Agreement with WA State Military Dept for 2019-20 Emergency Management Performance Supplemental Grant BEFORE THE BOARD OF COUNTY COMMISSIONERS
LEWIS COUNTY, WASHINGTON
IN THE MATTER OF: RESOLUTION NO. 21-137
ACCEPTANCE OF AGREEMENT BETWEEN LEWIS
COUNTY AND WASHINGTON STATE MILITARY
DEPARTMENT FOR THE 2019-20 EMERGENCY
MANAGEMENT PERFORMANCE SUPPLEMENTAL
GRANT INCREASE IN FUNDS AND AUTHORIZING
SIGNATURES THEREON
WHEREAS, the Board of County Commissioners (BOCC) has reviewed the
Agreement between Lewis County, Washington, and the Washington State Military
Department for the 2019-20 Emergency Management Performance COVID-19
Supplemental Grant; and
WHEREAS, the additional contract amount of $3,582 was not included in the
budget; and
WHEREAS, it appears to be in the best public interest to authorize the execution
of said agreement for Lewis County.
NOW THEREFORE BE IT RESOLVED that the BOCC hereby approves an
agreement between Lewis County and the Washington State Military Department,
providing $3,582 in Emergency Management Performance Supplemental Grant
funds; and delegates authority to Lewis County Commissioner Gary Stamper to
sign Amendment #1 on Agreement # E20-248 on behalf of Lewis County.
DONE IN OPEN SESSION this 6th day of April, 2021.
page I of 2 Res. 21-137
APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS
Jonathan Meyer, Prosecuting Attorney LEWIS COUNTY, WASHINGTON
Eric Eisenberg Gary Stamper
By: Eric Eisenberg, Gary Stamper, Chair
Chief Civil Deputy Prosecuting Attorney
ATTEST: •'�°""�1;4.. Lindsey R. Pollock, DVM
J�S.'pRDOF' i6
Rieva Lester, Clerk of the Boar ;3° 'Lidsey R. Pollock, DVM, Vice Chair
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Lara McRea .�'�"s ''CO"`������� Sean D. Swope
By: Lara McRea Sean D. Swope, Commissioner
Page 2 of 2 Res. 21-137
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 DATE SUBMITTED
Lewis County
PROJECT DESCRIPTION CONTRACT NUMBER
2019-20 EMPG COVID-19 Supplemental Grant E-20-248
1. AUTHORIZING AUTHORITY
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
Gary Stamper BOCC Chair
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE PRINT OR TYPE NAME TITLE
Gary Stamper BOCC Chair
a Andy Caldwell DEM Deputy Director
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE PRINT OR TYPE NAME TITLE
Andy Caldwell DEM Deputy Director
/1 Fionna Velazquez Emergency Coordinator
\\NAC-1!VO \HOME\KARENBI....\L/06/77-\
\SIGNAUTH 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.
Washington State Military Department
AMENDMENT
1. Subrecipient Name and Address: 2. Grant Agreement Number: 3. Amendment Number:
Lewis County E20-248 1
Division of Emergency Management(DEM)
351 NW North Street
Chehalis, WA 98532-0509
4. Subrecipient Contact, phone/email: 5. Department Contact, phone/email:
Andy Caldwell, 360-740-1157 John Hollingsworth, 253-512-7044
Andy.Caldwell @lewiscountywa.gov john.hollingsworth @mil.wa.gov
6. EIN: 7. Assistance Listings#(formerly CFDA) &Title: 8. Federal Funding Identification#:
91-6001351 97.042 (20EMPG-S) EMS-2020-EP-00009-S01
9. Funding Authority:
Washington State Military Department(the"DEPARTMENT") and the US Department of Homeland Security (DHS)
10. Description/Justification of Amendment:
During the FY20 EMPG COVID Supplemental (20EMPG-S) allocation process, several emergency management
organizations did not accept the 20EMPG-S funds. Per WAC 118-090-040(3), the Emergency Management Advisory Group
recommended reallocation of the funds based on the normal EMPG allocation methodology.
The Subrecipient has been allocated an additional $3,582, which is added to the Budget (Attachment E). The Work Plan
(Exhibit C) is amended to add a project to rent facility space to store PPE to assist with the COVID-19 disaster response. The
Timeline(Attachment D) is not affected.
Changes are noted in strikethrough and grey highlight.
