HomeMy WebLinkAboutE13-097 - Intergovenmental for EMAC and PNEMA Military Departmentt,8wedlay EMD
INTERGOVERNMENTAL AGREEMENT NOV 2 6 2012
FOR EMAC AND PNEMA ASSISTANCE BETWEEN
Washington Military Department AND City of Auburn
Bldg#20, M.S.TA-20 25 W Main Street
Camp Murray, Washington 98430-5122 Auburn, Washington 98001-4916
253.512.7097 FAX: 253.512.7203 253.876.1925 FAX: 253.931.5108
Contact Person: Craig Ginn Contact Person: Sarah K. Miller
Email: craig.ginn(cDmil.wa.gov Email: skmilleraauburnwa.gov
TIN: 91-6001228
UBI: 171000010
Start Date: Upon Signature End Date: November 30, 2017
1. INTRODUCTION:
This Intergovernmental Agreement (Agreement), pursuant to Ch. 38.10 RCW(Emergency Management
Assistance Compact(EMAC)), ch. 39.34 RCW(Interlocal Cooperation Act), ch. 38.52 RCW(Emergency
Management Act), and the Pacific Northwest Emergency Management Arrangement(PNEMA), is made
and entered into by and between the Washington State Military Department through its Emergency
Management Division (EMD), and the local jurisdiction within the State of Washington identified above,
hereinafter referred to as "Jurisdiction". EMD, through theses authorities, coordinates interstate mutual
aid according to the model presented in the National Strategy for Homeland Security. EMAC, Chapter
38.10 RCW, and Public Law 104-321, authorize and direct the deployment of certain necessary mutual
aid between the EMAC participants, who are currently all fifty states, Puerto Rico, Guam, the U.S. Virgin
Islands, and the District of Columbia. PNEMA and Public Law 105-381 authorize and direct the
deployment of certain necessary mutual aid between the PNEMA participants, who are currently the
States of Alaska, Idaho, Oregon, and Washington, the Canadian Province of British Columbia, and the
Yukon Territory. This Agreement provides for the use of authorized resources (including employees and
equipment) of the Jurisdiction in responding to requests for EMAC or PNEMA assistance from a
participating party in which EMD has identified authorized resources of the Jurisdiction that are qualified
and immediately available to deploy and perform the requested EMAC or PNEMA assistance in a
requesting participating party.
2. SCOPE:
Pursuant to this Agreement, the authorized resources of the Jurisdiction will be deployed to provide
EMAC or PNEMA assistance. When the deployed authorized resources of the Jurisdiction are
employees of the Jurisdiction, those Jurisdiction employees will be treated as state employees for
purposes of EMAC or PNEMA deployment only and will be entitled to the rights and benefits under
EMAC or PNEMA available to state officers and employees, but not for any other purpose. The
Jurisdiction will be reimbursed for authorized costs incurred as a result of authorized resource
deployment as provided in this Agreement.
3. Authorization and Deployment of Resources
a. This Agreement is not an authorization to deploy. EMAC and PNEMA deployment of the
Jurisdiction's resources under this Agreement shall only be authorized as provided in a
completed amendment to this Agreement in the form of"Attachment A" that has been mutually
executed by the parties. The Jurisdiction shall not deploy any resources under this
Agreement except in compliance with such authorization. No reimbursement will be
provided for resources deployed inconsistent with such authorization.
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E13-097
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b. Jurisdiction resources authorized for deployment under this Agreement (the "authorized
resources") are only those listed on mutually executed amendments in the form of"Attachment
A" that reference this Agreement by number and include the authorized charge code, EMAC or
PNEMA mission number and disaster name, identification of the authorized resource
(employee/equipment), description of the anticipated EMAC or PNEMA duties, maximum
reimbursement, estimated duration of deployment, reporting location, point of contact at the
destination, and completed verification of credentials.
