HomeMy WebLinkAbout5713 (2)GRANT AGREEMENT
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
Natural Resources and Parks (DNRP), Water and Land Resources Division (WLRD).
RECIPIENT NAME
City of Auburn
RECIPIENT ADDRESS
25 W. Main Street
Auburn, WA 98001
RECIPIENT CONTACT & EMAIL ADDRESS
Joan Nelson
jenelson@auburnwa.gov
PROJECT TITLE
Local Hazardous Waste Management Program Grant Funds for 2023 and 2024
AGREEMENT START DATE
January 1, 2023
AGREEMENT END DATE
March 31, 2025
AGREEMENT MAXIMUM
AMOUNT
60,213.58
EXHIBITS. The following Exhibits are attached and are incorporated into this
Agreement by reference:
Exhibit A – Scope of Work
Exhibit B – Budget
Exhibit C – Invoice Template
Exhibit D – Certificate/Evidence of Insurance
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AGREEMENT FOR AWARD OF
LOCAL HAZARDOUS WASTE MANAGEMENT GRANT FUNDS FOR 2023 and 2024
Between
KING COUNTY and the CITY OF AUBURN
This Agreement for Award of Local Hazardous Waste Management Grant Funds “Agreement” is made
by and between King County, a charter county and political subdivision of the State of Washington,
acting through its Department of Natural Resources, Water and Land Resources Division and the City of
Auburn, a municipal corporation of the State of Washington, hereinafter referred to as the “County” and
the “City” respectively. The County and City may be referred to individually as a “Party” and
collectively as the “Parties.”
1. RECITALS
1.1 The Local Hazardous Waste Management Plan (hereafter referred to as the “Plan”) as updated in
1997, 2010, and 2021, was adopted by the participating agencies (the King County Solid Waste
Division, the Seattle Public Utilities, the King County Water and Land Resources Division, and Public
Health – Seattle and King County) and the cities located in King County. The Washington State
Department of Ecology in accordance with RCW 70A.300.350 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”).
1.2 The Plan authorizes Local Hazardous Waste Management Funds to be provided to partner cities
located in King County to help fund those cities’ activities associated with hazardous waste collection
and/or educational outreach and educational services.
1.3 King County has received a proposed scope of work and budget from the City and has
determined that the scope of work and budget, attached hereto and incorporated herein as Exhibit A
Scope of Work”) and Exhibit B (“Budget”), respectively, are consistent with the Plan’s and Program’s
policies, goals, and objectives.
1.4 King County and the City desire to enter into this Agreement for the purpose of establishing the
terms and conditions under which King County will provide an award of Local Hazardous Waste
Management Funds to the City.
NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the Parties
hereby agree to the terms and conditions as follows:
2. AWARD OF GRANT; CONDITIONS OF GRANT
2.1 The Recitals are an integral part of this Agreement and are incorporated herein by this reference.
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2.2 King County agrees to grant the City an award of Local Hazardous Waste Management Funds
not to exceed $60,213.58 (the “Award”) on a reimbursement basis as described in Section 2.5. The
Award shall be used by the City solely for the performance of the activities described in this Agreement.
2.3 The City shall use the grant of Local Hazardous Waste Management Funds to provide hazardous
waste collection and/or education services or programs as described in Exhibit A. The total amount of
funds available from this grant in 2023 and 2024 shall not exceed $60,213.58.
2.4 This Agreement provides for distribution of 2023 and 2024 grant funds to the City.
Reimbursement for activities carried out and expenses incurred by the City may predate the execution
date of this Agreement provided that (a) the activities have been identified by the City as being within
the Scope of Work and have been approved by King County as being within such Scope of Work;
b) the expenses are incurred in carrying out the Scope of Work and are authorized by the Award; and
c) such activities and expenses otherwise comply with all other terms of this Agreement.
Reimbursements shall be paid to the City only after this Agreement has been fully executed.