11. AMENDMENT TERMS AND CONDITIONS:
1. The Grant Agreement End Date of December 31, 2021 remains unchanged.
2. Change the Grant Agreement and Total Match Amount from$14,931 to$18,513,an increase of$3,582, as described
on Page 2 of this Amendment.
3. Replace the Original Work Plan, Exhibit C, with the attached Revised Work Plan, Exhibit C, as described on Page 2
of this Amendment.
4. Replace the Original Budget,Attachment E. with the attached Revised Budget,Attachment E, as described on Page
2 of this Amendment.
This Amendment is incorporated in and made a part of the Grant Agreement. Except as amended herein, all other terms and
conditions of the Grant Agreement remain in full force and effect. Any reference in the original Grant Agreement or an
Amendment to the "Grant Agreement" shall mean "Grant Agreement as amended". The Department and Subrecipient
acknowledge and accept the terms of this Amendment as identified above, effective on the final date of execution below. By
signing this Amendment, the signatories warrant they have the authority to execute this Amendment.
IN WITNESS WHEREOF, the parties have executed this Amendment:
FOR THE DEPARTMENT: FOR T E SUBR CIPIENT:
'-(/(0(g°2-(
Signature Date gnatu Date
Regan Anne Hesse, Chief Financial Officer Gary Stimper, Chair
Washington State Military Department Lewis County Board of Commissioners
BOILERPLATE APPROVED AS TO FORM: APPROVED AS TO FORM (if applicable):
Brian E. Buchholz 7/30/2018
Assistant Attorney General Applicant's Legal Review Date
DHS-FEMA-EMPG-S-FY20 Page 1 of 4 Lewis County DEM, E20-248 Amendment 1
Washington State Military Department
Amendments to Agreement E20-248
1. Change the Grant Agreement Amount from $14,931 to $18,513, an increase of $3,582.
a. Agreement Face Sheet, Box 2 —$44934 $18,513
b. Original Budget, Attachment E; with Revised Budget, Attachment E.
2. Replace the Grant Agreement Work Plan, Exhibit C.
a. Original Work Plan, Exhibit C, with attached Revised Work Plan, Exhibit C.
3. Replace the Original Budget, Attachment E.
a. Replace the Original Budget, Attachment E, with attached Revised Budget, Attachment E.
b. Change the Total Match Amount. $14,934 $18,513
DHS-FEMA-EMPG-S-FY20 Page 2 of 4 Lewis County DEM, E20-248 Amendment 1
Exhibit C
REVISED WORK PLAN
FY 2020 Emergency Management Performance Grant COVID-19 Supplemental
Emergency Management Organization: Lewis County
The purpose of EMPG-S funds is to assist state, local, and tribal emergency management activities
supporting the prevention of, preparation for, and response to the ongoing Coronavirus Disease 2019
(COVID-19) public health emergency. Funding will be used to support planning and operational readiness for
COVID-19 preparedness and response, development of tools and strategies for prevention, preparedness,
and response, and ongoing communication and coordination among federal, State, local, tribal, and
territorial partners throughout the response. EMPG-S grant funds are intended to support the National
Preparedness Goal and fund activities and projects that build and sustain the capabilities necessary to
prevent, protect against, mitigate the effects of, respond to, and recover from those threats and hazards
that pose the greatest risk to the security of the Nation.
Program Area#1 Title
Mitigating Spread of COVID19
WORK PLANNED RESULT OF THE WORK
Purchase and provide thermometers for screening of Identifying citizens that may pose disease risks,which will
COVID-19 in order to encourage a heightened awareness, allow the jurisdiction to avert allowing entrance into
identify potentially infected individuals,and to slow the facilities by those with high temperatures and thereby
spread of the disease.Two types of thermometers will be help to mitigate the spread of the disease.
purchased:
1.Tripod scanner(for detention facilities)
2. Non-contact infrared thermometer(for partner
agencies).
Purchase and provide appropriate masks for citizens that Providing mask protection to those that don't have any
may not have one that desire access into facilities and has the potential of decreasing risks to others and
would like the added protection of a mask. themselves,thereby slowing the spread of the disease.
Purchase and distribute PPE supplies and thermometers The ability to supply and distribute PPE and
and coordinate with Emergency Management agencies thermometers and to coordinate with 130 Emergency
on COVID-19 mitigation. Management agencies throughout the county will help
mitigate the spread of COVID-19 and businesses and
schools reopen.
