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AG 19-015 - Public Health
RETURN TO: PW ADMIN EXT: 2700 ID#: 3I (0-4- CITY o+CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT/DIV: PUBLIC WORKS/SWR ORIGINATING STAFF PERSON:ROB VAN ORSOW EXT:2770_ 3. DATE REQ.BY: ;. TYPE OF DOCUMENT(CHECK ONE): o CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) . o PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT o PROFESSIONAL SERVICE AGREEMENT o MAINTENANCE AGREEMENT o GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG o REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT(E.G.BOT D RELATED DOCUMENTS) o ORDINANCE ❑ RESOLUTION o CONTRACT AMENDMENT(AG#): [4NTERLOCAL-GRANT AGREEMENT o OTHER PROJECT NAME:LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM-GRANT FUNDING AGREEMENT i. NAME OF CONTRACTOR:PUBLIC HEALTH-SEATTLE&KING COUNTY ADDRESS:401 5TH AVE,SEATTLE,98104 TELEPHONE:206.263.0365 E-MAIL:JCARPINE@KINGCOUNTY.GOV FAX: SIGNATURE NAME:TBD TITLE: 1. EXHIBITS AND ATTACHMENTS: o SCOPE,WORK OR SERVICES 0 COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS 0 PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE# N/A BL,EXP. 12/31/ UBI# ,EXP. / / '. TERM: COMMENCEMENT DATE:1/1/19 COMPLETION DATE:12/31/20 TOTAL COMPENSATION:$THEY PAY CITY (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑YES ❑NO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: o YES ❑NO IF YES,$ PAID BY: o CONTRACTOR ❑CITY RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT(SEE CONTRACT) OR ❑RETAINAGE BOND PROVIDED o PURCHASING: PLEASE CHARGE To:FUNDS WILL ACCRUE TO: 106-0000-000-337-00-001 /. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED 4 ROJECT MANAGER I IVISION MANAGERVIt A `4 I EPUTY DIRECTOR (((((( \ ✓ (( u DIRECTOR / 2 LAM q1 ❑ RISK MANAGEMENT (IF APPLICABLE )/1/ I4 ,LAW DEPT 0. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 1. CONTRACT SIGNATURE ROUTING I /LP ENT TO VENDOR/CONTRACTOR DATE SENT: 119 ek' DATE REC'D: / I i t ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS o CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT.SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL/DATE SIGNED C 144 5/010( SIGNATORY(MAYOR O DIRECTOR ��// Z I L112.oI l ❑ CITY CLERK 14111 M Ndrtri. ASSIGNED AG# AG# c`_ \r7+ 'SIGNED COPY RETURNED DATE SENT: D.k5. f9 y ❑RETURN ONE ORIGINAL :OMMENTS: XECUTE" "ORIGINALS IARD COPY IS BEING ROUTED FOR APPROVAL AS TO FORM. CITY SIGNS FIRST AUTHORIZING RESO AND PRIOR SIMILAR CONTRACT ATTACHED 1(1010 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A Public Health COMMUNITY SERVICES PHSKC Agreement# s41. Seattle & King County AGREEMENT— 3813 EHS OTHER GOVERNMENT This Agreement is between King County and the Recipient identified below. The County department overseeing the work to be performed in this Agreement is the Department of Public Health (PHSKC). RECIPIENT NAME RECIPIENT FEDERAL TAX ID# City of Federal Way 91-1462550 RECIPIENT ADDRESS RECIPIENT CONTACT&EMAIL ADDRESS 33325 8th Avenue South, Federal Way.WA 98003 Rob Van Orsow; Rob.VanOrsow@cityoffederalway.com PHSKC DIVISION PROJECT TITLE El-IS Local Hazardous Waste Management Program AGREEMENT START DATE AGREEMENT END DATE AGREEMENT MAXIMUM AMOUNT Jan 01 2019 Dec 31 2020 $80,973.49 FUNDING DETAILS Funding Source PHSKC Contract# Amount Effective Dates King County Local NA $80,973.49 Jan 01 2019 TO Dec 31 2020 Hazardous Waste Management Fund— — FUNDING SUMMARY FEDERAL: $0.00 COUNTY $80,973.49 STATE: $0.00 OTHER: $0 00 IS THE RECIPIENT A SUBRECIPIENT FOR PURPOSES OF THIS AGREEMENT? No EXHIBITS. The following Exhibits are attached and are incorporated into this Agreement by reference: Exhibit A-Scope of Work; ExhibitB-Budget;Exhibit C-Invoice template. In consideration of payments,covenants,and agreements hereinafter mentioned,to be made and performed by the parties hereto,the parties mutuallyagree that the Recipient s hall provide services and complywiththe requirements set forth in this Agreement. The parties signing below representthatthey have read and understand this Agreement,and have the authority to execute this Agreement.Furthermore,in addition to agreeing to the terms and conditions provided herein,by signing this Agreement,the Recipientcertifies that it has read and understands the Agreement requirements on the PHSKC website(httpa/www.kingcounty.gov/health/contracts),and agrees to corn ply with all of the Agreement terms and conditions detailed on that site,including EEO/Nondiscrimination,HIPAA Insurance,and Credentiali ng,as applicable. RECIPIENT SIGNATURE PRINTED NAME AND TITLE DATE SIGNED PHSK SIGNATURE PRINTED NAME AND TITLE DATE SIGNED �7r0440A, " Dylan orr 2/13/2019 ""' Deputy Director, Environmental iealth Division 0.80,539,5.6^6. Approved as to Form OFFICE OF THE KING COUNTY PROSECUTING ATTORNEY (This form is available in alternate formats for people with disabilities upon request.) 1 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A KING COUNTY TERMS AND CONDITIONS 1. Agreement Term and Termination A This Agreement shall commence on the Agreement Start Date and shall terminate on the Agreement End Date as specified on page 1 of this Agreement, unless extended or terminated earlier, pursuant to the terms and conditions of the Agreement. B. This Agreement may be terminated by the County or the Recipient without cause, in whole or in part, prior to the Agreement End Date, by providing the other party thirty (30) days advance written notice of the termination. The Agreement may be suspended by the County without cause,in whole or in part, prior to the date specified in Subsection 1A above, by providing the Recipient thirty (30)days advance written notice of the suspension. C. The County may terminate or suspend this Agreement, in whole or in part, upon seven (7) days advance written