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HomeMy WebLinkAboutHanford Mission Integration Solutions, LLC - Service Agreement.1 1 THIS AGREEMENT, effective this 15th day of April 2021, is made by and between HAFOD MISSION INTEGRATION SOLUTIONS, LLC ("HMIS"), prime contractor to the UNITED STATES DEPARTMENT OF ENERGY, RICHLAND OPERATIONS OFFICE ("DOE"), a Department of the United States of America (Government) and the CITY OF YAKIMA ("Customer'"). SCOPE OF SERVICES Subject to the terms and conditions set forth below, HMIS has been authorized by DOE to, and shall, furnish to Customer certain equipment, services, and/or staff fortraining purposes (hereinafter referred to as the "Activity"), which is part of this Agreement. COSTS AND INVOICING Costs associated with the Activity will be invoiced to and paid by Customer to the account of HMIS in accordance with the pricing policy. SCHEDULING Customer understands and agrees (i) that the Activity is subject to the priority of the DOE on a not -to -interfere basis; and (ii) that DOE, through its facility administrator HMIS, has sole responsibility and discretion for allocating and scheduling use of the equipment, services, and/or staff needed foror involved in the Activity. LIABILITY AND INDEMNITY A. Neither the Government nor DOE and its agents, employees, or contractors (including HMIS) or other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors will be responsible forany personal injury or damage to or destruction of property of any kind whatsoever resulting from the furnishing of and use by Customer of equipment, material, and/or staff under this Agreement, unless directly resulting from the negligence of the Government, DOE, or agents or persons acting on their behalf, consistent with the Washington Comparative Fault Statute (R. C. W. 4.22 et seq. ). B. Neither the Government, nor DOE and its agents, employees, or contractors (including HMIS), or, and other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors will be responsible, irrespective of cause, forfailure to furnish any equipment, material, and/or staff under this Agreement at any particular time or in any particular manner when the interests of the Government preempt any schedule. C. Customer shall indemnify the Government, DOE, and their agents, employees, or contractors (including HMIS), and other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors, forall damages, claims, costs, and expenses, including attorney"s fees, arising from personal injury (including death) or property damage or destruction occurring as a result of using the equipment or material furnished under this Agreement.: Customer shall give notice to HMIS as soon as practicable of any claim made against the Government, DOE, or their agents or other persons acting on their behalf and/or Customer and afford them the opportunity, to the extent allowed by applicable laws, rules, or regulations, to participate in and control their defense. Customer shall provide reasonable assistance and information to the Government, DOE, HMIS, and their agents and other persons acting on their behalf to support their defense. To the extent that Customer and Customer's Personnel are covered by the Washington Industrial Insurance Act (R.C.W. Title 51) or any other industrial insurance, workers compensation, or similar act, Customer specifically waives any and all immunity provided under these acts and their regulations and rules related to the Customer's indemnification obligation set forth in this paragraph. ENTIRE AGREEMENT This Agreement constitutes the entire contract between the parties and supersedes any other promises, ogmaemmnts, or written correspondence. This Agreement cannot be amended and noprovision can be waived except byen instrument in writing duly executed by each ufthe parties. AUTHORITY' ADMINISTRATION, AND TRANSFER It is understood and agreed that this Agreement is entered into by HK8kS in its role as prime contractor to DOE and thot(i) H&i|S is authorized to and will administer this Agreement forOOE;(ii)administration of this Agreement may be assigned by HyN|G to DOE or its designee upon written notice to Customer; and (i\i) in nooe ofsuch assignment and notice thereof toCustomer, HK8|S shall have nofurther responsibility hereunder. STATEMENT OF WORK The EVOC Training Center at Hanford Patrol Training Academy will provide the City of Yakima access to the Emergency Vehicle Operations Course (EVO[) Skills Pod, Track and Trailer on July 23. 