4. Financial Management and Reimbursement
a. The Military Department will reimburse the Jurisdiction for the expenses of authorized resources
deployed under this Agreement up to the maximum amount provided for herein to the extent
supported by proper documentation establishing the expenses were actually incurred pursuant
to authorized deployment under the Agreement. No reimbursement will be provided for
resources deployed inconsistent with the authorization contained in a completed amendment
to this Agreement in the form of"Attachment A"that has been mutually executed by the parties.
b. The authorized resource expenses that may be reimbursed are only those contained in a
completed amendment to this Agreement in the form of"Attachment A" that has been mutually
executed by the parties, and include employee salary, benefits, overtime, air and land travel
expenses, lodging, and per diem; and equipment use and operation costs. Unless this
Agreement is amended by Attachment A to provide otherwise, lodging and per diem shall only
be reimbursed in accordance with the Federal General Services Administration (GSA) rates for
the applicable deployment location existing at the time of deployment under this Agreement,
which are located at http://www asa gov/portal/category/21287.
c. The maximum amount of reimbursement for Fire District and Fire Department authorized
resources shall be based on the State Fire Chiefs Rate Schedule in effect at the time of
deployment, which is incorporated herein by reference For all other Jurisdictions, the maximum
amount of reimbursement for authorized employee expenses under this Agreement shall be the
lesser of (1) the maximum amount identified in the mutually executed Attachment A to this
Agreement and amendments thereto, or(2)the amount that the employee would have received
in the absence of this Agreement. In no case will reimbursement for authorized resources of any
Jurisdiction (including Fire Districts and Fire Departments) exceed the maximum estimated total
resource cost identified in the mutually executed Attachment A or a subsequent mutally
executed written amendment thereto in the same form.
d. The Jurisdiction shall maintain books, records, documents, receipts and other evidence which
sufficiently and properly support and reflect all costs and expenditures authorized by this
Agreement. These records shall be subject to inspection, review or audit during normal business
hours by authorized Department personnel or its designee(s), the Office of the State Auditor, and
federal officials so authorized by law. Such books, records, documents, receipts and other
material relevant to this Agreement shall be retained for six(6)years after expiration.
e. The Jurisdiction will submit a final state invoice voucher identifying this Agreement and the
appropriate charge code to the Military Department within 45 days after return by the deployed
authorized resource, and must include documentation and receipts supporting all claimed
reimbursement. The Jurisdiction agrees to immediately comply with any request by EMD for
additional supporting documentation or receipts.
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5. Resource Management
a. The Jurisdiction agrees that it will only deploy employees as authorized resources under this
Agreement who are fully qualified and capable of performing the duties described in the
completed and mutually executed Attachment A and under the conditions described therein. The
Jurisdiction agrees that if any of its employees deployed as an authorized resource under this
Agreement are determined by the EMAC or PNEMA requesting participant, in its sole discretion,
to not meet this requirement, those employees may in the sole discretion of the EMAC or
PNEMA requesting participant be returned to the Jurisdiction from which they deployed at the
sole cost and expense of the Jurisdiction, and the cost and expense of deploying and returning
the employee(s) will not be reimbursed under this Agreement. Such qualifications and
capabilities shall include, but not be limited to, the following:
1) Has completed training for ICS 100, 700 and 800;
2) Has received training customary or required for the position for which they are being
deployed;
3) Currently possesses all certifications and licenses required in the state of Washington to
perform the duties for which they are being dep!oyed;
4) Has past experience operating in the position for which they are being deployed; and
5) Has the ability to fully and effectively perform all duties of the position for which they are
being deployed.
b. The Jurisdiction agrees that if any of its employees deployed as an authorized resource under
this Agreement exhibit behavior, conduct or other condition that, in the sole discretion of the
EMAC or PNEMA requesting participant, interferes with the employee's ability to perform the
duties for which they are deployed, that employee may, in the sole discretion of the EMAC or
PNEMA requesting participant, be returned to the Jurisdiction from which they deployed at the
sole cost and expense of the Jurisdiction, and such cost and expense will not be reimbursed
under this Agreement.
c. The Jurisdiction agrees that it will only deploy equipment as an authorized resource under this
Agreement that is in good working order and condition when deployed. Any such equipment
determined by the EMAC or PNEMA requesting participant in its sole discretion not to have been
in good working order or condition at the time of deployment may, in the EMAC or PNEMA
requesting participant's sole discretion, be returned to the Jurisdiction from which it was
deployed at the sole cost and expense of the Jurisdiction, and the cost and expense of deploying
and returning the equipment will not be reimbursed under this Agreement.