notice in the event: (1)the Recipient materially breaches any duty, obligation, or service required pursuant to this Agreement, or(2)the duties, obligations, or services required herein become impossible,illegal, or not feasible. If the Agreement is terminated by the County pursuant to this Subsection 1.C. (1), the Recipient shall be liable for damages, including any additional costs of procurement of similar services from another source. If the termination results from acts or omissions of the Recipient, including but not limited to misappropriation, nonperformance of required services,or fiscal mismanagement,the Recipient shall return to the County immediately any funds, misappropriated or unexpended, which have been paid to the Recipient by the County. D. If County or other expected or actual funding is withdrawn, reduced, or limited in any way prior to the termination date set forth above in Subsection 1.A, the County may, upon written notification to the Recipient, terminate or suspend this Agreement in whole or in part. If the Agreement is terminated or suspended as provided in this Section: (1) the County will be liable only for payment in accordance with the terms of this Agreement for services rendered prior to the effective date of termination or suspension;and (2) in the case of termination the Recipient shall be released from any obligation to provide such further services pursuant to the Agreement ; and (3) in the case of suspension the Recipient shall be released from any obligation to provide services during the period of suspension and until such time as the County provides written authorization to resume services.. Funding or obligation under this Agreement beyond the current appropriation year is conditional upon appropriation by the County Council of sufficient funds to support the activities described in the Agreement. Should such appropriation not be approved, this Agreement will terminate at the close of the current appropriation year. E. Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Agreement or law that either party may have in the event that the obligations, terms,and conditions set forth in this Agreement are breached by the other party. 2. Compensation and Method of Payment A. The County shall reimburse the Recipient for satisfactory completion of the services and requirements specified in this Agreement, payable upon receipt and approval by the County of a signed invoice in substantially the form of the attached Invoice Exhibit, which complies with the attached Budget Exhibit. B. The Recipient shall submit an invoice and all accompanying reports as specified in the attached exhibits not more than 60 working days after the close of each indicated reporting period. The County shall make payment to the Recipient not more than 30 days after a complete and accurate invoice is received. 2 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A C. The Recipient shall submit its final invoice and all outstanding reports within 90 days of the date this Agreement terminates. If the Recipient's final invoice and reports are not submitted by the day specified in this subsection,the County will be relieved of all liability for payment to the Recipient of the amounts set forth in said invoice or any subsequent invoice. D. When a budget is attached hereto as an exhibit, the Recipient shall apply the funds received from the County under this Agreement in accordance with said budget. The Agreement may contain separate budgets for separate program components. The Recipient shall request prior approval from the County for an amendment to this Agreement when the cumulative amount of transfers among the budget categories is expected to exceed 10%of the Agreement amount in any Agreement budget. Supporting documents necessary to explain fully the nature and purpose of the amendment must accompany each request for an amendment. Cumulative transfers between budget categories of 10%or less need not be incorporated by written amendment;however, the County must be informed immediately in writing of each such change, E. Should, in the sole discretion of the County, the Recipient not timely expend funds allocated under this Agreement, the County may recapture and reprogram any such under-expenditures unilaterally and without the need for further amendment of this Agreement. The County may unilaterally make changes to the funding source without the need for an amendment. The Recipient shall be notified in writing of any changes in the fund source or the recapturing or reprograming of under expenditures. F. If travel costs are contained in the attached budget, reimbursement of Recipient travel, lodging, and meal expenses are limited to the eligible costs based on the following rates and criteria. 1. The mileage rate allowed by King County shall not exceed the current Internal Revenue Service(IRS)rates per mile as allowed for business related travel. The IRS mileage rate shall be paid for the operation, maintenance and depreciation of individually owned vehicles for that time which the vehicle is used during work hours. Parking shall be the actual cost.When rental vehicles are authorized, government rates shall be requested. If the Recipient does not request government rates,the Recipient shall be personally responsible for the difference. Please reference the federal web site for current rates: http:/lwww.gsa.gov. 2. Reimbursement for meals shall be limited to the per diem rates established by federal travel requisitions for the host city in the Code of Federal Regulations, 41 CFR § 301, App.A_ Please reference http:,'/www gsa.gov for the current host city per diem rates 3. Accommodation rates shall not exceed the federal lodging limit plus host city taxes. The Recipient shall always request government rates. 