Issuu

Steve Rader, Commissioner District 1 Steven L. Ferrell, Commissioner District 2 Richard R. Dahl, Commissioner District 3 Kelly Grayson, Clerk of the Board

Regular Public Meeting December 16, 2025, 9:00 a.m. Board Meeting Convenes at 9:00 a.m.           

Invocation by Invitation Live KLTV Pledge of Allegiance ZOOM Stream Link Link Minutes of December 8-10, 2025 Consent Agenda of December 16, 2025 Phone Option: (253) 215-8782 Webinar ID: 820 1961 3917 Agreements/Contracts/Bid Awards Resolutions Board Correspondence Motion Items Public Hearing – 9:30 a.m. Print Agenda Work Session – 10:00 a.m. Public Comments o Citizen Participation may be anonymous. See RCW 42.30.040

Consent Agenda Agreements/Contracts/Bid Award Health & Human Services 1. Contract Amendment with Lower Columbia CAP (LCCAP) to be used to pay or reimburse necessary expenditures incurred for the construction of affordable housing units. This amendment updates the statement of work and extends the contract period to December 31, 2026, paid on a cost reimbursement basis, not to exceed $695,000.00 (no fiscal change). (14552) 2. Contract Amendment with Cowlitz County Habitat for Humanity for cost reimbursement of constructing new units of affordable housing and/or preserving existing affordable housing to extend the project work under the original Agreement through December 31, 2026. (14563) Sheriff’s Department 3. Addendum 1 to the Personal Service Agreement with Northwest Enforcement, Inc. for Guards/Supervisor and a Contractor-Owned Vehicle for the Security in the Jail. The total is not to exceed $530,096 for Guards/Supervisor and $19,458 for a ContractorOwned Vehicle. (14564)

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Regular Public Meeting December 16, 2025, 9:00 a.m. Finance Department 4. Interlocal Agreement with the City of Castle Rock to provide District Court services for 2026 and Automatic Renewal. (14571) Resolutions Finance Department 5. Resolution to certify the Special District Levy. (14570) Board Letters and Fully Executed Contracts & Resolutions 6. Letters/Notices a. Affidavit of Posting Resume for the months of October and November 2025. (14562) b. Retirement Letter to Kathy Funk-Baxter thanking her for her services in the Finance Department. (14569) c. Letter dated 12/8/2025 from the Cowlitz County Fair Board regarding the Expo Center Budget. (14572) d. Federal Energy Regulatory Commission (FERC) Notice 12/3/2025 regarding Stations 69+00 Sinkhole Repairs, Swift No. 2 Project. (14574) e. Federal Energy Regulatory Commission (FERC) Notice dated 12/3/2025 regarding the Canal Preferential Seep Path Mitigation, Swift No. 2 Project. (14575) 7. Executed/Signed Contracts/Resolutions a. Signed Resolution Declaring a Disaster Regarding Flooding in Cowlitz County and Notice of Emergency Meeting on December 8, 2025. (14573) Vouchers The following vouchers/warrants are approved for payment. Fund Claims Claims Claims Claims Claims Claims Special Purpose District No. 1 Special Purpose District No. 1 Special Purpose District No. 1 Special Purpose District No. 2 Special Purpose District No. 2 Special Purpose District No. 2 Special Purpose District No. 2 Public Facilities District No. 1

Voucher Numbers 1000024694-1000024797 1000024798-1000024819 1000068416-1000068636 1000068637-1000068644 1000068645-1000068739 1000024820-1000024935 5000020511-5000020512 5000020513-5000020565 5000003677-5000003696 7000000560-7000000562 7000004378-7000004384 7000004385-7000004386 7000000563-7000000567 9000000269-9000000274

Amount 1,102,843.41 1,702,834.63 199,240.04 47,492.15 2,291,213.47 1,368,774.25 1,491.86 164,728.28 297,147.21 17,166.74 4,034.06 511.17 2,748.68 18,810.00 Page 2 of 4

Regular Public Meeting December 16, 2025, 9:00 a.m. Public Facilities District No. 1 Public Facilities District No. 1 Payroll Payroll Total

9000000847-9000000856 9000000857-9000000857 293375-293933 164203-164221

162,296.93 5,000.00 1,365,145.58 25,259.47 $ 8,776,737.93

Motion Items Public Works 8. Amendment Number 1 to the Personal Services Agreement with Terracon Consultants, Inc. for Material Testing Services for various Public Works projects to revise the approved rates through December 31, 2027. The amendment will increase the not to exceed amount by $150,000 for a new total of $250,000. (14566) Health & Human Services 9. Contract with PreventionMD, L for Health Officer services for January 1, 2026, through December 31, 2027. The total contract amount is $159,984.00. (14534) 10. County Contract # 25-037 with Washington State Health Care Authority (HCA) to provide funding for the Criminal Justice Treatment Account (CJTA) for Substance Use Disorder Treatment Services in the Criminal Justice System. (14537) 11. Contract with Columbia Wellness to provide delivery of Criminal Justice Treatment Account (CJTA) substance-use Disorder Treatment and support services to individuals involved in the Criminal Justice System. The Contract is funded through the Washington State Health Care Authority and will be paid on a cost reimbursement basis, not to exceed $100,000.00. (14538) 12. Contract with Cowlitz Family Health Center to provide delivery of Criminal Justice Treatment Account (CJTA) substance-use disorder treatment and support services to individuals involved in the criminal justice systems. The Contract is funded through the Washington State Health Care Authority and will be paid on a cost reimbursement basis, not to exceed $200,000.00. (14539) 13. Contract Amendment with Cowlitz Family Health Center to connect households who are experiencing homelessness or who are at risk of becoming homeless with community resources, housing options, and needed support services. This agreement is funded through the Washington State Department of Commerce and will be paid on a cost reimbursement basis, not to exceed $41,850.00. (14553) 14. Contract Amendment with Emergency Support Shelter to connect households who are experiencing homelessness or who are at risk of becoming homeless with community resources, housing options, and needed support services. This agreement is funded through the Washington State Department of Commerce and will be paid on a cost reimbursement basis, not to exceed $60,000.00. (14560) 15. Contract Amendment with Community House on Broadway to connect households who are experiencing homelessness or who are at risk of becoming homeless with community resources, housing options, and needed support services. This agreement is funded through the Washington State Department of Commerce and will be paid on a cost reimbursement basis, not to exceed $37,500.00. (14561) Page 3 of 4

Regular Public Meeting December 16, 2025, 9:00 a.m.

Public Hearings – 9:30 a.m. Health & Human Services 16. 2025-2030 Local Homeless Housing Plan (14511) Citizen Comments – Citizen participation may be anonymous. See RCW 42.30.040

Work Session – 10:00 a.m. 

Kelso School District – Homeless Housing

Updates Chairman Updates Upcoming Meetings:  Wednesday, December 17th @ 2:30 p.m. – Housing Opportunities of SW WA Upcoming Cancelations:  Wednesday, December 24th – Holiday (Meetings Canceled – Administration Building closes at 11:30 a.m.)  Thursday, December 25th – Holiday (Office Closed)

RCW 42.30.040 - Conditions of attendance ne required. A member of the public shall not be required, as a condition to attendance at a meeting of a governing body, to register his or her name and other information, to complete a questionnaire, or otherwise to fulfill any condition precedent to his or her attendance. People may remain anonymous when logging on to Zoom by creating any name and email of their choosing. In a meeting, public comment will be received, either or both, orally (raise hand in Zoom or use *9 on phone) and by writing. Note: Written comments may be sent to the Board at any time. For oral presentations, the Board may set a time for comments and speakers. All matters listed with the Consent Agenda were previously distributed to each Board Member for reading and study, were available for public viewing, are considered items of regular County business, and will be approved, without separate discussion, by one motion of the Board of County Commissioners. An item may be removed from the Consent Agenda and placed on the Regular Agenda for separate discussion and voting at the request of any Board Member. The Board of Commissioners may add and take action on other items not listed on this Agenda.   

Agenda Online Address: https://www.co.cowlitz.wa.us/535/Agendas---Regular-Public-Meetings ZOOM Invitation Address (for all meeting days): o https://us06web.zoom.us/j/82019613917 KLTV Live Feed Address: http://www.kltv.org Page 4 of 4

AS-14552 Consent BOCC Agenda Meeting Date: 12/16/2025 Contract Amendment 24-017(1) LCCAP Catlin & Main Grant Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

Information Subject and Summary Statement The purpose of this contract between Cowlitz County and Lower Columbia CAP (LCCAP) is to set forth the terms and conditions by which the County will provide Lower Columbia CAP with a grant award to be used to pay or reimburse necessary expenditures incurred for the construction of affordable housing units. This amendment updates the scope of work and extends the contract period though December 31, 2026 under the same terms and conditions of the original Agreement. This agreement is cost reimbursement based not to exceed $695,000.00 for the period of January 1, 2024 through December 31, 2026, funded through Document Recording Fees for housing and homelessness programs. Contract/SOW Name

Current

Change

Total

Time Period

24-017 24-017 (1)

$0.00 $695,000.00

+$695,000.00 +0

$695,000.00 1/1/24-12/31/25 $695,000.00 1/1/24-12/31/26

Will Staff Attend - NAME OF STAFF Gena James will attend. Department Recommendation It is the recommendation of the Cowlitz County Health & Human Services that the Cowlitz County Board of Commissioners move to approve Contract Amendment 24-017 (1) , with Lower Columbia CAP.

Fiscal Impact Expenditure Required $: $695,000.0 Budget Sufficient Y-N: y Amendment Required Y-N: y Source of Funds - What Dept ? : 18401 Grant Y-N: Attachments Amendment 1 Original Insurance Certificate Form Review Inbox

Reviewed By

Date

Jamie Drake Jamie Drake Gena James Gena James Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

12/03/2025 02:48 PM 12/04/2025 08:47 AM 12/04/2025 02:07 PM 12/11/2025 11:18 AM Started On: 12/03/2025 12:56 PM

AMENDMENT NO. 1 to 24-017 Cowlitz County Grant Agreement With Lower Columbia CAP 1. This Amendment No. ONE to Agreement 24-017 is between Cowlitz County, Washington, (“COUNTY”), and Lower Columbia CAP (“RECIPIENT”), and it shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and RECIPIENT. 2. COUNTY AND RECIPIENT have entered into a Grant Agreement for certain project work, to wit: Agreement: 24-017, approved and executed by the Board of County Commissioners, which Agreement will expire on, December 31, 2025. 3. COUNTY AND RECIPIENT are now in need of continuing or extending the project work under the original Agreement through December 31, 2026, under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and RECIPIENT agree to modify the original Agreement as in the parties’ best interests and in furtherance of the purposes and intent of this amendment, as set forth below: a. Attachment A hereby amended and replaced with Attachment A – 20251204, attached hereto and incorporated by reference. b. Attachment C hereby amended and replaced with Attachment C – 20251204, attached hereto and incorporated by reference. c. Extending Agreement to December 31, 2026 5. Except as provided above in this Amendment No. ONE, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment(s) shall remain in full force and effect. The parties hereto have executed this agreement on this day of December, 2025, and each signatory to this Amendment No. ONE warrants that he/she is duly authorized and executes this Amendment for and on behalf of the below-inscribed parties hereto. RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl, Chairman Steven L. Ferrell, Commissioner

Print name:

Steve Rader, Commissioner Title: CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

ATTEST: , Clerk of the Board Date

1 of 3 Last Date Revised: 12/31/2021 Admin Form: 1602

GRANT AGREEMENT

ATTACHMENT A – 20251204 SCOPE OF WORK FOR PROJECT

RCW 36.22.250(3)(b) provides that the County Auditor shall charge a “document recording surcharge” (“Surcharge”) for each document recorded, and that the County must use certain funds generated by the Surcharge for eligible housing activities. The Recipient shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Construct new units of affordable housing a. Units will be designated for very low income households in Cowlitz County b. Provide affordable housing for single-person households, seniors, and people living with a disability. c. 50% 25% of units will be set aside for homeless populations. 2. Performance monitoring. The County will monitor the Recipient’s performance by tracking work progress, reviewing payment requests for applicable costs, and ensuring that all requirements under this Agreement are met. Substandard performance as determined solely by the County constitutes noncompliance with this Agreement. If action to correct substandard performance is not taken by the Recipient within 30 days after being notified by the County, then the County may terminate the Agreement as described herein.

24-017 (1) Last Date Revised: 12/31/2021 Admin Form: 1602

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GRANT AGREEMENT

ATTACHMENT C - 20251204 CERTIFICATION

I, Ilona Kerby, am the Administrator of Lower Columbia CAP and I certify that: 1. I have authority and approval from the governing body on behalf of Lower Columbia CAP to accept proceeds from the County per Agreement for the affordable housing project by and between the County and Lower Columbia CAP. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the affordable housing project b. Were incurred during the period that begins on January 1, 2024 through December 31, 2025 2026. 3. I understand Lower Columbia CAP receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law.

Printed Name

Signature

Title

Date

24-017 (1) Last Date Revised: 12/31/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT Number: 24-017 1. Purpose of Grant Agreement. This Grant Agreement (“Agreement”) is made by and between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Lower Columbia CAP (hereinafter called “Recipient”) to set forth the terms and conditions by which the County will provide the Recipient with a grant award to be used to pay or reimburse necessary expenditures incurred for the construction of affordable housing units. 2. Term. This Agreement shall take effect on January 1, 2024 and terminate on December 31, 2025. 3. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures consistent and as detailed in Attachment A - Scope of Work for Project (the “Project”). 4. Grant Amount. The Recipient is awarded a total of $695,000 5. Budget. The Grant Award shall be expended by the Recipient as set forth in Attachment B Budget. 6. Recipient Responsibilities. Recipient agrees to administer the grant proceeds consistent with this Agreement. Recipient shall provide the County with certification using the form of Attachment C that grant funds will be used for eligible expenditures. Recipient shall request payment from the County as outlined in Attachment B. 7. Reporting Requirements. In addition to the responsibilities outlined herein and in Attachment A - Scope of Work for Project, at least once a quarter, and at the conclusion of either the grant expenditure or the grant contract period, the Recipient shall provide a report on the progress made to date on the Project, using such forms and meeting such requirements as determined by the County. Such reports shall be provided by the Recipient to the County electronically to the County’s Project Manager identified herein. 8. Access to and Maintenance of Records. Recipient shall maintain internal controls, accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County, for a period of six (6) years to ensure proper accounting for all grant funds and compliance with this Agreement. Recipient acknowledges that records may be subject to disclosure under the Public Records Act, Chapter 42.56 RCW. Recipient agrees that the County or any duly authorized representatives shall have at any time and from time to time during normal business hours, access to any work product, books, documents, papers, and records of Recipient which are related to this Agreement, for the purpose of inspection, audits, examinations, and making excerpts, copies and transcriptions. 9. Termination. The following provisions apply regarding termination of this Agreement: a. Termination for Loss of Funding. The County shall have the right to terminate this Agreement upon advance written notice if the funds relied upon for the grant award are terminated, suspended, or otherwise lost or impaired in whole or in part. b. Termination for Convenience. Either party may terminate this Agreement for convenience upon giving the other party at least 30 days’ advance written notice. In that

1 of 10 Last Date Revised: 12/31/2021 Admin Form: 1602

DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT A

event, the Recipient will be entitled to payment only for those expenses and costs reasonably and actually incurred prior to the effective date of the termination. Termination for Default. If either party defaults in its performance under this Agreement, the nondefaulting party may give the defaulting party written notice that it has 30 days in which to cure the default. If the default is not cured within 30 days of notice, the nondefaulting party may terminate this Agreement. In the event of such a termination, the nondefaulting party shall have all rights and remedies available to it under the law. However, if a notice of termination for default has been issued and it is later determined for any reason that the Recipient was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof.

10. Termination Procedure. The following provisions apply in the event that this Agreement is terminated: a. The Recipient shall cease to perform hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any. b. The Recipient shall provide the County with an accounting of authorized services provided through the effective date of termination. 11. Conflict of Interest. Recipient designees, agents, members, officers, employees, consultants, and any other public official who exercise or who has exercised any functions or responsibilities with respect to the Project during his or her tenure, or who is in a position to participate in a decision-making process or gain inside information with regard to the Project, are barred from any interest, direct or indirect, in any grant or proceeds of the Project, or benefit there from, which is part of this Agreement at any time during or after such person’s tenure. 12. Governing Laws. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. The venue for any dispute regarding or arising out of this Agreement shall be Cowlitz County Superior Court. 13. Personnel. The Recipient will secure at its own expense all labor and materials required to perform any work in connection with the Project. The Recipient shall be responsible for all applicable payroll, labor and industries premiums, and taxes. All employees and subcontractors of the Recipient shall be covered by Industrial Insurance in full compliance with Title 51 RCW. The Recipient shall defend and indemnify the County, and their officials, officers, employees, and agents from and against all claims arising from any actual or alleged violation of the Recipient’s duties under this section or applicable law. Solely for the purposes of this indemnification provision, the Recipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. The Recipient’s duty to defend and indemnify shall survive the termination of this Agreement. 14. Contract Representatives. The parties’ designated representatives shall be responsible for the administration of this Agreement and for receiving notices given in connection with this Agreement. The following are designated as the representatives of the parties: Name: Title: Department: Address: Telephone: E-mail: Fax:

For the County: Gena James Deputy Director Health & Human Services 1952 9th Ave Longview, WA 98632 (360) 414-5599 HHSContracts@cowlitzwa.gov (360) 425-7531

24-017 Last Date Revised: 06/21/2021 Admin Form: 1602

For the Recipient: Ilona Kerby Director Lower Columbia CAP 1526 Commerce Avenue Longview, WA 98632 360-425-3430 ilonak@lowercolumbiacap.org UEI: FKLVP1FC8LF4 UBI: 600462411

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT A

15. Notices. Any notice required or permitted to be made under this Agreement may be given personally, by facsimile, or by first-class, registered or certified mail. A notice personally delivered to the other party is deemed given upon proper delivery. A notice sent by first-class, registered or certified mail is deemed given three days after mailing, if properly addressed and having proper postage. Notices delivered by facsimile shall be deemed to have been given on the date of transmission if received during the recipient’s business day or, if not, on the recipient’s next business day. 16. Insurance Requirements. The Recipient shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Recipient or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided: COMPREHENSIVE GENERAL LIABILITY: Bodily injury, including death. Property damage ERRORS AND OMISSIONS or PROFESSIONAL LIABILITY with an Extended Reporting Period Endorsement (two year tail).

$1,000,000 $1,000,000 $2,000,000

Per occurrence Per occurrence Aggregate

$1,000,000 $2,000,000

Per occurrence Aggregate

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER’S LIABILITY/Stop Gap: $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Recipient’s and Recipient’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Recipient’s and Recipient’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Recipient shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Recipient’s most recent annual financial reports and audited financial statements as a condition of approval. Recipient hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit

24-017 Last Date Revised: 06/21/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT A

Recipient to enter into a pre-loss agreement to waive subrogation without an endorsement, then Recipient agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Recipient enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Recipient’s and Recipient’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Recipient and subcontractor, and all coverage shall be primary and non-contributory. A state or notion of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Recipient is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.] The Recipient shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal. Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: County Project Manager, Cowlitz County Health & Human Services, 1952 9th Avenue, Longview, WA 98632. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Recipient under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Recipient. Compensation and/or payments due to the Recipient under this Agreement are expressly conditioned upon the Recipient’s strict compliance with all insurance requirements. Payment to the Recipient shall be suspended in the event of non-compliance. Upon receipt of evidence of Recipient’s compliance, payments not otherwise subject to withholding or set-off will be released to the Recipient. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required. 17. Indemnification. To the fullest extent permitted by the law, the Recipient shall indemnify, defend, and hold harmless Cowlitz County and the officials, officers, employees, and agents of each of them, from and against all claims in any way resulting from or arising out of the performance of this Agreement, whether such claims arise from the acts, errors or omissions of the Recipient, its subcontractors, third parties, Cowlitz County, or anyone directly or indirectly employed by any of them or anyone for whose acts, errors or omissions any of them may be liable. “Claim” means any loss, claim, suit, action, liability, damage or expense of any kind or nature whatsoever, including but not limited to attorneys’ fees and costs, attributable to personal or bodily injury, sickness, disease, or death, or to injury to or destruction of property, including the loss of use resulting therefrom. The Recipient’s duty to indemnify, defend, and home harmless includes not is not limited to claims by the Recipient’s or any subcontractor’s officers, employees, or agents. The Recipient’s duty, however, does not extend to claims arising from the sole negligence or willful misconduct of Cowlitz County, or tis officials, officers, employees, and agents. Solely for the purposes of this indemnification provision, the Recipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. This section shall survive the expiration or termination of this Agreement. 18. Debarment Certification. The Recipient, by signature to this Agreement, certifies that the Recipient is not presently debarred, suspended, proposed for debarment, declared ineligible, or

24-017 Last Date Revised: 06/21/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT A

voluntarily excluded in this Agreement by any federal department or agency from participating in transactions (Debarred). The Recipient also agrees to include the above requirement in all subcontracts into which it enters. The Recipient shall immediately notify the County if, during the term of this Contract, the Recipient becomes debarred. The County may immediately terminate this Contract by providing Recipient written notice if Recipient becomes debarred during the term hereof. 19. Compliance with Laws. The Recipient and its officials, officers, employees, agents, and subcontractors shall comply with all applicable federal, state, and local laws, regulations, rules, and policies. The County shall have no obligation to ensure such compliance. 20. Religious Activities. If the Recipient is a faith-based or religious organization, it retains its independence and may continue to carry out its mission, including the definition, development, practice, and expression of its religious beliefs. Such a recipient, however, may not use any funding provided under this Agreement to support or engage in any explicitly religious activities, including activities that involve overt religious content such as worship, religious instruction, or proselytization, nor may such a recipient condition the provision of services provided pursuant to this Agreement upon a participant’s engaging in any such explicitly religious activities. 21. Permissible Use Warranty. The Recipient warrants that its planned and actual uses of the grant award herein constitute permissible uses for document recording surcharge funds as established by RCW 36.22.250(3)(b). This section shall survive termination of this Agreement. 22. Organizational Status Warranty. The Recipient warrants that it is duly organized, existing and in good standing under the laws of the State of Washington. 23. Relationship of the Parties. This Agreement, and the parties’ and the County’s activities under it, shall not be construed as creating any kind of partnership or joint venture, nor shall it be construed as creating any kind of independent contractor, agency or employment relationship between the parties or the County. 24. No Third-Party Rights. This Agreement is entered into by the parties solely for their own benefit and it creates or grants no rights of any kind to any other party. 25. Assignment. The Recipient shall not assign any of its rights or delegate any of its duties under this Agreement without the prior express written consent of the County, which may be granted or refused at the County’s sole discretion. 26. Waiver. No term or condition of this Agreement shall be deemed waived unless such waiver is expressly agreed to in writing by the party granting the waiver. In addition, waiver of any breach of this Agreement shall not be deemed a waiver of any prior or subsequent breach. 27. Amendment. This Agreement can only be amended in writing, and only upon execution by both parties. 28. Entire Agreement. The parties acknowledge that this Agreement is the complete expression of their agreement regarding the subject matter of this Agreement. Any oral or written representations or understandings not incorporated into this Agreement are specifically excluded. 29. Headings. The headings in this Agreement are for convenience only and shall not be deemed to affect the meaning of its provisions. 30. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be invalid, such invalidity shall not affect the validity of the remaining provisions that can be given

24-017 Last Date Revised: 06/21/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT A

effect without the invalid provision, provided that the underlying intent of the parties can still be given effect. 31. Signature Authority. Each person signing this Agreement on behalf of a party warrants that he or she has full authority to sign this Agreement on that party’s behalf. 32. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall be deemed one agreement. Each counterpart may be executed and delivered by facsimile to the other party. 33. Attachments. The following attachments are incorporated into this Agreement by reference. a. Attachment A – Scope of Work for Project b. Attachment B – Budget c. Attachment C – Certification Form d. Attachment D – Retirement Certification IN WITNESS WHEREOF, the parties have executed this Agreement on this

26th

day of March, 2024.

RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl, Chairman

Ilona Kerby

Dennis P. Weber, Commissioner

Print name:

Executive Director

Title: CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

24-017 Last Date Revised: 06/21/2021 Admin Form: 1602

Arne MOrtensen Arne Mortensen, Commissioner

ATTEST: Kelly Dombrowsky

Date

, Clerk of the Board

4/15/2024

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT B SCOPE OF WORK FOR PROJECT

RCW 36.22.250(3)(b) provides that the County Auditor shall charge a “document recording surcharge” (“Surcharge”) for each document recorded, and that the County must use certain funds generated by the Surcharge for eligible housing activities. The Recipient shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Construct new units of affordable housing a. Units will be designated for very low income households in Cowlitz County b. Provide affordable housing for single-person households, seniors, and people living with a disability. c. 50% of units will be set aside for homeless populations. 2. Performance monitoring. The County will monitor the Recipient’s performance by tracking work progress, reviewing payment requests for applicable costs, and ensuring that all requirements under this Agreement are met. Substandard performance as determined solely by the County constitutes noncompliance with this Agreement. If action to correct substandard performance is not taken by the Recipient within 30 days after being notified by the County, then the County may terminate the Agreement as described herein.

22-030 Last Date Revised: 12/31/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT B BUDGET

1. Budget. The County shall reimburse the Recipient in an amount not to exceed $695,000. Unspent grant proceeds will be reallocated at the discretion of the County. 2. Payment. Subject to Section 1, the County shall reimburse the Recipient for costs and expenses necessary to perform activities described in the Scope of Work for Project and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated. The Recipient shall ensure that requests for reimbursements are based on billings supported by appropriate documentation of costs and expenses actually incurred. Additionally, the Recipient shall ensure that invoices include receipts, reports, and other detailed documentation of charges as requested by the County Contract Representative. 3. Invoices. The Recipient shall submit invoices using the County’s form, or such other form as approved by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Contract Representative within this Agreement, by the Recipient, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. The final invoice must be received by the County no later than the 30 calendar days following the end of this contract 4. Duplication. The Recipient assures that work performed and invoiced does not duplicate work to be charged to the County and State of Washington under any other Contract or agreement with the Recipient. 5. Advance Payment. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Agreement. 6. Authorized Services. The County shall pay the Recipient only for authorized services provided in accordance with this Agreement. If this Agreement is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. 7. Recovery of Costs Claimed in Error. If the Recipient claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Recipient shall fully cooperate with the recovery.

22-030 Last Date Revised: 12/31/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT C CERTIFICATION

I, Ilona Kerby , am the Administrator of Lower Columbia CAP and I certify that: 1. I have authority and approval from the governing body on behalf of Lower Columbia CAP to accept proceeds from the County per Agreement for the affordable housing project by and between the County and Lower Columbia CAP. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the affordable housing project b. Were incurred during the period that begins on January 1, 2024 through December 31, 2025. 3. I understand Lower Columbia CAP receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law. Ilona Kerby

Printed Name

Signature

Executive Director

3/18/2024

Title

Date

22-030 Last Date Revised: 12/31/2021 Admin Form: 1602

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DocuSign Envelope ID: 6A20AE89-51D1-4685-824B-89308EA8C381

GRANT AGREEMENT

ATTACHMENT D RETIREMENT CERTIFICATION COUNTY RETAINS THIS FORM

Individual contractors and service providers must complete and sign 1. WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001] SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS: 1. Did you retire from one of the State of Washington Retirement Systems?

YES

2. Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

3. Will you be receiving direct compensation for your services?

YES

4. Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

SECTION 2: COUNTY COMPLETES THIS SECTION AND RETAINS FOR AUDIT PURPOSES: [Use Member Reporting Verification (MRV) to verify the past retirement membership] 1. Contractor has been a member of a Washington State Retirement System If YES, what system and plan?

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 5. Is the contractor a retiree of a Washington State Retirement System?

Yes

6. Did the contractor retire before age 65 using the 2008 ERF?

Yes

I have verified the information above using MRV or by contacting DRS, and I have evaluated the individual Contractor, Independent Contractor or Service Provider under WAC 415-02-110 and/or DRS Form-MS 344 (R 5/09), and the Internal Revenue Service rules governing independent contractor status.

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

22-030 Last Date Revised: 12/31/2021 Admin Form: 1602

Date: COUNTY RETAINS THIS FORM

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Issue Date 5/22/2025

Cert #:0000026578

NON PROFIT INSURANCE PROGRAM CERTIFICATE OF COVERAGE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE NPIP COVERAGE AGREEMENT BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: IF THE CERTIFICATE HOLDER IS AN ADDITIONAL COVERED PARTY, THE COVERAGE AGREEMENT MUST BE ENDORSED. IF SUBROGATION IS WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE COVERAGE AGREEMENT, CERTAIN COVERAGE MAY REQUIRE AN ENDORSEMENT. A STATEMENT ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S).

PROGRAM ADMINISTRATOR

COMPANIES AFFORDING COVERAGE

Clear Risk Solutions 159 Basin Street SW PMB #206 Ephrata, WA 98823

GENERAL LIABILITY:

NPIP / Munich Re. et al.

AUTOMOBILE LIABILITY

NPIP / Munich Re. et al.

PROPERTY

NPIP / Munich Re. et al.

CRIME

NPIP / Munich Re. et al.

WRONGFUL ACT LIABILITY

NPIP / Munich Re. et al.

MISCELLANEOUS

NPIP / Munich Re. et al.

COVERED PARTY Lower Columbia Community Action Council 1526 Commerce Avenue Longview, WA 98632

PROFESSIONAL LIABILITY

COVERAGES THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED MEMBER NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE NPIP COVERAGE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH COVERAGE AGREEMENT. LIMITS SHOWN BELOW MAY HAVE BEEN REDUCED BY PAID CLAIMS.

LINE OF COVERAGE

COVERAGE NUMBER

EFF DATE

EXP DATE

NPIP252635834

6/1/2025

6/1/2026

DESCRIPTION

LIMITS

GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (OCCURRENCE FORM)

INCLUDES STOP GAP – EMPLOYERS LIABILITY MEMBER DEDUCTIBLE: $10,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

PER OCCURRENCE

$5,000,000

PER MEMBER AGGREGATE PRODUCT-COMP/OP PERSONAL & ADV. INJURY ANNUAL POOL AGGREGATE

$10,000,000 $5,000,000 $5,000,000 $50,000,000

COMBINED SINGLE LIMIT

$5,000,000

ANNUAL POOL AGGREGATE

NONE

ALL RISK PER OCC EXCL EQ & FL

$100,000,000

EARTHQUAKE PER OCC FLOOD PER OCC ANNUAL POOL AGGREGATE

$1,000,000 $1,000,000 NONE

PER OCCURRENCE PER MEMBER AGGREGATE

$1,000,000 $1,000,000

ANNUAL POOL AGGREGATE

$5,000,000

PER CLAIM

$5,000,000

PER MEMBER AGGREGATE ANNUAL POOL AGGREGATE

$5,000,000

PER CLAIM

$5,000,000

PER MEMBER AGGREGATE

$5,000,000

ANNUAL POOL AGGREGATE

$40,000,000

AUTOMOBILE LIABILITY COMMERCIAL AUTOMOBILE LIAB. NPIP252635834 6/1/2025 (ANY AUTO) (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

PROPERTY COMMERCIAL PROPERTY

NPIP252635834

6/1/2025

6/1/2026

EQ AND FLOOD COVERAGE MAY BE EXCLUDED FOR INDIVIDUAL LOCATIONS (PROPERTY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

CRIME COMMERCIAL CRIME NPIP252635834 INCLUDES EMPLOYEE THEFT/DISHONESTY & ERISA COVERAGE

6/1/2025

6/1/2026

MEMBER DEDUCTIBLE: $1,000 (CRIME IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

WRONGFUL ACT LIABILITY (INCLUDES E&O / D&O) WRONGFUL ACT LIABILTIY NPIP252635834 6/1/2025 (CLAIMS MADE) MEMBER DEDUCTIBLE: $2,500 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

$40,000,000

MISCELLANEOUS PROFESSIONAL LIABILITY MISC. PROFESSIONAL LIABILITY (CLAIMS MADE)

NPIP252635834

6/1/2025

MEMBER DEDUCTIBLE: $2,500 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

CANCELLATION NOTICE: SHOULD ANY OF THE ABOVE-DESCRIBED COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE NPIP COVERAGE AGREEMENT PROVISIONS.

Non Profit Insurance Program 2025-2026

Page 1

Issue Date 5/22/2025

Cert #:0000026578

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding Housing and Essential Needs Grant, Community Development Block Grant and Consolidated Housing Grant. CowlitzCounty Admin Services Department is named as Additional Covered Party regarding these grants only and is subject to Coverage terms,conditions, and exclusions. Additional Covered Party endorsement is attached.

CERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVE

Cowlitz County Admin Services Dept. 207 N 4th Ave, Rm 308 Kelso, WA 98626

Non Profit Insurance Program 2025-2026

Page 2

Coverage#: NPIP252635834 Cert #:0000026578

Effective Date: 6/1/2025 Issue Date 5/22/2025

ADDITIONAL COVERED PARTY AMENDMENT – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies coverage provided under the following:

GENERAL LIABILITY COVERAGE PART This endorsement changes the Coverage Agreement effective on the inception date of the Coverage Agreement unless another date is indicated above. Providing the certificate of coverage that this endorsement is attached to has been issued by and is on file with the Company, the following applies. SCHEDULE Person or Organization (Additional Covered Party): Cowlitz County Admin Services Dept. 207 N 4th Ave, Rm 308 Kelso, WA 98626

Description of Activities / Operations / Designated Premises: Regarding Housing and Essential Needs Grant, Community Development Block Grant and Consolidated Housing Grant. CowlitzCounty Admin Services Department is named as Additional Covered Party regarding these grants only and is subject to Coverage terms,conditions, and exclusions. Additional Covered Party endorsement is attached.

With respect to coverage under the General Liability Coverage Part: A.

The Definition of Covered Party in the LIABILITY COVERAGES – COMMON CONDITIONS, DEFINITIONS AND EXCLUSIONS section of this Coverage Agreement is amended to add as a Covered Party the person or organization shown in the above Declarations with whom you have agreed in a written contract or written agreement that such person or organization be added as an additional Covered Party in your Coverage Agreement. Such person or organization is a Covered Party only with respect to their liability assumed by you that would be otherwise imposed by law in the absence of any contract or agreement relating to or arising out of the specified activity(ies) or operations described in the above Declarations. However, this coverage only applies with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations; or 2. In connection with your premises owned or rented to you. The following provisions also apply: (1) (2)

The written contract or written agreement must be in effect at the inception of the Coverage Period or become effective during the Coverage Period; and The written contract or written agreement must be executed prior to the Bodily Injury or Property Damage.

Subject to the paragraphs above, any such person's or organization's status as an additional Covered Party ends when any of the following first occurs: Non Profit Insurance Program 2025-2026

Page 3

(1) (2) (3) B.

This Coverage Agreement terminates; The written contract or written agreement terminates; or The specified activity(ies) or operations described in the above Declarations terminate.

The following is added to Condition D. Other Insurance in the LIABILITY COVERAGES – COMMON CONDITIONS, DEFINITIONS AND EXCLUSIONS section of the Coverage Agreement, and supersedes any provision to the contrary: For the additional Covered Party under your Coverage Agreement shown in the above schedule, and subject to Paragraph A. above, this coverage is primary to and will not seek contribution from any other insurance available to such additional Covered Party provided that: (1) (2)

The additional Covered Party is a Named Insured under such other insurance; and You have agreed in writing in a contract or agreement that this Coverage would be primary and would not seek contribution from any other insurance available to the additional Covered Party for amounts payable under the coverage provided by this endorsement.

The Limits of Coverage applicable to the additional Covered Party is the lessor of those limits specified in either the: • •

Written contract or written agreement; or Declarations for this Coverage Agreement,

In no case will the limits of coverage provided under this General Liability endorsement exceed the limits as required in the contract or agreement, or the limit of liability available under this Coverage Agreement. These Limits of Coverage are part of and not in addition to the Limits of Coverage shown in the Declarations. Except with respect to the Limits of Coverage, and any rights or duties specifically assigned in this Coverage Part to the Covered Member, this coverage applies: a.

As if each Covered Member were the only Covered Member; and

Separately to each Covered Party against whom claim is made or Suit is brought.

All other terms and conditions remain unchanged

Non Profit Insurance Program 2025-2026

Page 4

AS-14563 Consent BOCC Agenda Meeting Date: 12/16/2025 Contract Amendment 24-029 (1) Cowlitz County Habitat for Humanity Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

Information Subject and Summary Statement The purpose of this grant agreement with Cowlitz County Habitat for Humanity is to provide funding for reimbursement of constructing new units of affordable housing and/or preserving existing affordable housing. The purpose of this amendment (1) is to extend the project work under the original Agreement through December 31, 2026. The agreement is reimbursement based and will not exceed $719,000.00 during the period of January 1. 2024, through December 31, 2026. Contract/SOW Name

Current

Change

Total

Time Period

Original 24-029(1) Habitat for Humanity

$0.00

$719,000.00

1/1/24-12/31/25

$719,000.00

1/1/24-12/31/26

Will Staff Attend - NAME OF STAFF Gena James will attend. Department Recommendation It is the recommendation of the Cowlitz County Health and Human Services that the Cowlitz County Board of Commissioners move to approve this Contract Amendment #24-029 (1) with Cowlitz County Habitat for Humanity.

Fiscal Impact Expenditure Required $: $719,000.0 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 18401 Grant Y-N: n Attachments Contract Amendment 1 Contract Insurance Certificate Form Review Inbox Jamie Drake Gena James

Reviewed By Jamie Drake Gena James

Date 12/09/2025 08:44 AM 12/10/2025 08:10 AM

Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

Started On: 12/08/2025 10:59 AM

AMENDMENT NO. 1 to 24-029 Cowlitz County Grant Agreement With Cowlitz County Habitat for Humanity 1. This Amendment No. ONE to Agreement 24-029 is between Cowlitz County, Washington, (“COUNTY”), and Cowlitz County Habitat for Humanity (“RECIPIENT”), and it shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and RECIPIENT. 2. COUNTY AND RECIPIENT have entered into a Grant Agreement for certain project work, to wit: Agreement: 24-029, approved and executed by the Board of County Commissioners, which Agreement will expire on, December 31, 2025. 3. COUNTY AND RECIPIENT are now in need of continuing or extending the project work under the original Agreement through December 31, 2026, under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and RECIPIENT agree to modify the original Agreement as in the parties’ best interests and in furtherance of the purposes and intent of this amendment, as set forth below: a. Attachment C hereby amended and replaced with Attachment C – 20251204, attached hereto and incorporated by reference. b. Extending Agreement to December 31, 2026 5. Except as provided above in this Amendment No. ONE, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment(s) shall remain in full force and effect. The parties hereto have executed this agreement on this day of December, 2025, and each signatory to this Amendment No. ONE warrants that he/she is duly authorized and executes this Amendment for and on behalf of the below-inscribed parties hereto. RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl, Chairman Steven L. Ferrell, Commissioner

Print name:

Steve Rader, Commissioner Title: CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

24-029 (1) Last Date Revised: 12/31/2021 Admin Form: 1602

ATTEST: , Clerk of the Board Date

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GRANT AGREEMENT

ATTACHMENT C - 20251204 CERTIFICATION

I, Diane Perron, am the Executive Director of Cowlitz County Habitat for Humanity and I certify that: 1. I have authority and approval from the governing body on behalf of Cowlitz County Habitat for Humanity to accept proceeds from the County per Agreement for the projects listed in this agreement by and between the County and Cowlitz County Habitat for Humanity. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the projects listed in this agreement Were incurred during the period that begins on October 1 2024 through December 31 2025 December 31, 2026 3. I understand Cowlitz County Habitat for Humanity receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law.

Printed Name

Signature

Title

Date

24-029 (1) Last Date Revised: 12/31/2021 Admin Form: 1602

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Docusign Envelope ID: 3E2B0899-A761-4519-9EE9-14F295876E88

GRANT AGREEMENT Number: 24-029 1. Purpose of Grant Agreement. This Grant Agreement (“Agreement”) is made by and between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Cowlitz County Habitat for Humanity (hereinafter called “Recipient”) to set forth the terms and conditions by which the County will provide the Recipient with a grant award to be used to pay or reimburse necessary expenditures incurred for constructing new units of affordable housing and preserving existing affordable housing. 2. Term. This Agreement shall take effect on October 1, 2024 and terminate on December 31, 2025 3. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures consistent with and as detailed in Attachment A - Scope of Work for Project (the “Project”). 4. Grant Amount. The Recipient is awarded a total of $719,000.00 5. Budget. The Grant Award shall be expended by the Recipient as set forth in Attachment B Budget. 6. Recipient Responsibilities. Recipient agrees to administer the grant proceeds consistent with this Agreement. Recipient shall provide the County with certification using the form of Attachment C that grant funds will be used for eligible expenditures. Recipient shall request payment from the County as outlined in Attachment B. 7. Reporting Requirements. In addition to the responsibilities outlined herein and in Attachment A - Scope of Work for Project, at least once a quarter, and at the conclusion of either the grant expenditure or the grant contract period, the Recipient shall provide a report on the progress made to date on the Project, using such forms and meeting such requirements as determined by the County. Such reports shall be provided by the Recipient to the County electronically to the County’s Project Manager identified herein. 8. Access to and Maintenance of Records. Recipient shall maintain internal controls, accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County, for a period of six (6) years to ensure proper accounting for all grant funds and compliance with this Agreement. Recipient acknowledges that records may be subject to disclosure under the Public Records Act, Chapter 42.56 RCW. Recipient agrees that the County or any duly authorized representatives shall have at any time and from time to time during normal business hours, access to any work product, books, documents, papers, and records of Recipient which are related to this Agreement, for the purpose of inspection, audits, examinations, and making excerpts, copies and transcriptions. 9. Termination. The following provisions apply regarding termination of this Agreement: a. Termination for Loss of Funding. The County shall have the right to terminate this Agreement upon advance written notice if the funds relied upon for the grant award are terminated, suspended, or otherwise lost or impaired in whole or in part. b. Termination for Convenience. Either party may terminate this Agreement for convenience upon giving the other party at least 30 days’ advance written notice. In that

24-029 Last Date Revised: 12/31/2021 Admin Form: 1602

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Docusign Envelope ID: 3E2B0899-A761-4519-9EE9-14F295876E88

GRANT AGREEMENT

ATTACHMENT A

10. Termination Procedure. The following provisions apply in the event that this Agreement is terminated: a. The Recipient shall cease to perform hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any. b. The Recipient shall provide the County with an accounting of authorized services provided through the effective date of termination. 11. Conflict of Interest. Recipient designees, agents, members, officers, employees, consultants, and any other public official who exercise or who has exercised any functions or responsibilities with respect to the Project during his or her tenure, or who is in a position to participate in a decision-making process or gain inside information with regard to the Project, are barred from any interest, direct or indirect, in any grant or proceeds of the Project, or benefit there from, which is part of this Agreement at any time during or after such person’s tenure. 12. Governing Laws. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. The venue for any dispute regarding or arising out of this Agreement shall be Cowlitz County Superior Court. 13. Personnel. The Recipient will secure at its own expense all labor and materials required to perform any work in connection with the Project. The Recipient shall be responsible for all applicable payroll, labor and industries premiums, and taxes. All employees and subcontractors of the Recipient shall be covered by Industrial Insurance in full compliance with Title 51 RCW. The Recipient shall defend and indemnify the County, and their officials, officers, employees, and agents from and against all claims arising from any actual or alleged violation of the Recipient’s duties under this section or applicable law. Solely for the purposes of this indemnification provision, the Recipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. The Recipient’s duty to defend and indemnify shall survive the termination of this Agreement. 14. Contract Representatives. The parties’ designated representatives shall be responsible for the administration of this Agreement and for receiving notices given in connection with this Agreement. The following are designated as the representatives of the parties: For the County: For the Recipient: Name: Gena James Diane Perron Title: Deputy Director Chief Executive Officer Department: Health & Human Services Cowlitz County Habitat for Humanity Address: 1952 9th Ave PO Box 1451 Longview, WA 98632 Longview, WA 98632 Telephone: (360) 414-5599 (360) 425-6177 E-mail: HHSContracts@cowlitzwa.gov dperron@cowlitzhabitat.org Fax: (360) 425-7531 UEI: 91-1986972 UBI: 601-967-214

24-029 Last Date Revised: 06/21/2021 Admin Form: 1602

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Docusign Envelope ID: 3E2B0899-A761-4519-9EE9-14F295876E88

GRANT AGREEMENT

ATTACHMENT A

$1,000,000 $1,000,000 $2,000,000

Per occurrence Per occurrence Aggregate

$1,000,000 $2,000,000

Per occurrence Aggregate

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER’S LIABILITY/Stop Gap: $1,000,000

Per occurrence

24-029 Last Date Revised: 06/21/2021 Admin Form: 1602

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Docusign Envelope ID: 3E2B0899-A761-4519-9EE9-14F295876E88

GRANT AGREEMENT

ATTACHMENT A

Recipient agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Recipient enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Recipient’s and Recipient’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Recipient and subcontractor, and all coverage shall be primary and non-contributory. A state or notion of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Recipient is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.] The Recipient shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal. Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: County Project Manager, Cowlitz County Health & Human Services, 1952 9th Avenue, Longview, WA 98632. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Recipient under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Recipient. Compensation and/or payments due to the Recipient under this Agreement are expressly conditioned upon the Recipient’s strict compliance with all insurance requirements. Payment to the Recipient shall be suspended in the event of non-compliance. Upon receipt of evidence of Recipient’s compliance, payments not otherwise subject to withholding or set-off will be released to the Recipient. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required. 17. Indemnification. To the fullest extent permitted by the law, the Recipient shall indemnify, defend, and hold harmless Cowlitz County and the officials, officers, employees, and agents of each of them, from and against all claims in any way resulting from or arising out of the performance of this Agreement, whether such claims arise from the acts, errors or omissions of the Recipient, its subcontractors, third parties, Cowlitz County, or anyone directly or indirectly employed by any of them or anyone for whose acts, errors or omissions any of them may be liable. “Claim” means any loss, claim, suit, action, liability, damage or expense of any kind or nature whatsoever, including but not limited to attorneys’ fees and costs, attributable to personal or bodily injury, sickness, disease, or death, or to injury to or destruction of property, including the loss of use resulting therefrom. The Recipient’s duty to indemnify, defend, and home harmless includes not is not limited to claims by the Recipient’s or any subcontractor’s officers, employees, or agents. The Recipient’s duty, however, does not extend to claims arising from the sole negligence or willful misconduct of Cowlitz County, or tis officials, officers, employees, and agents. Solely for the purposes of this indemnification provision, the Recipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. This section shall survive the expiration or termination of this Agreement. 18. Debarment Certification. The Recipient, by signature to this Agreement, certifies that the Recipient is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded in this Agreement by any federal department or agency from participating in

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ATTACHMENT A

transactions (Debarred). The Recipient also agrees to include the above requirement in all subcontracts into which it enters. The Recipient shall immediately notify the County if, during the term of this Contract, the Recipient becomes debarred. The County may immediately terminate this Contract by providing Recipient written notice if Recipient becomes debarred during the term hereof. 19. Compliance with Laws. The Recipient and its officials, officers, employees, agents, and subcontractors shall comply with all applicable federal, state, and local laws, regulations, rules, and policies. The County shall have no obligation to ensure such compliance. 20. Religious Activities. If the Recipient is a faith-based or religious organization, it retains its independence and may continue to carry out its mission, including the definition, development, practice, and expression of its religious beliefs. Such a recipient, however, may not use any funding provided under this Agreement to support or engage in any explicitly religious activities, including activities that involve overt religious content such as worship, religious instruction, or proselytization, nor may such a recipient condition the provision of services provided pursuant to this Agreement upon a participant’s engaging in any such explicitly religious activities. 21. Permissible Use Warranty. The Recipient warrants that its planned and actual uses of the grant award herein constitute permissible uses for document recording surcharge funds as established by RCW 36.22.250(3)(b), permissible uses under the Affordable and Supportive Housing sales and use tax as established by RCW 82.14.540, and permissible uses under the Consolidated Homeless Grant Contract between the Washington State Department of Commerce and Cowlitz County (attached hereto as Attachment E). This section shall survive termination of this Agreement. 22. Organizational Status Warranty. The Recipient warrants that it is duly organized, existing and in good standing under the laws of the State of Washington. 23. Relationship of the Parties. This Agreement, and the parties’ and the County’s activities under it, shall not be construed as creating any kind of partnership or joint venture, nor shall it be construed as creating any kind of independent contractor, agency or employment relationship between the parties or the County. 24. No Third-Party Rights. This Agreement is entered into by the parties solely for their own benefit and it creates or grants no rights of any kind to any other party. 25. Assignment. The Recipient shall not assign any of its rights or delegate any of its duties under this Agreement without the prior express written consent of the County, which may be granted or refused at the County’s sole discretion. 26. Waiver. No term or condition of this Agreement shall be deemed waived unless such waiver is expressly agreed to in writing by the party granting the waiver. In addition, waiver of any breach of this Agreement shall not be deemed a waiver of any prior or subsequent breach. 27. Amendment. This Agreement can only be amended in writing, and only upon execution by both parties. 28. Entire Agreement. The parties acknowledge that this Agreement is the complete expression of their agreement regarding the subject matter of this Agreement. Any oral or written representations or understandings not incorporated into this Agreement are specifically excluded. 29. Headings. The headings in this Agreement are for convenience only and shall not be deemed to affect the meaning of its provisions.