3021. Provide access and oversight to the props listed below: COST ESTIMATE The estimated price forthis training is below. Please refer to the attached estimate fordetails. Price excludes 3%OOE-RL federal administrative adder. The use of the facility and associated services are aub]eotbo the referenced letter agreement terms and conditions. 2-AINIAM Payment will be sent to the following address: Hanford Mission Integration Solutions Attn: Cashier 1-13-09 PO Box 943 Richland, WA 99352 TERMINATION/CANCELLATION POLICY Either party may terminate this Agreement fVreny reason at any time by giving not less than 14 days prior written notice to the other party; provided, however, that O(]E reserves the right to immediately bamnincde this Agreement without regard to the aforesaid written notice when termination of this Agreement is determined to be in the best interests of the Government. Termination nhe|| only affect the term of this Agreement and shall otherwise be without prejudice to the rights of either party. Customers canceling 10xwnhking days mrmore prior toscheduled dates offacility use will be able toobtain a 10096 refund of monies paid, less any costs incurred specifically in support ofcustomer requirements. Cancellations of less than 10 working days but 5ormore will result in a refund of6U96 less incurred costs. NOTICE Any notice required under this Agreement shall be given to the following parties verbally or in writing'. IN WITNESS WHEREOF, the parties hereto have executed this Agreement effective as of the date and year first written above. Cu R Sig nature 0 6 U) 0r Name (print) C-(� nq1 aCta Title j Maki Date j }l. Phone/Email 2, 11'1,d_�2Lre d -, 0 &-L?, Mailing Address L) CITY CONTRACT NO'AZ2j--0- RESOLUTION NO: - I'l i A, Approved Kjja 9mqj1 Signature 10Mo Name (print) P 20mul 4:001W.-M �o� Date Ricole Zawadzki Hanford Mission Integration Solutions P.O. Box 1000 (G5-51) Richland, WA 99352 Statement of Work All vehicles used at the EVOCshall bepolice or law enforcement vehicles; nuprivate vehicles authorized. Any reference to vehicles means police vehicles. Deliverables As requested by the PTA EVOC Progra m Ma nager (PM), in H FACTS complete a nd submit a Customer Requirements Form (CR F) to reserve the EVOC s kills pad, track a nd trailer for the tra ining dates agreed to by the PTA EVOC PM a nd the Law Enforcement Customer's Point of Conta ct (LE POC). Prepa re a nd submit required contracting documents (e.g., Service Agreement a nd a Cost Estimate) to the LEPQCand others, if/as required. Give copies of any required clocumentsto the LE POC for review and approval. Ensure paper copies of the aforementioned documents are maintained on file, including thosethat have been signed (approved) bythe LEPO[ The Hanford PTA will: Unless pre -approved by the Commandant, PTA, allows only one agency at a time to use the EVOC. Confirm the LE POC wants his/her department personnel trained tothe PTA's approved EVOC lesson plan'and not to a variation of same, e.g., one that has been modified, tweaked revised orotherwise changed. Confirm the LE EVOCInstructors are certified for the type of vehicles the agency will bring to the training. Ensure only vehicles authorized for use on EVOC by Hanford PTA are used during the training event. Have the HAMMER LE PM reservethe EVOC skills pad, trackand trailerfor the training dotes agreed to by the PTA EVOC PM and the LE POC. Complete and submit/file the required HAMMER approval paperwork. Provide the LE Customer's personnel accesstothe EVOC classroom and props as scheduled. Provide the initial PTA/EVO[facility training/safety bhe0no/orientationtoEVOCLEPO[beforetnaining commences. training can be conducted in compliance with a pplicabie hazard a nalys is (reference SAS-7321, Hazards Analysis Procedure) and PTA facili training, safety and environmental requirements. I Statement of Work IFY 2021 Law Enforcement EVOCj[A!qjng at Hanford Patrol Training Academy (PITA)A![Yehicles Provide certification and recertification of LE POC EVOC instructors (Certification is per the Washington State Criminal Justice Training Center Requirements for EVOC Insructors). Ensure training conducted per the PTA's approved EVOC lesson plan. LE Customer POC will: Submit the EVOC training request to the PTA EVOC PM and confirm department personnel are to be trained to the PTA's approved EVOC lesson plan and not to a variation of same, e.g., one that has been modified, tweaked, revised or otherwise changed. Upon receipt of required contracting documents (e.g., Contract Service Agreement), review and approve (sign/date) if acceptable then return them