4. Ar travel shall be by coach class at the lowest possible price available at the time the County requests a particular trip. In general, a trip is associated with a particular work activity of limited duration and only one round-trip ticket, per person, shall be billed per trip. Any air travel occurring as part of a federal grant must be in accordance with the Fly America Act. 3. Internal Control and Accounting System The Recipient shall establish and maintain a system of accounting and internal controls which complies with applicable generally accepted government accounting standards (GAGAS). 4. Debarment and Suspension Certification Entities that are debarred, suspended, or proposed for debarment by the U.S. Government are excluded from receiving federal funds and contracting with the County. The Recipient, by signature to this Agreement, certifies that the Recipient is not presently debarred, suspended, or proposed for debarment by any Federal department or agency. The Recipient also agrees that it will not enter 3 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A into a sub-agreement with a Recipient that is debarred, suspended,or proposed for debarment. The Recipient agrees to notify King County in the event it, or a sub-awardee, is debarred, suspended, or proposed for debarment by any Federal department or agency. 5. Maintenance of Records/Evaluations and Inspections A. The Recipient shall maintain accounts and records,including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County to ensure proper accounting for all Agreement funds and compliance with this Agreement. B. In accordance with the nondiscrimination and equal employment opportunity requirements set forth in Section 13. below, the Recipient shall maintain the following: 1_ Records of employment, employment advertisements, application forms,and other pertinent data, records and information related to employment, applications for employment or the administration or delivery of services or any other benefits under this Agreement; and 2. Records,including written quotes, bids, estimates or proposals submitted to the Recipient by all businesses seeking to participate on this Agreement, and any other information necessary to document the actual use of and payments to sub-awardees and suppliers in this Agreement, including employment records. The County may visit the site of the work and the Recipient's office to review the foregoing records.The Recipient shall provide every assistance requested by the County during such visits. In all other respects,the Recipient shall make the foregoing records available to the County for inspection and copying upon request. If this Agreement involves federal funds, the Recipient shall comply with all record keeping requirements set forth in any federal rules, regulations or statutes included or referenced in the Agreement documents. C. Except as provided in Section 6 of this Agreement, the records listed in A and B above shall be maintained for a period of six(6) years after termination hereof unless permission to destroy them is granted by the Office of the Archivist in accordance with Revised Code of Washington (RCW)Chapter 40.14_ D. Medical records shall be maintained and preserved by the Recipient in accordance with state and federal medical records statutes, including but not limited to RCW 70.41.190, 70.02.160, and standard medical records practice. If the Recipient ceases operations under this Agreement, the Recipient shall be responsible for the disposition and maintenance of such medical records. E. The Recipient agrees to cooperate with the County or its agent in the evaluation of the Recipient's performance under this Agreement and to make available all information reasonably required by any such evaluation process.The results and records of said evaluations shall be maintained and disclosed in accordance with RCW Chapter 42.56. F. The Recipient agrees that all information, records,and data collected in connection with this Agreement shall be protected from unauthorized disclosure in accordance with applicable state and federal law. 6. Compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) The Recipient shall not use protected health information created or shared under this Agreement in any manner that would constitute a violation of HIPAA and any regulations enacted pursuant to its provisions. Recipient shall read and certify compliance with all HIPAA requirements at http://www.kingcounty.gov/healthservices/health/partners hips/contracts 7. Audits 4 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A A. If the Recipient is a municipal entity or other government institution or jurisdiction, it shall notify the County in writing within 30 days of when its annual report of examination/audit, conducted by the Washington State Auditor, has been completed. B. Additional audit or review requirements which may be imposed on the County will be passed on to the Recipient and the Recipient will be required to comply with any such requirements. 