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30. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be invalid, such invalidity shall not affect the validity of the remaining provisions that can be given effect without the invalid provision, provided that the underlying intent of the parties can still be given effect. 31. Signature Authority. Each person signing this Agreement on behalf of a party warrants that he or she has full authority to sign this Agreement on that party’s behalf. 32. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall be deemed one agreement. Each counterpart may be executed and delivered by facsimile to the other party. 33. Attachments. The following attachments are incorporated into this Agreement by reference. a. Attachment A – Scope of Work for Project b. Attachment B – Budget c. Attachment C – Certification Form d. Attachment D – Retirement Certification e. Attachment E – Consolidated Homeless Grant Contract between Washington State Department of Commerce and Cowlitz County IN WITNESS WHEREOF, the parties have executed this Agreement on this 5th day of November 20 24 . RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Diane Perron

Dennis P. Weber,

Commissioner

Arne Mortensen,

Commissioner

Print name: CEO

Title: CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

24-029 Last Date Revised: 06/21/2021 Admin Form: 1602

ATTEST: Kelly Grayson

Date

, Clerk of the Board

11/5/2024

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ATTACHMENT B SCOPE OF WORK FOR PROJECT

RCW 36.22.250(3)(b) provides that the County Auditor shall charge a “surcharge” to be used to accomplish the purposes of the County’s local homeless housing plan; RCW 82.14.540 authorizes counties to impose a sales and use tax and use the funds collected for specific affordable and supportive housing purposes, as outlined in that statute; and, the Consolidated Homeless Grant from the Washington State Department of Commerce provides resources for Cowlitz County to support ending homelessness. Consistent with the funding requirements from those three sources of funding, the Recipient shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Project. a. Construct new units of affordable housing: i. Low-Income/Affordable Cowlitz County Habitat for Humanity housing unit – Engineering, permitting, and materials for construction of home that will provide an affordable homeownership opportunity for a family making 30-65% of the area median income. This is one of 6 homes being built in Lexington to address low-income housing needs. ii. Church Street property project – Development prep for a 14-unit affordable housing build which may include engineering, consulting, permitting, infrastructure, architectural design, etc. Project will provide affordable housing opportunities for families making 30-65% of the area median income. iii. Construction site staff support – staffing costs to assist in completing the above projects. b. Preserve existing affordable housing: i. A Brush with Kindness projects – Preserve affordable housing stock by completing light home rehabilitation projects that address health, safety, and durability issues with existing housing such as: porch or window repair, ramp and rails, fence repair, painting, siding repair, debris removal, gravel/walkway/paver repair, gutter clean up, etc. to low-income (at or below 60% of the area medium income), Cowlitz County residents including families with children, seniors with a fixed income, veterans and those with disabilities who are aging in place and planning to remain in their home. ii. Construction site staff support –staffing costs to assist in completing the above projects. RCW 36.22.250(3)(b) funds and/or Consolidated Homeless Grant funds will be used for Project (a)(i), (ii), and (iii). RCW 82.14.540 funds will be used for Project (b)(i) and (ii).

2. Performance monitoring. The County will monitor the Recipient’s performance by tracking work progress, reviewing payment requests for applicable costs, and ensuring that all requirements under this Agreement are met. Substandard performance as determined solely by the County constitutes noncompliance with this Agreement. If action to correct substandard performance is not taken by the Recipient within 30 days after being notified by the County, then the County may terminate the Agreement as described herein.

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ATTACHMENT B BUDGET

1. Budget. The County shall reimburse the Recipient in an amount not to exceed $719,000.00. Unspent grant proceeds will be reallocated at the discretion of the County. 2. Payment. Subject to Section 1, the County shall reimburse the Recipient for costs and expenses necessary to perform activities described in the Scope of Work for Project and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated. The Recipient shall ensure that requests for reimbursements are based on billings supported by appropriate documentation of costs and expenses actually incurred. Additionally, the Recipient shall ensure that invoices include receipts, reports, and other detailed documentation of charges as requested by the County Contract Representative. 3. Invoices. The Recipient shall submit invoices using the County’s form, or such other form as approved by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Contract Representative within this Agreement, by the Recipient, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. The final invoice must be received by the County no later than the 30 calendar days following the end of this contract 4. Duplication. The Recipient assures that work performed and invoiced does not duplicate work to be charged to the County and State of Washington under any other Contract or agreement with the Recipient. 5. Advance Payment. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Agreement. 6. Authorized Services. The County shall pay the Recipient only for authorized services provided in accordance with this Agreement. If this Agreement is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. 7. Recovery of Costs Claimed in Error. If the Recipient claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Recipient shall fully cooperate with the recovery.

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ATTACHMENT C CERTIFICATION

I, Diane Perron, am the Executive Director of Cowlitz County Habitat for Humanity and I certify that: 1. I have authority and approval from the governing body on behalf of Cowlitz County Habitat for Humanity to accept proceeds from the County per Agreement for the projects listed in this agreement by and between the County and Cowlitz County Habitat for Humanity. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the projects listed in this agreement Were incurred during the period that begins on October 1 2024 through December 31 2025 3. I understand Cowlitz County Habitat for Humanity receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law. Diane Perron

Printed Name CEO

Title

24-029 Last Date Revised: 12/31/2021 Admin Form: 1602

Signature 10/20/2024

Date

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ATTACHMENT D RETIREMENT CERTIFICATION COUNTY RETAINS THIS FORM

YES

2. Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

3. Will you be receiving direct compensation for your services?

YES

4. Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 5. Is the contractor a retiree of a Washington State Retirement System?

Yes

6. Did the contractor retire before age 65 using the 2008 ERF?

Yes

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

24-029 Last Date Revised: 12/31/2021 Admin Form: 1602

Date: COUNTY RETAINS THIS FORM

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ATTACHMENT E

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ATTACHMENT E

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ATTACHMENT E

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ATTACHMENT E

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ATTACHMENT E

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ATTACHMENT E

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06/05/2025

Lockton Affinity, LLC 888-553-9002

Lockton Affinity, LLC P. O. Box 873401 Kansas City, MO 64187-3401

Cowlitz County Habitat for Humanity

913-652-3967

Ace American Insurance Company

22667

ACE Property & Casualty Insurance Co.

20699

Ace Property and Casualty

20699

PO Box 1451 Longview, WA

98632-7859

X X

GL1065869-25

04/01/2025 04/01/2026

X Hired & Non-Owned Auto Liability

1,000,000 1,000,000 0 1,000,000 2,000,000 2,000,000

H08787372-12

04/01/2025 04/01/2026

1,000,000

UM1065869-25

04/01/2025 04/01/2026

1,000,000 1,000,000

X X

10,000

1065869

Cowlitz County Commissioners via Health & Human Services 1952 9th Avenue Longview, WA 98632

53600054

1065869

AS-14564 Consent 3. BOCC Agenda Meeting Date: 12/16/2025 Northwest Enforcement, Inc. Personal Service Agreement 2024-0023-01 Addendum 1 for 2026 Services Submitted For: Katrina Harris Submitted By: Katrina Harris Department: Sheriff Information Subject and Summary Statement Cowlitz County currently has a contract with Northwest Enforcement, Inc. to provide Court Security at the Hall of Justice for District and Superior Courts, Juvenile and the Jail. All of these costs are currently in the Sheriff's Budget. Attached is Addendum 1 to Contract Number: 2024-0023-01 which provides for a CPI increase in wages of 2.7% as agreed upon in the original contract. This addendum also clarifies the 2026 Holiday Schedule, and removes the services for security, which had been paid for by Non-Departmental General Fund Budget for the Administration building, Health Department and Museum, (per the Commissioners' direction during the budget process this year). The estimated costs are not to exceed $530,096.05 for the Services of (4) Armed Guards and (1) Supervisor. Also, there is an agreement for a contractor-owned vehicle for $19,458 for use of a vehicle to go between sites. There is (1) Armed Guard and oversight of the Supervisor and the use of their share of a vehicle for the Security in the Jail; the cost is approximately $137,389. In addition, is the cost of $137,389 for Juvenile for their (1) Armed Guard, and the Supervisor's oversight and their share of the vehicle costs. For the Hall of Justice to provide security for Superior Court, District Court and our building the cost is for (2) Armed Guards, oversight of a Supervisor and use of vehicle is $274,776. A change this year is that the State of Washington now requires these services to be taxable. Just the tax increase at 8.1% is $41,178 annually for these services starting January 1, 2026. This contract can be amended for the current CPI calculated in June each year, for the next year's wage increase or another three times. Will Staff Attend - NAME OF STAFF Sheriff Thurman or designee Department Recommendation Staff recommends approval of Northwest Enforcement, Inc. Personal Service Agreement Contract number: 2024-0023-01; Addendum 1 for 2026. The PSA is not to exceed $530,096 for Guards/Supervisor and not to exceed $19,458 for contractor-owned vehicle.

Fiscal Impact Expenditure Required $: Budget Sufficient Y-N: Amendment Required Y-N:

549554.05 y n

Amendment Required Y-N: n Source of Funds - What Dept ? : Sheriff Grant Y-N: n Attachments PSA Northwest Enforcement contract 2024-0023-01: Addendum 1 for 2026 Services PSA Northwest Enforcement Original Contract signed 12-2024 for 2025 Form Review Inbox Reviewed By Brad Thurman Brad Thurman Form Started By: Katrina Harris Final Approval Date: 12/11/2025

Date 12/09/2025 01:26 PM Started On: 12/08/2025 11:55 AM

Addendum 1: Personal Services Agreement Contract Number: 2024-0023-01 THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Name: Northwest Enforcement, Inc. Address: 17116 Northeast Sandy Boulevard Portland, Oregon 97230 Phone:

503-893-8858

(hereinafter called “Contractor”). This agreement is comprised of: Addendum 1: Attachment A – Scope of Work Addendum 2: Attachment B – Compensation Original Personal Services Agreement Contract Number: 2024-0023-01 ☒Attachment A – Scope of Work ☒Attachment B – Compensation ☒Attachment E – Cowlitz County 2026 Holiday Schedule ☒Attachment F – Northwest Enforcement Post Orders Copies of which are attached hereto and incorporated herein by the reference as if fully set forth. The term of this Agreement shall commence on the 1st day of January 2026 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the 31st day of December 2026. The County reserves the right to extend the contract for up to four additional (3) additional one-year periods. IN WITNESS WHEREOF, the parties have executed this Agreement on the 23rd day of December 2025. CONTRACTOR:

COWLITZ COUNTY:

Print Name: Karen Withrow

Richard R. Dahl, Chairman

Date: December 8, 2025 ATTEST: Kelly Grayson, Clerk of the Board

Page 1 of 10

Steven L. Ferrell, Commissioner Steve Radar, Commissioner

PERSONAL SERVICES AGREEMENT

ATTACHMENT A

Addendum 1: SCOPE OF WORK D. Cowlitz County Administrative & Annex Building, 207 N. 4th, Kelso, Washington. (1) One (1) security guard is required to be on duty for the operation of monitoring the building’s overall security with a sweep of the exterior and interior beginning at the start of shift. Coverage will be between 6:00 AM to 6:00 PM Monday through Thursday, not to include legal County holidays as outlined in Attachment E. Additional security sweeps of locations in Sections E-G below will also be completed by this guard. (2) The security guard will be present for the duration of all public meetings held by the Commissioners to monitor the public, watching for any potential disturbances and maintaining contract with other security personnel. Upon prior notification and mutual written agreement, the County may request presence at additional meetings, events, or during times of unusually high foot traffic. (3) The security personnel will answer calls from work cell phones in the event an office located in one of the buildings has a security concern needing to be addressed by the guard. (4) The security guard while on duty, will at minimum once per hour scan the live feed on computer monitor or mobile device (provided by the County) coming from the various cameras in the administrative building offices with the intent to watch for potential disturbances or other notable security or life safety issues. (5) The security personnel will be present at north entrance station prior to the operational start of the office opening hours and at the conclusion of the operating day or 6:00 PM to monitor the entrance for preventing entrance to the building once operations have concluded. (6) The security guard will disarm the security alarm after unlocking the building at the beginning of shift and secure the annex building with a key issued from facilities by 5:00 PM. E. Cowlitz County Museum building, 405 Allen Street, Kelso, Washington One (1) security guard is required for a sweep of the exterior and parking lots beginning at approximately 7:30 AM utilizing a patrol vehicle provided by the security firm. Address any security issues and document in daily reporting to County. F. Cowlitz County Heath & Human Services, 1952 9th Avenue, Longview, Washington One (1) security guard is required for a sweep of the exterior paring lots beginning at approximately 6:15 AM utilizing a patrol vehicle provided by the security firm. Address any security issues and document in daily reporting to County. G. Cowlitz County Exposition Center, 1900 7th Ave., Longview, Washington

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One (1) security guard is required for a sweep of the exterior paring lots beginning at approximately 7:45 AM utilizing a patrol vehicle provided by the security firm. Address any security issues and document in daily reporting to County.

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PERSONAL SERVICES AGREEMENT

ATTACHMENT B

Addendum 1: COMPENSATION For services rendered, the County shall compensate the Contractor at the following hourly rates: Position & Location

Hourly Rate

Armed Guard – Administration Building Armed Guard – Hall of Justice Armed Guard – Jail Armed Guard – Juvenile Detention Working Site Supervisor

$42.13 $43.27 $43.27 $43.27 $45.74

2.7% Cola 2.7% Cola 2.7% Cola 2.7% Cola

Payments for completed tasks shall be made no more frequently then ☒ monthly; ☐ quarterly; ☐ semiannually; ☐ annually; ☐ at completion of project; ☐ other (specify): Each request for payment shall be supported by an invoice specifying: the name or employee identifier number, position, and location of the Contractor’s employee; dates with actual times worked; number of hours worked; and payment amount requested. At the beginning of each contract extension, the rates shall be increased or decreased by the same percentage as the percentage change in the CPI for the twelve (12) months ending the preceding January. “CPI” means Consumer Price Index, All Cities, Urban Workers and Clerical Workers, (CPI-W), 1982=100, as published by the United States Department of Labor, Bureau of Labor Statistics (“CPI”). If the Bureau of Labor Statistics Ceases to publish that index in its present form, the parties shall substitute another index to reflect inflation in comparable terms. In no event shall Contractor be compensated in excess of: Five hundred thirty thousand, ninety six dollars and 05 cents ($530,096.05) for the completed work set forth in Attachment “A”. (4) Armed Guards

$387,872.28

(4) 8 AM to 5 PM Monday – Friday: 9 hrs x 5 days = 45 hrs a week x 52 weeks x 4 guards = 9,360 hours Minus 11 holidays @ 9 hrs a day x 4 armed guards = 396 hours 9,360 – 396 = 8,964 hours x $43.27 = $387,872.28 (1) Supervisor $102,503.34 (1) 8 AM to 5 PM Monday – Friday: 9 hrs x 5 days = 45 hrs a week x 52 weeks = 2,340 hours Minus 11 holidays @ 9 hrs a day = 99 hours 2,340 – 99 = 2,241 hours x $45.74 = $102,503.34 Sales tax 8.1%

$39,720.43 (New in 2026)

Grand Total

$530,096.05

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AND ☐ a. The compensation set forth herein includes, without limitation: labor, materials, equipment, travel, telephone, computer, copiers and the like. OR ☐ b. The County shall reimburse the Contractor for actual expenses incurred for travel, telephone, copiers and computer. Reimbursement for airfare, mileage, meals and/or accommodations shall be at the same rate as that applicable to County employees traveling on County business. OR ☒ c. Other: The County, in addition to the compensation set forth herein shall pay to the Contractor an amount equal to $1,500 per month ($18,000 annually) for the use of Contractor-owned vehicles required for performance of services under this Agreement. Plus 8.1% tax $1,458 = Grand total annually $19,458

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PERSONAL SERVICES AGREEMENT

ATTACHMENT E

Addendum 1: COWLITZ COUNTY 2026 HOLIDAY SCHEDULE

The following days are recognized as legal holidays for Cowlitz County. You will be notified if there are changes to this schedule.

• • • • • • • • • •

Holiday

Day of Observance

New Year’s Day o January 1st Martin Lurther King Jr. Day o Third Monday in January President’s Day o Third Monday in February Memorial Day o Last Monday in May Juneteenth o June 19th Independence Day o July 4th Labor Day o First Monday in September Veteran’s Day o November 11th Thanksgiving Holiday o Fourth Thursday & Friday in November Christmas Day o December 25th

Thursday, January 1, 2026

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Monday, January 19, 2026 Monday, February 16, 2026 Monday, May 25, 2026 Friday, June 19, 2026 Friday, July 3, 2026 Monday, September 7, 2026 Wednesday, November 11, 2026 Thursday & Friday November 26 & November 27, 2026 Friday, December 25, 2026

PERSONAL SERVICES AGREEMENT

ATTACHMENT F

Northwest Enforcement Post Orders

NORTHWEST ENFORCEMENT INC. Be valuable, because nothing less will do

Cowlitz County - Administration Building

1 Security Officer, M-Th: 0600-1800 Main Point of Contact: NEI Cowlitz County Supervisor GENERAL ORDERS: 1. 2. 3. 4. 5.

Each officer will maintain post orders at the post to which they are assigned. Each officer will read the post order instructions prior to the start of each shift. Each officer will clock in and out using SRT for each shift. Each officer will radio Northwest Enforcement (NEI) Dispatch at the start and end of their shifts, as well as every 30 minutes according to onsite guidelines. Each security officer will follow the NEI Policy Handbook, and each officer will wear the appropriate seasonal uniform. At site-specific locations, security officers may be authorized to wear NEI issued outerwear. Officers performing duties outside may wear black gloves. Officers shall ensure that their duty gear is clean and functional. Security Officers will not have unauthorized visitors, alcohol, weapons, or any other equipment/material not authorized by the client or company on site. Failure to comply with all these instructions will result in disciplinary actions under the NEI policy handbook. Security Officers will not utilize their personal or client phone/computer/I-Pad/cameras for personal use. Personal phones must be left in the NEI safe unless on authorized breaks and/or lunches out of site of the public view. The client phone is for official business/emergencies only, and any calls made by the officer shall be recorded as an entry / DAR in SRT. If given access to a client phone, I-Pad, computer and/or cameras; all will be used solely for the accomplishment of duties as required by sitespecific post orders. Officers will not use a client’s computer to access personal information or access the Internet other than for NEI business. Failure to follow these orders will result in suspension and/or termination, pending investigation. Security Officers shall maintain their assigned work area in a clean, orderly condition. Any deficiencies in cleanliness or any broken equipment will be annotated as an entry / DAR in SRT and reported to the NEI supervisor. Officers will take breaks and lunches in the assigned and appropriate areas and not in the public’s view. Security Officers will conduct an inventory of on-site equipment (client-owned and company-owned) to ensure accountability and condition. Deficiencies will be annotated as an entry / DAR in SRT and reported to the NEI supervisor.

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10. Security Officers are representatives of NEI. As such, changes in site-specific post orders as dictated from the client must be reported to a supervisor immediately. 11. Security Officers will follow all safety rules while working at the site. 12. When dealing with people at the site, please keep the following in mind: • Customer Service • Rules of the Site • Safety of the Client and Client’s Employees • Public Health and Safety 13. Security Officers are to deter, detect, and detain with the necessary force needed without putting themselves at unnecessary risk. All actions and any incidents will be completely and accurately recorded in an incident report. A copy will also be provided to any responding law enforcement agency at the discretion of Cowlitz County and not NEI personnel. Any witnesses should have witness statements completed and attached to the incident report and copies made and provided to all persons mentioned above. All officers will adhere to the state standardized certification (if applicable) and training in security for all contacts and use of force. 14. All problems and incidents should be reported to the NEI supervisor or other points of contact on the phone list located on the last page of these orders. In cases of emergency, follow established emergency procedures and notify personnel listed on the emergency contact list. 15. Security Officers are responsible for maintaining accurate reports and logs. Officers will log entries regarding phone calls, rounds made, personnel, entering site, emergencies, and problems or general observations and customer contacts while conducting rounds in a Daily Activity Report or DAR utilizing SRT for this process—this list is not all-inclusive. 16. Officers will not be released to work independently without first demonstrating the ability to accomplish various tasks necessary to perform the job properly and independently by the PM. 17. Inspections can and will be conducted by NEI supervisors. All company representatives must present the appropriate identification to verify identity. Identification includes a NEI uniform and/or a NEI business card with the name and position listed on the card, and photo identification. 18. Security Officers must read, understand, and follow instructions in all sections of post orders in detail. SITE SPECIFIC POST ORDERS: 1. Site Address: • The Cowlitz County Administrative Building – Primary Site o 207 4th Ave N #308, Kelso, WA 98626 •

Cowlitz County Historical Museum – Hourly Patrol Stop o 405 Allen St, Kelso, WA 98626

•

Cowlitz County Academy Street Parking Lot – Patrol Stop o Southeast corner of Academy Street and N Pacific Ave

•

Cowlitz County Health Department – Patrol Stop o 1952 Ninth Ave, Longview, WA 98632

•

Cowlitz County Event Center – Patrol Stop o 1900 Seventh Ave, Longview, WA 98632

Page 8 of 10

2. Breaks: • 1-hour unpaid lunch • 2 - 10 minute breaks per shift o All breaks and lunches are based on the hours presented in the NEI Policy Handbook and will be annotated and documented properly utilizing SRT and notifying NEI dispatch of breaks and lunches. o All breaks and lunches should be in the designated area and out of the view of the public. 3. Start of Shift Procedures: • If building access fob is needed, use code in SRT to remove fob to let yourself into the building. o Fob must be returned daily to this lockbox. • Remove the site device from the safe located in the Security Office. • Clock in with SRT. Radio NEI Dispatch at start of shift. • Obtain security keys, site phone, and vehicle keys from the Security Office. o Shut off the alarm panel using code found in SRT. o Annex code is located in SRT. o Retain custody of all equipment for the entire duration of your shift. o Check out the NEI vehicle for the day. Ensure the vehicle interior remains clean. Note any concerns, issues or damages in SRT. • Open SRT and begin an Annex patrol at 0600, by opening the first-floor doors and the doors to the maintenance building across the courtyard. • Check all public restrooms for occupants, vandalism, or other concerns. • Turn on hallway lights for all three floors. As a part of your patrol, take photo of each floor. • Open the double doors to the Courtyard. As a part of your patrol, take photos from the courtyard. • Walk through the parking lot on site and take a photo of the lot. • Walk to the Cowlitz County Historical Museum, located across the street. Conduct an exterior patrol of the building and take a photo of the back door. • Walk to the Academy Street Parking Lot across the street. As part of your patrol, take a photo of this area. • At 0620, drive to the Cowlitz County Event Center, located at 1900 Seventh Ave, Longview, WA 98632. Ensure you arrive by 0630. Utilize the gate key found in the key box for the patrol vehicle to open the main gate near Washington Street. Perform the Event Center patrol, taking a photo of the front of the building. Additionally, notate if the gate was already open upon your arrival. • Upon completion of the above, drive to the Cowlitz County Health Department, located at 1952 Ninth Ave, Longview, WA 98632. Upon arrival, use SRT to perform the Health Department exterior patrol. Take a photo of the front of the building. • Return to the Annex Building and maintain a physical presence on site until 0700. • Then return to the Admin Building and remain on post. See “Recurring Duties”. 4. End of Shift Procedures: • At 1700, lock the Annex building doors, the courtyard doors and the first-floor doors. • Complete a final Admin Building patrol in SRT by 1730. • At 1730, turn off the hallway lights to all 3 floors of the Admin Building. • Radio NEI Dispatch at end of shift.

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• •

•

Check the NEI vehicle back in using SRT. Lock all NEI equipment in the NEI safe located in the Security Office ensuring that the phone is plugged in and charging. If there are no events going on and the cleaning crew is no longer on site, set the alarm using code in SRT. If they are still present, notate this in your DAR before ending shift.

5. Recurring Duties: • Ensure that these patrols are completed every hour, unless you are monitoring a Commissioner’s Meeting. • Open SRT and begin an Annex patrol. • Check all three floors of the Admin building and take a photo from each floor. • Patrol the Courtyard and take photos from the courtyard. • Walk through the parking lot on site and take a photo of the lot as part of your patrol. • Walk to the Cowlitz County Historical Museum, located across the street at Seventh Ave, Longview, WA 98632. Conduct an exterior patrol of the building and take a photo of the back door. • Walk to the Academy Street Parking lot across the street, located at the southeast corner of Academy Street and N Pacific Ave. As part of your patrol, take a photo of this area. • Return to the Annex Building and maintain a physical presence on site. • During any Commissioner’s Meeting, you are expected to remain on the third floor in the Conference Room, observing the meeting as it is open to the public. You are to remain a physical presence, and upon request from the Commissioner, escort disruptive individuals out of the meeting. These occur on Mondays and Tuesdays at 0900 and 1000, and on Wednesdays from 1330 to 1430, or at any other time you are notified of a meeting. • You should only be in the Security Office to complete incident reports or to take your breaks. Otherwise, you are to remain a physical presence within the public areas of the building. CONTACTS: EMERGENCY KELSO PD NON-EMERGENCY

9-1-1 360.423.1270

COWLITZ COUNTY: Facilities After Hours

360.355.5491

NEI CONTACTS: 1. 2. 3. 4. 5.

Northwest Enforcement Dispatch (24/7) Sonja Kuhn, Executive Director - PDX Shaun Wirth, Operations Administrator - LV Carrie Frazier, Operations Coordinator - LV Jake Frazier, Cowlitz County Supervisor (M-F: 0800-1700)

Page 10 of 10

503.893.8858 503.972.0103 971.274.9760 503.412.9803 TBD

AS-14571 Consent BOCC Agenda Meeting Date: 12/16/2025 Interlocal Agreement for District court services for City of Castle Rock Submitted For: Kathy Funk-Baxter Submitted By: Kathy Funk-Baxter Department: Office of Financial Management

Information Subject and Summary Statement Interlocal agreement for District Court Services with the city of Castle Rock beginning January 1, 2026. Will Staff Attend - NAME OF STAFF Kathy Funk Baxter, Finance Director Department Recommendation Staff recommends approval and signature of the Interlocal Agreement with the City of Castle Rock to provide District Court services for 2026 and to automatically renew unless terminated In accordance with RCW 3.50.805. Rates were negotiated for the first 4 years of the contract and will be reset for years 2030 and beyond.

Attachments Interlocal Agreement for District Court Services Form Review Form Started By: Kathy Funk-Baxter Final Approval Date: 12/11/2025

Started On: 12/09/2025 04:02 PM

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

INTERLOCAL AGREEMENT ESTABLISHING DISTRICT COURT FILING, AND OTHER COSTS FOR THE CITY OF CASTLE ROCK THIS AGREEMENT is made and entered into by and between the COUNTY OF COWLITZ hereinafter referred to as COUNTY, and the CITY OF CASTLE ROCK, hereinafter referred to as CITY, and is e ective as of the date of the last authorizing signature a ixed hereto WHEREAS, pursuant to RCW 3.50.815, the CITY contracts with the COUNTY for municipal court services; and WHEREAS, the CITY and COUNTY desire to ensure that court services, case proceedings and court operations are delivered as consistently and e iciently as possible across all courts; and WHEREAS, the CITY and COUNTY desire to work together to provide an accessible forum for the fair, e icient, and consistent resolution of cases; and WHEREAS, filing fees are to be determined pursuant to an Agreement between the CITY and the COUNTY as provided for in Chapter 39.34 RCW, the Interlocal Cooperation Act; and WHEREAS, the COUNTY and the CITY are desirous of establishing filing and other fees at a mutually acceptable rate; and WHEREAS, CITY desires to continue contracting with the COUNTY for judicial and clerical services, which can provide a regional approach for operation of the CASTLE ROCK Municipal Court which is e icient and e ective; and WHEREAS, County is willing and able to provide such services NOW, THEREFORE, IT IS HEREBY AGREED as follows: 1. City to Appoint Judges. The City shall appoint the District Court Judges to serve as Judges of the Castle Rock Municipal Court. County shall be responsible for administration and filing of the required oath to serve as Castle Rock Municipal Court judges. County is also responsible for procurement of any required judicial bonds. 2. Services provided and cost of services. County, through its District Court Judges and sta , will provide to and on behalf of City and its Municipal Court, the services of a Judge and clerical support for operations within the jurisdiction of the Municipal Court. Provided, that County’s duty to provide such services is conditioned on the initial and continued approval of the District Court Judges. District Court sta rendering services hereunder, on Interlocal Agreement – District Court Page 1 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

behalf of and in the name of the City, shall do so under the legal direction and supervision of the City Municipal Court and its Judge(s). a. Revenue collection. Pursuant to RCW 3.50.100, all fees, cost, ﬁnes, forfeitures, and other money imposed by the Cowlitz County District Court for the violation of any City ordinance shall be collected by the court clerk and, together with any other noninterest revenues received by the clerk, shall be deposited with the City’s (Treasurer/Clerk/Finance Director). b. Scope and costs for services. The City agrees to pay court service costs for 2026, 2027, 2028 and 2029 in accordance with Exhibit A, establishing the mutually agreed upon initial 4 year term cost to support agreed upon services as described within this Agreement for the said period. It is agreed between City and County, and its District Court, that an updated cost study will be completed for years beyond 2029 by the County. Updated service rates will be provided by the County to the City for consideration of ongoing costs for services extending beyond the initial term of this Agreement. c. Witness, juror, interpreter and court appointed attorney fees. The City shall remain liable for payment of all interpreters, witness and juror fees and costs, including meals as required, together with the applicable mileage allowance incurred, and shall further remain liable for all fees for court appointed attorneys appointed to represent defendants in the municipal court at public expense. d. District court facilities fees. City shall be billed annually by July 31 and separately for its pro-rated district court facility use on the basis of the city’s share of total court cases in the preceding year. e. Records. The County shall request that the District Court keep records, in a manner reasonably acceptable to the City. At a minimum, compliance with the District and Municipal Courts Records Retention Schedule is required f. Other costs. Mental health evaluation costs, which costs shall be paid directly by the City through a separate contract for such services. 3. Payment for Services. Services shall be billed quarterly based upon the actual number of cases ﬁled for the City during that quarter and the rate for that year based upon Exhibit A. The costs and expenses incurred hereunder for services shall be paid by the City to the County no later than thirty (30) days following receipt of County’s quarterly billings. In accordance with section 2.b, above, the County will bill for years 2030 and beyond based on an updated cost study that will compute the cost per case each year using the Interlocal Agreement – District Court Page 2 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

most recently completed calendar year expenses of the County District Court o ices, including security costs and utilize the total cases overseen and reported by the state for all the cities and county cases ﬁled in District Court. The County will provide the anticipated computation of the cost per case for review to the City by July 5th each year. The County shall notify the City on or before October 1 each year of the cost per case for the ensuing year, which fees shall become e ective January 1 of the following year. 4. Term and Extension. This Agreement shall be in e ect upon the later of the approval by the governing body of each party, and the postings upon the websites of the parties as provided by RCW 39.34.040. a. The term of the Agreement shall commence on January 1, 2026, or as soon thereafter as permitted by statute, and it shall be renewed automatically on a year-to-year basis thereafter unless terminated in accordance with the provisions of RCW 3.46.150 and or RCW 3.50.810. b. It is mutually agreed upon that the City will pay costs to the County for the expenses incurred in adherence to Section 3 and Exhibit A of this Agreement. Costs established in this Agreement may be incurred no sooner than January 1, 2026 and in accordance with RCW 3.50.805, proper notice will need to be provided by the City to the administrative o ice of the courts as to this agreement and its initial term. c. Extension. The City may determine to extend the contractual relationship with the County after expiration of the agreement’s initial four-year term by giving notice to the County of such intent no later than April 1, 2029. After the delivery of such notice, both parties shall negotiate in good faith regarding the terms of any new agreement. If the parties are unable to agree to the terms of a new agreement, either party may submit the matter to arbitration pursuant to RCW 3.62.070. In the event the issue of ﬁling fees is submitted to arbitration, the arbitrator or arbitrators shall only consider those additional costs borne by the County in providing District Court services to the City as provided for under the provisions of RCW 3.62.070. However, nothing contained herein shall prohibit the parties from mutually agreeing to extend the period of good faith negotiations or to submit the matter to mediation for resolution of the outstanding issues. d. Pursuant to RCW 3.50.810, this agreement may be terminated under the following conditions: i. The City having entered into an agreement for court services with the County must provide written notice of the intent to terminate the agreement to the County

Interlocal Agreement – District Court Page 3 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

legislative authority and to the administrative o ice of the courts not less than one year prior to February 1st of the year in which all district court judges are subject to election. ii. The City seeking termination of an agreement for court services to be provided by a district court may terminate the agreement only at the end of the four-year district court judicial term. iii. The County wishing to terminate an agreement with a City for the provision of court services must provide written notice of the intent to terminate the agreement to the City legislative authority and to the administrative o ice of the courts not less than one year prior to the expiration of the agreement. 5. Property. All real and personal property used in connection herewith shall be and remain County property. 6. Entire Agreement. This written agreement constitutes the parties’ entire and integrated agreement. 7. Amendments. No provision of this Agreement may be amended or modiﬁed except by a further written document signed by the County and the City. 8. Indemniﬁcation. City shall defend, indemnify, and hold County and its o icials, employees, and agents harmless from any claim, cause of action, settlement, judgement, and/or expense arising out of the enforcement of or adjudication in connection with the ordinances of the City of Castle Rock, and/or arising out of or in connection with intentional or negligent acts or admissions of City o icials, agents or employees. 9. Severability. If a court of law determines any provision of the Agreement to be unenforceable or invalid, the parties hereto agree that all other portions of this Agreement shall remain valid and enforceable. 10. Notices. All communications, notices and demands of any kind which any party requires or desires to give to any of the other parties shall be in writing and either served on the following individual or deposited in the U.S. Mail, postage prepaid, return receipt requested, and addressed as follows: If to the City:

Carie Cuttonaro Clerk-Treasurer, City of Castle Rock PO Box 370 Castle Rock, WA 98611 Email: ccuttonaro@ci.castle-rock.wa.us

Interlocal Agreement – District Court Page 4 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

If to Cowlitz County:

Kathy Funk-Baxter Finance Director 207 N. 4th Ave, RM 308 Kelso, WA 98626 Email: funkbaxterk@cowlitzwa.gov

If to Cowlitz District Court: Molly Martin Court Administrator 312 SW 1st Ave. Room 207 Kelso, WA 98626 Email: Martinm@2cowlitzwa.gov

Interlocal Agreement – District Court Page 5 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

Signed this 24th ___ day of _____________, 2025 November

Signed in OPEN SESSION this ____ day of __________________, 2025

CITY OF CASTLE ROCK

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY

By ________________________________ Paul Helenberg, Mayor

___________________________________ Rick Dahl, Chair ___________________________________ Steven Ferrell, Commissioner ___________________________________ Steve Rader, Commissioner

Attest:

____________________________ Carie Cuttonaro, Clerk-Treasurer

____________________________ Kelly Grayson, Clerk of the Board

Approved as to form: __________________________________ Nikki Thompson, City Attorney

Interlocal Agreement – District Court Page 6 of 7

Docusign Envelope ID: CF0DCAEC-2C2E-4118-BF49-CCEEF5BB967D

Exhibit A

Service

2026 Rate 2027 Rate 2028 Rate 2029 Rate

Traffic & Infractions

42.16

47.93

53.70

59.47

DUI

139.35

163.55

187.76

211.97

Criminal Traffic

139.35

163.55

187.76

211.97

Criminal Non Traffic

139.35

163.55

187.76

211.97

Civil

139.35

163.55

187.76

211.97

The Fees are only subject to adjustment beginning with 2030 Rate computation

Interlocal Agreement – District Court Page 7 of 7

AS-14570 Consent BOCC Agenda Meeting Date: 12/16/2025 Consent Agenda Item for Continued Certification of Special District Levy & Budgets Submitted For: Kathy Funk-Baxter Submitted By: Taunya Richardson Department: Office of Financial Management

Information Subject and Summary Statement Pursuant to RCW 84.52.070, it is the duty of the Board of Commissioners of Cowlitz County to certify to the Assessor, Treasurer, and Auditor the amounts of taxes to be levied and assessed upon property within the county for County and Special Purpose Districts. Will Staff Attend - NAME OF STAFF Kathy Funk-Baxter, Finance Director Department Recommendation Staff recommends the Board certify to the Assessor, Treasurer, and Auditor the amounts of taxes for the county and for specific Special Purpose Districts.

Attachments Levy Resolution Exhibit E1 - Fire Districts Form Review Form Started By: Taunya Richardson Final Approval Date: 12/11/2025

Started On: 12/09/2025 03:21 PM

BEFORE THE BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON In the Matter of Certification of Tax Levies

) )

RESOLUTION NO. ____________________

WHEREAS, property tax levies are the primary revenue source lor Cowlitz County and for the junior taxing districts coextensive within its borders; and WHEREAS, this certification of the Board on tax levies provides authorization to the Cowlitz County Assessor to establish levy codes and generate tax statements for property owners; and WHEREAS, the amounts of taxes for the county special districts and for specific junior taxing districts are set forth in the attached Exhibits B -I. NOW, THERETOFORE, BE IT RESOLVED that the Board of County Commissioners of Cowlitz County does hereby certify the amounts of taxes for the county special districts and for specific junior taxing districts pursuant to RCW 84.52.070, and as set forth in the attached Exhibits B - I.

ADOPTED IN OPEN SESSION on December 16, 2025.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Richard R. Dahl, Chairman

Steven L. Ferrell, Commissioner

Attest:

__________________________________ Kelly Grayson, Clerk of the Board

Steve Rader, Commissioner

Exhibit El FIRE

DISTRICTS

CLARK-COWLITZ FIRE RESCUE RESOLUTTON NO. 251204-1

A RESOLUTION ADOPTING THE 2026 BUDGET(S) WHEREAS, the annual revenue budget for Clark County Fire & Rescue for calendar year 2026 has been presented to and reviewed by the Board of Commissioners at an open public meeting held on October 30, 2025, and WHEREAS, the Fire Chief has developed a budget to meet the forecasted operational and debt service needs of the District for the coming yea4 and WHEREAS, the County Assessors of Clark and Cowlitz counties have notified ClarkCowlitz Fire Rescue that the preliminary combined assessed valuation of real properties lying within the boundaries of said District for the calendar year 2025 is $13,859,715,100 forthe General Levy and $13,887,854,398 for the EMS Levy; and WHEREAS, the District Finance Committee has reviewed and recommends that the attached 2026 Proposed Budget Changes dated November 24, 2025 (by reference made as part of this resolution) for the District's funds be adopted by the Board. NOW THEREFORE, BE lT RESOLVED, by the Board of Fire Commissioners of ClarkCowlitz Fire Rescue as follows: 1 . That the attached 2026 Proposed Budget Changes dated November 24, 2025 be hereby adopted as the budget(s) of Clark-Cowlitz Fire Rescue for the year 2026. 2. That the Honorable Clark County Council and Cowlitz County Board of Commissioners be hereby requested to make a levy for 2025 as identified in Section 3 on behalf of the District for collection in 2026. 3. That the County Treasurers of Clark and Cowlitz County, Washington, be and are hereby authorized and directed to sequester the monies received from the collection of the tax levies in the amounts and funds specified below: $20,639,85'1.19 into General Expense Fund 6228 $ 6,228,305.91 into EMS Levy Fund 6226 4. That one copy of this resolution is to be delivered to each of the following: the Clark County Council, the Cowlitz County Board of Commissioners, the Clark County Auditor, the Cowlitz County Assessor, and the Clark County Assessor, of the State of Washington.

. .

R.etut6 No ?5120,1-1 :'026 Audqeqs)

o.r.d o.@mbe..r 202s

CLARK-COWLITZ FIRE RESCUE RESOLUTTON NO. 251 204-l

ADOPTED by the Clark-Cowlitz Fire Rescue Board of Commissioners in Ridgefield, Washington, at a regular meeting of said Board on the 4b day of December, 2025 the following Commissioners being present and voting.

cmn&ralE hid Tdn - yr.. chl'

Rcdurion No 2512Or-1 2c26 A{dO.qs)

Dded Crec€rhbo. a 2025

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 028 General Fund 6228 Revenues

Oriqinal Proposed Difference

308 Beginning Balance

0.00 8,211,850.00 8,211,8s0.00 0.0%

310 Taxes

0.00 20,s09,0s0.00 20,s09,050.00 0.0%

330 State Generated Revenues

0.00 20,000.00 20,000.00 0.0%

011 Taxcs

0.q) 20,529,050.00 20,529,050.00 0.0%

330 State Generated Revenues 340 Charges For services

203 Marlnc Progr!m 330 State Generated Revenues

204 TRf, Program 340 Charges For Services

214 Moblllzrtlons

0.00 21,250.00 21,250.00 0.0% 0.00 8,000.00 8,000.00 0.0% 0.00 29,250.00 29,250.q) 0.0% 0.00 11,300.00 11,300.00 0.0% 0.00 11,300.fi, 11,300.00 0.0% 0.00 690,300.00 690,300.00 0.0% 0.q) 690,3qt.q) 690,300.00 0.0%

300 CRR - PrcvGntlon

0.00 135,000.00 135,000.00 0.0% o.(xl 135,qr0,00 135,000.00 0,0%

330 State Generated Revenues

0.00

0,00

0.00 0.0vo

330 Grrnt3

0.00

o.fit 0.0%

340 Charges For Services

340 Contrlcts 360 Misc Revenues

0.00 479,550.00 479,550,00 0.0% 0.00 479,550.00 479,550.00 0.0% 0.00 409,1s0.00 409,150.00 0.0%

Remarks

Time: 12:29:33 Date:

11/24/202s

Page:

3of34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 028 General Fund 6228 Revenues

Oriqinal Proposed Difference

390 Other Revenues 390 Other Revenues

0.00 16,500.00 15,500.00 0.0%

350 Mlsc lncome

0.00 425,650.00 425,650.00 0.0%

380 Non Revenues

0.00

0.00 0.00/0

380 Non-Rarenue

0.00

0.00 0.0%

397 lnterfund Transfers 397 lnterfund Transfers 340 Charges For Services

450 Flre Tralnlng Fund n€vGnuer:

0.00 490,000.00 490,000.00 o.wo 0.00 490,000.00 .190,000.00 0.0t6 0.00 17,000.00 17,000.00 0.0% 0.00 17,000.00 17,000,00 0.0% 0.00 3r,018,950.00 31,0t8,950.@ 0.0%

Remarks

Time: 12:29:33 Date:

11/24/202s

Page:

4of34

2025 PROPOSED BUDGET CHANGES Time

Clark-Cowlitz Fire Rescue 028 General Fund 6228 Expenditures 010 Waqes 020 Eenefits 030 Supplies 040 Services

Oriqinal Proposed Difference

Remarks

o.o%

32,100.00

1,984,200.00 587,200.00 32,100.00

433,500.00

0.0o/o

0.00 0.00

1,984,200.00

0.00 0.00

s87,200.00

0.00/o

0.0,k

522 Fire & EMs

0.00 3,037,000.00 3,037,000.00 0.0%

591 Debt Service Principal, Leases & SBITA

0.00 50,20000 50,200.00 0.0%

100 Admln

0.00

3,087,200.00

3,082200.00

o.0%

0.00 0.00 0,00

4',l,000.00 2,250.00 88,150.00

41,000.00

0.ovo

2,250.00 88,150.00

o.oo/o

010 Waqes 030 Supplies 040 Services

o.00/o

522 Fire & EMS

0.00 131,/t00.00 131,400.00 0.0%

110 Bo!]d

0.00

131,.100.00

131,400.00

0.0%

0.00 0,00 0.00

8,466,300.00

0.oo/o

2,584,200.00 '114,500.00

2,s84,200.00

0.00/o

0.0%

0.00

365,800.00

114,500.00 365,800.00

010 Waqes 020 Benefits

030 Supplies 040 Services

o.ovo

522 Fire & EMS

0.00 11,530,800.00 11,530,800.00 0.0%

200 Op.r.tlons

0.00 11,530,800.00 t1,530.800.00

0,0%

522 Fire 8. EMS

0.00 386,s00.00 386,500.00 0.0% 0.00 68,200.00 68,200.00 0.ovo 0.00 454,700.00 454,700.00 0.0%

201 Equlpn it Unlfonnr PPE

0.00

030 Supplies 040 Services

010 Waqes

020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00 0.00

.054,700.00

a54,700.00

0.0%

124,400.O0

't24,400.00

12,400.00 30,550.00

12,400.00 30,550.00 43,200.00

0.0./. 0.ov.

