HomeMy WebLinkAbout2052 - Washington Military Department - Agreement Amended - EMAC and PNEMA Assistance Annual ReviewMilitary Department IGA #U20-002
INTERGOVERNMENTAL AGREEMENT 1 ~ECEIVEL
NO V 0 5 2019
.-~ONTRACT~
FOR EMAC AND PNEMA ASSISTANCE BETWEEN
Washington Military Department
Bldg #20 , M .S .TA-20
Camp Murray, Washington 98430-5122
FAX : 253 .512 .7203
Contact Person: Mark Douglas
Email : mark .douglas@mil.wa .gov
Phone : 253.512 .7097
Contact Person: Blake Bowen
Email : Blake.Bowen@mil.wa.gov
Phone: 253.512 . 7058
Start Date : Upon Signature
1. INTRODUCTION:
AND City of Marysville
1049 State Avenue
Marysville , WA 98270
PHONE:360 .363 .8096 FAX :360 .651 .5033
Contact Person : Diana Rose
Email: drose@marysvillewa.gov
UBl :314-000-001
End Date : July 3 1, 2024
This Intergovernmental Agreement (Agreement), pursuant to Ch. 38 .10 RCW (Emergency Management
Assistance Compact (EMAC)), ch. 39.34 RCW (lnterlocal 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 (EMO), and the local jurisdiction within the State of Washington identified above,
hereinafter referred to as "Jurisdiction ". EMO, through these 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
EMO 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 t he 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 dep loyment 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 autho r ization .
EMAC & PNEMA IGA Page 1of4 City of Ma rysville , U20-002
ORIGINAL
Military Department IGA #U20-002
b. Jurisdiction resources authorized for deployment under this Agreement (the "authorized
resources") are only those listed on mutually executed amendments in the form attached hereto
as "Attachment A" that references this Agreement by number and includes 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 attached hereto as "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 attached hereto as "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.gsa.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 EMO for
additional supporting documentation or receipts.
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
EMAC & PNEMA IGA Page 2 of 4 City of Marysville, U20-002
Military Department IGA #U20-002
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 deployed;
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.
The Jurisdiction agrees to maintain documentation of its authorized employee's qualifications and
capabilities, and sign a completed Verification of Credentialing form as provided in Attachment A
as part of any amendment authorizing resource deployment under this Agreement.
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.
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.
EMAC & PNEMA IGA Page 3 of 4 City of Marysville, U20-002
Military Department IGA #U20-002
IN WITNESS WHEREOF, the parties have executed this Agreement.
For the Department:
BY: I/ /~/9
Regan e He se Date
Chief Financial Officer
Washington Military Department
BOILERPLATE APPROVED AS TO FORM:
For the Jurisdiction :
Jon Neif1i a te
Mayor
City of Marysville
Brian Buchholz 7/10/20 18
Assistant Attorney General
EMAC & PNEMA IGA Page 4 of 4 City of Marysville , U20-002
SIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on reverse side before completing this form.
NAME OF ORGANIZATION DATE SUBMITTED
CITY OF MARYSVILLE 08/27/2019
PROJECT DESCRIPTION CONTRACT NUMBER
INTERGOVERNMENTAL AGREEMENT FOR EMAC AND PNEMA U20-002 ASSISTANCE 19
11 . AUTHORIZING AUTHORITY I
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
7a-; ~ ,( Jon Nehring Mayor
-........
( ./
2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS
SIGNATURE PRINT OR TYPE NAME TITLE
.;lef(~}·~ Jon Nehring Mayor
I' (__.../'
3 . AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
SIGNATURE PRINT OR TYPE NAME TITLE
~~ Gloria Hirashima Chief Administrative Officer
l)ltUW ~ Diana Rose Risk/Emergency Manager
\\NAC-1\VOL1 \HOME\KARENBI .... \WP\SIGNAUTH Revised 3/03
Form W-9 Request for Taxpayer Give Form to the
(Rev . October 2018 ) Identification Number and Certification requester. Do not
Department of th e Treasury
... Go to www.irs.gov/FormW9 for Instructions and the latest information.
send to the IRS.