8. Corrective Action If the County determines that a breach of Agreement has occurred,that is, the Recipient has failed to comply with any terms or conditions of this Agreement or the Recipient has failed to provide in any manner the work or services agreed to herein, and if the County deems said breach to warrant corrective action, the following sequential procedure will apply: A. The County will notify the Recipient in writing of the nature of the breach; The Recipient shall respond in writing within three(3)working days of its receipt of such notification, which response shall indicate the steps being taken to correct the specified deficiencies.The corrective action plan shall specify the proposed completion date for bringing the Agreement into compliance,which date shall not be more than ten (10) days from the date of the Recipient's response, unless the County, at its sole discretion, specifies in writing an extension in the number of days to complete the corrective actions; B. The County will notify the Recipient in writing of the County's determination as to the sufficiency of the Recipient's corrective action plan. The determination of sufficiency of the Recipient's corrective action plan shall be at the sole discretion of the County; C. In the event that the Recipient does not respond within the appropriate time with a corrective action plan, or the Recipient's corrective action plan is determined by the County to be insufficient, the County may commence termination or suspension of this Agreement in whole or in part pursuant to Section 1.C.; D. In addition, the County may withhold any payment owed the Recipient or prohibit the Recipient from incurring additional obligations of funds until the County is satisfied that corrective action has been taken or completed; and E. Nothing herein shall be deemed to affect or waive any rights the parties may have pursuant to Section 1., Subsections B, C, D, and E. 9. Dispute Resolution The parties shall use their best,good-faith efforts to cooperatively resolve disputes and problems that arise in connection with this Agreement. Both parties will make a good faith effort to continue without delay to carry out their respective responsibilities under this Agreement while attempting to resolve the dispute under this section. 10. Hold Harmless and Indemnification A In providing services under this Agreement, the Recipient is an independent contractor,and neither it nor its officers, agents, employees, or subcontractors are employees of the County for any purpose. The Recipient shall be responsible for all federal and/or state tax, industrial insurance, and Social Security liability that may result from the performance of and compensation for these services and shall make no claim of career service or civil service rights which may accrue to a County employee under state or local law. The County assumes no responsibility for the payment of any compensation, wages, benefits, or taxes, by, or on behalf of the Recipient, its employees, subcontractors and/or others by reason of this Agreement. The Recipient shall protect, indemnify, and save harmless the County, its officers, agents, and employees from and against any and all claims,costs,and/or losses whatsoever occurring or resulting from (1)the Recipient's failure to pay any such compensation, wages,benefits, or taxes, and/or (2)the supplying to the Recipient of work, 5 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A services, materials, or supplies by Recipient employees or other suppliers in connection with or support of the performance of this Agreement. B. The Recipient further agrees that it is financially responsible for and will repay the County all indicated amounts following an audit exception which occurs due to the negligence, intentional act, and/or failure, for any reason, to comply with the terms of this Agreement by the Recipient, its officers, employees, agents, or subcontractors.This duty to repay the County shall not be diminished or extinguished by the prior termination of the Agreement pursuant to the Term and Termination section. C The Recipient shall defend, indemnify, and hold harmless the County, its officers,employees, and agents from any and all costs,claims,judgments,and/or awards of damages,arising out of, or in any way resulting from, the negligent acts or omissions of the Recipient, its officers, employees, sub-awardees and/or agents in its performance or non-performance of its obligations under this Agreement. In the event the County incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the Recipient. D. The County shall defend, indemnify, and hold harmless the Recipient, its officers,employees, and agents from any and ail costs,claims,judgments,and/or awards of damages, arising out of, or in any way resulting from,the negligent acts or omissions of the County. its officers, employees, or agents in its performance or non-performance of its obligations under this Agreement. In the event the Recipient incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the County. E. Claims shall include, but not be limited to, assertions that use or transfer of software,book, document, report, film, tape, or sound reproduction or material of any kind, delivered hereunder, constitutes an infringement of any copyright, patent, trademark, trade name, and/or otherwise results in unfair trade practice. F. Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Agreement. G. The indemnification, protection, defense and save harmless obligations contained herein shall survive the expiration, abandonment or termination of this Agreement. 11. Insurance Requirements By the date of execution of this Agreement, the Recipient shall procure and maintain for the duration of this Agreement, insurance against claims for injuries to persons or damages to property which may arise from, or in connection with, the performance of work hereunder by the Recipient, its agents, representatives, employees, and/or sub-awardees. The costs of such insurance shall be paid by the Recipient or sub-awardee. The Recipient may furnish separate certificates of insurance and policy endorsements for each sub-awardee as evidence of compliance with the insurance requirements of this Agreement. The Recipient is responsible for ensuring compliance with all of the insurance requirements stated herein. Failure by the Recipient, its agents, employees, officers,sub- awardee, providers, and/or provider sub-awardees to comply with the insurance requirements stated herein shall constitute a material breach of this Agreement. Specific coverages and requirements are at http://www.kingcounty.gov/healthservices/health/partnerships/contracts; Recipients shall read and provide required insurance documentation prior to the signing of this Agreement. 