d. The Jurisdiction agrees that its employees deployed under this Agreement will be required by the
Jurisdiction to conduct themselves in a professional and ethical manner throughout the period of
deployment, consistent with all laws, regulations and policies applicable to the Jurisdiction and
its employees.
e. Hold Harmless. To the extent allowed by law, each party shall defend, protect and hold harmless
the other party from and against any claims, suits, and/or actions arising from any negligent act
or omission of that party's employees, agents and or authorized representatives while performing
under this Agreement,
6. Alterations And Amendments
This Agreement and any of its Attachments may only be altered or amended by mutual agreement of the
parties. Such amendments shall not be binding unless they are in writing and signed by personnel
authorized to bind each of the parties. All other terms and conditions of this Agreement shall remain in
full force and effect and binding upon the parties.
EMAC&PNEMA IGA Page 3 of 4 City of Auburn
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7. Termination
Either party may terminate this Agreement upon thirty (30) days prior written notification to the other
party. If this Agreement is so terminated,the parties shall be liable only for performance rendered or
costs incurred in accordance with the terms of this Agreement prior to the effective date of
termination.
8. All Writings Contained Herein
This Agreement contains all the terms and conditions agreed upon by the parties. No other
understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed
to exist or to bind any of the parties hereto.
IN WITNESS WHEREOF, the parties have executed this A reement.
For a Department: For a n:
BY: ' - 1� BY:
ames M. Mullen, Director Date Peter . Lewis Date
Emergency Management Division Mayor
Washington Military Department City of Auburn
BOILERPLATE APPROVED AS TO FORM:
Brian Buchholz(signature on file)01/09/2012
Senior Counsel, Assistant Attorney General
EMAC&PNEMA IGA Page 4 of 4 City of Auburn
E13-097
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before corn leting this form.
NAME OF ORGANIZATION DATE SUBMITTED
City of Auburn 11/05/2012
PROJECT DESCRIPTION CONTRACT NUMBER
Hurricane Sandy Support
1. AUTHORIZING AUTHORITY
SIGNATURE R444TOR TY ME TITLE/TERM OF OFFICE
Pe r B w Mayor
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE PRINT OR TYPE NAME TITLE
P Lewis Mayor
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE PRINT OR TYPE NAME TITLE
c---� Sarah K. Miller Emergency Preparedness
xz A Manager
Heather Kitchen Emergency Management
Assistant
1\NAC-1NVOL 1\HOMEKARENBI....\MNSIGNAUTH Revised 5/00
Washington Military Department Contract Number:
Debarment, Suspension, Ineligibility or Voluntary Exclusion Certification Form
NAME Doing business as(DBA)
City of Auburn
ADDRESS Applicable Procurement WA Uniform Business Federal Employer Tax
25 W Main Street—Auburn, WA 98001 or Solicitation#,if any: Identifier(UBI) Identification#:
171000010 91-6001228
This certification is submitted as part of a request to contract.
Instructions For Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower
Tier Covered Transactions
READ CAREFULLY BEFORE SIGNING THE CERTIFICATION. Federal regulations require contractors and bidders to sign and
abide by the terms of this certification, without modification, in order to participate in certain transactions directly or
Indirectly involving federal funds.
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out
below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal Government the department or agency
with which this transaction originated may pursue available remedies, including suspension and/or debarment.
1 The prospective lower tier participant shall provide immediate written notice to the department, institution or office to
which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person,
primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning
set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under the applicable CFR, debarred, suspended, declared ineligible, or voluntarily excluded
from, participation in this covered`transaction, unless authorized by the department or agency with which this
transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered
Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered
transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
transaction that it is not proposed for debarment under applicable CFR, debarred, suspended, ineligible, or voluntarily
excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required
to, check the List of Parties Excluded from Federal Procurement and Non-procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is not
required to exceed that which is normally possessed by a prudent person'in the ordinary course of business activity.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under applicable
CFR, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction originated may
pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier
Covered Transactions
The prospective lower tier participant certifies, by submission of this proposal or contract, that neither it nor its
principals is presently debarred,suspended, proposed for debarment,declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency. Where the prospective lower tier
participant is unable to certify to any of the statements in this certification, such prospective participant shall
attach an explanation to this form.