to the HAMMER LE PM. If not acceptable, workwith the PTA EVOC PM and/or the HAMMER LE PM to resolve the issue(s). Ensure that department personnel who are to be trained complete the PTA/EVOC facility training/safety briefing/orientation before training commences. Ensure department personnel are trained in accordance with the PTA's approved EVOC lesson plan. During the period of his/her department's EVOC reservation, deny EVOC use to other external agencies unless prior approval is granted by the Commandant, Hanford Patrol Training Academy. Will ensurethat their EVOC instructors recertifyevery two years or sooner as needed. Will ensure PTA approval for any vehicles not previously authorized for use at the EVOC. 'AMISTech POC- Mick J. Thompson (509) 376-4686 - Office (509) 366-1431 - Cell HMISFinance POC: Vanessa Pulido (509) 205-2317 - Cell vanessa n ul 6 fl, �sa n ido 1 �&I ki 101 K111111� With City of Yakima Tolpente GENERAL RELEASE AND INDEMNIFICATION U.S. Citizens 1, the undersigned, expressly acknowledge that my participation in the Volpentest HAMMER Federal Training Center (HAM MER)/Patro|Training Academy (PTA)training activities may expose me, eitherdirectly or indirectly, to certain hazards inherent in the transportation to, viewing of, and participating in the operation of training props and demonstrations. Such hazards may give rise topersonal injury, including death, orproperty damage urloss. I have been informed and understand that Hanford Mission Integration Solutions, LLC (HMIS) and the U.S. Department ofEnergy (O[>E) do not provide accident, health, medical, disability, or nthertypesofinsurance for the protection ofthose who participate in the HAMMER/PTA training activities. Furthermore, | understand that itisrecommended that | have amedical insurance policy in effect during my participation. | certify that if have any reason (physical, medical or otherwise) which would impact my ability to participate in this training, | will advise HA&4K8ER/PTAstaff mfnnycondition and follow instructions given me by HAIVIMER/PTA staff. In consideration of the privilege of participating in HAMIVIER/PTA training activities, the undersigned, for myself, nnyheirs,adnnin��rators,execu�oo,succ�sson�repnssenta1ives,and assigns, do hereby knowingly, willingly, and voluntarily assume any and all risks of accident, personal injury, orpropertVdannagetonmyselfandtonoypnopehLyconsis1entxviththeStateof Washington Comparative Fault Statute (R.C.VV.4.%2). | agree to now and foreverre|ease,acquit, discharge, indemnify, and hold harmless HK8|S and DOE, their officers, officials, directors, representatives, agents, employees, and contractors, from and against any and all claims, loss, causes of action, suits, cost or expense forany and all personal injury, death, or property Participant's Signature Date Participant's Name (Print) Organization, Company, Affiliation (Print) Service Agreement CRF 6807-017 with City of Yakima For the use of the Patrol Training Academy's Emergency Vehicle Operations Course THIS AGREEMENT, effective this 26th day of May 2021, is made by and between HANFORD MISSION INTEGRATION SOLUTIONS, LLC ("HMIS"), prime contractor to the UNITED STATES DEPARTMENT OF ENERGY, RICHLAND OPERATIONS OFFICE ("DOE"), a Department of the United States of America (Government) and the CITY OF YAKIMA ("Customer"). SCOPE OF SERVICES Subject to the terms and conditions set forth below, HMIS has been authorized by DOE to, and shall, furnish to Customer certain equipment, services, and/or staff for training purposes (hereinafter referred to as the "Activity"), which is part of this Agreement. COSTS AND INVOICING Costs associated with the Activity will be invoiced to and paid by Customer to the account of HMIS in accordance with the pricing policy. SCHEDULING Customer understands and agrees (i) that the Activity is subject to the priority of the DOE on a not -to -interfere basis; and (ii) that DOE, through its facility administrator HMIS, has sole responsibility and discretion for allocating and scheduling use of the equipment, services, and/or staff needed for or involved in the Activity. LIABILITY AND INDEMNITY A. Neither the Government nor DOE and its agents, employees, or contractors (including HMIS) or other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors will be responsible for any personal injury or damage to or destruction of property of any kind whatsoever resulting from the furnishing of and use by Customer of equipment, material, and/or staff under this Agreement, unless directly resulting from the