43,200.00

o.00/o

0.ovo

522 Fire & EMs

0.00 210,550.00 210,550.00 0.0%

594 Capital Expenditures

0.00

0.00 0.0%

12:29:33 Date:

11/24/202s

Page:

5of34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 028 6eneral Fund 6228 Expenditures

Oriqinal Proposed Difference

Remarks

203 iirrlnr Prcgrrm

0.qt

210,550.00

210.550.00

0.0%

010 Waqes 020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00 0.00

109,800.00 12,000.00 22,200.00 9,700.00

0.0v. o.ovo

0.0.k 0.0%

522 Fire & EMS

0.00 153,700.00 153,700.00 0.0%

20.1Tn Progrrm

0.(xt

153,700.00

153.700.00

0,096

010 Waqes 020 Benefits

0.00 0.00

7,500.00 800.00

7,500.00

0.070

800.00

0.oo/o

0.00 0.00

8,300.00 &t00.00 0.096

522 Firc & EMS

212 l,,blunt .r Progr.m 010 Waqes 020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00 0.00

8,300.00

0.0%

488,800.00 48,000.00

o.00/o

0.0/o

9,500.00

o.0%

4,600.00

0.07"

522 Fire & EMs

0.00 550,900.00 s50,900.00 0.096

211Mobllhdom

0.00

550,900.m

5t0,900.00

0.0%

030 Supplies 040 Services

0.00 0.00

0.00

0.oo/o

0.00

0.oo/o

522 Firc & EMS

0.00

0.00 0.0%

215 Moblllzrtlons - Pdor Yerr

0.00

0.(x,

0.00 0.0%

0.00

387,300.00 97,100.00 30,100.00 26,500.00

010 Waqes 020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00

387,300.00 97,100.00 30,100.00 26,500.00

0.0v. o.0%

0.0./. 0.oo/o

522 Fire & EMS

0.00 541,000.00 541,000.00 0.0%

3(X, CRR - Pr.v.ntlon

0.00

5a1.000.@

5a1,000.00

0.0%

0.00

3,000.00

0.ovo

010 Waqes

Time: 12:29:33 Date:

11/24/202s

Page:

6of34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 028 General Fund 6228 Expenditures

Oriqinal Proposed Difference

Remarks

522 Fire & EMS 020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00

300.00 12,500.00 2,950.00

300.00 12.500.00

0.0v"

2,9s0.00

0.07o

0.0o/o

522 Fire & EMS

0.00 18,750.00 18,750.00 0.0%

301 CRR - PubEd Firc Pr.Yentlon

0.00

18,750,00

18,750.00

o.o%

010 Waqes 020 Benefits

0.00 0.00

588,400.00 97,100.00

s88,400.00

0.0./o 0.00/o

030 Supplies 040 Services

0.00 0.00

27,900.00 137,0s0.00

97,100.00 27,900.00 137,050.00

0.ovo 0.00/o

591 Debt Service Principal, Leases & SBITA

0.00 850,450.00 850,450.00 0.0% 0.00 3,30000 3,300.00 0.096

ItO Fln ftrlnlng

0.00

853,750.00

853.750.00

0.0%

010 Wages 020 Benefits 030 Supplies 040 Services

0.00 0.00 0.00 0.00

330,600.00 110,100.00 69,750,00 384,400.00

330,600.00 110,100.00 69,750.00 384,400.00

0.0"/. 0.0%

522 Fire 6{ EMS

0.0v. 0.0"/o

522 Fire & EMS

0.00 894,850.00 894,850.00 0.0%

501 F.dlltl.r

0.00

89a,850.00

894,850,00

0.095

030 Supplies 040 Services

0.00 0.00

500.00 5.000.00

500.00 s,000.00

o.ovo 0.0vo

522 Fire & EMS

0.00

5,500.00 5,500.00 0.0%

520 Trrlnlng TowGr

0.00

5,100.00

5,500.00

0.096

030 Supplies 040 Services

0.00 0.00

6,500.00 25,000.00

6,s00.00

0.00/o

25,000.00

0.0./.

522 Fire & EMS 521 Strtlon 21

0.00 31,s00.00 31,s00.00 0.0% 0.00 31,5q).q, 31,tur.00 0.0%

11/24/202s 7 of 34

2025 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 028 General Fund 6228 Expenditures

Oriqinal Proposed Difference

Remarks

522 Fire & EMS 030 Supplies 040 Services

0.00

5,500.00

0.00

2't,700.00

5,500.00 21,700.00

0.Oo/o

0.oo/o

522 Fire & EMS

0.00 27,200.00 27,2@.00 0.0%

522 Stltlon 22

0,00

030 Supplies 040 Services

0.00

5,s00.00

5,500.00

0.0o/o

0.00

5'1,250.00

51,2s0.00

0.0"/.

27.200.@

27,200.00 0.o%

522 Fire & EMS

0.00 s5,7s0.00 s6,750.00 0.0%

523 Sudon 23

0.00

55.7s0.00

55,750.00

0.0%

030 Supplies 040 Services

0.00 0.00

2,000.00 3,000.00

0.oo/o

522 Fke & EMS

0.00

5,000.00 5,000.00 0.0%

125 Sudon 25

0.00

5.000.00

5,000.00

0.0%

030 Supplies 040 Services

0.00 0.00

6,500.00 229,900.00

0.0%

0.00/o

522 Firc & EMs

0.00 236,400.00 236,400.00 0.0%

526 St tlon 26

0.00

236,400.00

030 Supplies 040 Services

0.00

8,000.00 18,800.00

0.00

236,1100.00 0.0% 8,000.00 18,800.00

0.0v"

0.07.

529 Stltlon 29

0.00 26,800.00 25,800.00 0.096 0,00 26.800.00 25,800.00 0.0%

580 Non Expeditures

0.00

0.00 0.0%

589 Non-Erprndlturus

0.00

0,00 0.0%

592 Debt Service - lnterest & Fees

0.00

0.00 0.0%

522 Fire & EMS

Time: 12:29:33 Date:

11/24/202s

page:

8of34

2025 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 028 General Fund 6228

Original Proposed Difference

Expenditures

0.00

Remarks

0.00 0,0%

592 Dcbt SGrvlcc - lntCt€svF.Gt

0.00

594 Capital Expenditures

0.00 510,000.00 510,000.00 0.0%

594 C.pltrl Expendlturts

0.00 s10.000.00 510.000.00 0.0%

597 lnterfund Iransfers

0.00 3,418,350.00 3,418,350.00 0.0%

597 lntcrfund Tr.nifcrs

522 Fire & EMS 6100 v.hlcl./Equlp

35,000.00 3,000.00

36.000.00 3,000.00

0.09o

0.00 0.00 0.00

46,500.00 s40,000.00

0.0%

0.00

010 Waqes 020 Benefits 030 Supplies 040 Services

Mllnt

0.0"/o

0.0./.

0.00 625,500.00 625,500.00 0.0% 0.00 625.500.00 625,500.1X' 0.0%

999 Ending Balance

0.00 7,640,050.00 7,640,050.00 0.0%

999 Endlng Blhncc

0,00 7,640,050.00 7,640,050.00 0.0%

Fund Erpondltu ns:

0.00 31,018,950.m 31,018,950.00 0.0%

Fund Excrss/(Drficlt):

0.00

Time: 12:29:33 Date:

11/24/202s

page:

9of34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

029 Cadet Program Revenues 308 Beginning Balance 340 Charges For Services

420 Cadct Program Fund Rrvrnu;:

Oriqinal Proposed Difference

0.00 1&800.00 18,800.00 0.0% 0.00 168,000.00 168,000.00 0.0% 0.00 185,80t.00 186,8qr.q, 0.0% o.rxr 185,800.00 185,8{Xt.00 0.0%

Remarks

11/24/2025 '10 of 34

2025 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 029 Cadet Proqram Expenditures 010 Waqes 020 Benefits 030 Supplies 040 Services 522 Fke & EMS 597 lnterfund Trangfers

420 crdct Program 999 Ending Balance

999 Endlng B.hnc.

Oriqinal Proposed Difference 0.00 0.00

107,600.00 16,100.00

0.00 0.00

'19,950.00

4,350.00

107,600,00 16,100.00 19,950.00 4,350.00

Remarks

0.0v. 0.0.k 0.00/o

0.o"/.

0.00 148,000.00 148,000.00 0.0% 0.00 12,900.00 12,900.00 0.0% 0.00 150.!ro0.qt 160,9m.0o 0,0% 0.00 25,900.00 2s,900.00 0.0% 0.q, 25,9qr.00 25.900.00 0.0%

Fund Expondlturrc:

0.00 186,800.00 t85,800.00 0.0*

Fund Excca3/(D.flclt):

0.00

Time: 12:29:33 Date:

11/24/202s

Page:

11of34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

030 EMS Operation Fund (030) Revenues

Oriqinal Proposed Difference

308 Beginning Ealance

0.00 2,840,700.00 2,u0,700.00 0.0%

340 Charges For Services

0.00

100.00

100.00 0.0%

202 Flrst R!3pom. EMS

0.00

100.00

100,00 0.0%

330 State Generated Revenues

0.00

0.00 0.0%

308 Beginning Balance

0.00 720,000.00 720.000.00 0.0% 0,00 720,qto.00 720,@o,q, 0.0% 0.00 304,150.00 304,150.00 0.0%

340 Charges For Services

0.00 2,746,600.00 2,746,600.00 0.0%

230 CRR - CARES CRP

0,00 1,050.750.q, 3,050,750.qt 0.0%

340 Charges For Services

0.00

100.00

100.00 0.0%

211 CRR - PubEd CPR

0.00

100.oo

1fit.00 0.0%

360 Misc Revenues

0.00

0.00 0.0%

390 Other Revenues

0.00

4,000.00 4,000.00 0.096

360 Mlx lncomc

o.(xl

4,qr0.00 4,qD.00 0.0%

397 lnterfund Transfers

0.00 6204,750.00 0204,7s0.00 0.0%

397 lntrrfund Tnnsfrn

o.(xt 6,204,750.00 6,204,750.@ 0.0%

330 State Generated Revenues

0.00

800.00

800.00 0.0%

340 Charges For Services

0.00

0.00 0.0%

340 Charges For Services

205 Ambulencr Scrvlcos

Remarks

11/24/2025 12 of 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 030 EMS Operation Fund (030) Revenues .151 EMS Trrlnlng

Fund lrrrnus:

Oriqinal Proposed Difference 0.00

800.00

800.00 0.0%

0.q, 12,821,200.00 12,821,200.00 0.0*

Remarks

Time: 12:29:33 Date:

11/24/2025

Page:

13of34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

030 EMS Operation Fund (030) Expenditures 010 Waqes 020 Benefits 030 Supplies 040 Services

Original Proposed Difference 0.00 0.00 0.00

0,00

4,687,900.00

1,363,800.00 193.500.00 54,700.00

'1,363,800.00 193,500.00 54,700.00

Remarks

0.0./. 0.0o/o 0.oo/o 0.Q"/o

522 Fire & EMS

0.00 6,299,900.00 6,299,900.00 0.0%

591 Debt Service Principal, Leases & SBITA

0.00

202 Flrlt R.rponr. EMS

0.00

o299,900.00

6,299,9m.00

0.0%

0.00 0.00 0.00

0.00 167.400.00 131,800.00

0.00 '167,400.00

o.00/o

131,800.00

0.00/o

010 Waqes 030 Supplies 040 Services

0.00 0.0yo 0.ovo

594 Capital Expenditures

0.00 299,200.00 299,200.00 0.0% 0.00 355,000.00 355,000.00 0.0%

205 Ambulance Scrvlccs

0.00

554,200.00

654,200.00

0.0%

0,00 0.00

1,865,900.00

0.0o/o

687,350.00

0.07o

0.00 0.00

38,000.00 75,350.00

0.0v.

522 Fire & EMS

010 Waqes 020 Benefits 030 Supplies 040 Services

0.070

522 Fire & EMS

0.00 2,566,600.00 2,566,600.00 0.0%

591 Oebt Service Principal, teases 6. SBTTA

0.00

0.00 0.0%

594 Capital Expenditures

0.00

0.00 o.QYo

597 lnterfund Transfers

0.00 399,600.00 399,600.00 0.0%

999 Ending Balance

0.00 288,700.00 288,700.00 0.096

230 CRR . CARES CRP

0.00

3,15a.900.00

3,354.900.m

0.o%

0'10 Waqes

0,00 0.00 0.00 0.00

0.00 0.00

0.00 0.00 0.00 0.00

0.0o/o

020 Benefits 030 Supplies 040 Services

0.00 0.00

0.0./. 0.0% 0.00/o

11/24/202s 14 ot 34

2026 PROPOSED BUD6ET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 030 EMS Operation Fund (030) Expenditures

Oriqinal Proposed Difference

Remarks

522 Fire & EMS 522 Fire & EMS

0.00

0.00 0,00 0.00

325,800.00 54,500.00 26,000.00

0.00

46,650.00

0.00 0.0%

231 CRR - PubEd CPR 010 Waqes 020 Benefits 030 Supplies 040 Services

325,800.00

0.0v.

54,500.00

0.00/o

26,000.00 46,650.00

0.0v. 0.0"/o

522 Fire & EMS

0.00 452,9s0.00 452,9s0.00 0.0%

591 Debt Service Principal, Leases & SBITA

0.00

451 EMS Tnlnlng

0.00 /t52,950.00 432,950,00 0.0%

594 Capital Expenditures

0.00

0.00 0.0%

5!,l1 Clplt l Exprndlturcr

0.00

0.00 0.0%

597 lnterfund Transfers

0.00

0.00 0.0%

0.00 0.00

0.00 4,500.00

522 Fire & EMS

0.00

4,500.00 4,500.00 0.0%

600 Vrhlcle/Equlp ltialnt

o.q,

4,sqr.qt 45oo.q! 0.096

999 Ending Balance

0.00 2,054,750.00 2,054,750.00 0.0%

999 Endlng Brl.nc.

0.00 2,054,750.00 2,054,750,00 0,096

0.00

0.00 0.0%

597 lnt.rfund Trrnt .rr 030 Supplies 040 Services

0.00 4,500.00

0.00/o

0.0./.

Fund Erp.ndlturt :

0.00 12,821,2qr,@ 12,821,2dr.00 0.0%

Fund E' c.../(D.fidt):

0.o0

0.00

11/24/2025 15 of 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 031 Equipment Fund 6228-1 Revenues

308 Beginning Balance 360 Misc Revenues 360 Mlsc lncomo 397 lnterfund Transfers

397 lnt.rfund Tr!nif.B Fund R.v.nu6:

Oriqinal Proposed Difference

0.00 639,500.00 639,600.00 0.0% 0.00 12,00000 12,00000 0.096 0.00 12,000,00 12.000.00 0.0% 0.00 575,000.00 s75,000.00 0.0% 0.q, 575,qD.q, 575.0qt.qt 0.0% 0.00 1,225,600.00 1,226,600.00 0.0%

Remarks

Time: 12:29:33 Date:

11/24/202s

Page:

16of34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 031 Equipment Fund 6228-'1 Expenditures

Original Proposed Difference

597 lnterfund Transfers

0.00

0.00 0.0%

597 lntcrfund Tr.nrfar3

0.00

0.00 0.0%

999 Ending Balance

0.00 1,226,600.00 1,226,600.00 0.0%

999 Endlng Balancc

0.00 1,226,6qr.q, 1,226,600.q' 0.0%

Fund Exp.ndlturts:

0.00 r,225,600.00 1,226,600,00 0.0%

Fund E G..c/(MGlt):

0.00

o.oo

Remarks

11/24/202s 17 oI 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

033 Donation Fund 6228-3 Revenues

Original Proposed Difference

360 Mlsc lncomo

0.00 s,200.00 5,200.00 0.096 0.00 2,600.00 2,600.00 0.0% o.(xl 2,600.00 2,600.00 0.0%

397 lnterfund Transfers

0.00

0.00 0.0%

397 lntcrfund Transfcrr

0.00

0.00 0.0%

308 Eeginning Ealance 360 Misc Revenues

Fund Rawnuaal

o.(xl z8(xr.(xt 7,8qr.q, 0.096

Remarks

11/24/2025 18 of 34

2025 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 033 Donation Fund 6228-3 Expenditures 040 Services

030 Supplies

Original Proposed Difference 0.00

0.00

0,00 0.oo/o 0.00 0.0%

0.00

0.00 0.00/0

0.00

0.00 0.0%

0.00

0.00 0.0%

0.00 2,500.00 2,500.00 0.0% 0.00 2,500.q, 2,500.00 0.0% 0.00 5,300.00 5,300.00 0.0% 0,00 5,300.00 5,300.00 0,0% 0.00 7,800,00 7,800.00 0.0% 0.00

0.00

Remarks

11/24/202s 19 of 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

034 Leave Fund 6228-4 Revenues

Oriqinal Proposed Difference

360 Mlsc lncom.

0.00 395,350.00 395,350.00 0.0% 0.00 12,s00.00 12,500.00 0.096 0,q, 12,500.00 12,500.q, 0.0%

397 lnterfund Transfers

0.00

0.00 0.0%

397 lnterfund Tranrfers

0.00

0.00 0.0%

308 Beginning Balance 360 Misc Revenues

Fund R.lranu.r3

0,00 /07,850.00 407,850.q, 0.096

Remarks

11/24/202s 20 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 034 Leave Fund 6228-4 Expenditures 597 lnterfund Transfers 597 lntorfund Truntf.lt 999 Ending Ealance

Oriqinal Proposed Difference

0.00 75,000.00 75,000.00 0.0% 0.q) 75,000.00 75,0(x1.(xl 0.0% 0.00 332,850.00 332,850.00 0.0%

Fund Exp.ndlturti:

0.q, 332,850.110 332,8t0.1x, 0.0% 0.00 /o7,850.00 402830.00 0.0%

Fund Exc.!/(D.flclt):

0.00

!199 Endlng Beltncc

0,00

Remarks

11/24/202s 21 ot 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

035 Continqency Fund 6228-5 Revenues

Oriqinal Proposed Difference

308 Beginning Ealance

0.00 r,342,80000 1,342,800.00 0.0%

360 Misc Revenues

0.00 44,400.00 44,400.00 0.0% 0.00 44.400.00 44,aqr.00 0.0% 0.00 308,150.00 308,150.00 0.0% 0.00 308,150.00 308,150.00 0,0%

360 Mbc lncom. 397 lnterfund Transfers 397 lntcrfund Trrnrfers Fund R.wnua.:

0.00 1.695,350,00 1,595,350.@ 0.0t6

Remarks

11/24/202s 22 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

page:

035 Continqency Fund 6228-5 Expenditures

Oriqinal Proposed Difference

597 lnterfund Transfers

0.00

0.00 0.0%

597 lnt.rftrnd Trun3t t!

0.00

0.00 0.0%

999 Ending Balance

0.00 1,695,350.00 1,595,350.00 0.0%

999 Endlng Bllanc.

0,00 1,695,350,00 1,695.350,00 0.0%

Fund Exp.ndltur.s:

0.00 1,695,350.00 1,695,350.00 0.096

fund Ercos/(Drficlt):

0.(xt

0.00

Remarks

11/24/2025 23 ot 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

126 EMS LeW Fund 6226 Revenues

Original Proposed Difference

308 Beginning Balance

0.00

310 Taxes

0.00 5,196,550.00 6,196,550.00 0.0%

330 State Generated Revenues

0.00

011 Trxm

0.00 5,198.250.q' 6,198,2t0.q' 0.0%

360 Misc Revenues

0.00 I 0,000.00 0,000.00 0.0% 0.00 10.000.00 10,000.@ 0.0%

360 Mlsc lncom. Fund R:ncnua.:

6,500.00 6,500.00 0.0% 1,700.00 1,700.00 0.0%

0.00 6,214750.00 6,214750.q' 0.096

Remarks

11/24/2025 24 ol 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 126 EMS Levy Fund 6226

Expenditures

Oriqinal Proposed Difference

597 lnterfund Transfers

0.00 6,204,7s0.00 6,2M,750.00 0.0%

597 lntGrfund Trunsfers

0,00 6,2(H,750.00 6,20.1,750.00 0.0%

999 Ending Balance

99!l Endlng Balancc

0.00 10,00000 10,00000 0.0% 0.00 t 0,0qr.@ 10,0qr.00 0.0%

Fund Expcndlturt3:

0.00 6,21.1,750.00 6,214,750.q, 0.0%

Fund Exc.rsl(D.flclt):

0.00

Remarks

Time: '12:29:33 Date:

11/24/2025

Page:

25 ol 34

2025 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: page:

154 FFFB Revenues

308 Beginning Balance 340 Charges For Services 3rO Contr.cts 360 Misc Revenues 360 Mlrc lncomc 397 lnterfund Transfers 397 lntcrfund Tnnrfors Fund Rrvrnura:

Oriqinal Proposed Difference

0.00 120,5s0.00 120,6s0.00 0.0% 0.00 118,950.00 118,950.00 0.0% 0.00 118,950.00 t1&950.00 0.016 0.00 5,000.00 6,000.00 0.0% 0.00 6,qr0.00 6,000.00 0.0% 0.00 75,70000 75,700.00 0.096 o,qt 75,700.q, 75,7qr.00 0.0% 0.q, 321,3qr.00 321,300,00 0.0%

Remarks

11/24/202s 26 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 154 FFFB

Expenditures 030 Supplies 040 Services 522 Fire & EMS

Oriqinal Proposed Difference 1,550.00 500.00

Remarks

0.00

1,550.00 500.00

0.00

2,0s0.00 2,050.00 0.096

0.00

0.00/o 0.0o/o

0.0% 030 Supplies 040 Services

0.00 0.00

15,250,00

4,300.00

1s,250.00 4,300.00

0.oo/o

0.0./.

0.00 19,s50.00 19,550.00 0.006 030 Supplies 040 Services

0.00 0.00

29,000.00 80,900.00

29,000.00

0.oo/o

80,900.00

0.00/o

0.00 109,900.00 109,900.00 0.0% 030 Supplies 040 Services

594 Capital Expenditures

0.00 0.00

2,000.00 55,000.00

0.o./. 0.00/o

0.00 57,000.00 57,000.00 0.0% 0.00 15,000.00 1s,000.00 0.096

516 St tlon 151 - SHARED 040 Services

0.00

522 Fire & EMS

0.00

0.00 0.0% 0.00 0.0%

594 Capital Expenditures

0.00

0.00 0.0%

517 St tlon 151 - CCSO Dl?rct

0.u)

0.00

0.00 0.o%

580 Non Expeditures

0.00

0.00 0.0%

589 Non-Exprndltur.t

0.00

0.00 0.0%

11/24/202s 21 of 34

2025 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

154 IFFB

Expenditures

Oriqinal Proposed Difference

594 Capital Expenditures 594 Capital Expenditures

0.00

0.00 0.0%

594 Capltal Expcndlturca

0.00

0,00 0.0%

999 Ending Balance

Fund Expandltuitr:

0.00 117,800.00 117,800.00 0.0% 0.00 1t7,8tx,,00 112800.00 0.0% 0.00 321,3qr.qt 321,300.00 0.096

Fund Erc.li/(D.flclt):

0.qt

999 Endlng B.hnc.

0.00

Remarks

11/24/2025 28 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 220 Eond Fund 6220 Revenues

Oriqinal Proposed Difference

308 Beginning Balance

0.00

0.00 0.0%

360 Misc Revenues

0.00

0.00 0.0%

360 Mlsc lncom.

0.00

0.00 0.0%

397 lnterfund Transfers

0.00 2,047,500.00 2,047,500.00 0.0%

397 lntcrfund Truntfcr3

0.00 2,t a7,500.00 2,1x7,500.00 0.096

Fund nawnuat:

0.00 2,0a7,500.q, 2,0a7,5qr.@ 0.0%

Remarks

11/24/2025 29 ot 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: Page:

220 Bond Fund 6220 Expenditures

Original Proposed Difference

591 D.bt S.rvlc. Pdnclpal, Lcrros & SBIT!

0.00 994,400.00 994,400.00 0.0% 0.00 99.t /OO.0O 994,.00.00 0.0%

592 Debt Service - lnterest & Fees

0.00 1,0s3,100.00 1,0s3,100.00 0.0%

592 D.bt SGrvlc. - lntcrrVFcos

0.00 1,053,100.00 t,0s3,100.00 0.016

999 Ending Balance

0.00

0.00 0.0%

999 Endlng Balancc

0.o0

0.00 0.0%

591 Oebt Service Principal, Leases & SBTTA

Fund Exprndltunr:

0.00 2,047.500.00 2,ll.l7,50o.ql 0.0%

Fund Ercrg/(Drf,clt):

0.00

o.o0

Remarks

11/24/202s 30 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 222 Bond Fund 6222

Oriqinal Proposed Oifference

Revenues

308 Beginning

Balance

0.00

0.00 0.0%

0.00

0.00 0.0%

0.00

0.00 0,0%

0.00

0.00 0.0%

0.00

0.(x)

0.00 0.0%

0.00

o.oo o.0%

Remarks

11/24/2025 31 of 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue

Time: 12:29:33 Date: page:

222 Bond Fund 6222 Expenditures

Oriqinal Proposed Difference

597 lnterfund Transfers

0.00

0.00 0.0%

t97 lntrrfund Tian3f.r;

0.(x)

0.(x,

o.(xt 0.0%

999 Endlng Balance

0.00

0.00 0.0%

99!, Endlng B.hnca

0.00

o.qt 0.0%

Fund Expandltu[s:

0.00

0.00 0.0%

Fund Eross/(D.flclt)l

0.(xt

0.00

Remarks

11/24/2025 32 of 34

2026 PROPOSED BUDGET CHANGES

Time: 12:29:33 Date:

Clark-Cowlitz Fire Rescue

Page: 324 Capital Fund 6224 Revenues

Oriqinal Proposed Difference

350 Mlsc lncomG

0.00 123,600.00 123,600.00 0.0% 0.00 3,500.00 3,500.00 0.0% 0.00 3,500.00 3,500.00 0.0%

390 Other Revenues

0.00 15,000,000.00 15,000,000.00 0.0%

390 Bond Prccocdr

0.00 15,0qr,qto.q, 15,000,qn.00 0,096

308 Beginning Balance 360 Misc Revenues

397 lnterfund Transfers 397 lntcrfund Trrnsfcr Fund Rrvrnu;:

0.00 213,200.00 213,200.00 0.096 0.00 21r,200.00 213,200.00 0,0% 0.00 15,311{1,300.00 15,3/O,3@.00 0.0%

Remarks

11/24/2025 33 of 34

2026 PROPOSED BUDGET CHANGES Clark-Cowlitz Fire Rescue 324 Capital Fund 6224

Expenditures

Oriqinal Proposed Difference

594 Capital Expenditures

0.00 1s,222,000.00 15,222,000.00 0.0%

591 €rpltll Expcndltur.s

o.oo 1t,222,MlX' 15,222,qr0,00 0.0%

999 Ending Balance

0.00 118,300.00 118,300.00 0.0%

999 Endlng Bshnc.

0.00 118,300.00 118,300.00 0.0%

Fund ExpGndlturts:

0.00 15,340,300,00 15,34{t,300.00 0.0%

Fund Exc..3/(D.frclt)!

0.00

Remarks

Time: i 2:29:33 Date:

11/24/202s

Page:

34 ol 34

.i.r n 1:r::r:r

:lsJllv Ji.)uolsslurru(). )

JtlOISs-I l.tll-I't(), )

)

Irrl.)

'gCOa'7,1 raqua^oN

'uo plaq Eutleaul uJo selnulu eq] ut iuuueddB puB l)rJtsrq presJo sJouorssuutuoJ oql ,(q poldope 'SZ0Z Jso.{ rppuolBc ro.l loEpnq eqlJo,(dot lreuoc PUB tn.tl I st Eutoiaro.; eqt leql ,{Jruoo .{qaraq saop'46 totllsrq aJl.{ Blueurnls-ztrl^\o,) eqtJo preog aql l,# lsrJlsrC JJlrl rrrurIuBIS-zltl,!\0.)

5run-IEiEu-:ti!-illlmi

Consent 20

AS-14528 BOCC Agenda

MeetingDate: 12llgl2g25 Resolution Certify Tax Levy EMS District #1

Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: CommissionersOfnce tnformation Subject and Summary Statement Resolution Adopting and Certirying the CowliE County Emergency Medical Service District No. 1 Budget and Tax Levy for 2026.

Will Staff Attend - NAME OF STAFF Department Recommendation

Attachments Resolution Signature Page Levy Certification

Form Review Form Started By: Kelly Grayson Final Approval Date: 11/2512025

Started On: 1'll25l2025 08:00 AM

Ordinance / Resolution No. 2to82 RCW 84.55.120

WHEREAS. the

ZU6

its budget for the calendar year

EMS l)strict

has met and considered

(Name of the taxing distric!)

(Coveming body of the taxing district)

: and.

WHf,REAS, the districs actual levy amount from the previous year was $

and, (Prcvious ycar's levy amount)

IYHEREAS, the population of this district is ! more than or (Chcck onc)

!less than 10,000; and now, therefore,

BE IT RESOLVED by the goveming body ofthe taxing district that an increase in the regular property tax levy is hereby authorized for thc lcvy to be collected in thc

2026 ta\ vcar.

(Yesr ofcollection)

The dollar amount of the incrcase over the actual levy amount from the prcvious year shall be $

which is a percentage increase of

1,657.13

% from the previous year. This increase is exclusive of

(PercentaSe increase)

additional revenue resulting from new consmrction, improvemetrts to property, newly constructed wind Orbines, solar, biomass, and geothermal facilities, and any increase in the value of state assessed property, any annexatiotrs that have occurred and refunds made.

Adopted

this I

tl'*ll,,Lt absent - excused

op.:-,

aay or

December

Richard Dahl. Chairman

?0,25

<n4

Signed by:

Kelly G.ayson, Clert of the Board

Steve Rader, Commissioner Steven Fenell, Commissioner

If edditional signatures rre necessery, please ettach additional pege' This form or is equivalent must be submitted to your cormty assessor prior to their calculation of-the property tax levies. A certifiediudgeLlevy request, separate from this form is to be filed with the County Legislative Authority no latcr than Novcmbci 306. As rcquired by RCW 84.52.020, that filing certifics the total amount to h -lcvicd by the regular property tax levy. The Depanment ofRevenue provides the "LerT Certification" form (REV 64 0100) for this purposi. Tire form ian be found at: htEr://dor.wa.eov/docs/forms/PropTx./Forms/LetyCertf.doc.

To ask about the availability of this publication in an altemate format, please call l -80G647-7706. Teletype Cfry) uscrs may use the Washington Relay Service by calling 7l l- For tax assistance' call (360) 53'l-14ffi. R-Ev 64 0l0le (q,) (lz9l14)

levy Certification

R[t'"ffi[@

Submit this document, or something similar, to the county leglslativa authorlty on or before November 30 of the year preceding the year in which the levy amounts are to be collected.

W(,sn,ngloo 5t,rte

Form 64 0100

Courtesy copy may be provided to the county assessor. This form is not designed for the certification of levies under RCW 84.52.070.

ln accotdance with RCW 84.52.020, I

Bryce Shirley

Chief

(Title),lor EMS Oislrict #1

(Nome),

do hereby certify to the Cowlilz

(District nome),

(Nome of county)County legislative authority

that the Commissioners

(Commissioners, Council, Bodrd, etc./ of said district requests

that the following levy amounts be collected in 2026

(Year of collectionf as provided in the district's

(Dote ol public hearing)

budget, which was adopted following a public hearing held on

lar levies General levy

Ierry Total certifled levy request

amount, which includes the amounts below. Administrative refund amount

Other levy'

El74,40e.35

$7,039.00

Non-voted bond debt amount

other* Regular Levy

$167,370.35

Excess levies Levy

General {n/a for school d istricts)

Bond

Enrichment (school dish icts only)

Cap. proiect

Total certlfled levy request amount, which includes the amounts below.

ffi

Ad ministrative refund

amount

Otherr *Examples of other levy types may include EMS, school district transportation, or construction le vies Examples of other amounts may include levy errof correctlon or adjudicated refund amount. Please include ,,o a descripti on when ther" options

Date:

SiSnature:

ll /7-t / 7a7 <-

To request this document in an altemate format, please complete the form dor.wa.gov/AccessibilityReqgest or cal[ 36G705-5705. Teletype (TTY) users please dial 71 I . REU 64 01cn

l8l23l22l

Page

lof 1

Cowlitz County Assessor CERTIFICATION OF VALUE Assessment Year

for EMS DIsHct fl

2025 Tax Year 2025

c.ttlfcotionDotc: 1Y18/2025

CERN}IED VATUE FOR 2025 ASSESSME T:

473,90rr,422

HIGHESI tAwFUL LET/Y cAtcuI.ATIoN

Hlgk Lwfd t!t/y rlnc. 19t5:

175.008

758

101%

Plus addltlo.r.l l€ny Clpadty where applk bler

f{scorstucdon 9,712,150 ,L* Cot',l AV nF &!€

0 |n.,eo,t (t owl

strte arsd valut

+ lUX)

3,505

+ l()00

+ 1CXD

931

f.d', lctt Rot2

0.358&145358

16 fad't Ltll R@

2,595,964

,,dt''e (tfotty,

0.3586445358 Ura lad't L.1t, Rot

Ann€radon 0

0.35864453s8 LDrt

0.9m0

0.0000000000

S1,qn

+1@

iegular l€W tlmh:

181,194

St tlrtory wbr un*l:

235.955

Slrn ry,tunoa.

HIGHESI IAWFUL tEl/Y for 2026 Payabh:

181,194

REFUI{D I.EVY As provlded in Rcw 84.59.180, a tarlng dlstrlct may levy tor refunds p.ld to taxpayers, plus rn amount for abated or cancell€d tares,

oftet by supple.nenEl 6xei (3e€ WAC 45&19@5 ford€talli). Although a .efund levy is outid€ ol the Regulir levy Liml! the final dlsfld 16r, cannot qceed the Statutory Maxlmum Umlt. For th. l2-month period oAl0ll?o2{ - O7l?712O25 Amunt EllSlbh lor RGfund LeyF ' f dte ttistrict int.ndi ?o lavl le o rafun4 h ,r',un b. atqlry ttdl?rd on the dtttict't kW Cer fEouon.

7,Or9

Re.pedfiiu ebmit d. thl. I N1 dag of ovenb6r, 2025 Bmily Wkoa CqUAA County Assessor

Taring dittrlcts interdlng to collect a lew through property tax6 k! 2026 m$f lubdt. Cardicd lttry to the County no hter than Ig!. 39J021. The recomrneoded Deparnnent of Revenue form REV et O1m b hcluded whh thls report. TarinS dlsticls lntendl8 to lllCiEA9E dreir ley over last year g! BAN( I,EVY CAtACtfV must also submit a segaratr resolutlon or

o(dlnance stating the dollar and percent lncrease thls represents overthe pdor yea.'s actual levy, even lf lt is a'zero'increase. Thls sedion l! lntended as a template to asslst districts in the preparatlon of such a document,

Stat l - EI{IER thc total d.3t LE!',Y (atolot ono.rnt, fro. th. CURRET{T y.rr; &L ldudc oiy AdnlnltttodtE R.Iun Letq oa tttt ,,I,p.

St p 2 - SuBIRACI dre followl.S:

ilc{ Cdttt ollo*on.' Ittom obv.) flF olbro,.! (Jrqt o0pve) tuE A$d o lotr' (lftdt oDo,E) ,ltnemdon ollovot@ (It@t obvc)

d,i.req oit R41t t., ttay) Thb b dr DOUfn nCnE SE tlom l.rt Id:

Latt fcolt ACn//,ItEllf l.t

.3,s05 0 -931

0 750

Stae 3 - olvide the Dollar hc.ease by Lalt Yaa,'r Aatutl tely

Mova tp *dnd lwo ple.s to the doht to cory.tt to pctcentog.,lot exomple o.Ot = L@l fhb ls th. PERCE T INCREASE trom lait y€.r:

' W C 45&!EO05lh. b.r. ior comFrtn, th. tolloBlm yeais lsvy lmli dosa not lncluda tha a{urn bvy amo6t.

2026-zo.Tt

Anticipated Flevenues

&rr*ta,eourrr lra

2025

2024

dTD

fpFotrd

Account

8AR5

,tdu.fr

Lu|.&

31lrm I t.f l P.r$rd PrDFrr T{

amlrxryictLd{d6 annxt I OfEkld tf.. lllm IOarlrtctftnttd. ,xm I o&riktLrMtl!

tr$.6645r

sr6.:rr.a: $i,072.056,60r.0.4.12 t167.370.13

31rzm I h5alroS E.cLlrr 31ra@ lLr*Gr 6drT.x 33t&l31 l O]{lodism/i2

St,lo( l Odrr lnlr!$ fla@ | OrtH hartn j52(I)oo I nrrlt' nd 1..r..

tm13(I, I olrrr l.rt r.!r- Ol{t

Er{O IOdr-lnt 16- lr....!d lt(trrr(tr | Oalcr L.-.-nntu

662!1 I :nr.r!tn<, rthd S.rYt('s ,'l

Anrlctl.t.d

ld.n$6

JOI5

l4zr9:r.97

$aolJ;z

n7r.16.0

$6a(f

Jr11.6

112!6.S

3ta0

J5,-.9

toJ3

r2.a_st(6

57!.60r.51

ti28.3ra6

57t 60t.6r

'Regulil Levy: $165,713 'Excess Levy: $906,373

BScs ROo.r C1R1 - Aradpaa.d fuva&G! | &1&2(125 10 51:,r2

2026 -202?

Expenditure Requests

BAT]9

&rr*taerrrrr"

Accoona

n22OO0 | F&G

sup?rr'ilql

3222m I Enxrt.,tcy Mc.laal S.rttes

&rt

fra

Adr&

Luraar

t239,934.11

t2:9.098.91

s'q.Gta,n

Eudq€t BGs R€Dort C 1 El - Expendniro Roqu€trc | 8- 1&m2510:50119

8:B

zrirt

Agp.ol.d

Aat{aat

!ud!.t

Itrurun

zEll tquads

2021

Rcqurqs

District Sisnature Page

Cowlitz Countv

District

District, docs hcrcby ccrtify that thc Countv EMS #l Thc Board of the ycar the Commissioners of said District and appcaring 2026, adopted by lbregoing is a true and correct coPy ofthe budget for calendar Dec€mber 09 2025. in the minutes of a meeting held on,

A,J,*lld,L absent - excused

Commissioncr

lffI" "fe-," mmlssloner

Commissioner

Commissioner Signed by:

Aftest:

tilq -b^,^f.," S ecretarv

AS-14562 Consent BOCC Agenda Meeting Date: 12/16/2025 Affidavit of Posting Resume for the months of October and November 2025. Submitted For: Pervie Nancy Reed Submitted By: Pervie Nancy Reed Department: Commissioners Office Information Subject and Summary Statement Affidavit of Posting Resume for the months of October and November 2025. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Affidavit of Posting Resume' Form Review Form Started By: Pervie Nancy Reed Final Approval Date: 12/04/2025

Started On: 12/04/2025 02:11 PM

6. a.

AS-14569 BOCC Agenda Meeting Date: 12/16/2025 Retirement Letter to Kathy Funk-Baxter Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office

Consent

Information Subject and Summary Statement Retirement Letter to Kathy Funk-Baxter thanking her for her services in the Finance Department. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Letter Form Review Form Started By: Kelly Grayson Final Approval Date: 12/09/2025

Started On: 12/09/2025 12:50 PM

6. b.

Board of Cowlitz County Commissioners

Commissioners Steve Rader, Commissioner District 1 Steven L. Ferrell, Commissioner District 2 Richard R. Dahl, Commissioner District 3 Kelly Grayson, Clerk of the Board

12/16/2025 Kathy Funk-Baxter Dear Kathy, Congratulations on your retirement! The Board of County Commissioners would like to extend our best wishes as you leave your position in the Finance Department. We appreciate your dedication and endeavors over the past 3 years. Your faithful service to the County is commendable. We wish you the best of luck as you revel in your life of leisure. Take advantage of all that life has to offer! Sincerely, Board of County Commissioners Of Cowlitz County, Washington

____________________________________ Richard R. Dahl, Chairman ____________________________________ Steve Rader, Commissioner District 1 ____________________________________ Steven L. Ferrell, Commissioner District 2

cc:

Commissioner’s Record

Cowlitz County Board of Commissioners 207 North 4th Avenue cowlitz@cowlitzwa.gov Kelso, WA 98626

(360)577-3020 www.co.cowlitz.wa.us

AS-14572 Consent BOCC Agenda Meeting Date: 12/16/2025 Letter dated 12/8/2025 from the Cowlitz County Fair Board regarding the Expo Center Budget Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office Information Subject and Summary Statement Letter dated 12/8/2025 from the Cowlitz County Fair Board regarding the Expo Center Budget. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Letter Form Review Form Started By: Kelly Grayson Final Approval Date: 12/10/2025

Started On: 12/10/2025 10:03 AM

6. c.

Board of Cowlitz County Commissioners

Commissioners Steve Rader, Commissioner District 1 Steven L. Ferrell, Commissioner District 2 Richard R. Dahl, Commissioner District 3 Kelly Grayson, Clerk of the Board

cc:

Commissioner’s Record

Cowlitz County Board of Commissioners 207 North 4th Avenue cowlitz@cowlitzwa.gov Kelso, WA 98626

(360)577-3020 www.co.cowlitz.wa.us

AS-14574 Consent 6. d. BOCC Agenda Meeting Date: 12/16/2025 FERC Notice 12/3/2025 Regarding Stations 69+00 and 78+00 Sinkhole Repairs, Swift No. 2 Project Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office Information Subject and Summary Statement Federal Energy Regulatory Commission (FERC) Notice 12/3/2025 regarding Stations 69+00 Sinkhole Repairs, Swift No. 2 Project. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Notice Form Review Form Started By: Kelly Grayson Final Approval Date: 12/10/2025

Started On: 12/10/2025 10:47 AM

AS-14575 Consent BOCC Agenda Meeting Date: 12/16/2025 FERC Notice 12/3/2025 Regarding Canal Preferential Seep Path Mitigation, Swift No. 2 Project Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office Information Subject and Summary Statement Federal Energy Regulatory Commission (FERC) Notice dated 12/3/2025 regarding the Canal Preferential Seep Path Mitigation, Swift No. 2 Project. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Notice Notice Form Review Form Started By: Kelly Grayson Final Approval Date: 12/10/2025

Started On: 12/10/2025 10:52 AM

6. e.