2.5. During this two-year grant program, the City will submit a minimum of two (2), but no more
than eight (8), progress reports, which include the City’s reimbursement requests, to the County in a
form determined by the County. Reports must be signed by a City official. These reports shall include
all of the following:
a. A description of each activity accomplished pertaining to the scope of work.
b. Copies of invoices for expenditures or a financial statement prepared by the City’s
finance department. The financial statement should include vendor names, a description
of services provided, date paid, and a check or warrant number.
c. Reimbursement requests with an Invoice Form and an Invoice Detail Form, which is
attached hereto as Exhibit C and incorporated herein by reference, unless the City has a
spreadsheet similar to the Invoice Detail Form already in use, in which case the City may
use that spreadsheet instead of the Invoice Detail Form. The City will submit the form or
similar spreadsheet and submit backup documentation for grant expenses.
d. If the City receives funding from sources other than the Local Hazardous Waste
Management Program for any of the activities set forth in Exhibit A, then the City’s
reimbursement request shall acknowledge these other sources and the reimbursement
request to the County shall include only a pro-rata share of the expenses.
2.5.1 If the City chooses to submit up to the maximum of eight (8) progress reports and
requests for reimbursement during the two-year grant program, the reports shall be due to the County
on the last day of the month following the end of each quarter (April 30, July 31, October 31,
January 31), except for the final progress report and request for reimbursement, which shall be due
by February 29, 2024, and February 28, 2025.
2.5.2 Regardless of the number of progress reports the City chooses to submit, in order to
secure reimbursement, the City must provide in writing to the County by the December 14, 2023,
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and December 12, 2024, an estimate or final invoice for activities completed in that calendar year for
which the City has not yet submitted a reimbursement request.
2.5.3 If the City accepts funding through this grant program for the provision of hazardous
waste collection or education programs and projects for other incorporated areas of King County, the
City shall explain the relationship with the affected adjacent city or cities that allows for acceptance
of this funding and the specifics of the proposed programs and projects within the scope of work
document related thereto.
2.5.4 Within forty-five (45) days of receiving a request for reimbursement from the City, the
Program’s contract administrator shall either notify the City of any exceptions to the request which
have been identified or shall process the request for payment. If any exceptions to the request are
made, this shall be done by written notification to the City providing the reason for such exception.
The contract administrator will not authorize payment for activities and/or expenditures which are
not included in the scope of work and budget attached as Exhibits A and B unless the scope has been
amended according to Section 5 of this Agreement. The contract administrator retains the right to
withhold all or partial payment if the City’s report(s) and reimbursement request(s) are incomplete
i.e., do not include proper documentation of expenditures and/or adequate description of each
activity described in the scope of work for which reimbursement is being requested), and/or are not
consistent with the scope of work and/or budget attached as Exhibits A and B.
2.6 The City shall be responsible for following all applicable federal, state, and local laws,
ordinances, rules, and regulations in the performance of the Scope of Work described herein. The City
warrants and represents that its procedures are consistent with federal, state, and local laws relating to
public contract and bidding procedures. The County neither incurs nor assumes any responsibility for
the City’s bid, award, or contracting process.
2.7 The City shall use recycled paper for the production of all printed and photocopied documents
related to the fulfillment of this Agreement. The City shall use both sides of paper sheets for copying
and printing and shall use recycled/recyclable products wherever practical.
2.8 The City shall maintain accounts and records, including personnel, financial, and programmatic
records, and other such records as may be deemed necessary by the County, to ensure proper accounting
for all project funds and compliance with this Agreement. All such records shall sufficiently and
properly reflect all direct and indirect costs of any nature expended and service provided in the
performance of this Agreement.
2.8.1 These records 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 State Archivist in accordance with
RCW Chapter 40.14. These accounts shall be subject to inspection, review, or audit by the County
and/or by federal or state officials as so authorized by law.
2.8.2 The City shall maintain a record of the use of any equipment that costs more than $1,000
and is purchased with grant funds from King County for a total period of three (3) years. The records
shall be compiled into a yearly evaluation report, a copy of which shall be submitted to King County
by March 31 of each year through the year 2025.
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2.9 The City agrees to appropriately acknowledge the Program in all media produced – in part or in
whole – with Program funds. Where feasible, the City will use the Program’s logo. The intent of this
provision is to further strengthen this regional partnership in the public’s mind.
2.9.1 The City agrees to provide the Program with copies of all media material produced for
local hazardous waste management events or activities that have been funded 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 City as the originator of that material.