12. Assignment/Sub-agreements A. The Recipient shall not assign or sub-award any portion of this Agreement or transfer or assign any claim arising pursuant to this Agreement without the written consent of the County. Said consent must be sought in writing by the Recipient not less than fifteen (15)days prior to the date of any proposed assignment. 6 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A B. "Sub-agreement' shall mean any agreement between the Recipient and a sub-awardee or between sub-awardees that is based on this Agreement, provided that the term "sub- awardee" does not include the purchase of(1) support services not related to the subject matter of this Agreement, or(2)supplies. C. The Recipient shall include Sections 2.D., 2.E., 3, 4, 5, 6, 10.A., 10.B., 10.G., 12, 13, 14, 15, 16, 17, 23, 24, 26, and the Funder's Special Terms and Conditions, if attached, in every sub- agreement that relates to the subject matter of this Agreement. D. The Recipient agrees to include the following language verbatim in every sub-agreement for services which relate to the subject matter of this Agreement: "Sub-awardee shall protect, defend, indemnify, and hold harmless King County, its officers, employees and agents from any and all costs,claims,judgments,and/or awards of damages arising out of, or in any way resulting from the negligent actor omissions of sub-awardee, its officers,employees, and/or agents in connection with or in support of this Agreement. Sub- awardee expressly agrees and understands that King County is a third party beneficiary to this Agreement and shall have the right to bring an action against sub-awardee to enforce the provisions of this paragraph." 13. Nondiscrimination and Equal Employment Opportunity The Recipient shall comply with all applicable federal, state and local laws regarding discrimination, including those set forth in this Section. During performance of the Agreement, the Recipient agrees that it will not discriminate against any employee or applicant for employment because of the employee or applicant's sex, race, color, marital status,national origin, religious affiliation, disability, sexual orientation, gender identity or expression or age except by minimum age and retirement provisions, unless based upon a bona fide occupational qualification. The Recipient will make equal employment opportunity efforts to ensure that applicants and employees are treated, without regard to their sex, race, color, marital status,national origin, religious affiliation, disability, sexual orientation, gender identity or expression or age. Additional requirements are at http://www.kingcounty.gov/healthservices/health/partnerships/contracts; Recipients shall read and certify compliance. 14. Conflict of Interest A. The Recipient agrees to comply with applicable provisions of K.C.C.3.04. Failure to comply with such requirements shall be a material breach of this Agreement, and may result in termination of this Agreement pursuant to Section II and subject the Recipient to the remedies stated therein, or otherwise available to the County at law or in equity. B. The Recipient agrees, pursuant to KCC 3.04.060, that it will not willfully attempt to secure preferential treatment in its dealings with the County by offering any valuable consideration, thing of value or gift, whether in the form of services,loan, thing or promise, in any form to any county official or employee. The Recipient acknowledges that if it is found to have violated the prohibition found in this paragraph, its current Agreements with the county will be cancelled and it shall not be able to bid on any county Agreement for a period of two years. C. The Recipient acknowledges that for one year after leaving County employment, a former County employee may not have a financial or beneficial interest in an agreement or grant that was planned, authorized, or funded by a County action in which the former County employee participated during County employment. Recipient shall identify at the time of offer current or former County employees involved in the preparation of proposals or the anticipated performance of Work if awarded the Agreement. Failure to identify current or former County employees involved in this transaction may result in the County's denying or terminating this Agreement. After Agreement award, the Recipient is responsible for notifying the County's 7 DocuSign Envelope ID:78803617-EE4E-499F-A84B-2D5B9ED7C12A Project Manager of current or former County employees who may become involved in the Agreement any time during the term of the Agreement, 15. Equipment Purchase,Maintenance,and Ownership A. The Recipient agrees that any equipment purchased, in whole or in part, with Agreement funds at a cost of$5,000 per item or more,when the purchase of such equipment is reimbursable as an Agreement budget item, is upon its purchase or receipt the property of the County and/or federal/state government. The Recipient shall be responsible for all such property, including the proper care and maintenance of the equipment. B. The Recipient shall ensure that all such equipment will be returned to the County or federal/state government upon termination of this Agreement unless otherwise agreed upon by the parties. 