AS-14573 Consent a. BOCC Agenda Meeting Date: 12/16/2025 Signed Resolution Declaring Disaster Regarding Flooding in Cowlitz County and Notice of Emergency Meeting Submitted For: Kelly Grayson, Clerk of the Board Submitted By: Kelly Grayson, Clerk of the Board Department: Commissioners Office Information Subject and Summary Statement Signed Resolution Declaring a Disaster Regarding Flooding in Cowlitz County and Notice of Emergency Meeting on December 8, 2025. Will Staff Attend - NAME OF STAFF Department Recommendation Attachments Resolution Notice Form Review Form Started By: Kelly Grayson Final Approval Date: 12/10/2025

Started On: 12/10/2025 10:14 AM

AS-14534 BOCC Agenda Meeting Date: 12/16/2025 Contract 26-001 with PreventionMD, LLC Submitted For: Gena James Department: Health/Human Services

Motion Items

Submitted By: Wheeldon Jennifer

Information Subject and Summary Statement RCW 70.05.030 requires Cowlitz County to appoint a local health officer. As described in RCW 70.05.050, the local health officer must be an experienced physician licensed to practice medicine and surgery or osteopathic medicine in Washington State and who is qualified or provisionally qualified in accordance with the standards prescribed in RCW 70.05.051 through 70.05.055. This contract 26-001 with PreventionMD, LLC will provide payment for Dr. Krager's services for the period of January 1, 2026 through December 31, 2027. Contract/SOW Name

Current

Change

Total

Time Period

26-001

+$159,984.00

$159,984.00

1/1/26-12/31/27

Fiscal Impact Expenditure Required $: $159,984.0 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 14301 Grant Y-N: n Attachments Contract Form Review Inbox Reviewed By Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

Date 12/01/2025 04:42 PM 12/02/2025 03:49 PM Started On: 12/01/2025 02:29 PM

PROFESSIONAL SERVICES AGREEMENT Contract Number: 26-001 THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Name: Address: Phone No:

PreventionMD LLC 225 S 4th St Saint Helens, OR 97051 (206)954-6951

(hereinafter called “Contractor”). This Agreement is comprised of: Attachment A – Scope of Work Attachment B – Compensation Attachment C – General Conditions Attachment D – Special Terms and Conditions and Retirement Status Form (signature required) Attachment E – Business Associate Agreement copies of which are attached hereto and incorporated herein by this reference as if fully set forth. The term of this Agreement shall commence on the 1st day of January 2026 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the 31st day of December 2027 IN WITNESS WHEREOF, the parties have executed this Agreement on this ________ day of ____________, 20____. CONTRACTOR:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl, Chairman Steven L. Ferrell, Commissioner

Print name: Steve Rader, Commissioner

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

, Clerk of the Board

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT A SCOPE OF WORK

The contractor shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. The Contractor shall work a minimum of eight (8) hours per week including one onsite visit per month or more as needed, with availability for consultation 24 hours a day, 7 days a week. The focus of functions may include the following services and activities as the appointed Health Officer for Cowlitz County: a. Enforce public health statutes, rules, and regulations of the State Board of Health and State Department of Health, as well as local rules, regulations, and ordinances. b. Provide medical oversight in the investigation of reported or suspected cases of diseases and other notifiable conditions. Determine appropriate action including initiating disease prevention and infection control, particularly in unusual or sensitive cases. c. Be available twenty-four hours a day, seven days a week to provide support and consultation. Respond within twenty-four hours of being notified of non-urgent individual communicable disease consultation needs. In the event of being on leave, arrange backup health officer coverage. d. Provide medical consultations in the evaluation, monitoring, and treatment of Tuberculosis for patients who are under the care of the County and community medical providers. e. Provide medical direction during public health emergencies and inform the public regarding disease activity. f. Write, review, and revise standing orders and protocols for clinical services. g. Develop and issue public health advisories to medical providers, hospitals, community agencies, and the public. h. In partnership with the County, participate in assessing the health status of the community, prioritize public health issues, and identify best practice approaches. i. Advise on the development and implementation of public health policy and regulations. j. Participate in administrative hearings related to environmental health permits. k. Develop and maintain effective relationships with the medical community, media, elected officials, and other community leaders. l. Participate in Cowlitz County Board of Health meetings.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT B COMPENSATION

As consideration for services, as described in the Scope of Work section of this Agreement and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated, the County agrees to pay the Contractor based on the specific conditions below: 1. General Conditions a. The Contractor shall pay the Contractor $6,666 per month, prorated appropriately based on dates of appointment. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. iii. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. The final invoice due date is subject to change based on funding requirements. d. Payment i. County Obligation for Payment 1. The County agrees to make payment, as approved by the Auditor of Cowlitz County, with County warrants on a calendar day specified by the County, contingent on the availability of funds, following receipt of the Contractor’s complete and accurate request for payment. 2. The County shall not be obligated to reimburse the Contractor for any services or activities, performed prior to the effective date of this Contract. 3. The County will not process any payments for invoices received after the 15th of the month following the end of this contract, unless prior approval from the County. 4. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Contract. 5. The County shall pay the Contractor only for authorized services provided in accordance with this Contract. If this Contract is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. e. Recovery of Costs Claimed in Error: If the Contractor claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Contractor shall fully cooperate with the recovery.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT C GENERAL CONDITIONS

1. Scope of Contractor’s Services. The Contractor agrees to provide to the County services and any materials set forth in the project narrative identified as Attachment A during the agreement period. No material, labor, or facilities will be furnished by the County, except as provided for herein. 2. Accounting and Payment for Contractor Services. Payment to the Contractor for services rendered under this Agreement shall be as set forth in Attachment B. Unless specifically stated in Attachment B, the County will not reimburse the Contractor for any costs or expenses incurred by the Contractor in the performance of this contract. 3. Delegation and Subcontracting. Contractor’s services are deemed personal and no portion of this contract may be delegated or subcontracted to any other individual, firm or entity without the express and prior written approval of the County Project Manager. 4. Independent Contractor. The Contractor’s services shall be furnished by the Contractor as an independent contractor and nothing herein contained shall be construed to create a relationship of employer/employee or master/servant. The Contractor acknowledges that the entire compensation for this Agreement is specified in Attachment B and the Contractor is not entitled to any county benefits including, but not limited to: vacation pay, holiday pay, sick leave pay, medical, dental or other insurance benefits, or any other rights or privileges afforded to Cowlitz County employees. The Contractor represents that it maintains a separate place of business, serves clients other than the County, will report all income and expense accrued under this contract with the Internal Revenue Service on a business tax schedule, and has a tax account with the State of Washington Department of Revenue for payment of all sales and use and Business and Occupation taxes collected by the State of Washington. In the event that either the state or federal government determines that an employer/employee or master/servant relationship exists rather than an independent contractor relationship such that Cowlitz County is deemed responsible for federal withholding, social security contributions, workers compensation and the like, the Contractor agrees to reimburse Cowlitz County for any payments made or required to be made by Cowlitz County. Should any payments be due to the Contractor pursuant to this Agreement, the Contractor agrees that reimbursement may be made by deducting from such future payments a pro rata share of the amount to be reimbursed.

6. 7.

8. 9.

Notwithstanding any determination by the state or federal government that an employer/employee or master/servant relationship exists, the Contractor, its officers, employees and agents, shall not be entitled to any benefits which Cowlitz County provides to its employees. No Guarantee of Employment. The performance of all or part of this contract by the Contractor shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of the Contractor or any employee of the Contractor or any subcontractor or any employee of any subcontractor by the County at the present time or in the future. Regulations and Requirements. This Agreement shall be subject to all federal, state and local laws, rules, and regulations. Right to Review. This contractor is subject to review by any federal or state auditor. The County shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient by the County Project Manager. Such review may occur with or without notice, and may include, but is not limited to, on-site inspection by County agents or employees, inspection of all records or other materials which the County deems pertinent to the Agreement and its performance, and any and all communications with or evaluations by service recipients under this Agreement. The Contractor shall preserve and maintain all financial records and records relating to the performance of work under this Agreement for six (6) years after contract termination, and shall make them available for such review, within Cowlitz County, State of Washington, upon request, during reasonable business hours. Modifications. Either party may request changes in the Agreement. Any and all agreed modifications shall be in writing, signed by each of the parties. Termination for Default. If the Contractor defaults by failing to perform any of the obligations of the contract or becomes insolvent or is declared bankrupt or makes an assignment for the benefit of

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT C

creditors, the County may, by depositing written notice to the Contractor in the U.S. Mail, postage prepaid, terminate the contract, and at the County’s option, obtain performance of the work elsewhere. If the contract is terminated for default, the Contractor shall not be entitled to receive any further payments under the contract. Any extra cost or damage to the County resulting from such default(s) shall be deducted from any money due or coming due to the Contractor. The Contractor agrees to bear any extra expenses incurred by the County in completing the work, including all increased costs for completing the work, and all damage sustained, or which may be sustained by the County by reason of such default. If a notice of termination for default has been issued and it is later determined for any reason that the Contractor was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof. 10. Termination for Public Convenience. The County may terminate the contract in whole or in part whenever the County determines, in its sole discretion that such termination is in the interests of the County. Whenever the contract is terminated in accordance with this paragraph, the Contractor shall be entitled to payment for actual work performed for completed items of work. An equitable adjustment in the contract price for partially completed items of work will be made, but such adjustment shall not include provision for loss of anticipated profit on deleted or uncompleted work. Termination of this contract by the County at any time during the term, whether for default or convenience, shall not constitute a breach of contract by the County. 11. Termination Procedure. The following provisions apply in the event that this Agreement is terminated: a. The Contractor shall cease to perform any services required hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any. b. The Contractor shall provide the County with an accounting of authorized services provided through the effective date of termination. c. If the Agreement has been terminated for default, the County may withhold a sum from the final payment to the Contractor that the County determines necessary to protect itself against loss or liability. 12. Defense and Indemnity Agreement. To the fullest extent permitted by law and except to the extent caused by the sole negligence of the County, the Contractor shall indemnify, defend and hold the County and its appointed and elected officers, agents and employees, and volunteers, harmless from and against any and all claims for any injuries, death or damage to persons or property (including any loss of use resulting therefrom), directly or indirectly arising out of, resulting from, or in connection with performance of this Agreement. Contractor’s obligation to indemnify, defend and hold harmless includes any claim by Contractor’s agents, employees, representatives, or any subcontractor or its employees. Contractor expressly agrees to indemnify, defend and hold harmless the County from any claims arising out of or incident to either Contractor’s or its Subcontractor’s performance or failure to perform this Agreement. It is further agreed by and between the parties that in no event shall any County appointed or elected officer, agent, employee, or volunteer, when executing their official duties in good faith, be in any way personally liable or responsible for any agreement or performance contained herein, whether express or implied, nor for any statement or representation made herein or in any way connected with this Agreement. The foregoing indemnification obligations of the Contractor are a material inducement to County to enter into this Agreement, are reflected in the Contractor’s compensation, and have been mutually negotiated by the parties. 13. Industrial Insurance Waiver. With respect to the performance of this Agreement and as to claims against the County, its appointed and elected officers, agents and employees, the Contractor expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, as now or hereafter amended, for injuries to its employees and agrees that the obligations to indemnify, defend and hold harmless provided in this Agreement extend to any claim brought by or on behalf of any employee of the Contractor. Along with the other provisions of this Agreement, this waiver is mutually negotiated by the parties to this Agreement.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT C

14. Venue and Choice of Law. In the event that any litigation should arise concerning the construction or interpretation of any of the terms of this Agreement, the venue of such action shall be in the courts of the State of Washington in and for the County of Cowlitz. This Agreement shall be governed by the law of the State of Washington. 15. Withholding Payment. In the event the County Project Manager determines that the Contractor has failed to perform any obligation under this Agreement within the times set forth in this Agreement, then the County may withhold from amounts otherwise due and payable to Contractor the amount determined by the County as necessary to cure the default, until the County Project Manager determines that such failure to perform has been cured. Withholding under this clause shall not be deemed a breach entitling Contractor to termination or damages, provided that the County promptly gives notice in writing to the Contractor of the nature of the default or failure to perform, and in no case more than ten (10) days after it determines to withhold amounts otherwise due. A determination of the County Project Manager set forth in a notice to the Contractor of the action required and/or the amount required to cure any alleged failure to perform shall be deemed conclusive, except to the extent that the Contractor acts within the times and in strict accord with the provision of the Disputes clause of this Agreement. The County may act in accordance with any determination of the County Project Manager which has become conclusive under this clause, without prejudice to any other remedy under the Agreement, to take all or any of the following actions: (1) cure any failure or default, (2) to pay any amount so required to be paid and to charge the same to the account of the Contractor, (3) to set off any amount paid or incurred from amounts due or to become due the Contractor. In the event the Contractor obtains relief upon a claim under the Disputes clause, no penalty or damages shall accrue to the Contractor by reason of good faith withholding by the County under this Clause. 16. Rights and Remedies. The duties and obligations imposed by this Agreement and the rights and remedies available hereunder shall be in addition to and not a limitation of any duties, obligations, rights and remedies otherwise imposed or available by law. 17. Contractor Commitments, Warranties and Representations. Any written commitment received from the Contractor concerning this Agreement shall be binding upon the Contractor, unless otherwise specifically provided herein with reference to this paragraph. Failure of the Contractor to fulfill such a commitment shall render the Contractor liable for damages to the County. A commitment includes, but is not limited to any representation made prior to execution of this Agreement, whether or not incorporated elsewhere herein by reference, as to performance of services or equipment, prices or options for future acquisition to remain in effect for a fixed period, or warranties. 18. Patent/Copyright Infringement. Contractor will defend, indemnify and save harmless County, its appointed and elected officers, agents and employees from and against all loss or expense, including but not limited to claims, demands, actions, judgments, settlements, attorneys’ fees and costs by reason of any and all claims and demands upon the County, its elected or appointed officials or employees for damages because of the Contractor’s alleged infringement on any patent or copyright. The Contractor will pay those costs and damages attributable to any such claims that are finally awarded against the County, its appointed and elected officers, agents and employees in any action. Such defense and payments are conditioned upon the following: a. That Contractor shall be notified promptly in writing by County of any notice of such claim. b. Contractor shall have the right, hereunder, at its option and expense, to obtain for the County the right to continue using the information, in the event such claim of infringement is made, provided no reduction in performance or loss results to the County. 19. Disputes: a. General. Differences between the Contractor and the County, arising under and by virtue of the contract documents shall be brought to the attention of the County at the earliest possible time in order that such matters may be settled or other appropriate action promptly taken. The records, orders, rulings, instructions, and decision of the County Project Manager shall be final and conclusive thirty (30) days from the date of mailing unless the Contractor mails or otherwise furnishes to the County Project Manager a written notice of appeal. The notice of appeal shall include facts, law, and argument as to why the conclusions of the County Project Manager are in error.

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ATTACHMENT C

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal. Oral argument and live testimony will not be permitted. The decision of the County Project Manager for the determination of such appeals shall be final and conclusive. Reviews of the appellate determination shall be brought in the Superior Court of Cowlitz County within fifteen (15) days of mailing of the written appellate determination. Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered. b. Notice of Potential Claims. The Contractor shall not be entitled to additional compensation or to extension of time for (1) any act or failure to act by the County Project Manager or the County, or (2) the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within ten (10) days of the commencement of the act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim. Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional. c. Detailed Claim. The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty (30) days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due. 20. Ownership of Items Produced and Public Disclosure. All writings, programs, data, art work, music, maps, charts, tables, illustrations, records or other written, graphic, analog or digital materials prepared by the Contractor and/or its consultants or subcontractors, in connection with the performance of this Agreement shall be the sole and absolute property of the County and constitute “work made for hire” as that phrase is used in federal and/or state intellectual property laws and Contractor and/or its agents shall have no ownership or use rights in the work. Except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply: a. Correspondence, emails, reports and other electronic or written work product will be generated between the Contractor and County during the course of this Contract. This Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure under the Washington State Public Records Act, Chapter 42.56 RCW (Public Records Act). Thus, the County shall be required, upon request, to disclose this Contract and all documents related to it unless an exemption under the Public Records Act or other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract. b. Should County receive a request for disclosure, County agrees to provide Contractor ten (10) days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney’s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no action to oppose the release of information. Notice of any proposed release of information pursuant to Chapter 42.56 RCW, shall be provided to Contractor according to the “Notice” provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor must not take any action that would affect (a) the County’s ability to use goods and services provided under this Contract or (b) the Contractor obligations under this Contract. The Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosure request.

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ATTACHMENT C

Contractor’s failure to timely provide such records upon demand shall be deemed a material breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys’ fees, and/or any other expenses as a result of such breach, Contractor shall fully indemnify and hold harmless County as set forth in Section 13. For purposes of this section, the terms “public records” and “agency” shall have the same meaning as defined by Chapter 42.56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement. 21. Recovery of Payments to Contractor. The right of the Contractor to retain monies paid to it is contingent upon satisfactory performance of this Agreement, including the satisfactory completion of the project described in the Scope of Work (Attachment A). In the event that Contractor fails, for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manger’s sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform. 22. Project Approval. The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Manager, For purposes of this Agreement, the County Project Manager is: Name: Carole Harrison Title: Director Department: Health & Human Services Address: 1952 9th Ave Longview, WA 98632 Telephone: (360) 414-5599 E-mail: HHSContracts@cowlitzwa.gov Fax: (360) 425-7531 In the event there is a dispute with regard to the extent and character of the work to be done, the determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor’s right to appeal that decision as provided herein. 23. Non-Discrimination. The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sec, marital status, sexual orientation, age, or the presence of any sensory, mental or physical handicap. 24. Subcontractors. In the event that the Contractor employs the use of any subcontractors, the contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontractors entered into, County is named as an express third-party beneficiary of such contracts with full rights as such. 25. Third Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties. 26. Standard of Care. The Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently practicing under similar circumstances. The Contractor shall, without additional compensation, correct those services not meeting such a standard. 27. Time is of the Essence. Time is of the essence in the performance of this contract unless a more specific time period is set forth in either the Special Terms and Conditions or Scope of Work. 28. Notice. Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page. 29. Severability. If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application. To this end, the terms and conditions of this contract are declared severable. 30. Precedence. In the event of inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: a. Applicable federal, state and local statues, ordinances and regulations; b. Scope of Work (Attachment A) and Compensation (Attachment B);

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ATTACHMENT C

c. Special Terms and Conditions (Attachment D); and d. General Conditions (Attachment C). e. Any other material incorporated herein by reference. 31. Waiver. Waiver of any breach or condition of this contract shall not be deemed a waiver of any prior or subsequent breach. No term or condition of this contract shall be held to be waived, modified or deleted except by an instrument, in writing, signed by the parties hereto. 32. Attorney Fees. In the event that litigation must be brought to enforce the terms of this agreement, the prevailing party shall be entitled to be paid reasonable attorney fees. 33. Construction. This agreement has been mutually reviewed and negotiated by the parties and should be given a fair and reasonable interpretation and should not be construed less favorably against either party. 34. Survival. Without being exclusive, Paragraphs 4, 7, 13-19, 21-22 and 30-35 of these General Conditions shall survive any termination, expiration or determination of invalidity of this Agreement in whole or in part. Any other Paragraphs of this Agreement which, by their sense and context, are intended to survive shall also survive. 35. Entire Agreement. This written contract represents the entire Agreement between the parties and supersedes any prior statements, discussions or understandings between the parties except as provided herein.

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ATTACHMENT D

SPECIAL TERMS AND CONDITIONS 1. Insurance. Cowlitz will provide liability coverage to the Contractor solely to the extent consistent with the County’s coverage through its membership in the Washington Counties Risk Pool. This includes medical services coverage but not medical malpractice insurance. Contractor is responsible for Contractor’s own automobile liability insurance coverage. 2. Debarment Certification. The Contractor, by signature to this Agreement, certifies that the Contractor is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded in this Agreement by any federal department or agency from participating in transactions (Debarred). The Contractor also agrees to include the above requirement in all subcontracts into which it enters. The Contractor shall immediately notify the County if, during the term of this Contract, the Contractor becomes debarred. The County may immediately terminate this Contract by providing Contractor written notice if Contractor becomes debarred during the term hereof.

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ATTACHMENT D

COUNTY RETAINS THIS FORM Individual contractors and service providers must complete and sign

3. WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001] SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS: Did you retire from one of the State of Washington Retirement Systems?

YES

Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

Will you be receiving direct compensation for your services?

YES

Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 2. Is the contractor a retiree of a Washington State Retirement System? 3. Did the contractor retire before age 65 using the 2008 ERF?

Yes Yes

No No

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

Date: COUNTY RETAINS THIS FORM

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT E

BUSINESS ASSOCIATE AGREEMENT

THIS AGREEMENT is entered into between Cowlitz County Health & Human Services “Covered Entity”) and PreventionMD LLC (“Business Associate”). The Business Associate acknowledges and agrees that Protected Health Information (PHI) can be used or shared only within the parameters of this document and the Department of Health & Human Services Privacy Regulations, Code of Federal Regulations, (“CFR”) Title 45, Sections 160 and 164, or as required by law. CFR Title 45, Sections 160 and 164 are by way of reference, an integral part of this Agreement. Business Associated is charged with the knowledge of and agrees to abide by the terms and conditions of CFR Title 45, Sections 160 and 164. 2. Purpose The Covered Entity needs to make available and/or disclose to the Business Associate certain PHI for management, administration, and legal responsibilities during the normal course of business between parties. 3. Responsibilities of Business Associate The Business Associate hereby agrees to do the following: a. Use and Disclosure: Use and/or disclose PHI only as permitted or required by this Agreement, health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (Division A, Title XIII of the American Recovery and Reinvestment Act of 2009, Pub. Law 111-5, 2009 HR 1) (“HITECH”). The Business Associate shall use and disclose PHI only if such use or disclosure, respectively, is in compliance with each applicable requirement of 45 CFR § 164.504(e). The Business Associate is directly responsible for full compliance with the security provisions of HIPAA and HITECH to the same extent as the Covered Entity. b. Security: Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the PHI that is creates, receives, maintains, or transmits on behalf of the Covered Entity as required by CFR Title 45, Section 164, Subpart C. The Business Associate is directly responsible for compliance with the security provisions of HIPAA and HITECH to the same extent as the Covered Entity. c. Improper Disclosures: Report all unauthorized or otherwise improper disclosures of PHI, or security incident, to the Covered Entity within two (2) days of the Business Associates knowledge of such event. d. Notice of Breach: Within two (2) business days of the discovery of a breach as defined at 45 CFR § 164.402 notify the Covered Entity of any breach of unsecured PHI. The notification shall include the identification of each individual whose unsecured PHI has been, or is reasonably believe by the Business Associate to have bee, accessed, acquired, or disclosed during such breach; if known; a description of the types of unsecured PHI that were involved in the breach (such as whether full name, social security number, date of birth, home address, account number, diagnosis, disability code, or other types of information were involved); any steps individuals should take to protect themselves from potential harm resulting from the breach; a brief description of what the Business Associate is doing to investigate the breach, to mitigate harm to individuals, and to protect against any further breaches; the contact procedures of the Business Associate for individuals to ask questions or learn additional information, which shall include a toll free number, an e-mail address, Web site, or portal address; and any other information required to be provided to the individual by the Covered Entity pursuant to 45 CFR § 164.404, as amended. A breach shall be treated as discovered in accordance with the terms of 45 CFR § 164.410. The information shall be updated promptly and provided to the Covered Entity as requested by the Covered Entity. e. Mitigation: Mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of PHI by Business Associate in violation of the requirement of this Agreement or the law.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

12 of 14

PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT E

Agents: Ensure that any agent, including all of its employees, representatives, and subcontractors, to whom it provides PHI received from, or created or received by Business Associate on behalf of Covered Entity agrees to the same restrictions and conditions that apply through this Agreement to Business Associate with respect to such information. g. Right to Access: 1. Make internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by Business Associate on behalf of Covered Entity available to the Covered Entity, or at the request of the Covered Entity to the Secretary of Department of Health and Human Services, within five (5) business days of written request by the Covered Entity or the Secretary, for the purpose of determining compliance with HIPAA, HITECH, and/or this Agreement. 2. Provide Covered Entity, within five (5) business days of written request by Covered Entity information collected in accordance with this Agreement, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528, or to permit Covered Entity to respond to a request by an Individual for access to PHI in accordance with 45 CFR § 164.524. h. Documentation of Disclosures: Document such disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528. Should an individual make a request to Covered Entity for an accounting of disclosures of his or her PHI pursuant to 45 CFR § 164.5285, Business Associate agrees to promptly provide an accounting, as specified under 42 U.S.C. § 17935(c)(1) and 45 CFR § 164.528, of disclosures of PHI that have been made by the Business Associate to the Covered Entity or to the individual, as directed by the Covered Entity. i. Amendments: Make any amendments to PHI that the Covered Entity directs or agrees to pursuant to 45 CFR § 164.526 at the request of Covered Entity, within five (5) business days of written request by Covered Entity. j. Other: To the extent the Business Associate is to carry out one or more of the covered entities obligations under Subpart E of 45 CFR 164, comply with the requirements of Subpart E that apply to the covered entity in the performance of such obligations. 4. Permitted Uses and Disclosures by Business Associate a. Except as otherwise limited in this Agreement or by law, Business Associate may use PHI for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. The Business Associate shall limit its use and disclosure of, and requests for, PHI to the minimum necessary as determined in accordance with 42 U.S.C § 17935(b)(1). b. Except as otherwise limited in this Agreement or by law, Business Associate may use PHI to provide Data Aggregation services to Covered Entity as permitted by 45 CFR § 164.504.(e)(2)(i)(B). 5. Term and Termination a. Term: This Agreement shall become effective on January 1, 2025, and shall continue in effect until December 31, 2027, unless terminated as provided herein or by mutual agreement of the parties. b. Termination for Cause: Upon Covered Entity’s knowledge of a material breach by Business Associate, Covered Entity shall provide an opportunity for Business Associate to cure the breach or end the violation and terminate this Agreement if Business Associate does not cure the breach or end the violation within ten (10) business days of receipt of written notice by the Covered Entity, or immediately terminate the Agreement if Business Associate has breached a material term of this Agreement and cure is not possible. c. Other Termination: This Agreement may be terminated by Covered Entity upon thirty (30) days prior written notice to the other party, which notice shall specify the date of termination. d. Effect of Termination: Except as provide in paragraph b. of this Section, upon termination of this Agreement, for any reason, Business Associate shall return or destroy all PHI received from Covered Entity, or created or received by Business Associate on behalf of Covered Entity. This provision shall apply to PHI that is in the possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies of the PHI.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

13 of 14

PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT E

In the event that Business Associate determines that returning or destroying the PHI is not feasible, Business Associate shall extend the protections of this Agreement to such PHI and limit further disclosures of such PHI to those purposes that make return or destruction infeasible, for so long as Business Associate maintains such PHI. 6. Miscellaneous a. Defense and Indemnification: Business Associate shall defend, indemnify and hold harmless Covered Entity from and against all claims, liabilities, judgments, fines, assessments, penalties, awards or other expenses, of any nature whatsoever, including without limitation attorneys fees, expert witness fees, and costs of investigation, litigation, or dispute resolution, relating to or arising out of any breach of this Agreement by Business Associate, its employees, officers, agents, or sub-contractors. b. Reimbursement for Costs Incurred Due to Breach: Business Associate shall reimburse Covered Entity, without limitation, for all costs of investigation, dispute resolution, notification of individuals, the media, and the government, and expenses incurred in responding to any audits or other investigation relating to or arising out of a breach of unsecured PHI by the Business Associate. c. Regulatory References: A reference in this Agreement to Section in the Department of Health and Human Services Privacy Regulations, Code of Federal Regulations, Title 45, Sections 160 and 164 means the Section as in effect or as amended, and for which compliance is required. d. Amendment: The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for Covered Entity to comply with the requirements of the Department of Health and Human Services Privacy Regulations, Code of Federal Regulations, Title 45, Sections 160 and 164. e. Notices: Whenever Covered Entity or Business Associate is required to give notice to the other party, notice shall be in writing, posted in the US Mail, and deemed delivered after three (3) business days. f. Survival: The obligations of the Business Associate shall survive the termination of this Agreement. g. Interpretation: Any ambiguity in this Agreement shall be resolved in favor of a meaning that permits Covered Entity to comply with the Department of Health and Human Services Privacy Regulations, Code of Federal Regulations, Title 45, Sections 160 and 164.

26-001 Last Date Revised: 1/09/2025 Admin Form: 1610

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AS-14537 Motion Items BOCC Agenda Meeting Date: 12/16/2025 Contract 25-037 with WA State Health Care Authority (HCA) Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

10.

Information Subject and Summary Statement This County Contract #25-037 with Washington State Health Care Authority (HCA) is to provide funding for the Criminal Justice Treatment Account or "CJTA" contracted providers who provide Substance Use Disorder treatment services to individuals involved in the criminal justice system in accordance with RCW 71.24.580. Contract/SOW Name

Current

Change

Total

Time Period

25-037

+$590,176.00

$590,176.00

7/1/25-6/30/27

Will Staff Attend - NAME OF STAFF Gena James will attend. Department Recommendation It is the recommendation of the Cowlitz County Health and Human Services that the Cowlitz County Board of Commissioners move to approve and execute the County Contract # 25-037 with Washington State Health Care Authority (HCA). BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

__________________________________________ Richard R. Dahl, Chairman

__________________________________________ Steven L Ferrell, Commissioner

__________________________________________ Steve Rader, Commissioner ATTEST: __________________________________________ , Clerk of the Board

Date

___________________________________

Attachments Contract Form Review Inbox Reviewed By Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

Date 12/01/2025 04:45 PM 12/02/2025 03:49 PM Started On: 12/01/2025 03:14 PM

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

INTERAGENCY AGREEMENT HCA Contract Number: K8528 for CJTA Treatment and Recovery Services THIS AGREEMENT is made by and between Washington State Health Care Authority (HCA) and Cowlitz County, (Contractor), pursuant to the authority granted by Chapter 39.34 RCW. CONTRACTOR NAME

CONTRACTOR DOING BUSINESS AS (DBA)

Cowlitz County CONTRACTOR ADDRESS 1952 9th Ave

Street

CONTRACTOR CONTRACT MANAGER Gena James

City Longview CONTRACTOR TELEPHONE 360-414-5599

State WA

Zip Code 98632

CONTRACTOR E-MAIL ADDRESS jamesg@cowlitzwa.gov

HCA PROGRAM

HCA DIVISION/SECTION

Adult Substance Use Disorder Treatment

Division of Behavioral Health and Recovery

HCA CONTRACT MANAGER NAME AND TITLE

HCA CONTRACT MANAGER ADDRESS Health Care Authority

Zach Lynch, Criminal Justice Treatment Account Manager

626 8th Avenue SE PO Box 42730 Olympia, WA 98504-2730

HCA CONTRACT MANAGER TELEPHONE (360) 725-9992

HCA CONTRACT MANAGER E-MAIL ADDRESS zach.lynch@hca.wa.gov

CONTRACT START DATE

CONTRACT END DATE

TOTAL MAXIMUM CONTRACT AMOUNT

July 1, 2025

June 30, 2027

$590,176.00

PURPOSE OF CONTRACT: To provide funding through Criminal Justice Treatment Account allocations, which allows county government to pay for SUD treatment and recovery support services. The parties signing below warrant that they have read and understand this Contract, and have authority to execute this Contract. This Contract will only be binding upon signature by both parties. The parties may execute this contract in multiple counterparts, each of which is deemed an original and all of which constitute only one agreement. E-mail (electronic mail) transmission of a signed copy of this contract shall be the same as delivery of an original. CONTRACTOR SIGNATURE

HCA SIGNATURE

Washington State Health Care Authority

PRINTED NAME AND TITLE

DATE

PRINTED NAME AND TITLE

DATE

Andria Howerton Deputy Contracts Administrator

Page 1 of 22

10/31/2025

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

1. DEFINITIONS “Authorized Representative” means a person to whom signature authority has been delegated in writing acting within the limits of the person’s authority. “Confidential Information” means information that may be exempt from disclosure to the public or other unauthorized persons under chapter 42.56 RCW or chapter 70.02 RCW or other state or federal statutes or regulations. Confidential Information includes, but is not limited to, any information identifiable to an individual that relates to a natural person’s health, finances, education, business, use or receipt of governmental services, names, addresses, telephone numbers, social security numbers, driver license numbers, financial profiles, credit card numbers, financial identifiers and any other identifying numbers, law enforcement records, HCA source code or object code, or HCA or State security information. “Contract” or “Agreement” means the entire written agreement between HCA and the contractor, including any exhibits, documents, or materials incorporated by reference. Contract and Agreement may be used interchangeably. “Contractor” means Cowlitz County, its employees and agents. Contractor includes any firm, provider, organization, individual or other entity performing services under this Agreement. It also includes any Subcontractor retained by Contractor as permitted under the terms of this Agreement. “Data” means information disclosed, exchanged or used by Contractor in meeting requirements under this Agreement. Data may also include Confidential Information as defined in this Contract. “Health Care Authority” or “HCA” means the Washington State Health Care Authority, any division, section, office, unit or other entity of HCA, or any of the officers or other officials lawfully representing HCA. “Information and Communication Technology” or “ICT” means information technology and other equipment, systems, technologies, or processes, for which the principal function is the creation, manipulation, storage, display, receipt, or transmission of electronic data and information, as well as any associated content. Examples include computers and peripheral equipment; information kiosks and transaction machines; telecommunications equipment; customer premises equipment; multifunction office machines; software; applications; websites; videos; and electronic documents. “Services” means all work performed or provided by Contractor pursuant to this Contract. “Statement of Work” or “SOW” means a detailed description of the work activities the Contractor is required to perform under the terms and conditions of this Contract, including the deliverables and timeline, and is included as Attachment 1. “Subcontractor” means a person or entity that is not in the employment of the Contractor, who is performing all or part of the business activities under this Agreement under a separate contract with Contractor. The term “Subcontractor” means subcontractor(s) of any tier.

Washington State Health Care Authority

Page 2 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

2. STATEMENT OF WORK Contractor will furnish the necessary personnel, equipment, material and/or service(s) and otherwise do all things necessary for or incidental to the performance of work set forth in Attachment 1. 3. PERIOD OF PERFORMANCE Subject to its other provisions, the period of performance of this Contract will commence on July 1, 2025, and be completed on June 30, 2027, unless terminated sooner or extended upon written agreement between the parties. 4. PAYMENT Compensation for the work provided in accordance with this Agreement has been established under the terms of RCW 39.34.130. The parties have determined that the cost of accomplishing the work herein will not exceed $590,176.00. Payment for satisfactory performance of the work will not exceed this amount unless the parties mutually agree to a higher amount. Compensation for services will be based in accordance with the terms set forth in Attachment 1, Statement of Work. 5. BILLING PROCEDURE 5.1. Contractor must submit accurate invoices to the following address for all amounts to be paid by HCA via e-mail to: zach.lynch@hca.wa.gov. Include the HCA Contract number in the subject line of the email. 5.2. Invoices must describe and document to HCA’s satisfaction a description of the work performed, the progress of the project, and fees. If expenses are invoiced, invoices must provide a detailed breakdown of each type. Any single expense in the amount of $50.00 or more must be accompanied by a receipt in order to receive reimbursement. All invoices will be reviewed and must be approved by the Contract Manager or designee prior to payment. 5.3. Contractor must submit properly itemized invoices to include the following information, as applicable: A. The HCA Contract number; B. Contractor name, address, phone number; C. Description of Services; D. Date(s) of delivery; E. Net invoice price for each item; F. Applicable taxes; G. Total invoice price; and H. Payment terms and any available prompt payment discount.

Washington State Health Care Authority

Page 3 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

5.4. HCA will return incorrect or incomplete invoices for correction and reissue. The Agreement number must appear on all invoices, bills of lading, packages, and correspondence relating to this Agreement. 5.5. Payment will be considered timely if made within thirty (30) calendar days of receipt of properly completed invoices. Payment will be directly deposited in the bank account or sent to the address Contractor designated in this Agreement. 5.6. Upon expiration or termination any claims for payment for costs due and payable under this Agreement that are incurred prior to the expiration date must be submitted by Contractor within sixty (60) calendar days after the expiration date. There will be no obligation to pay any claims that are submitted sixty-one (61) or more calendar days after the expiration date (“Belated Claims”). Belated Claims will be paid at HCA’s sole discretion, and any such potential payment is contingent upon the availability of funds. 6. ACCESSIBILITY 6.1. REQUIREMENTS AND STANDARDS. Each information and communication technology (ICT) product or service furnished under this Contract shall be accessible to and usable by individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and other applicable Federal and State laws and policies, including OCIO Policy 188, et seq. For purposes of this clause, Contractor shall be considered in compliance with the ADA and other applicable Federal and State laws if it satisfies the requirements (including exceptions) specified in the regulations implementing Section 508 of the Rehabilitation Act, including the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA Success Criteria and Conformance Requirements (2008), which are incorporated by reference, and the functional performance criteria. 6.2. DOCUMENTATION. Contractor shall maintain and retain, subject to review by HCA, full documentation of the measures taken to ensure compliance with the applicable requirements and functional performance criteria, including records of any testing or simulations conducted. 6.3. REMEDIATION. If the Contractor claims that its products or services satisfy the applicable requirements and standards specified in this Section and it is later determined by HCA that any furnished product or service is not in compliance with such requirements and standards, HCA will promptly inform Contractor in writing of noncompliance. Contractor shall, at no additional cost to HCA, repair or replace the non-compliant products or services within the period specified by HCA. If the repair or replacement is not completed within the specified time, HCA may cancel the contract, delivery, task order, or work order, or purchase line item without termination liabilities or have any necessary changes made or repairs performed by employees of HCA or by another contractor, and Contractor shall reimburse HCA for any expenses incurred thereby. 6.4. INDEMNIFICATION. Contractor agrees to indemnify and hold harmless HCA from any claim arising out of failure to comply with the aforesaid requirements.

Washington State Health Care Authority

Page 4 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

7. AGREEMENT CHANGES, MODIFICATIONS AND AMENDMENTS This Agreement may be amended by mutual agreement of the parties. Such amendments are not binding unless they are in writing and signed by an Authorized Representative of each party. 8. SUBCONTRACTING Neither the Contractor nor any Subcontractor shall enter into subcontracts for any of the work contemplated under this Agreement without obtaining HCA’s prior written approval. HCA shall have no responsibility for any action of any such Subcontractors. 9. SUBRECIPIENT Intentionally omitted as not applicable. 10. ASSIGNMENT The work to be provided under this Agreement, and any claim arising thereunder, is not assignable or delegable by either party in whole or in part, without the express prior written consent of the other party, which consent will not be unreasonably withheld. 11. CONTRACT MANAGEMENT The Contract Manager for each of the parties, named on the face of this Contract, will be responsible for and will be the contact person for all communications and billings regarding the performance of this Agreement. Either party must notify the other party within thirty (30) days of change of Contract Management. Changes in Contract Management shall require an amendment. 12. DISALLOWED COSTS The Contractor is responsible for any audit exceptions or disallowed costs incurred by its own organization or that of its Subcontractors. 13. DISPUTES In the event that a dispute arises under this Agreement, it will be determined by a dispute board in the following manner: Each party to this Agreement will appoint one member to the dispute board. The members so appointed will jointly appoint an additional member to the dispute board. The dispute board will review the facts, Agreement terms and applicable statutes and rules and make a determination of the dispute. The dispute board will thereafter decide the dispute with the majority prevailing. The determination of the dispute board will be final and binding on the parties hereto. As an alternative to this process, either of the parties may request intervention by the Governor, as provided by RCW 43.17.330, in which event the Governor's process will control.

Washington State Health Care Authority

Page 5 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

14. GOVERNANCE This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington and any applicable federal laws. The provisions of this Agreement will be construed to conform to those laws. In the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency will be resolved by giving precedence in the following order: A. Applicable Federal and State of Washington statutes and regulations; B. Attachment 1: Statement of Work; and C. Any other provisions of the agreement, including materials incorporated by reference. 15. INDEPENDENT CAPACITY The employees or agents of each party who are engaged in the performance of this Agreement will not be considered for any purpose to be employees or agents of the other party. 16. RECORDS MAINTENANCE 16.1. The parties to this Agreement will each maintain books, records, documents and other evidence which sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the services described herein. These records will be subject to inspection, review or audit by personnel of both parties, other personnel duly authorized by either party, the Office of the State Auditor, and federal officials so authorized by law. All books, records, documents, and other material relevant to this Agreement will be retained for six years after expiration and the Office of the State Auditor, federal auditors, and any persons duly authorized by the parties will have full access and the right to examine any of these materials during this period. 16.2. Records and other documents, in any medium, furnished by one party to this Agreement to the other party, will remain the property of the furnishing party, unless otherwise agreed. The receiving party will not disclose or make available this material to any third parties without first giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each party will use reasonable security procedures and protections to assure that records and documents provided by the other party are not erroneously disclosed to third parties. 17. TREATMENT OF ASSETS 17.1. Ownership HCA shall retain title to all property furnished by HCA to Contractor under this contract. Title to all property furnished by the Contractor, for the cost of which the Contractor is entitled to reimbursement as a direct item of cost under this contract, excluding intellectual property provided by the Contractor, shall pass to and vest in HCA upon delivery of such property by the Washington State Health Care Authority

Page 6 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

Contractor. Title to other property, the cost of which is reimbursable to the Contractor under this Contract, shall pass to and vest in HCA upon (i) issuance for use of such property in the performance of this Contract, (ii) commencement of use of such property in the performance of this Contract, or (iii) reimbursement of the cost thereof by HCA, in whole or in part, whichever occurs first. 17.2. Use of Property Any property furnished to Contractor shall, unless otherwise provided herein, or approved in writing by the HCA Contract Manager, be used only for the performance of and subject to the terms of this Contract. Contractor's use of the equipment shall be subject to HCA's security, administrative and other requirements. 17.3. Damage to Property Contractor shall continuously protect and be responsible for any loss, destruction, or damage to property which results from or is caused by Contractor's acts or omissions. Contractor shall be liable to HCA for costs of repair or replacement for property or equipment that has been lost, destroyed or damaged by Contractor or Contractor’s employees, agents or subcontractors. Cost of replacement shall be the current market value of the property and equipment on the date of the loss as determined by HCA. 17.4. Notice of Damage Upon the loss of, destruction of, or damage to any of the property, Contractor shall notify the HCA Contract Manager thereof within one (1) Business Day and shall take all reasonable steps to protect that property from further damage. 17.5. Surrender of Property Contractor will ensure that the property will be returned to HCA in like condition to that in which it was furnished to Contractor, reasonable wear and tear excepted. Contractor shall surrender to HCA all property upon the earlier of expiration or termination of this Contract. 18. RIGHTS IN DATA Unless otherwise provided, data which originates from this Agreement will be "works for hire" as defined by the U.S. Copyright Act of 1976 and will be owned by HCA. Data will include, but not be limited to, reports, documents, pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes and/or sound reproductions. Ownership includes the right to copyright, patent, register and the ability to transfer these rights. 19. CONFIDENTIALITY Each party agrees not to divulge, publish or otherwise make known to unauthorized persons confidential information accessed under this Agreement. Contractor agrees that all materials containing confidential information received pursuant to this Agreement, including, but not limited to information derived from or containing patient records, claimant file and medical case management report information, relations with HCA’s clients and its employees, and any other information which Washington State Health Care Authority

Page 7 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

may be classified as confidential, shall not be disclosed to other persons without HCA’s written consent except as may be required by law. 20. SEVERABILITY If any provision of this Agreement or any provision of any document incorporated by reference will be held invalid, such invalidity will not affect the other provisions of this Agreement, which can be given effect without the invalid provision if such remainder conforms to the requirements of applicable law and the fundamental purpose of this agreement, and to this end the provisions of this Agreement are declared to be severable. 21. FUNDING AVAILABILITY HCA’s ability to make payments is contingent on funding availability. In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date and prior to completion or expiration date of this Agreement, HCA, at its sole discretion, may elect to terminate the Agreement, in whole or part, or to renegotiate the Agreement subject to new funding limitations and conditions. HCA may also elect to suspend performance of the Agreement until HCA determines the funding insufficiency is resolved. HCA may exercise any of these options with no notification restrictions. 22. TERMINATION Either party may terminate this Agreement upon 30-days' prior written notification to the other party. If this Agreement is so terminated, the parties will be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. 23. TERMINATION FOR CAUSE If for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement, or if either party violates any of these terms and conditions, the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within 30 days. If failure or violation is not corrected, this Agreement may be terminated immediately by written notice of the aggrieved party to the other. 24. WAIVER A failure by either party to exercise its rights under this Agreement will not preclude that party from subsequent exercise of such rights and will not constitute a waiver of any other rights under this Agreement unless stated to be such in a writing signed by an Authorized Representative of the party and attached to the original Agreement.

Washington State Health Care Authority

Page 8 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

25. 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 will be deemed to exist or to bind any of the parties hereto. 26. SURVIVORSHIP The terms, conditions and warranties contained in this Agreement that by their sense and context are intended to survive the completion of the performance, expiration or termination of this Agreement shall so survive. In addition, the terms of the sections titled Rights in Data, Confidentiality, Disputes and Records Maintenance shall survive the termination of this Agreement.

Attachments Attachment 1: Statement of Work

Washington State Health Care Authority

Page 9 of 22

HCA IAA K8528

Docusign Envelope ID: 631C9F9E-5E9E-4285-B529-798B1A290AA7

ATTACHMENT 1: STATEMENT OF WORK Contractor will provide the services and staff, and otherwise do all things necessary for, or incidental to, the performance of work as set forth below. 1. DEFINITIONS 1.1.

“American Society of Addiction Medicine Criteria” or “ASAM Criteria” means the six dimensions to identify the intensity of treatment services that best fits the individual’s needs and provides a common language of holistic, biopsychosocial assessment, and treatment across addiction treatment, physical health, and mental health services, which also addresses the spiritual issues relevant in recovery.

1.2.

“Case Management” or “Case Management Services” means services provided by a Substance Use Disorder Professional (SUDP) or Substance Use Disorder Professional Trainee (SUDPT) licensed by the Washington Department of Health, or a person under the direct clinical supervision of a SUDP, to individuals assessed as needing treatment and admitted into treatment. Services are provided to assist clients in gaining access to needed medical, social, educational, and other services. Services include case planning, case consultation and referral, and other support services for the purpose of engaging and retaining or maintaining clients in treatment.

1.3.

“Continuity of Care” means the provision of continuous care for chronic or acute medical and behavioral health conditions to maintain care that has started or been authorized to start as the Individual transitions between: facility to home; facility to another facility; providers or service areas; managed care contractors; and Medicaid fee-for-service and managed care arrangements. Continuity of Care occurs in a manner that prevents secondary illness, health care complications, or rehospitalization; and promotes optimum health recovery.

1.4.

“County Match” means that jurisdictions must match, on a dollar-for-dollar basis, state moneys allocated for therapeutic courts with local cash or in-kind resources. Moneys allocated by the state may be used to supplement, not supplant other federal, state, and local funds for therapeutic courts (RCW 2.30.040).