negligence of the Government, DOE, or agents or persons acting on their behalf, consistent with the Washington Comparative Fault Statute (R. C. W. 4.22 et seq.). Neither the Government, nor DOE and its agents, employees, or contractors (including HMIS), or, and other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors will be responsible, irrespective of cause, for failure to furnish any equipment, material, and/or staff under this Agreement at any particular time or in any particular manner when the interests of the Government preempt any schedule. Customer shall indemnify the Government, DOE, and their agents, employees, or contractors (including HMIS), and other persons acting on their behalf, including officers, directors, officials, representatives, employees, staff, and subcontractors, for all damages, claims, costs, and expenses, including attorney's fees, arising from personal injury (including death) or property damage or destruction occurring as a result of using the equipment or material furnished under this Agreement. Customer shall give notice to HMIS as soon as practicable of any claim made against the Government, DOE, or their agents or other persons acting on their behalf and/or Customer and afford them the opportunity, to the extent allowed by applicable laws, rules, or regulations, to participate in and control their defense. Customer shall provide reasonable assistance and information to the Government, DOE, HMIS, and their agents and other persons acting on their behalf to support their defense. To the extent that Customer and Customer's Personnel are covered by the Washington Industrial Insurance Act (R.C.W. Title 51) or any other industrial insurance, workers compensation, or similar act, Customer specifically waives any and all immunity provided under these acts and their regulations and rules related to the Customer's indemnification obligation set forth in this paragraph. ENTIRE AGREEMENT This Agreement constitutes the entire contract between the parties and supersedes any other promises, agreements, or written correspondence. This Agreement cannot be amended and no provision can be waived except by an instrument in writing duly executed by each of the parties. AUTHORITY, ADMINISTRATION, AND TRANSFER It is understood and agreed that this Agreement is entered into by HMIS in its role as prime contractor to DOE and that (i) HMIS is authorized to and will administer this Agreement for DOE; (ii) administration of this Agreement may be assigned by HMIS to DOE or its designee upon written notice to Customer; and (iii) in case of such assignment and notice thereof to Customer, HMIS shall have no further responsibility hereunder. STATEMENT OF WORK The EVOC Training Center at Hanford Patrol Training Academy will provide the City of Yakima access to the Emergency Vehicle Operations Course (EVOC) Skills Pad, Track and Trailer on June 23 and July 23, 2021. Provide access and oversight to the props listed below: Prop/Building Dates Emergency Vehicle Operations Course (EVOC) Skills Pad, Track and Trailer June 23 and July 23, 2021 COST ESTIMATE The estimated price for this training is below. Please refer to the attached estimate for details Total Due $396.49 Price excludes 3% DOE-RL federal administrative adder. The use of the facility and associated services are subject to the referenced letter agreement terms and conditions. PAYMENT Payment will be sent to the following address Hanford Mission Integration Solutions Attn: Cashier H3-09 PO Box 943 Richland, WA 99352 TERMINATION/CANCELLATION POLICY Either party may terminate this Agreement for any reason at any time by giving not less than 14 days prior written notice to the other party; provided, however, that DOE reserves the right to immediately terminate this Agreement without regard to the aforesaid written notice when termination of this Agreement is determined to be in the best interests of the Government. Termination shall only affect the term of this Agreement and shall otherwise be without prejudice to the rights of either party. Customers canceling 10 working days or more prior to scheduled dates of facility use will be able to obtain a 100% refund of monies paid, less any costs incurred specifically in support of customer requirements. Cancellations of less than 10 working days but 5 or more will result in a refund of 50% less incurred costs Less than 5 days will result in no refund. DAMAGE POLICY Per the Washington Comparative Fault Statute (R.C.W. 4.22), parties are responsible for personal injury and property damage they may cause during the use of HAMMER and/or the Patrol Training Academy. NOTICE Any notice required under this Agreement shall be given to the following parties verbally or in writing: IN WITNESS WHEREOF, the parties hereto have executed this Agreement effective as of the date and year first written above. Signature HANFORD MISSION INTEGRATION SOLUTIONS Approved via email Signature Nicole Zawadzki Name (print) Name (print) k1 r4(, r Title r`kijtet�31 ? 