16. Proprietary Rights The parties to this Agreement hereby mutually agree that if any patentable or copyrightable material or article should result from the work described herein, all rights accruing from such material or article shall be the sole property of the party that produces such material or article. If any patentable or copyrightable material or article should result from the work described herein and is jointly produced by both parties, all rights accruing from such material or article shall be owned in accordance with US Patent Law. Each party agrees to and does hereby grant to the other party, irrevocable, nonexclusive, and royalty-free license to use, according to law, any material or article and use any method that may be developed as part of the work under this Agreement. The foregoing products license shall not apply to existing training materials, consulting aids, checklists,and other materials and documents of the Recipient which are modified for use in the performance of this Agreement. The foregoing provisions of this section shall not apply to existing training materials,consulting aids, checklists,and other materials and documents of the Recipient that are not modified for use in the performance of this Agreement. 17. Political Activity Prohibited None of the funds, materials, property, or services provided directly or indirectly under this Agreement shall be used for any partisan political activity or to further the election or defeat of any candidate for public office. 18. King County Recycled Product Procurement Policy In accordance with King County Code 18.20, the Recipient shall use recycled paper, and both sides of sheets of paper whenever practicable, when submitting proposals, reports, and invoices, if paper copies are required. 19. Future Support The County makes no commitment to support the services awarded for herein and assumes no obligation for future support of the activity awarded herein except as expressly set forth in this Agreement. 20. Entire Agreement/Waiver of Default The parties agree that this Agreement is the complete expression of the terms hereto and any oral or written representations or understandings not incorporated herein are excluded. Both parties recognize that time is of the essence in the performance of the provisions of this Agreement. Waiver of any default shall not be deemed to be a waiver of any subsequent default. Waiver or breach of any provision of the Agreement shall not be deemed to be a waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of the Agreement unless stated to be such through written approval by the County, which shall be attached to the original Agreement. 8 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A 21. Amendments Either party may request changes to this Agreement. Proposed changes which are mutually agreed upon shall be incorporated by written amendments to this Agreement. Changes to the County's Agreement numbering system or fund source may be made unilaterally by the County and without the need for amendment of this Agreement. The Recipient shall be notified in writing of any changes in the Agreement number or fund source assigned by the County; provided, however, that the total compensation allocated by the County through this Agreement does not change. 22. Notices Whenever this Agreement provides for notice to be provided by one party to another, such notice shall be in writing and directed to the chief executive office of the Recipient and the project representative of the County department specified on page one of this Agreement. Any time within which a party must take some action shall be computed from the date that the notice is received by said party. 23. Services Provided in Accordance with Law and Rule and Regulation The Recipient and any sub-awardee agree to abide by the laws of the state of Washington. rules and regulations promulgated thereunder, and regulations of the state and federal governments, as applicable, which control disposition of funds granted under this Agreement, all of which are incorporated herein by reference. In the event that there is a conflict between any of the language contained in any exhibit or attachment to this Agreement, the language in the Agreement shall have control over the language contained in the exhibit or the attachment, unless the parties affirmatively agree in writing to the contrary. 24. Applicable Law This Agreement shall be construed and interpreted in accordance with the laws of the State of Washington. The venue for any action hereunder shall be in the Superior Court for King County, Washington. 25. Electronic Processing and Signatures The parties agree that this Agreement may be processed and signed electronically, which if done so,will be subject to additional terms and conditions found at https:/fwww.docusign.comlcompanylterm s-of-use. The parties acknowledge that they have consulted with their respective attorneys and have had the opportunity to review this Agreement. Therefore, the parties expressly agree that this Agreement shall be given full force and effect according to each and all of its express terms and provisions and the rule of construction that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement. The parties executing this Agreement electronically have authority to sign and bind its represented party to this Agreement. 