
WHEREAS, in January 2015, the City of Yakima's Comprehensive Emergency
Management Plan was approved by the Washington State Emergency Management
Division; and,
WHEREAS, the Washington State Military Department and the U S Department
of Homeland Security awards funds to local jurisdictions with Emergency Management
Programs to assist in preparing for all hazards through sustainment and enhancement of
those programs, and,
WHEREAS, in June 2016, application was made to, and approved by the
Washington State Military Department and the U.S. Department of Homeland Security for
Emergency Management Preparedness Grant (EMPG), therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA:
That the City Council of the City of Yakima authorizes the Fire Chief to enter into
Grant Agreement Number E17-143 with Washington State Military Department and U S
Department of Homeland Security
ADOPTED BY THE CITY COUNCIL this 10th day of January, 2017
/s/ Kathy Coffey
ATTEST: Kathy Coffey, Mayor
/s/ Sonya Claar Tee
Sonya Claar Tee, City Clerk
Certified to be a true and correct copy of
original filed in my office.
CI CLE
Form W-9
(Rev December2011)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
I Print or type
See Specific Instructions on page 2.
Name (as shown on your income tax return)
City of Yakima
Business name/disregarded entity name, if different from above
Check appropriate box for federal tax classification:
Il.
I• Individual/sole proprietor II C Corporation II S Corporation I• Partnership 1. Trust/estate
company Enter the tax classification (C=C corporation, S=S corporation, P=partnership)
► Municipality
Exempt
IN Limited liability
payee
15I Other (see instructions)
Address (number, street, and apt. or suite no.)
129 N 2nd Street
Requester's name and address (optional)
City, state, and ZIP code
Yakima, WA 98901-2613
List account number(s) here (optional)
Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line
to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter
Social security number
Employer identification number
9
1
6
0
0
1
2
9
3
Part 11
Certification
Under penalties of perjury, I certify that:
1 The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 4 /)
Sign
Here
Signature of LKa ilL Si-Ji1tt r „%U.S. person'�Vl r'
General Instructions (i
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an information return with the IRS must
obtain your correct taxpayer identification number (TIN) to report, for
example, income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1 Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Date ► 1134)/ 7
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form if it is substantially similar
to this Form W-9
Definition of a U.S. person. For federal tax purposes, you are
considered a U S. person if you are:
• An individual who is a U S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301 7701-7).
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W-9 has not been received, a
partnership is required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you are a U.S. person that is a
partner in a partnership conducting a trade or business in the United
States, provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
Cat. No. 10231X Form W-9 (Rev 12-2011)
Form W-9 (Rev 12-2011) Page 2
The person who gives Form W-9 to the partnership for purposes of
establishing its U.S. status and avoiding withholding on its allocable
share of net income from the partnership conducting a trade or business
in the United States is in the following cases:
• The U.S. owner of a disregarded entity and not the entity,
• The U.S. grantor or other owner of a grantor trust and not the trust,
and
• The U.S. trust (other than a grantor trust) and not the beneficiaries of
the trust.
Foreign person. If you are a foreign person, do not use Form W-9.
Instead, use the appropriate Form W-8 (see Publication 515,
Withholding of Tax on Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a resident alien. Generally, only a
nonresident alien individual may use the terms of a tax treaty to reduce
or eliminate U.S. tax on certain types of income. However, most tax
treaties contain a provision known as a "saving clause." Exceptions
specified in the saving clause may permit an exemption from tax to
continue for certain types of income even after the payee has otherwise
become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception
contained in the saving clause of a tax treaty to claim an exemption
from U.S. tax on certain types of income, you must attach a statement
to Form W-9 that specifies the following five items:
1 The treaty country Generally, this must be the same treaty under
which you claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the
saving clause and its exceptions.
4 The type and amount of income that qualifies for the exemption
from tax.
5. Sufficient facts to justify the exemption from tax under the terms of
the treaty article.