5 Dc05-1 - (0 For HAMMER Director Title Date (509) 376-5502/ nicole,,slawadzki( rl.gov hone/Email Phone/Email 1T N `�-'�r` . L t .iY, 0,14 Mailing Address CITY CONTRACT NO: h ' FtZ�,,,.UTIUN NO:_ Nicole Zawadzki Hanford Mission Integration Solutions P.O. Box 1000 (G5-51) Richland, WA 99352 Statement of Work FY 2021 Law Enforcement EVOCTraining at Hanford Patrol Training Academy (PTA) All Vehicles General All vehicles used at the EVOC shall be police or law enforcement vehicles; no private vehicles authorized. Any reference to vehicles means police vehicles. Deliverables HAMMER/Ha nfnrd Training Center will: As requested by the PTA EVOC Program Manager(PM), in HFACTS complete and submit a Customer Requirements Form (CRF) to reserve the EVOC skills pad, track and trailer for the training dates agreed to by the PTA EVOC PM and the Law Enforcement Customer's Point of Contact (LE POC). Prepare and submit required contracting documents (e.g., Service Agreement and a Cost Estimate) to the LE POC and others, if/as required. Give copies of any required documents to the LE POC for review and approval. Ensure paper copies of the aforementioned documents are maintained on file, including those that have been signed (approved) by the LE POC. The Hanford PTA will: Unless pre -approved by the Commandant, PTA, allows only one agency at a time to use the EVOC. Confirm the LE POC wants his/her department personnel trained to the PTA's approved EVOC lesson plant and not to a variation of same, e.g., one that has been modified, tweaked, revised or otherwise changed. Confirm the LE EVOC Instructors are certified for the type of vehicles the agency will bring to the training. Ensure only vehicles authorized for use on EVOC by Hanford PTA are used during the training event. Have the HAMMER LE PM reserve the EVOC skills pad, trackand trailer for the training dates agreed to by the PTA EVOC PM and the LE POC. Complete and submit/file the required HAMMER approval paperwork. Provide the LE Customer's personnel access to the EVOC classroom and props as scheduled. Provide the initial PTA/EVOC facility training/safety briefing/orientation to EVOC LE POC before training commences. 1 All PTA lesson plans are required to be reviewed and approved by the Hanford Patrol Protective Force Safety Organization to ensure the training can be conducted in compliance with applicable hazard analysis (reference SAS-7321, Hazards Analysis Procedure) and PTA facility, training, safety and environmental requirements. Statement of Work FY 2021 Law Enforcement EVOCTraining at Hanford Patrol Training Academy (PTA)All Vehicles Provide certification and recertification of LE POC EVOC instructors (Certification is per the Washington State Criminal Justice Training Center Requirements for EVOC Insructors). Ensure training conducted per the PTA's approved EVOC lesson plan. LE Customer POC will: Submit the EVOC training request to the PTA EVOC PM and confirm department personnel are to be trained to the PTA's approved EVOC lesson plan and not to a variation of same, e.g., one that has been modified, tweaked, revised or otherwise changed. Upon receipt of required contracting documents (e.g., Contract Service Agreement), review and approve (sign/date) if acceptable then return them to the HAMMER LE PM. If not acceptable, work with the PTA EVOC PM and/or the HAMMER LE PM to resolve the issue(s). Ensure that department personnel who are to be trained complete the PTA/EVOC facility training/safety briefing/orientation before training commences. Ensure department personnel are trained in accordance with the PTA's approved EVOC lesson plan. During the period of his/her department's EVOC reservation, deny EVOC use to other external agencies unless prior approval is granted by the Commandant, Hanford Patrol Training Academy. Will ensure that their EVOC instructors recertify every two years or sooner as needed. Will ensure PTA approval for any vehicles not previously authorized for use at the EVOC. Contacts: HMISTech POC: Mick,J. Thompson (509) 376-4686 - Office (509) 366-1431- Cell m j mick thompson@rl.gov