26. No Third Party Beneficiaries Except for the parties to whom this Agreement is assigned in compliance with the terms of this Agreement, there are no third party beneficiaries to this Agreement, and this Agreement shall not impart any rights enforceable by any person or entity that is not a party hereto. END OF COUNTY TERMS AND CONDITIONS 9 DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A EXHIBIT A SCOPE OF WORK C'I'L\ OF FEDERAL s\:�\ 1/1/2019-12/31/2020 Background The Local Hazardous Waste \(aitagentent Ilan I hereafter referred to as the -Plan) as updated in 1997 and 2010. was adopted by the partner ag_�enc ics i K in County Solid Waste Di\4sion, Seattle Public I.tilities, Kin t Cotnty Water and Land Resources Di\ision and Public IIeakh - Seattle and Kung County)and the cities kacated in K ini Count) The Washington State Department of Ecology in accordance with R('W 70, 105 220 subsequently approved the Plan. the City is an active and valued partner in the regional Local Hazardous Waste Management Program(hereafter referred to as the "Program"). The purpose of this Fchhit is to define the rekttiotuship associated with the Progr'am's huklint of City activities pertontted under the auspices of the Phu and as appro)ed by the Program's Management enment Coordination Committee thereinafter retenred to as the -MCC-1. Tins Contract tinier defines the responsibilities oldie('ity and Pttl>•lic Wealth-- Seattle and Kinds County with respect to the transfer of Program monies. Scope of Work 'The City of Federal Way wilt organize four citywide household hazardous waste collection and recycling events. At these events the tblknvure materials will be collected and recycled: batteries. ('F(. appliances and other materials it'deemed to be cost effective. The City witi also provide educational rtxtteriaLs/services at these events. The City will aLso provide outreach and education to residents regarding the avaiktbk moderate risk waste collection services. One city member will also stall 1.111A/NIP committees and workgroups. Responsibilities of the Parties The City 1 The City shall develop and submit project proposals and budget requests to the Program's Contract Administrator. Fouls provided to the City by the Prowram pursuant to this Contract shall be used to implement haiardous waste programs anxt or ser\i:es as approved by the MCC. 2 [lie City shall submit timely reiiibursement requests as negotiated with the Contract .Administrator. For reimbursement, the City shall submit the tiilkmint.:to the ('ontract Administrator City olFederal Way I DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A a) \n ui oice Nee I:xliil,it O Invoices should he sent to the Contract \dnunistratoi for approval and payment. Ili A bricidescrtption()Heti\tiv accomplished and tiuids expended in accordance with the scope of work. ci Copies of invoices kir e.xpenditwes or a financial statement prepared by the City's finance department The financial statement shoukl include vendor names. a description ofservices provided date paid and a check or warrant nturber. d) A legible copy ofthe Hartrdous Waste \-lanif st 3 The City shall submit to the Contract Administrator no later than December 5'' ()leach bear a final invoice or estimate fir activities con>I)leted in that calendar year 4. It is the resportsibihy of the City to comply with all applicable county, slate and:or federal reporting requirements with respect to the collection and transfer of moderate risk wastes The Cay shall report to the Contract Administrator the quantity, by type, of moderate risk waste collected using Program bunds The City shall also provide tlx: Contract :Administrator with copies of EPA's Non- Hazardous Waste \lanit st or similar ti)rm, associated with the transport ofnx)derate risk waste collected throw* Program-funded events. 5. The City is solely responsible for any and all spilk leaks or other emergencies arising at the facilities associated with the City's events or in any other way associated with activities conducted within the scope ofthis Contract. In the event ot'a spill or other emergency. the City is responsible tier comphyi a with all applicable ktws and re`Rtkitk ns. b. The City agrees to appropriately acknowledge the Pro`:ram is all media produced it part or in whole - with Protram kinds. Where feasible_ the City will use the Program's logo The intent of this provision i5 to tiartfer strengthen this regional partnership in the public's mind, 7. The City agrees to provide the Program with copies ofall media mtateritl produced for local hazardous waste n>trtaaement events or activities that have been fiutded by the Program. The City also agrees to allow the Program to reproduce media materials created with Program money provided that the Program credits the (.'ity as the oriuinator ofth t material. x. This project shall be administered by Rob Van Oisow at the City of Federal Way. 33325 -- fish Ave. South, Federal Way at (253) 835-22770, Rob,Vi )rsowca CityotFederalWay.cotn)or his desiunee. 9. Questions or concerns regarding any issue associated with this Exhibit that cannot be handled by the Contract Administrator shoukl be referred to the I.HW NIP Program Director fbr resolution. Seattle-King Count' Department of Public Health I. Fhie Seattle-KinuCounty I)epartnalnt of Public Ifealthshall administer, via the attached (.°ontract, the transfer ohProgram Binds to the ('ity tier ha/anions waste n><utagentent events and activities. City cif Federal Way DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A Within ten( in) working days ref receR inga request tier reimbursement (ion)the City the ( runt act \dminisnator shall either notiti the( ofarry exceptions to the request which have been identified or shall process the request for payment_ It any exceptions to the request are made, this shall be done by wwritten notification to the ('itw prowiding the reason tier such exception Ilse Contract .Administrator wyill not authorize payment tier activities and,or expenditures that are not included in the scope of work, unless the scope has been amended. The Contract Administrator retains the right to withhold all or partial payment if the City's invoices are incomplete tee,. they do not include proper documentation ofexpenlitures for which reimbursement is being requested)or are not consistent with the submitted scope of work. Program Contacts Lynda Randy Joy Carpine-Carranti LF11Ar"141P Program [director 11-1WNlP Contract .Admiitistrator 150 Nickerson Street, Suite 204 401 Fifth Avenue, Suite 1100 Seattle, WA 98109 Seattle, WA 98104 206-263-8241 206-263-0365 lyuda_€artslev"<<t'krnucountvgow tcarpinor kin cotutw.eoy City of Federal Way 3 DocuSign Envelope ID:788D3617-EE4E-499F-A8413-2D5B9ED7C12A EXHIBIT B 2019-2020 IX;ET LOCAL H AL%ROOFS N%ASTE \l \_1GE11EyT PRO(:R.