2.9.2 The Program agrees to credit the City on all printed materials provided by the City to the
Program, which the Program duplicates, for distribution. Either the City’s name and logo will appear
on such materials (including fact sheets, case studies, etc.), or, at a minimum, the Program will credit
the City for artwork or text provided by the City as follows: “artwork provided courtesy of the City
of Auburn” and/or “text provided courtesy of the City of Auburn.”
2.9.3 The Program retains the right to share the written material(s) produced by the City, which
have been funded through this grant, with other King County cities for them to duplicate and
distribute. In so doing, the Program will encourage other cities to credit the City on any pieces that
were produced by the City.
2.10 The City designates Joan Nelson; Utility Billing Services Manager; 25 W. Main Street, Auburn,
WA 98001; 253-931-5103; jenelson@auburnwa.gov or designee as the administrator of this Agreement
for the City.
2.11 Questions or concerns regarding any issue associated with this agreement that cannot be handled
by the Program’s Contract Administrator should be referred to the Local Hazardous Waste Management
Program Director for resolution.
3. DURATION OF AGREEMENT
This Agreement shall become effective on either January 1, 2023, or the date of execution of the
Agreement by both the County and the City and shall terminate on March 31, 2025. The City shall not
incur any new charges after December 31, 2024. However, if execution by either Party does not occur
until after January 1, 2023, this Agreement allows for disbursement of grant funds to the City for
County-approved programs initiated between January 1, 2023, and the later execution of the Agreement
provided that the City complies with the reporting requirements of Section 2.5 of the Agreement.
4. TERMINATION
4.1 King County may terminate this Agreement in whole or in part, for convenience, without cause
prior to the termination date specified in Section 3, upon thirty (30) days advance written notice.
4.2 King County may also terminate this Agreement, in whole or in part, for lack of appropriation,
upon thirty (30) days prior written notice to the City. In accordance with King County Code 4A.100.070,
if King County terminates this Agreement for non-appropriation, then King County’s costs associated
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with such termination, if any, shall not exceed the appropriation for the biennium in which termination
occurs.
4.3 This Agreement may be terminated by either Party, in whole or in part, for cause prior to the
termination date specified in Section 3, upon thirty (30) days advance written notice. Reasons for
termination for cause may include but not be limited to nonperformance, misuse of funds, and/or failure
to provide grant related reports/invoices/statements as specified in Section 2.5.
4.4 If the Agreement is terminated as provided in this section: (a) the County will be responsible to
reimburse the City only for allowable expenses, in accordance with the terms of this Agreement for
expenses incurred prior to the effective date of termination; and (b) the City shall be released from any
obligation to provide further services pursuant to this Agreement.
4.5 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.
5. AMENDMENTS
This Agreement may be amended only by written agreement of both Parties. Amendments to scopes of
work will only be approved if the proposed amendment is consistent with the most recently adopted
Hazardous Waste Management Plan. Amendments will only be approved if the proposed change(s) is
are) consistent with and/or achieves the goals stated in the scope and falls within the activities described
in the scope. Funds may be moved between tasks in the scope of work, attached as Exhibit A, upon
written notification by the City to King County and written approval by the County.
6. HOLD HARMLESS AND INDEMNIFICATION
6.1 The City agrees to indemnify, defend, and hold harmless King County, and its elected or
appointed officials, employees and agents, from all suits, claims, alleged liability, actions, losses, costs,
expenses (including reasonable attorney’s fees), penalties, settlements and damages of whatsoever kind
or nature arising out of, in connection with, or incident to any acts or omissions of the City, its
employees, agents, contractors or subcontractors in performing its obligations under this Agreement,
except of the County’s sole negligence.
6.2 The City’s obligations under this section shall include, but not be limited to all of the following:
a) The duty to promptly accept tender of defense and provide defense to the County with legal counsel
acceptable to the County and at the City’s own expense; (b) Indemnification of claims made by the
City’s own employees or agents; and (c) Waiver of the City’s immunity under the industrial insurance
provisions of Title 51 R.C.W. but only to the extent necessary to indemnify the County, which waiver
has been mutually negotiated by the Parties. In the event it is necessary for the County to incur
attorney’s fees, legal expenses, or other costs to enforce the provisions of this section, all such fees,
expenses, and costs shall be recoverable from The City. The provisions of this Section 2.12 shall survive
the expiration, abandonment, or termination of this Agreement.