1.5.

“Criminal Justice Treatment Account” or “CJTA” means the account created by Washington State Legislature that may be expended solely for: substance use disorder treatment and treatment support services for individuals with a substance use disorder that, if not treated, would result in addiction, against whom charges are filed by a prosecuting attorney in Washington State (RCW 71.24.580).

1.6.

“CJTA Plan” or “Plan” means the plan that is developed by the county human services or behavioral health services department, county prosecutor, county sheriff, county superior court, a substance use disorder treatment provider appointed by the county legislative authority, a member of the criminal defense bar appointed by the county legislative authority, and, in counties with a drug court, a representative of the

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drug court (RCW 71.24.580(6)). The plan shall be approved by the county legislative authority or authorities; and, submitted to the panel established in 71.24.580(5)(b) of this section, for disposition of all the funds provided from the CJTA within that county. 1.7.

“Local CJTA Panel” means the representative group which reviews the County CJTA plan and consists of at minimum: the county alcohol and drug coordinator, county prosecutor, county sheriff, county superior court, a substance abuse treatment provider appointed by the county legislative authority, a member of the criminal defense bar appointed by the county legislative authority, and, in counties with a drug court, a representative of the drug court .

1.8.

“Culturally and Linguistically Appropriate Services” or “CLAS” means the national standards in health and health care intended to advance health equity, improve quality, and eliminate health disparities by establishing a blueprint for health and health care organizations.

1.9.

“Division of Behavioral Health and Recovery” or “DBHR” means the Health Care Authority’s Division of Behavioral Health and Recovery, and its employees and authorized agents.

1.10.

“Drug Court” means a court utilizing a program structured to achieve both a reduction in criminal recidivism and an increase in the likelihood of rehabilitation through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020).

1.11.

“Evidence-based Practice” or “EBP” means a prevention or treatment service or practice that has been validated by some form of documented research evidence and is appropriate for use with individuals with a substance use disorder that are involved in the criminal justice system. EBP also means a program or practice that has been tested where the weight of the evidence from review demonstrates sustained improvements in at least one outcome, and/or a program or practice that can be implemented with a set of procedures to allow successful replication in Washington and, when possible, is determined to be cost-beneficial.

1.12.

“Individual” means any person in the criminal justice system who is in need of behavioral health services, regardless of income, ability to pay, insurance status or county of residence.

1.13.

“Medications for Opioid Use Disorder” or “MOUD” or “MAT” means the use of FDA-approved opioid agonist medications (e.g., methadone, buprenorphine products including buprenorphine/naloxone combination formulations and buprenorphine mono-product formulations) for the treatment of opioid use disorder and the use of opioid antagonist medication (e.g. naltrexone products including extended-release and oral formulations) to prevent relapse to opioid use.

1.14.

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1.15.

1.16.

“Recovery Support Services” or “RSS” means services that are intended to promote an individual’s socialization, recovery, self-advocacy, development of natural support, and maintenance of community living skills. RSS include, but are not limited to, the following services: Supported employment services, supportive housing services, peer support services, wraparound facilitation services, and any other services that are conducive to an individual’s recovery in an Substance Use Disorder (SUD) Program (WAC 246-341-0718).

1.17.

“State CJTA Panel” means a panel of appointed representatives from the Washington Association of Prosecuting Attorneys, the Washington Association of Sheriffs and Police Chiefs, the superior court judges' association, the Washington State Association of Counties, the Washington Defender's Association or the Washington Association of Criminal Defense Lawyers, the Department of Corrections, the Washington State Association of Drug Court Professionals, and Substance Use Disorder Treatment Providers. The panel shall review county or regional plans for funding and grants approved. The panel shall attempt to ensure that treatment as funded by the grants is available to offenders statewide

1.18.

“Substance Use Disorder” or “SUD” means a problematic pattern of using alcohol or another substance that results in the impairment in daily life or noticeable distress; and, whereby the individualcontinues use despite leading to clinically significant impairment or distress as categorized in the DSM-5.

1.19.

“Substance Use Disorder Professional” or “SUDP” means an individual who is certified according to RCW 18.205.020 and the certification requirements of WAC 246-811-030 to provide SUD services.

1.20.

“Substance Use Disorder Professional Trainee” or “SUDPT” means an individual working toward the education and experience requirements for certification as a chemical dependency professional, and who has been credentialed as a CDPT.

1.21.

“Therapeutic Courts” means a court utilizing a program or programs structured to achieve both a reduction in recidivism and an increase in the likelihood of rehabilitation, or to reduce child abuse and neglect, out-of-home placements of children, termination of parental rights, and substance use and mental health symptoms among parents or guardians and their children through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020).

1.22.

"Treatment" means services that are critical to a participant's successful completion of his or her substance use disorder treatment program, including but not limited to the recovery support and other programmatic elements outlined in Chapter 246-341 WAC.

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1.23.

"Treatment Support" means services such as transportation to or from inpatient or outpatient treatment services when no viable alternative exists, and child care services that are necessary to ensure a participant's ability to attend outpatient treatment sessions.

1.24.

“Washington State Jail” or “Jail” means any city, county, regional, or tribal jail operating in the state of Washington.

2. Purpose Contractor will provide treatment and recovery support services, funded by Criminal Justice Treatment Account (CJTA) funds, to individuals involved in the criminal justice system in accordance with RCW 71.24.580. 3. CTJA Account Services Specific Eligibility and Funding Requirements 3.1.

In accordance with RCW 71.24.580, the Contractor will be responsible for treatment and recovery support services for criminally involved Individuals.

3.2.

In accordance with RCW 2.30.040, counties that allocate CJTA and/or State Drug Court funds to support or provide services to Therapeutic Court Program are subject to the County Match.

3.3.

No more than ten percent (10%) of the total CJTA funds may be used for the following support services combined in the context of meeting court/program expectations: 3.3.1. Transportation; and 3.3.2. Child Care Services.

3.4.

CJTA funds are intended to be used as a “payment of last resort,” meaning that other means of payment for treatment or other services, such as Medicaid or other forms of insurance, must have been exhausted or be ineligible to meet participant needs.

3.5.

State Drug Court 3.5.1.

In addition to state funding under the CJTA, several counties receive additional state funding specifically for Drug Courts. State Drug Court funding is provided to the following counties: Clallam, Cowlitz, King, Kitsap, Pierce, Skagit, Spokane, and Thurston. The counties that receive State Drug Court funding must ensure that the provision of substance use disorder treatment and support services detailed in this Contract, are in accordance with RCW 71.24.580 and RCW 2.30.030. These Counties are also required to include in the quarterly R&E report which category of funds – base or state drug court – are being drawn from for each expense.

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3.6.

At a minimum, thirty percent (30%) of the CJTA funds, including State Drug Court funding, is to be dedicated to special projects that meet any or all of the following conditions: 3.6.1.

An Evidence-Based Practice and/or Research-Based Practice (or treatment strategy) that can be documented in published research;

3.6.2.

An approach utilizing either traditional or best practice approaches to treat significant underserved population(s) and populations who are disproportionately affected by the criminal justice system;

3.6.3.

A regional project conducted in partnership with at least one other entity serving the service area; and/or

3.6.4.

CJTA Special Projects. HCA retains the right to request progress reports or updates on CJTA special projects.

4. CJTA Funding – Allowable Services 4.1.

Brief Intervention (any level, assessment not required);

4.2.

Acute Withdrawal Management (ASAM Level 3.7WM);

4.3.

Sub-Acute Withdrawal Management (ASAM Level 3.2WM);

4.4.

Outpatient Treatment (ASAM Level 1);

4.5.

Intensive Outpatient Treatment (ASAM Level 2.1);

4.6.

Opioid Treatment Program (ASAM Level 1);

4.7.

Case Management (ASAM Level 1.2);

4.8.

Intensive Inpatient Residential Treatment (ASAM Level 3.5);

4.9.

Long-term Care Residential Treatment (ASAM Level 3.3);

4.10.

Recovery House Residential Treatment (ASAM Level 3.1);

4.11.

Assessment (to include Assessments done while in jail) - Assessments should include and/or be informed by ASAM Criteria).

4.12.

Interim Services;

4.13.

Community Outreach;

4.14.

Involuntary Commitment Investigations and Treatment;

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4.15.

Room and Board (Residential Treatment Only);

4.16.

Transportation;

4.17.

Childcare Services;

4.18.

Urinalysis;

4.19.

Recovery Support Services that may include:

4.20.

4.19.1.

Employment services and job training;

4.19.2.

Relapse prevention;

4.19.3.

Family/marriage education;

4.19.4.

Peer-to-peer services, mentoring and coaching;

4.19.5.

Self-help and spiritual, religious support groups;

4.19.6.

Housing support services (rent and/or deposits);

4.19.7.

Life skills;

4.19.8.

Education Training (e.g. GED Assistance); and

4.19.9.

Parent education and child development.

Substance Use Disorder treatment in the Jail: 4.20.1.

CJTA funds may not supplement or supplant any currently funded programs that previously existed in a Jail environment.

4.20.2.

The Contractor may not use more than 30% of their allocation for treatment in the Jail unless they receive written authorization from the HCA Contract Manager or justification for doing so is detailed in the CJTA Plan discussed in Schedule A, Statement of Work, Section 6, below.

4.20.3.

If CJTA funds are utilized for these purposes, the Contractor must attempt to provide treatment with the following stipulations: 4.20.3.1.

Washington State Health Care Authority

Identify and provide transition services to persons with substance use disorder, who meet the CJTA requirements as defined in RCW 71.24.580, to expedite and facilitate their return to the community;

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4.20.4.

4.20.3.2.

Continue treatment services with individuals who were engaged in community-based treatment prior to their incarceration, with the intent to complete the outpatient treatment episode; and

4.20.3.3.

Initiate outpatient treatment services with individuals who will be released and transition into community-based treatment.

The following treatment modalities may be provided through CJTA funding: 4.20.4.1.

Engaging individuals in SUD treatment;

4.20.4.2.

Screening, assessing, and inducting individuals on MOUD;

4.20.4.3.

Referral to SUD services;

4.20.4.4.

Providing continuity of care; and

4.20.4.5.

Planning for an individual’s transition from Jail.

4.21.

Utilization of CTA funding to cover the costs of housing within available resources must present the individual with options for recovery residences of approved recovery residences maintained by the authority under RCW 41.05.760. The contractor is prohibited from requiring individuals to stay in a single specific approved recovery residence when utilizing CTA funds to pay for housing in that region and must offer choice, giving strong consideration to adding options when an individual prefers a residence not currently utilized.

4.22.

The Contractor shall coordinate when applicable or necessary with local Tribal behavioral health agencies and Indian health care providers to meet the culturally relevant needs of AI/AN Individuals receiving allowable CJTA funded services. The contractor would also be expected to reasonably provide access to other necessary and relevant CLAS.

5. MAT in Therapeutic Courts 5.1.

Per RCW 71.24.580, “If a region or county uses criminal justice treatment account funds to support a therapeutic court, the therapeutic court must allow the use of all medications approved by the federal food and drug administration for the treatment of opioid use disorder as deemed medically appropriate for a participant by a medical professional. If appropriate medication-assisted treatment resources are not available or accessible within the jurisdiction, the Health Care Authority's designee for assistance must assist the court with acquiring the resource.” For the purposes of this Contract, HCA’s designee for the Contractor will be the HCA Contract Manager, who may facilitate assitance from other HCA employees.

5.2.

The Contractor will only subcontract with Therapeutic Courts that have policy and procedures allowing Participants at any point in their course of treatment to seek

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FDA-approved medication for any substance use disorder and ensuring the agency will provide or facilitate the induction of any prescribed FDA approved medications for any substance use disorder. 5.3.

The Contractor will only subcontract with Therapeutic Court programs that work with licensed SUD behavioral health treatment agencies that have policy and procedures in place ensuring they will not deny services to Enrollees who are prescribed any of the Federal Drug Administration (FDA) approved medications to treat all substance use disorders.

5.4.

The Contractor may not subcontract with a Therapeutic Court program that is known to have policies and procedures in place that mandate titration of any prescribed FDA approved medications to treat any substance use disorder, as a condition of participants being admitted into the program, continuing in the program, or graduating from the program, with the understanding that decisions concerning medication adjustment are made solely between the participant and their prescribing provider.

5.5.

The Contractor must notify the HCA if it discovers that a CJTA funded Therapeutic program is practicing any of the following:

5.6.

5.5.1.

Requiring discontinuation, titration, or alteration of their medication regimen as a precluding factor in admittance into a Therapeutic Court program;

5.5.2.

Requiring participants already in the program to discontinue MOUD in order to be in compliance with program requirements;

5.5.3.

Requiring discontinuation, titration, or alteration of their MOUD medication regimen as a necessary component of meeting program requirements for graduation from a Therapeutic Court program.

All decisions regarding an individual’s amenability and appropriateness for MOUD will be made by the individual in concert with a medical professional.

6. CJTA Plan 6.1.

Contractor is expected to follow all guidelines provided in CJTA Plan guidelines document, which will be provided to Contractor by HCA Contract Manager.

6.2.

Contractor must coordinate with the Local CJTA Panel for the county in order to facilitate the planning requirement as described in RCW 71.24.580(6). County level funding priorities are established by the local CJTA Panel. The CJTA Plan should detail the coordination within the county expected to help reach the goals of the CJTA funding, identify the needed services for the community, and explain how the

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county plans to reach the intended population for the CJTA fund. Any CJTA funded efforts must be included in the CJTA Plan, including the following specific elements: 6.2.1.

Describe in detail how substance use disorder treatment and support services will be delivered within the region;

6.2.2.

Address the CJTA County Match Requirement if funds provide treatment or recovery support services for therapeutic court participants;

6.2.3.

Include details on special projects such as best practices/treatment strategies, significant underserved population(s), or regional endeavors, including the following: 6.2.3.1.

Describe the project and how it will be consistent with the strategic plan;

6.2.3.2.

Describe how the project will enhance treatment services for individuals in the criminal justice system;

6.2.3.3.

Indicate the number of individuals who will be served using innovative funds;

6.2.3.4.

If applicable, indicate plans for inclusion of MOUD within the county’s Therapeutic Court programs; and

6.2.3.5.

Address the fiscal and programmatic Data Reporting requirements found in Section 7 of this Statement of Work.

6.3.

The final Plan must be approved by the county’s legislative authority.

6.4.

Completed and legislatively approved Plans must be submitted to HCA for review and approval. Plans will be forwarded to the State CJTA Panel once approved by HCA. Contractor must implement the plan as it is written and notify the HCA if any changes are made. HCA acknowledges the authority of the State CJTA panels for final approval of plans, including the use of any subcontractors.

6.5.

CJTA Plan is due by October 1, 2025, and shall be updated if spending plans change, subject to approval by the Local CJTA Panel, HCA Contract Manager and subsequently the State CJTA Panel. Contractor may request an extension of up to 30 calendar days on the CJTA Plan due date, and HCA may approve the extension in its sole discretion.

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7. Data Reporting Requirements 7.1.

Contractor shall ensure that staffing is sufficient to support CJTA-related data analytics and related data systems to oversee all data interfaces and support the specific reporting requirements under Contract.

7.2.

Contractor will work with Research and Data Analysis Division (RDA) within Washington State Department of Social and Health Services (DSHS) at its desired cadence to provide requested data to assist in partnered efforts funded through CJTA dollars, such as compiling a state drug court data dashboard. These expectations are distinct from program activities reporting to HCA and are only applicable to courts/counties not using the Drug Court Case Management System.

7.3.

Contractor will work with HCA should system data reporting submission requirements change.

7.4.

Contractor shall ensure that all Subcontractors required to report programmatic data have the capacity to submit all HCA required data to enable the Contractor to meet the requirements under the Contract. 7.4.1.

There are three quarterly reports that the Contractor will be responsible for submitting: The Quarterly Progress Report (QPR), the Revenue and Expenditure Report (R&E), and the Programmatic Treatment Report (PTR)/ Program Data Acquisition, Management and Storage (PDAMS).

7.4.2.

HCA Contract Manager will provide Contractor with a template form for the QPR that will report on the following program elements: 7.4.2.1.

Number of individuals served under CJTA funding for that time period;

7.4.2.2.

Barriers to providing services to the Criminal Justice Population;

7.4.2.3.

Strategies to overcome the identified barriers;

7.4.2.4.

Training and Technical assistance needs;

7.4.2.5.

Success stories or narratives from individuals receiving CJTA services; and

7.4.2.6.

If a Therapeutic Court receives CJTA funded services, the number of admissions of individuals into the program who were either already on MOUD, referred to MOUD, or were provided information regarding MOUD.

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7.4.3.

7.4.4.

HCA Contract Manager will provide the Contractor with a template form for the R&E report that captures the fiscal expenditures for that quarter. 7.4.3.1.

Contractor will use the Excel document provided by HCA;

7.4.3.2.

Contractor will report the amount of CJTA expenditures for each state fiscal quarter (State Fiscal quarters end on March 31, June 30, September 30, and December 31);

7.4.3.3.

document must be completed in its entirety; and

7.4.3.4.

Completed R&E report must be submitted within 45 days of the end of each State Fiscal Quarter.

Contractor is responsible for submitting the PTR each quarter through a Managed File Transfer (MFT). During the Contract period, the PTR reporting process may change to PDAMS, which will require Contractor to provide data directly into a system rather than through MFT. The data to be collected will not change, just the method of submission to HCA. HCA Contract Manager will provide Contractor with an excel workbook template and/or additional instructions for submission of data that will capture a variety of demographic and programmatic data that supports the services being provided by the state appropriations. In addition, this process will include the following: 7.4.4.1.

Contractor will ensure that their subcontractor has the bandwidth to complete all data elements requested in the PTR.

7.4.4.2.

Contractor may allow the subcontractor to do all data entry, but the PTR must be submitted into the Behavioral Health Data System (BHDS) by Contractor through the established Secure File Transfer procedure within 45 days of the end of each State Fiscal Quarter. The Contractor may request an extension of this requirement during the first Contract term. Files submitted must conform to the following naming convention: _<County Name>_<Date of Upload>.

7.4.4.3.

The Contractor will review for completeness and accuracy each PTR that they receive from the subcontractor.

7.4.4.4.

The Contractor will work with their subcontractors to ensure that any applicable Release of Information (ROI) forms are updated to account for the sharing of Personal Health Information (PHI) with the HCA.

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8. Billing and Payment 8.1.

Initial payment will be provided following receipt and acceptance of the CJTA Biennial Plan in the amount of $10,000. Subsequent payments will be disbursed on a quarterly basis following the receipt of noted deliverables (QPR, R&E, PTR) in the amounts outlined in the deliverables table below. 8.1.1.

In the interest of both honoring a deliverables-based contract and minimizing waste and removing previous recoupment processes, an allocation at the end of the contract period will be altered based on actual spending calculated with data received from R&E reports throughout the biennium. 8.1.1.1.

Disbursements for the final quarter of the Contract term will be reduced in accordance with actual spending – unspent funds in smaller amounts would be subtracted from the anticipated disbursement.

8.1.1.2.

Should a considerable amount of funds remain unspent – in an amount exceeding the anticipated disbursement – the final quarterly disbursement of FY27 would be forfeited, however, any excess beyond the anticipated disbursement the Contractor would be permitted to keep. For example: if a Contractor is underspent by $50,000, and the amount that would have been distributed per the deliverables table was $40,000, then Contractor would not be paid the $40,000, but would be able to keep the $10,000 difference and not need to repay it.

8.2.

Payment will be contingent upon HCA Contract Manager acceptance of the deliverables, and approval of a correct and complete Revenue and Expenditure Report from Contractor.

8.3.

Contractor is required to limit Administration costs to no more than ten percent (10%) of the Total Maximum Compensation. Administration costs will be measured on a fiscal year basis and based on the information reporting in the Revenue and Expenditure reports and reviewed by the HCA Contract Manager.

8.4.

Funding to support workforce (i.e., retention bonuses) must be reviewed and approved by HCA Contract Manager prior to being expended.

8.5.

Payment shall be considered timely if made by HCA within thirty (30) days after receipt and acceptance by HCA of the properly completed reports.

8.6.

Payment may be withheld if the deliverables are not met by the date indicated in the table below.

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8.7. Deliverables Table Deliverables Table July 1, 2025 through June 30, 2027 Due Date

Deliverable

Submit an updated Criminal Justice Treatment Account (CJTA) Plan that was approved by the Local CJTA panel and signed by County Legislative Authority that indicates how the CJTA Supplemental will be utilized. Quarterly Reports (x 7 Quarters) • Progress Report

•

R&E

•

PTR

Final Quarterly Reports • Progress Report •

R&E

•

PTR

Total Maximum Compensation

Washington State Health Care Authority

October 1, 2025

Maximum Amount

$10,000.00

45 calendar days of end of State Fiscal Quarter

$72,522.00/Quarter

45 calendar days of end of June 30, 2027

Based on actual expenditures per Section 8.1.1 but not to exceed $72,522.00

$590,176.00

HCA Contract #K8528 Attachment 1

AS-14538 BOCC Agenda Meeting Date: 12/16/2025 Contract 25-038 Columbia Wellness Submitted For: Gena James Department: Health/Human Services

Motion Items

11.

Submitted By: Wheeldon Jennifer

Information Subject and Summary Statement This County Contract # 25-038 with Columbia Wellness is to provide funding for the Criminal Justice Treatment Account or "CJTA" substance-use disorder treatment and support services to individuals involved in the criminal justice system, in accordance with RCW 71.24.580. The maximum consideration for this contract shall not exceed $100,000.00 during the period July 1, 2025 through June 30, 2027. Funding for this contract comes from the State Criminal Justice Treatment Account which is passed through the County's contract with the Washington State Health Care Authority. Contract/SOW Name

Current

Change

Total

Time Period

25-038

+$100,000.00

$100,000.00

7/1/25-6/30/27

Will Staff Attend - NAME OF STAFF Gena James will attend. Department Recommendation It is the recommendation of the Cowlitz County Health & Human Services that the Cowlitz County Board of Commissioners move to approve and execute the county Contract # 25-038 with Columbia Wellness.

Fiscal Impact Expenditure Required $: $100,000.0 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 14001 Grant Y-N: y Attachments Contract Insurance Certificate Form Review Inbox Jamie Drake Gena James

Reviewed By Jamie Drake Gena James

Date 12/02/2025 02:29 PM 12/03/2025 01:49 PM

Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

Started On: 12/02/2025 08:10 AM

SUBRECIPIENT GRANT AGREEMENT Number: 25-038 1. Purpose of Subrecipient Grant Agreement. This Subrecipient Grant Agreement (“Agreement”) is made by and between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Columbia Wellness (hereinafter called “Subrecipient”) to set forth the terms and conditions by which the County will provide the Subrecipient with a grant award to be used to pay or reimburse necessary expenditures incurred for treatment and recovery support services, funded by Criminal Justice Treatment Account funds, to individuals involved in the criminal justice system in accordance with RCW 71.24.580, as applicable. 2. Term. This Agreement shall take effect on July 1, 2025 and terminate on June 30, 2027. 3. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures consistent and as detailed in Attachment A - Scope of Work for Project (the “Project”). 4. Grant Award. The Subrecipient is awarded a total of $100,000.00. 5. Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget. 6. Subrecipient Responsibilities. Subrecipient agrees to administer the Grant Award proceeds consistent with this Agreement. Subrecipient shall provide the County with certification using the form of Attachment C that Grant Award funds will be used for eligible expenditures. Subrecipient shall request payment from the County as outlined in Attachment B. 7. Reporting Requirements. In addition to the responsibilities outlined herein and in Attachment A Scope of Work for Project, at least once a quarter, and at the conclusion of either the grant expenditure or the grant contract period, the Subrecipient shall provide a report on the progress made to date on the Project, using such forms and meeting such requirements as determined by the County. Such reports shall be provided by the Subrecipient to the County electronically to the County’s Project Manager identified herein. 8. Access to and Maintenance of Records. Subrecipient shall maintain internal controls, accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County, for a period of six (6) years to ensure proper accounting for all Grant Award funds and compliance with this Agreement. Subrecipient acknowledges that records may be subject to disclosure under the Public Records Act, Chapter 42.56 RCW. Subrecipient agrees that the County or any duly authorized representatives shall have at any time and from time to time during normal business hours, access to any work product, books, documents, papers, and records of Subrecipient which are related to this Agreement, for the purpose of inspection, audits, examinations, and making excerpts, copies and transcriptions. 9. Termination. The following provisions apply regarding termination of this Agreement: a. Termination for Loss of Funding. The County shall have the right to terminate this Agreement upon advance written notice if the funds relied upon for the Grant Award are terminated, suspended, or otherwise lost or impaired in whole or in part. b. Termination for Convenience. Either party may terminate this Agreement for convenience upon giving the other party at least 30 days’ advance written notice. In that event, the

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Subrecipient will be entitled to payment only for those expenses and costs reasonably and actually incurred prior to the effective date of the termination. Termination for Default. If either party defaults in its performance under this Agreement, the nondefaulting party may give the defaulting party written notice that it has 30 days in which to cure the default. If the default is not cured within 30 days of notice, the nondefaulting party may terminate this Agreement. In the event of such a termination, the nondefaulting party shall have all rights and remedies available to it under the law. However, if a notice of termination for default has been issued and it is later determined for any reason that the Subrecipient was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof.

10. Termination Procedure. The following provisions apply in the event that this Agreement is terminated: a. The Subrecipient shall cease to perform hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any. b. The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination. 11. Conflict of Interest. Subrecipient designees, agents, members, officers, employees, consultants, and any other public official who exercise or who has exercised any functions or responsibilities with respect to the Project during his or her tenure, or who is in a position to participate in a decision-making process or gain inside information with regard to the Project, are barred from any interest, direct or indirect, in any grant or proceeds of the Project, or benefit therefrom, which is part of this Agreement at any time during or after such person’s tenure. 12. Governing Laws. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. The venue for any dispute regarding or arising out of this Agreement shall be Cowlitz County Superior Court. 13. Personnel. The Subrecipient will secure at its own expense all labor and materials required to perform any work in connection with the Project. The Subrecipient shall be responsible for all applicable payroll, labor and industries premiums, and taxes. All employees and subcontractors of the Subrecipient shall be covered by Industrial Insurance in full compliance with Title 51 RCW. The Subrecipient shall defend and indemnify the County, and their officials, officers, employees, and agents from and against all claims arising from any actual or alleged violation of the Subrecipient’s duties under this section or applicable law. Solely for the purposes of this indemnification provision, the Subrecipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. The Subrecipient’s duty to defend and indemnify shall survive the termination of this Agreement. 14. Contract Representatives. The parties’ designated representatives shall be responsible for the administration of this Agreement and for receiving notices given in connection with this Agreement. The following are designated as the representatives of the parties: For the County: For the Subrecipient: Name: Gena James Joseph Andrew McDaniel Title: Deputy Director CEO Department: Health & Human Services Columbia Wellness Address: 1952 9th Ave 921 14th Avenue Longview, WA 98632 Longview, WA 98632 Telephone: (360) 414-5599 360-423-0303 E-mail: HHSContracts@cowlitzwa.gov UEI: XL4JAN5QWSS5 UBI: 600-333-335

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15. Notices. Any notice required or permitted to be made under this Agreement may be given personally, by facsimile, or by first-class, registered or certified mail. A notice personally delivered to the other party is deemed given upon proper delivery. A notice sent by first-class, registered or certified mail is deemed given three days after mailing, if properly addressed and having proper postage. Notices delivered by facsimile shall be deemed to have been given on the date of transmission if received during the subrecipient’s business day or, if not, on the subrecipient’s next business day. 16. Insurance Requirements. The Subrecipient shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Subrecipient or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided: COMPREHENSIVE GENERAL LIABILITY: Bodily injury, including death. Property damage ERRORS AND OMISSIONS or PROFESSIONAL LIABILITY with an Extended Reporting Period Endorsement (two year tail).

$1,000,000 $1,000,000 $2,000,000

Per occurrence Per occurrence Aggregate

$1,000,000 $2,000,000

Per occurrence Aggregate

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER’S LIABILITY/Stop Gap: $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Subrecipient’s and Subrecipient’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Subrecipient’s and Subrecipient’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Subrecipient shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Subrecipient’s most recent annual financial reports and audited financial statements as a condition of approval. Subrecipient hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Subrecipient to enter into a pre-loss agreement to waive subrogation without an

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endorsement, then Subrecipient agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Subrecipient enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Subrecipient’s and Subrecipient’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Subrecipient and subcontractor, and all coverage shall be primary and non-contributory. A state or notion of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Subrecipient is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.] The Subrecipient shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal. Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: County Project Manager, Cowlitz County Health & Human Services, 1952 9th Avenue, Longview, WA 98632. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Subrecipient under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Subrecipient. Compensation and/or payments due to the Subrecipient under this Agreement are expressly conditioned upon the Subrecipient’s strict compliance with all insurance requirements. Payment to the Subrecipient shall be suspended in the event of non-compliance. Upon receipt of evidence of Subrecipient’s compliance, payments not otherwise subject to withholding or set-off will be released to the Subrecipient. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required. 17. Indemnification. To the fullest extent permitted by the law, the Subrecipient shall indemnify, defend, and hold harmless Cowlitz County and the officials, officers, employees, and agents of each of them, from and against all claims in any way resulting from or arising out of the performance of this Agreement, whether such claims arise from the acts, errors or omissions of the Subrecipient, its subcontractors, third parties, Cowlitz County, or anyone directly or indirectly employed by any of them or anyone for whose acts, errors or omissions any of them may be liable. “Claim” means any loss, claim, suit, action, liability, damage or expense of any kind or nature whatsoever, including but not limited to attorneys’ fees and costs, attributable to personal or bodily injury, sickness, disease, or death, or to injury to or destruction of property, including the loss of use resulting therefrom. The Subrecipient’s duty to indemnify, defend, and home harmless includes not is not limited to claims by the Subrecipient’s or any subcontractor’s officers, employees, or agents. The Subrecipient’s duty, however, does not extend to claims arising from the sole negligence or willful misconduct of Cowlitz County, or tis officials, officers, employees, and agents. Solely for the purposes of this indemnification provision, the Subrecipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. This section shall survive the expiration or termination of this Agreement. 18. Debarment Certification. The Subrecipient, by signature to this Agreement, certifies that the Subrecipient is not presently debarred, suspended, proposed for debarment, declared ineligible,

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or voluntarily excluded in this Agreement by any federal department or agency from participating in transactions (Debarred). The Subrecipient also agrees to include the above requirement in all subcontracts into which it enters. The Subrecipient shall immediately notify the County if, during the term of this Contract, the Subrecipient becomes debarred. The County may immediately terminate this Contract by providing Subrecipient written notice if Subrecipient becomes debarred during the term hereof. 19. Compliance with Laws. The Subrecipient and its officials, officers, employees, agents, and subcontractors shall comply with all applicable federal, state, and local laws, regulations, rules, and policies. The County shall have no obligation to ensure such compliance. 20. Religious Activities. If the Subrecipient is a faith-based or religious organization, it retains its independence and may continue to carry out its mission, including the definition, development, practice, and expression of its religious beliefs. Such a subrecipient, however, may not use any funding provided under this Agreement to support or engage in any explicitly religious activities, including activities that involve overt religious content such as worship, religious instruction, or proselytization, nor may such a subrecipient condition the provision of services provided pursuant to this Agreement upon a participant’s engaging in any such explicitly religious activities. 21. Permissible Use Warranty. The Subrecipient recognizes and agrees that the Grant Award consists of ‘pass-through’ funds coming from Washington State Health Care Authority. Subrecipient agrees to use the Grant Award funds awarded to it in accordance with Attachment A and in accordance with all applicable rules and requirements from Washington State Health Care Authority and the Criminal Justice Treatment Account. The Subrecipient warrants that its planned and actual uses of the Grant Award herein constitute permissible uses consistent with Attachment A and the pass-through funding requirements discussed immediately above. This section shall survive termination of this Agreement. 22. Organizational Status Warranty. The Subrecipient warrants that it is duly organized, existing and in good standing under the laws of the State of Washington. 23. Relationship of the Parties. This Agreement, and the parties’ and the County’s activities under it, shall not be construed as creating any kind of partnership or joint venture, nor shall it be construed as creating any kind of independent contractor, agency or employment relationship between the parties or the County. 24. No Third-Party Rights. This Agreement is entered into by the parties solely for their own benefit and it creates or grants no rights of any kind to any other party. 25. Assignment. The Subrecipient shall not assign any of its rights or delegate any of its duties under this Agreement without the prior express written consent of the County, which may be granted or refused at the County’s sole discretion. 26. Waiver. No term or condition of this Agreement shall be deemed waived unless such waiver is expressly agreed to in writing by the party granting the waiver. In addition, waiver of any breach of this Agreement shall not be deemed a waiver of any prior or subsequent breach. 27. Amendment. This Agreement can only be amended in writing, and only upon execution by both parties. 28. Entire Agreement. The parties acknowledge that this Agreement is the complete expression of their agreement regarding the subject matter of this Agreement. Any oral or written representations or understandings not incorporated into this Agreement are specifically excluded. 29. Headings. The headings in this Agreement are for convenience only and shall not be deemed to affect the meaning of its provisions.

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30. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be invalid, such invalidity shall not affect the validity of the remaining provisions that can be given effect without the invalid provision, provided that the underlying intent of the parties can still be given effect. 31. Signature Authority. Each person signing this Agreement on behalf of a party warrants that he or she has full authority to sign this Agreement on that party’s behalf. 32. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall be deemed one agreement. Each counterpart may be executed and delivered by facsimile to the other party. 33. Attachments. The following attachments are incorporated into this Agreement by reference. a. Attachment A – Scope of Work for Project b. Attachment B – Budget c. Attachment C – Certification Form d. Attachment D – Retirement Certification e. Attachment E – CJTA Treatment and Recovery Services Contract IN WITNESS WHEREOF, the parties have executed this Agreement on this 20 .

day of

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name:

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

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, Clerk of the Board

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ATTACHMENT B SCOPE OF WORK FOR PROJECT

The Subrecipient shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Purpose. Contractor will provide treatment and recovery support services, funded by Criminal Justice Treatment Account funds, to individuals involved in the criminal justice system in accordance with RCW 71.24.580, as applicable. 2. Definitions a. “American Society of Addiction Medicine (ASAM)” means the six dimensions to identify the intensity of treatment services that best fits the individual’s needs and provides a common language of holistic, biopsychosocial assessment, and treatment across addiction treatment, physical health, and mental health services, which also addresses the spiritual issues relevant in recovery. b. “Assessments” means the activities conducted to evaluate an individual to determine if the individual has a substance use disorder and determine placement in accordance with the American Society of Addiction Medicine (ASAM) criteria. c. “Brief Intervention” means a time limited, structure behavioral intervention using substance use disorder brief intervention techniques, such as evidence based motivational interviewing techniques, and referral to treatment services when indicated. Services may be provided at, but not limited to, sites exterior to treatment facilities such as hospitals, medical clinics, schools or other non-traditional settings. d. “Case Management” or “Case Management Services” means services provided by a Substance Use Disorder Professional (SUDP) or Substance Use Disorder Professional Trainee (SUDPT) licensed by the Washington Department of Health, or a person under the direct clinical supervision of a SUDP, to individuals assessed as needing treatment and admitted into treatment. Services are provided to assist clients in gaining access to needed medical, social, educational, and other services. Services include case planning, case consultation and referral, and other support services for the purpose of engaging and retaining or maintaining clients in treatment. e. “Continuity of Care” means the provision of continuous care for chronic or acute medical and behavioral health conditions to maintain care that has started or been authorized to start as the Individual transitions between: facility to home; facility to another facility; providers or service areas; managed care contractors; and Medicaid fee-for-service and managed care arrangements. Continuity of Care occurs in a manner that prevents secondary illness, health care complications, or re-hospitalization; and promotes optimum health recovery. f. “Criminal Justice Treatment Account” or “CJTA” means the account created by Washington State Legislature that may be expended solely for: substance use disorder treatment and treatment support services for individuals with a substance use disorder that, if not treated, would result in addiction, against whom charges are filed by a prosecuting attorney in Washington State (RCW 71.24.580). g. “CJTA Plan” or “Plan” means the plan that is developed by the county human services or behavioral health services department, county prosecutor, county sheriff, county superior court, a substance use disorder treatment provider appointed by the county legislative authority, a member of the criminal defense bar appointed by the county legislative authority, and, in counties with a drug court, a representative of the drug court (RCW 71.24.580(6)). The plan shall be approved by the county legislative authority or authorities; and, submitted to the panel established in 71.24.580(5)(b) of this section, for disposition of all the funds provided from the CJTA within that county. h. “Culturally and Linguistically Appropriate Services” or “CLAS” means the national standards in health and health care intended to advance health equity, improve quality, and eliminate health disparities by establishing a blueprint for health and health care organizations.

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“Division of Behavioral Health and Recovery” or “DBHR” means the Health Care Authority’s Division of Behavioral Health and Recovery, and its employees and authorized agents. j. “Drug Court” means a court utilizing a program structured to achieve both a reduction in criminal recidivism and an increase in the likelihood of rehabilitation through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020). k. “Drug Enforcement Agency” or “DEA” means a federal agency which is a component of the United State Department of Justice and whose mission is to enforce the controlled substances laws and regulations of the United States and bring to the criminal and civil justice system of the United States, or any other competent jurisdiction, those organizations and principal members of organizations, involved in the growing, manufacture, or distribution of controlled substances appearing in or destined for illicit traffic in the United States; and to recommend and support non-enforcement programs aimed at reducing the availability of illicit controlled substances on the domestic and international markets. l. “Evidence-based Practice” or “EBP” means a prevention or treatment service or practice that has been validated by some form of documented research evidence and is appropriate for use with individuals with a substance use disorder that are involved in the criminal justice system. EBP also means a program or practice that has been tested where the weight of the evidence from review demonstrates sustained improvements in at least one outcome, and/or a program or practice that can be implemented with a set of procedures to allow successful replication in Washington and, when possible, is determined to be costbeneficial. m. “Individual” means any person in the criminal justice system who is in need of behavioral health services, regardless of income, ability to pay, insurance status or county of residence. n. “Intensive Outpatient Treatment” means services provided in a non-residential intensive patient centered outpatient program for treatment of substance use disorders. The service as described satisfies the level of intensity in ASAM Level 2.1. o. “Interim Services” means services to individuals who have been denied admissions to a treatment program on the basis of the lack of the capacity to reduce the adverse health effects of substance abuse, promote the health of the individual, and reduce the risk of transmission of disease. Such services are provided until the individual is admitted to a treatment program. Services include referral for prenatal care for a pregnant patient, brief screening activities, the development of a service plan, individual or group contacts to assist the person either directly or by way of referral in meeting his/her basic needs, updates to advise him/her of treatment availability, and information to prepare him/her for treatment, counseling, education, and referral regarding HIV and tuberculosis (TB) education, if necessary referral to treatment for HIV and TB. p. “Involuntary Commitment Investigations and Treatment” means (566.44) – costs incurred for services employed to identify and evaluate alcohol and drug involved individuals requiring protective custody, detention, or involuntary commitment services in accordance with RCW 70.96A.120-140. Costs include case finding, investigation activities, assessment activities, and legal proceedings associated with these cases. q. “Medications for Opioid Use Disorder” or “MOUD” or “MAT” means the use of FDAapproved opioid agonist medications (e.g., methadone, buprenorphine products including buprenorphine/naloxone combination formulations and buprenorphine mono-product formulations) for the treatment of opioid use disorder and the use of opioid antagonist medication (e.g. naltrexone products including extended-release and oral formulations) to prevent relapse to opioid use. r. “Outpatient Treatment Group and Individual” means services provided in a non-residential substance use disorder treatment facility including assessment and case management. Outpatient treatment services must meet the criteria in the specific modality provisions set forth in WAC 388-877B. Services are specific to client populations and broken out between group and individual therapy. (The service as described satisfies the level of intensity in ASAM Level 1)

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“Outreach” or “Community Outreach” means identification of hard-to-reach Individuals with a possible SUD and engagement of these individuals in assessment and ongoing treatment services as necessary. t. “Research-based” means a program or practice that has been tested with a single randomized, or statistically controlled evaluation, or both, demonstrating sustained desirable outcomes; or where the weight of the evidence from a systemic review supports sustained outcomes as described in this subsection but does not meet the full criteria for evidence-based (RCW 2.30.020). u. “Recovery Support Services” or “RSS” means services that are intended to promote an individual’s socialization, recovery, self-advocacy, development of natural support, and maintenance of community living skills. RSS include, but are not limited to, the following services: Supported employment services, supportive housing services, peer support services, wraparound facilitation services, and any other services that are conducive to an individual’s recovery in a Substance Use Disorder (SUD) Program (WAC 246-341-0718). v. “Substance Use Disorder” or “SUD” means a problematic pattern of using alcohol or another substance that results in the impairment in daily life or noticeable distress; and, whereby the individual continues use despite leading to clinically significant impairment or distress as categorized in the DSM-5 w. “Substance Use Disorder Professional (SUDP)” means an individual who is certified according to RCW 18.205.020 and the certification requirements of WAC 246-811-030 to provide SUD services. x. “Substance Use Disorder Professional Trainee (SUDPT)” means an individual working toward the education and experience requirements for certification as a chemical dependency professional, and who has been credentialed as a CDPT. y. “Therapeutic Courts” means a court utilizing a program or programs structured to achieve both a reduction in recidivism and an increase in the likelihood of rehabilitation, or to reduce child abuse and neglect, out-of-home placements of children, termination of parental rights, and substance use and mental health symptoms among parents or guardians and their children through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020). z. “Treatment” means services that are critical to a participant’s successful completion of his or her substance use disorder treatment program, including but not limited to the recovery support and other programmatic elements outlined in Chapter 246-341 WAC. aa. “Treatment Support” means services such as transportation to or from inpatient or outpatient treatment services when no viable alternative exists, and child care services that are necessary to ensure a participant’s ability to attend outpatient treatment sessions. bb. Urinalysis (UA) Testing – Provide UA testing at the request of Drug Court for Drug Court clients. cc. “Washington State Jail” or “Jail” means any city, county, regional, or tribal jail operation in the state of Washington. 3. CJTA Funding – Allowable Services may include: a. Brief Intervention (any level, assessment not required); b. Acute Withdrawal Management (ASAM Level 3.7WM); c. Sub-Acute Withdrawal Management (ASAM Level 3.2WM); d. Outpatient Treatment (ASAM Level 1); e. Intensive Outpatient Treatment (ASAM Level 2.1); f. Opioid Treatment Program (ASAM Level 1); g. Case Management (ASAM Level 1.2); h. Intensive Inpatient Residential Treatment (ASAM Level 3.5); i. Long-term Care Residential Treatment (ASAM Level 3.3); j. Recovery House Residential Treatment (ASAM Level 3.1); k. Assessment (to include Assessments done while in jail – Assessments should include and/or be informed by ASAM Criteria); l. Interim Services; m. Community Outreach;

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ATTACHMENT A

n. o. p. q. r. s.

Involuntary Commitment Investigations and Treatment; Room and Board (Residential Treatment Only); Transportation; Childcare Services; Urinalysis; Recovery Support Services that may include: i. Employment services and job training; ii. Relapse prevention; iii. Family/marriage education; iv. Peer-to-peer services, mentoring and coaching; v. Self-help and spiritual, religious support groups; vi. Housing support services (rent and/or deposits); vii. Life skills; viii. Education Training (e.g. GED Assistance); and ix. Parent education and child development

4. CJTA Funding – Allowable Services in the Jail a. Substance Use Disorder treatment in the Jail If CJTA funds are utilized for these purposes, the Contractor must attempt to provide treatment with the following stipulations: i. Identify and provide transition services to persons with substance use disorder, who meet the CJTA requirements as defined in RCW 71.24.580, to expedite and facilitate their return to the community; ii. Continue treatment services with individuals who were engaged in community-based treatment prior to their incarceration, with the intent to complete the outpatient treatment episode; iii. Initiate outpatient treatment services with individuals who will be released and transition into community-based treatment. iv. The following treatment modalities may be provided through CJTA funding in the jail: Engaging individuals in SUD treatment; Screening, Assessing, and inducting individuals on MOUD; Referral to SUD services; Providing continuity of care; and Planning for an individual’s transition from Jail. b. CJTA funds may not supplement or supplant any currently funded programs that previously existed in a Jail environment. 5. Utilization of CTA funding to cover the costs of housing within available resources must present the individual with options for recovery residences of approved recovery residences maintained by the authority under RCW 41.05.760. The contractor is prohibited from requiring individuals to stay in a single specific approved recovery residence when utilizing CTA funds to pay for housing in that region and must offer choice, giving strong consideration to adding options when an individual prefers a residence not currently utilized. 6. The Contractor shall coordinate when applicable or necessary with local Tribal behavioral health agencies and Indian health care providers to meet the culturally relevant needs of AI/AN Individuals receiving allowable CJTA funded services. The contractor would also be expected to reasonably provide access to other necessary and relevant CLAS. 7. Services will be provided using acknowledged best practice (or treatment strategy) that can be documented in published research (including both Evidenced-based Practice and Researchbased). 8. Coordinate and collaborate with County staff as necessary, including therapeutic court staff and jail staff, for provision of CJTA funded services. 9. Data and Reporting: The contractor will submit reports no later than the dates outlined in the following reporting schedule.