%NI City of Federal Way 33325 --8"' Ave. South Federal Way, WA 98003 Component Description 2019-2020 Budget Total Household Hazardous $l0,000.0O $10,000.00 Waste Education Household Hazardous $54,97149 $54,973.49 Waste Collection Cities Staffing to $16,000.00 $16,000.00 L.HWMP Committees and Work Groups TOTAL $80,973.49 $80,973.49 Footnote: l'he 2019-2020 budget can be partly or totally spent in either 2019 and or 2021) but cannot exceed the budget total in these two years. City of Federal Way DocuSiyn Envelope ID:788D3617-EE4E-499F-A8413-2D5B9ED7C12A 1 CAL V 1 L l Vt..t.l.1•.11 Seattle & King County ALL FIELDS MUST BE COMPLETED FOR PROMPT PAYMENT PROCESSING King County Accounts Payable Information INVOICE Purchase Order# Supplier Name City of Federal Way Contract Number: 3813 EHS Supplier f# 5941 Exhibit C Supplier Pay Site CITY OF FED WAY Contract Period of Performance 1/1/19-12/3[/20 Remit to Address 33325 8th Ave S Federal Way,WA 98003 City of Federal Way Invoice Date 33325 8th Ave S Invoice# Federal Way,WA 98003 Amount to be Paid Invoice Processing Contact:Rob Van Orsow {253)835-2770 nil, adltor,ej v: , ytatt,-'tire alahryry.:cx¢; PH Program name/phone Kristin Painter(206)477-5470 Submit signed hardcopy invoice to: loy Carpine-Cazzanti Local Hazardous Waste Management Program Public Health-Seattle&King County 401 5th Ave.,Suite 1100 Seattle,WA 98104 IIarptuie((xakerrp1.ountr„kiv Start End Date Date Invoice for services rendered under this contract for the period of: MM/DD/YY Project Organization Expend Acct [ask CPA Amount 1114016 860000 53105 001 Attach sheet for multiple POETAs Expenditure Item 2019-20 Budget Previously Billed Current Cumulative Balance HHW Education 510.000.00 $10,000.00 HHW Collection $54,973.49 $54,913.49 Staffing I HWMP Comm. 516,000.00 516,000.00 Total $80,973.49 $80,973.49 Materials and quantities collected: Gallons of motor oil Number of motor oil filters Gallons of mixed fuel Gallons of antifreeze Pounds of lead acid batteries Pounds of dry batteries Number of CFC aplliances Other(please specify) I,tie.,r derfgred.d o terehe cert(y wader the thus of the Sate of Wast iognoo i eo ilty..r uerl try, hat this is 1 true.tad co cet aatn tor reanhurcement services iehresr,1 nndrrstand,hat coy false simm,, statements,ts,iacurr e or:onceairrent of material Yat,may he prose,sited'rode,appl:csble Pedes[aro:tate his certdm icatioo Incuu:lodes any attachments which serve as suppong docuentat on to ti, n remabur;eeq meot request Subrecipient Signed Date PH Authorization/Approval Date Print Name DocuSign Envelope ID:788D3617-EE4E-499F-A84B-2D5B9ED7C12A INVOICE DETAIL Sderirs&Wages-List by Employee Hours Nate of Pay(lir Budget Previously Current Cumulative Balance(Budget - -- --- Bitted Expenditure (Previous less Cumulative)� u memo} Subtotal > Fringe Benefits Base Rate Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous. less Cumulative) Current) Subtotal , Consultant Costs-Itemize by consultant Unit of measure Rate fnxlgrl Previously Current Cumulative Balance(Budget below Billed Expenditure (Previous. less Cumulative) Current) $ $ Sulmntsl 7 S Soup/Sm.Please detail below Budget Previously Current Cumulative Balance(Budget Billed (vpeelilure (Previous+ less Cumulative) (ustent) . subtotal > , Travel Budget Previously Current Cumulative Balance(Budget. Billed Expenditure (Previous+ less Cumulative) Current) In State Travel Total d of Wm Rate Out of State Travel pot People Rate Pe,Diem and Lodging Pot People 11 of Units Unit Cost Subtotal > Other Costs-Please detail below Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous. less Cumulative) Current) S Subtotal - , ., Overhead Costs-Please detail below Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous. less Cumulative) Current) Subtotal ,{ , , Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative' CutCeuil (Merl 00515 total 7 > > , S a $ Grand Total Notes zefarding this Invoice ACc RE! CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ♦i...---/ 12/31/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CathyFleck NAME: Leavitt Group Northwest PHONE A/C No.Extl: (800)726-8771 (AIC No): (866)728-9168 PO Box 65770 E-MAIL ADDRESS:cathy-flack@leavitt.com INSURER(S)AFFORDING COVERAGE NAIC U University Place WA 98464 INSURER A:Argonaut Insurance Company 19801 INSURED INSURER B Arch Insurance Company 11150 City of Federal Way INSURERC: 33325 8th Ave S INSURERD: Tonia Proctor ARM INSURER E: Federal Way WA 98003-6325 INSURERF: COVERAGES CERTIFICATE NUMBER:18-19 GL MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD,WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 2902013-04 12/31/2018 12/31/2019 MED EXP(Any one person) $ Excluded PERSONAL&ADV INJURY $ 10,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: Public Officials E&O $ 10,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS 2902013-04 12/31/2018 12/31/2019 BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) SIR $ 250,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B x EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ UXP1015910-01 12/31/2018 12/31/2019 $ A WORKERS COMPENSATION PER X OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 2902013-04 12/31/2018 12/31/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) Stop Gap E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 — DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D DeLorenzo/CAFLEC �/t.d ' .4.•-se-40.1.--- c)1988- — ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)