Stewardship Agreement with USDA Forest Service for noxious weed control BEFORE THE BOARD OF COMMISSIONERS
FOR LEWIS COUNTY, WASHINGTON
Approving a Stewardship Agreement
No. 17-SA-11060300-020 modification 1 (one), between ) RESOLUTION NO. 18 - Oki
Lewis County and the USDA Forest Service, Gifford )
Pinchot National Forest for noxious weed control and )
management and authorizing the Chairman of the
Board of County Commissioners (BOCC)
signature thereon
WHEREAS, the USDA Forest Service, Gifford Pinchot National Forest and Lewis County are
both political subdivisions, and have entered into a Stewardship Agreement, No. 17-SA-11060300-
020 modification 1 (one), to address management of noxious weeds; and
WHEREAS, a Stewardship Agreement, that provides for management of noxious weeds on the
Gifford Pinchot National and includes funding in the amount of $19,810.00 has been prepared
between Lewis County and the USDA Forest Service, Gifford Pinchot National Forest; and
WHEREAS, the BOCC has had an opportunity to review the Stewardship Agreement No. 17-
SA-11060300-020 modification 1 (one), attached; and
WHEREAS, it appears to be in the best public interest to approve and authorize this
Stewardship Agreement, with the USDA Forest Service, Gifford Pinchot National Forest;
NOW THEREFORE BE IT RESOLVED, that the BOCC of Lewis County hereby approves of
the terms and conditions of the attached Stewardship Agreement No. No. 17-SA-11060300-020
modification 1 (one), between Lewis County and the USDA Forest Service, Gifford Pinchot National
Forest, and hereby authorizes the Chairman of the BOCC to sign the same on behalf of the County.
PASSED IN REGULAR SESSION this ddb daY of January, 2018.
ATTEST: • • BOARD OF COUNTY COMMISSIONERS
••acouNT);WA ••
•�\ oF�•s r• Lewis County, Washington
• 4, /O �:
Rieva Lester, Clerk of the d &)i z
Lewis County Board of C flttCor)h sio5'r`®
••���� c$. • •,a J. Fund, ..
°•;'VcmNrsw.-.•
APPRO ' I A 0 O: : Robert . Jackson, Vice-Chair
Jonat.op" ey-r;• ---`- •'-. • •ttorney
By: ` Gary S mper, Commissioner
Civil Dep. y Prosecuting Attorney
USDA Forest Service OMB 0596-0217
FS-1500-19
MODIFICATION OF GRANT OR AGREEMENT PAGE OF PAGES
1 3
1.U.S.FOREST SERVICE GRANT/AGREEMENT NUMBER: 2.RECIPIENT/COOPERATOR GRANT or 3.MODIFICATION NUMBER:
17-SA-11060300-020 AGREEMENT NUMBER IF ANY: 1
4.NAME/ADDRESS OF U.S.FOREST SERVICE UNIT ADMINISTERING 5.NAME/ADDRESS OF U.S.FOREST SERVICE UNIT ADMINISTERING
GRANT/AGREEMENT(unit name,street,city,state,and zip+4): PROJECT/ACTIVITY(unit name,street,city,state,and zip+4):
Gifford Pinchot National Forest Cowlitz Valley Ranger District
987 McClellan Rd(physical) 10024 US Hwy 12
501 E 5th Street#404 (mailing) Randle, WA 98377
Vancouver, WA 98661
6.NAME/ADDRESS OF RECIPIENT/COOPERATOR(street,city,state,and zip+ 7.RECIPIENT/COOPERATOR'S HHS SUB ACCOUNT NUMBER(For HI-IS
4,county): payment use only):
Lewis County
Lewis County Weed Board
351 NW North St.
Chehalis, WA 98532
8. PURPOSE OF MODIFICATION
CHECK ALL This modification is issued pursuant to the modification provision in the grant/agreement
THAT APPLY: referenced in item no. 1, above.
n CHANGE IN PERFORMANCE PERIOD:
CHANGE IN FUNDING:An additional$19,810.00 is hereby added for continuation of the project.All funding
® previously obligated or remaining is available for use,except for$.86 of expired RMEF funds,which is hereby
deobligated.
ADMINISTRATIVE CHANGES:
® OTHER(Specify type of modification):The Technical Project Proposal,Appendix B,from the original award,remains
in effect for 2018.
Except as provided herein,all terms and conditions of the Grant/Agreement referenced in 1,above,remain unchanged and in full
force and effect.