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7. INSURANCE
7.1 The City, at its own cost, or its contractor(s)/subcontractor(s) at their own cost, shall procure by
the date of execution of this Agreement and maintain for the duration of the Agreement, insurance
against claims for injuries to persons or damages to property which may arise from or in connection with
performance of work pursuant to this Agreement by the City, its agents, representatives, employees,
contractors, and/or subcontractors. The minimum limits of Commercial General Liability insurance shall
be $1,000,000 per occurrence and $2,000,000 in the aggregate for bodily injury, personal and
advertising injury, and property damage. Such insurance shall include coverage for, but not be limited
to, premises liability, ongoing operations, products and completed operations, advertising injury, and
contractual liability. The minimum limit of Automobile Liability insurance shall be $1,000,000
combined single limit per accident for bodily injury and property damage. If the work involves the
transport of pollutants (as defined by the standard auto policy exclusion of pollution) the auto policy
shall be endorsed to include endorsement CA 9948 (or its equivalent) and MCS 90, or auto pollution
coverage. The minimum limit of Pollution Liability insurance shall be $1,000,000 per occurrence and in
the aggregate to cover sudden and non-sudden bodily injury and/or property damage to include the
destruction of tangible property, loss of use, clean-up costs and the loss of use of tangible property that
has not been physically injured or destroyed. Coverage shall include non-owned disposal sites. Any
deductible or self-insured retention(s) shall be the sole responsibility of the City or its
contractor(s)/subcontractor(s). Such insurance shall cover King County, its officials, employees, and
agents as additional insured for full coverage and policy limits against liability arising out of activities
performed by or on behalf of the City pursuant to this Agreement. A valid Certificate of Insurance and
additional insured endorsement is attached to this Agreement as Exhibit D unless Section VII.B. applies.
Evidence of required coverage maintained by the contractor(s)/subcontractor(s) must be provided to the
County prior to the commencement of any work.
7.2 If the Agency is a Municipal Corporation or an agency of the State of Washington and is self-
insured for any of the above insurance requirements, a written acknowledgement of self-insurance is
attached to this Agreement as Exhibit D.
7.3 If the Agency is a Municipal Corporation or an agency of the State of Washington and is a
member of the Washington Cities Insurance Authority (WCIA), a written
acknowledgement/certification of current membership is attached to this Agreement as Exhibit D.
8. ENTIRE CONTRACT; NO WAIVER OF DEFAULT
This Agreement is the complete expression of the agreement of the County and City hereto, and any oral
or written representations or understandings not incorporated herein are excluded. Waiver of any default
shall not be deemed to be a waiver of any subsequent default. Waiver of breach of any provision of this
Agreement shall not be deemed to be waiver of any other or subsequent breach and shall not be
construed to be a modification of the terms of this Agreement unless stated to be such through written
approval by the County, which shall be attached to the original Agreement.
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9. TIME IS OF THE ESSENCE
The County and City recognize that time is of the essence in the performance of this Agreement. The
Scope of Work set forth in Exhibit A shall be completed by the City no later than December 31, 2024. In
the event that the scope of work is not completed by this date, then King County shall retain any
unexpended Award funds.
10. SEVERABILITY
If any section, subsection, sentence, clause, or phrase of this Agreement is, for any reason, found to be
unconstitutional or otherwise invalid by a court of competent jurisdiction, such decision shall not affect
the validity of the remaining portions.
11. NOTICE
Unless otherwise specified in the Agreement, all notices or documentation required or provided pursuant
to this Agreement shall be in electronic form and shall be deemed duly given when received at the
addresses first set forth below via electronic mail. A copy of any notice shall also be sent via first class
mail to the address listed below.
Joy Carpine-Cazzanti, Contract Administrator, or a provided designee
King County Department of Natural Resources and Parks
Water and Land Resources Division
Hazardous Waste Management Program
201 S. Jackson Street, Suite 5600
Seattle, WA 98104
hazwastegovrelations@kingcounty.gov or jcarpine@kingcounty.gov
If to the City:
Joan Nelson, Utility Billing Services Manager, or a provided designee
City of Auburn
25 W. Main Street
Auburn, WA 98001
jenelson@auburnwa.gov
Either Party hereto may, at any time, by giving ten (10) days written notice to the other Party, designate any
other address in substitution of the foregoing address to which such notice or communication shall be given.