HMISFinance POC: Vanessa Pulido (509) 205-2317 - Cell vanessa n pulido@rl.gov �r COST ESTIMATE PROPOSAL p.. �,. HMIS - FY21 Version 0 t woo. Request No 3 CACN 4. VVBS A. GENERAL INFORMATION Title Prepared by Date EVOC Clity of Yakima Linda Liikala (509) 372-0742 3/16/2021 Requestor Company Technical POC Financial POC City of Yakima Jim Yates (509) 575-6250 Jim Yates (509) 575-6250 Performer 0rg. Title Technical POC Financial POC HMIS Mick Thompson (509) 376.4686 Vanessa Polido (505) 205.2317 Performance Dates Begin: 6/23/2021 End: 7/23/2021 Total Estimated Contract Value Funding Available Uncosled Balance (Inc prior year) Estimated Funding Requ. From Customer $ 396.49 $ - $ 396 49 B. DETAIL DESCRIPTION OF COST ELEMENTS ID. Direct Labor Estimated Hours FY2021 Estimated Cost ($) FY2021 Total Estimated Hours Total Estimated Cost ($) Cost Center COCSIDesenption TOTAL DIRECT LABOR $ _ - $ - 1. Material Calculate SPEF L NO $ - $ - 2. Subcontracts 5 - $ - 3 Other Direct Costs $ - 5 - 4. Other Originated Costs $ - $ TOTAL $ - $ - 5 Revenue 1 Calculate HAMMER Adder NO 5 356 44 6 366.44 13 Overhead Allocations SUB and Direct Cost Adder FY21 0.H. RATE % FY2021 x BASE TOTAL DCA COST Content/Records Management IH0722 21.5% $ - $ - $ • Janitorial IHE240 22.8% $ - $ S • Maintenance IHD220 50.5% $ - $ - $ - Transportation IHE210 34.8% $ • $ • $ . Software Engineering IHH230 18 7% $ - $ - $ - I TOTAL DIRECT LABOR ADDER 5 - $ - TOTAL BASE COST (Total Wilms 1 through 5) $ 366 44 $ _ 366.44 7 General and Administrative 1 FY21 Rate:I 8 20%I $ 30 05 $ 30 05 TOTAL ESTIMATED COST $ 396.49 $ 396.491 8. Proposed Fee (see instructions' Rate' 7.0%, RFSs ONLY Fee Applicable? (Yes / No) L NO Fee is calculated below by element of cost Estimated Cost Total Estimated ($) FY2021 Cost ($) Labor Fee Adder 0 $ - Non Labor Fee Adder 0 $ - TOTAL ESTIMATED FEE $ - $ - 9 TOTAL ESTIMATED COST PLUS FEE TO RE:UESTOR S 396.49 $ 396.49 10. Federal Adminlslrallon Charge (FAC) f NO f Rate€ 3.00%1x Item 9 0 $ - TOTAL ESTIMATED CONTRACT VALUE (Cost plus fee if applicable) $ 396.49 $ 396.49 Other -Revenue Estimate FY2021 Resource Basis Of Estirnste January February March April May June July August September—FY2021 Total 134-EVT-Emergency Vehicle Oper Revenue IEVUU 2=Day (June 23 2k July ZJ, 2021) 183.22 183 22 1 $ 366.44 APPENDIX B To Service Agreement No. CRF 6807-017 With City of Yakima June 23 and July 23, 2021 Volpentest HAMMER Federal Training Center/Patrol Training Academy GENERAL RELEASE AND INDEMNIFICATION U.S. Citizens I, the undersigned, expressly acknowledge that my participation in the Volpentest HAMMER Federal Training Center (HAMMER)/Patrol Training Academy (PTA) training activities may expose me, either directly or indirectly, to certain hazards inherent in the transportation to, viewing of, and participating in the operation of training props and demonstrations. Such hazards may give rise to personal injury, including death, or property damage or loss. I have been informed and understand that Hanford Mission Integration Solutions, LLC (HMIS) and the U.S. Department of Energy (DOE) do not provide accident, health, medical, disability, or other types of insurance for the protection of those who participate in the HAMMER/PTA training activities. Furthermore, I understand that it is recommended that I have a medical insurance policy in effect during my participation. I certify that if I have any reason (physical, medical or otherwise) which would impact my ability to participate in this training, I will advise HAMMER/PTA staff of my condition and follow instructions given me by HAMMER/PTA staff. In consideration of the privilege of participating in HAMMER/PTA training activities, the undersigned, for myself, my heirs, administrators, executors, successors, representatives, and assigns, do hereby knowingly, willingly, and voluntarily assume any and all risks of accident, personal injury, or property damage to myself and to my property consistent with the State of Washington Comparative Fault Statute (R.C.W. 4.22). I agree to now and forever release, acquit, discharge, indemnify, and hold harmless HMIS and DOE, their officers, officials, directors, representatives, agents, employees, and contractors, from and against any and all claims, loss, causes of action, suits, cost or expense forany and all personal injury, death, or property damage arising directly or indirectly from my participation in HAMMER/PTA training activities. Participant's Signature Participant's Name (Print) Organization, Company, Affiliation (Print) 5/26/21 Date