9. ADDITIONAL SPACE FOR DESCRIPTION OF MODIFICATION(add additional pages as needed):
PAYMENT/REIMBURSEMENT. The U.S.Forest Service shall reimburse Lewis County for the U.S.Forest Service's share of actual
expenses incurred,not to exceed$19,810.00,as shown in the Financial Plan. The U.S.Forest Service shall make payment upon
receipt of Lewis County's invoice. Each invoice from Lewis County must display the total project costs for the billing period,
separated by U.S.Forest Service and Lewis County share.In-kind contributions must be displayed as a separate line item and must not
be included in the total project costs available for reimbursement. The final invoice must display Lewis County's full match towards
the project,as shown in the financial plan,and be submitted no later than 90 days from the expiration date.
Each invoice must include,at a minimum:
1.Lewis County's name,address,and telephone number.
2.Forest Service agreement number.
3.Invoice date.
4.Performance dates of the work completed(start&end).
5.Total invoice amount for the billing period,separated by Forest Service and Lewis County's share with in-kind contributions
displayed as a separate line item.
6.Display all costs,both cumulative and for the billing period,by separate cost element as shown on the financial plan.
7.Cumulative amount of Forest Service payments to date.
8.Statement that the invoice is a request for payment by"reimbursement."
9.If using SF-270,a signature is required.
10.Invoice Number,if applicable.
elUSDA Forest Service OMB 0596-0217
FS-1500-19
The invoice shall be forwarded to:
EMAIL: asc_ga@fsfed.us
FAX: 877-687-4894
POSTAL: USDA Forest Service
Albuquerque Service Center
Payments—Grants&Agreements
IOIB Sun Ave NE
Albuquerque,NM 87109
Send a copy to: Brad Krieckhaus,bkrleckhaus@fs.fed.us
10. ATTACHED DOCUMENTATION(Check all that apply):
Revised Scope of Work
Revised Financial Plan
Other:
11. SIGNATURES
AUTHORIZED REPRESENTATIVE:BY SIGNATURE BELOW,THE SIGNING PARTIES CERTIFY THAT THEY ARE THE OFFICIAL REPRESENTATIVES OF
THEIR RESPECTIVE PARTIES AND AUTHORIZED TO ACT IN THEIR RESPECTIVE AREAS FOR MATTERS RELATED TO THE ABOVE-REFERENCED
GRANT/AGREEMENT.
1 1.A.LEWIS COUNTY SIGNATURE 11.8.DATE I I.C. ' • a • 'VICE SIGNATURE I I.D.DATE
+ SIGNED ` ` SIGy ED
AA 46410.1
40!' to /_ /MN 1 aL`ALA.. u ,
(Signature of Signatory Otfki i )
I LE_NAME(type or prim): e Ed KA. J . I I.F.NAME(type or print):GINA OWENS
110.TITLE pc print):Lewis County Board Chairman ma.TITLE(typeturprint):Forest Supervisor
12.G&A REVIEW
I2.A.T thority and fo t of this moclitio ion have been reviewed and approved for signature by: 12.B.DATE
�� SIGNED
(`ANNE DOOLtN FS.Agr. No. 17-SA-11060300-020 Ml `
U.S.Forest Service Grants&Agreements SpcciiJist
USDA Forest Service OMB 0596-0217
FS-1500-19
Burden Statement
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control number. The valid OMB control number for this intonation collection is 0596-0217. The time required to complete this information collection is estimated to average 30 minutes per
response,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.
The U.S.Department of Agriculture(USDA)prohibits discrimination in all its programs and activities on the basis of race,color,national origin,age,disability,and where applicable,sex,marital
status,familial status,parental status,religion,sexual orientation,genetic information,political beliefs, reprisal,or because all or part of an individual's income is derived from any public
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users can contact USDA through local relay or the Federal relay at(800)877-8339(TDD)or(866)377-8642(relay voice). USDA is an equal opportunity provider and employer.
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WORKSHEET FOR
FS'Non-Cash .Contribution Cost Analysis, Column :(a)
Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the
matrix. NOTE: This worksheet auto populates the relevant and applicable matrix cells.
Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be
added or deleted as needed. The Standard Calculation sections provide a standardized formula for
determing a line item's cost,e.g. cost/day x#of days=total, where the total is calculated automatically.
The Non-Standard Calculation sections provide a write-in area for line items that require a calculation
formula that is other than the standardized formulas,e.g. instead of salaries being calculated by
cost/day x#of days, costs may be calculated simply by a contracted value that is not dependent on
days worked, such as 1 employee x$1,200/contract=$1,200. Be sure to review your calculations when
entering in a Non-Standard Calculation,and provide a brief explanation of units used to make
calculation, e.g. '1 month contract,'on a line below the figures.