12. GENERAL PROVISIONS
12.1 This Agreement shall be binding upon and inure to the benefit of the Parties and their respective
successors and assigns.
12.2 Each Party warrants and represents that such Party has full and complete authority to enter into this
Agreement and each person executing this Agreement on behalf of a Party warrants and represents that
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he/she has been fully authorized to execute this Agreement on behalf of such Party and that such Party is
bound by the signature of such representative.
12.3 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.
12.4 This Agreement may be signed in multiple counterparts each of which shall be deemed an original,
and all counterparts together shall constitute but one and the same instrument.
12.5 This Agreement is for the benefit of the Parties hereto only and is not intended to benefit any other
person or entity, and no person or entity not a party to this Agreement shall have any third-party beneficiary
or other rights whatsoever hereunder.
12.6 This Agreement shall be governed by and construed according to the laws of the State of
Washington. Actions pertaining to this Agreement will be brought in King County Superior Court, King
County, Washington.
IN WITNESS WHEREOF this Agreement has been executed by each Party on the date set forth below:
Kendra Corneau, Auburn City Attorney
City of Auburn King County
BY______________________________________ BY___________________________________
Nancy Backus, Mayor Josh Baldi, Director
City of Auburn Water and Land Resources Division
For Dow Constantine, King County Executive
Date Date
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
4/20/2023 4/20/2023
ExhibitADocuSignEnvelopeID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
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City of Auburn
2023-2024 Hazardous Waste Management Program Grant Application
Scope of Work
The City of Auburn proposes to use 2023-2024 HWMP grant funds for the following
projects:
1. Residential, Multifamily & Business Hazardous Waste Education
2. School Hazardous Waste Education
3. Residential CFC Recycle Collection Event
TASK #1 Residential, Multifamily & Business Hazardous Waste Education
The City of Auburn will create and mail a newsletter, flyer, or postcard about household
hazardous waste and safer alternative solutions to single-family and multifamily
customers.
The City of Auburn will create and mail a flyer or postcard about business hazardous
waste and safer alternative solutions to business customers.
The City will collaborate on quarterly social media outreach through Facebook Boosts
with south sound cities to promote outreach messages to a broader audience.
The City will hire interns and a consultant to educate Auburn residents and youth
groups about hazardous waste at public events such as Kid’s Day, Auburn Farmer’s
Market, Senior Wellness Fair and various community meetings and educational tables,
as well as through a variety of online resources and social media.
The Intern and Consultant will work to educate businesses on the options available for
proper disposal of hazardous waste and the use of safer alternatives.
Outreach messages may include:
Wastemobile information
Proper disposal of household hazardous waste
Information on product safety
Alternative, safer cleaning products
Pesticide and herbicide reduction
Water pollution prevention
Proposed expenditures for this project include:
Newsletter/flyer/postcard design, printing, mailing & postage
Consultant contract for outreach
Internship wage for outreach
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Performance Objectives:
Provide information on basic hazardous waste product awareness and safety.
Promote proper hazardous waste disposal information.
Provide information on why unwanted electronics and medicines need to be
disposed of properly and what disposal options are available.
Provide information on safer cleaning alternatives.
Impact Objectives:
Outreach approximately 40,000 households and 1,200 business in Auburn so
that they reduce the use of hazardous chemicals and incorporate proper
hazardous waste disposal techniques using the Wastemobile and other fixed
locations.
Market, schedule, and present workshops for eligible youth community groups.
More workshops will be offered as budget is available.
Reduce the number of hazardous wastes and electronics that are illegally
dumped along roadsides within the City of Auburn.
Increase awareness and participation of residents and businesses in the proper
handling and disposal of household and business hazardous waste and safer
alternatives for the protection of public health and the environment.