Example. Article 20 of the U S. -China income tax treaty allows an
exemption from tax for scholarship income received by a Chinese
student temporarily present in the United States. Under U.S. law, this
student will become a resident alien for tax purposes if his or her stay in
the United States exceeds 5 calendar years. However, paragraph 2 of
the first Protocol to the U S. -China treaty (dated April 30, 1984) allows
the provisions of Article 20 to continue to apply even after the Chinese
student becomes a resident alien of the United States. A Chinese
student who qualifies for this exception (under paragraph 2 of the first
protocol) and is relying on this exception to claim an exemption from tax
on his or her scholarship or fellowship income would attach to Form
W-9 a statement that includes the information described above to
support that exemption.
If you are a nonresident alien or a foreign entity not subject to backup
withholding, give the requester the appropriate completed Form W-8.
What is backup withholding? Persons making certain payments to you
must under certain conditions withhold and pay to the IRS a percentage
of such payments. This is called "backup withholding." Payments that
may be subject to backup withholding include interest, tax-exempt
interest, dividends, broker and barter exchange transactions, rents,
royalties, nonemployee pay, and certain payments from fishing boat
operators. Real estate transactions are not subject to backup
withholding.
You will not be subject to backup withholding on payments you
receive if you give the requester your correct TIN, make the proper
certifications, and report all your taxable interest and dividends on your
tax return.
Payments you receive will be subject to backup
withholding if:
1 You do not furnish your TIN to the requester,
2. You do not certify your TIN when required (see the Part II
instructions on page 3 for details),
3. The IRS tells the requester that you furnished an incorrect TIN,
4 The IRS tells you that you are subject to backup withholding
because you did not report all your interest and dividends on your tax
return (for reportable interest and dividends only), or
5. You do not certify to the requester that you are not subject to
backup withholding under 4 above (for reportable interest and dividend
accounts opened after 1983 only).
Certain payees and payments are exempt from backup withholding.
See the instructions below and the separate Instructions for the
Requester of Form W-9.
Also see Special rules for partnerships on page 1
Updating Your Information
You must provide updated information to any person to whom you
claimed to be an exempt payee if you are no longer an exempt payee
and anticipate receiving reportable payments in the future from this
person. For example, you may need to provide updated information if
you are a C corporation that elects to be an S corporation, or if you no
longer are tax exempt. In addition, you must furnish a new Form W-9 if
the name or TIN changes for the account, for example, if the grantor of a
grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a
requester, you are subject to a penalty of $50 for each such failure
unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you
make a false statement with no reasonable basis that results in no
backup withholding, you are subject to a $500 penalty
Criminal penalty for falsifying information. Willfully falsifying
certifications or affirmations may subject you to criminal penalties
including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINS in violation of
federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Name
If you are an individual, you must generally enter the name shown on
your income tax return. However, if you have changed your last name,
for instance, due to marriage without informing the Social Security
Administration of the name change, enter your first name, the last name
shown on your social security card, and your new last name.
If the account is in joint names, list first, and then circle, the name of
the person or entity whose number you entered in Part I of the form.
Sole proprietor. Enter your individual name as shown on your income
tax return on the "Name" line. You may enter your business, trade, or
"doing business as (DBA)" name on the "Business name/disregarded
entity name" line.
Partnership, C Corporation, or S Corporation. Enter the entity's name
on the "Name" line and any business, trade, or "doing business as
(DBA) name" on the "Business name/disregarded entity name" line.
Disregarded entity. Enter the owner's name on the "Name" line. The
name of the entity entered on the "Name" line should never be a
disregarded entity The name on the "Name" line must be the name
shown on the income tax return on which the income will be reported.