Salaries/Labor. I
Standard Calculation
Job Description 1 1Cost/Day 1#of Days 1 'Total
Program Leader $437.36 5.00 $2,186.80
Botanist $379.01 12.00 $4,548.12
Database Manager $364.31 5.00 $1,821.55
Biological Tech $160.00 15.00 $2,400.00
$0.00
INon-Standard Calculation
ITotal Salaries/Labor I $10,956.471
.�" Travel . . I
Standard Calculation
Travel Expense !Employees 'Cost/Trip 1#of Trips I "Total
Fleet, FOR(month) $235.00 1.00 $235.00
Fleet, Mileage $0.25 1000.00 $250.00
$0.00
$0.00
$0.00
Non-Standard Calculation
Lotai Travel L $485.001
AEgiulpment .`'
Standard Calculation
Piece of Equipment I#of Units jCost/Day I#of Days I (Total
$0.00
$0.00
$0.00
$0.00
Non-Standard Calculation
,Total Equipment I I_ $0.001
Suppiies/Material$
Standard Calculation
Supplies/Materials 1 I#of Items 'Cost/Item ITotal
$0.00
$0.00
$0.00
$0.00
Non-Standard Calculation
ITotal Supplies/Materials I I $0.001
Printing I
Standard Calculation
,Paper Material 1 I#of Units lCost/Unit J ITotal
$0.00
INon-Standard Calculation
Total Printing I I $0.001
1
Standard Calculation
,Item 1 1#of Units ICost/Unit I 'Total
$0.00
$0.00
$0.00
$0.00
Non-Standard Calculation
'Total Other 1 I $0113
Subtotal:Direct Costs I $11 ,441 .47
Forest Service Overhead Costs
(Current Overhead Rate ISubtotal Direct Costs 1 1 ITotal
9.00% $11,441.47 $1,029.73
'Total FS Overhead Costs I I $1,029.731
I TOTAL COST ,$12,47,1,20
WORKSHEET FOR
FS Cash to the Cooperator Cost Analysis, Column (b)
Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the
matrix. NOTE:This worksheet auto populates the relevant and applicable matrix cells.
Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be
added or deleted as needed. The Standard Calculation sections provide a standardized formula for
determing a line item's cost,e.g. cost/day x#of days=total, where the total is calculated automatically.
The Non-Standard Calculation sections provide a write-in area for line items that require a calculation
formula that is other than the standardized formules,e.g. instead of salaries being calculated by
cost/day x#of days, costs may be calculated simply by a contracted value that is not dependent on
days worked,such as 1 employee x$1,200/contract=$1,200. Be sure to review your calculations when
entering in a Non-Standard Calculation,and provide a brief explanation of units used to make
calculation,e.g. '1 month contract,'on a line below the figures.
Salaries/Labor
Standard Calculation
Job Description 'Cost/Day I#of Days I jTotal
Weed Coordinator(S&B) $472.00 12.00 $5,664.00
Weed Specialist $130.00 20.00 $2,600.00
Weed Specialist $130.00 20.00 $2,600.00
Weed Specialist $130.00 14.00 $1,820.00
$0.00
(Nonstandard Calculation
Benefits to Weed Specialist $1,000.00
'Total Salaries/Labor I $13,684.001
Travel 1
Standard Calculation
Travel Expense (Employees 'Cost/Trip I#of Trips I jTotal
County Vehicle, per day $75.00 20.00 $1,500.00
$0.00
$0.00
Non-Standard Calculation
County Vehicle Monthly
Charge 1 $847.00
ITotal Travel I I $2t347.00I
Equipment I
Standard Calculation
Piece of Equipment I#of Units ICost/Day I#of Days I (Total
$0.00
$0.00
$0.00
iNonStandard Calculation
Total Equipment $0.00
Supplies/Materials
Standard Calculation
Supplies/Materials I I#of Items ICost/ltem (Total
Triclopyr 4 $180.00 $720.00
Clopyralid 1 $499.99 $499.99
Aminopyralid 2 $100.05 $200.10
Surfactant 4 $42.00 $168.00
(Non-Standard Calculation
Safety Items, PPE, Gloves,
Glasses,Spill 1.00 $390.00 $390.00
Total Supplies/Materials I I $1,978.091
Printing I
Standard Calculation
,Paper Material I I8 of Units ICostfUnit (Total
$0.00
Non-Standard Calculation
$0.00
Total Printing I $0.001
Other Expenses
Standard Calculation
Item I I#of Units ICost/Unit I ITotal
$0.00
$0.00
$0.00
$0.00
Non-Standard Calculation
'Total Other I 1 $0.001
Subtotal Direct Costs I $18,009.09
' Cooperator Indirect Costs I
Current Overhead Rate (Subtotal Direct Costs I I (Total
10.00% $18,009.09 $1,800.91
ITotal Coop.indirect Costs I $1,800.91
ITOTAL COST I $19,810.00
WORKSHEET FOR
Cooperatoron-Cash rN on Cost Analysis, C_olumn.,(c),
Use this worksheet to perform the cost analysis that supports the lump sum figures provided in the matrix.
NOTE:This worksheet auto populates the relevant and applicable matrix cells.