TASK #2 School Hazardous Waste Education
The City will also hire a consultant to educate Auburn School District elementary school
students about hazardous waste through hands-on classroom and/or virtual
presentations and youth community workshops. The presentations will engage students
and residents in science and sustainability, adapt materials and methods for English
Language Learners, and apply STEM strategies in teaching students to make real-life
decisions about their home and our environment. The WA Office of Superintendent of
Public Instruction (OSPI) approved the lesson as a supplemental curriculum for local
classrooms.
Outreach messages may include:
How to identify hazards in common household products
How to read product labels
Safe disposal options
Recognize the dangers of look-alike products
Safer alternative cleaning product options
Wastemobile information
Proposed expenditures for this project may include:
Design, printing and/or purchasing of materials for instructor classroom and/or
virtual presentations
Design, printing and/or purchasing of materials for student hands-on activity
Design and printing of the Student Pre & Post Presentation tests
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
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Printing of What to do with Unwanted Household Hazardous Waste flyer
Consultant contract for outreach
Performance Objectives:
Engage students in science and sustainability and apply STEM strategies
Provide information on basic hazardous waste product awareness, safety, and
identification.
Promote proper hazardous waste disposal information.
Provide information on how to identify look-alike products
Provide information on safer cleaning alternatives.
Wastemobile information
Impact Objectives:
Market, schedule and present a total of up to 36 educational outreach workshops
for eligible elementary schools, middle schools, or youth community groups.
More workshops will be offered as budget is available.
Increase awareness and participation of students and Auburn residents in the
proper handling and disposal of household hazardous waste for the protection of
public health and the environment.
TASK #3 Residential CFC Recycle Collection Event
The City will use funding to help cover the promotional cost (printing, mailing, postage of
the event brochure) and collection fees for CFC appliances for one Neighborhood
Recycle Event. Special outreach focus will target underserved communities.
Outreach messages may include:
Wastemobile information
Proper disposal of household CFC hazardous waste
Proposed expenditures for this project include:
Newsletter design, printing, mailing & postage
Consultant contract for event production and implementation
Performance Objectives:
Provide information on basic hazardous waste product awareness and safety.
Promote proper hazardous waste disposal information.
Impact Objectives:
Outreach approximately 5,000 households in Auburn to increase awareness and
participation of residents in the proper handling and disposal of household CFC
waste for the protection of public health and the environment.
Reduce the number of hazardous CFC items that are illegally dumped along
roadsides within the City of Auburn.
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
2023-2024 City of Auburn HWMP Grant Budget Revised 3/10/23
Grant Funds Available: $60, 213.58
Project #1 Residential, Multifamily, and Business Hazardous Waste
Education Projected City Expenses
Outreach - Residential & Multifamily Newsletter / Business Flyer or Postcard $15,213.58
Consultant & Intern Services - Community Outreach Events & Presentations $20,000.00
Project #1 Total $35,213.58
Project #2 School Hazardous Waste Education Projected City Expenses
Consultant Services - School Presentations & Waste Audits $20,000.00
Project #2 Total $20,000.00
Project #3 Residential CFC Recycle Collection Event Projected City Expenses
Outreach - Residential CFC Collection Event Brochure $3,500.00
Outreach - Collection Fees for HHW $1,500.00
Project #3 Total $5,000.00
Total Grant Budget $60,213.58
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
Agreement # HW1002
EXHIBIT B
2023-2024 BUDGET
LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM
City of Auburn
25 W. Main Street
Auburn, WA 98001-4998
Component Description 2023-24 Budget
Task 1: Residential, Multifamily & Business
Hazardous Waste Education
35,213.58
Task 2: School Hazardous Waste Education 20,000.00
Task 3: Hazardous Waste Collection 5,000.00
Total $60,213.58
Footnote: The 2023-2024 budget can be partly or totally spent in either 2023 and/or 2024 but
cannot exceed the budget total in these two years.
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
ALL FIELDS MUST BE COMPLETED FOR PROMPT PAYMENT PROCESSING
Purchase Order #
Supplier Name City of Auburn
Agreement No. HW1002 Supplier #1033
Exhibit C Supplier Pay Site CITY OF AUBURN
Period of Performance: 1/1/23-12/31/24 Remit to Address 25 W. Main Street
Auburn, WA 98001
Invoice Date
Invoice #
Amount to be Paid
Requistioner name/phone
hazwastegovrelations@kingcounty.gov Start End
Date Date
MM/DD/YY
Project
1114016
Please do not enter values in shaded cells. Enter "Previously Billed" and "Current" values only.