For example, if a foreign LLC that is treated as a disregarded entity for
U.S. federal tax purposes has a domestic owner, the domestic owner's
name is required to be provided on the "Name" line. If the direct owner
of the entity is also a disregarded entity, enter the first owner that is not
disregarded for federal tax purposes. Enter the disregarded entity's
name on the "Business name/disregarded entity name" line. If the owner
of the disregarded entity is a foreign person, you must complete an
appropriate Form W-8.
Note. Check the appropriate box for the federal tax classification of the
person whose name is entered on the "Name" line (Individual/sole
proprietor, Partnership, C Corporation, S Corporation, Trust/estate).
Limited Liability Company (LLC). If the person identified on the
"Name" line is an LLC, check the "Limited liability company" box only
and enter the appropriate code for the tax classification in the space
provided. If you are an LLC that is treated as a partnership for federal
tax purposes, enter "P" for partnership. If you are an LLC that has filed a
Form 8832 or a Form 2553 to be taxed as a corporation, enter "C" for
C corporation or "S" for S corporation. If you are an LLC that is
disregarded as an entity separate from its owner under Regulation
section 301 7701-3 (except for employment and excise tax), do not
check the LLC box unless the owner of the LLC (required to be
identified on the "Name" line) is another LLC that is not disregarded for
federal tax purposes. If the LLC is disregarded as an entity separate
from its owner, enter the appropriate tax classification of the owner
identified on the "Name" line.
Form W-9 (Rev 12-2011) Page 3
Other entities. Enter your business name as shown on required federal
tax documents on the "Name" line. This name should match the name
shown on the charter or other legal document creating the entity You
may enter any business, trade, or DBA name on the "Business name/
disregarded entity name" line.
Exempt Payee
If you are exempt from backup withholding, enter your name as
described above and check the appropriate box for your status, then
check the "Exempt payee" box in the line following the "Business name/
disregarded entity name," sign and date the form.
Generally, individuals (including sole proprietors) are not exempt from
backup withholding. Corporations are exempt from backup withholding
for certain payments, such as interest and dividends.
Note. If you are exempt from backup withholding, you should still
complete this form to avoid possible erroneous backup withholding.
The following payees are exempt from backup withholding:
1 An organization exempt from tax under section 501(a), any IRA, or a
custodial account under section 403(b)(7) if the account satisfies the
requirements of section 401(f)(2),
2. The United States or any of its agencies or instrumentalities,
3. A state, the District of Columbia, a possession of the United States,
or any of their political subdivisions or instrumentalities,
4 A foreign government or any of its political subdivisions, agencies,
or instrumentalities, or
5. An international organization or any of its agencies or
instrumentalities.
Other payees that may be exempt from backup withholding include:
6. A corporation,
7 A foreign central bank of issue,
8. A dealer in securities or commodities required to register in the
United States, the District of Columbia, or a possession of the United
States,
9 A futures commission merchant registered with the Commodity
Futures Trading Commission,
10. A real estate investment trust,
11 An entity registered at all times during the tax year under the
Investment Company Act of 1940,
12. A common trust fund operated by a bank under section 584(a),
13. A financial institution,
14 A middleman known in the investment community as a nominee or
custodian, or
15. A trust exempt from tax under section 664 or described in section
4947
The following chart shows types of payments that may be exempt
from backup withholding. The chart applies to the exempt payees listed
above, 1 through 15.
IF the payment is for ...
THEN the payment is exempt
for...
Interest and dividend payments
All exempt payees except
for 9
Broker transactions
Exempt payees 1 through 5 and 7
through 13. Also, C corporations.
Barter exchange transactions and
patronage dividends
Exempt payees 1 through 5
Payments over $600 required to be
reported and direct sales over
$5,000 '
Generally, exempt payees
1 through 72
See Form 1099-MISC, Miscellaneous Income, and its instructions.