Bidder or Contractor Signatur Date: 11/05/2012
Print Name and Title: Sarah . Miller Emer enc P�eparedness Manager
Form W-9 Request for Taxpayer Give Form to the
(Rov.January
"IorIleTr identification Number and Certification requester. IRS,
DepartmentofltaTreasury send to the IRS.
Internal Revenue Service
Name(as shown on your Income tax return)
CITY OF AUBURN
CJ Business nameldisregarded entity name,If different from above
a Check appropriate box for federal tax
classification(required): ❑Indivlduailsole proprietor ❑ C Corporation 118 Corporation ❑ Partnership ❑TrusVsstate
E] Limited liability company.Enter the tax classification(C.0 corporation,S=S corporation,P=partnership)► ❑Exempt payee
Other(see lnstructlons)► GOVERNMENT
!E Address(number,street,and apt.or suite no.) Requesteee name and address(optlonA
25 WEST MAIN ST
City,state,and ZIP code
AUBURN WA 98001
List account numbers)here(optional)
Taxpayer Identification Number(TIN)
Enter your TIN In the appropriate box.The TIN provided must match the name given on the"Name"line I Social security number
to avoid backup withholding.For Individuals,this Is your social security number(SSM.However,fora -� -�
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other FM entitles,It Is your employer Identification number(EIN).If you do not have a number,see How to get a
TIN on page 3.
Note.If the account Is In more than one name,see the chart on page 4 for guidelines on whose Employer Idenafioetion number
number to enter.
8 1 - 6 0 0 1 F2 M28
Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer Identification number(or I am waiting for a number to be Issued to me),and
2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a(allure to report all Interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding,and
3. 1 am a U.S.citizen or other U.S.person(defined below).
Certification Instructions.You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all Interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage
Interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an Individual retirement arrangement PRA),and
generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
Instructions on page 4.
sign Signature o! Date►
Here u.s.perao —
General Instr ns Note.If a requester gives you a form other than Form W-9 to request
your TIN,you must use the requester's form If it Is substantially similar
Section references are to the Internal Revenue Code unless otherwise to this Form W-9.
noted, Definition of a U.S.person.For federal tax purposes,you are
Purpose of Form considered a U.S.person If you are:
A person who Is required to file an Information return with the IRS must •An Individual who Is a U.S.citizen or U.S.resident alien,
obtain your correct taxpayer Identification number(rIN)to report,for •A partnership,corporation,company,or association created or
example,Income pold to you,real estate transactions,mortgage Interest organized In the United States or under the laws of the United States,
you paid,acquisition or abandonment of secured property,canceilaWn .An estate(other than a foreign estate),or
of debt,or contributions you made to an IRA. .A domestic trust(as defined In Regulations section 301.7701-7).
Use Form W-9 only If you are a U.S.person(Including a resident Special rules for partnerships.Partnerships that conduct a trade or
alien to provide your correct TIN to the person requesting It(the business In the United States are generally required to pay a withholding
requester)ster)and.when applicable,to: tax on any foreign partners'share of Income from such business.
1.Certify that the TIN you are giving Is correct(or you are waiting for a Further,In certain cases where a Form W-9 has not been received,a
number to be Issued), partnership Is required to presume that a partner Is a foreign person,
2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,It you are a U.S.person that Is a
3.Claim exemption from backup withholding If you are a U.S,exempt partner In a partnership conducting a trade or business In the United
payee.If applicable,you are also cerilfying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S.
allocable share of any partnership Income from a U.S.trade or business status and avoid withholding on your share of partnership Income.
Is not subject to the withholding tax on foreign partners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.1-2011)
CONTRACT/GRANT/AMENDMENT APPROVAL CHECKLIST
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$ PROGRAM MG ;NOVEMBER 30;2012 NOVEMBER 30 2017
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' DESCRIPTION
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' CONTRACT•REVIEW
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"REVIEWER. PRINT"NAME,INITIAL, AND DATE COMMENTS
Emer enc Manattle m ent Division
9::Origlnator:,.,: .
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LISA JOHNSO
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