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GRANT AGREEMENT Type of Report Programmatic Treatment Report

ATTACHMENT A Time Period Monthly

Due Date 15th of the month, regardless of what day of the week the 15th falls on, following the month services were performed. Quarterly Progress Report Quarterly 15th of the month, regardless of what day of the week the 15th falls on, following the quarter services were performed. a. The Contractor shall ensure that staffing is sufficient to support CJTA-related data analytics and related data systems to oversee all data interfaces and support specific reporting requirements under this Contract. b. The Contractor will work with the County should system data reporting submission requirements change. c. The Programmatic Treatment Report must match data reported on the Invoice/Expense Report. d. There are two program reports that the Contractor will be responsible for submitting to the County: The Quarterly Progress Report (QPR) and the Programmatic Treatment Report (PRT): i. The Contractor will be responsible for submitting the QPR. The County will provide the Contractor with a template to be completed. ii. The Contractor is responsible for submitting the PTR each month through a Secure File Transfer (SFT) system established with the County. The County will provide the Contractor with an excel workbook template that will capture a variety of demographic and programmatic data that supports the services being provided. In addition, this process will include the following: 1. The Contractor must ensure they have the bandwidth to complete all data elements requested in the PTR. 2. The Contractor must enter all data applicable to the services provided. 3. The Contractor will work with the County to ensure that any applicable Release of Information (ROI) forms are updated to account for the sharing of Personal Health Information (PHI) with the County and with the Health Care Authority. 10. Additional Requirements: The contractor will maintain and make available, if requested, documentation demonstrating accomplishments of the contract. Such documentation may include, but is not limited to, the following: a. Services provided b. Number of hours of service c. Data Collection d. Completed evaluation tools e. Backup reports/data for invoicing. 11. Site Visits: The contractor will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement. 12. Performance monitoring. The County will monitor the Subrecipient’s performance by tracking work progress, reviewing payment requests for applicable costs, and ensuring that all requirements under this Agreement are met. Substandard performance as determined solely by the County constitutes noncompliance with this Agreement. If action to correct substandard performance is not taken by the Subrecipient within 30 days after being notified by the County, then the County may terminate the Agreement as described herein.

25-038 Last Date Revised: 01/09/2025 Admin Form: 1615.1

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ATTACHMENT B BUDGET

1. Budget. The County shall reimburse the Subrecipient in an amount not to exceed $100,000.00. Unspent grant proceeds will be reallocated at the discretion of the County. The Subrecipient shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Agreement subject to available funds. CJTA funds are intended to be used as a “payment of last resort,” meaning that other means of payment for treatment or other services, such as Medicaid or other forms of insurance, must have been exhausted or be ineligible to meet participant needs. 2. Program Specific Conditions: a. Day-to-day expenses related to performance under this Contract, including but not limited to travel, lodging, meals, and incidentals, will not be reimbursed to the Contractor. b. No more than 10% of budget can be utilized for transportation and child care services. c. The Contractor may not use more than 30% of their allocation for treatment in the Jail d. The County will reimburse transportation costs based on actual expenses. e. Funding must be utilized primarily to serve drug court clients. f. Must obtain prior approval from the County to provide services in the Jail. g. Must obtain prior approval from the County to serve non-drug court clients. h. Source of Funds. The maximum compensation payable under this Contract is based on the funding from the following sources: i. 100% is allocated under this Contract from Washington State CJTA appropriations. ii. Funding Stipulations: 1. No Federal Match. The Contractor shall not use funds payable under this Contract as match toward federal funds. 2. Prohibition of Use of Funds for Lobbying Activities. The Contractor must not use funds payable under this Contractor for lobbying activities of any nature. The Contractor certifies that no state or federal funds payable under this Contract shall be paid to any person or organization to influence, or attempt to influence, either directly or indirectly, an officer or employee of a state or federal agency or an officer or member of any state or federal legislative body or committee, regarding the award, amendment, modification, extension, or renewal of a state or federal contract or grant 3. Payment. Subject to Section 1, the County shall reimburse the Subrecipient for costs and expenses necessary to perform activities described in the Scope of Work for Project and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated. The Subrecipient shall ensure that requests for reimbursements are based on billings supported by appropriate documentation of costs and expenses actually incurred. Additionally, the Subrecipient shall ensure that invoices include receipts, reports, and other detailed documentation of charges as requested by the County Contract Representative. The County will not process any payments for invoices received after the 15th of the month following the end of this agreement, unless prior approval from the County. 4. Invoices. The Subrecipient shall submit invoices using the County’s form, or such other form as approved by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Contract Representative within this Agreement, by the Subrecipient, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees.

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ATTACHMENT B

The Subrecipient shall submit invoices to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. The final invoice must be received by the County no later than the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. The final invoice due date is subject to change based on funding requirements. 5. Duplication. The Subrecipient assures that work performed and invoiced does not duplicate work to be charged to the County and State of Washington under any other Contract or agreement with the Subrecipient. 6. Advance Payment. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Agreement. 7. Authorized Services. The County shall pay the Subrecipient only for authorized services provided in accordance with this Agreement. If this Agreement is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. Any activities related to research and development (R&D) are not allowable. 8. Recovery of Costs Claimed in Error. If the Subrecipient claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Subrecipient shall fully cooperate with the recovery. 9. Contractor is bound to follow all applicable terms of the Washington State Health Care Authority CJTA Treatment and Recovery Services Contract, which is attached hereto as Attachment E. Additionally, Contractor agrees that the Washington State Health Care Authority and the State of Washington are not liable for claims or damages arising from Contractor’s performance under this Agreement.

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GRANT AGREEMENT

ATTACHMENT C CERTIFICATION

I, Drew McDaniel, am the CEO of Columbia Wellness] and I certify that: 1. I have authority and approval from the governing body on behalf of Columbia Wellness to accept proceeds from the County per Agreement for the CJTA project by and between the County and Columbia Wellness. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the CJTA Contract work. b. Were incurred during the period that begins on July 1, 2025 through June 30, 2027 3. I understand Columbia Wellness receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law.

Printed Name

Signature

Title

Date

25-038 Last Date Revised: 1/09/2025 Admin Form: 1615.1

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GRANT AGREEMENT

ATTACHMENT D RETIREMENT CERTIFICATION COUNTY RETAINS THIS FORM

YES

2. Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

3. Will you be receiving direct compensation for your services?

YES

4. Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 5. Is the contractor a retiree of a Washington State Retirement System?

Yes

6. Did the contractor retire before age 65 using the 2008 ERF?

Yes

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

25-038 Last Date Revised: 1/09/2025 Admin Form: 1615.1

Date: COUNTY RETAINS THIS FORM

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GRANT AGREEMENT

ATTACHMENT E

Washington State Health Care Authority CJTA Treatment and Recovery Services Contract Note: This contract K85285’ is in the process of being executed and will be completed prior to this Grant Agreement (No. 25-038) being executed. The fully executed version will be provided to Subrecipient once executed.

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PROFESSIONAL SERVICES AGREEMENT

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ATTACHMENT D

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ATTACHMENT D

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ATTACHMENT D

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ATTACHMENT D

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ATTACHMENT D

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ATTACHMENT D

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PROFESSIONAL SERVICES AGREEMENT

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ATTACHMENT D

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Client#: 47750

ACORD

COLUWELL DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

7/03/2025

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). CONTACT Cleonie Nathanielsz NAME: FAX PHONE (A/C, No): 866 577-1326 (A/C, No, Ext): 800 499-0933 E-MAIL ADDRESS: cleonie.nathanielsz@propelinsurance.com

PRODUCER

Propel Insurance 1201 Pacific Avenue; Suite 1000 COM Construction Tacoma, WA 98402-4321

INSURER(S) AFFORDING COVERAGE

NAIC #

22667 20699

INSURER A : Ace American Insurance Company

INSURED

INSURER B : Ace Property and Casualty Insurance Co.

Columbia Wellness 921 14th Avenue Longview, WA 98632

INSURER C : INSURER D : INSURER E : INSURER F :

COVERAGES

CERTIFICATE NUMBER:

REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR

TYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE

ADDL SUBR INSR WVD

POLICY NUMBER

SVRD37800818009

X OCCUR

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

LIMITS

07/01/2025 07/01/2026 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)

GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY JECT LOC

$ 10,000

PERSONAL & ADV INJURY

$ 1,000,000

GENERAL AGGREGATE

$ 3,000,000

PRODUCTS - COMP/OP AGG

$ 3,000,000 $

CALH08615986009

AUTOMOBILE LIABILITY

SINGLE LIMIT 07/01/2025 07/01/2026 COMBINED (Ea accident)

X ANY AUTO X

OWNED AUTOS ONLY HIRED AUTOS ONLY

$ 300,000

MED EXP (Any one person)

OTHER:

$ 1,000,000

BODILY INJURY (Per person)

SCHEDULED AUTOS NON-OWNED AUTOS ONLY

$ 1,000,000 $

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

$ $

UMBRELLA LIAB EXCESS LIAB

XOOG25501160009

OCCUR

07/01/2025 07/01/2026 EACH OCCURRENCE

CLAIMS-MADE

X RETENTION $10000 DED WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

A Prof. Liab.

$ 3,000,000 $ 3,000,000

AGGREGATE

SVRD37800818009 WA Stop GAP

PER STATUTE

07/01/2025 07/01/2026

E.L. EACH ACCIDENT

OTHER $ 1,000,000

E.L. DISEASE - EA EMPLOYEE $ 1,000,000

CRLG25501123009

E.L. DISEASE - POLICY LIMIT $ 1,000,000 07/01/2025 07/01/2026 $1,000,000 ea incident $3,000,000 Aggregate

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

The County, its officers, officials, employees and agents Additional Insured Status applies as required by written contract. Primary and Non-contributory included . Forms to follow.

CERTIFICATE HOLDER

CANCELLATION

Cowlitz County 207 N. Fourth Avenue Kelso, WA 98626

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

1 of 1 #S7433827/M7433821

The ACORD name and logo are registered marks of ACORD

CN00

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BROAD FORM GENERAL LIABILITY EXTENSION FOR HUMAN SERVICES AGENCIES Named Insured

Endorsement Number

Policy Symbol

Policy Number

SVR

D37800818

Policy Period

Effective Date of Endorsement

Issued By (Name of Insurance Company) Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. DEFENSE EXTENSION The following is added to COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, a. Expected Or Intended Injury and COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions, a. Knowing Violation Of Rights Of Another: However, we will reimburse you for the sums that you reimburse to your “employee” for the reasonable and necessary defense costs that he or she incurs in order to defend himself or herself against criminal charges made against him or her, but this insurance only applies if: 1. The alleged acts out of which such criminal charges arise are alleged to have: a. Arisen out of and in the course of your employment of the “employee”; and b. Been committed by your “employee” against your “patient” or “resident”; and c. Taken place during that period of time that the "employee” was employed by you; and d. Taken place during the policy period and in the “coverage territory”; and 2. All the criminal charges are either dismissed without prejudice or your “employee” is found not guilty of all criminal charges by a court of competent jurisdiction. This exception does not apply to any reimbursement of sums that you reimburse to your “employee” for the reasonable and necessary defense costs that he or she incurs in order to defend himself or herself against charges made against him or her: 1. For any criminal charge(s) arising out of the ownership, maintenance, use or entrustment to others of any aircraft, “auto” or watercraft; or 2. For any criminal charge(s) where your “employee” receives anything less than either: (i) a complete dismissal with prejudice; or (ii) a not guilty verdict on all charges, including without limitation, any deferred adjudication or similar finding of guilt that is held in abeyance for any reason, pending the completion of any remedial activity such as community service or counseling; or 3. For any type of civil charge(s) whatsoever. The most we will reimburse you under this defense extension is $25,000 for the policy period. B. LEGAL LIABILITY EXTENSION 1. The last paragraph of SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is deleted in its entirety and replaced by the following:

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Exclusions c. through n. do not apply to “property damage”: by fire, lightning, explosion, smoke or leaks from automatic fire protective systems or any combination thereof; to premises rented to you or temporarily occupied by you with the permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III – LIMITS OF INSURANCE. 2. Paragraph j.(1) of SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is deleted in its entirety and replaced by the following: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property, however this exclusion shall not apply to “property damage” to premises rented to you that is caused by a “patient” or “resident”. A separate limit of insurance applies to this coverage as described in Section III – Limits of Insurance; 3. The first paragraph under (6) of SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Exclusion j. Damage to Property is deleted in its entirety and replaced with the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke or leaks from automatic fire protective systems, or any combination thereof) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III – Limits Of Insurance. 4. Paragraph 6. of SECTION III – LIMITS OF INSURANCE is deleted in its entirety and replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit set forth below is the most we will pay under COVERAGE A for damages because of “property damage”: a. By fire, lightning, explosion, smoke or leaks from automatic fire protective systems, or any combination thereof to premises rented to you or temporarily occupied by you with the permission of the owner; and b. To premises rented to you that is caused by a “resident” or “patient”. The Damage To Premises Rented To You Limit is : a. If the “property damage” is caused by fire, lightning, explosion, smoke or leaks from automatic fire protective systems, or any combination thereof, the greater of: i.

$200,000; or

ii. The Damage To Premises Rented To You Limit shown in the Declarations; or b. $25,000, if the “property damage” is other than by fire, lightning, explosion, smoke or leaks from automatic fire protective systems, or any combination thereof and caused by a “patient” or “resident”. 3. SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, paragraph b(1)(a)(ii) is deleted in its entirety and replaced by the following: (ii) That is property insurance for premises rented to you or temporarily occupied by you with the permission of the owner; 4. SECTION V – DEFINITIONS, definition 9. “Insured Contract” is amended by deleting paragraph a., in its entirety and replacing it by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or leaks from

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automatic fire protective systems while rented to you or temporarily occupied by you with the permission of the owner is not an “insured contract.” C. MEDICAL PAYMENTS COVERAGE C - MEDICAL PAYMENTS, 1. Insuring Agreement, a(3)(b) is deleted and replaced by the following: (b) The expenses are incurred and reported to us within three years of the date of the accident; and D. WHO IS AN INSURED SECTION II – WHO IS AN INSURED, is amended as follows: 1. The following is added after the last paragraph of this SECTION II - WHO IS AN INSURED: No person or organization who otherwise qualifies as an insured under this Section II, is an insured with respect any injury arising out of providing or failure to provide “healthcare professional services”. 2. Paragraph 2 is deleted in its entirety and replaced by the following: 2. Each of the following is also an insured, but only while working within the scope of their duties for the insured: a. “Employees”; b. “Volunteer Workers”; However, no “employees” or “volunteer workers” are insureds for: (1) “Bodily injury” or “personal and advertising injury”: (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-“employee” while in the course of his or her employment or performing duties related to the conduct of your business, or to your other “volunteer workers” while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-“employee” or “volunteer worker” as a consequence of Paragraph (1)(a) above; or (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1)(a) or (b) above. (2) “Property damage” to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by, you, any of your “employees”, “volunteer workers”, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). c. Your independent contractors solely for services related to the conduct of your business and solely while performing such services for the Named Insured or on its behalf for a client of the Named Insured; d. Your medical directors and administrators, including professional persons; e. Any organization and subsidiary thereof which you have a 50% or more controlling interest and actively manage on the effective date of this endorsement; f.

Any person or organization that has financial control of you or owns, maintains or controls premises occupied by you and requires you under a written contract to name them as an additional insured but only with respect to their liability arising out of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you lease or occupy these premises. This insurance does not apply to:

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(1) Structural alterations, new construction and demolition operations performed by or for that person or organization; or (2) Any liability arising out of the sole negligence of such additional insured; or (3) Any “occurrence” or offense which takes place prior to you leasing such premises or after you cease to be a lessee of such premises or prior to the effective date of the written contract with such additional insured or after any financial control by such additional insured ceases. g. Any State or Political Subdivision subject to the following provision: This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or (2) The construction, erection, or removal of elevators; or (3) The ownership, maintenance, or use of any elevators covered by this insurance. This insurance does not apply to "bodily injury," "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality. h. Students of the healthcare professions enrolled in a formal training program; i.

Any person or organization you are required in a written contract (hereinafter called Additional Insured) to name as an insured under this policy, that is in effect: (i) during the policy period and (ii) prior to the occurrence of the “bodily injury”, “property damage” or “personal and advertising injury” but only with respect to liability arising out of your premises, “your work” for the Additional Insured, or acts or omissions of the Additional Insured in connection with the general supervision of “your work”. Coverage as provided hereunder is limited as follows: (1) The Limits of Insurance provided on behalf of the Additional Insured(s) are not greater than those required by such contract. (2) The coverage provided to the Additional Insured(s) under this policy is not greater than: (a) the coverage provided to the Named Insured; and (b) that specified in and required by the contract. (3) All insuring agreements, exclusions, and conditions of this policy apply. (4) In no event shall the coverages or Limits of Insurance in this endorsement be increased by such contract. Except when required otherwise by contract, this insurance does not apply to: (1) “Bodily injury” or “property damage” occurring after: (a) All work on the project (other than service, maintenance, or repairs) to be performed by or on behalf of the Additional Insured(s) at the site of the covered operations has been completed; or (b) That portion of “your work” out of which the injury or damage arises has been put to its intended use by any person or organization, other than by another contractor or subcontractor engaged in performing operations for a principal as part of the same project. (2) With respect to such additional insured(s) who are architects, engineers, or surveyors, this insurance does not apply to “bodily injury,” “property damage” or “personal and advertising injury” arising out of the rendering or failure to render any professional services by or for you, including:

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(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and (b) Supervisors, inspection, or engineering services. Any coverage provided under this provision shall be excess over any other valid and collectible insurance available to the Additional Insured(s) whether primary, excess, contingent, or on any other basis unless a contract specifically requires that this insurance be primary or you request that it apply on a primary basis. 3. Paragraph 3.a. is deleted in its entirety and replaced by the following: a. Coverage under this provision is: (1) Effective on the acquisition or formation date; and (2) Afforded only until the end of the policy period of this Coverage Part or the next anniversary of its inception date, whichever is earlier. E. ADDITIONAL EXCLUSIONS SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions, is amended by adding the following exclusions: 1. Asbestos Any liability for, arising out of or in any way related to asbestos, asbestos containing products, asbestos fibers or asbestos dust. 2. Employment Related Practices This insurance does not apply to: “Bodily injury” or “Personal and advertising injury” to a person arising out of any: (1) Refusal to employ a person; (2) Termination of a person’s employment; (3) Coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation or discrimination directed at a person; or (4) Other practices or policies related to employment or professional privileges; or (5) Consequential “bodily injury” or “personal and advertising injury” as a result of (1) through (4) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. 3. Fungus “Bodily injury”, “property damage”, “personal and advertising injury”, or any other loss, cost or expense, including, but not limited to losses, costs or expenses related to, arising from or associated with clean-up, remediation, containment, removal or abatement, caused directly or indirectly, in whole or in part, by: (1) Any “fungus(i)”, “mold(s)”, mildew or yeast, or (2) Any “spore(s)” or toxins created or produced by or emanating from such “fungus(i)”, “mold(s)”, mildew or yeast, or (3) Any substance, vapor, gas, or other emission or organic or inorganic body or substance produced by or arising out of any “fungus(i)”, “mold(s)”, mildew or yeast, or

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(4) Any material, product, building component, building or structure, or any concentration of moisture, water or other liquid within such material, product, building component, building or structure, that contains, harbors, nurtures or acts as a medium for any “fungus(i)”, “mold(s)”, mildew, yeast or “spore(s)” or toxins emanating therefrom regardless of any other cause, event, material, product and/or building component that contributed concurrently or in any sequence to that “bodily injury”, “property damage”, “personal and advertising injury”, loss, cost or expense. For purposes of this exclusion, the following definitions are added to the Policy: (1) “Fungus(i)” includes, but is not limited to, any of the plants or organisms belonging to the major group Fungi, lacking chlorophyll, and including molds, rusts, mildews, smuts, and mushrooms. (2) “Mold(s)” includes, but is not limited to, any superficial growth produced on damp or decaying organic matter or on living organisms, and fungi that produce molds. (3) “Spore(s)” means any dormant or reproductive body produced by or arising or emanating out of any “fungus(i)”, “mold(s)”, mildew, plants, organisms or microorganisms. This fungus exclusion DOES NOT apply in the States of Alaska, California, Louisiana, New York or Washington. F. NON-OWNED WATERCRAFT EXCLUSION SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Exclusion g. Aircraft, Auto Or Watercraft, paragraph (2) is deleted in its entirety and replaced by the following: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. G. LIQUOR LIABILITY EXCLUSION – EXCEPTION FOR FUNDRAISING EVENTS SECTION I – COVERAGES, COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Exclusion c. Liquor Liability, is amended by adding the following subparagraph: This exclusion does not apply to “bodily injury” or “property damage” arising out of the selling, serving or furnishing of alcoholic beverages at any fund-raising events. H. ADDITIONAL CONDITIONS SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended by adding the following conditions: 1. Knowledge Of Occurrence As respects any loss reporting requirements under this policy, it is understood and agreed that knowledge of an occurrence, accident or incident by an agent, servant or “employee” of yours or any other person shall not in itself constitute knowledge by you, unless a “executive officer” of yours shall have received notice from said agent, servant, “employee” or any other person. 2. Liberalization Clause If we adopt a change in our forms or rules which would broaden your coverage without an additional premium charge, your policy will automatically provide the additional coverage, but solely to Supplementary Payments that are incurred, or “occurrences” or offenses which take place after, the date the revision is effective in the state listed in the Named Insured’s address on the Declarations.

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AMENDED CONDITIONS 1.

SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Duties in The Event of Occurrence, Offense, Claim or Suit, is amended by adding the following: Your failure to give first report of a claim, “suit”, “occurrence” or offense to us shall not automatically invalidate coverage under this policy if such claim, “suit”, “occurrence” or offense was inadvertently reported to another insurer, and we were not prejudiced thereby. However, you shall report any such “suit, “occurrence”, “claim” or offense to us within a reasonable time once you become aware of such error.

2. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV – COMMERCIAL GENERAL LIABILITY Representations, is amended by adding the following:

CONDITIONS,

Condition

Your failure to disclose all hazards existing as of the inception date of the policy shall not prejudice you with respect to the coverage afforded by this policy provided such failure or any omission is not intentional. J. SUPPLEMENTARY PAYMENTS 1. SUPPLEMENTARY PAYMENTS – COVERAGES A and B (SECTION I) is amended as follows: a. By deleting paragraph 1.b. in its entirety and replacing it with the following: b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. b. By deleting paragraph 1.d. in its entirety and replacing it with the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or “suit,” including actual loss of earnings up to $350 a day because of time off from work. K. ADDITIONAL DEFINITIONS For the purposes of this endorsement, the following definitions apply: 1. “Patient(s)” means persons who are non-resident recipients of the “healthcare professional services” provided by you. 2. “Resident(s)” means persons residing in your facilities and receiving “healthcare professional services” provided by you or on your behalf. 3. “Healthcare professional services” means the following services performed by you or on your behalf: 1) That are usually and customarily provided by the following types of organizations: social service, community service, behavioral health, substance abuse, developmental disability, and placement; and 2) Medical, dental, mental or similar “healthcare professional services” including the furnishing of food, beverages, medications, medical supplies or appliances in connection with such services; 3) Any health or therapeutic service, treatment, advice or instruction; 4) The postmortem handling of human bodies; 5) The professional services performed by a beautician or barber; and 6) Services performed as a member of a “formal review board”. 4. The term “spouse” is replaced by the following: Spouse or party to a civil union recognized under Illinois Law. L. DEFINITIONS AMENDED SECTION V – DEFINITIONS, 3. “Bodily injury” is deleted and replaced by the following:

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3. “Bodily injury” means bodily injury, mental anguish, sickness or disease sustained by a person, including death resulting from any of these at any time.

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AS-14539 BOCC Agenda Meeting Date: 12/16/2025 Contract 25-039 Cowlitz Family Health Center Submitted For: Gena James Department: Health/Human Services

Motion Items

12.

Submitted By: Wheeldon Jennifer

Information Subject and Summary Statement This County Contract # 25-039 with Cowlitz Family Health Center is to provide funding for the Criminal Justice Treatment Account or "CJTA" substance-use disorder treatment and support services to individuals involved in the criminal justice system, in accordance with RCW 71.24.580. The maximum consideration for this contract shall not exceed $200,000.00 during the period July 1, 2025 through June 30, 2027. Funding for this contract comes from the State Criminal Justice Treatment Account, which is passed through the County's contract with the Washington State Health Care Authority. Contract/SOW Name

Current

Change

Total

Time Period

25-039

+$200,000.00

$200,000.00

7/01/25-6/30/27

Will Staff Attend - NAME OF STAFF Gena James will attend. Department Recommendation It is the recommendation of Cowlitz County Health & Human Services that the Cowlitz County Board of Commissioners move to approve and execute the County Contract #25-039 with Cowlitz Family Health Center.

Fiscal Impact Expenditure Required $: $200,000.0 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 14001 Grant Y-N: y Attachments Contract Insurance Certificate Form Review Inbox Jamie Drake

Reviewed By Jamie Drake

Date 12/02/2025 02:29 PM

Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

12/03/2025 01:50 PM Started On: 12/02/2025 09:14 AM

SUBRECIPIENT GRANT AGREEMENT Number: 25-039 1. Purpose of Subrecipient Grant Agreement. This Subrecipient Grant Agreement (“Agreement”) is made by and between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Cowlitz Family Health Center (hereinafter called “Subrecipient”) to set forth the terms and conditions by which the County will provide the Subrecipient with a grant award to be used to pay or reimburse necessary expenditures incurred for treatment and recovery support services, funded by Criminal Justice Treatment Account funds, to individuals involved in the criminal justice system in accordance with RCW 71.24.580, as applicable. 2. Term. This Agreement shall take effect on July 1, 2025 and terminate on June 30, 2027. 3. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures consistent and as detailed in Attachment A - Scope of Work for Project (the “Project”). 4. Grant Award. The Subrecipient is awarded a total of $200,000.00. 5. Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget. 6. Subrecipient Responsibilities. Subrecipient agrees to administer the Grant Award proceeds consistent with this Agreement. Subrecipient shall provide the County with certification using the form of Attachment C that Grant Award funds will be used for eligible expenditures. Subrecipient shall request payment from the County as outlined in Attachment B. 7. Reporting Requirements. In addition to the responsibilities outlined herein and in Attachment A - Scope of Work for Project, at least once a quarter, and at the conclusion of either the grant expenditure or the grant contract period, the Subrecipient shall provide a report on the progress made to date on the Project, using such forms and meeting such requirements as determined by the County. Such reports shall be provided by the Subrecipient to the County electronically to the County’s Project Manager identified herein. 8. Access to and Maintenance of Records. Subrecipient shall maintain internal controls, accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County, for a period of six (6) years to ensure proper accounting for all Grant Award funds and compliance with this Agreement. Subrecipient acknowledges that records may be subject to disclosure under the Public Records Act, Chapter 42.56 RCW. Subrecipient agrees that the County or any duly authorized representatives shall have at any time and from time to time during normal business hours, access to any work product, books, documents, papers, and records of Subrecipient which are related to this Agreement, for the purpose of inspection, audits, examinations, and making excerpts, copies and transcriptions. 9. Termination. The following provisions apply regarding termination of this Agreement: a. Termination for Loss of Funding. The County shall have the right to terminate this Agreement upon advance written notice if the funds relied upon for the Grant Award are terminated, suspended, or otherwise lost or impaired in whole or in part. b. Termination for Convenience. Either party may terminate this Agreement for convenience upon giving the other party at least 30 days’ advance written notice. In that

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event, the Subrecipient will be entitled to payment only for those expenses and costs reasonably and actually incurred prior to the effective date of the termination. Termination for Default. If either party defaults in its performance under this Agreement, the nondefaulting party may give the defaulting party written notice that it has 30 days in which to cure the default. If the default is not cured within 30 days of notice, the nondefaulting party may terminate this Agreement. In the event of such a termination, the nondefaulting party shall have all rights and remedies available to it under the law. However, if a notice of termination for default has been issued and it is later determined for any reason that the Subrecipient was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof.

10. Termination Procedure. The following provisions apply in the event that this Agreement is terminated: a. The Subrecipient shall cease to perform hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any. b. The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination. 11. Conflict of Interest. Subrecipient designees, agents, members, officers, employees, consultants, and any other public official who exercise or who has exercised any functions or responsibilities with respect to the Project during his or her tenure, or who is in a position to participate in a decision-making process or gain inside information with regard to the Project, are barred from any interest, direct or indirect, in any grant or proceeds of the Project, or benefit therefrom, which is part of this Agreement at any time during or after such person’s tenure. 12. Governing Laws. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. The venue for any dispute regarding or arising out of this Agreement shall be Cowlitz County Superior Court. 13. Personnel. The Subrecipient will secure at its own expense all labor and materials required to perform any work in connection with the Project. The Subrecipient shall be responsible for all applicable payroll, labor and industries premiums, and taxes. All employees and subcontractors of the Subrecipient shall be covered by Industrial Insurance in full compliance with Title 51 RCW. The Subrecipient shall defend and indemnify the County, and their officials, officers, employees, and agents from and against all claims arising from any actual or alleged violation of the Subrecipient’s duties under this section or applicable law. Solely for the purposes of this indemnification provision, the Subrecipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. The Subrecipient’s duty to defend and indemnify shall survive the termination of this Agreement. 14. Contract Representatives. The parties’ designated representatives shall be responsible for the administration of this Agreement and for receiving notices given in connection with this Agreement. The following are designated as the representatives of the parties: For the County: For the Subrecipient: Name: Gena James Jim Coffee Title: Deputy Director CEO Department: Health & Human Services Cowlitz Family Health Center Address: 1952 9th Ave 1057 12th Avenue Longview, WA 98632 Longview, WA 98632 Telephone: (360) 414-5599 360-636-3892 E-mail: HHSContracts@cowlitzwa.gov jcoffee@cfamhc.org UEI: K2C9N2M49CP7 UBI: 600-176-084

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15. Notices. Any notice required or permitted to be made under this Agreement may be given personally, by facsimile, or by first-class, registered or certified mail. A notice personally delivered to the other party is deemed given upon proper delivery. A notice sent by first-class, registered or certified mail is deemed given three days after mailing, if properly addressed and having proper postage. Notices delivered by facsimile shall be deemed to have been given on the date of transmission if received during the subrecipient’s business day or, if not, on the subrecipient’s next business day. 16. Insurance Requirements. The Subrecipient shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Subrecipient or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided: COMPREHENSIVE GENERAL LIABILITY: Bodily injury, including death. Property damage ERRORS AND OMISSIONS or PROFESSIONAL LIABILITY with an Extended Reporting Period Endorsement (two year tail).

$1,000,000 $1,000,000 $2,000,000

Per occurrence Per occurrence Aggregate

$1,000,000 $2,000,000

Per occurrence Aggregate

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER’S LIABILITY/Stop Gap: $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Subrecipient’s and Subrecipient’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Subrecipient’s and Subrecipient’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Subrecipient shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Subrecipient’s most recent annual financial reports and audited financial statements as a condition of approval. Subrecipient hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not

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permit Subrecipient to enter into a pre-loss agreement to waive subrogation without an endorsement, then Subrecipient agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Subrecipient enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Subrecipient’s and Subrecipient’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Subrecipient and subcontractor, and all coverage shall be primary and non-contributory. A state or notion of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Subrecipient is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.] The Subrecipient shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal. Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: County Project Manager, Cowlitz County Health & Human Services, 1952 9th Avenue, Longview, WA 98632. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Subrecipient under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the Subrecipient. Compensation and/or payments due to the Subrecipient under this Agreement are expressly conditioned upon the Subrecipient’s strict compliance with all insurance requirements. Payment to the Subrecipient shall be suspended in the event of non-compliance. Upon receipt of evidence of Subrecipient’s compliance, payments not otherwise subject to withholding or set-off will be released to the Subrecipient. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required. 17. Indemnification. To the fullest extent permitted by the law, the Subrecipient shall indemnify, defend, and hold harmless Cowlitz County and the officials, officers, employees, and agents of each of them, from and against all claims in any way resulting from or arising out of the performance of this Agreement, whether such claims arise from the acts, errors or omissions of the Subrecipient, its subcontractors, third parties, Cowlitz County, or anyone directly or indirectly employed by any of them or anyone for whose acts, errors or omissions any of them may be liable. “Claim” means any loss, claim, suit, action, liability, damage or expense of any kind or nature whatsoever, including but not limited to attorneys’ fees and costs, attributable to personal or bodily injury, sickness, disease, or death, or to injury to or destruction of property, including the loss of use resulting therefrom. The Subrecipient’s duty to indemnify, defend, and home harmless includes not is not limited to claims by the Subrecipient’s or any subcontractor’s officers, employees, or agents. The Subrecipient’s duty, however, does not extend to claims arising from the sole negligence or willful misconduct of Cowlitz County, or tis officials, officers, employees, and agents. Solely for the purposes of this indemnification provision, the Subrecipient expressly waives its immunity under Title 51 RCW and acknowledges that this waiver was mutually negotiated by the parties. This section shall survive the expiration or termination of this Agreement.

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18. Debarment Certification. The Subrecipient, by signature to this Agreement, certifies that the Subrecipient is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded in this Agreement by any federal department or agency from participating in transactions (Debarred). The Subrecipient also agrees to include the above requirement in all subcontracts into which it enters. The Subrecipient shall immediately notify the County if, during the term of this Contract, the Subrecipient becomes debarred. The County may immediately terminate this Contract by providing Subrecipient written notice if Subrecipient becomes debarred during the term hereof. 19. Compliance with Laws. The Subrecipient and its officials, officers, employees, agents, and subcontractors shall comply with all applicable federal, state, and local laws, regulations, rules, and policies. The County shall have no obligation to ensure such compliance. 20. Religious Activities. If the Subrecipient is a faith-based or religious organization, it retains its independence and may continue to carry out its mission, including the definition, development, practice, and expression of its religious beliefs. Such a subrecipient, however, may not use any funding provided under this Agreement to support or engage in any explicitly religious activities, including activities that involve overt religious content such as worship, religious instruction, or proselytization, nor may such a subrecipient condition the provision of services provided pursuant to this Agreement upon a participant’s engaging in any such explicitly religious activities. 21. Permissible Use Warranty. The Subrecipient recognizes and agrees that the Grant Award consists of ‘pass-through’ funds coming from Washington State Health Care Authority. Subrecipient agrees to use the Grant Award funds awarded to it in accordance with Attachment A and in accordance with all applicable rules and requirements from Washington State Health Care Authority and the Criminal Justice Treatment Account. The Subrecipient warrants that its planned and actual uses of the Grant Award herein constitute permissible uses consistent with Attachment A and the pass-through funding requirements discussed immediately above. This section shall survive termination of this Agreement. 22. Organizational Status Warranty. The Subrecipient warrants that it is duly organized, existing and in good standing under the laws of the State of Washington. 23. Relationship of the Parties. This Agreement, and the parties’ and the County’s activities under it, shall not be construed as creating any kind of partnership or joint venture, nor shall it be construed as creating any kind of independent contractor, agency or employment relationship between the parties or the County. 24. No Third-Party Rights. This Agreement is entered into by the parties solely for their own benefit and it creates or grants no rights of any kind to any other party. 25. Assignment. The Subrecipient shall not assign any of its rights or delegate any of its duties under this Agreement without the prior express written consent of the County, which may be granted or refused at the County’s sole discretion. 26. Waiver. No term or condition of this Agreement shall be deemed waived unless such waiver is expressly agreed to in writing by the party granting the waiver. In addition, waiver of any breach of this Agreement shall not be deemed a waiver of any prior or subsequent breach. 27. Amendment. This Agreement can only be amended in writing, and only upon execution by both parties. 28. Entire Agreement. The parties acknowledge that this Agreement is the complete expression of their agreement regarding the subject matter of this Agreement. Any oral or written representations or understandings not incorporated into this Agreement are specifically excluded.

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29. Headings. The headings in this Agreement are for convenience only and shall not be deemed to affect the meaning of its provisions. 30. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be invalid, such invalidity shall not affect the validity of the remaining provisions that can be given effect without the invalid provision, provided that the underlying intent of the parties can still be given effect. 31. Signature Authority. Each person signing this Agreement on behalf of a party warrants that he or she has full authority to sign this Agreement on that party’s behalf. 32. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall be deemed one agreement. Each counterpart may be executed and delivered by facsimile to the other party. 33. Attachments. The following attachments are incorporated into this Agreement by reference. a. Attachment A – Scope of Work for Project b. Attachment B – Budget c. Attachment C – Certification Form d. Attachment D – Retirement Certification e. Attachment E – CJTA Treatment and Recovery Services Contract IN WITNESS WHEREOF, the parties have executed this Agreement on this 20 .

day of

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name:

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

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, Clerk of the Board

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ATTACHMENT B SCOPE OF WORK FOR PROJECT

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ATTACHMENT A

“Division of Behavioral Health and Recovery” or “DBHR” means the Health Care Authority’s Division of Behavioral Health and Recovery, and its employees and authorized agents. j. “Drug Court” means a court utilizing a program structured to achieve both a reduction in criminal recidivism and an increase in the likelihood of rehabilitation through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020). k. “Drug Enforcement Agency” or “DEA” means a federal agency which is a component of the United State Department of Justice and whose mission is to enforce the controlled substances laws and regulations of the United States and bring to the criminal and civil justice system of the United States, or any other competent jurisdiction, those organizations and principal members of organizations, involved in the growing, manufacture, or distribution of controlled substances appearing in or destined for illicit traffic in the United States; and to recommend and support non-enforcement programs aimed at reducing the availability of illicit controlled substances on the domestic and international markets. l. “Evidence-based Practice” or “EBP” means a prevention or treatment service or practice that has been validated by some form of documented research evidence and is appropriate for use with individuals with a substance use disorder that are involved in the criminal justice system. EBP also means a program or practice that has been tested where the weight of the evidence from review demonstrates sustained improvements in at least one outcome, and/or a program or practice that can be implemented with a set of procedures to allow successful replication in Washington and, when possible, is determined to be cost-beneficial. m. “Individual” means any person in the criminal justice system who is in need of behavioral health services, regardless of income, ability to pay, insurance status or county of residence. n. “Intensive Outpatient Treatment” means services provided in a non-residential intensive patient centered outpatient program for treatment of substance use disorders. The service as described satisfies the level of intensity in ASAM Level 2.1. o. “Interim Services” means services to individuals who have been denied admissions to a treatment program on the basis of the lack of the capacity to reduce the adverse health effects of substance abuse, promote the health of the individual, and reduce the risk of transmission of disease. Such services are provided until the individual is admitted to a treatment program. Services include referral for prenatal care for a pregnant patient, brief screening activities, the development of a service plan, individual or group contacts to assist the person either directly or by way of referral in meeting his/her basic needs, updates to advise him/her of treatment availability, and information to prepare him/her for treatment, counseling, education, and referral regarding HIV and tuberculosis (TB) education, if necessary referral to treatment for HIV and TB. p. “Involuntary Commitment Investigations and Treatment” means (566.44) – costs incurred for services employed to identify and evaluate alcohol and drug involved individuals requiring protective custody, detention, or involuntary commitment services in accordance with RCW 70.96A.120-140. Costs include case finding, investigation activities, assessment activities, and legal proceedings associated with these cases. q. “Medications for Opioid Use Disorder” or “MOUD” or “MAT” means the use of FDA-approved opioid agonist medications (e.g., methadone, buprenorphine products including buprenorphine/naloxone combination formulations and buprenorphine mono-product formulations) for the treatment of opioid use disorder and the use of opioid antagonist medication (e.g. naltrexone products including extended-release and oral formulations) to prevent relapse to opioid use. r. “Outpatient Treatment Group and Individual” means services provided in a non-residential substance use disorder treatment facility including assessment and case management. Outpatient treatment services must meet the criteria in the specific modality provisions set forth in WAC 388-877B. Services are specific to client populations and broken out between group and individual therapy. (The service as described satisfies the level of intensity in ASAM Level 1) s. “Outreach” or “Community Outreach” means identification of hard-to-reach Individuals with a possible SUD and engagement of these individuals in assessment and ongoing treatment services as necessary.

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GRANT AGREEMENT

ATTACHMENT A

“Research-based” means a program or practice that has been tested with a single randomized, or statistically controlled evaluation, or both, demonstrating sustained desirable outcomes; or where the weight of the evidence from a systemic review supports sustained outcomes as described in this subsection but does not meet the full criteria for evidencebased (RCW 2.30.020). u. “Recovery Support Services” or “RSS” means services that are intended to promote an individual’s socialization, recovery, self-advocacy, development of natural support, and maintenance of community living skills. RSS include, but are not limited to, the following services: Supported employment services, supportive housing services, peer support services, wraparound facilitation services, and any other services that are conducive to an individual’s recovery in a Substance Use Disorder (SUD) Program (WAC 246-341-0718). v. “Substance Use Disorder” or “SUD” means a problematic pattern of using alcohol or another substance that results in the impairment in daily life or noticeable distress; and, whereby the individual continues use despite leading to clinically significant impairment or distress as categorized in the DSM-5 w. “Substance Use Disorder Professional (SUDP)” means an individual who is certified according to RCW 18.205.020 and the certification requirements of WAC 246-811-030 to provide SUD services. x. “Substance Use Disorder Professional Trainee (SUDPT)” means an individual working toward the education and experience requirements for certification as a chemical dependency professional, and who has been credentialed as a CDPT. y. “Therapeutic Courts” means a court utilizing a program or programs structured to achieve both a reduction in recidivism and an increase in the likelihood of rehabilitation, or to reduce child abuse and neglect, out-of-home placements of children, termination of parental rights, and substance use and mental health symptoms among parents or guardians and their children through continuous and intense judicially supervised treatment and the appropriate use of services, sanctions, and incentives (RCW 2.30.020). z. “Treatment” means services that are critical to a participant’s successful completion of his or her substance use disorder treatment program, including but not limited to the recovery support and other programmatic elements outlined in Chapter 246-341 WAC. aa. “Treatment Support” means services such as transportation to or from inpatient or outpatient treatment services when no viable alternative exists, and child care services that are necessary to ensure a participant’s ability to attend outpatient treatment sessions. bb. Urinalysis (UA) Testing – Provide UA testing at the request of Drug Court for Drug Court clients. cc. “Washington State Jail” or “Jail” means any city, county, regional, or tribal jail operation in the state of Washington. 3. CJTA Funding – Allowable Services may include: a. Brief Intervention (any level, assessment not required); b. Acute Withdrawal Management (ASAM Level 3.7WM); c. Sub-Acute Withdrawal Management (ASAM Level 3.2WM); d. Outpatient Treatment (ASAM Level 1); e. Intensive Outpatient Treatment (ASAM Level 2.1); f. Opioid Treatment Program (ASAM Level 1); g. Case Management (ASAM Level 1.2); h. Intensive Inpatient Residential Treatment (ASAM Level 3.5); i. Long-term Care Residential Treatment (ASAM Level 3.3); j. Recovery House Residential Treatment (ASAM Level 3.1); k. Assessment (to include Assessments done while in jail – Assessments should include and/or be informed by ASAM Criteria); l. Interim Services; m. Community Outreach; n. Involuntary Commitment Investigations and Treatment; o. Room and Board (Residential Treatment Only); p. Transportation;

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ATTACHMENT A

q. Childcare Services; r. Urinalysis; s. Recovery Support Services that may include: i. Employment services and job training; ii. Relapse prevention; iii. Family/marriage education; iv. Peer-to-peer services, mentoring and coaching; v. Self-help and spiritual, religious support groups; vi. Housing support services (rent and/or deposits); vii. Life skills; viii. Education Training (e.g. GED Assistance); and ix. Parent education and child development 4. CJTA Funding – Allowable Services in the Jail a. Substance Use Disorder treatment in the Jail If CJTA funds are utilized for these purposes, the Contractor must attempt to provide treatment with the following stipulations: i. Identify and provide transition services to persons with substance use disorder, who meet the CJTA requirements as defined in RCW 71.24.580, to expedite and facilitate their return to the community; ii. Continue treatment services with individuals who were engaged in community-based treatment prior to their incarceration, with the intent to complete the outpatient treatment episode; iii. Initiate outpatient treatment services with individuals who will be released and transition into community-based treatment. iv. The following treatment modalities may be provided through CJTA funding in the jail: Engaging individuals in SUD treatment; Screening, Assessing, and inducting individuals on MOUD; Referral to SUD services; Providing continuity of care; and Planning for an individual’s transition from Jail. b. CJTA funds may not supplement or supplant any currently funded programs that previously existed in a Jail environment. 5. Utilization of CTA funding to cover the costs of housing within available resources must present the individual with options for recovery residences of approved recovery residences maintained by the authority under RCW 41.05.760. The contractor is prohibited from requiring individuals to stay in a single specific approved recovery residence when utilizing CTA funds to pay for housing in that region and must offer choice, giving strong consideration to adding options when an individual prefers a residence not currently utilized. 6. The Contractor shall coordinate when applicable or necessary with local Tribal behavioral health agencies and Indian health care providers to meet the culturally relevant needs of AI/AN Individuals receiving allowable CJTA funded services. The contractor would also be expected to reasonably provide access toother necessary and relevant CLAS. 7. Services will be provided using acknowledged best practice (or treatment strategy) that can be documented in published research (including both Evidenced-based Practice and Researchbased) 8. Coordinate and collaborate with County staff as necessary, including therapeutic court staff and jail staff, for provision of CJTA funded services.

