HomeMy WebLinkAbout2111 - Snohomish County - Agreement - First Responders Flex FundExhibit A
BH-20-62-08-200
City of Marysville
Page 1 of 2
EXHIBIT A
SPECIFIC TERMS AND CONDITIONS
FIRST RESPONDERS FLEX FUNDS
I. TERMS AND CONDITIONS
This Ending Homelessness Program Agreement (hereinafter the Contract) is
made by and between Snohomish County (hereinafter the County) and the City
of Marysville (hereinafter the City).
A. Designation
1. The City expressly agrees to undertake that certain Ending Homelessness
Program (EHP) project more fully described in Exhibit B, Statement of
Work (hereinafter the Project). EHP funding for the Project is authorized
by Section 9 of Chapter 484, Laws of 2005 (as amended by Laws of 2007,
Chapter 427; Laws of 2009, Chapter 462; Laws of 2011, Chapter 110;
Laws of 2012, Chapter 90) “Document Recording Surcharge—Services for
the Homeless the “Legislation.” The Washington legislature authorized the
imposition of a surcharge for the recording of documents with county
auditors. A portion of that surcharge is to be used by counties for
programs which directly accomplish the goals of counties’ homeless
housing plans.
2. The undertaking of the Project and City’s performance under this Contract
shall be in full accordance with the Legislation, codified as Revised Code
of Washington (“RCW”) Chapters 36.22.1791, and 43.185C and all other
applicable laws, ordinances, rules and regulations not inconsistent
therewith, including licensing, permitting and accreditation requirements,
in all activities funded in whole or in part with funds provided under this
Contract to carry out the Project.
B. Financial Award
The City is hereby awarded the total sum indicated in the Approved Contract
Budget (Exhibit C) to provide funding for the undertaking and performance of
the Project.
II. OTHER REVENUES
The City certifies that work to be performed under this Contract will not supplant
other existing funding sources.
Exhibit A
BH-20-62-08-200
City of Marysville
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III. COST REIMBURSEMENT
A. Flex Funds awarded under this Contract will be reimbursed on a cost
reimbursement basis in support of the Statement of Work (Exhibit B) and the
Approved Project Budget (Exhibit C).
B. The City shall submit monthly requests for reimbursement using the Approved
Invoice (Exhibit D) provided by the County.
C. The City shall submit supporting documentation for requests for
reimbursement of expenses covered by Flex Funds with the Approved Invoice
(Exhibit D). This documentation shall identify the item(s) purchased and cost
of expenses covered by Flex Funds. The City shall also maintain on record
itemized receipts of expenses covered by Flex Funds under this Contract.
Exhibit B
BH-20-62-08-200
City of Marysville
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EXHIBIT B
STATEMENT OF WORK / PROJECT DESCRIPTION
FIRST RESPONDERS FLEX FUND
I. DESCRIPTION
A. The Project shall assist Participants remove barriers to housing and/or abate
emergency situations through the provision of Flex Fund assistance.
B. The Project shall serve eligible Participants only. Participants must be
individuals/families experiencing homelessness or at risk of homelessness.
II. PROGRAM ACTIVITIES
In compliance with the terms of the Contract, the City shall perform the tasks and
services as follows:
A. The City shall develop a process to disburse Flex Funds to First
Responders/Social Workers, not to exceed the total amount included in the
Approved Project Budget (Exhibit C).
B. First Responders/Social Workers shall access Flex Funds in order to procure
goods and/or services directly related to the needs of Participants, which
cannot be met through existing categorical services or formal/informal
community mechanisms. Examples of such purchases may include, but are
not limited to shelter, food, clothing, medical care, transportation, or other
basic needs.
C. Flex Funds shall not be paid directly to the Participants or used for the
purchase of alcohol, tobacco, vaping products, or marijuana products.
D. The City shall submit supporting documentation for expenses covered by Flex
Funds with the Approved Invoice (Exhibit D) for reimbursement.
III. REPORTS
The City shall submit one narrative each quarter providing a description of at
least one individual or family that was able to remove a barrier to housing or
abate an emergency situation as a result of the Project.