In ternal Revenue Service
1 Name (as shown on your inc ome tax return). Name is requ ired on th is line; do not lea ve this line blank .
Citv of Marvsville
2 Business nam e/di sregard ed entity name . if different from above
<"i
"' 3 Check approp ria te box for federa l tax classificatio n of the person whose name is entered on line 1. Check only one of the 4 Exe mptions (codes apply on ly to
CJ> following seven bo xe s. certain entities, not individuals; see IV
Q. instructions on page 3):
c: 0 0 C Corporation 0 S Corpora tion 0 Partnersh ip 0 Trust/estate 0 Individual/sole prop ri eto r or
. "' sing le-mem ber LLC Exempt payee code (if an y) "'c a. 0 0 ~~ Limited liability company . Enter the tax classification (C=C corpo ra ti on, S=S corporation . P=Partnership ) I> (,) ... ::i Note: Check the appropriate box in the lin e above for the tax classific atio n of the sing le-me mbe r owner . Do not check 0 ... Exemption fro m FAT CA reporting c 'tn LLC if the LLC is classified as a single-member LL C that is disregarded from the owner unless the owner of th e LLC is code (if any) ·-c another LLC that is not disrega rded from the owner for U.S. federal tax purpo ses . Otherw ise, a sing le-membe r LLC that ,__
a. (J is dis regard ed from the owner should check th e appropriate box for the tax cla ssification of its owner. ;;::: ·o 0 Other (see instructions) ~ Municioalitv (Applies to 11ccounl ! memt11med out side the U S > QI a. 5 Addre ss (nu mb er , street. and apt. or suite no.) See instructions. Requeste r's name and address (optional} Ill
~ 1049 State Ave (/)
6 City , state. an d ZIP code
Marvsville, WA 98270
7 List account num berjs) here (o pti onal}
EmD Taxpayer Identification Number (TIN)
I Social security number I Enter your TIN in. the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup w1thhold1ng . For ind1v1duals , this 1s generally your social security number (SSN). Howeve r, for a
resident alien. sole proprietor. or disregarded entity, see th e instructions for Part I, lat er. For other
entities, it is your employer identification number (EIN). If you do not have a number. see How to get a
TIN, later.
ITIJ -ITJ -I I I I I
or
Note: If the account is in more than one name, see the instructions for lin e 1. Also see What Name and
Number To Give the Reques ter for guidelines on w hose number to enter .
I Employer Identification number
9 1 -6 0 0 4 5 9
Certification
Under pen alties of perjury, I certify that:
1. Th e number shown on this form is my correct taxpayer identi f icat ion number (o r I am waiting for a number to be issued to me); and
2. I 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 w ithholding as a result of a failure to report all interest or d ividends , or (c ) the IRS has notified m e that I am
no longer subject to backup withholding; and
3. I am a U.S . citizen or other U.S . person (defin ed below); and
4 . The FATCA code(s) en te red on this form (if any) indicating t hat I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subjec t to backup withholding because
you have failed to report all interest and dividends on your ta x return. For real estate transactions. item 2 does not apply. For mortgage interest paid .
acquisition or abandonment of secu red property. can cellatio n of debt. con tributions to a n individual r e t i re m ent arrangoment (IRA), and genorolly, payments
other than interest and dividends . you are not required to sign the ce rtificatio n, but you must provide your correct TIN . See the instructions for Part II . later.
Sign
Here
Signature of
U.S. person I>
Section references are to the Internal Re venue Code unless otherwise
noted.
Future developments. For the latest i nformation about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published , go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W -9 requester) w ho is required to fil e an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN). adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the a mount paid to you. or other
amount reportable on an information return . Examples of information
re turns include, but are not limited to, the fo llowing.
• Form 109g_1NT (interest ea rned or paid)
Cat. No . 1023 1X
Date I> \I I I(
• Form 1 099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1 og9-B (s tock or mutual fund sales and certain o ther
transactions by brokers)
• Form 109g-s (proceeds from real estate transactions)
• Form 1 099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest). 1098-E (student loan interest).
1 098-T (tuition)
• Form 1 09g-c (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W -9 only if you are a U .S . pe rson (including a reside nt
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN. you might
be subject to backup withholding. See What is backup withholding,
later.
Form W-9 (Rev . 10-2018)
Washington Military Department Contract Number: __ _
Debarment, Suspension, Ineligibility or Voluntary Exclusion Certification Form
NAME Doing business as (OBA)
City of Marysville
ADDRESS Applicable Procurement WA Uniform Business Federal Employer Tax
1049 State Avenue or Solicitation #, if any: Identifier (UBI) Identification #:
Marysville, WA 98270 91-6001459
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 , t he 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.
3. 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 i nstructions, 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 f
Bidder or Contractor Si
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