Materials and quantities collected:Collection or education event details:
Gallons of motor oil Number of events
Number of motor oil filters No. of participants at collection events
Gallons of mixed fuel No. of participants at education events
Gallons of antifreeze
Pounds of lead acid batteries
Pounds of dry batteries
Number of CFC aplliances
Number of fluorescent bulbs
Other (please specify)
Recipient Signed Date Haz Waste Program Authorization / Approval Date
Print Name
Balance
35,213.58$35,213.58
I, the undersigned, do hereby certify under the laws of the State of Washington penalty of perjury, that this is a true and correct claim for reimbursement services rendered. I understand that any false claims, statements,
documents, or concealment of material fact may be prosecuted under applicable Federal and State laws. This certification includes any attachments which serve as supporting documentation to this reimbursement request.
Total $0.00 $60,213.58$0.00$60,213.58 $0.00
Invoice for services rendered under this Agreement
for the period of:
Organization Expend Acct
INVOICE
City of Auburn
25 W. Main Street
Auburn, WA 98001
Invoice Processing Contact: Joan Nelson
860000
HHW Task 1
20,000.00 $0.00
2023-24 Budget Previously Billed
HHW Task 3
King County Accounts Payable Information
DNRP Water and Land Resources Division
253-931-5103
jenelson@auburnwa.gov
Joy Carpine-Cazzanti
Hazardous Waste Management Program
Kristin Painter 206-477-5470
Submit signed invoice to:
CPA
00153105
AmountTask
201 S. Jackson Street, Suite 5600
Seattle, WA 98104
CumulativeExpenditureItemCurrent
0.00 $0.00 $20,000.00HHWTask2
0.00 $0.00$0.00
5,000.00 $0.00 $0.00 $0.00 $5,000.00
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
Salaries & Wages- List by Employee Hours Rate of Pay/ Hr Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Fringe Benefits Base Rate Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Consultant Costs- Itemize by consultant
below
Unit of measure Rate Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Supplies- Please detail below Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Travel Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
In State Travel Total # of Miles Rate
Out of State Travel # of People Rate
Per Diem and Lodging # of People # of Units Unit Cost
Subtotal -$ -$ -$ -$ -$
Other Costs- Please detail below Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Overhead Costs- Please detail below Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Subtotal -$ -$ -$ -$ -$
Budget Previously
Billed
Current
Expenditure
Cumulative
Previous +
Current)
Balance (Budget
less Cumulative)
Direct Costs Total -$ -$ -$ -$ -$
Grand Total -$ -$ -$ -$ -$
Notes regarding this Invoice
INVOICE DETAIL
Invoice Detail Page 3
DocuSign Envelope ID: 43071C67-4234-46A5-A9C5-8A80A2225EBB
2/21/2023 Ref#:14466
King County Solid Waste Division
Attn: Lucy Auster
201 S Jackson St, Ste 701
Seattle, WA 98104
Re: City of Auburn
Hazardous Waste Reduction Grant Agreement
Evidence of Coverage
The City of Auburn is a member of the Washington Cities Insurance Authority (WCIA), which is
a self-insured pool of over 160 public entities in the State of Washington.
WCIA has at least $4 million per occurrence limit of liability coverage in its self-insured layer that
may be applicable in the event an incident occurs that is deemed to be attributed to the
negligence of the member. Liability coverage includes general liability, automobile liability, stop-
gap coverage, errors or omissions liability, employee benefits liability and employment practices
liability coverage.
WCIA provides contractual liability coverage to the City of Auburn. The contractual liability
coverage provides that WCIA shall pay on behalf of the City of Auburn all sums which the
member shall be obligated to pay by reason of liability assumed under contract by the member.
WCIA was created by an interlocal agreement among public entities and liability is self-funded
by the membership. As there is no insurance policy involved and WCIA is not an insurance
company, your organization cannot be named as an additional insured.
Sincerely,
Rob Roscoe
Deputy Director
cc: Candis Martinson
ExhibitDDocuSignEnvelopeID: 43071C67-4234-46A5-A9C5-8A80A2225EBB