AGENCY NAME:
1/1/2020 to 12/31/2020
AMOUNT AMENDMENT TOTAL AMOUNT
11,295$ 11,295$
-
-
-
-
-
11,295$-$11,295$
MATCHING RESOURCES:
N/A
TOTAL MATCHING RESOURCES: N/A
%N/A AMOUNT: N/A
OTHER PROGRAM RESOURCES (Identify):
AMOUNT
TOTAL OTHER RESOURCES: -$
SOURCE FUNDING PERIOD
MATCH REQUIREMENTS FOR CONTRACT:
TOTAL FUNDS AWARDED:
N/A
EHP 1/1/2020 to 12/31/2020
REVENUE SOURCE FUNDING PERIOD
EXHIBIT C
CONTRACT BUDGET - COST REIMBURSEMENT
FIRST RESPONDERS FLEX FUND
CONTRACT PERIOD:
FUNDS AWARDED UNDER CONTRACT:
City of Marysville
Exhibit C
BH-20-62-08-200
City of Marysville
Page 1 of 4
FUND SOURCE FUND SOURCEFUND SOURCEFUND SOURCEFUND SOURCEFUND SOURCEEHPSalaries/Wages-$ Benefits- Supplies/Minor Equip.- Prof. Services- Postage- Telephone- Mileage/Fares- Meals- Lodging- Advertising- Leases/Rentals- Insurance- Utilities- Repairs/Maint.- Client Flex Funds- Printing- Dues/Subscrip.- Regis./Tuition- Machinery/Equip.- Administration- Indirect- Miscellaneous- Flex Funds 11,295 11,295 Misc. Construction- Acquisition- Relocation- - TOTAL 11,295$ -$ -$ -$ -$ -$ 11,295$ -$ EXPENDITURESCATEGORYTOTALOTHER RESOURCESExhibit CBH-20-62-08-200City of MarysvillePage 2 of 4
AMOUNT11,295 11,295$ TOTALCATEGORYFlex FundsNARRATIVE (provide justification describing each category supported with funds awarded under this contract) EXPENDITURE NARRATIVECost of Flex Funds distributed to First RespondersExhibit CBH-20-62-08-200City of MarysvillePage 3 of 4
POSITION FUND SOURCE
% OF TIME
TO FUND
SOURCE
TOTAL MONTHLY
MONTHLY
CHARGE TO
FUND SOURCE
# OF
MONTHS
TOTAL CHARGE
TO FUND
SOURCE
N/A
TOTAL: $0
NOTE: Above figures may reflect rounding
DETAIL SALARIES / WAGES
Exhibit C
BH-20-62-08-200
City of Marysville
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Invoice Number:
Actual:Estimated:
Contracting City and Address: Contract #:BH-20-62-08-200
City of Marysville Project Title:First Responders Flex Fund
1049 State Ave Contract Manager:Cleo Harris (425)388-7423
Marysville,WA 98270 Reporting Period:To:
AUTHORIZING SIGNATURE: Date:
52 $ 11,295.00 $ 11,295.00
$ - $ - $ 11,295.00 $ 11,295.00
REVIEWED FOR PAYMENT:
AUTHORIZED FUND:
Exhibit D
BH-20-62-08-200
City of Marysville
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ATTACH: CONTRACTOR CERTIFICATION FORM
Contract Budget
Balance
TOTALS
Total Contract Budget
Flex Funds
INVOICE-Cost Reimbursement Contracts
Snohomish County Human Services Department - 3000 Rockefeller, M/S 305, Everett, WA 98201
Contract To Date
ExpendituresCurrent ExpendituresSUB
OBJ Account Title
(sign in ink)
x
AUTHORIZING SIGNATURE: DATE:
Voucher Invoice Total
Check # Vendor Refer. # Description Amount Non-Grant Grant
Total: $ - $ - $ -
Exhibit D
BH-20-62-08-200
City of Marysville
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(Use Additional Pages as Necessary)
HUMAN SERVICES DEPARTMENT
3000 ROCKEFELLER, M/S 305
EVERETT, WA 98201
SNOHOMISH COUNTY
AGENCY CERTIFICATION FORM
Charged To:
Agency Certification: I hereby certify under penalty of perjury that the items and totals listed herein are proper
charges for materials, merchandise, or services furnished to Snohomish County, and that all goods furnished and/or
services rendered have been provided without discrimination on the grounds of race, creed, national origin, handicap,
sex, or age.