Cost element sections may be deleted or lines may be hidden, if not applicable. Line items may be added or
deleted as needed. The Standard Calculation sections provide a standardized formula for determing a line
item's cost, e.g. cost/day x#of days=total,where the total is calculated automatically. The Non-Standard
Calculation sections provide a write-in area for line items that require a calculation formula that is other than the
standardized formules, e.g. instead of salaries being calculated by cost/day x#of days, costs may be calculated
simply by a contracted value that is not dependent on days worked,such as 1 employee x$1,200/contract=
$1,200. Be sure to review your calculations when entering in a Non-Standard Calculation, and provide a brief
explanation of units used to make calculation,e.g. '1 month contract,'on a line below the figures.
Salaries/Labor I
Standard Calculation
Job Description I ICost/Day I#of Days I ITots1
Program Coordinator $472.00 10.00 $4,720.00
Weed Specialist $130.00 10.00 $1,300.00
$0.00
$0.00
$0.00
INonStandard Calculation
Benefits to Weed Specialist $160.00
ITotal Salaries/Labor I I $6,180.001
Travel :;<
Standard Calculation
Travel Expense (Employees ICost/Trip I#of Trips I (Total
County Vehicle, per day $75.00 20.00 $1,500.00
$0.00
$0.00
$0.00
$0.00
INon-Standard Calculation
ITotal Travel I L $1,500.00
;" Equipment
Standard Calculation
Piece of Equipment I#of Units ICost/Day I#of Days I ITotal
$0.00
$0.00
$0.00
$0.00
$0.00
INonStandard Calculation
ITotal Equipment j $0.001
Supplies/Materials
Standard Calculation
Supplies/Materials [ l#of Items roost/Item (Total
$0.00
$0.00
$0.00
$0.00
(Non-Standard Calculation
ITotal Supplies/Materials I $0.00
Printing
Standard Calculation
Paper Material l 1#of Units ICost/Unit 1 (Total
$0.00
Non-Standard Calculation
$0.00
[Total Printing 1 I $0.00
1
Standard Calculation
Item 1#of Units 'Cost/Unit ti 'Total
$0.00
$0.00
$0.00
$0.00
Non-Standard Calculation
!Total Other 1 $0.001
L , ' Subtotal Direct Costs $7,680.00 1
Cooperator Indirect Costs 1
Current Overhead Rate 'Subtotal Direct Costs 1 1 (Total
10.00% $7,680.00 $768.00
Total Coop. Indirect Costs $768.00
TOTAL COST I $8,448.00
Bill Wamsley
From: Willenberg, Mandie- FS <mwillenberg @fs.fed.us> on behalf of FS-WWA GA Inbox
<wwa_g a_i n box@ ms.fs.fed.us>
Sent: Wednesday,January 03, 2018 2:47 PM
To: wamsleyb @wsu.edu
Subject: Action needed: 17-SA-11060300-020 Lewis County Weed Board (Invasive Management
Sites) agreement modification 1
Attachments: 17SA11060300020Mod1RWsigned.pdf
Good Afternoon,
Please route for signature and email pdf for Agreement 17-SA-11060300-020 modification 1.
Thank you,
>. Mandie Willenberg
U4
°g Grants Management Assistant
'"k Forest Service
R6 AQM Grants and Agreements North
p:360-891-5056
f:360-891-5081
mwillenbergAfs.fed.us
987 McClellan Rd 501 E 5th Street#404(mailing)
Vancouver,WA 98661
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1
{ BOCC AGENDA ITEM SUMMARY
Resolution: BOCC Meeting Date: Jan 22, 2018
Suggested Wording for Agenda Item: Agenda Type: Consent
Approving a Stewardship Agreement No.17-SA-11060300-020 modification 1 (one), between Lewis County
and the USDA Forest Service, Gifford Pinchot National Forest for noxious weed management and authorizing
the Chairman of the Board signature thereon.
Contact Bill Wamsley Phone: 740 1215 RECEIVED
Department: WSU Extension JAN 0 4 2018
Action Needed: Approve Resolution
LEVI/IS COUNTY
PROSECUTING ATTORNEY
Description
Approving Stewardship Agreement No.17-SA-11060300-020 modification 1 (one) will allow for cooperation
between the two agencies and to receive funds in the amount of$19,810.00 for noxious weed management.
Funding is approved through December 30, 2018. The purpose of the agreement is to document the cooperation
between the parties to stop the spread of noxious weed species, reduce existing populations and prevent the
introduction of additional exotic plants throughout Lewis County.
Cover Letter To
Mandie Willenberg
Lead Grants Management Specialist
Forest Service
R6 AQM Grants and Agreements North
p: 360-891-5056
Additionalfeelopies
Mcffefan Road(physical)
Mail: 501 E 5th St,BLDG 404
Vancouver,WA 98661