Rent facility space to adequately store PPE items Rental space will allow the county to store PPE purchased
procured/purchased for the response to COVID-19 within and help increase distribution of PPE throughout the
the county. county to help mitigate the spread of COVID-19.
DHS-FEMA-EMPG-S-FY20 Page 3 of 4 Lewis County DEM, E20-248 Amendment 1
Attachment E
REVISED BUDGET
FY 2020 Emergency Management Performance Grant COVID-19 Supplemental
20EMPG-S AWARD $ 14,931.00
Modification $ 3,582.00
20EMPG-S Amended Award $ 18,513.00
SOLUTION AMENDED
AREA BUDGET CATEGORY EMPG-S AMOUNT MODIFICATION EMPG-S AMOUNT MATCH AMOUNT
Salaries&Benefits $ - $ - $ - $ -
Z Overtime/Backfill $ - $ - $ - $ -
Z Consultants/Contractors $ - $ - $ - $ -
g Goods&Services $ - $ - $ - $ -
a. Travel/Per Diem $ - $ - $ - $ -
Subtotal $ - $ - '$ - $ -
Z Salaries&Benefits $ - $ - $ - $ 18,513
• Overtime/Backfill $ - $ - $ - $ -
ni
Q Consultants/Contractors $ - $ - $ - $ -
Goods&Services $ 931 $ 3,582 $ 4,513 $ -
O Travel/Per Diem $ - $ - $ - $ -
O Subtotal $ 931 $ 3,582 '$ 4,513 $ 18,513
Salaries&Benefits $ - $ - $ - $ -
Z Overtime/Backfill $ - $ - $ - $ -
E Consultants/Contractors $ - $ - $ - $ -
Goods&Services $ - $ - $ - $ -
I— Travel/Per Diem $ - $ - $ - $ -
Subtotal $ - $ - '$ - $ -
D Equipment $ 14,000 $ - $ 14,000 $ -
El 14,000 $ - '$ 14,000 $
°J Subtotal
Salaries&Benefits $ - $ - $ - $ -
Overtime/Backfill $ - $ - $ - $ -
alConsultants/Contractors $ - $ - $ - $ -
2 Goods&Services $ - $ - $ - $ -
Travel/Per Diem $ - $ - $ - $ -
Subtotal $ - $ - '$ - $ -
Indirect $ - $ - $ - _ $ -
Indirect Cost Rate on file 0.0%
TOTAL Grant Agreement AMOUNT: $ 14,931 $ 3,582 $ 18,513 1 $ 18,513
• The Subrecipient will provide a match of at least$44934$18,513, 50% of the total project cost (local budget plus
EMPG-S award), of non-federal origin.
• Cumulative transfers between 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-Pl#703PS—EMPG-S
DHS-FEMA-EMPG-S-FY20 Page 4 of 4 Lewis County DEM, E20-248 Amendment 1
BOCC AGENDA ITEM SUMMARY
Resolution: BOCC Meeting Date: April 6, 2021
Suggested Wording for Agenda Item: Agenda Type: Deliberation
ACCEPTANCE OF AGREEMENT BETWEEN LEWIS COUNTY AND WASHINGTON STATE MILITARY
DEPARTMENT FOR THE 2019-20 EMERGENCY MANAGEMENT PERFORMANCE SUPPLEMENTAL GRANT
INCREASE IN FUNDS AND AUTHORIZING SIGNATURES THEREON
Contact: Fionna Velazquez Phone: 360-740-3331
Department: DES - Emergency Management (Dept. of Emergency Services)
Description:
Amendment to the US Department of Homeland Security, through the Washington State Military
Department providing FEMA Emergency Management Performance COVID-19 Supplemental Grant
(EMPG-S) funds to local jurisdictions and tribes with emergency management programs. The intent
of this grant is to support the local emergency management activities supporting the prevention
of, preparation for, response to, and recovery from the ongoing Coronavirus public health
emergency.
During the FY20 EMPG COVID Supplemental allocation process, several emergency management
organizations did not accept the 20EMPG-S funds. Per WAC 118-090-040(3), the Emergency
Management Advisory Group recommended reallocation of the funds based on the normal EMPG
allocation methodology.
The grant contract number is E20-248 the original amount allocated was $14,931. We as
subrecipient's have been allocated an additional $3,582, which is added to the original amount
totaling a supplemental grant allocation of $18,513. The Work Plan is amended to rent facility
space to store PPE to assist with the COVID-19 disaster response.
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