'However, the following payments made to a corporation and reportable on Form
1099-MISC are not exempt from backup withholding: medical and health care
payments, attorneys' fees, gross proceeds paid to an attorney, and payments for
services paid by a federal executive agency
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and
you do not have and are not eligible to get an SSN, your TIN is your IRS
individual taxpayer identification number (ITIN). Enter it in the social
security number box. If you do not have an ITIN, see How to get a TIN
below
If you are a sole proprietor and you have an EIN, you may enter either
your SSN or EIN. However, the IRS prefers that you use your SSN.
If you are a single -member LLC that is disregarded as an entity
separate from its owner (see Limited Liability Company (LLC) on page 2),
enter the owner's SSN (or EIN, if the owner has one). Do not enter the
disregarded entity's EIN. If the LLC is classified as a corporation or
partnership, enter the entity's EIN.
Note. See the chart on page 4 for further clarification of name and TIN
combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately
To apply for an SSN, get Form SS -5, Application for a Social Security
Card, from your local Social Security Administration office or get this
form online at www.ssa.gov You may also get this form by calling
1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer
Identification Number, to apply for an ITIN, or Form SS -4, Application for
Employer Identification Number, to apply for an EIN. You can apply for
an EIN online by accessing the IRS website at www.irs.gov/businesses
and clicking on Employer Identification Number (EIN) under Starting a
Business. You can get Forms W-7 and SS -4 from the IRS by visiting
IRS.gov or by calling 1 -800 -TAX -FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN, write
"Applied For" in the space for the TIN, sign and date the form, and give
it to the requester For interest and dividend payments, and certain
payments made with respect to readily tradable instruments, generally
you will have 60 days to get a TIN and give it to the requester before you
are subject to backup withholding on payments. The 60 -day rule does
not apply to other types of payments. You will be subject to backup
withholding on all such payments until you provide your TIN to the
requester
Note. Entering "Applied For" means that you have already applied for a
TIN or that you intend to apply for one soon.
Caution: A disregarded domestic entity that has a foreign owner must
use the appropriate Form W-8.
Part 11. Certification
To establish to the withholding agent that you are a U.S. person, or
resident alien, sign Form W-9. You may be requested to sign by the
withholding agent even if item 1, below, and items 4 and 5 on page 4
indicate otherwise.
For a joint account, only the person whose 11N is shown in Part I
should sign (when required). In the case of a disregarded entity, the
person identified on the "Name" line must sign. Exempt payees, see
Exempt Payee on page 3.
Signature requirements. Complete the certification as indicated in
items 1 through 3, below, and items 4 and 5 on page 4
1. Interest, dividend, and barter exchange accounts opened
before 1984 and broker accounts considered active during 1983.
You must give your correct TIN, but you do not have to sign the
certification.
2. Interest, dividend, broker, and barter exchange accounts
opened after 1983 and broker accounts considered inactive during
1983. You must sign the certification or backup withholding will apply If
you are subject to backup withholding and you are merely providing
your correct TIN to the requester, you must cross out item 2 in the
certification before signing the form.
3. Real estate transactions. You must sign the certification. You may
cross out item 2 of the certification.