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ATTACHMENT A

9. Data and Reporting: The contractor will submit reports no later than the dates outlined in the following reporting schedule. Type of Report Time Period Due Date Programmatic Treatment Monthly 15th of the month, regardless of what day of Report the week the 15th falls on, following the month services were performed. Quarterly Progress Report Quarterly 15th of the month, regardless of what day of the week the 15th falls on, following the quarter services were performed. a. The Contractor shall ensure that staffing is sufficient to support CJTA-related data analytics and related data systems to oversee all data interfaces and support specific reporting requirements under this Contract. b. The Contractor will work with the County should system data reporting submission requirements change. c. The Programmatic Treatment Report must match data reported on the Invoice/Expense Report. d. There are two program reports that the Contractor will be responsible for submitting to the County: The Quarterly Progress Report (QPR) and the Programmatic Treatment Report (PRT): i. The Contractor will be responsible for submitting the QPR. The County will provide the Contractor with a template to be completed. ii. The Contractor is responsible for submitting the PTR each month through a Secure File Transfer (SFT) system established with the County. The County will provide the Contractor with an excel workbook template that will capture a variety of demographic and programmatic data that supports the services being provided. In addition, this process will include the following: 1. The Contractor must ensure they have the bandwidth to complete all data elements requested in the PTR. 2. The Contractor must enter all data applicable to the services provided. 3. The Contractor will work with the County to ensure that any applicable Release of Information (ROI) forms are updated to account for the sharing of Personal Health Information (PHI) with the County and with the Health Care Authority. 10. Additional Requirements: The contractor will maintain and make available, if requested, documentation demonstrating accomplishments of the contract. Such documentation may include, but is not limited to, the following: a. Services provided b. Number of hours of service c. Data Collection d. Completed evaluation tools e. Backup reports/data for invoicing. 11. Site Visits: The contractor will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement. 12. Performance monitoring. The County will monitor the Subrecipient’s performance by tracking work progress, reviewing payment requests for applicable costs, and ensuring that all requirements under this Agreement are met. Substandard performance as determined solely by the County constitutes noncompliance with this Agreement. If action to correct substandard performance is not taken by the Subrecipient within 30 days after being notified by the County, then the County may terminate the Agreement as described herein.

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ATTACHMENT B BUDGET

1. Budget. The County shall reimburse the Subrecipient in an amount not to exceed $200,000.00. Unspent grant proceeds will be reallocated at the discretion of the County. The Subrecipient shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Agreement subject to available funds. CJTA funds are intended to be used as a “payment of last resort,” meaning that other means of payment for treatment or other services, such as Medicaid or other forms of insurance, must have been exhausted or be ineligible to meet participant needs. 2. Program Specific Conditions: a. Day-to-day expenses related to performance under this Contract, including but not limited to travel, lodging, meals, and incidentals, will not be reimbursed to the Contractor. b. No more than 10% of budget can be utilized for transportation and child care services. c. The Contractor may not use more than 30% of their allocation for treatment in the Jail d. The County will reimburse transportation costs based on actual expenses. e. Funding must be utilized primarily to serve drug court clients. f. Must obtain prior approval from the County to provide services in the Jail. g. Must obtain prior approval from the County to serve non-drug court clients. h. Source of Funds. The maximum compensation payable under this Contract is based on the funding from the following sources: i. 100% is allocated under this Contract from Washington State CJTA appropriations. ii. Funding Stipulations: 1. No Federal Match. The Contractor shall not use funds payable under this Contract as match toward federal funds. 2. Prohibition of Use of Funds for Lobbying Activities. The Contractor must not use funds payable under this Contractor for lobbying activities of any nature. The Contractor certifies that no state or federal funds payable under this Contract shall be paid to any person or organization to influence, or attempt to influence, either directly or indirectly, an officer or employee of a state or federal agency or an officer or member of any state or federal legislative body or committee, regarding the award, amendment, modification, extension, or renewal of a state or federal contract or grant 3. Payment. Subject to Section 1, the County shall reimburse the Subrecipient for costs and expenses necessary to perform activities described in the Scope of Work for Project and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated. The Subrecipient shall ensure that requests for reimbursements are based on billings supported by appropriate documentation of costs and expenses actually incurred. Additionally, the Subrecipient shall ensure that invoices include receipts, reports, and other detailed documentation of charges as requested by the County Contract Representative. The County will not process any payments for invoices received after the 15th of the month following the end of this agreement, unless prior approval from the County. 4. Invoices. The Subrecipient shall submit invoices using the County’s form, or such other form as approved by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Contract Representative within this Agreement, by the Subrecipient, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees.

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ATTACHMENT B

The Subrecipient shall submit invoices to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. The final invoice must be received by the County no later than the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. The final invoice due date is subject to change based on funding requirements. 5. Duplication. The Subrecipient assures that work performed and invoiced does not duplicate work to be charged to the County and State of Washington under any other Contract or agreement with the Subrecipient. 6. Advance Payment. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Agreement. 7. Authorized Services. The County shall pay the Subrecipient only for authorized services provided in accordance with this Agreement. If this Agreement is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. Any activities related to research and development (R&D) are not allowable. 8. Recovery of Costs Claimed in Error. If the Subrecipient claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Subrecipient shall fully cooperate with the recovery. 9. Contractor is bound to follow all applicable terms of the Washington State Healthcare Authority CJTA Treatment and Recovery Services Contract, which is attached hereto as Attachment E. Additionally, Contractor agrees that the Washington State Healthcare Authority and the State of Washington are not liable for claims or damages arising from Contractor’s performance under this Agreement.

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ATTACHMENT C CERTIFICATION

I, Jim Coffee, am the CEO of Cowlitz Family Health Center and I certify that: 1. I have authority and approval from the governing body on behalf of Cowlitz Family Health Center to accept proceeds from the County per Agreement for the CJTA project by and between the County and Cowlitz Family Health Center. 2. I certify the use of funds submitted for reimbursement or payment under this agreement will be used only to cover those costs that: a. Are necessary expenditures incurred in support of the CJTA Contract work. b. Were incurred during the period that begins on July 1, 2025 through June 30, 2027 3. I understand Cowlitz Family Health Center receiving funds pursuant to this certification shall retain documentation of all uses of the funds, including but not limited to invoices and/or sales receipts and such documentation shall be produced to the County upon request and may be subject to audit by the State Auditor. I hereby certify that I have read the above certification, and that the information and my statements provided herein by me are true and correct to the best of my knowledge, and by my signature on this document acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of the information in this document could subject me to punishment under federal, civil liability and/or in criminal penalties, including but not limited to fine or imprisonment or both under Title 18, United States Code Sec. 1001, et seq. And punishment under Federal law.

Printed Name

Signature

Title

Date

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ATTACHMENT D RETIREMENT CERTIFICATION COUNTY RETAINS THIS FORM

YES

2. Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

3. Will you be receiving direct compensation for your services?

YES

4. Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 5. Is the contractor a retiree of a Washington State Retirement System?

Yes

6. Did the contractor retire before age 65 using the 2008 ERF?

Yes

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

25-039 Last Date Revised: 1/09/2025 Admin Form: 1615.1

Date: COUNTY RETAINS THIS FORM

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ATTACHMENT F

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PROFESSIONAL SERVICES AGREEMENT

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ATTACHMENT D

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ATTACHMENT D

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ATTACHMENT D

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Client#: 48101

ACORD

COWLFAMI DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

9/19/2025

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). CONTACT Celeste Brooks NAME: FAX PHONE (A/C, No): 866 577-1326 (A/C, No, Ext): 800 499-0933 E-MAIL ADDRESS: Celeste.Brooks@propelinsurance.com

PRODUCER

Propel Insurance 805 SW Broadway; Suite 2300 COM Construction Portland, OR 97205-3363

INSURER(S) AFFORDING COVERAGE

NAIC #

18058

INSURER A : Philadelphia Indemnity Ins Company

INSURED

INSURER B :

Cowlitz Family Health Center 1057 12th Ave. Longview, WA 98632

INSURER C : INSURER D : INSURER E : INSURER F :

COVERAGES

CERTIFICATE NUMBER:

REVISION NUMBER:

ADDL SUBR INSR WVD

TYPE OF INSURANCE

X COMMERCIAL GENERAL LIABILITY X OCCUR CLAIMS-MADE

POLICY NUMBER

PHPK2586422010

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

LIMITS

08/15/2025 08/15/2026 EACH OCCURRENCE

GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY JECT LOC

$ 100,000

MED EXP (Any one person)

$ 5,000

PERSONAL & ADV INJURY

$ 1,000,000

GENERAL AGGREGATE

$ 3,000,000

PRODUCTS - COMP/OP AGG

$ 3,000,000

WA Stop Gap

$ 1,000,000

OTHER:

PHPK2586422010

AUTOMOBILE LIABILITY

SINGLE LIMIT 08/15/2025 08/15/2026 COMBINED (Ea accident)

X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY

$ 1,000,000

DAMAGE TO RENTED PREMISES (Ea occurrence)

BODILY INJURY (Per person) SCHEDULED AUTOS NON-OWNED AUTOS ONLY

$1,000,000 $

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

$ $

UMBRELLA LIAB EXCESS LIAB

PHUB876043010

OCCUR

08/15/2025 08/15/2026 EACH OCCURRENCE

CLAIMS-MADE

$5,000,000 $ 5,000,000

AGGREGATE

X RETENTION $10,000 DED WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

$ PER STATUTE

OTHER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Cowlitz County is additional insured per attached endorsement

CERTIFICATE HOLDER

CANCELLATION

Cowlitz County Health Dept. 1952 9th Avenue Longview, WA 98632

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

1 of 1 #S7557478/M7516036

The ACORD name and logo are registered marks of ACORD

CXB03

AS-14553 Motion Items BOCC Agenda Meeting Date: 12/16/2025 Contract Amendment 25-018 (1) Cowlitz Family Health Center - Coordinated Entry Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

13.

Information Subject and Summary Statement This contract #25-018 with Cowlitz Family Health Center sets forth the terms and conditions to operate as a coordinated entry access point. The objective is to connect households who are experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services. The purpose of this amendment is to extend the end date of the contract to June 30, 2026, and to add additional funding.This contract is funded through a grant from the Washington State Department of Commerce. The agreement will be paid on a cost reimbursement basis and will not exceed $41,850.00 for the period of 1/1/25 through 6/30/2026. Contract/SOW Name

Current

Change

Total

Time Period

25-018 25-018 (1)

$0.00 $29,700.00

+$29,700.00 +$13,950.00

$29,700.00 $41,850.00

1//25-12/31/25 1/01/25-6/30/26

Fiscal Impact Expenditure Required $: 41,850.00 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 18401 Grant Y-N: y Attachments Amendment 1 Contract Insurance Certificate Form Review Inbox Jamie Drake

Reviewed By Jamie Drake

Date 12/03/2025 03:41 PM

Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

12/04/2025 07:45 AM 12/08/2025 10:16 AM Started On: 12/03/2025 01:56 PM

AMENDMENT NO. 1 to 25-018 Cowlitz County Professional Services Agreement With Cowlitz Family Health Center 1. This Amendment No. ONE to Agreement 25-018 is between Cowlitz County, Washington, (“COUNTY”), and Cowlitz Family Health Center (“CONTRACTOR”), and it shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and CONTRACTOR. 2. COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Agreement: 25-018, approved and executed by the Board of County Commissioners, which agreement will expire on, December 31, 2025. 3. COUNTY is now in need of continuing or additional professional services under the original Agreement through, June 30, 2026, and CONTRACTOR is amenable to extending his/her professional services to COUNTY under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and CONTRACTOR agree to modify the original Agreement as in the parties’ best interests and in furtherance of the purposes and intent of this amendment, as set forth below: a. Attachment B hereby amended and replaced with Attachment B – 20251203, attached hereto and incorporated by reference. b. Exhibit A hereby amended and replaced with Exhibit A – 20251203 attached hereto and incorporated by reference c. Exhibit B hereby amended and replaced with Exhibit B – 20251203 attached hereto and incorporated by reference d. Extending Agreement to June 30, 2026 5. Except as provided above in this Amendment No. ONE, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment(s) shall remain in full force and effect. The parties hereto have executed this agreement on this day of December, 2025, and each signatory to this Amendment No. ONE warrants that he/she is duly authorized and executes this Amendment for and on behalf of the below-inscribed parties hereto. RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name:

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

25-018 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

, Clerk of the Board

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ATTACHMENT B - 20251203 COMPENSATION

As consideration for services, as described in the Scope of Work section of this Agreement and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated, the County agrees to pay the Contractor based on the specific conditions below, a sum not to exceed budget amounts of $27,900 $41,850 during the period January 1, 2025 through December 31, 2025 June 30, 2026. 1. General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $21,200 $31,800 Other Expenses (equipment, mileage, supplies) $4,580 $6,870 Indirect (10%) $2,120 $3,180 Total $27,900 $41,850 *Indirect charges must not include items that are billable to any other category ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed.

25-018 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT B - 20251203

iii. The June invoice may be due sooner than the 15th and the County will provide notification of the end of the State fiscal period due date, if applicable. iv. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. d. Payment i. County Obligation for Payment 1. The County agrees to make payment, as approved by the Auditor of Cowlitz County, with County warrants on a calendar day specified by the County, contingent on the availability of funds, following receipt of the Contractor’s complete and accurate request for payment. 2. The County shall not be obligated to reimburse the Contractor for any services or activities, performed prior to the effective date of this Contract. 3. The County will not process any payments for invoices received after the 15th of the month following the end of this contract, unless prior approval from the County. 4. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Contract. 5. The County shall pay the Contractor only for authorized services provided in accordance with this Contract. If this Contract is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. e. Recovery of Costs Claimed in Error: If the Contractor claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Contractor shall fully cooperate with the recovery. 2. Program Specific Conditions: a. Fraud and other loss reporting. The Contractor shall report in writing all known or suspected fraud or other loss of any funds or property furnished under this contract immediately or as soon as practicable to the County and Commerce Representative identified in Exhibit B.

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Docusign Envelope ID: B16FE381-1864-4F46-A7CC-9BC5D8E0D00D

PROFESSIONAL SERVICES AGREEMENT Contract Number: 25-018 THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Name: Address: Phone No: UEI: UBI:

Cowlitz Family Health Center 1057 12th Avenue Longview, WA 98632 360-636-3892 K2C9N2M49CP7 600-176-084

(hereinafter called “Contractor”). This Agreement is comprised of: Attachment A – Scope of Work Attachment B – Compensation Attachment C – General Conditions Attachment D – Special Terms and Conditions and Retirement Status Form (signature required) Exhibit A – Cowlitz County Coordinated Entry Policies and Procedures Provider Manual Exhibit B – CHG State Contract copies of which are attached hereto and incorporated herein by this reference as if fully set forth. The term of this Agreement shall commence on the 1st day of January, 2025 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the 31st day of December, 2025. 18th IN WITNESS WHEREOF, the parties have executed this Agreement on this ________ day of February 25 _____________, 20____.

RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Jim Coffee

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name: CEO

Title: CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Last Date Revised: 11/27/2024 Admin Form: 1602

ATTEST: Kelly Grayson

Date

, Clerk of the Board

2/18/2025

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ATTACHMENT A SCOPE OF WORK

The contractor shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Cowlitz Family Health Center a. Objective: Operate as a Coordinated Entry (CE) access point to efficiently and effectively connect Cowlitz County households experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services with a primary goal of completing accurate referrals to programs required to fill program openings through CE. b. Access points will include all the contractor’s locations, including those in Castle Rock, Longview, Kelso, and Woodland. Access will also be provided in the community through mobile outreach as necessary. c. The contractor will prevent and divert households at risk of homelessness as often as possible from the homeless system through strategies that include but are not limited to encouragement, coaching, exploring friend/family options, community resources, and problem solving. d. The contractor will assure households fleeing or attempting to flee violence will be connected with the Emergency Support Shelter. e. The contractor will attend monthly partner provider meetings with the County to review referral flow between CE access points and partner providers. f. Services will be documented through the Homeless Management Information System (HMIS) following applicable HMIS guidelines and data quality standards, including CE specific data entry standards issued by the Department of Commerce found here: https://www.commerce.wa.gov/serving-communities/homelessness/hmis/ g. The contractor will assure compliance with Exhibit A Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, provided within and as updated h. The contractor will maintain close collaboration with the County on any identified system changes including, but not limited to, programmatic, access, assessment, referral, and/or data. i. Expectations of Contractor i. Flexibility – the design of the CE is a work in progress while we align with state requirements. Policies, procedures and tools will be adjusted and refined by the County over time. ii. Mobility – CE access points must be able to work with homeless people wherever they are. iii. Collaborative Approach – the CE access points must have the ability to build and maintain strong and effective working partnerships with shelters and housing partners. iv. Communication – CE access points must have the ability to communicate how the system works to individuals who are homeless, providers, and the public. v. Resource Referral – CE access points will engage in resource referral for individuals seeking information on community resources. vi. Objectivity – successful operation of the CE requires that the access point use consistency and fairness in applying all policies and procedures and use of tools. vii. Problem Solving – CE access points must embrace a problem-solving approach to addressing homelessness. To be effective, access points must employ staff who are skilled at problem-solving and understand how to adopt a strengths-based and clientcentered approach to all aspects of service delivery. viii. Systems Thinking – the CE access points are an essential component of the County’s homeless response system. To successfully operate as a CE access point, the selected provider must embrace a systems-thinking approach, understanding that the main purpose of CE is to streamline access to specific housing resources that are identified as the CE participating projects. ix. Data-informed – CE is a critical source of information about who enters homelessness in the County. The data collected will be used for ongoing and continuous system

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ATTACHMENT A

improvement. The CE access points must have strong commitment to data quality and a willingness to be data-informed. x. These services may only be provided by the contractor, no portion may be delegated or subcontracted to any other individual, firm or entity. j. The Contractor shall comply with all applicable requirements, policies and procedures in the Consolidated Homeless Grant Guidelines found here and as updated: https://www.commerce.wa.gov/serving-communities/homelessness/consolidated-homelessgrant/ k. Outcomes and Measures: i. Households experiencing homelessness or at risk of homelessness have access to CE and are connected to available housing resources and other community resources. ii. The following outcomes/outputs will be used to evaluate the performance of CE access points: 1. Number of households with Targeted Eligibility Screenings, Resource Screenings, Assessments, and housing referrals completed per access point. 2. Households receive an assessment within 10 days of request from County (Target: 80%) 3. HMIS data entry timeliness, within 2 days (48 hours) 4. HMIS data quality, completeness and accuracy (Target: 95%) 2. Reporting: The contractor will submit reports no later than the dates outlined in the following reporting schedule. Type of Report Time Period Due Date Targeted Eligibility Screening Monthly 15th of the month following the month of service 3. Additional Requirements: The contractor will maintain and make available, if requested, documentation demonstrating accomplishments of the contract. Such documentation may include, but is not limited to, the following: a. Services provided b. Number of hours of service c. Data Collection d. Completed evaluation tools e. Backup reports/data for invoicing. 4. Site Visits: The contractor will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement.

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ATTACHMENT B COMPENSATION

General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $21,200 Other Expenses (equipment, mileage, supplies) $4,580 Indirect (10%) $2,120 Total $27,900 *Indirect charges must not include items that are billable to any other category ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. iii. The June invoice may be due sooner than the 15th and the County will provide notification of the end of the State fiscal period due date, if applicable. iv. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. d. Payment i. County Obligation for Payment

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ATTACHMENT B

The County agrees to make payment, as approved by the Auditor of Cowlitz County, with County warrants on a calendar day specified by the County, contingent on the availability of funds, following receipt of the Contractor’s complete and accurate request for payment. 2. The County shall not be obligated to reimburse the Contractor for any services or activities, performed prior to the effective date of this Contract. 3. The County will not process any payments for invoices received after the 15th of the month following the end of this contract, unless prior approval from the County. 4. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Contract. 5. The County shall pay the Contractor only for authorized services provided in accordance with this Contract. If this Contract is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. e. Recovery of Costs Claimed in Error: If the Contractor claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Contractor shall fully cooperate with the recovery. 2. Program Specific Conditions: a. Fraud and other loss reporting. The Contractor shall report in writing all known or suspected fraud or other loss of any funds or property furnished under this contract immediately or as soon as practicable to the County and Commerce Representative identified in Exhibit B.

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ATTACHMENT C GENERAL CONDITIONS

6. 7.

8. 9.

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ATTACHMENT C

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ATTACHMENT C

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ATTACHMENT C

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal. Oral argument and live testimony will not be permitted. The decision of the County Project Manager for the determination of such appeals shall be final and conclusive. Reviews of the appellate determination shall be brought in the Superior Court of Cowlitz County within fifteen (15) days of mailing of the written appellate determination. Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered. b. Notice of Potential Claims. The Contractor shall not be entitled to additional compensation or to extension of time for (1) any act or failure to act by the County Project Manager or the County, or (2) the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within ten (10) days of the commencement of the act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim. Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional. c. Detailed Claim. The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty (30) days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due. 20. The Contractor and the County understand and agree that this Agreement is a subcontract of the Professional Services Contract for the Consolidated Homeless Grant between Washington State Department of Commerce (Commerce) and Cowlitz County (the “CHG Contract”). A true and correct executed copy of the CHG Contract is attached as Exhibit B. Under General Terms and Conditions, Section 6 of the CHG Contract, it provides that all work product (as defined in the CHG Contract) will be owned by Commerce consistent with Section 6 of the CHG Contract. Additionally, except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply: a. Correspondence, emails, reports and other electronic or written work product will be generated between the Contractor and County during the course of this Contract. This Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure under the Washington State Public Records Act, Chapter 42.56 RCW (Public Records Act). Thus, the County shall be required, upon request, to disclose this Contract and all documents related to it unless an exemption under the Public Records Act or other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract. b. Should County receive a request for disclosure, County agrees to provide Contractor ten (10) days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney’s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no action to oppose the release of information. Notice of any proposed release of information pursuant to Chapter 42.56 RCW, shall be provided to Contractor according to the “Notice” provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor must not take any action that would affect (a) the County’s ability to use goods and services provided under this Contract or (b) the Contractor obligations under this Contract. The Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosure request.

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ATTACHMENT C

Contractor’s failure to timely provide such records upon demand shall be deemed a material breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys’ fees, and/or any other expenses as a result of such breach, Contractor shall fully indemnify and hold harmless County as set forth in Section 13. For purposes of this section, the terms “public records” and “agency” shall have the same meaning as defined by Chapter 42.56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement. 21. Recovery of Payments to Contractor. The right of the Contractor to retain monies paid to it is contingent upon satisfactory performance of this Agreement, including the satisfactory completion of the project described in the Scope of Work (Attachment A). In the event that Contractor fails, for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manger’s sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform. 22. Project Approval. The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Manager, For purposes of this Agreement, the County Project Manager is: Name: Gena James Title: Deputy Director Department: Health & Human Services Address: 1952 9th Ave Longview, WA 98632 Telephone: (360) 414-5599 E-mail: HHSContracts@cowlitzwa.gov Fax: (360) 425-7531 In the event there is a dispute with regard to the extent and character of the work to be done, the determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor’s right to appeal that decision as provided herein. 23. Non-Discrimination. The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sec, marital status, sexual orientation, age, or the presence of any sensory, mental or physical handicap. 24. Subcontractors. In the event that the Contractor employs the use of any subcontractors, the contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontractors entered into, County is named as an express third-party beneficiary of such contracts with full rights as such. 25. Third Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties. 26. Standard of Care. The Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently practicing under similar circumstances. The Contractor shall, without additional compensation, correct those services not meeting such a standard. 27. Time is of the Essence. Time is of the essence in the performance of this contract unless a more specific time period is set forth in either the Special Terms and Conditions or Scope of Work. 28. Notice. Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page. 29. Severability. If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application. To this end, the terms and conditions of this contract are declared severable. 30. Precedence. In the event of inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: a. Applicable federal, state and local statues, ordinances and regulations; b. Scope of Work (Attachment A) and Compensation (Attachment B); c.

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ATTACHMENT C

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ATTACHMENT D

SPECIAL TERMS AND CONDITIONS 1.

Insurance. The Contractor shall maintain in full force and effect during the term of this Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner pursuant to RCW Title 48, as now or hereafter amended. The County, its appointed and elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Contractor or by endorsement to an existing policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided: COMPREHENSIVE GENERAL LIABILITY: Bodily injury, including death. $1,000,000 Per occurrence Property damage $1,000,000 Per occurrence $2,000,000 Aggregate ERRORS AND OMISSIONS or PROFESSIONAL LIABILITY with an Extended Reporting Period Endorsement (two year tail). $1,000,000 Per occurrence $2,000,000 Aggregate WORKERS COMPENSATION: EMPLOYER’S LIABILITY/Stop Gap:

Statutory amount Waiver of Title 51 Rights $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Contractor’s and Contractor’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor’s and Contractor’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Contractor shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Contractor’s most recent annual financial reports and audited financial statements as a condition of approval. Contractor hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Contractor’s and Contractor’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and

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ATTACHMENT D

subcontractor, and all coverage shall be primary and non-contributory. A state or notion of additional insured status on a Certificate of Insurance shall not satisfy these requirements. [This endorsement shall not be required if the Contractor is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.] The Contractor shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation or non-renewal. Each Certificate of Insurance and all insurance notices shall be provided to: ATTN: County Project Manager, Cowlitz County Health & Human Services, 1952 9th Avenue, Longview, WA 98632. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the Contractor under this Agreement. All insurance policy deductibles and selfinsured retentions for policies maintained under this Agreement shall be paid by the Contractor. Compensation and/or payments due to the Contractor under this Agreement are expressly conditioned upon the Contractor’s strict compliance with all insurance requirements. Payment to the Contractor shall be suspended in the event of non-compliance. Upon receipt of evidence of Contractor’s compliance, payments not otherwise subject to withholding or set-off will be released to the Contractor. This Agreement shall be void ab initio if the proof of coverage is not timely supplied. If the Errors and Omissions or Professional Liability insurance obtained is an occurrence policy as opposed to a claims-made policy, the Extended Reporting Period Endorsement is not required. 2. Debarment Certification. The Contractor, by signature to this Agreement, certifies that the Contractor is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded in this Agreement by any federal department or agency from participating in transactions (Debarred). The Contractor also agrees to include the above requirement in all subcontracts into which it enters. The Contractor shall immediately notify the County if, during the term of this Contract, the Contractor becomes debarred. The County may immediately terminate this Contract by providing Contractor written notice if Contractor becomes debarred during the term hereof. 3. Contractor is bound to follow all applicable terms of the Washington State Department of Commerce Community Services and Housing Division Housing Assistance Unit Consolidated Homeless Grant (CHG Contract), which is attached hereto as Exhibit B, along with the Grant Guidelines as currently enacted and as hereafter amended, which are currently available; https://www.commerce.wa.gov/serving-communities/homelessness/consolidated-homeless-grant/. Additionally, Contractor agrees that the Washington State Department of Commerce and the State of Washington are not liable for claims or damages from Contractor’s performance under this Agreement.

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ATTACHMENT D

COUNTY RETAINS THIS FORM Individual contractors and service providers must complete and sign

WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001]

SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS: Did you retire from one of the State of Washington Retirement Systems?

YES

Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

Will you be receiving direct compensation for your services?

YES

Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 2. Is the contractor a retiree of a Washington State Retirement System? 3. Did the contractor retire before age 65 using the 2008 ERF?

Yes Yes

No No

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

Date: COUNTY RETAINS THIS FORM

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT A

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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Client#: 48101

ACORD

COWLFAMI DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

9/19/2025

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). CONTACT Celeste Brooks NAME: FAX PHONE (A/C, No): 866 577-1326 (A/C, No, Ext): 800 499-0933 E-MAIL ADDRESS: Celeste.Brooks@propelinsurance.com

PRODUCER

Propel Insurance 805 SW Broadway; Suite 2300 COM Construction Portland, OR 97205-3363

INSURER(S) AFFORDING COVERAGE

NAIC #

18058

INSURER A : Philadelphia Indemnity Ins Company

INSURED

INSURER B :

Cowlitz Family Health Center 1057 12th Ave. Longview, WA 98632

INSURER C : INSURER D : INSURER E : INSURER F :

COVERAGES

CERTIFICATE NUMBER:

REVISION NUMBER:

ADDL SUBR INSR WVD

TYPE OF INSURANCE

X COMMERCIAL GENERAL LIABILITY X OCCUR CLAIMS-MADE

POLICY NUMBER

PHPK2586422010

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

LIMITS

08/15/2025 08/15/2026 EACH OCCURRENCE

GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY JECT LOC

$ 100,000

MED EXP (Any one person)

$ 5,000

PERSONAL & ADV INJURY

$ 1,000,000

GENERAL AGGREGATE

$ 3,000,000

PRODUCTS - COMP/OP AGG

$ 3,000,000

WA Stop Gap

$ 1,000,000

OTHER:

PHPK2586422010

AUTOMOBILE LIABILITY

SINGLE LIMIT 08/15/2025 08/15/2026 COMBINED (Ea accident)

X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY

$ 1,000,000

DAMAGE TO RENTED PREMISES (Ea occurrence)

BODILY INJURY (Per person) SCHEDULED AUTOS NON-OWNED AUTOS ONLY

$1,000,000 $

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

$ $

UMBRELLA LIAB EXCESS LIAB

PHUB876043010

OCCUR

08/15/2025 08/15/2026 EACH OCCURRENCE

CLAIMS-MADE

$5,000,000 $ 5,000,000

AGGREGATE

$ PER STATUTE

OTHER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Cowlitz County is additional insured per attached endorsement

CERTIFICATE HOLDER

CANCELLATION

Cowlitz County Health Dept. 1952 9th Avenue Longview, WA 98632

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

1 of 1 #S7557478/M7516036

The ACORD name and logo are registered marks of ACORD

CXB03

AS-14560 Motion Items BOCC Agenda Meeting Date: 12/16/2025 Contract Amendment 25-017 (1) Emergency Support Shelter - Coordinated Entry Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

14.

Information Subject and Summary Statement This contract with Emergency Support Shelter sets forth the terms and conditions to operate as a coordinated entry access point. The objective is to connect households who are experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services. The purpose of this amendment is to extend the contract and add additional funding through June 30, 2026, and to add necessary additional funding. This contract is funded through a grant from the Washington State Department of Commerce. The agreement will be paid on a cost reimbursement basis and will not exceed $60,000.00 for the period from January 1, 2025, through June 30, 2026. Contract/SOW Name Original 25-017 (1)

Current

Change

Total

Time Period

$40,000.00

+$40,000.00 +$20,000.00

$40,000.00 $60,000.00

1/1/25-12/31/25 1/1/25-6/30/26

Fiscal Impact Expenditure Required $: $60,000.00 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 18401 Grant Y-N: y Attachments Amendment 1 Contract Insurance Certificate Form Review Inbox

Reviewed By

Date

Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

12/04/2025 07:15 AM 12/08/2025 10:17 AM Started On: 12/03/2025 04:22 PM

AMENDMENT NO. 1 to 25-017 Cowlitz County Professional Services Agreement With Emergency Support Shelter 1. This Amendment No. ONE to Agreement 25-017 is between Cowlitz County, Washington, (“COUNTY”), and Emergency Support Shelter (“CONTRACTOR”), and it shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and CONTRACTOR. 2. COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Agreement: 25-017, approved and executed by the Board of County Commissioners, which agreement will expire on, December 31, 2025. 3. COUNTY is now in need of continuing or additional professional services under the original Agreement through, June 30, 2026, and CONTRACTOR is amenable to extending his/her professional services to COUNTY under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and CONTRACTOR agree to modify the original Agreement as in the parties’ best interests and in furtherance of the purposes and intent of this amendment, as set forth below: a. Attachment B hereby amended and replaced with Attachment B – 20251203, attached hereto and incorporated by reference. b. Exhibit A hereby amended and replaced with Exhibit A – 20251203, attached hereto and incorporated by reference. c. Exhibit B hereby amended and replaced with Exhibit B – 20251203, attached hereto and incorporated by reference. d. Extending Agreement to June 30, 2026 5. Except as provided above in this Amendment No. ONE, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment(s) shall remain in full force and effect. The parties hereto have executed this agreement on this day of December, 2025, and each signatory to this Amendment No. ONE warrants that he/she is duly authorized and executes this Amendment for and on behalf of the below-inscribed parties hereto. RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name:

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

25-017 (1) Last Date Revised: 09/15/2023 Admin Form: 1602

, Clerk of the Board

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ATTACHMENT B - 20251203 COMPENSATION

As consideration for services, as described in the Scope of Work section of this Agreement and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated, the County agrees to pay the Contractor based on the specific conditions below, a sum not to exceed budget amounts of $40,000 $60,000 during the period January 1, 2025 through December 31, 2025 June 30, 2026. 1. General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $34,878 $52,317 Other Expenses (operating costs and supplies) $1,486 $2,229 Indirect (10%) $3,636 $5,454 Total $40,000 $60,000 *Indirect charges must not include items that are billable to any other category ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed.

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Docusign Envelope ID: 156A504B-AA4B-47FD-822A-37E936BA1F69

PROFESSIONAL SERVICES AGREEMENT Contract Number: 25-017 THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Name: Address: Phone No: UEI: UBI:

Emergency Support Shelter 1330 11th Avenue Longview, WA 98632 360-425-1176 MRFUY6XNE7E4 600-052-784

(hereinafter called “Contractor”). This Agreement is comprised of: Attachment A – Scope of Work Attachment B – Compensation Attachment C – General Conditions Attachment D – Special Terms and Conditions and Retirement Status Form (signature required) Exhibit A – Cowlitz County Coordinated Entry Policies and Procedures Provider Manual Exhibit B – CHG State Contract copies of which are attached hereto and incorporated herein by this reference as if fully set forth. The term of this Agreement shall commence on the 1st day of January, 2025 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the 31st day of December, 2025. 18th IN WITNESS WHEREOF, the parties have executed this Agreement on this ________ day of February 25 _____________, 20____.

RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Shira Lile

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name: Interim Executive Director

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

Kelly Grayson , Clerk of the Board 2/18/2025

Docusign Envelope ID: 156A504B-AA4B-47FD-822A-37E936BA1F69

PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT A SCOPE OF WORK

The contractor shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Emergency Support Shelter (ESS) a. Objective: Operate as a subpopulation dedicated Coordinated Entry (CE) access point to efficiently and effectively connect Cowlitz County households who are fleeing domestic violence, dating violence, sexual assault, stalking, trafficking or other dangerous or lifethreatening conditions experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services with a primary goal of completing accurate referrals to programs required to fill program openings through CE. b. Access point is at the Emergency Support Shelter. c. The contractor will prevent and divert households at risk of homelessness as often as possible from the homeless system through strategies that include, but are not limited to encouragement, coaching, exploring friend/family options, community resources, and problem solving. d. The contractor will assure households who are not fleeing or attempting to flee violence will be connected with other CE access points. e. The contractor will attend monthly partner provider meetings with the County to review referral flow between coordinated entry access points and partner providers. f. Services will be documented through the Homeless Management Information System (HMIS) following applicable HMIS guidelines and data quality standards, including CE specific data entry standards issued by the Department of Commerce found here: https://www.commerce.wa.gov/serving-communities/homelessness/hmis/ g. The contractor will assure compliance with Exhibit A. Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, provided within and as updated. h. The contractor will maintain close collaboration with HHS on any identified system changes including, but not limited to, programmatic, access, assessment, referral, and/or data. i. Expectations of Contractor i. Flexibility – the design of the Coordinated Entry is a work in progress while we align with state requirements. Policies, procedures and tools will be adjusted and refined by the County over time. ii. Mobility – CE access points must be able to work with homeless people wherever they are. iii. Collaborative Approach – the CE access points must have the ability to build and maintain strong and effective working partnerships with shelters and housing partners. iv. Communication – CE access points must have the ability to communicate how the system works to individuals who are homeless, providers, and the public. v. Resource Referral – CE access points will engage in resource referral for individuals seeking information on community resources. vi. Objectivity – successful operation of the CE requires that the access point use consistency and fairness in applying all policies and procedures and use of tools. vii. Problem Solving – CE access points must embrace a problem-solving approach to addressing homelessness. To be effective, access points must employ staff who are skilled at problem-solving and understand how to adopt a strengths-based and clientcentered approach to all aspects of service delivery. viii. Systems Thinking – the CE access points are an essential component of the County’s homeless response system. To successfully operate as a CE access point, the selected provider must embrace a systems-thinking approach, understanding that the main purpose of CE is to streamline access to specific housing resources that are identified as the CE participating projects. ix. Data-informed – CE is a critical source of information about who enters homelessness in the County. The data collected will be used for ongoing and continuous system

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ATTACHMENT A

improvement. The CE access points must have strong commitment to data quality and a willingness to be data-informed. x. These services may only be provided by the contractor, no portion may be delegated or subcontracted to any other individual, firm or entity. j. The Contractor shall comply with all applicable requirements, policies and procedures in the Consolidated Homeless Grant Guidelines found here and as updated: https://www.commerce.wa.gov/serving-communities/homelessness/consolidated-homelessgrant/ k. Outcomes and Measures: i. Households experiencing homelessness or at risk of homelessness have access to Coordinated Entry and are connected to available housing resources and other community resources. ii. The following outcomes/outputs will be used to evaluate the performance of CE access points: 1. Number of households with Targeted Eligibility Screenings, Resource Screenings, Assessments, and housing referrals completed by ESS. 2. Households receive an assessment within 10 days of request from County (Target: 80%) 3. HMIS data entry timeliness, within 2 days (48 hours) 4. HMIS data quality, completeness and accuracy (Target: 95%) 2. Reporting: The contractor will submit reports no later than the dates outlined in the following reporting schedule. Type of Report Time Period Due Date Targeted Eligibility Screening Monthly 15th of the month following the month of service 3. Additional Requirements: The contractor will maintain and make available, if requested, documentation demonstrating accomplishments of the contract. Such documentation may include, but is not limited to, the following: a. Services provided b. Number of hours of service c. Data Collection d. Completed evaluation tools e. Backup reports/data for invoicing. 4. Site Visits: The contractor will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement.

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ATTACHMENT B COMPENSATION

General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $34,878 Other Expenses (operating costs and supplies) $1,486 Indirect (10%) $3,636 Total $40,000 *Indirect charges must not include items that are billable to any other category ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. iii. The June invoice may be due sooner than the 15th and the County will provide notification of the end of the State fiscal period due date, if applicable. iv. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. d. Payment i. County Obligation for Payment

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ATTACHMENT B

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ATTACHMENT C GENERAL CONDITIONS

6. 7.

8. 9.

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ATTACHMENT C

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ATTACHMENT C

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ATTACHMENT C

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal. Oral argument and live testimony will not be permitted. The decision of the County Project Manager for the determination of such appeals shall be final and conclusive. Reviews of the appellate determination shall be brought in the Superior Court of Cowlitz County within fifteen (15) days of mailing of the written appellate determination. Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered. b. Notice of Potential Claims. The Contractor shall not be entitled to additional compensation or to extension of time for (1) any act or failure to act by the County Project Manager or the County, or (2) the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within ten (10) days of the commencement of the act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim. Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional. c. Detailed Claim. The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty (30) days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due. 20. The Contractor and the County understand and agree that this Agreement is a subcontract of the Professional Services Contract for the Consolidated Homeless Grant between Washington State Department of Commerce (Commerce) and Cowlitz County (the “CHG Contract”). A true and correct executed copy of the CHG Contract is attached as Exhibit B. Under General Terms and Conditions, Section 6 of the CHG Contract, it provides that all work product (as defined in the CHG Contract) will be owned by Commerce consistent with Section 6 of the CHG Contract. Additionally, except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply: a. Correspondence, emails, reports and other electronic or written work product will be generated between the Contractor and County during the course of this Contract. This Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure under the Washington State Public Records Act, Chapter 42.56 RCW (Public Records Act). Thus, the County shall be required, upon request, to disclose this Contract and all documents related to it unless an exemption under the Public Records Act or other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract. b. Should County receive a request for disclosure, County agrees to provide Contractor ten (10) days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney’s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no action to oppose the release of information. Notice of any proposed release of information pursuant to Chapter 42.56 RCW, shall be provided to Contractor according to the “Notice” provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor must not take any action that would affect (a) the County’s ability to use goods and services provided under this Contract or (b) the Contractor obligations under this Contract. The Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosure request.

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ATTACHMENT C

Contractor’s failure to timely provide such records upon demand shall be deemed a material breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys’ fees, and/or any other expenses as a result of such breach, Contractor shall fully indemnify and hold harmless County as set forth in Section 13. For purposes of this section, the terms “public records” and “agency” shall have the same meaning as defined by Chapter 42.56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement. 21. Recovery of Payments to Contractor. The right of the Contractor to retain monies paid to it is contingent upon satisfactory performance of this Agreement, including the satisfactory completion of the project described in the Scope of Work (Attachment A). In the event that Contractor fails, for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manger’s sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform. 22. Project Approval. The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Manager, For purposes of this Agreement, the County Project Manager is: Name: Gena James Title: Deputy Director Department: Health & Human Services Address: 1952 9th Ave Longview, WA 98632 Telephone: (360) 414-5599 E-mail: HHSContracts@cowlitzwa.gov Fax: (360) 425-7531 In the event there is a dispute with regard to the extent and character of the work to be done, the determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor’s right to appeal that decision as provided herein. 23. Non-Discrimination. The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sec, marital status, sexual orientation, age, or the presence of any sensory, mental or physical handicap. 24. Subcontractors. In the event that the Contractor employs the use of any subcontractors, the contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontractors entered into, County is named as an express third-party beneficiary of such contracts with full rights as such. 25. Third Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties. 26. Standard of Care. The Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently practicing under similar circumstances. The Contractor shall, without additional compensation, correct those services not meeting such a standard. 27. Time is of the Essence. Time is of the essence in the performance of this contract unless a more specific time period is set forth in either the Special Terms and Conditions or Scope of Work. 28. Notice. Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page. 29. Severability. If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application. To this end, the terms and conditions of this contract are declared severable. 30. Precedence. In the event of inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: a. Applicable federal, state and local statues, ordinances and regulations; b. Scope of Work (Attachment A) and Compensation (Attachment B); c.

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ATTACHMENT C

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ATTACHMENT D

SPECIAL TERMS AND CONDITIONS 1.

Statutory amount Waiver of Title 51 Rights $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Contractor’s and Contractor’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor’s and Contractor’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Contractor shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Contractor’s most recent annual financial reports and audited financial statements as a condition of approval. Contractor hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Contractor’s and Contractor’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and

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ATTACHMENT D

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ATTACHMENT D

COUNTY RETAINS THIS FORM Individual contractors and service providers must complete and sign

WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001]

SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS: Did you retire from one of the State of Washington Retirement Systems?

YES

Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

Will you be receiving direct compensation for your services?

YES

Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 2. Is the contractor a retiree of a Washington State Retirement System? 3. Did the contractor retire before age 65 using the 2008 ERF?

Yes Yes

No No

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

Date: COUNTY RETAINS THIS FORM

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EXHIBIT A

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PROFESSIONAL SERVICES AGREEMENT

EXHIBIT A

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PROFESSIONAL SERVICES AGREEMENT

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Last Date Revised: 11/27/2024 Admin Form: 1602

Issue Date 5/22/2025

Cert #:0000035448

PROGRAM ADMINISTRATOR

COMPANIES AFFORDING COVERAGE

Clear Risk Solutions 159 Basin Street SW PMB #206 Ephrata, WA 98823

GENERAL LIABILITY:

NPIP / Munich Re. et al.

AUTOMOBILE LIABILITY

NPIP / Munich Re. et al.

PROPERTY

NPIP / Munich Re. et al.

CRIME

NPIP / Munich Re. et al.

WRONGFUL ACT LIABILITY

NPIP / Munich Re. et al.

MISCELLANEOUS

NPIP / Munich Re. et al.

COVERED PARTY Emergency Support Shelter 1330 11th Avenue Longview, WA 98632

PROFESSIONAL LIABILITY

LINE OF COVERAGE

COVERAGE NUMBER

EFF DATE

EXP DATE

NPIP252633992

6/1/2025

6/1/2026

DESCRIPTION

LIMITS

GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (OCCURRENCE FORM)

INCLUDES STOP GAP – EMPLOYERS LIABILITY MEMBER DEDUCTIBLE: $2,500 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

PER OCCURRENCE

$5,000,000

PER MEMBER AGGREGATE PRODUCT-COMP/OP PERSONAL & ADV. INJURY ANNUAL POOL AGGREGATE

$10,000,000 $5,000,000 $5,000,000 $50,000,000

COMBINED SINGLE LIMIT

$5,000,000

ANNUAL POOL AGGREGATE

NONE

ALL RISK PER OCC EXCL EQ & FL

$100,000,000

EARTHQUAKE PER OCC FLOOD PER OCC ANNUAL POOL AGGREGATE

Excluded Excluded NONE

PER OCCURRENCE PER MEMBER AGGREGATE

$1,000,000 $1,000,000

ANNUAL POOL AGGREGATE

$5,000,000

PER CLAIM

$5,000,000

PER MEMBER AGGREGATE ANNUAL POOL AGGREGATE

$5,000,000

PER CLAIM

$5,000,000

PER MEMBER AGGREGATE

$5,000,000

ANNUAL POOL AGGREGATE

$40,000,000

AUTOMOBILE LIABILITY COMMERCIAL AUTOMOBILE LIAB. NPIP252633992 6/1/2025 (ANY AUTO) (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

PROPERTY COMMERCIAL PROPERTY

NPIP252633992

6/1/2025

6/1/2026

EQ AND FLOOD COVERAGE MAY BE EXCLUDED FOR INDIVIDUAL LOCATIONS (PROPERTY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

CRIME COMMERCIAL CRIME NPIP252633992 INCLUDES EMPLOYEE THEFT/DISHONESTY & ERISA COVERAGE

6/1/2025

6/1/2026

MEMBER DEDUCTIBLE: $1,000 (CRIME IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

WRONGFUL ACT LIABILITY (INCLUDES E&O / D&O) WRONGFUL ACT LIABILTIY NPIP252633992 6/1/2025 (CLAIMS MADE) MEMBER DEDUCTIBLE: $5,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

$40,000,000

MISCELLANEOUS PROFESSIONAL LIABILITY MISC. PROFESSIONAL LIABILITY (CLAIMS MADE)

NPIP252633992

6/1/2025

MEMBER DEDUCTIBLE: $1,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)

6/1/2026

CANCELLATION NOTICE: SHOULD ANY OF THE ABOVE-DESCRIBED COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE NPIP COVERAGE AGREEMENT PROVISIONS.

Non Profit Insurance Program 2025-2026

Page 1

Issue Date 5/22/2025

Cert #:0000035448

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding funding. Cowlitz County is named as Additional Covered Party regarding this funding only and is subject to coverage terms, conditions, and exclusions. Additional Covered Party endorsement is attached.

CERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVE

Cowlitz County Health & Human Services Departments 1952 9th Avenue Longview, WA 98632

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Coverage#: NPIP252633992 Cert #:0000035448

Effective Date: 6/1/2025 Issue Date 5/22/2025

ADDITIONAL COVERED PARTY AMENDMENT – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies coverage provided under the following:

GENERAL LIABILITY COVERAGE PART This endorsement changes the Coverage Agreement effective on the inception date of the Coverage Agreement unless another date is indicated above. Providing the certificate of coverage that this endorsement is attached to has been issued by and is on file with the Company, the following applies. SCHEDULE Person or Organization (Additional Covered Party): Cowlitz County Health & Human Services Departments 1952 9th Avenue Longview, WA 98632

Description of Activities / Operations / Designated Premises: Regarding funding. Cowlitz County is named as Additional Covered Party regarding this funding only and is subject to coverage terms, conditions, and exclusions. Additional Covered Party endorsement is attached.

With respect to coverage under the General Liability Coverage Part: A.

Subject to the paragraphs above, any such person's or organization's status as an additional Covered Party ends when any of the following first occurs: (1)

This Coverage Agreement terminates;

Non Profit Insurance Program 2025-2026

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(2) (3) B.

The written contract or written agreement terminates; or The specified activity(ies) or operations described in the above Declarations terminate.

The Limits of Coverage applicable to the additional Covered Party is the lessor of those limits specified in either the: • •

Written contract or written agreement; or Declarations for this Coverage Agreement,

As if each Covered Member were the only Covered Member; and

Separately to each Covered Party against whom claim is made or Suit is brought.

All other terms and conditions remain unchanged

Non Profit Insurance Program 2025-2026

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AS-14561 Motion Items BOCC Agenda Meeting Date: 12/16/2025 Contract Amendment 25-016 (1) Community House on Broadway - Coordinated Entry Submitted For: Gena James Submitted By: Wheeldon Jennifer Department: Health/Human Services

15.

Information Subject and Summary Statement This agreement with Community House on Broadway sets forth the terms and conditions to operate as a coordinated entry access point. The objective is to connect households who are experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services.The purpose of this Amendment is to extend the expiration date for continuing and or additional professional services under the same terms and conditions of the original Agreement as well as additional funding. This agreement is cost reimbursement based not to exceed $37,500.00 for the period of January 1, 2025, through June 30, 2026, funded through a grant from the Washington State Department of Commerce. Contract/SOW Name

Current

Change

Total

Time Period

Original 25-016 (1) CHOB CE

$0.00 $25,000.00

$25,000.00 +$12,500.00

$25,000.00 $37,500.00

1/1/25-12/31/25 1/1/25-6/30/26

Fiscal Impact Expenditure Required $: 37500 Budget Sufficient Y-N: y Amendment Required Y-N: n Source of Funds - What Dept ? : 18401 Grant Y-N: y Attachments Contract Amendment 1 Contract Insurance Certificate

Form Review Inbox Reviewed By Jamie Drake Jamie Drake Gena James Gena James Form Started By: Wheeldon Jennifer Final Approval Date: 12/11/2025

Date 12/09/2025 07:53 AM 12/10/2025 08:10 AM Started On: 12/04/2025 01:45 PM

AMENDMENT NO. 1 to 25-016 Cowlitz County Professional Services Agreement With Community House on Broadway 1. This Amendment No. ONE to Agreement 25-016 is between Cowlitz County, Washington, (“COUNTY”), and Community House on Broadway (“CONTRACTOR”), and it shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and CONTRACTOR. 2. COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Agreement: 25-016, approved and executed by the Board of County Commissioners, which agreement will expire on, December 31, 2025. 3. COUNTY is now in need of continuing or additional professional services under the original Agreement through, June 30, 2026, and CONTRACTOR is amenable to extending his/her professional services to COUNTY under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and CONTRACTOR agree to modify the original Agreement as in the parties’ best interests and in furtherance of the purposes and intent of this amendment, as set forth below: a. Attachment B hereby amended and replaced with Attachment B – 20251204, attached hereto and incorporated by reference. b. Exhibit A hereby amended and replaced with Exhibit A – 20251204, attached hereto and incorporated by reference. c. Exhibit B hereby amended and replaced with Exhibit B – 20251204, attached hereto and incorporated by reference. d. Extending Agreement to June 30, 2026 5. Except as provided above in this Amendment No. ONE, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment(s) shall remain in full force and effect. The parties hereto have executed this agreement on this day of December 31, 2025, and each signatory to this Amendment No. ONE warrants that he/she is duly authorized and executes this Amendment for and on behalf of the below-inscribed parties hereto. RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Print name:

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

25-016 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

, Clerk of the Board

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As consideration for services, as described in the Scope of Work section of this Agreement and as indicated in the CCHHS Contractor Toolkit located online at www.co.cowlitz.wa.us/cchhscontractors, and as updated, the County agrees to pay the Contractor based on the specific conditions below, a sum not to exceed budget amounts of $25,000 $25,000 during the period January 1, 2025 through December 31, 2025 June 30, 2026. 1. General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $22,600.00 $33,900.00 Other (Insurance, office supplies, etc.) 2,400.00 $3,600.00 Total $25,000.00 $37,500.00 ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. iii. The June invoice may be due sooner than the 15th and the County will provide notification of the end of the State fiscal period due date, if applicable. iv. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract.

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d. Payment i. County Obligation for Payment 1. The County agrees to make payment, as approved by the Auditor of Cowlitz County, with County warrants on a calendar day specified by the County, contingent on the availability of funds, following receipt of the Contractor’s complete and accurate request for payment. 2. The County shall not be obligated to reimburse the Contractor for any services or activities, performed prior to the effective date of this Contract. 3. The County will not process any payments for invoices received after the 15th of the month following the end of this contract, unless prior approval from the County. 4. The County shall not make any payments in advance or in anticipation of the delivery of services to be provided pursuant to this Contract. 5. The County shall pay the Contractor only for authorized services provided in accordance with this Contract. If this Contract is terminated for any reason, the County shall pay only for services authorized and provided through the date of termination. e. Recovery of Costs Claimed in Error: If the Contractor claims and the County reimburses for expenditures under this Contract which the County later finds were one (1) claimed in error or two (2) not allowable costs under the terms of the Contract, the County shall recover those costs and the Contractor shall fully cooperate with the recovery. 2. Program Specific Conditions: a. Fraud and other loss reporting. The Contractor shall report in writing all known or suspected fraud or other loss of any funds or property furnished under this contract immediately or as soon as practicable to the County and Commerce Representative identified in Exhibit B.

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EXHIBIT A - 20251204

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EXHIBIT A - 20251204

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EXHIBIT A - 20251204

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EXHIBIT B – 20251204

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PROFESSIONAL SERVICES AGREEMENT

25-016 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

EXHIBIT B – 20251204

49 of 51

PROFESSIONAL SERVICES AGREEMENT

25-016 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

EXHIBIT B – 20251204

50 of 51

PROFESSIONAL SERVICES AGREEMENT

25-016 (1) Last Date Revised: 11/27/2024 Admin Form: 1602

EXHIBIT B – 20251204

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Docusign Envelope ID: 06000A60-5D64-4A20-B989-A36EBA001122

PROFESSIONAL SERVICES AGREEMENT Contract Number: 25-016 THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of Washington, (hereinafter called “County” or “Cowlitz County”) and Name: Address: Phone No: UEI: UBI:

Community House on Broadway PO Box 403 Longview, WA 98632 360-425-8679 F3GBRFKRNMW1 601-064-856

(hereinafter called “Contractor”). This Agreement is comprised of: Attachment A – Scope of Work Attachment B – Compensation Attachment C – General Conditions Attachment D – Special Terms and Conditions and Retirement Status Form (signature required) Exhibit A – Cowlitz County Coordinated Entry Policies and Procedures Provider Manual Exhibit B – CHG State Contract copies of which are attached hereto and incorporated herein by this reference as if fully set forth. The term of this Agreement shall commence on the 1st day of January, 2025 and shall, unless terminated as provided elsewhere in the Agreement, terminate on the 31st day of December, 2025. 18th IN WITNESS WHEREOF, the parties have executed this Agreement on this ________ day of February 25 _____________, 20____.

RECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven L. Ferrell,

Commissioner

Steve Rader,

Commissioner

Frank Morrison

Print name: Executive Director

Title:

ATTEST:

CONTRACT HAS BEEN APPROVED AS TO FORM BY COWLITZ COUNTY PROSECUTING ATTORNEY

Date

Last Date Revised: 11/27/2024 Admin Form: 1602

Kelly Grayson , Clerk of the Board 2/18/2025

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Docusign Envelope ID: 06000A60-5D64-4A20-B989-A36EBA001122

PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT A SCOPE OF WORK

The contractor shall ensure services, and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below: 1. Community House on Broadway a. Objective: Operate as a Coordinated Entry (CE) access point to efficiently and effectively connect Cowlitz County households experiencing homelessness or who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services with a primary goal of completing accurate referrals to programs required to fill program openings through CE. b. Access points will include Community House on Broadway, Core Health Extended Support Services, and Core Health Social Support Center. c. The contractor will prevent and divert households at risk of homelessness as often as possible from the homeless system through strategies that include, but are not limited to encouragement, coaching, exploring friend/family options, community resources, and problem solving. d. The contractor will assure households fleeing or attempting to flee violence will be connected with the Emergency Support Shelter. e. The contractor will attend monthly partner provider meetings with the County to review referral flow between coordinated entry access points and partner providers. f. Services will be documented through the Homeless Management Information System (HMIS) following applicable HMIS guidelines and data quality standards, including upcoming CE specific data entry standards issued by the Department of Commerce found here: https://www.commerce.wa.gov/serving-communities/homelessness/hmis/ g. The contractor will assure compliance with Exhibit A Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, provided within and as updated. h. The contractor will maintain close collaboration with the County on any identified system changes including, but not limited to, programmatic, access, assessment, referral, and/or data. i. Expectations of Contractor i. Flexibility – the design of the CE is a work in progress while we align with state requirements. Policies, procedures and tools will be adjusted and refined by the County over time. ii. Mobility – CE access points must be able to work with homeless people wherever they are. iii. Collaborative Approach – the CE access points must have the ability to build and maintain strong and effective working partnerships with shelters and housing partners. iv. Communication – CE access points must have the ability to communicate how the system works to individuals who are homeless, providers, and the public. v. Resource Referral – CE access points will engage in resource referral for individuals seeking information on community resources. vi. Objectivity – successful operation of the CE requires that the access point use consistency and fairness in applying all policies and procedures and use of tools. vii. Problem Solving – CE access points must embrace a problem-solving approach to addressing homelessness. To be effective, access points must employ staff who are skilled at problem-solving and understand how to adopt a strengths-based and clientcentered approach to all aspects of service delivery. viii. Systems Thinking – the CE access points are an essential component of the County’s homeless response system. To successfully operate as a CE access point, the selected provider must embrace a systems-thinking approach, understanding that the main purpose of CE is to streamline access to specific housing resources that are identified as the CE participating projects. ix. Data-informed – CE is a critical source of information about who enters homelessness in the County. The data collected will be used for ongoing and continuous system improvement. The CE access points must have strong commitment to data quality and a willingness to be data-informed.

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT A

x. These services may only be provided by the contractor, no portion may be delegated or subcontracted to any other individual, firm or entity. j. The Contractor shall comply with all applicable requirements, policies and procedures in the Consolidated Homeless Grant Guidelines found here and as updated: https://www.commerce.wa.gov/serving-communities/homelessness/consolidated-homelessgrant/ k. Outcomes and Measures: i. Households experiencing homelessness or at risk of homelessness have access to Coordinated Entry and are connected to available housing resources and other community resources. ii. The following outcomes/outputs will be used to evaluate the performance of CE access points: 1. Number of households with Targeted Eligibility Screenings, Resource Screenings, Assessments, and housing referrals completed per access point. 2. Households receive an assessment within 10 days of request from County (Target: 80%) 3. HMIS data entry timeliness, within 2 days (48 hours) 4. HMIS data quality, completeness and accuracy (Target: 95%) 2. Reporting: The contractor will submit reports no later than the dates outlined in the following reporting schedule. Type of Report Time Period Due Date Targeted Eligibility Screening Monthly 15th of the month following the month of service 3. Additional Requirements: The contractor will maintain and make available, if requested, documentation demonstrating accomplishments of the contract. Such documentation may include, but is not limited to, the following: a. Services provided b. Number of hours of service c. Data Collection d. Completed evaluation tools e. Backup reports/data for invoicing. 4. Site Visits: The contractor will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement.

25-016

Last Date Revised: 06/21/2021 Admin Form: 1602

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ATTACHMENT B COMPENSATION

General Conditions a. Budget i. The Contractor may submit, in writing to the County Project Manager, a request to adjust the budget at any time during the contract period. The County will respond to all requests in writing with a determination. Requests may: 1. Change the individual line budget, 2. Not change the total contract award. Budget Budget Lines Total Personnel $22,600.00 Other (Insurance, office supplies, etc.) 2,400.00 Total $25,000.00 ii. Any funds not utilized at the end of the contract period will be reallocated at the discretion of the County. iii. The Contractor shall budget funds awarded in such a manner to ensure availability of services throughout the entire term of this Contract subject to available funds. b. Billing i. The Contractor shall ensure all expenditures for services and activities under this Contract are: 1. Allowable costs, which are in accordance with Attachment A Scope of Work 2. Incurred are within the period of performance of this Contract 3. All documentation including reports must be submitted with the billing documents. 4. Work performed and invoiced does not duplicate work to be charged to the County under any other Contract or agreement with the Contractor. 5. Not utilized for R&D related activities. 6. The reference to Exhibit B, CHG Contract and Consolidated Homeless Grant Guidelines provides the County flexibility in funding source for the services outlined in Attachment A only and does not authorize the Contractor to provide services outside of the scope of work. c. Invoice i. The Contractor shall submit invoices using the County’s form, or such other form as designated by the County. Consideration for services shall be payable upon receipt of properly completed invoices which shall be submitted to the County Program Manager within this Contract, by the Contractor, not more often than monthly. The invoices shall describe and document to the County’s satisfaction a description of the work performed, activities accomplished, the progress of the project, and fees. ii. The Contractor shall submit a monthly invoice to the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the month of services were performed. iii. The June invoice may be due sooner than the 15th and the County will provide notification of the end of the State fiscal period due date, if applicable. iv. The final invoice must be received by the County on or before the 15th of the month, regardless of what day of the week the 15th falls on, following the end of this contract. d. Payment i. County Obligation for Payment

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT B

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C GENERAL CONDITIONS

6. 7.

8. 9.

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Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C

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Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal. Oral argument and live testimony will not be permitted. The decision of the County Project Manager for the determination of such appeals shall be final and conclusive. Reviews of the appellate determination shall be brought in the Superior Court of Cowlitz County within fifteen (15) days of mailing of the written appellate determination. Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered. b. Notice of Potential Claims. The Contractor shall not be entitled to additional compensation or to extension of time for (1) any act or failure to act by the County Project Manager or the County, or (2) the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within ten (10) days of the commencement of the act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim. Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional. c. Detailed Claim. The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty (30) days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due. 20. The Contractor and the County understand and agree that this Agreement is a subcontract of the Professional Services Contract for the Consolidated Homeless Grant between Washington State Department of Commerce (Commerce) and Cowlitz County (the “CHG Contract”). A true and correct executed copy of the CHG Contract is attached as Exhibit B. Under General Terms and Conditions, Section 6 of the CHG Contract, it provides that all work product (as defined in the CHG Contract) will be owned by Commerce consistent with Section 6 of the CHG Contract. Additionally, except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply: a. Correspondence, emails, reports and other electronic or written work product will be generated between the Contractor and County during the course of this Contract. This Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure under the Washington State Public Records Act, Chapter 42.56 RCW (Public Records Act). Thus, the County shall be required, upon request, to disclose this Contract and all documents related to it unless an exemption under the Public Records Act or other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract. b. Should County receive a request for disclosure, County agrees to provide Contractor ten (10) days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney’s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no action to oppose the release of information. Notice of any proposed release of information pursuant to Chapter 42.56 RCW, shall be provided to Contractor according to the “Notice” provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor must not take any action that would affect (a) the County’s ability to use goods and services provided under this Contract or (b) the Contractor obligations under this Contract. The Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosure request.

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C

Contractor’s failure to timely provide such records upon demand shall be deemed a material breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys’ fees, and/or any other expenses as a result of such breach, Contractor shall fully indemnify and hold harmless County as set forth in Section 13. For purposes of this section, the terms “public records” and “agency” shall have the same meaning as defined by Chapter 42.56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement. 21. Recovery of Payments to Contractor. The right of the Contractor to retain monies paid to it is contingent upon satisfactory performance of this Agreement, including the satisfactory completion of the project described in the Scope of Work (Attachment A). In the event that Contractor fails, for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manger’s sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform. 22. Project Approval. The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Manager, For purposes of this Agreement, the County Project Manager is: Name: Gena James Title: Deputy Director Department: Health & Human Services Address: 1952 9th Ave Longview, WA 98632 Telephone: (360) 414-5599 E-mail: HHSContracts@cowlitzwa.gov Fax: (360) 425-7531 In the event there is a dispute with regard to the extent and character of the work to be done, the determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor’s right to appeal that decision as provided herein. 23. Non-Discrimination. The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sec, marital status, sexual orientation, age, or the presence of any sensory, mental or physical handicap. 24. Subcontractors. In the event that the Contractor employs the use of any subcontractors, the contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontractors entered into, County is named as an express third-party beneficiary of such contracts with full rights as such. 25. Third Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties. 26. Standard of Care. The Contractor shall perform its duties hereunder in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently practicing under similar circumstances. The Contractor shall, without additional compensation, correct those services not meeting such a standard. 27. Time is of the Essence. Time is of the essence in the performance of this contract unless a more specific time period is set forth in either the Special Terms and Conditions or Scope of Work. 28. Notice. Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page. 29. Severability. If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application. To this end, the terms and conditions of this contract are declared severable. 30. Precedence. In the event of inconsistency in this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: a. Applicable federal, state and local statues, ordinances and regulations; b. Scope of Work (Attachment A) and Compensation (Attachment B); c.

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT C

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Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT D

SPECIAL TERMS AND CONDITIONS 1.

Statutory amount Waiver of Title 51 Rights $1,000,000

Per occurrence

AUTOMOBILE: coverage on owned, non-owned, rented and hired vehicles Bodily injury, liability, including death and property damage liability $1,000,000 Combined Single Limit All Contractor’s and Contractor’s subcontractors’ insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non-contributory. Any insurance, self-insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor’s and Contractor’s subcontractors’ liability insurance policies must be endorsed to show this primary coverage. Upon request, the Contractor shall provide a full and complete and certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement, not limited to limits, coverages and endorsements, or to reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any proposed insurer providing coverage based upon the insurer’s financial condition or licensing status in Washington. Any deductibles and/or self-insured retentions exceeding $10,000 or any stop-loss provisions, the County shall have the right to request and review the Contractor’s most recent annual financial reports and audited financial statements as a condition of approval. Contractor hereby agrees to waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre-loss basis. The County, its departments, elected and appointed officials, employees, agents and volunteers shall be named as additional insureds on Contractor’s and Contractor’s subcontractors’ insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT D

25-016

Last Date Revised: 11/27/2024 Admin Form: 1602

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ATTACHMENT D

COUNTY RETAINS THIS FORM Individual contractors and service providers must complete and sign

WA Department of Retirement Systems: Independent Contractor Verification and State Retirement Status Reporting Form [WAC 415-02-110; DRS Email 13-011; DRS Email 09-001]

SECTION 1: INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS: Did you retire from one of the State of Washington Retirement Systems?

YES

Did you retire before age 65 using the 2008 early retirement factors (ERF)?

YES

Will you be receiving direct compensation for your services?

YES

Will you be receiving indirect compensation for your services?

YES

CONTRACTOR (Full, individual name of contractor): Signature:

Social Security No.:

Date:

YES

Teachers’ Retirement System (TRS)

Plan1

Plan 2

School Employees’ Retirement System (SERS)

Plan 2

Plan 3

Public Employees’ Retirement System (PERS)

Plan 1

Plan 2

Public Safety Employees’ Retirement System (PSERS)

Plan 2

NO Plan 3

Plan 3

Law Enforcement Officers’ & Fire Fighters’ Retirement System (LEOFF)

Washington State Patrol Retirement System (WSPRS)

Plan 1

Plan 2

Plan 1

Plan 2

Judicial Retirement System (JRS) 2. Is the contractor a retiree of a Washington State Retirement System? 3. Did the contractor retire before age 65 using the 2008 ERF?

Yes Yes

No No

COUNTY OFFICIAL/DEPARTMENT REPRESENTATIVE:

Signature:

Date: COUNTY RETAINS THIS FORM

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Last Date Revised: 11/27/2024 Admin Form: 1602

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EXHIBIT A

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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EXHIBIT B

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PROFESSIONAL SERVICES AGREEMENT

EXHIBIT B

25-016

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25-016

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EXHIBIT B

25-016

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Last Date Revised: 11/27/2024 Admin Form: 1602

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PROFESSIONAL SERVICES AGREEMENT

EXHIBIT B

25-016

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EXHIBIT B

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DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

4/23/2025

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Nicholas Ringbom NAME: PHONE (A/C, No, Ext): (360)200-5287 E-MAIL ADDRESS: nick@kr-consultants.com

PRODUCER

Walker Insurance Agency, Inc 1801 1st Ave, Ste 4B Longview, WA 98632 License #:1089318 INSURED

FAX (A/C, No):

(360)846-1036

INSURER(S) AFFORDING COVERAGE

NAIC #

INSURER A : Alliance of Nonprofits for Insurance,Risk Retention Group,Inc

10023

INSURER B :

Community House on Broadway PO Box 403

INSURER C : INSURER D : INSURER E :

Longview

WA 98632 CERTIFICATE NUMBER:

COVERAGES

INSURER F :

REVISION NUMBER:

TYPE OF INSURANCE

ADDL SUBR INSD WVD

POLICY NUMBER

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY CLAIMS-MADE

OCCUR

2025-78296

4/21/2025

4/21/2026

GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY LOC JECT

LIMITS

EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person)

AUTOMOBILE LIABILITY

ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY

1,000,000 500,000 20,000 1,000,000 2,000,000 2,000,000

OTHER:

SCHEDULED AUTOS NON-OWNED AUTOS ONLY

2025-78296

4/21/2025

4/21/2026

1,000,000

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

$ $

UMBRELLA LIAB

OCCUR

EXCESS LIAB

CLAIMS-MADE

DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

Professional Liability

2025-78296-UMB

4/21/2025

4/21/2026

EACH OCCURRENCE

AGGREGATE

1,000,000 1,000,000

$ PER STATUTE

OTHER

E.L. EACH ACCIDENT

N/A

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

2025-78296

4/21/2025

4/21/2026

Occurence Aggregate

1,000,000 3,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Re: Operations of the Insured - Cowlitz County, its appointed and elected officials, agents and employees, are listed as addtional insured, the above insurance policies and primary and noncontributory.

CERTIFICATE HOLDER

CANCELLATION

Cowlitz County Health & Human Services 207 4th Ave N Kelso, WA 98626

ACORD 25 (2016/03)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

AS-14566 8. BOCC Agenda Meeting Date: 12/16/2025 Amendment No. 1 to Personal Services Agreement: Terracon Consultants, Inc. - Materials Testing Services Submitted For: Susan Eugenis, Public Works Submitted By: Lynn Ruffe, Public Works Department: Public Works Information Subject and Summary Statement Attached is Amendment Number 1 to the Personal Services Agreement with Terracon Consultants, Inc. for Material Testing Services for various Public Works projects. The purpose of this amendment is to increase the not to exceed authorized amount by $150,000 to a new total of $250,000, to revise the approved rates. And extend the expiration date to December 31, 2027.

Will Staff Attend - NAME OF STAFF or No Yes Department Recommendation It is the recommendation of the Department of Public Works that the Board move to authorize the Chairman to approve Amendment No. 1 to the agreement with Terracon Consultants, Inc. for Material Testing Services.

Fiscal Impact Expenditure Required $: 150,000 Budget Sufficient Y-N: Y Amendment Required Y-N: N Source of Funds - What Dept ? : Roads Grant Y-N: Attachments Amendment No. 1 to PSA Personal Services Agreement Form Review Inbox Chris Andrews Susan Eugenis Mike Moss, Public Works Form Started By: Lynn Ruffe

Reviewed By Chris Andrews Susan Eugenis

Date 12/09/2025 11:28 AM 12/09/2025 03:46 PM Started On: 12/09/2025 07:22 AM

AMENDMENT NO. 1 to Cowlitz County Personal Services Agreement with Terracon Consultants, Inc. 1. This Amendment No.1 to Agreement between Cowlitz County, Washington, (“COUNTY”), and Terracon Consultants, Inc. (“CONTRACTOR”) shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and CONTRACTOR. 2. COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Board agenda item AS-13433, approved and executed by the Board of County Commissioners on April 2, 2024, which agreement will expire on December 31, 2025. 3. COUNTY is now in need of additional professional services under the original Agreement, and CONTRACTOR is amenable to extending his/her professional services to COUNTY under the same terms and conditions of the original Agreement, and as set forth below. 4. Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties’ best interests and in furtherance of the purposes and intents of this amendment, as set forth below: a. Increasing the not to exceed by $150,000 for a total authorized amount of $250,000. b. Revising rates per the attached fee schedule. c. Extending Contract to expire on December 31, 2027. 5. Except as provided above in this Amendment No. 1, all terms, conditions, duties, obligations and provisions of the original Agreement shall remain in full force and effect. The parties hereto have executed this agreement on this ____day of _______________ 2025 and each signatory to this Amendment No. 1 warrants that he/she is duly authorized and execute this Amendment for and on behalf of the below-inscribed parties hereto. CONTRACTOR:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Trevor A. Tickner

By:___________________________ Trevor A. Tickner, PE, CWI, Principal ______________________________ (authorized by Bylaws to sign)

ATTEST:

Kelly Grayson, Clerk of Board

Richard R. Dahl, Chairman

Steve Rader, Commissioner

Steven L. Ferrell, Commissioner

CONTRACT AMENDMENT FORM HAS BEEN APPROVED BY COWLITZ COUNTY PROSECUTING ATTORNEYS’ OFFICE

AS-14511 Timed Items BOCC Agenda Meeting Date: 12/16/2025 Public Hearing: Cowlitz County 2025-2030 Local Homeless Housing Plan Submitted For: Jamie Drake Submitted By: Jamie Drake Department: Health/Human Services

16.

Information Subject and Summary Statement Cowlitz County is in need of developing a new Local Homeless Housing Plan for the 2025-2030 time period. The Board of Commissioners will take public comment on the proposed 2025-2030 Local Homeless Housing Plan. Will Staff Attend - NAME OF STAFF Gena James Department Recommendation Cowlitz County Health & Human Services recommends a public hearing to conduct the following: Discuss the 2025-2030 Local Homeless Housing Plan Take Public Comments on the plan

Attachments 2025-2030 Draft plan 10.2.2025 Form Review Inbox Reviewed By Gena James Gena James Form Started By: Jamie Drake Final Approval Date: 11/25/2025

Date 11/19/2025 11:13 AM Started On: 11/19/2025 10:55 AM

Cowlitz County 5-Year Homeless Housing Plan 2025-2030 Introduction The Homeless Housing and Assistance Act (RCW 43.185c) requires counties who administer local document recording fees designated for homeless and housing programs to have a local homeless housing plan. The purpose of the local plan is to address housing for homeless persons and to guide funding decisions made by the local legislative authority. Local homeless housing plans must be consistent with the statewide strategic plan developed by the Department of Commerce.

Acknowledgement As part of RCW 43.185c, Cowlitz County is required to have a Homeless Housing Task Force. Membership on the task force must include a representative from the county, the largest city within the county, and a homeless or formerly homeless individual. The purpose of the task force is to advise a local government on the creation of a local homeless housing plan. The County’s Homeless Housing Task Force has worked in collaboration with Health & Human Services, community partners, and the general public to develop this plan. Please see Appendix C for a full outline of stakeholder and public engagement in the development of this plan.

Contents Introduction

Acknowledgement

Overview

Housing and Homeless Interventions

Housing Resources

Local Plan

Goals

Appendix A – System Capacity

Appendix B – Point in Time

Appendix C – Stakeholder and Public Engagement

Appendix D – 2019-2024 Plan Summary

Appendix E – Estimates of Service Levels

Appendix F – Survey of Fund Sources

Appendix G – Estimates of Permanent and Emergency Housing Needs

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Overview Housing and Homeless Interventions Prevention and Diversion – Light interventions that prevent homelessness by working with landlords and/or individuals to resolve issues, can also include assistance for rent to keep a person housed. Emergency Shelter – Provides short-term, temporary shelter for those experiencing homelessness, most often up to 90 days. Transitional Housing – Provides ongoing support for a period of two years until individuals can learn the skills necessary to transition to housing in the community. Rapid Rehousing – Provides housing focused case management and support needed to house individuals quickly by assisting with deposits and rent so the person can regain housing. Permanent Supportive Housing – Provides ongoing support for individuals with high needs related to medical and/or behavioral health.

Housing Resources Chai Rivers Recovery Café, Community House on Broadway, Compass-SL Start and Associates, CORE Health, Destination Hope and Recovery, Emergency Support Shelter, Faithful Servants, Family Promise, Habitat for Humanity, Holistic Opportunities for Personal Evolution (HOPE), Housing Opportunities of Southwest Washington, Kelso Housing Authority, Lower Columbia Community Action Program (CAP), Love Overwhelming, Oxford houses, Pacific Island Community of Oregon LLC, Salvation Army, Seventh Generation Eldercare, Strengthening Foundations Counseling, Veteran’s Integration Program and the faith-based community.

Local Plan The state Department of Commerce issued new guidance and requirements for counties to include in the 2025-2030 local plan. This plan includes those requirements, identified with an asterisk(*), along with additional local priorities. While the local plan is developed by the Homeless Housing Task Force, the local legislative authority can make edits prior to their approval. As outlined in RCW, the plan serves to guide funding decisions for the local legislative authority. When the county is considering allocating Document Recording Fees, it must be an activity that is connected to the local plan. Please note, this plan does not commit the county to funding each of the activities and all funding decisions are reliant on the availability of funding. The previous local plan, covering 2019-2024, included a variety of goals with the #1 priority goal to Increase Access to Affordable Housing. Cowlitz County invested approximately $2.8 million towards this goal during the previous 5-year plan, as well as other accomplishments. Please see appendix D for a full summary from the 2019-2024 plan. Eligible activities under the plan, per RCW 43.185c.050, include: -

Rental and furnishing of dwelling units for the use of homeless persons

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Costs of developing affordable housing for homeless persons, and services for formerly homeless individuals and families residing in transitional housing or permanent housing and still at risk of homelessness Operating subsidies for transitional housing or permanent housing serving formerly homeless families or individuals Services to prevent homelessness, such as emergency eviction prevention programs including temporary rental subsidies to prevent homelessness Temporary services to assist persons leaving state institutions and other state programs to prevent them from becoming or remaining homeless Outreach services for homeless individuals and families Development and management of local homeless plans including homeless census data collection; identification of goals, performance measures, strategies, and costs and evaluation of progress towards established goals Rental vouchers payable to landlords for persons who are homeless or below thirty percent of the median income or in immediate danger of becoming homeless Other activities to reduce and prevent homelessness as identified for funding in the local plan

Goals #1 - Increase Training, Education, and Job Skills Opportunities Objective

Strategy

Measure

Timeline

1.1 Expand opportunities for financial literacy training 1.2 Expand opportunities for job readiness and life skills training

a. Support programs that increase access to financial literacy training, include in resource guide a. Support programs that increase access to job readiness and life skills training, include in resource guide a. Support programs educating tenants, landlords, property management, or others that will build skills to prevent evictions a. Share training opportunities with providers

More classes are available

2026, assess annually

More training is available

2026, assess annually

Increased education available

2026, assess annually

More training available to providers

Ongoing

1.3 Expand opportunities for prevention education

1.4 Strengthen the homeless service provider workforce*

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#2 - Support a homeless system focused on self-sufficiency

Objective

Strategy

2.1 Prioritize shortterm and transitional housing interventions

a. Support emergency shelter interventions, focused on self-sufficiency b. Support short-term or transitional housing programs where individuals are able to sustain on their own after assistance c. Support one-time or start up funding for permanent supportive housing 2.2 Prioritize a. Support programs where assistance or services individuals actively engage for individuals ready with self-sufficiency goals to engage in programs 2.3 Prevent episodes of homelessness whenever possible*

a. Expand diversion and short-term prevention programs for individuals in need of light-touch intervention 2.4 Prioritize a. Continuous review of assistance based on Coordinated Entry the greatest barriers prioritization process to housing stability b. Support programs and the greatest risk focused on youth and family of harm* stability 2.5 Promote an a. Coordination among equitable, service providers through accountable and monthly meetings transparent homeless b. Contract monitoring crisis response c. Coordinated Entry report system* d. Point in Time report or other relevant reports

Measure

Timeline

Additional short-term and transitional housing interventions available (See Appendix A – System Capacity)

2026, assess annually

Individuals in programs are accomplishing selfsufficiency goals Additional light-touch interventions available

2026, assess annually

Prioritization process is consistently reviewed

Annually

Reports are complete and published on County website

Ongoing, Annually

2026, assess annually

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#3 - Increase access to affordable housing

Objective

Strategy

3.1 Support efforts to a. Collaborate with cities, build housing and other appropriate affordably partners, aligning efforts when appropriate around codes, zoning, policy, legislation, etc. 3.2 Seek to house everyone in a stable setting that meets their needs*

a. Support additional affordable housing units, aimed at diverse incomes and individual needs

Measure

Timeline

Changes to code, zoning, policy, etc. reduce barriers for developers and builders when possible Increase in affordable housing units

2026, assess annually

Ongoing

Prioritization criteria for homeless/housing capital projects Investment in pre-development, development or construction of homeless housing capital projects will be consistent with local comprehensive plans, zoning, or other applicable countywide planning policies. The criteria and procedure used to evaluate homeless housing capital projects will include feasibility, community support, and funding availability. Potential projects will be reviewed internally by staff for alignment with any funding criteria and by the Board of County Commissioners for a final decision.

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Appendix A – System Capacity This document includes a variety of housing projects within Cowlitz County, it is not a list of projects funded by the county.

Short-term and Transitional Housing Agency/ Program Name Community House on Broadway (CHOB)

Population Served Families and single adults

Eligibility

Program Duration

Units

Beds

2024 Individuals served 361 adults/ 144 children

Clean and sober, background check (no sex offenders), mandatory participation in services (MH, SUD, housing, employment, case management, medications, save income) Clean and sober, background check (no sex offenders), participate in educational program and MH/SUD services

≤ 90 days (may stay longer if working towards stable housing)

158

Not time limited

1 *opened in December of '24

CHOB - Beth's Place

13-17 years old

Emergency Support Shelter

Individuals fleeing domestic violence

Fleeing intimate partner DV within last 14 days (can include any type of abuse, not only physical)

≤ 90 days

34 Add'l cribs/ cots

104

Family Promise

Families with children

Must be homeless, have a minor child, able to work or produce income, have a way to be accepted into housing of any form, drug and alcohol free, background check and vetting process, able to coexist with other families in communal space

≤ 90 days

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Agency/ Program Name Catholic Community Services SSVF RRH CAP - CHG RRH

Veterans

Under 80% AMI

6-9 months

2024 Individuals served 23

Single adults and families

Under 80% AMI

CAP - YAHP RRH

18-24 years old

CHOB Core Health Extended Support Services (CHESS)

Adults who are medically fragile, elderly and/or have high MH needs

Homeless (McKinney Vento), under 80% AMI Must be able perform own ADLs or have a caregiver, no sex offenders, mandatory participation in services (including MH & SUD)

12 months or less, graduated subsidy ≤ 2 years, graduated subsidy ≤ 2 years (extended stays when needed)

178

CHOB - TBRA RRH

Families and single adults Adults

In recovery, income to support their share of rent and utilities Low income

1 year (may extend) 2 years

Veterans

Military discharge (must not be dishonorable) Homeless with supportive services Literally homeless, within 14 days of losing housing, or fleeing violence Clean and sober, faith based, live and work on campus Clean and sober, MH and SUD assessment

≤ 2 years

2 years

≤ 1 year, on a caseby-case basis 12 months

≤ 1 year

308

366

1,098

Housing Opportunities of SW Washington (HOSWWA) Emergency Housing Vouchers HOSWWA GPD TH

Population Served

HOSWWA TBRA RRH Janus - GRIP RRH

Cowlitz County, Lgv 18-24 years old

Mountain Ministry

Men

Salvation Army HOPE House

Single adults

Eligibility

Program Duration

Units

Beds

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Permanent Housing Project Based (includes voucher programs) Agency/ Program Name CHOB Country Run CAP - PSH House Evergreen Sober Living

CHOB program participants that are steady in their recovery Homeless, disabling condition

Not time limited

2024 Individuals served -

Not time limited

Clean and sober, attend 3 in person meetings per week in 12 step fellowship Must be clean and sober (pass a UA) and obtain MH/SUD assessment, able to work, faith based 30 days clean and sober, means to pay rent SUD and recently exited residential treatment Low income

Not time limited

2+ years

Not time limited

Elderly/Dis abled low income Elderly/Dis abled

Low income

Not time limited

Elderly/Disabled

Not time limited

Low income family 75% homeless, elderly, disabled some set aside for DV Homeless Veterans

USDA income criteria

Not time limited

HUD Voucher

Not time limited

HUD Voucher

Not time limited

Population Served Families and single adults Chronically homeless men Women only (no children)

Faithful Servants

Men

Forgiven House

Men

HOSWWA Phoenix House HOSWWA Columbia View HOSWWA Hawthorne

Parents with children Elderly/Dis abled

HOSWWA Riverview HOSWWA Tulip Valley HOSWWA Lilac Place

HOSWWA Stratford Arms

Eligibility

Program Duration

Units

Beds

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Agency/ Program Name HOSWWA Sylvester

Low income, 62+ Individuals and families Individuals and families

HUD Voucher

Not time limited

2024 Individuals served 24

Homeless, below 60% AMI

Not time limited

Income and tenant screening

116

118

Single men, men with children, single women, women with children 62+

Recovering from SUD, pay equal shared expenses, follow house rules

Not time limited as long as they income qualify Not time limited

118

Rent based on income

not time limited

104

Westgate Terrace

62+ or disabled

Low income

not time limited

101

Parkland Terrace

62+ or disabled

Low income

not time limited

776

328

556

Units

Beds

100

2024 Individuals served 175

HOSWWA Sunrise Village Kelso Housing Authority Public Housing Oxford Housing

Campus Towers

Population Served

Eligibility

Program Duration

Units

Beds

Tenant Based (includes voucher programs) Agency/ Program Name CAP - HEN RRH CAP - CBRA RRH

Population Served

Eligibility

Single adults

DSHS referral, Homeless (HUD)

Single adults and families

Behavioral Health Condition, less than 50% AMI, client pays 30% of income towards rent, must be engaged in BH support/case management

Program Duration DSHS eligibility reviewed annually Long term, annual recertificat ions

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Agency/ Program Name Habitat for Humanity Build and buy own home

HOSWWA Housing Choice Voucher HOSWWA Non-elderly, disabled (NED) *project sunsets in 2026 HOSWWA Mainstream 5

HOSWWA Stability Voucher HOSWWA VASH HOSWWA Foster Youth (FYI)

Kelso Housing Authority Housing Choice Voucher

Population Served

Eligibility

Program Duration

Units

Beds

2024 Individuals served

Low income families and individuals, including veterans, disabled, elderly Adults (excluding Kelso and Kalama) Non elderly, disabled (excluding Kelso and Kalama)

30-65% AMI, 500 hours sweat equity

N/A

3 or 4

HUD Voucher

Not time limited

708

436

Disabled adult, must fit into 1 bedroom unit

Not time limited

435

228

Homeless family with disabled adult in household DV Survivor

Homeless

Not time limited

133

ESS referral and Homeless

Not time limited

Veterans (excluding Kelso and Kalama) Foster youth

HUD Voucher

Not time limited

Homeless Foster youth 18-25

3 years or 5 years with participation in Rent Well classes

Individuals and families

Income and HUD screening

Not time limited as long as they income qualify

328

325

1810

110

1266

*Not all projects count units and beds, and it could vary. For example, a project could have a single unit that could at one time include 1 bed or at another time include multiple beds. 10 DRAFT-DRAFT-DRAFT

Appendix B – Point in Time Cowlitz County’s Point in Time Count 450 400 350 300 250 200 150 100 50 0 2012

2013

2014

2015

2016

2017

Sheltered

2018

2019

2020

Unsheltered

2021

2022

2023

2024

2025

Total

The Point in Time is a one-time count of people who are sheltered (staying in emergency shelter and temporary housing) and unsheltered (places not meant for human habitation). The data above reflects Cowlitz County’s Point in Time count over time from 2012-2025. The state completes the sheltered count for all counties by pulling data from the Homeless Management Information System (HMIS) for shelter and temporary housing programs that enter data into that system. Cowlitz County Health & Human Services and community partners conduct the unsheltered count by completing surveys with individuals living outdoors. More detailed information about the Point in Time count can be found here: https://www.co.cowlitz.wa.us/2538/Point-in-Time-PIT-Count-Data Statewide data can be found here: https://www.commerce.wa.gov/homelessness-response/planning-and-reporting/pitcount/

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Appendix C – Stakeholder and Public Engagement Key Stakeholder participation and collaboration The Cowlitz County Homeless Housing Task Force (HHTF) includes a wide range of membership. The members who participated in the development of the plan brought valuable experience from the following areas: City of Longview, City of Kelso, lived experience of homelessness, board member with a local shelter provider, legal aid, law enforcement, experiencing working in homeless/housing programs or services, experiencing working in behavioral health, experience working with local veterans, experience working within medical facilities, and community members at large. A variety of additional local stakeholders attended HHTF meetings and provided feedback on the local plan development including: Chai Rivers, Community House on Broadway, Emergency Support Shelter, Family Health Center, Housing Opportunities of SW Washington, Lower Columbia CAP, Love Overwhelming, Salvation Army, and Woodland Action Center. Stakeholders and the general public were able to provide input and feedback through a variety of ways: • • • •

Online feedback form, available 7/2025 through 12/2025 HHTF Meetings – Regular monthly meetings Public Work Session – 10/21/2025 Public Hearing – 12/16/2025

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Appendix D – 2019-2024 Plan Update

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Appendix E – Estimates of Service Levels The local plan must include screenshots of an analysis tool provided by Commerce. The below tool pulls information from a report Commerce puts together called the ‘Golden’ report. The Golden report includes expenditure, project types, and bed information from projects within Cowlitz County funded from a variety of fund sources including federal, state, and local sources. It is not a reflection of projects funded with county funding. The full Golden report can be found here: https://deptofcommerce.app.box.com/s/v9pliuty6kcb36uwjd9ihb2q2rmik0oz/file/1720796 420868

Housing Interventions – Includes emergency shelter (ES), transitional housing (TH), rapid re-housing (RRH), permanent supportive housing (PSH), and other permanent housing models (e.g., PSH that does not require a disability for entry). •

Emergency Support Shelter, Community House on Broadway (ES, TH, RRH, other permanent housing), Family Promise (ES), Housing Opportunities of SW Washington (TH, RRH, other permanent housing), Salvation Army (TH, RRH), Lower Columbia CAP (RRH, PSH), Catholic Community Services (RRH), Janus Youth (RRH), Kelso Housing Authority (PSH)

Homelessness Prevention – Refers to programs that provide services or financial assistance to prevent a household from experiencing homelessness. •

Housing Opportunities of SW Washington, Lower Columbia CAP, Salvation Army, Catholic Community Services, Cascade AIDS Project, Community Mediation Center

Services Only – Includes coordinated entry, services-only projects, street outreach, and day shelters.

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•

Housing Opportunities of SW Washington (Case Management, Janus Youth (Street Outreach), CORE Health (PATH Street Outreach & Supportive Services), Salvation Army (Hope Village), Coordinated Entry

Other Projects – Includes Safe Haven programs, sanctioned encampments, and severe weather shelters. It also includes some projects without HMIS project codes. •

Lower Columbia CAP (Care to Home, CBRA), CORE Health (Peer Pathfinder), Family Health Center (Phoenix House), Community House on Broadway (Beth’s Place), Campus Towers

Enrollments – Refers to the number of households active in participating projects on a specified date each year.

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Beds – Refers to the total number of beds per housing intervention type.

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Appendix F – Survey of Fund Sources Allowable Uses

Amount received SFY24 $2,838,962

Actual/projected received SFY25 $18,224

Fund Source

Source

Status

Mental Health Sales and Use Tax RCW 82.14.460 Housing and Related Services Sales and Use Tax RCW 82.14.530 Affordable and Supportive Housing Sales and Use Tax RCW 82.14.540 Local Housing Levies RCW 84.52.105 Document Recording Surcharge, Local Portion RCW 36.22.250 Consolidated Homeless Grant Emergency Solutions Grant

Local

Not receiving/ collecting Not receiving/ collecting

Operating & Capital Operating & Capital

N/A

State

Receiving/ collecting

Operating & Capital

$213,789

$161,897

Local

Not receiving/ collecting Receiving/ collecting

Capital

N/A

Operating & Capital

$638,030

$683,907

Receiving/ collecting Federal Not receiving/ collecting Federal Receiving/ collecting

Operating

$2,487,503

$2,412,757

Operating

N/A

Capital

$67,000

$66,000

Federal Not receiving/ collecting Federal Not receiving/ collecting

Operating

N/A

Operating

N/A

Community Development Block Grant – Public Services Continuum of Care Grant Youth Homelessness Demonstration Project Grant

Local

State

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