ft -It. 4
Form W-9 (Rev 12-2011)
Page 4
4. Other payments. You must give your correct TIN, but you do not
have to sign the certification unless you have been notified that you
have previously given an incorrect TIN. "Other payments" include
payments made in the course of the requester's trade or business for
rents, royalties, goods (other than bills for merchandise), medical and
health care services (including payments to corporations), payments to
a nonemployee for services, payments to certain fishing boat crew
members and fishermen, and gross proceeds paid to attorneys
(including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of
secured property, cancellation of debt, qualified tuition program
payments (under section 529), IRA, Coverdell ESA, Archer MSA or
HSA contributions or distributions, and pension distributions. You
must give your correct TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester
For this type of account:
Give name and SSN of:
1 Individual
2. Two or more individuals (joint
account)
3. Custodian account of a minor
(Uniform Gift to Minors Act)
4 a. The usual revocable savings
trust (grantor is also trustee)
b. So-called trust account that is
not a legal or valid trust under
state law
5. Sole proprietorship or disregarded
entity owned by an individual
6. Grantor trust filing under Optional
Form 1099 Filing Method 1 (see
Regulation section 1.671-4(b)(2)(i)(A))
The individual
The actual owner of the account or,
if combined funds, the first
individual on the account '
The minor'
The grantor -trustee '
The actual owner'
The owner'
The grantor'
For this type of account:
Give name and EIN of:
7 Disregarded entity not owned by an
individual
8. A valid trust, estate, or pension trust
9. Corporation or LLC electing
corporate status on Form 8832 or
Form 2553
10. Association, club, religious,
charitable, educational, or other
tax-exempt organization
11 Partnership or multi -member LLC
12. A broker or registered nominee
13. Account with the Department of
Agriculture in the name of a public
entity (such as a state or local
government, school district, or
prison) that receives agricultural
program payments
14 Grantor trust filing under the Form
1041 Filing Method or the Optional
Form 1099 Filing Method 2 (see
Regulation section 1.671-4(b)(2)(i)(B))
The owner
Legal entity '
The corporation
The organization
The partnership
The broker or nominee
The public entity
The trust
List first and circle the name of the person whose number you fumish. If only one person on a
joint account has an SSN, that person's number must be furnished.
2 Circle the minor's name and furnish the minor's SSN.
' You must show your individual name and you may also enter your business or "DBA" name on
the "Business name/disregarded entity" name line. You may use either your SSN or EIN (if you
have one), but the IRS encourages you to use your SSN.
List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the
personal representative or trustee unless the legal entity itself is not designated in the account
title.) Also see Special rules for partnerships on page 1
*Note. Grantor also must provide a Form W-9 to trustee of trust.
Note. If no name is circled when more than one name is listed, the
number will be considered to be that of the first name listed.
Secure Your Tax Records from Identity Theft
Identity theft occurs when someone uses your personal information
such as your name, social security number (SSN), or other identifying
information, without your permission, to commit fraud or other crimes.
An identity thief may use your SSN to get a job or may file a tax return
using your SSN to receive a refund.
To reduce your risk:
• Protect your SSN,
• Ensure your employer is protecting your SSN, and
• Be careful when choosing a tax preparer
If your tax records are affected by identity theft and you receive a
notice from the IRS, respond right away to the name and phone number
printed on the IRS notice or letter
If your tax records are not currently affected by identity theft but you
think you are at risk due to a lost or stolen purse or wallet, questionable
credit card activity or credit report, contact the IRS Identity Theft Hotline
at 1-800-908-4490 or submit Form 14039
For more information, see Publication 4535, Identity Theft Prevention
and Victim Assistance.
Victims of identity theft who are experiencing economic harm or a
system problem, or are seeking help in resolving tax problems that have
not been resolved through normal channels, may be eligible for
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD
1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes.
Phishing is the creation and use of email and websites designed to
mimic legitimate business emails and websites. The most common act
is sending an email to a user falsely claiming to be an established
legitimate enterprise in an attempt to scam the user into surrendering
private information that will be used for identity theft.
The IRS does not initiate contacts with taxpayers via emails. Also, the
IRS does not request personal detailed information through email or ask
taxpayers for the PIN numbers, passwords, or similar secret access
information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS,
forward this message to phishing@irs.gov You may also report misuse
of the IRS name, logo, or other IRS property to the Treasury Inspector
General for Tax Administration at 1-800-366-4484 You can forward
suspicious emails to the Federal Trade Commission at: spam@uce.gov
or contact them at www.ftc.gov/idtheft or 1-877-IDTHEFT
(1-877-438-4338).
Visit IRS.gov to learn more about identity theft and how to reduce
your risk.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with
the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation
of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS,
reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District
of Columbia, and U.S. possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies
to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to
file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a
TIN to the payer Certain penalties may also apply for providing false or fraudulent information.